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Asian Journal of Endoscopic Surgery

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https://www.readbyqxmd.com/read/30411531/simultaneous-transabdominal-preperitoneal-hernia-repair-and-laparoscopic-cholecystectomy-a-report-of-17-cases
#1
Shunsuke Hayakawa, Tetsushi Hayakawa, Koichi Inukai, Hirotaka Miyai, Minoru Yamamoto, Hidehiko Kitagami, Yasunobu Shimizu, Moritsugu Tanaka
INTRODUCTION: Inguinal hernia repair and cholecystectomy are frequently performed in the field of gastrointestinal surgery. However, reports describing surgical procedures that involve simultaneous transabdominal preperitoneal hernia repair (TAPP) and laparoscopic cholecystectomy (LC), as well as the safety and usefulness of this combination, are limited. Herein, we report a surgical procedure involving simultaneous TAPP and LC (TAPP + LC) and present the outcomes of patients who have undergone this combined surgical procedure, with a particular focus on its safety and usefulness...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411530/successful-single-stage-laparoscopic-surgery-using-a-preoperative-self-expanding-metallic-stent-in-patients-with-obstructive-colorectal-cancer
#2
Masayoshi Hosono, Takeru Matsuda, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
INTRODUCTION: Although a self-expanding metallic stent (SEMS) or a transnasal or transanal decompression tube is sometimes used as a bridge to surgery in patients with obstructive colorectal cancer, the optimal decompression procedure to achieve successful laparoscopic surgery remains unclear. METHODS: Forty-two patients with obstructive colorectal cancer who were preoperatively decompressed by using SEMS (the SEMS group, n = 20) or a decompression tube (the DT group, n = 22) between January 2010 and February 2017 were included in this retrospective study...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411526/laparoscopic-para-aortic-lymphadenectomy-for-colorectal-cancer-with-clinically-suspected-lymph-node-metastasis
#3
Seiichiro Yamamoto, Toshio Kanai, Kikuo Yo, Kumiko Hongo, Kiminori Takano, Mai Tsutsui, Ryo Nakanishi, Yusuke Yoshikawa, Motohito Nakagawa
INTRODUCTION: The optimal surgical management strategy for isolated para-aortic lymph node (PALN) metastases from colorectal cancer (CRC) remains unclear. However, the complication rates for open approaches remain high. In this study, the outcomes of laparoscopic para-aortic lymphadenectomy in patients with clinically suspected PALN metastasis were evaluated. METHODS: Between April 2013 and April 2018, we performed laparoscopic primary resection and para-aortic lymphadenectomy in 11 patients with advanced colorectal cancer and clinically suspected PALN metastasis...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411524/laparoscopic-distal-gastrectomy-in-a-patient-with-gastric-cancer-complicated-by-eventration-of-the-diaphragm-a-case-report
#4
Takatsugu Fujii, Shusuke Haruta, Yu Ohkura, Aya Honda, Nao Kobayashi, Tsuyoshi Tanaka, Masaki Ueno, Harushi Udagawa
Diaphragmatic eventration refers to an abnormal elevation of the diaphragm. Here, we report the case of a patient with gastric cancer who underwent successful laparoscopic distal gastrectomy despite the presence of diaphragmatic eventration. The patient was a 72-year-old man diagnosed with early gastric cancer in the antrum, as detected by upper gastrointestinal endoscopy. Preoperative imaging revealed an elevation of the left side of the diaphragm, which was diagnosed as diaphragmatic eventration. Laparoscopic surgery is beneficial for obtaining an optimal field of view...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411514/mediastinoscopic-salvage-esophagectomy-for-recurrent-esophageal-squamous-cell-carcinoma-after-definitive-chemoradiotherapy-in-a-previously-pneumonectomized-patient
#5
Tomoyuki Okumura, Yasuyuki Seto, Susumu Aikou, Makoto Moriyama, Shinich Sekine, Isaya Hashimoto, Kazuto Shibuya, Shozo Hojo, Isaku Yoshioka, Takuya Nagata, Tsutomu Fujii
We herein report a case of mediastinoscopic salvage esophagectomy for recurrent esophageal squamous cell carcinoma after definitive chemoradiotherapy in a previously pneumonectomized patient. A 66-year-old man with a medical history of left-sided pneumonectomy for lung cancer was diagnosed with local recurrence of lower esophageal squamous cell carcinoma (cT3N0M0 cStage II) 9 years after definitive chemoradiotherapy. The mediastinoscopic cervical approach and laparoscopic transhiatal approach were combined, and the thoracic esophagus was safely mobilized to separate the esophagus from the stump of the left bronchus and to divide dense adhesions between the esophagus and fibrotic tissue at the site of the previous left mediastinal pleural resection...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411513/operative-outcomes-after-laparoscopic-splenectomy-with-special-reference-to-prophylactic-antibiotics
#6
Tsunemi Matsuda, Shoji Kubo, Masaki Ueno, Katsunari Takifuji, Hiroki Yamaue, Shigekazu Takemura, Shogo Tanaka, Hiroji Shinkawa, Koichi Yamada, Hiroshi Kakeya
INTRODUCTION: We conducted a retrospective study to investigate the progress of the operative outcome after laparoscopic splenectomy (LS), with a special reference to the administration of prophylactic antibiotics (PA). METHODS: The study included 123 patients who underwent elective LS. Operative outcomes before and after the operative procedure was standardized and the impact of treatment with PA on surgical-site infection were investigated. RESULTS: With regard to complications, wound infection developed in one (0...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30411508/laparoscopic-rectal-tumor-surgery-after-administration-of-a-new-sclerosing-therapy-aluminum-potassium-sulfate-and-tannic-acid-injection-for-internal-hemorrhoids-a-report-of-three-cases
#7
Saori Goto, Koya Hida, Nobuaki Hoshino, Shigeo Hisamori, Kenji Kawada, Takaki Sakurai, Yoshiharu Sakai
Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for internal hemorrhoids that has been gaining widespread use. However, there have been few reports about rectal cancer after ALTA injection. We performed laparoscopic surgery for three patients who had underwent ALTA therapy 6 months or 1 year earlier: (i) a 51-year-old man with neuroendocrine tumor; (ii) a 44-year-old woman with rectal cancer; and (iii) 77-year-old man with rectal cancer. All three patients had sclerosis of the resected rectal wall stump, making transection of the rectum difficult...
November 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30358131/evaluation-of-the-venous-drainage-pattern-of-the-splenic-flexure-by-preoperative-three-dimensional-computed-tomography
#8
Akira Arimoto, Takeru Matsuda, Hiroshi Hasegawa, Kimihiro Yamashita, Tetsu Nakamura, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
INTRODUCTION: Anatomical evaluation of the splenic flexure vein is essential for complete mesocolic excision with central vascular ligation when treating patients with splenic flexure cancer. Although there have been several studies relating to the arterial branches of the splenic flexure, very limited data are available regarding the variation in venous anatomy in this region. METHODS: Sixty-six patients with colorectal cancer who underwent preoperative 3-D CT between April 2016 and April 2017 were included in this retrospective study...
October 24, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30358128/laparoscopic-excision-of-an-acquired-ureteral-diverticulum-a-case-report
#9
Hiromitsu Negoro, Takahiro Inoue, Kazuto Imai, Takayuki Goto, Atsuro Sawada, Shusuke Akamatsu, Ryoichi Saito, Takashi Kobayashi, Toshinari Yamasaki, Osamu Ogawa
Ureteral diverticula, especially acquired diverticula, are rare. Surgery is indicated when a diverticulum is accompanied by complications such as stones, pyelonephritis, stenosis, and signs of malignancy. A 59-year-old woman visited our urology department with asymptomatic macrohematuria. Enhanced CT scan revealed a right ureteral diverticulum with a 16-mm diameter that contained two tiny stones inside. After 8 months, the size of these stones increased; therefore, the patient underwent laparoscopic resection of the ureteral diverticulum and end-to-end anastomosis of the ureter...
October 24, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30334360/case-of-intercostal-lung-hernia-with-hemosputum-that-developed-after-thoracoscopic-lobectomy
#10
Hiroshi Haneda, Katsuhiro Okuda, Ryoichi Nakanishi
Intercostal lung hernia is defined as a protrusion of the lung tissue through a chest wall defect. It is an uncommon condition after a lobectomy, and most cases are asymptomatic. We herein report a case of intercostal lung hernia after a thoracoscopic right upper lobectomy in a patient whose chief complaint was hemosputum. Elevated intrathoracic pressure is a major risk factor for intercostal lung hernia. In this patient, obesity and bronchial asthma were considered the causes of this disease. Three reports on intercostal lung hernia after thoracoscopic lobectomy were previously published...
October 17, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30264550/short-term-and-midterm-outcomes-of-single-incision-laparoscopic-surgery-for-right-sided-colon-cancer
#11
Yoshiyuki Ishii, Masashi Yahagi, Hiroki Ochiai, Hiroyuki Sako, Ryusuke Amemiya, Hinako Maeda, Masayo Ogiri, Noriki Kamiya, Masahiko Watanabe
INTRODUCTION: The purpose of this study was to clarify the usefulness of SILS for right-sided colon cancer by evaluating the short-term and midterm outcomes. METHODS: Between 2012 and 2017, 65 selected patients with right-sided colon cancer underwent ileocecal resection, right hemicolectomy, or transverse colectomy; all were enrolled in the study. The same well-trained surgeon performed each procedure by using a multi-instrument access port with three channels, which was placed at the umbilicus via an approximately 3-cm skin incision...
September 27, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30264485/simultaneous-laparoscopic-left-hemicolectomy-and-spleen-preserving-distal-pancreatectomy-for-descending-colon-cancer-with-pancreatic-invasion
#12
Toshiya Nagasaki, Yoshihiro Mise, Satoru Honma, Takafumi Sato, Takashi Akiyoshi, Yosuke Fukunaga, Tetsuro Tominaga, Tomoyuki Nagaoka, Tomohiro Yamaguchi, Masashi Ueno
Here, we describe laparoscopic colectomy with spleen-preserving distal pancreatectomy for descending colon cancer with pancreatic tail invasion. A 69-year-old man with descending colon cancer staged as clinical state IIIC (cT4b [pancreas] N1M0) underwent definitive laparoscopic surgery that was performed in collaboration with surgeons who specialize in laparoscopic colorectal and hepatobiliary-pancreatic laparoscopy. After the left colon was mobilized, tumor infiltration of the pancreas, but not the splenic vessels, was confirmed, and the spleen was preserved...
September 27, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30259708/correlation-between-port-to-target-distance-and-procedural-difficulty-in-single-incision-laparoscopic-cholecystectomy-an-observational-study
#13
Masafumi Ohira, Kazuaki Shibuya, Kazuhito Uemura, Hiroaki Takahashi, Yoshio Ito
INTRODUCTION: Single-incision laparoscopic cholecystectomy (SILC) is more challenging than conventional (multiport) laparoscopic cholecystectomy (CLC) because of the increased likelihood of instrument collision and the limited surgical workspace. In SILC, procedural difficulties may increase when the port-to-target distance is long. We aimed to assess the correlation between port-to-target distance and procedural difficulty. METHODS: Thirty-six consecutive patients who underwent SILC at our hospital were included in this study...
September 26, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30259706/laparoscopic-decompression-of-a-stricture-of-the-celiac-artery-caused-by-the-median-arcuate-ligament-in-a-gastric-cancer-patient-a-case-of-report
#14
Yoshihide Asaumi, Mitsuaki Sakatoku, Junpei Okamoto, Saki Hayashi, Naohiro Ota, Kouichi Yoshida, Hiroyuki Sugahara, Satoshi Tabata, Masahiro Kaneki, Kenichi Ietsugu, Kaoru Kiyohara
Stricture of the celiac artery caused by the median arcuate ligament induces abdominal ischemic symptoms and aneurysm near the pancreatic head. However, the need to treat asymptomatic patients is unclear. We safely performed surgical decompression of a stricture of the celiac artery by MAL in an asymptomatic patient at the same time as gastrectomy for gastric cancer. After surgery, the stricture of the celiac artery had disappeared as demonstrated by CT scan and 3-D CT angiography.
September 26, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30259674/perioperative-management-of-laparoscopic-surgery-in-a-patient-with-protein-s-deficiency-complications-a-case-report
#15
Jo Tashiro, Manato Fujii, Yasuo Watanabe, Yuki Ichinose, Masayoshi Kudo, Yoshiharu Takenaka, Kazuki Yamasaki, Yukiyoshi Masaki
Patients with protein S deficiency are prone to developing thrombosis. During laparoscopic surgery in patients with protein S deficiency, there is a risk of deep venous thromboembolism. In the present case, the patient was a 66-year-old man. He was diagnosed with colon cancer, and surgery was planned. Because of the presence of protein S deficiency, he required careful perioperative management for laparoscopic surgery. Surgery was successfully performed. On postoperative assessment, no thrombi were observed...
September 26, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30239133/renal-arteriovenous-fistula-induced-by-extracorporeal-shock-wave-lithotripsy-treated-by-retroperitoneoscopic-nephrectomy
#16
Koichi Kodama, Yasukazu Takase, Ryutaro Tokai, Katsuhiko Saito
Renal arteriovenous fistula (AVF) is a rare but potentially severe and life-threatening entity. It can occur after various invasive renal interventions, including resection of a localized renal tumor, renal biopsy, percutaneous renal surgery, and even blunt injury of the kidney. The time of clinical presentation of a renal AVF is variable and may occur decades after the injury originally occurred. Here, we report a case of renal AVF induced by extracorporeal shock wave lithotripsy 11 years earlier in an asymptomatic 72-year-old woman...
September 21, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30198181/transanal-completion-proctectomy-with-close-rectal-dissection-and-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#17
Katarina Levic Souzani, Claus Buhl Nielsen, Orhan Bulut
INTRODUCTION: Laparoscopic dissection in the pelvis is still a challenge. A transanal approach to rectal dissection allows better visualization during the dissection of the rectum and the creation of an anastomosis. Although initially used for patients with rectal cancer, the transanal approach may also have benefits in the surgical treatment of ulcerative colitis (UC). The aim of this study was to describe our initial experience with transanal completion proctectomy and ileal pouch-anal anastomosis for UC...
September 9, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30187669/thoracoscopic-resection-of-a-cystic-seminoma-of-the-mediastinum
#18
Kazutoshi Hamanaka, Tetsu Takeda, Masahiko Ohashi, Hirotaka Kumeda, Hiroyuki Agatsuma, Kou Shimada, Kiyotomi Maruyama, Kazuo Yoshida, Toshitsugu Nakamura
Mediastinal seminoma is an uncommon tumor that accounts for 25% of primary mediastinal germ cell tumors, which in turn comprise fewer than 5% of all germ cell tumors. Although CT normally shows a solid, lobulated tumor, mediastinal cystic seminoma has rarely been described. Here, we report a 24-year-old man who presented with a mediastinal cystic tumor that was resected after an 18-month delay via video-assisted thoracoscopic surgery while in the supine position; the procedure involved lifting the chest wall with a subcutaneous Kirschner wire...
September 5, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30178535/toward-standardized-patient-positioning-to-avoid-peripheral-nerve-injury-during-laparoscopic-colorectal-surgery-application-of-a-protocol-and-study-of-the-resulting-relationship-between-total-rotation-time-and-contact-pressure-at-the-shoulder
#19
Yoshikuni Harada, Jun-Ichi Tanaka, Takahiro Umemoto, Ryu-Ichi Sekine, Tetsuji Wakabayashi, Kazuhiro Kijima, Gaku Kigawa
INTRODUCTION: Generally, laparoscopic colorectal surgery is performed with the patient in the lithotomy and rotated positions. The lithotomy position, however, is associated with intraoperative peripheral nerve injury (IPNI). We studied the relationship between patient positioning during laparoscopic colorectal surgery, contact pressure at the shoulder, and the occurrence of IPNI and tested a positioning protocol aimed at surgical safety in addition to maintenance of a good surgical field...
September 3, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30168295/non-exposed-endoscopic-wall-inversion-surgery-for-pediatric-gastrointestinal-stromal-tumor-a-case-report
#20
Shiro Matsumoto, Yoshinori Hosoya, Alan K Lefor, Yuji Ino, Hidenori Haruta, Kentaro Kurashina, Shin Saito, Joji Kitayama, Naohiro Sata
Gastrointestinal stromal tumors (GIST) in patients under 18 years of age are classified as pediatric GIST. Pediatric GIST are extremely rare, and there are no reports of laparoscopic-endoscopic cooperative surgery for these lesions. We report the use of non-exposed endoscopic wall-inversion surgery as a laparoscopic-endoscopic cooperative surgery-related procedure for the treatment of a pediatric GIST. The case involved a 17-year-old male patient who presented with anemia and was found to have a bleeding gastric tumor...
August 30, 2018: Asian Journal of Endoscopic Surgery
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