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Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

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https://www.readbyqxmd.com/read/30016196/staged-thoracoscopic-repair-of-long-gap-esophageal-atresia-without-temporary-gastrostomy
#1
Bartosz Bogusz, Dariusz Patkowski, Sylwester Gerus, Marcin Rasiewicz, Wojciech Górecki
INTRODUCTION: Primary repair of long-gap esophageal atresia (LGEA) continues to present a surgical challenge. The number of treatment options, including the use of native esophagus or esophageal replacement, shows the difficulty in the treatment and lack of one superior option. Until recently all children with LGEA required temporary gastrostomy before esophageal reconstruction. OBJECTIVE: The aim of the study is to present new therapeutic management in patients with LGEA, involving staged thoracoscopic procedure with internal traction without gastrostomy...
July 17, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30016184/a-single-surgeon-laparoscopic-duodenoduodenostomy-case-series-for-congenital-duodenal-obstruction-in-an-academic-setting
#2
Lindel C Dewberry, Raphael N Vuille-Dit-Bille, Ann M Kulungowski, Stig Somme
INTRODUCTION: Laparoscopic duodenoduodenostomy can be performed to repair congenital duodenal obstructions from atresia or duodenal web. There are only a few published case series in the literature. We are reporting on a single surgeon's experience with the operation and discuss the technical aspects of the operation. MATERIAL AND METHODS: A retrospective chart review was performed using the electronic medical record identifying all patients who underwent laparoscopic duodenoduodenostomy or duodenojejunostomy at two institutions by a singular surgeon...
July 17, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30010479/chromoendoscopy-plus-mucosal-resection-versus-conventional-electrocoagulation-for-intestinal-polyps-in-children-two-case-series
#3
Quan Zhan, Chao Jiang
BACKGROUND: Conventional high-frequency electrocoagulation (HFEC) of intestinal polyps may be difficult in children and endoscopic mucosal resection (EMR) could be a less invasive option. Chromoendoscopy improves tissue localization during endoscopy, but its exact influence on the outcomes of children with intestinal lesions is still unknown. AIMS: To analyze a series of children treated with EMR or HFEC and assess the value of chromoendoscopy. METHODS: This was a retrospective analysis of two case series of patients treated at the Gastroenterology Department of the Guiyang Children's Hospital between February 2014 and November 2016...
July 16, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30010475/laparoscopic-roux-en-y-gastric-bypass-surgical-technique-and-tips-for-success
#4
Francisco Schlottmann, Rudolf Buxhoeveden
Obesity is a worldwide increasing concern, and its prevalence has risen rapidly over the past several decades. Since nonsurgical treatment for weight loss in morbidly obese patients has poor long-term outcomes, bariatric surgery has gained acceptance and popularity in the last years. The laparoscopic Roux-en-Y gastric bypass has proved to be safe and effective, with successful long-term outcomes in morbidly obese patients. Key elements for the success of the operation are careful patient selection, a comprehensive preoperative evaluation, and a properly executed operation that respects the key technical elements...
July 16, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30010474/epidemiology-of-obesity-and-associated-comorbidities
#5
Ciro Andolfi, P Marco Fisichella
Obesity currently affects 78.6 million people (33%) in the United States and is expected to increase to over 50% of the population by 2030. This epidemic is fueled by the growing rate of obesity in adolescents. The new science of obesity indicates that there is a tipping point at which genetic resetting occurs and it is reached when adipose tissue dysfunction occurs. It is becoming clear that obesity is less an ongoing personal choice than a fact of biology. With this review, we aim to describe the epidemiology of obesity and the associated comorbidities...
July 16, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004827/the-impact-of-simulator-size-on-forces-generated-in-the-performance-of-a-defined-intracorporeal-suturing-task-a-pilot-study
#6
Aodhnait S Fahy, Luai Jamal, Bojan Gavrilovic, Brian Carillo, Justin T Gerstle, Ahmed Nasr, Georges Azzie
BACKGROUND: In pediatric minimal access surgery, the operative domain may vary from that of an adult to that of a neonate. This study aimed to quantify the impact of decreased operative domain on forces generated in the performance of a defined intracorporeal suturing task. METHODS: One hundred five participants performed a defined intracorporeal suturing task in small and large simulators. Time to task completion and force analysis parameters (FAPs = total, maximum, and mean forces in X, Y, and Z axes) were measured...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004821/metabolic-effects-of-bariatric-surgery
#7
Francisco Schlottmann, Martin M Galvarini, Nicolás H Dreifuss, Francisco Laxague, Rudolf Buxhoeveden, Verónica Gorodner
The number of obese people in the world has risen significantly over the past three decades. Obesity is associated with severe health comorbidities and metabolic disorders such as diabetes, hypertension, dyslipidemia, and nonalcoholic fatty liver disease. Even with aggressive pharmacotherapy, obese patients will have substantial poor health outcomes. Bariatric surgery has been used more often during the last 10 years as it has been shown to be safe and effective in decreasing weight. The term "metabolic surgery" has recently emerged from the recognition that the effects of surgery on comorbidities extended beyond weight loss...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004814/sleeve-gastrectomy-surgical-tips
#8
Ann Y Chung, Richard Thompson, D Wayne Overby, Meredith C Duke, Timothy M Farrell
The vertical sleeve gastrectomy is a bariatric procedure that was originally described as the initial step in the biliopancreatic diversion. It demonstrated effectiveness in weight loss as a single procedure, and the laparoscopic vertical sleeve gastrectomy, as a stand-alone procedure, is now the most commonly performed bariatric surgery worldwide. Due to its relative technical ease and long-term data that have established its durability in treating obesity and its related comorbid conditions, the sleeve gastrectomy has grown in popularity among patients and surgeons...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004287/laparoscopic-transperitoneal-radical-nephrectomy-for-renal-masses-with-level-i-and-ii-thrombus
#9
Onder Cinar, Kadir Omur Gunseren, Cagatay Cicek, Berna Aytac Vuruskan, Hakan Vuruskan
BACKGROUND: We aimed to report surgical and oncological outcomes of renal cell carcinoma (RCC) patients with level I and II thrombus treated with laparoscopic transperitoneal radical nephrectomy. PATIENTS AND METHODS: Medical records of 13 patients were reviewed retrospectively in a single center between 2005 and 2017. Hem-o-lok® clips were used to secure renal artery and renal vein, excluding 2 patients with an attached thrombus on the right side. RESULTS: Seven male and 6 female patients were treated laparoscopically, and conversion to open surgery was not required in any case...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004286/bariatric-surgery-and-gastroesophageal-reflux
#10
Francisco Schlottmann, Fernando A M Herbella, Marco G Patti
The epidemic of morbid obesity in the United States has reached dramatic proportions. Because of the associated comorbidities and because life style changes and exercise have limited effect, bariatric surgery has been used more often during the last 10 years as it has been shown to be safe and effective in decreasing weight and resolving comorbidities. Recently many studies have focused on a potential complication of bariatric surgery, gastroesophageal reflux disease, mostly because of the increasing use of sleeve gastrectomy...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004270/preoperative-evaluation-in-bariatric-surgery
#11
Francisco Schlottmann, Apoorve Nayyar, Fernando A M Herbella, Marco G Patti
An adequate preoperative workup is critical for the success of bariatric surgery. A key component of the preoperative evaluation involves a comprehensive patient education about surgical outcomes and the postoperative behavioral regimen required. A complete medical evaluation should include the study of the cardiovascular, pulmonary, and gastrointestinal systems as well as a metabolic status assessment. The nutrition professional should be in charge of the nutritional assessment, preoperative weight loss efforts, and diet education regarding postoperative eating behaviors...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30004267/gastroesophageal-reflux-disease-in-obese-patients
#12
Antono C Valezi, Fernando A M Herbella, Francisco Schlottmann, Marco G Patti
Gastroesophageal reflux disease (GERD) and obesity coexist in many patients in the Western population. The association is not coincidental, since GERD pathophysiology is, in part, linked to obesity. Visceral adipose tissue secretes hormones, which increase the risk of GERD. Obesity increases esophageal motor disorders and higher number of transient lower esophageal sphincter relaxations. Central obesity increases abdominal-thoracic pressure gradient and disrupts the gastroesophageal junction by inducing hiatal hernia formation...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29993317/selective-antegrade-biliary-stenting-aids-emergency-laparoscopic-cholecystectomy
#13
Sheik Fazal Ur Rehman, Laura Ballance, Anthony Rate
BACKGROUND: Symptomatic gall stone disease requires early emergency treatment to prevent complications. This early treatment is often delayed due to difficulty in the diagnosis and management of concomitant choledocholithiasis. Intervention with preoperative endoscopic retrograde cholangiopancreatography (ERCP) is associated with complications and known to be unnecessary in most cases. We follow a strategy of providing early cholecystectomy with selective utility of antegrade stent in cases of choledocholithiasis...
July 11, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29979620/percutaneous-computed-tomography-guided-radiotracer-assisted-localization-of-difficult-pulmonary-nodules-in-uniportal-video-assisted-thoracic-surgery
#14
Wesley A Dailey, Gregory T Frey, J Mark McKinney, Ricardo Paz-Fumagalli, David M Sella, Beau B Toskich, Mathew Thomas
OBJECTIVE: To report our institutional experience with radiotracer-assisted localization of lung nodules (RALN) in combination with uniportal video-assisted thoracoscopic surgery (UVATS). METHODS: We retrospectively reviewed electronic medical records and radiology images of 27 consecutive adult patients who underwent planned UVATS lung resections combined with RALN from January 2014 to May 2017. Based on preoperative imaging, 29 nondescript nodules were marked with technetium 99 m macroaggregated albumin under computed tomography guidance before resection...
July 6, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29975595/minimally-invasive-surgical-approach-for-posterior-tracheopexy-to-treat-severe-tracheomalacia-lessons-learned-from-initial-case-series
#15
Ali Kamran, Thomas E Hamilton, Benjamin Zendejas, Bharath Nath, Russell W Jennings, Charles J Smithers
BACKGROUND/PURPOSE: Posterior tracheopexy directly addresses membranous tracheal intrusion in severe tracheomalacia (TM). We have previously reported our experience of posterior tracheopexy through open approach in a large series of patients. This study aimed to review lessons learned from our initial series posterior tracheopexy through the video-assisted or robotic video-assisted thoracoscopic approach. METHODS: We retrospectively reviewed our single-institution experience on all patients who underwent video-assisted or robotic video-assisted posterior tracheopexy for treatment of symptomatic TM between October 2016 and February 2018...
July 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29969383/development-of-an-open-source-laparoscopic-simulator-capable-of-motion-and-force-assessment-high-tech-at-low-cost
#16
Bojan Gavrilovic, Aodhnait S Fahy, Brian Carrillo, Ahmed Nasr, Justin T Gerstle, Georges Azzie
OBJECTIVE: Laparoscopic simulators help improve surgical skills in an ex vivo setting. New simulators incorporate force and motion assessment, but often at high financial cost. Our goal is to establish global access to a laparoscopic simulator, which offers both traditional summative assessment (time to task completion and precision) as well as advanced formative assessment (force and motion sensing capabilities) so that educators anywhere may be able to create simulators with increased educational value...
July 3, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29958063/pneumothorax-laparoscopic-intraoperative-management-during-fundoplication-facilitates-management-of-cardiopulmonary-instability-and-surgical-exposure
#17
Gregory L Falk, Trevor J D'Netto, Stephanie Phillips, Sophia C Little
INTRODUCTION: Intraoperative pneumothorax may complicate surgery by obscuring surgical view and cause cardiorespiratory instability during fundoplication with large hiatus hernia. Proactive intraoperative treatment may reduce conversion and drain insertion and facilitate timely completion of surgery. MATERIALS AND METHODS: The authors present effective surgical and anesthetic measures to alleviate pneumothorax, which are helpful for hemodynamic stability and surgical visibility...
June 29, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29957119/laparoscopic-excision-of-an-obstructing-soave-cuff-in-hirschsprung-s-disease
#18
Kena Vyas, Kaveer Chatoorgoon
BACKGROUND: The Soave pull-through for Hirschsprung's disease leaves a muscular cuff of aganglionosis surrounding the pull-through. In some patients, this cuff can extrinsically compress the pull-through, leading to chronic enterocolitis and failure to thrive. We describe a novel technique for managing the Soave cuff as an alternative to a complete redo pull-through. PROCEDURE: A laparoscopic excision of the intraperitoneal portion of the Soave cuff is performed, taking care to avoid injury to bladder, vas deferens, or vagina...
June 29, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29932792/the-comparison-of-robotic-single-site-surgery-to-single-port-laparoendoscopic-surgery-for-the-treatment-of-advanced-stage-endometriosis
#19
Hye-Sung Moon, Ji Eun Shim, Sa Ra Lee, Kyungah Jeong
OBJECTIVE: To compare perioperative outcomes of robotic single-site (RSS) surgery with conventional single-port laparoendoscopic surgery for the treatment of advanced-stage endometriosis. MATERIALS AND METHODS: This is a retrospective cohort study that included 120 patients who received single-port laparoendoscopic surgery or RSS surgery for the treatment of advanced-stage endometriosis at Ewha Womans University's Mokdong Hospital in Seoul, Korea between December 2014 and May 2017...
June 22, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29927703/outcomes-using-cryoablation-for-postoperative-pain-control-in-children-following-minimally-invasive-pectus-excavatum-repair
#20
Joseph Sujka, Leo Andrew Benedict, Jason D Fraser, Pablo Aguayo, Daniel L Millspaugh, Shawn D St Peter
PURPOSE: Pain is the main factor that determines the postoperative course for patients undergoing pectus bar placement. Cryoablation of the intercostal nerves has been suggested to mitigate this pain. We instituted a protocol for using intercostal cryoablation and report our early results compared to our immediately previous cohort. MATERIALS AND METHODS: A retrospective study was conducted on patients undergoing minimally invasive repair for pectus excavatum between January 1, 2017, and August 21, 2017...
June 21, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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