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Asian Journal of Endoscopic Surgery

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https://www.readbyqxmd.com/read/30618177/laparoscopic-subtotal-colectomy-for-a-patient-with-chronic-idiopathic-colonic-pseudo-obstruction-report-of-a-case
#1
Tsuyoshi Ozawa, Soichiro Ishihara, Yuka Okada, Kohei Ohno, Takahiro Yagi, Yoshihisa Fukushima, Ryu Shimada, Tamuro Hayama, Takeshi Tsuchiya, Keijiro Nozawa, Keiji Matsuda, Ryosuke Matsuoka, Ichiro Mori, Ryuji Fukuzawa, Aki Takiyama, Yoshihiko Takao, Nobuyuki Shimizu, Kiyoshi Kikuchi, Yojiro Hashiguchi
A 47-year-old male patient without a documented past medical history was referred to Sanno Hospital because of constipation and abdominal pain, which he had had for more than 5 years. Abdominal X-ray and CT scan showed an enlarged ascending colon from the cecum to the transverse colon, without apparent mechanical obstruction. The patient was diagnosed with chronic idiopathic colonic pseudo-obstruction, and because his symptoms were resistant to medication, surgical treatment was required. Laparoscopic subtotal colectomy was performed without any complications...
January 7, 2019: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30604563/endoscopy-assisted-laparoscopic-submucosal-dissection-for-a-duodenal-epithelial-tumor
#2
Yasuhiro Miyazaki, Shuji Takiguchi, Yukinori Kurokawa, Tsuyoshi Takahashi, Yasunari Fukuda, Makoto Yamasaki, Tomoki Makino, Koji Tanaka, Masaaki Motoori, Yutaka Kimura, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki
We present the case of a 46-year-old obese woman with a 3.5-cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness...
January 2, 2019: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30590876/recent-advances-in-thoracoscopic-esophagectomy-for-esophageal-cancer
#3
REVIEW
Eisuke Booka, Hiroya Takeuchi, Hirotoshi Kikuchi, Yoshihiro Hiramatsu, Kinji Kamiya, Hirofumi Kawakubo, Yuko Kitagawa
Technical advances and developments in endoscopic equipment and thoracoscopic surgery have increased the popularity of minimally invasive esophagectomy (MIE). However, there is currently no established scientific evidence supporting the use of MIE as an alternative to open esophagectomy (OE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and we recently reported one of the largest propensity score-matched comparison studies between MIE and OE for esophageal cancer, based on a nationwide Japanese database...
December 27, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30590871/condition-mimicking-peritoneal-metastasis-associated-with-preoperative-staging-laparoscopy-in-advanced-gastric-cancer
#4
Yuki Ushimaru, Yoshiyuki Fujiwara, Yuji Shishido, Takeshi Omori, Yoshitomo Yanagimoto, Keijirou Sugimura, Jeong-Ho Moon, Hiroshi Miyata, Masahiko Yano
Preoperative staging laparoscopy is used to search for peritoneal dissemination or distant metastasis as part of the treatment strategy for advanced gastric cancer. We observed pseudo-peritoneal metastasis during laparotomy in 6 of 49 patients in whom lack of peritoneal dissemination had been confirmed by preoperative staging laparoscopy. In all cases, suspected nodules were biopsied and subjected to rapid histological diagnosis. However, a definite malignant or benign diagnosis could not be obtained via a rapid histological examination during surgery...
December 27, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30569588/robot-assisted-surgery-and-endoscopic-management-of-gastrocolic-fistula-a-rare-complication-of-acute-pancreatitis-in-a-patient-who-had-undergone-sleeve-gastrectomy
#5
Jesús Montoya-Ramírez, Francisco Aguilar-Espinosa, José Gutiérrez-Salinas, Ricardo Blas-Azotla, Oscar A Aguilar-Soto
Ten years after undergoing sleeve gastrectomy, a 39-year-old man developed pancreatitis and, after recovery, presented with severe diarrhea. An image study showed barium contrast passing from the stomach to the colon. Before surgery, initial treatment consisted of parenteral nutrition and antibiotics. The patient then underwent robot-assisted resection of a gastrocolic fistula and omentoplasty. However, 72 h after surgery, the amount of suction drainage suggested that the fistulous track repair was leaking...
December 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30569579/scrotal-testicular-status-after-repair-of-recent-severe-incarcerated-inguinal-hernia-in-male-infants-younger-than-12-months-old-laparoscopic-percutaneous-extraperitoneal-closure-versus-conventional-open-repair
#6
Go Miyano, Hiroki Nakamura, Soichi Shibuya, Takanori Ochi, Yuta Yazaki, Hiroshi Murakami, Shogo Seo, Manabu Okawada, Takashi Doi, Hiroyuki Koga, Geoffrey J Lane, Atsuyuki Yamataka
INTRODUCTION: We prospectively reviewed 41 male infants younger than 12 months old who had presented with severe incarcerated inguinal hernia between 2014 and 2016 and had been treated by laparoscopic percutaneous extraperitoneal closure (LPEC) or conventional open repair (CO). METHODS: Operative times and intraoperative findings were evaluated. Scrotal/testicular status were assessed preoperatively, 1 week, and 4 weeks after surgery. RESULTS: There were 21 boys treated by LPEC and 20 by CO...
December 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30561153/safety-and-efficacy-of-laparoscopic-percutaneous-extraperitoneal-closure-for-inguinal-hernia-in-infants-younger-than-6-months-a-comparison-with-conventional-open-repair
#7
Masahiro Zenitani, Ryuta Saka, Takashi Sasaki, Yuichi Takama, Gakuto Tani, Natsumi Tanaka, Takehisa Ueno, Yuko Tazuke, Takaharu Oue, Hiroomi Okuyama
INTRODUCTION: This study aimed to compare the safety and efficacy of laparoscopic percutaneous extraperitoneal closure (LPEC) and conventional open repair (OR) for inguinal hernia in infants younger than 6 months. METHODS: The medical records of 202 patients who had undergone LPEC or OR at an age younger than 6 months between 2010 and 2016 were reviewed. Patient characteristics and surgical outcomes were compared between LPEC and OR. RESULTS: In total, there were 120 LPEC (76 males, 44 females) and 83 OR (76 males, 7 females) cases...
December 18, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549254/indocyanine-green-enhanced-fluorescence-guided-video-assisted-axillary-surgery-for-chronic-lymphocele
#8
Marco Mazza, Antonio Sommariva
INTRODUCTION: Lymphocele occurs frequently after regional lymph node dissection. Surgery with multiple lymphatic ligation represents the only reliable treatment for long-standing chronic lymphocele. MATERIALS AND SURGICAL TECHNIQUE: We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography-guided video-assisted axillary surgery...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549252/effective-method-of-gallbladder-retraction-for-single-incision-laparoscopic-cholecystectomy
#9
Naotake Funamizu, Tomoyoshi Okamoto, Tomotaka Kumamoto, Takashi Kazama, Atsushi Watanabe, Shuichi Fujioka, Katsuhiko Yanaga
INTRODUCTION: Recently, single-incision laparoscopic cholecystectomy has been accepted as an alternative to conventional laparoscopic cholecystectomy. The aim of this study was to retrospectively evaluate the safety and feasibility of unique gallbladder retraction methods using an ENDOLOOP® (Ethicon, Tokyo, Japan) and Lapaherclosure™ (Hakko Medical, Tokyo, Japan). MATERIALS AND SURGICAL TECHNIQUE: From May 2013 to April 2015, 77 patients underwent single-incision laparoscopic cholecystectomy with this retraction technique...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549249/combination-of-electrohydraulic-lithotripsy-and-laparoscopy-for-gallbladder-access-in-type-iii-mirizzi-syndrome
#10
Toshikatsu Nitta, Yoshihide Chino, Jun Kataoka, Masahito Ohta, Tomo Tominaga, Kensuke Fujii, Takashi Ishibashi
INTRODUCTION: A 50-year-old Japanese man presented with obstructive jaundice. We performed endoscopic retrograde biliary drainage before biliary decompression. CT showed a thickened gallbladder wall with low-density areas and a 35-mm gallstone; the stone was impacted in the gallbladder neck and cystic duct. The patient was therefore diagnosed with Mirizzi syndrome (type II or III) and scheduled for laparoscopic treatment. We performed subtotal cholecystectomy and intraoperative choledochoscopy because we recognized a fistula between the gallbladder and common bile duct preoperatively...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549236/laparoscopic-reversal-of-hartmann-s-procedure-a-single-center-experience
#11
Resta Giuseppe, Fabbri Nicolò Id, Marino Serafino, Giaccari Sara, Tamburini Nicola, Cavallesco Giorgio, Anania Gabriele
INTRODUCTION: Laparoscopic reversal of Hartmann's procedure (LHR) is considered a technically complex major surgical procedure. We present a retrospective analysis of a single-institution experience that assesses the treatment patterns and outcomes of patients who underwent LHR. MATERIALS AND SURGICAL TECHNIQUE: The study involved patients who underwent LHR between January 2004 and December 2017. All patients had previously undergone a conventional Hartmann's procedure for acute complicated diverticulitis or cancer...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549230/standardization-of-surgical-procedures-for-laparoscopic-spiegel-lobectomy-a-single-institutional-experience
#12
Shinya Hayami, Masaki Ueno, Manabu Kawai, Atsushi Miyamoto, Norihiko Suzaki, Seiko Hirono, Ken-Ichi Okada, Hiroki Yamaue
INTRODUCTION: Surgical techniques for Spiegel lobectomy remain technically difficult because of its deep anatomical location. Laparoscopic Spiegel lobectomy has not yet been standardized or widely reported. In the current study, we introduce technical improvements, including the liver hanging maneuver, to laparoscopic Spiegel lobectomy. Additionally, we demonstrate the safety and feasibility of this procedure. MATERIALS AND SURGICAL TECHNIQUE: We performed consecutive laparoscopic Spiegel lobectomy on six patients: five with hepatocellular carcinoma and one with colorectal liver metastasis...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549226/single-incision-laparoscopy-assisted-gastric-transposition-combined-with-thoracoscopic-esophagectomy-for-esophageal-replacement
#13
Zafer Dokumcu, Emre Divarci, Coskun Ozcan, Ata Erdener
INTRODUCTION: We present a novel approach to single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES). MATERIALS AND SURGICAL TECHNIQUE: A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H2 antagonist therapy for 8 months...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549225/fruitful-first-experience-with-an-8k-ultra-high-definition-endoscope-for-laparoscopic-colorectal-surgery
#14
Seiji Ohigashi, Takashi Taketa, Gen Shimada, Keisuke Kubota, Hiroki Sunagawa, Akihiro Kishida
We performed laparoscopic surgery for three cases of colorectal cancer using an 8K ultra-high-definition endoscopic system, which offers 16-fold higher resolution than the current 2K high-definition endoscope. The weight of the camera has been successfully reduced to 370 g. To maximize the advantages of the 8K ultra-high-definition endoscope, surgery was performed by darkening the room and placing a large 85-in. display as close to the surgeon as possible. As a result, the autonomic nerve was preserved, and the membrane structure could be clearly observed...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30549222/safe-and-easy-technique-for-the-laparoscopic-application-of-seprafilm%C3%A2-in-gynecologic-surgery
#15
Kuniaki Ota, Kenji Sato, Jun Ogasawara, Toshifumi Takahashi, Hideki Mizunuma, Mamoru Tanaka
INTRODUCTION: Laparoscopic surgery is a minimally invasive surgery, and the rate of postoperative adhesions is low. Although Seprafilm® helps to reduce adhesions, its application in the abdominal cavity during laparoscopic surgery is difficult because of its material. Therefore, we propose an easy method for applying this adhesion barrier. MATERIALS AND SURGICAL TECHNIQUE: The Seprafilm is cut into four equal pieces. The four pieces are stacked, firmly folded twice, and grasped with the forceps...
December 13, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30548804/useful-technique-for-draining-a-large-cystic-tumor-through-the-round-ligament-in-laparoscopic-left-hemihepatectomy
#16
Kazuteru Monden, Hiroshi Sadamori, Masayoshi Hioki, Satoshi Ohno, Kyo Sasaki, Hiromi Saneto, Toru Ueki, Kazuhisa Yabushita, Kousaku Sakaguchi, Norihisa Takakura
INTRODUCTION: Some cystic liver tumors are huge when the diagnosis is made or surgery is needed. Although reducing tumor size by preoperative aspiration or drainage of the contents of the cystic tumor is helpful for liver resection, such procedures have a risk of tumor dissemination. MATERIALS AND SURGICAL TECHNIQUE: After the round ligament was dissected, a 12-Fr drainage catheter was inserted into the tumor via the round ligament under ultrasonography. At that time, close attention was paid to avoid having the catheter deviate outside the round ligament...
December 12, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30548102/factors-affecting-non-operative-management-of-uncomplicated-appendicitis-in-children-should-laparoscopic-appendectomy-be-immediate-interval-or-emergency
#17
Go Miyano, Takanori Ochi, Shogo Seo, Hiroki Nakamura, Manabu Okawada, Takashi Doi, Hiroyuki Koga, Geoffrey J Lane, Atsuyuki Yamataka
INTRODUCTION: We conducted a prospective non-randomized comparison of children with uncomplicated appendicitis treated either by primary laparoscopic appendectomy (PLA) or by non-operative management (NOM) followed by interval laparoscopic appendectomy (ILA) if NOM was successful or emergency laparoscopic appendectomy (ELA) if NOM was unsuccessful. METHODS: Before 2015, all patients with uncomplicated appendicitis underwent PLA using a standard three-port technique...
December 11, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30506839/is-transperitoneal-laparoscopic-radical-nephrectomy-suitable-for-patients-with-a-history-of-abdominal-surgery
#18
Yoshinori Yanai, Toshikazu Takeda, Akira Miyajima, Kazuhiro Matsumoto, Masayuki Hagiwara, Ryuichi Mizuno, Eiji Kikuchi, Hiroshi Asanuma, Mototsugu Oya
INTRODUCTION: Laparoscopic radical nephrectomy is the gold standard for treatment of renal cell carcinoma. However, previous abdominal surgery is generally regarded as a contraindication to the laparoscopic approach because it causes intraperitoneal adhesions, which are thought to interfere with subsequent laparoscopic procedures inside the abdominal cavity. Few studies have examined the influence of prior surgery on laparoscopic nephrectomy. Therefore, the aim of this study was to evaluate the impact of previous laparotomy on laparoscopic nephrectomy...
December 2, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30467992/laparoscopic-repair-of-secondary-perineal-hernia-with-coverage-by-the-mobilized-cecum
#19
Shoko Kato, Seiji Ishiguro, Shunichiro Komatsu, Tatsuki Matsumura, Kohei Yasui, Kenichi Komaya, Takuya Saito, Takashi Arikawa, Kenitiro Kaneko, Tsuyoshi Sano
The incidence of secondary perineal hernia (SPH) has increased since the introduction of extralevator abdominoperineal resection and laparoscopic abdominoperineal resection. Currently, laparoscopic mesh repair is the usual procedure. Here, we demonstrate a repair of SPH without mesh that uses the mobilized cecum to cover the pelvic hernial orifice. An 83-year-old man complained of discomfort when sitting for long periods. He was status post laparoscopic abdominoperineal resection and was diagnosed with SPH...
November 23, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30461209/objective-assessment-of-robotic-suturing-skills-with-a-new-computerized-system-a-step-forward-in-the-training-of-robotic-surgeons
#20
Caleb Busch, Ryu Nakadate, Munenori Uemura, Satoshi Obata, Takahiro Jimbo, Makoto Hashizume
INTRODUCTION: The purpose of this study was to assess robot-assisted suturing skills on a laparoscopic intestinal anastomosis model by using a novel computerized objective assessment system. METHODS: This study compared the suturing skills of 13 surgically naïve participants on an artificial intestinal anastomosis model that mimics real tissue. Each examinee sutured using da Vinci robot assistance under 2-D and 3-D visualization and with conventional laparoscopy (CL)...
November 21, 2018: Asian Journal of Endoscopic Surgery
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