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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...
July 9, 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
Philipp Horvath, Jessica Lange, Dietmar Stüker, Dörte Wichmann, Julia Hilbert, Martin Götz, Alfred Königsrainer, Maximilian von Feilitzsch, Marty Zdichavsky
PURPOSE: Esophageal perforation constitutes a potentially life-threatening condition, and this study aimed to evaluate the indications and outcome for the different treatment modalities. PATIENTS AND METHODS: In total, 43 patients with esophageal perforation were considered for this retrospective analysis. Age, sex, length of hospital stay and intensive care treatment, in-hospital mortality, localization of perforation and etiology, treatment modality, and 90-day morbidity were analyzed...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Renee Huang, Alan Harzman, Mark Arnold, Nyle Hendrickson, Mahmoud Abdel-Rasoul, Syed Husain
Although laparoscopy improves outcomes for common general surgical procedures, its role in complex colorectal procedures is not clearly defined. We sought to evaluate whether laparoscopy retains its short-term benefits when used for treatment of complex intra-abdominal fistulae. A retrospective analysis was conducted including patients undergoing surgeries for enteric fistulas over a 7-year period. The χ tests, the Fisher exact tests, and Student t tests were used. Logistic regression models were used to assess the relationship between outcome and predictors...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Thibaut Charrier, Vahan Kepenekian, Arnaud Muller, Pierre-Jean Valette, Olivier Glehen, Eddy Cotte, Guillaume Passot
BACKGROUND: Percutaneous cholecystostomy (PC) is an alternative to cholecystectomy for acute calculous cholecystitis (ACC) in patients with high mortality risk, but the catheters' and patients' management remains unclear. This study aimed to determine outcomes after PC and to define surgical strategy. METHODS: All patients who underwent PC between 2009 and 2014 for ACC in a single institution were reviewed for outcomes and postdrainage management. RESULTS: Forty-one patients underwent PC with a median age of 77 years...
June 30, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mohamed M Nasr
PURPOSE: Central pancreatectomy (CP) has been used sparingly because the spectrum of indications is quite narrow. The author has modified the procedure of CP in such a way to avoid distal pancreatic segment drainage, in addition to reserving the patient euo-insulinemic. MATERIALS AND METHODS: Between March 2010 and January 2015, 41 cases have been recruited. Cases presented with blunt abdominal trauma showing central pancreatic transection with or without duodenal transection have been recruited...
June 20, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yuji Sakai, Toshio Tsuyuguchi, Harutoshi Sugiyama, Rintaro Mikata, Hiroshi Ohyama, Shin Yasui, Masato Nakamura, Koji Takahashi, Junichjiro Kumagai, Mutsumi Yamato, Yuko Kusakabe, Ayako Shingyoji, Yotaro Iino, Naoya Kato
PURPOSE: To investigate whether the 2-devices-in-1-channel method is useful for selective biliary cannulation in patients with parapapillary diverticulum or intradiverticular papilla, where the papilla cannot be seen from the front. MATERIALS AND METHODS: Biliary cannulation using the 2-devices-in-1-channel method was performed in 28 patients who presented difficulty due to parapapillary diverticulum or intradiverticular papilla. There were 15 men and 13 women whose mean age was 68...
June 16, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mark C Kendall
No abstract text is available yet for this article.
June 16, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Eren Esen, Erman Aytac, Orhan Ağcaoğlu, Serkan Zenger, Emre Balik, Bilgi Baca, İsmail Hamzaoğlu, Tayfun Karahasanoğlu, Dursun Buğra
In this study, perioperative and short-term postoperative results of totally robotic versus totally laparoscopic rectal resections for cancer were investigated in a comparative manner by considering risk factors including obesity, male sex, and neoadjuvant treatment. In addition to overall comparison, the impact of sex, obesity (body mass index ≥30 kg/m), and neoadjuvant treatment was assessed in patients who had a total mesorectal excision (TME). Operative time was longer in the robotic group (P<0.001)...
June 16, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mohamed Seleem, Mohamed Hassany
Hepatocellular carcinoma (HCC) is the second leading cause of cancer mortality worldwide. Evolution of laparoscopic techniques helps to a great extent in facilitating and replacing the conventional surgical maneuvers. This article describes the novel use of narrow band imaging (NBI) in laparoscopic radiofrequency ablation (LRFA) of exophytic HCC to ensure its adequate ablation. In total, 11 patients with proven HCC were recruited to perform LRFA; NBI were applied during and after completion of ablation session, with NBI, the exophytic HCC appears dark green or blue in color and after start of LRFA; the tumor capsule turned into red color denoting hemoglobin coagulation and vascular damage; in 5 cases and after completion of ablation; the tumor capsule was still dark green or blue denting viability which necessitates needle repositioning and ablation continuation...
June 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Baris Gulcu, Ozgen Isik, Ersin Ozturk, Tuncay Yilmazlar
PURPOSE: Hand-assisted laparoscopic colectomy (HALC) and laparoscopic-assisted colectomy (LAC) have been shown to have comparable short-term outcomes while there are limited data regarding costs. The aim of our study was to compare the short-term outcomes and costs of HALC and LAC. MATERIALS AND METHODS: In total, 46 patients who underwent HALC or LAC for benign or malignant disease between January 2011 and December 2014 at our institution were included in the study...
June 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Youichi Kawano, Takeshi Yamada, Takeshi Matsutani, Eiji Uchida
OBJECTIVES: The aim of this study was to investigate the risk factors for postoperative complications (POCs) and optimal interval between a self-expandable metallic stent (SEMS) placement and elective surgery, "bridge to surgery (BTS)" in patients with malignant large bowel obstruction. MATERIALS AND METHODS: BTS strategy was attempted in 49 patients with malignant large bowel obstruction from January 2013 to March 2017 in our institution. Two of these patients were excluded because they had undergone emergency surgery for SEMS migration...
June 8, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Daqi Zhang, Qingfeng Fu, Gianlorenzo Dionigi, Tie Wang, Jingwei Xin, Jiao Zhang, Gaofeng Xue, Hongbo Li, Hui Sun
OBJECTIVE: The aim of this report was dual: (a) to describe the step by step standardized intraoperative neural monitoring (IONM) procedure for recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve focusing on percutaneous IONM method, and (b) evaluation and outcomes of intermittent IONM in 237 endoscopic thyroidectomy via bilateral areolar approach cases. MATERIALS AND METHODS: A 10-mm curved incision is made along the margin of the right areola at the 2 to 4 o'clock position for the 30-degree endoscope...
June 7, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Zhijiang Wang, Qinghuang Ye, Yan Chen, Jinhui Zhu
BACKGROUND: Diaphragmatic eventeration is a rare congenital anomaly consisting of defect of diaphragm muscular development, which can be diagnosed with chest radiography and clinical evaluation. Diaphragmatic plication is a well-established treatment for diaphragmatic eventeration, which can be done through the thoracic or abdominal route, and minimally invasive became the trend in recent years. METHODS: The study retrospectively analyzed 3 cases of diaphragmatic eventeration with the procedure of laparoscopic diaphragmatic plication with mesh repair from August 2016 to April 2017...
June 7, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Sarah Assali, Sarah Eapen, Terry Carman, Sophia Horattas, Christopher R Daigle, Charudutt Paranjape
OBJECTIVES: Previous comparisons between single-port laparoscopic appendectomy (SPLA) and multi-port laparoscopic appendectomy have been conflicting and limited. We compare our single-surgeon, SPLA experience with multi-port cases performed during the same time. METHODS: A retrospective chart review of 128 single-surgeon single-port and 941 multi-port laparoscopic appendectomy cases from April 2009 to December 2014 was conducted. RESULTS: Patient demographics and preoperative laboratory values were comparable...
May 29, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Erkin Oztas, Fatih Saygili, Murat Ulas, Selcuk Disibeyaz
An anastomotic leak is a serious complication of colorectal surgery. Leak management is often grueling, and a definitive stoma is often mandatory for rescue therapy. Herein, we present a patient who experienced coloanal anastomotic dehiscence and complete stricture at the proximal part of the anastomosis. This case was successfully treated with a fully covered self-expandable metallic stent placement via the combined endoscopic (per ileostomy) and manual (per anal channel) rendezvous technique.
May 18, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Kodai Takahashi, Eiji Kanehira, Aya Kamei, Takashi Tanida, Kazunori Sasaki
BACKGROUND: A recent meta-analysis and systematic review suggested that single-incision laparoscopic cholecystectomy (SILC) had a higher procedure failure rate with more blood loss and that it required a longer surgical time than conventional laparoscopic cholecystectomy. Herein, we introduce our experience with the needlescopic grasper-assisted and bendable retractor-assisted SILC technique and evaluate its safety and sustainability. METHODS: The present retrospective cohort study included 407 Japanese patients who underwent needlescopic grasper-assisted and bendable retractor-assisted SILC between January 2012 and April 2017 at our institution...
May 18, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Long Huang, Qing-Sheng Yu, Kun Sun
PURPOSE: To compare the effectiveness and complications of the different cannulation techniques for bile duct stones removal in patients with intradiverticular papilla. MATERIALS AND METHODS: The records of 472 patients with common bile duct (CBD) stones who underwent endoscopic retrograde cholangiopancreatography (ERCP) procedures for bile duct stones removal from January 2014 to December 2016 were retrospectively reviewed. A total of 42 patients with CBD stones were included in the study and data of included patients were collected retrospectively...
May 18, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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