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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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https://www.readbyqxmd.com/read/30640819/efficacy-of-single-incision-laparoscopic-totally-extraperitoneal-inguinal-hernia-repair-for-overweight-or-obese-patients
#1
Masaki Wakasugi, Yujiro Nakahara, Masaki Hirota, Takashi Matsumoto, Takashi Kusu, Hiroyoshi Takemoto, Ko Takachi, Satoshi Oshima
AIM: To evaluate the efficacy of single-incision laparoscopic surgery for totally extraperitoneal repair in overweight or obese patients. MATERIALS AND METHODS: For outcome analyses, patients were subdivided by body mass index (BMI) as normal-weight (18.5≤BMI<25 kg/m), overweight (25≤BMI<30 kg/m) or obese (≥30 kg/m) and compared. RESULTS: In total, 201 patients were divided into a normal-weight group (n=152) and an overweight/obese group (n=49)...
January 11, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30640818/laparoscopy-versus-open-incarcerated-inguinal-hernia-repair-in-octogenarians-single-center-experience-with-world-review
#2
Jiangduosi Payiziwula, Pei-Ji Zhao, Amina Aierken, Gang Yao, Shadike Apaer, Tao Li, Tuerhongjiang Tuxun
OBJECTIVES: The clinical study is aiming to discuss the therapeutic benefit of laparoscopic hernia (LH) repair with comparing conventional open hernia (OH) repair in incarcerated hernia in octogenarians. MATERIALS AND METHODS: The clinical data of 29 octogenarian incarcerated hernia patients who underwent hernia repair from November 2013 to March 2017 were retrospectively analyzed. The variables analyzed include baseline, operation characteristics, and clinical outcomes...
January 11, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30629037/a-systematic-review-and-meta-analysis-of-anterior-versus-lateral-approach-for-laparoscopic-splenectomy
#3
Sheik Rehman, Shahin Hajibandeh, Shahab Hajibandeh
BACKGROUND: As the experience grew with laparoscopic splenectomy (LS) more surgeons appreciate the advantages of lateral approach compared with conventional anterior approach. In view of this we aimed to compare anterior approach and lateral approach in LS. METHODS: We conducted a search of electronic information sources to identify all randomized controlled trials (RCTs) and observational studies comparing anterior and lateral approach in patients undergoing LS...
January 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30629036/laparoscopic-approach-to-large-bowel-neoplastic-obstruction-after-self-expandable-metal-stent-sems-placement
#4
Mattia Berselli, Giacomo Borroni, Lorenzo Livraghi, Valeria Quintodei, Daniele Sambucci, Claudio Cortelezzi, Sergio Segato, Giulio Carcano, Eugenio Cocozza
Endoscopic self-expandable metal stent (SEMS) placement as a bridge to surgery in large bowel neoplastic obstruction is an alternative to emergency surgery for the obstructive colorectal neoplasms. This study aims to analyze postoperative and long-term outcomes in a series of patients who underwent laparoscopic colorectal resection after SEMS placement. The analysis, after the stratification based on the time elapsed between the onset of the occlusive symptoms and the SEMS positioning, revealed an interesting result, with lower mortality for patients who underwent the procedure within 24 hours of hospitalization (P=0...
January 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30629035/single-biaxillary-tunneling-for-working-space-creation-in-bilateral-axillo-breast-approach-baba-thyroidectomy
#5
Chung-Yu Tsai, Shiuh-Inn Liu, I-Shu Chen, Tsung-Jung Liang
BACKGROUND: Endoscopic thyroidectomy using the bilateral axillo-breast approach (BABA) achieves excellent cosmetic results. However, concerns have been raised about the extensive dissection and violation of the breast during working space preparation. MATERIALS AND METHODS: We developed a "single biaxillary tunneling" technique for working space creation in BABA thyroidectomy; this technique was applied in 30 cases. RESULTS: Skin bruise was hardly visible, and only minor and small bruises were observed...
January 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30629034/outcomes-of-the-learning-curve-in-our-first-100-consecutive-laparoscopic-gastrectomies
#6
Pablo Priego, Marta Cuadrado, Araceli Ballestero, Julio Galindo, Pedro Carda, Eduardo Lobo
INTRODUCTION: Laparoscopic surgery has been increasingly used for treatment of gastric cancer. However, standardization of this minimally invasive approach has not been reached yet because of its technical difficulties and the concern about oncological safety. The aim of the study was to analyze the outcomes of our learning curve in this complex surgical technique. MATERIAL AND METHODS: The first consecutive 100 cases of laparoscopic gastrectomy performed at our Hospital from November 2008 to February 2018 were enrolled...
January 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30629033/catheter-aspiration-with-recanalization-for-budd-chiari-syndrome-with-inferior-vena-cava-thrombosis
#7
Fang Yang, Ping-Chao Huang, Lei-Lei Yan, Ze-Dong Zhang, Yu-Fei Fu, Feng-Fei Xia
PURPOSE: To assess the safety and clinical effectiveness of catheter aspiration with recanalization in patients with Budd-Chiari syndrome (BCS) and inferior vena cava (IVC) thrombosis. MATERIALS AND METHODS: Between January 2010 and December 2017, 33 patients with BCS and IVC thrombosis were treated by catheter aspiration with IVC recanalization in our center. A 12 F angled-tip guiding catheter was used for the aspiration of thrombi in the IVC. Recanalization was conducted following thrombi aspiration...
January 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30601429/modulation-of-ccl2-expression-by-laparoscopic-versus-open-surgery-for-colorectal-cancer-surgery
#8
Patricia Duque, Ignacio Garutti, Estrella Terradillos, Beatriz Ledesma, Lisa Rancan, Carlos Simon, Elena Vara
It is well known that surgery provokes an inflammatory response. However, the induced inflammatory response to laparoscopic compared with open surgery under combined anesthesia has never been compared following colorectal cancer surgery. We hypothesize that laparoscopic technique under general anesthesia results in a decreased proinflammatory state. We compared cytokines plasma secretion after laparoscopic technique under general anesthesia (LG), open surgery under combined anesthesia (thoracic epidural and general anesthesia) (OGE), and open surgery under general anesthesia as the control group (OG)...
December 28, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30601428/factors-associated-with-margin-positivity-and-incidental-carcinoma-in-patients-undergoing-transanal-endoscopic-microsurgery-tems-for-the-management-of-adenomatous-and-dysplastic-rectal-lesions
#9
Danilo Vukanic, Peadar S Waters, James O'Riordan, Paul Neary, Dara O Kavanagh
PURPOSE: Colorectal cancer screening has resulted in an increased detection of early premalignant rectal lesions. Transanal endoscopic microsurgery (TEMS) is a minimally invasive procedure for the resection of dysplastic and selected early malignant lesions with organ and functional preservation. The aim of this study was to assess factors associated with positive resection margin and the underlying invasive component. METHODS: This was an analysis of a prospective consecutive series of all TEMS procedures performed over the last 10-year period...
December 28, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30586011/closure-of-direct-inguinal-hernia-defect-in-laparoscopic-hernioplasty-to-prevent-seroma-formation-a-prospective-double-blind-randomized-controlled-trial
#10
Yilin Zhu, Min Liu, Junsheng Li, Minggang Wang
OBJECTIVES: Seroma is the most frequent postoperative complication after laparoscopic direct inguinal hernia repair. This randomized controlled trial evaluated the preventive effect of a simple technique by closing the direct hernia defect with barbed suture in laparoscopic direct inguinal hernia. METHODS: In total, 60 patients aged 18 years or older who presented to the hernia center department in our hospital between October 1, 2017 and January 1, 2018 with primary direct inguinal hernia were randomized into the defect-closing group (by closing the transversalis) and the control groups...
December 24, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30570539/alexis-st-martin-gastropexy-a-novel-technique-for-gastropexy-during-percutaneous-endoscopic-gastrostomy-tube-placement
#11
Joshua T Halka, Danielle Yee, Andrew Angus, Azmath Mohammed, Shruti Sevak, James Robbins
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is a preferred method of long-term enteral nutritional support. Despite its ease of placement, it has a 4% major complication rate, requiring surgical intervention or hospitalization. Early PEG tube dislodgment can cause peritonitis, requiring emergent laparotomy at significant morbidity and cost. T-fasteners have been used as an adjunct gastropexy, but nearly one third migrate into the abdominal wall within the first 2 weeks. We describe a low-cost, minimally invasive technique using widely available surgical instruments to appose the gastric and abdominal walls...
December 18, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30570538/a-resected-gallbladder-carcinoma-coexisting-with-adenomyomatosis-involving-varied-degrees-of-intraepithelial-dysplasia-a-case-report-and-literature-review
#12
Keiichi Suzuki, Kodai Abe, Makoto Ohbu
A 59-year-old asymptomatic man underwent ultrasonography, which revealed gallstones and thickened gallbladder wall. Abdominal computed tomography (CT) showed a slightly swollen bilocular gallbladder and a soft tissue mass in the fundus site. Segmental adenomyomatosis (ADM) was suspected because numerous fundic cystic lesions were seen on magnetic resonance imaging. Endoscopic ultrasonography revealed numerous Rokitansky-Aschoff sinuses (RAS) and a papillary soft tissue shadow surrounded with irregular and remarkably thickened fundic gallbladder wall...
December 18, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30540639/stapled-hemorrhoidectomy-versus-transanal-hemorrhoidal-dearterialization-in-the-treatment-of-hemorrhoids-an-updated-meta-analysis
#13
Li Xu, Honglei Chen, Yunfei Gu
This meta-analysis aimed to compare the clinical outcomes of stapled hemorrhoidectomy (SH) and transanal hemorrhoidal dearterialization (THD) for treating hemorrhoidal disease. Randomized control trials (RCTs) comparing SH with THD were searched in databases, including MEDLINE, PubMed, Web of Science, EMBASE, and the Cochrane Library database. Nine RCTs, with 1077 patients, were included in this meta-analysis. Nine RCTs, with 1077 patients, were included in this meta-analysis. The bleeding rate in the SH patient group was higher than that in the THD group...
December 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30540638/en-bloc-excision-of-the-high-ligated-inferior-mesenteric-vein-pedicle-with-the-specimen-in-patients-undergoing-minimally-invasive-and-open-sphincter-saving-rectal-resections-for-cancer
#14
Ismail Ahmet Bilgin, Erman Aytaç, Bilgi Baca, Çigdem Benlice, Afag Aghayeva, Eren Esen, Süha Göksel, Tayfun Karahasanog Combining Breve Lu, Ismail Hamzaoglu
Although high-ligated pedicle of the inferior mesenteric artery is usually kept in the resected specimens, the value of preserving high-ligated pedicle of the inferior mesenteric vein within the resected specimens of the sphincter saving rectal resections for cancer is not well defined. In the current study, patients undergoing open, laparoscopic, and robotic sphincter saving rectal resection for cancer were prospectively included. Lymph node invasion and presence of lymph nodes along the IMV pedicles were analyzed...
December 11, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30531448/extending-the-indication-for-laparoscopic-surgery-in-patients-with-pan-peritonitis
#15
Jong Hoon Yeom, Jun Ho Lee, Joon Sung Song, Min Hong Lee, Min Gyu Kim
BACKGROUND: There have been reports of favorable results in patients with peritonitis who underwent laparoscopic surgery. The present study evaluated the outcomes of laparoscopic surgery in patients with pan-peritonitis. MATERIALS AND METHODS: We enrolled 148 patients who underwent open and laparoscopic surgery for pan-peritonitis between January 2015 and December 2017 at Hanyang University Guri Hospital. Patients with appendicitis or cholecystitis were excluded from this study because of the simplicity of the technique and the favorable postoperative prognosis...
December 10, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30531447/the-influence-of-melatonin-on-sleep-quality-after-laparoscopic-cholecystectomy-a-meta-analysis-of-randomized-controlled-trials
#16
Juyi Zhang, Yubin Wang, Hao Xu, Juan Yang
INTRODUCTION: The efficacy of melatonin to improve sleep quality after laparoscopic cholecystectomy remains controversial. We conduct a systematic review and meta-analysis to explore the influence of melatonin intervention versus placebo on sleep quality after laparoscopic cholecystectomy. METHODS: We searched PubMed, EMbase, Web of Science, EBSCO, and Cochrane library databases through July 2018 for randomized controlled trials assessing the effect of melatonin intervention versus placebo on sleep quality after laparoscopic cholecystectomy...
December 10, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30531446/the-management-of-mesh-infection-after-laparoscopic-inguinal-hernia-repair
#17
Huiqi Yang, Yiting Liu, Jie Chen, Yingmo Shen
We present our experience in managing mesh infection after laparoscopic inguinal hernia repair. We analyzed 19 patients with extensive mesh infection treated between 2012 and 2017 via laparoscopic mesh excision after preoperative workup. After mesh removal and insertion of a drain into the preperitoneal space, the peritoneal flap was closed with 3/0 absorbable consecutive suture. The operative course in all patients was uneventful. Sigmoidectomy for a fistula was required in 1 patient. Two patients required a second laparoscopic surgery for infection on the contralateral side and residual mesh around the pubic bone...
December 10, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30520816/fluoroscopy-dose-and-time-characteristics-during-endoscopic-retrograde-cholangiopancreatography-ercp
#18
Aslam R Syed, Mrinal S Garg, Pikul Patel, Shailendra Singh, Margaret Blackwood, Satish Munigala, Payal Thakkar, Katie Farah, Elie Aoun, Abhijit Kulkarni, Manish Dhawan, Satty Agarwal, Dustin Wallace, Shyam Thakkar
Radiation exposure during endoscopic retrograde cholangiopancreatography is known, however, data in relation to radiation usage is unclear. We evaluate radiation exposure using fluoroscopy dose (FD) and time (FT). A prospective analysis of 197 patients undergoing endoscopic retrograde cholangiopancreatography was completed. Univariate and multivariate analyses were performed to determine characteristics associated with higher FD and FT. The mean FT was 307 seconds; the mean FD was 16.5 centigray. On univariate and multivariate analysis, indication of common bile duct stricture and pancreatic stricture, interventions including dilation and the use of plastic stents placement, procedures that were moderately or very difficult, and procedures that used magnification and high-resolution images were associated with higher FD± and longer FT...
December 4, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30520815/laparoscopic-multiple-parenchyma-sparing-concomitant-liver-resections-for-colorectal-liver-metastases
#19
Airazat M Kazaryan, David L Aghayan, Leonid I Barkhatov, Åsmund A Fretland, Bjørn Edwin
BACKGROUND: Parenchyma-sparing concept in liver surgery has received a new incitement with the introduction of laparoscopic techniques. Multiple concomitant liver resections are a major component in the parenchyma-sparing concept. MATERIALS AND METHODS: In total, 689 patients underwent laparoscopic liver resection for colorectal liver metastases from August 1998 to 2017, and 171 patients were eligible for this study. Patients were divided into 3 groups: group I with single liver resection (36 patients); group II with multiple concomitant liver resections (104 patients); group III with liver resection(s) combined with concomitant liver ablation (31 patients)...
December 4, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/30520814/index-admission-emergency-laparoscopic-cholecystectomy-and-common-bile-duct-exploration-results-from-a-specialist-center-in-the-united-kingdom
#20
Andrew Deytrikh, Sabrina Stewart, Nicholas Malone, Eleanor McTaggart, Paul Leeder, Imran Bhatti, Altaf Awan
BACKGROUND: The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METHODS: We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively...
December 4, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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