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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

Cong Chen, Rui Tao
INTRODUCTION: Magnesium sulfate has emerged as an important drug to alleviate the pain after laparoscopic cholecystectomy. However, the use of magnesium sulfate for pain control after laparoscopic cholecystectomy has not been well established. We conduct a systematic review and meta-analysis to evaluate the impact of magnesium sulfate on pain control after laparoscopic cholecystectomy. MATERIALS AND METHODS: PubMed, Embase, and the Cochrane Central Register of Controlled Trials are searched...
September 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Rui Qu, Jianxue Wang, Jinyi Li, Zhiyong Dong, Jingge Yang, Daosheng Liu, Cunchuan Wang
BACKGROUND: For selected patients, endoscopic thyroidectomy via the oral-vestibular approach (ETOVA) can be used to achieve a very good esthetic effect. This study aimed to assess the learning curve for ETOVA and identify improvements. PATIENTS AND METHODS: This retrospective study evaluated the outcomes of 101 patients who underwent ETOVA by surgeons A and B. The patients were classified according to whether they had undergone surgery during the primary or advanced stage of the learning curve, respectively...
September 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Li-Li Ma, Tian-Cheng Luo, Yu-Jen Tseng, Xiao-Quan Huang, Jian-Jun Luo, Wen Zhang, Bing Li, Shi-Yao Chen
INTRODUCTION: To explore the safety and feasibility of balloon-occluded retrograde transvenous obliteration (BRTO) of portovenous shunts during endoscopic cyanoacrylate injection for the treatment gastric varices (E-BRTO) secondary to portal hypertension. PATIENTS AND METHODS: A total of 28 cirrhotic patients with gastroesophageal varices and concurrent gastrorenal or gastrosplenorenal shunt, treated with E-BRTO, were enrolled. Operative details were recorded to evaluate the safety, feasibility, and efficacy of the procedure...
September 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Hideo Takahashi, Muhammet Akyuz, Bora Kahramangil, Emin Kose, Federico Aucejo, John Fung, Eren Berber
INTRODUCTION: The aim of this report was to perform a cost-comparison between liver resection (LR) and radiofrequency ablation (RFA). METHOD: Patients with colorectal liver metastasis (CRLM)≤3 cm, who underwent LR or laparoscopic RFA between 2006 and 2015 were included in the study. Using a prospectively maintained CRLM database, clinical, oncologic, and financial parameters were compared. RESULTS: Sixty-three patients underwent open or laparoscopic LR, and 25 patients underwent laparoscopic RFA...
September 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yoshitaka Toyomasu, Kyoichi Ogata, Masaki Suzuki, Toru Yanoma, Akiharu Kimura, Norimichi Kogure, Tetsuro Ohno, Yoichi Kamiyama, Erito Mochiki, Hiroyuki Kuwano
BACKGROUND: Laparoscopic distal gastrectomy (LDG) is a widely used minimally invasive surgery. Following LDG, Billroth-I (B-I) provides physiological reconstruction by preserving the duodenal passage but results in a high incidence of reflux esophagitis that decreases postoperative quality of life. Because of this, Roux-en-Y (R-Y) reconstruction is often considered the first choice after LDG. However, very few studies have investigated differences in physiological function between B-I and R-Y after LDG...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Toshiyasu Ojima, Masaki Nakamura, Keiji Hayata, Mikihito Nakamori, Hiroki Yamaue
PURPOSE: We outline our reinforced stapling technique for reconstruction after laparoscopic distal gastrectomy (LDG). We also investigated the safety and feasibility of short-term surgical outcomes of this technique for patients with gastric cancer (GC). MATERIALS AND METHODS: This is a retrospective study of 24 consecutive patients with GC who underwent reinforced stapling technique for reconstruction after LDG at our institute between 2016 and 2017. We adopted intracorporeal anastomosis, namely delta-shaped Billroth I gastroduodenostomy or Roux-en-Y gastrojejunostomy, using reinforced staples with polyglycolic acid sheets (Neoveil)...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Junqiang Chen, Shian Yu, Longtang Xu
PURPOSE: The purpose of this study was to explore the safety and feasibility of laparoscopic partial splenectomy in treating splenic benign lesions (SBL). MATERIALS AND METHODS: A total of 16 SBL patients clearly diagnosed before surgery (8 cases of splenic cysts, 5 cases of splenic lymphangioma, and 3 cases of splenic hemangioma) underwent 2D or 3D laparoscopic partial splenectomy from October 2013 to August 2016. The diameters of the SBL were 5 to 17 cm with an average of 8...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ke Chen, Yu Pan, Geng-Yuan Hu, Hendi Maher, Xue-Yong Zheng, Jia-Fei Yan
BACKGROUND: Although large series of laparoscopic resections for hepatocellular carcinoma (HCC) were published, reports of laparoscopic major hepatectomy (LMH) are still limited in expert centers because LMH for HCC remains a challenging procedure requiring extensive experience in both laparoscopic and hepatic surgery. We performed a meta-analysis to assess the safety and efficacy of LMH and open major hepatectomy (OMH) for HCC. METHODS: A literature search was performed to identify studies comparing LMH with OMH for HCC...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Hyeong Won Yu, In Eui Bae, Dong Sik Bae, KyuHyung Kim, June Young Choi, Kyu Eun Lee
Traditional surgical training methods to teach young doctors have changed because of the emergence of animal models. The present article summarizes a protocol for bilateral axillo-breast approach (BABA) endoscopic thyroidectomy in a pig model. All procedures were approved by the local ethics committee and the pigs were anesthetized by a veterinarian. Formation of the flap involved skin marking, hydrodissection, blunt dissection and, finally, trocar insertion. BABA endoscopic thyroidectomy is performed by midline division, identification of the thyroid, thyroidectomy and, finally, surveillance of bleeding...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Wan-Joon Kim, Ki-Hun Kim, Seok-Hwan Kim, Woo-Hyung Kang, Sung-Gyu Lee
This study aimed to compare the surgical and oncological outcomes of laparoscopic liver resection (LLR) and open liver resection (OLR) for centrally located hepatocellular carcinoma in patients with cirrhosis. Between May 2013 and December 2015, 26 patients underwent pure LLR (14 underwent laparoscopic right anterior sectionectomy and 12 underwent laparoscopic central bisectionectomy). In total, 18 patients in the laparoscopic group and 36 patients in the open group were matched. When the LLR and OLR groups were compared, the operation time was found to be longer in the LLR group...
September 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yi-Ju Wu, Shun-Yu Chi, Ahmed Elsarawy, Yi-Chia Chan, Fong-Fu Chou, Yu-Cheng Lin, Sin-Yong Wee, Cheng-Chung Pan, Ben-Chung Cheng, Chih-Che Lin
Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a novel technique with better cosmetic results. However, extraction of a large malignant thyroid nodule from the central incision of TOETVA necessitates breaking it into pieces to avoid mental nerve injury, a situation that may violate a proper oncological surgery. In this study, we sought the appropriate nodular diameter in thyroid cancer to be removed in an intact status through the central incision of the TOETVA technique. A total of 27 cases of thyroid nodules were operated using the TOETVA technique from Aug 2016 to July 2017...
August 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Xiangdong Liu, De Luo, Hong Chen, Jiang Liu, Fangyi Peng, Cheng Fang, Bo Li, Song Su
Common bile duct (CBD) suturing is a difficult procedure in laparoscopic CBD exploration. We sought to develop a simpler CBD suture technique using running barbed sutures. We retrospectively compared 2 suture techniques for CBD closure after T-tube placement. The barbed group comprised of 46 patients who underwent CBD closure using running barbed sutures, whereas the standard group comprised of 39 patients who received interrupted sutures. Mean CBD suturing time (6.2±0.9 vs. 12.2±1.1 min; P<0.001), total operating time (79...
August 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Giuseppe Portale, Alessandro Valdegamberi, Francesco Cavallin, Alberto Morabito, Flavio Frigo, Valentino Fiscon
The aim of the present study was to evaluate the long-term results of laparoscopic curative resection for rectal cancer. We included all patients who underwent laparoscopic curative resection for rectal cancer from June 2005 to September 2015. A total of 159 patients were included; 33.9% received neoadjuvant chemoradiotherapy. Thirty-day mortality and morbidity rates were 0.6% and 26.4%, respectively. Pathologic stage was 0 in 12%, I in 39%, II in 24.5%, and III in 24.5%. The median number of lymph nodes harvested was 16...
August 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Bing Li, Chun-Xia Sun, Wei-Bing Chen, Feng-Nian Zhang
PURPOSE: Idiopathic intussusception is one of the most common causes of small bowel obstruction in children. To decrease subsequent recurrence and to detect a lead point, an early laparoscopy was performed for children with multiple recurrent ileocolic intussusception. MATERIALS AND METHODS: Between January 2014 and July 2017, a total of 2561 consecutive children with intussusception were treated and followed. There were 110 patients with multiple recurrences, 61 were treated with ileocolic pexy and 49 were not and the results were compared...
July 31, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Beat M Künzli, Johannes Spohnholz, Chris Braumann, Shailesh V Shrikhande, Waldemar Uhl
OBJECTIVE: Bowel, vascular, and biliary injuries during laparoscopic cholecystectomy (LC) have to be addressed with high priority. The focus of this study was on small bowel injury (SBI) and its impact on clinical management. METHODS: We report 5 cases of SBI in a retrospective database of 2062 consecutive LC between January 2004 and December 2017. RESULTS: We report isolated iatrogenic SBI in 0.24% (5 of 2062) after LC. We identified 3 cases with SBI associated with the technique of Hasson or related problems with intraoperative relaxation toward the end of the LC...
July 31, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mehmet Ali Yerdel, Görkem Özgen
In contrast to colonic tattooing, data on dye-marking before gastric operations are scarce. A simple method of gastric tattooing before sleeve gastrectomy (SG) is presented. SG, under tattoo guidance has never been reported. Submucosa of the lesion is injected with 1 to 2 mL of carbon particles (Spot, PA) 24 hours before SG. At surgery, serosal dye stain is identified and stapling achieved with care to remove all dye-stained segment. Dye spread on the serosal surface differed significantly. However, as all the dye-stained segments were avoidable during stapling, 2 neuroendocrine tumors, 2 leiomyomas, and 1 benign ulcer were resected with clear histologic margins...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ilhan Ocakcioglu, Fuat Sayir
PURPOSE: Pulmonary hydatid cyst is a preventable parasitary disease with high prevalence in low-medium income countries. Thoracoscopic approach is seen in the literature as small-case groups and multiple-port incisions are observed in these studies. Unlike other thoracoscopic approaches for the surgical treatment, we describe the single-port technique for the first time in our study. We attempt to compare the clinical outcomes and preliminary results of patients with pulmonary hydatid cyst treated with either minimally invasive or thoracotomy...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Daqi Zhang, Che-Wei Wu, Davide Inversini, Hoon Yub Kim, Angkoon Anuwong, Alessandro Bacuzzi, Gianlorenzo Dionigi
BACKGROUND: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. MATERIALS AND METHODS: We described a case of faulty TOETVA. RESULTS: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. CONCLUSIONS: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO2 insufflation settings, the learning curve, and patient selection, were described and discussed...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Nikolaos Machairas, Anastasia Prodromidou, Ioannis D Kostakis, Eleftherios Spartalis, Georgios C Sotiropoulos
INTRODUCTION: Laparoscopic liver resections (LLR) are currently acknowledged as safe and efficient procedures. LLR in posterosuperior (PS) segments are considered highly challenging procedures. The aim of our meta-analysis was to evaluate the effect of LLR versus open liver resection on short-term outcomes for PS segment lesions. MATERIALS AND METHODS: A systematic search of Medline, Scopus, Google Scholar, Cochrane CENTRAL Register of Controlled Trials and Clinicaltrials...
August 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Michael S J Wilson, Stephen R Knight, Peter Vaughan-Shaw
INTRODUCTION: The aim of our study was to identify the most commonly employed methods and influencing factors for securing the appendiceal stump in current NHS practice. METHODS: An electronic survey of the Scottish Surgical Research Group network, invitation extended to the UK National Research Collaborative. RESULTS: A total of 111 responses were received from 32 surgical centers; 28 (25.2%) consultants, 66 (59.5%) specialty trainees and 12 (10...
August 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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