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Journal of Minimal Access Surgery

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https://www.readbyqxmd.com/read/28782748/ileostomy-site-approach-for-adhesiolysis-and-laparoscopic-cholecystectomy-in-a-hostile-abdomen-a-novel-technique
#1
Deeplaxmi Purushottam Borle, Nikhil Agrawal, Asit Arora, Senthil Kumar, Tushar Kanti Chattopadhyay
INTRODUCTION: Gallstones are an etiological factor in 23%-54% of patients with acute pancreatitis. A small proportion of these patients will also have intestinal complications requiring necrosectomy with diverting loop ileostomy. Later, these patients require cholecystectomy and ileostomy reversal. Laparoscopic cholecystectomy is fraught with difficulty in these patients due to dense intra-abdominal adhesions, and many surgeons resort to an open approach. We describe a technique which takes advantage of the ileostomy site for initial access...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782747/laparoscopic-surgery-for-solitary-insulinoma-in-the-absence-of-ious
#2
Abhay Narendra Dalvi, Mahadeo Namdeo Garale, Yogesh Prabhakar Takalkar, Sameer Ashok Rege, Pinky Manoharlal Thapar, Lila Anurag, Nalini Samir Shah
BACKGROUND: Insulinomas are the most common pancreatic neuroendocrine neoplasms. In spite of adequate pre-operative localisation, conventional surgical methods rely on intraoperative palpation. Intraoperative ultrasonography (IOUS) is said to aid in accurate localisation, decreases morbidity. Laparoscopic removal of pancreatic endocrine neoplasms is beneficial due to magnification and minimal invasion; however, in the absence of IOUS, error of judgement may lead to conversion to open surgery, thereby relying on 'palpation method' to localise the tumour...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782746/comparison-of-single-port-and-conventional-laparoscopic-abdominoperineal-resection
#3
Nikolaj Nerup, Steffen Rosenstock, Orhan Bulut
BACKGROUND: Within the last two decades, surgical treatment of colorectal cancer has changed dramatically from large abdominal incisions to minimal access surgery. In the recent years, single port (SP) surgery has spawned from conventional laparoscopic surgery. The purpose of this study was to compare conventional with SP laparoscopic abdominoperineal resection (LAPR) for rectal cancer. PATIENTS AND METHODS: This was a single-center non-randomised retrospective comparative study of prospectively collected data on 53 patients who underwent abdominoperineal resection for low rectal cancer; 41 with conventional laparoscopy and 12 with SP surgery...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782745/application-of-single-port-video-assisted-thoracoscope-in-treating-thoracic-oesophageal-squamous-cell-carcinoma-using-mckeown-approach
#4
Wenqiang Lv, Guiqing Zeng, Weibin Wu, Wuzhi Wei, Xiaodong Li, Wenke Yang
OBJECTIVE: This study aims to investigate the feasibility of single-port video-assisted thoracoscope (SPVATS) in treating thoracic oesophageal squamous cell carcinoma (TESCC) using McKeown approach. MATERIALS AND METHODS: Totally 10 McKeown approach-based SPVATS surgeries (8 males and 2 females, aged 42-68 years) were carried out from January 2015 to December 2015 to treat TESCC, including one case in upper thoracic segment, 5 cases in median thoracic segment and 4 cases in inferior thoracic segment...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782744/robotic-ventral-rectopexy-initial-experience-in-an-indian-tertiary-health-care-centre-and-review-of-literature
#5
Sudeepta Kumar Swain, Sri Harsha Kollu, Vijaya Kumar Patooru, Venkatesh Munikrishnan
BACKGROUND: Minimally invasive ventral rectopexy is a well-described technique for management of rectal prolapse. Robotic system has proven its advantage for surgeries in the pelvis. Applying this technique, ventral rectopexy can be done more precisely with minimal recurrence. With growing experience, the operative duration and cost of robotic ventral rectopexy can be reduced with better outcome. Few case studies have been described in literature with no study from Indian subcontinent...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782743/laparoscopic-versus-open-treatment-of-gallbladder-cancer-a-systematic-review-and-meta-analysis
#6
Xin Zhao, Xiang Yang Li, Wu Ji
BACKGROUND: The aim of this review was to evaluate the effect of laparoscopic surgery on the treatment of patients with gallbladder cancer (GBC). METHODS: A comprehensive search of Medline and Cochrane Library was conducted to identify relevant articles. A meta-analysis was subsequently performed. RESULTS: A total of 20 studies including 1217 patients met the inclusion criteria. The meta-analysis showed that the 5-year survival rate was significant higher in laparoscopic group than open group (48...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782742/laparoscopic-management-of-m%C3%A3-llerian-duct-remnants-in-the-paediatric-age-evidence-and-outcome-analysis
#7
Maja Raicevic, Amulya Kumar Saxena
BACKGROUND: This study performed a literature analysis to determine outcomes of laparoscopic management in Müllerian duct remnants (MDRs). PATIENTS AND METHODS: Literature was searched for terms 'Müllerian' 'duct' 'remnants' and 'laparoscopy'. Primary end points were age at surgery, laparoscopic technique, intraoperative complications and postoperative morbidity. RESULTS: The search revealed 10 articles (2003-2014) and included 23 patients with mean age of 1...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782741/laparoscopic-and-open-transhiatal-oesophagectomy-for-corrosive-stricture-of-the-oesophagus-an-experience
#8
Vaibhav Kumar Varshney, Hirdaya H Nag, B G Vageesh
BACKGROUND: Oesophagectomy for corrosive stricture of the oesophagus (CSE) is rarely performed due to high risk of iatrogenic complications. The aims of this study were to review our experience of transhiatal oesophagectomy (THE) in patients with CSE as well as to compare results of open and laparoscopic methods. MATERIALS AND METHODS: This is a retrospective analysis of prospectively maintained data of patients with CSE who underwent open transhiatal oesophagectomy (OTE) or laparoscopic-assisted transhiatal oesophagectomy (LATE) by a single surgical team from 2012 to 2016...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28782740/a-novel-prototype-3-5-laparoscopic-needle-driver-a-validation-study-with-conventional-laparoscopic-needle-driver
#9
Arvind P Ganpule, Chaitanya S Deshmukh, Tanmay Joshi
INTRODUCTION: The challenges in laparoscopic suturing include need to expertise to suture. Laparoscopic needle holder is a "key" instrument to accomplish this arduous task. INSTRUMENT: The objective of this new invention was to develop a laparoscopic needle holder which would be adapted to avoid any wobble (with a shaft diameter same as a 5mm port), ensure accurate and dexterous suturing not just in adult patients but pediatric patients alike (with a short shaft diameter) and finally ensure seamless throw of knots with a narrow tip configuration Validation: We did an initial evaluation to evaluate the validity of the prototype needle holder and its impact on laparoscopic suturing skills by experienced laparoscopic surgeons and novice laparoscopic Surgeons...
August 1, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695884/late-solitary-pelvic-metastasis-of-hepatocellular-carcinoma-mimicking-alpha-fetoprotein-producing-gynaecologic-tumour
#10
Ji He Kim, Gun Oh Chong, Hyung Jun Kwon, Yoon Hee Lee, Dae Gy Hong
Extrahepatic spread of hepatocellular carcinoma (HCC) is uncommon; and, pelvic metastasis, in particular, is extremely rare. A 71-year-old woman was admitted for evaluation of pelvic solitary solid mass. She had undergone a left lobectomy 28 years previously. Magnetic resonance imaging of the abdomen and pelvis demonstrated a heterogeneous mass in the right pelvic cavity, whereas no space-occupying lesions or ascites were detected in the liver. CA 125 levels were within normal limits; however, serum alpha-fetoprotein levels were markedly elevated...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695883/single-incision-multiport-versus-conventional-laparoscopic-inguinal-hernia-repair-a-matched-comparison
#11
Subbiah Rajapandian, Chittawadagi Bhushan, Sandeep C Sabnis, Manish Jain, Palanivelu Praveen Raj, Ramakrishnan Parathasarthi, Palanisamy Senthilnathan, Chinnusamy Palanivelu
BACKGROUND: The popularity of single-incision procedures is on the rise as wound cosmesis is increasingly being seen as an important body image-related outcome. In this study, we assess the potential benefits of single-incision multiport laparoscopic totally extra-peritoneal (S-TEP) without using specialised ports or instruments and compare the same with the conventional laparoscopic TEP (C-TEP) surgery in terms of operative time, post-operative pain, complications, cost and cosmesis...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695879/iatrogenic-injury-of-the-intrathoracic-oesophagus-with-bougie-during-sleeve-gastrectomy
#12
Franco José Signorini, Gorodner Verónica, Marani Marcos, Viscido German, Moser Federico
One of the most popular procedures amongst obesity surgery is the sleeve gastrectomy. There is international consensus regarding the usage of bougie for sleeve gastrectomy calibration. Nevertheless, there is a dissociation between the number of oesophageal perforations reported for any other oesophageal/gastric operation that requires bougie (e.g., anti-reflux surgery, incidence 1.2%) and bariatric surgery, where this complication seems to be almost a myth. Interestingly enough, the number of bariatric procedures is much higher than any other oesophageal/gastric surgery...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695878/impact-of-biliopancreatic-limb-length-on-severe-protein%C3%A2-calorie-malnutrition-requiring-revisional-surgery-after-one-anastomosis-mini-gastric-bypass
#13
Kamal Kumar Mahawar, Chetan Parmar, William R J Carr, Neil Jennings, Norbert Schroeder, Peter K Small
BACKGROUND: One anastomosis (mini) gastric bypass (OAGB) is believed to be more malabsorptive than Roux-en-Y gastric bypass. A number of patients undergoing this procedure suffer from severe protein‒calorie malnutrition requiring revisional surgery. The purpose of this study was to find the magnitude of severe protein‒calorie malnutrition requiring revisional surgery after OAGB and any potential relationship with biliopancreatic limb (BPL) length. METHODS: A questionnaire-based survey was carried out on the surgeons performing OAGB...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695876/impact-of-obesity-on-surgical-outcome-after-single-incision-laparoscopic-cholecystectomy
#14
Toru Obuchi, Noriaki Kameyama, Masato Tomita, Hiroaki Mitsuhashi, Ryohei Miyata, Shigeaki Baba
INTRODUCTION: Single-incision laparoscopic cholecystectomy (SILC) is widely used as a treatment option for gallbladder disease. However, obesity has been considered a relative contraindication to this approach due to more advanced technical difficulties. The aim of this report was to review our experience with SILC to evaluate the impact of body mass index (BMI) on the surgical outcome. PATIENTS AND METHODS: Between May 2009 and February 2013, 237 patients underwent SILC at our institute...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28695875/can-bariatric-surgery-delay-the-need-for-knee-replacement-in-morbidly-obese-osteoarthritis-patients
#15
Lajja Rishi, Mohit Bhandari, Ravindra Kumar
OBJECTIVE: The objective of the study was to find the weight reduction pattern and its outcome on knee pain and function in osteoarthritis (OA) morbidly obese patients' post-bariatric surgery with dietary and exercise changes. METHODOLOGY: Thirty morbidly obese (body mass index [BMI] >40 kg/m2) OA patients gave consent for bariatric surgery. Despite wearisome lifestyle modifications for weight loss and knee pain, satisfactory results were not retrieved. We took consent from all the patients predetermined for knee replacement in future because of pain and disability as recommended by knee replacement surgeon...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28872104/are-objections-to-one-anastomosis-mini-gastric-bypass-scientific
#16
LETTER
Kamal K Mahawar
No abstract text is available yet for this article.
October 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28872103/mini-gastric-bypass-un-answered-questions
#17
LETTER
Ramen Goel
No abstract text is available yet for this article.
October 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28872102/single-incision-laparoscopic-excision-of-symptomatic-accessory-spleen-in-the-pelvis-an-initial-report
#18
Toru Obuchi, Akinori Takagane, Kei Sato, Hitoshi Yonezawa, Osamu Funato, Makoto Kobayashi
An accessory spleen (AS) is commonly located near the spleen's hilum and/or in the pancreas tail. However, a symptomatic AS is rarely found in the pelvis. We present a resected case with lower abdominal pain whose final diagnosis was symptomatic AS caused by torsion in the pelvis. An 18-year-old man was presented to our hospital with lower abdominal pain. Enhanced abdominal computed tomography showed an inflammatory mass with a cord-like band in the pelvic space. We finally diagnosed pelvic neoplasm and performed single-incision laparoscopic surgery (SILS) using an access platform...
October 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28872101/laparoscopic-excision-of-rare-case-of-recurrent-presacral-teratoma
#19
S Rajapandian, Samrat V Jankar, Bhushan Chittawadgi, Siddhartha Bhattacharya, Sandeep C Sabnis, R Sathyamoorthy, R Parthasarathi, P Senthilnathan, P Praveen Raj, C Palanivelu
Tumours of the presacral space are rare to present. Most of them are benign masses, very rarely malignant. Surgery is the mainstay of treatment as it establishes the diagnosis and prevents the adverse consequences associated with malignant degeneration and secondary bacterial infection. Their surgical excision is often difficult because of their anatomic location. Very few cases have been reported so far concerning a laparoscopic management of presacral tumour. We hereby present a young girl with recurrent presacral teratoma...
October 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28872100/comparison-of-mid-term-clinical-outcomes-of-laparoscopic-partial-cystectomy-versus-conventional-partial-cystectomy-for-the-treatment-of-hepatic-hydatid-cyst
#20
Ilhan Ece, Huseyin Yilmaz, Serdar Yormaz, Bayram Çolak, Fahrettin Acar, Husnu Alptekin, Mustafa Sahin
BACKGROUND: The aim of this study was to compare the mid-term outcomes of open and laparoscopic partial cystectomy (LPC). METHODS: The medical records of patients who underwent conventional partial cystectomy (CPC) and LPC for liver hydatid cyst from May 2010 to February 2015 were retrospectively reviewed. Operative time, blood loss, length of hospital stay, post-operative morbidity, mortality and mid-term follow-up outcomes were evaluated. RESULTS: Amongst 130 patients, 38 patients were underwent LPC and 92 underwent CPC...
October 2017: Journal of Minimal Access Surgery
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