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Journal of Minimal Access Surgery

Oleh Yevhenovych Matsevych, Modise Zacharia Koto, Moses Balabyeki, Lehlogonolo David Mashego, Colleen Aldous
Background: Selective non-operative management (NOM) and diagnostic laparoscopy (DL) are well-accepted approaches in the management of stable patients with penetrating abdominal trauma (PAT). The aim of this pilot study was to investigate the advantages and disadvantages of early DL in stable asymptomatic or minimally symptomatic patients with PAT as opposed to NOM, a standard of care in this scenario. The secondary aim was to suggest possible indications for DL. Methods: Patients managed with DL or NOM over a 12-month period were included in this study...
September 3, 2018: Journal of Minimal Access Surgery
Yuma Ebihara, Yo Kurashima, Soichi Murakami, Toshiaki Shichinohe, Satoshi Hirano
Background: The optimal approach to resection for Siewert type II adenocarcinoma of the oesophagogastric junction (AEG) is still controversial. Our novel procedures and experience with a minimally invasive abdominal and left thoracic approach (MALTA) for Siewert type II AEG are described. Patients and Methods: Intra- and post-operative outcomes for MALTA were assessed in seven consecutive patients with a preoperative diagnosis of Siewert type II AEG at Hokkaido University Hospital...
September 3, 2018: Journal of Minimal Access Surgery
Gustavo Lopes Carvalho, Gustavo Henrique Belarmino GÓes, Raquel Nogueira Cordeiro, Diego Laurentino Lima, Lucyeli Luna Lopes Amorim, Raimundo Hugo Matias Furtado
We describe the original technique used for the treatment of a patient who presented with pain and bulging in the abdomen, who was diagnosed with Spigelian hernia (SH) using ultrasound. In this case, the hernia occurred in the anterolateral abdominal wall with herniation of the distal ileum and mesentery, in addition to a large right inguinal hernia. A mini-laparoscopic approach was proposed; due to Child-A hepatic cirrhosis, it was done by a hybrid technique, using a harmonic scalpel. The primary closure of the hernia defects was performed, followed by the placement of a polypropylene mesh in the preperitoneal space...
September 3, 2018: Journal of Minimal Access Surgery
Taiga Wakabayashi, Yuta Abe, Osamu Itano, Masahiro Shinoda, Minoru Kitago, Hiroshi Yagi, Taizo Hibi, Go Oshima, Takuya Minagawa, Yuko Kitagawa
Background: Technological innovations have made it possible to use laparoscopic liver resection in cases with pre-existing adhesions or cicatricial changes. However, laparoscopic repeat liver resection (LRLR) still represents a challenge for surgeons, especially in case of previous open liver surgery. This study evaluated the outcomes of LRLR after open liver resection (OLR) in cases of recurrent liver cancer. Materials and Methods: A total of 62 patients who underwent laparoscopic minor liver resection at our institution between September 2012 and September 2016 were retrospectively divided into an LRLR group (n = 13) and a laparoscopic primary liver resection group (LPLR; n = 49)...
September 3, 2018: Journal of Minimal Access Surgery
Charlotte Cohen, Daniel Pop, Olivier Aze, Nicolas Venissac, Jérôme Mouroux
Background: The aim of this study was to report our experience with video-assisted mediastinoscopy (VAM) in patients taking antiplatelet (AP) or anticoagulant therapies focusing on perioperative complications (especially haemorrhagic). Patients and Methods: We have done a retrospective study from a prospectively maintained database with diagnostic VAM (01/2008-06/2012). We included 54 patients with AP (41 patients - Group A) and anticoagulant (13 patients - Group B) therapies...
September 3, 2018: Journal of Minimal Access Surgery
Luca Morelli, Gregorio Di Franco, Simone Guadagni, Matteo Palmeri, Niccoló Furbetta, Niccola Funel, Desirée Gianardi, Andrea De Palma, Luca Pollina, Andrea Moglia, Andrea Pietrabissa, Giulio Di Candio, Franco Mosca, Alfred Cuschieri
Background: Cystic pancreatic lesions (CPLs) are being identified increasingly, and some benefit from surgical treatment. With the increasing use of robotic-assisted surgery (RAS) for neoplasms of the pancreas, the aim of the present comparative study is to establish whether the RAS offered any advantages over conventional open surgery (OS) in the management of CPLs. Patients and Methods: Twenty-seven out of 37 robot-assisted left-sided pancreatectomy (LSP) performed between January 2010 and April 2017 were carried out for CPLs...
September 3, 2018: Journal of Minimal Access Surgery
Valerio Celentano
Background: Despite many advances in the medical management of Crohn's disease (CD), there is still a significant risk of surgical resection for lack of response to medical management or complications during the lifetime of a patient. Laparoscopic surgery offers short-term benefits such as decreased pain, lower wound complication rates, earlier resumption of diet and bowel function, better cosmesis and shorter hospital stays, while reduced post-operative adhesions and lower incisional hernia rate may represent long-term benefits...
September 3, 2018: Journal of Minimal Access Surgery
Kwang Yeol Paik, Seung Hoon Yoon, Sung Geun Kim
Background: Single-port laparoscopic appendectomy (SPLA) is one of the most commonly performed single-port surgeries worldwide. This study aimed to determine whether the performance of SPLA by residents without sufficient experience as operators of conventional LA (CLA) is safe and feasible. Patients and Methods: Records of patients who underwent LA between March 2017 and February 2018 at a hospital in Korea were retrospectively analysed. Patients aged < 18 years or >80 years were excluded from the study...
September 3, 2018: Journal of Minimal Access Surgery
Miguel Angel Noguera, Cesar Alejandro Romero, Aldo Gustavo Martinez, Mariano Luis Rotger, Hugo Diaz San Roman, Federico A Espeche
The endoscopic transthoracic sympathectomy (ETS) is an efficient procedure designed to treat palmar/axillary hyperhidrosis, now, we can present an original form to do this surgery with a single incision and using an urological resectoscope, always in a free-standing ambulatory public system in the province of Tucumán, in Argentina.
September 3, 2018: Journal of Minimal Access Surgery
Rajesh Bhojwani, Nikhil Jain, Subhash Mishra
A Type II choledochal cyst arising from the right hepatic duct may mimic a gall bladder duplication. Both are rare and may not get differentiated before operative exploration. While a magnetic resonance cholangiopancreatography (MRCP) may be helpful, laparoscopy may be the final tool for evaluation and effective surgical treatment. We report such a case of a 22-year-old male whose MRCP was suggestive of a cystic lesion in the gall bladder fossa and was taken up for surgery with a pre-operative diagnosis of gall bladder duplication with a single cystic duct...
September 3, 2018: Journal of Minimal Access Surgery
Akira Umemura, Takayuki Suto, Hisataka Fujiwara, Seika Nakamura, Fumitaka Endo, Akira Sasaki
Introduction: Reduced port laparoscopic Well's procedure (RPLWP) is a novel technique used to overcome the limitations of single-incision laparoscopic surgery. The aim of this study was to compare outcomes between RPLWP and conventional laparoscopic Well's procedure (CLWP) and to investigate the learning curve of RPLWP. Patients and Methods: From January 2006 to March 2017, a retrospective review of a prospectively maintained laparoscopic surgery database was performed to identify patients had undergone CLWP and RPLWP...
September 3, 2018: Journal of Minimal Access Surgery
Shailesh Puntambekar, Yogesh Gauba, Mihir Chitale, Manoj Manchekar, Mangesh Panse, Priyesh Halgaonkar, Mehul Mehta, Advait Jathar, Ravindra Sathe, Aishwarya Puntambekar
Introduction: Minimal Invasive Surgery of oesophageal cancers is gaining popularity. We have published our Thoracoscopic Esophagectomy results. The present study focuses on our expertise of TransHiatal Esophagectomy. Materials and Methods: 287 patients underwent Esophagectomies for Cancer of Esophagus at Galaxy Care Laparoscopy Institute from January 2010 to December 2014 after thorough assesment. Out of these, 81 patients underwent laparoscopic trans hiatal esophagectomies...
August 7, 2018: Journal of Minimal Access Surgery
Bao Jin, Shunda Du, Haifeng Xu, Yongchang Zheng, Xin Lu, Xinting Sang, Yilei Mao
Background: Laparoscopic hepatectomy is more conducive to the rapid rehabilitation of patients after surgery compared with open hepatectomy. However, there have been no reports on performing laparoscopic resection for liver metastases in enterostomy patients. Materials: From December 2016 to April 2017, the Liver Surgery Department of the Peking Union Medical College Hospital received three patients who had focal liver lesions after colorectal cancer surgery and enterostomy...
August 7, 2018: Journal of Minimal Access Surgery
Ben Gys, Filip Haenen, Tom Moreels
No abstract text is available yet for this article.
August 7, 2018: Journal of Minimal Access Surgery
Vinay K Kapoor
Bile duct injury (BDI) is not uncommon during laparoscopic cholecystectomy (LC). Intra-operative cholangiography (IOC) has been recommended to reduce the risk of BDI during LC. Facilities for IOC are, however, scarcely available in India. The author suggests 'in vicinity colleaguography' (IVC) - opinion of a surgical colleague in vicinity - as an easy alternative to IOC.
August 7, 2018: Journal of Minimal Access Surgery
Jie Jiao, Shaozhuang Liu, Cheng Chen, A Maimaiti, Qingsi He, Sanyuan Hu, Wenbin Yu
Introduction: At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve the same curative effect with the laparotomy is still controversial. Materials and Methods: This study retrospectively analysed the clinical data of 269 gastric cancer patients surgically treated by our medical team from May 2011 to December 2015 for comparative analysis of the clinical efficacy of laparoscopic-assisted radical gastrectomy and traditional open radical gastrectomy...
August 7, 2018: Journal of Minimal Access Surgery
Eran Sadot, Natalia Goldberg, Emil Damoni, David Aranovich, Hanoch Kashtan, Arie Bitterman, Riad Haddad
Context: The role of the laparoscopic left lateral sectionectomy (LLLS) is debatable, and Level-1 data are lacking. Aims: The aim of the study is to evaluate the feasibility and safety of this approach. Settings and Design: This was a retrospective study. Subjects and Methods: From 2007 to 2014, patients undergoing LLLS were identified from two institutions. Statistical Analysis Used: Continuous variables were compared between groups with Student's t-test or Mann-Whitney test, as appropriate by type of distribution...
August 7, 2018: Journal of Minimal Access Surgery
Natesan Anand Vijai, Palanisamy Senthilnathan, Vikram Annamaneni, Sandeep C Sabnis, Arvinder Singh Soin, Chinnusamy Palanivelu
Liver transplantation is a ray of hope for thousands of patients with end-stage liver disease but is currently challenged by the scarcity of donor organs worldwide. Unlike kidney transplantation where minimally invasive donor organ procurement has almost become a norm, laparoscopic procurement of hemi-liver from a living donor is still in the infancy of development, at least in the Indian sub-continent. Minimally invasive surgery has made its way into different procedures of hepatobiliary and pancreatic surgery, but only a few centres in the world are performing pure laparoscopic donor hepatectomy...
August 7, 2018: Journal of Minimal Access Surgery
Vimalkumar R Dhaduk, Vishwas Johri, S R Harshavardan Majesty, Nadeem Mushtaque, Nikunj Jain, Prasanna Kumar Reddy
Background: Duodenal carcinoids (neuroendocrine tumour) are rare tumour, but recently, increase in incidence has been noted. Various techniques for excision of tumour have been described in literature, but very few case reports and case series have mentioned about laparoscopic management of carcinoid tumour. We describe a case series of seven cases of duodenal non-periampullary carcinoids which was managed by laparoscopic method. Aims: The aim of the study was to check feasibility of laparoscopic management of duodenal carcinoid and technique of surgery...
August 7, 2018: Journal of Minimal Access Surgery
Fadl H Veerankutty, Sidharth Chacko, Vipin I Sreekumar, Prasad Krishnan, Deepak Varma, Prakash Kurumboor
Extralevator abdominoperineal excision (ELAPE) of the rectum offers wider circumferential margin and decreased rate of intraoperative tumour perforation. However, the need to change the position of the patient in between abdominal and perineal stages of the procedure and extended perineal resection result in increased morbidity and operative time. Evolving technique of laparoscopic transabdominal controlled division of levator ani muscles under direct vision could address these issues while providing all benefits of ELAPE for patients with low rectal cancers...
August 7, 2018: Journal of Minimal Access Surgery
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