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Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

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https://www.readbyqxmd.com/read/30628857/laparoscopic-access-direct-trocar-insertion-versus-open-technique
#1
Sumesh Kaistha, Ameet Kumar, Rajesh Gangavatiker, Sreejith Br, Nikhil Sisodiya
INTRODUCTION: Creation of pneumoperitoneum and laparoscopic entry into the abdominal cavity are crucial initial steps of laparoscopic surgery and associated with bowel and major vessel injuries. Various methods have been described in literature such as Veress needle, open access technique (OAT), direct trocar insertion (DTI), and optical port. There is no consensus on the safest method of gaining access to the peritoneal cavity to create a pneumoperitoneum. DTI technique appears to be not well accepted by many due to the fear of causing injuries as it is a blind procedure...
January 10, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30628853/evaluation-of-thoracoscopy-with-single-lumen-endotracheal-tube-intubation-and-laparoscopy-in-the-diagnosis-of-occult-diaphragmatic-injuries-in-penetrating-thoracoabdominal-trauma
#2
Modise Zacharia Koto, Oleh Yevhenovych Matsevych, Lendo Nsakala
BACKGROUND: The diagnosis of traumatic diaphragmatic injuries (TDIs) after penetrating thoracoabdominal trauma is challenging and conventional imaging is unreliable. Laparoscopy and thoracoscopy are minimally invasive modalities of choice in the diagnosis and management of TDI. A little is known on the value of thoracoscopy with single-lumen endotracheal tube intubation (SLETI) in the diagnosis of occult diaphragmatic injuries, and how it compares with laparoscopy. METHODS: A prospective study evaluated thoracoscopy with SLETI as a diagnostic tool for occult TDI...
January 10, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30625024/laparoscopic-right-hepatectomy-for-hepatocellular-carcinoma-a-propensity-score-matching-analysis-of-outcomes-compared-with-conventional-open-surgery
#3
Ke Chen, Yu Pan, Yi-Fan Wang, Xue-Yong Zheng, Xiao Liang, Hong Yu, Xiu-Jun Cai
BACKGROUND: The application of laparoscopic hepatectomy is gaining momentum. However, the safety and efficacy of laparoscopic right hepatectomy (LRH) on hepatocellular carcinoma (HCC) are yet to be adequately evaluated. We aimed to assess the surgical and oncological outcomes of LRH for HCC by comparing it with open right hepatectomy (ORH). MATERIALS AND METHODS: Data of patients who underwent hepatectomy for HCC from May 2007 to January 2018 in our hospital were obtained...
January 9, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30620240/evolving-options-in-management-of-minimally-invasive-diverticular-disease-a-single-surgeon-s-experience-and-review-of-the-literature
#4
Raul Caso, Hoon Chang, M Blair Marshall
BACKGROUND: Esophageal thoracic diverticular disease is a rare condition resulting from multiple etiologies. Surgical management is recommended when symptomatic. Traditionally, a thoracotomy was considered the standard approach; however, the use of minimally invasive approaches has been associated with improved outcomes. METHODS: We retrospectively reviewed a single surgeon's experience with minimally invasive esophageal diverticulectomy. RESULTS: Fifteen patients with symptomatic esophageal diverticular disease underwent minimally invasive diverticulectomy between 2005 and 2018...
January 8, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30615568/mini-laparoscopic-management-of-ureteropelvic-junction-obstruction-in-adults-and-children-a-high-volume-case-series
#5
Nasser Simforoosh, Anahita Ansari Djafari, Hamidreza Shemshaki, Behnam Shakiba, Alireza Golshan, Milad Bonakdar
PURPOSE: We retrospectively reviewed the perioperative outcomes of mini-laparoscopic procedure in the treatment of ureteropelvic junction obstruction (UPJO) in children and adults. METHODS: From August 2009 to March 2017, 229 patients referred to our center to repair UPJO by mini-laparoscopic operation. In 203 cases, dismembered pyeloplasty was accomplished, while in other 26 cases, crossing aberrant vein division and crossing artery upward transposition were performed...
January 7, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30614769/clinical-application-of-enhanced-recovery-after-surgery-in-perioperative-period-of-laparoscopic-colorectal-cancer-surgery
#6
Qianju Li, Lei Du, Liesheng Lu, Yifeng Tong, Songbo Wu, Yanfei Yang, Qineng Hu, Yukun Wang
OBJECTIVE: To investigate the clinical application value of enhanced recovery after surgery (ERAS) combined with the laparoscopic technique in the radical resection of colorectal cancer. METHODS: A total of 200 patients undergoing laparoscopic radical surgery for colorectal cancer from June 2014 to June 2017 were selected and randomly divided into ERAS group (n = 100) and conventional (CON) group (n = 100). The ERAS group adopted enhanced recovery approach after surgery for perioperative treatment, while the CON group adopted a CON approach...
January 7, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30614752/long-term-oncological-outcomes-of-laparoscopic-liver-resection-for-solitary-hepatocellular-carcinoma-comparison-of-anatomical-and-nonanatomical-resection-using-propensity-score-matching-analysis
#7
Chan Woo Cho, Gyu-Seong Choi, Jong Man Kim, Choon Hyuck David Kwon, Jae-Won Joh
AIM: There is no evidence indicating that survival improvement is associated with anatomical laparoscopic liver resection (ALLR) rather than non-ALLR (NALLR) to treat solitary hepatocellular carcinoma (HCC). The aim of our study was to compare the oncological outcomes of ALLR versus NALLR. MATERIALS AND METHODS: From January 2008 to September 2014, 231 patients underwent LLR as the primary treatment for solitary HCC without portal vein tumor thrombus. After matching one-to-one propensity scores, 118 patients were included in 2 groups: NALLR (n = 59) and ALLR (n = 59)...
January 7, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30614751/laparoscopic-partial-closure-for-congenital-portosystemic-shunt-indications-postoperative-management-and-subsequent-complete-closure
#8
Teizaburo Mori, Yohei Yamada, Kiyotomo Abe, Nobuhiro Takahashi, Motohiro Kano, Takumi Fujimura, Toshihiko Watanabe, Seishi Nakatsuka, Ken Hoshino, Tatsuo Kuroda
Extrahepatic congenital portosystemic shunts (CPSSs) can be occluded by surgical or endovascular approaches. However, when the estimated portal vein (PV) pressure after the closure is high enough to induce symptoms associated with portal hypertension, partial closure is recommended to avoid life-threatening events. In this study, we attempted laparoscopic partial closure of a CPSS in two patients. Along with intraoperative real-time measuring of the PV pressure and angiography, laparoscopic partial closure was performed to achieve a PV pressure of ≤25 mmHg...
January 7, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30596545/subcutaneous-videosurgery-for-abdominal-wall-defects-a-prospective-observational-study
#9
Leandro Cardoso Barchi, Maurice Youssef Franciss, Bruno Zilberstein
BACKGROUND: Abdominal wall defects (AWDs) include recti diastasis and midline hernias (umbilical, epigastric, and incisional). In the coexistence of such fascia defects, simultaneous repair is recommended. Conventional and hybrid techniques have been reported as an option of approach. This study aims to present the results of a total minimal invasive access to treat AWD with mesh reinforcement (subcutaneous videosurgery for abdominal wall defects [SVAWD] technique). PATIENTS AND METHODS: The prospective observational study included patients with small/medium midline incisional hernia and/or multiple AWDs (symptomatic umbilicus and/or an epigastric hernia and/or abdominal rectus diastasis >2 cm) operated between August 2016 and February 2018...
December 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30596544/current-trends-and-perspectives-in-robotic-surgery
#10
Ciro Andolfi, Konstantin Umanskiy
No abstract text is available yet for this article.
December 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30596541/robot-assisted-total-gastrectomy-preliminary-evaluation
#11
Rémy Sindayigaya, Marwen Guizani, Baudouin Thébault, David Dussart, Adel Abou Mrad Fricquegnon, Arnaud Piquard, Olivier Saint-Marc
BACKGROUND: Laparoscopic total gastrectomy with extended lymphadenectomy is a technically demanding surgical procedure with steep learning curve that has limited its widespread use. The aim of this study was to evaluate the feasibility of the robotic approach in total gastrectomy for cancer. We present our experience of 17 consecutive patients who underwent robotic total gastrectomy with intracorporal sutured Roux-en-Y esophagojejunostomy and jejuno jejunostomy between 2014 and 2017. METHODS: Data were collected, and patients' demographics and outcomes were examined retrospectively...
December 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30596539/completely-abdominal-approach-laparoscopic-partial-intersphincteric-resection-after-neoadjuvant-chemoradiation-for-initial-ct3-juxta-anal-rectal-cancer
#12
Shenghui Huang, Ying Huang, Pan Chi, Huiming Lin, Xingrong Lu, Zongbin Xu, Yanwu Sun, Xiaojie Wang
PURPOSE: Traditional intersphincteric resection is a technically demanding procedure that required a perineal approach dissection and a handsewn coloanal anastomosis. Our study was to investigate the feasibility and the prognostic factors of completely abdominal approach partial intersphincteric resection (APISR) after neoadjuvant chemoradiotherapy (CRT) for low rectal cancer with initial stage cT3. METHODS: A total of 101 consecutive patients with initial stage cT3 juxta-anal rectal cancer who underwent APISR after neoadjuvant CRT between January 2010 and March 2015 were enrolled...
December 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30592692/current-practice-in-the-management-of-spontaneous-pneumothorax-in-children
#13
Kibileri Williams, Lauren Baumann, Julia Grabowski, Timothy B Lautz
INTRODUCTION: There is a lack of pediatric-specific guidelines for the workup and management of primary spontaneous pneumothorax (PSP) in children. The aim of this study was to describe current practices among North American pediatric surgeons. MATERIALS AND METHODS: An online survey comprising 18 questions was sent out through the American Pediatric Surgical Association Outcomes and Clinical Trials Committee to all members. Bivariate analysis was performed using Chi-square analysis...
December 28, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30592691/impact-of-spleen-preserving-laparoscopic-distal-pancreatectomy-on-postoperative-infectious-complications-systematic-review-and-meta-analysis
#14
Pamela Milito, Alberto Aiolfi, Emanuele Asti, Emanuele Rausa, Gianluca Bonitta, Luigi Bonavina
BACKGROUND: Laparoscopic distal pancreatectomy with splenectomy is the standard procedure for body and tail pancreatic tumors. Technical difficulties arising from the strict anatomical relationship between pancreas and splenic vessels generally impose a concomitant splenectomy. Previous retrospective studies have shown a reduced risk of postoperative complications and infections in spleen preserved patients, but this is still a debated issue. Aim of this systematic review and meta-analysis was to provide a more robust evidence on the effect of spleen preserving laparoscopic distal pancreatectomy...
December 28, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30592690/prognostic-value-of-chest-tube-amylase-versus-c-reactive-protein-as-screening-tool-for-detection-of-early-anastomotic-leaks-after-ivor-lewis-esophagectomy
#15
Luca Giulini, Attila Dubecz, Norbert Solymosi, Julian Tank, Marcus Renz, Lucas Thumfart, Hubert J Stein
INTRODUCTION: Intrathoracic anastomotic leaks after esophagectomy are a significant cause of morbidity and death. Early detection and timely management are crucial. This study evaluates the effectiveness of daily drain amylase levels in detecting early leaks after esophagectomy compared with C-reactive protein (CRP). MATERIALS AND METHODS: Between June 2015 and September 2017, 126 esophagectomies were performed in our department. Amylase levels were collected in 80 of these patients, as long right-sided chest tubes were in place...
December 28, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30592689/current-status-of-robotic-surgery-in-pediatric-urology
#16
Ciro Andolfi, Rana Kumar, William R Boysen, Mohan S Gundeti
INTRODUCTION: Robot-assisted laparoscopic surgery (RALS) has been increasingly embraced in the fields of adult and pediatric urology, especially in North America and Europe. The advantages of a stable magnified three-dimensional view, tremor filtering, and motion scaling allow for precise intracorporeal exposure and suturing. METHODS: With this review, we aim to provide the most recent evidence on RALS applied to pediatric urology. We systematically searched the following databases: PubMed and EMBASE...
December 28, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30589374/efficacy-of-assessing-intraoperative-bowel-perfusion-with-near-infrared-camera-in-laparoscopic-gastric-cancer-surgery
#17
Yeon-Ju Huh, Hyuk-Joon Lee, Tae-Han Kim, Yun-Suck Choi, Ji-Ho Park, Young-Gil Son, Yun-Suhk Suh, Seong-Ho Kong, Han-Kwang Yang
BACKGROUND: Anastomotic leakage is a severe complication after gastric cancer surgery. Inadequate blood supply is regarded as an important risk factor. The aim of the study was to evaluate the feasibility and usefulness of intraoperative assessment of anastomotic vascular perfusion in gastric cancer surgery using near-infrared (NIR) camera imaging with indocyanine green (ICG)-enhanced fluorescence technique. MATERIALS AND METHODS: From March 2015 to 2016, 30 patients undergoing laparoscopic gastrectomy for gastric cancer were prospectively evaluated...
December 27, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30585754/laparoscopic-appendectomy-in-the-setting-of-clinical-prediction-rules
#18
Juan Ramón Gómez López, Juan Carlos Martín Del Olmo, María Antonia Montenegro Martín, Pilar Concejo Cutoli, María Luz Martín Esteban, Miguel Toledano Trincado, Isabel Cristina López Mestanza, Carlos Vaquero Puerta
PURPOSE: Acute appendicitis (AA) is the most frequent surgical entity in the emergency department, but its correct diagnosis remains challenging. To improve diagnosis, clinical prediction rules (CPRs) have been created to establish objective scores for the probability of suffering AA. In this study, we establish scores indicating whether laparoscopy would be superior to clinical observation or repeat diagnostic test. METHODS: A retrospective observational study was conducted with 433 patients submitted to surgery for suspected AA using a laparoscopic approach...
December 26, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30562139/enterovascular-fistula-an-under-recognized-complication-related-to-therapy-for-esophageal-carcinoma
#19
Vignesh Shanmugam, Richard N Mitchell, Robert F Padera, Ory Wiesel
BACKGROUND AND OBJECTIVES: The formation of a fistula between the gastrointestinal tract and cardiovascular system is a rare but devastating condition. Although clinical diagnosis is suspected, autopsy confirmation is rarely obtained. Advancement in the treatment of esophageal cancer could result in an increased risk of enterovascular fistula formation. We describe autopsy-proven series of enterovascular fistulas with particular focus on this complication developing as a consequence of esophageal cancer therapy...
December 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30562122/retrospective-comparison-of-two-minimally-invasive-esophagectomy-in-the-treatment-of-esophageal-cancer-pneumatic-mediastinoscopy-versus-thoracoscopy
#20
Yuxiang Jin, Xinye Lu, Lei Xue, Xuewei Zhao
OBJECTIVE: To compare the clinical effectiveness of two approaches of minimally invasive esophagectomy (MIE) in esophagectomy patients. MATERIALS AND METHODS: We retrospectively screened the perioperative data in a total of 49 patients who underwent MIE. Among them, 30 patients underwent thoracoscopy combined with laparoscopy (Group A), while the rest received mediastinoscopy combined with laparoscopy (Group B). Clinical effectiveness and postoperative complications were comparatively analyzed...
December 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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