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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

Honglei Wang, Lei Cao, Kunming Zheng, Yongjie Zhao
With the development of laparoscopy and digestive endoscopy, multiple laparoscopic and endoscopic cooperative surgeries (LECSs) for gastrointestinal stromal tumors have recently been developed. Classic LECS has been confirmed as a feasible and safe treatment procedure for gastrointestinal stromal tumors with regard to both short-term surgical and long-term oncological outcomes; however, classic LECS has the potential risk of gastric contents or tumor cells spilling into the abdominal cavity because the gastric wall has to be opened during the procedure...
November 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Kenan Ulualp, Stephen V Masnyj, Cheong J Lee, Jon C Gould
BACKGROUND: Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is characterized by postprandial abdominal pain and weight loss thought to be secondary to compression of the celiac artery ganglia by the median arcuate ligament (MAL). METHODS: A young female powerlifter presented with a 3-month history of postprandial epigastric pain and involuntary weight loss following the start of a vigorous weightlifting program. The diagnosis of MALS was established after excluding other possibilities and by detailed evaluation including magnetic resonance imaging and celiac plexus block...
November 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mustafa O Oztan, Gaye Aydin, Emine B Cigsar, Pervin Sutas Bozkurt, Gokhan Koyluoglu
PURPOSE: Laparoscopic appendectomy has become more popular compared with the open appendectomy in children, but there are limited data on the effects of pneumoperitoneum and Trendelenburg position on cerebral oxygenation. This study was designed to evaluate the changes in cerebral saturation using near-infrared spectroscope during laparoscopic surgery in children. METHODS: The children underwent laparoscopic (LAP Group, n=22) or open appendectomy (OPEN Group, n=22)...
November 1, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ra-Yeong Song, Hee Ju Sohn, Se Hyun Paek, Kyung Ho Kang
BACKGROUND: Robotic unilateral modified radical neck dissection (MRND) has been reported to be safe and achieves good oncologic results. However, there is no report of successful robotic bilateral MRND to date. We report the first case series of robotic bilateral MRND through the bilateral axillo-breast approach (BABA). METHODS AND RESULTS: We reviewed 4 patients who presented with papillary thyroid cancer and metastasis to both lateral neck compartments. BABA robotic total thyroidectomy with bilateral MRND was performed...
October 31, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Muhammed A Memon, Rossita M Yunus, Breda Memon, Aiman Awaiz, Shahjahan Khan
AIMS AND OBJECTIVES: The aim was to conduct a systematic review and meta-analysis of the randomized evidence to determine the relative merits of perioperative outcomes of laparoscopic-assisted (LARR) versus open rectal resection (ORR) for proven rectal cancer. MATERIALS AND METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English-language randomized clinical trials comparing LARR and ORR. The meta-analysis was prepared in accordance with the PRISMA statement...
October 23, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Cigdem Benlice, Akin Onder, Rovnat Babazade, Jennifer Hrabe, Luca Stocchi, Scott Steele, Emre Gorgun
PURPOSE: We aimed to evaluate the association between preoperative and postoperative neutrophil-to-lymphocyte ratio (NLR) and 30-day postoperative complications after colorectal surgery. METHODS: Patients undergoing elective colorectal surgery between January, 2010 and December, 2014 were identified. Patients who had preoperative and postoperative days 1 and 2 (Postoperative day [POD]-1, POD-2) NLR were included in the study. Primary study outcomes were optimal NLR cutoff values at preop, POD-1, and POD-2...
October 23, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Viktor Gabriel, Areg Grigorian, Sebastian D Schubl, Marija Pejcinovska, Eugene Won, Michael Lekawa, Nicole Bernal, Jeffry Nahmias
BACKGROUND: Perforated peptic ulcer (PPU) surgery mortality ranges 1% to 24%. We hypothesized a decrease in length of stay (LOS) with laparoscopic surgical repair (LSR) compared with open surgical repair (OSR). METHODS: Patients undergoing PPU surgery 2005 to 2015 were identified in NSQIP. LSR was compared with OSR 2005 to 2015. LSR 2005 to 2010 was compared with 2011 to 2015. OSR 2005 to 2010 was compared with 2011 to 2015. The primary outcome was LOS. Secondary outcomes were mortality and morbidity...
October 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Hong Kyu Kim, Hoon Yub Kim, Young Jun Chai, Gianlorenzo Dionigi, Eren Berber, Ralph P Tufano
INTRODUCTION: The surgical outcomes for procedures using da Vinci Xi were compared with those of da Vinci Si in transoral robotic thyroidectomy (TORT). MATERIALS AND METHODS: The medical records were retrospectively reviewed. Patients were classified into 2 groups (da Vinci Xi vs. da Vinci Si) and surgical outcomes were analyzed. RESULTS: Each group comprised 58 patients. The postoperative pain scores at operation day 0 were lower, the hospital stays were shorter, and the number of retrieved central lymph nodes in the papillary thyroid carcinoma patients were greater in the Xi group than in the Si group...
October 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Askeri Çankaya, Serdar Saritaş
This semiexperimental study on the effects of foot massage recruited 88 patients who underwent laparoscopic cholecystectomy at the general surgery clinics of our hospital in Turkey (June 2017 to May 2018). Patients were assigned to either the intervention group (n=44, 10 min of classic foot massage) or the control group (n=44, no intervention). Pretest assessment, intervention, and posttest assessment were conducted within 1 to 6 hours postoperatively. Outcome measures included vital signs, pain, and nausea/vomiting symptoms...
October 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Natalie Kuchen, Christian Gmuer, Othmar Schoeb
INTRODUCTION: Isolated complete transection of the small bowel is extremely rare in blunt abdominal trauma. If it occurs, it is often associated with high-energy impact, as seen in motor vehicle accidents and falls from heights. In this case, a trivial trauma due to a handlebar injury caused a complete transection of the middle jejunum. CASE PRESENTATION: A 47-year-old man walked into the emergency department with moderate abdominal pain ∼10 hours after a fall on to a bicycle's handlebar from a standing position...
October 8, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Dong Wang, Han-Zhong Li, Yu-Shi Zhang, Liang Wang, Zhi-Gang Ji
OBJECTIVE: This study aimed to provide rational guidelines for patients with subclinical Cushing syndrome (SCS), who are undergoing laparoscopic adrenalectomy, in order to avoid the risk of overtreatment. METHODS: A total of 59 patients diagnosed with SCS caused by unilateral adrenal adenoma, who underwent laparoscopic adrenalectomy from 2010 to 2017, were included into the study. These patients did not receive prophylactic steroid treatment. After discharge, patients with adrenal insufficiency (AI) were treated with glucocorticoid...
October 8, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Antonietta Lamazza, Enrico Fiori, Alberto Schillaci, Antonio V Sterpetti
PURPOSE: Endoscopic placement of self-expandable metal stents (SEMSs) to relieve malignant colorectal obstruction has been widely accepted in clinical practice. Despite increasing experience, early and late complications occur with an incidence ranging from 4% to 20%. MATERIALS AND METHODS: We have adopted a modification in the technique. A pediatric nasogastroscope (4.8 mm in diameter) has been used to pass the obstruction. It is possible to have a direct vision of the anatomy and pathology, and to pass the guidewire above the obstruction, through the nasogastroscope, under direct vision...
October 8, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Islam A Elzahaby, Adel Fathi, Khaled Abdelwahab, Osama Eldamshiety, Islam H Metwally, Ahmed Abdallah, Mohamed M Ramadan, Sherif Kotb, Mahmoud Abdel Aziz, Basel Refky, Amr Abouzid, Saleh Saleh, Khaled Gaballah
INTRODUCTION: Endoscopic thyroidectomy (ET) has become a well-established surgical technique that is mainly performed for benign thyroid lesions. Several endoscopic approaches are available, such as transaxillary, unilateral axillo-breast approach (UABA), modified anterior chest wall approach (MACWA), bilateral axillo-breast approach, and most recently the transoral approach and the robotic-assisted techniques. There is no recommended approach, because each approach has its own positive and negative attributes...
September 26, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Daqi Zhang, Tie Wang, Gianlorenzo Dionigi, Jiao Zhang, Gaofeng Xue, Hui Sun
BACKGROUND: Endoscopic thyroidectomy by bilateral areola approach (ETBAA) potentially expose a technical limitation for anatomize the central compartment lymph nodes located in its most caudal portion because of visual obstruction and instrument interference of clavicles and sternum. We provide a comparative analysis of ETBAA versus open thyroidectomy approach (OTA) for central compartment dissection (CND). METHODS: From October 2013 to August 2017, 400 patients with papillary thyroid cancer (PTC) underwent CND; 200 patients were enrolled in each group...
September 26, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Zahra Asgari, Reihaneh Hosseini, Hadith Rastad, Ladan Hosseini
No abstract text is available yet for this article.
September 26, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Hao Chen, Fang Yang, Ting-Ting Li, Ke-Nan Zhang, Zhen-Gang Sun, Chun-Zhao Yu, Yuan Sun
BACKGROUND: Recent advances in laparoscopic techniques have demonstrated that laparoscopy is superior for managing portal hypertension. This study aimed to compare the efficacy of laparoscopic splenectomy plus selective pericardial devascularization (LSSD) and open splenectomy and nonselective pericardial devascularization (OSD) in patients with portal hypertension. METHODS: A total of 127 patients with portal hypertension underwent either LSSD or OSD at Jingzhou Central Hospital from January 2014 to December 2016...
September 26, 2018: 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
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