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Asian Journal of Endoscopic Surgery

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https://www.readbyqxmd.com/read/29115064/broad-ligament-hernia-successfully-repaired-by-single-incision-laparoscopy-a-case-report
#1
Hiroshi Takeyama, Yuya Kogita, Takahiko Nishigaki, Masafumi Yamashita, Eriko Aikawa, Minako Hoshi, Hirokazu Taniguchi, Yasuki Maruyama, Kazuhiro Nakajima, Yoshimitsu Yamamoto, Kazushige Adachi, Hitoshi Yamamoto, Kimimasa Ikeda, Eiji Kurokawa
A 52-year-old woman with a history of two parturitions presented with lower abdominal pain. Multi-detector CT of the abdomen showed discontinuity of the sigmoid colon near the broad ligament on the left side. We assigned a provisional diagnosis of an internal hernia progressing through a defect in the broad ligament. SILS revealed a total broad ligament defect on the left side but no signs of ischemic, necrotic bowel. We successfully repaired the broad ligament defect with suturing. At the 2-month follow-up, the patient remained well with no signs of recurrence...
November 8, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29105338/current-knowledge-and-perception-of-bariatric-surgery-among-greek-doctors-living-in-thessaly
#2
Dimitris Zacharoulis, Vissarion Bakalis, Eleni Zachari, Eleni Sioka, Dialecthi Tsimpida, Dimitrios Magouliotis, Vasiliki Tasiopoulou, Christina Chatedaki, George Tzovaras
INTRODUCTION: The purpose of this study was to assess doctors' knowledge, current conceptions, and clinical practice regarding obesity and bariatric surgery. METHODS: A self-administered survey was administered to 500 doctors with varying medical specialties in public and private practice. RESULTS: The response rate was 60%. Most participants (77.3%) were in private practice. Although almost half of the participants could define morbid obesity and obesity-related comorbidities, only 8...
November 3, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29052346/single-incision-laparoscopic-cholecystectomy-for-gallbladder-torsion-a-case-report-and-literature-review
#3
Keiso Matsubara, Takashi Urushihara, Akihiko Oshita, Toshiyuki Itamoto
We present a case of preoperatively diagnosed gallbladder torsion (GT) that was successfully treated by single-incision laparoscopic cholecystectomy. An 80-year-old woman presented with sudden pain and a palpable mass in the right upper quadrant. Contrast-enhanced CT revealed ischemic changes, a swollen gallbladder with a V-shaped distortion of the extrahepatic ducts, and the gallbladder in an abnormal anatomical position; clinical findings indicated GT. We performed single-incision laparoscopic cholecystectomy and intraoperatively found that the floating gallbladder was twisted counterclockwise by 180° around the cystic duct...
October 19, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29052338/laparoscopic-transabdominal-preperitoneal-repair-for-strangulated-inguinal-hernia
#4
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Youichi Kawano, Sho Kuriyama, Kumiko Sekiguchi, Fumihiko Ando, Takeshi Matsutani, Eiji Uchida
INTRODUCTION: Laparoscopic transabdominal preperitoneal repair (TAPP) is widely accepted in elective inguinal hernioplasty. However, given the scarcity of data, the feasibility and safety of TAPP in strangulated hernia cases have not yet been determined. METHODS: We retrospectively evaluated the data from a consecutive series of 33 patients who had undergone surgery for acute strangulated inguinal hernia associated with suspected visceral ischemic damage by either TAPP (TAPP group, n = 11) or conventional open hernioplasty via the anterior approach (anterior group, n = 22)...
October 19, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29045057/proper-training-in-laparoscopic-hernia-repair-is-necessary-to-minimize-the-rising-recurrence-rate-in-japan
#5
Sumio Matsumoto, Tetsushi Hayakawa, Yoh Kawarada, Kazunori Uchida, Tohru Eguchi, Hidetoshi Wada, Nozomi Ueno, Hitoshi Idani, Kanyu Nakano, Yoshiyuki Oomomo
INTRODUCTION: The Japan Society for Endoscopic Surgery reported that the recurrence rate for inguinal hernia repair in Japan was less than 1% in 2010. However, its 2012 survey found that the recurrence rate had increased to 4% for the transabdominal preperitoneal procedure and 5% for the totally extraperitoneal procedure. We held 14 hernia repair training courses from 2011 to 2016 with help from Covidien. This study aimed to determine the effect of this training on the recurrence rate...
October 17, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29045026/feasibility-of-laparoscopic-surgery-after-stent-insertion-for-obstructive-colorectal-cancer
#6
Hideharu Shimizu, Ryoto Yamazaki, Hideo Ohtsuka, Itaru Osaka, Kunio Takuma, Yasuhiro Morita
INTRODUCTION: A growing number of patients with obstructive colorectal cancer are being treated with self-expanding metallic stents (SEMS) followed by laparoscopic resection. The aim of this study was to assess the feasibility of stent insertion and laparoscopic surgery for obstructive colorectal cancer and to compare these outcomes to regular laparoscopic surgery for non-obstructive colorectal cancer. METHODS: We retrospectively analyzed the outcomes of patients with a malignant colonic obstruction who underwent SEMS placement followed by elective laparoscopic resection...
October 17, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29027381/evaluation-of-a-new-energy-device-for-parenchymal-transection-in-laparoscopic-liver-resection
#7
Amr Badawy, Satoru Seo, Rei Toda, Hiroaki Fuji, Takamichi Ishii, Kojiro Taura, Kentaro Yasuchika, Toshimi Kaido, Shinji Uemoto
INTRODUCTION: THUNDERBEAT (TB) is a novel device that uses both ultrasonic and advanced bipolar energies for hemostasis. Several recent human studies have proved the safety and efficacy of TB in different surgical procedures, but there have been no similar studies about its efficacy in hepatic parenchymal transection. Therefore, the aim of the study was to assess the safety and efficacy of the TB device in laparoscopic liver resection. METHODS: This retrospective study compared TB and ultrasonic Harmonic devices in 80 patients who underwent laparoscopic liver resection from 2010 to 2016 in our institution...
October 12, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28975719/prospective-randomized-controlled-trial-comparing-partially-absorbable-lightweight-mesh-and-multifilament-polyester-anatomical-mesh-in-laparoscopic-inguinal-hernia-repair
#8
John Cc Wong, George Pc Yang, Tony Pp Cheung, Michael Kw Li
INTRODUCTION: Tension-free mesh repair is currently the gold standard treatment for inguinal hernia. Recent evidence has shown that both open and laparoscopic approaches to inguinal hernia repair can achieve good results. Lots of meshes with different properties are available on the market, but direct comparisons between them are scare. We conducted a prospective randomized controlled trial comparing a partially absorbable lightweight mesh (ULTRAPRO™) and a multifilament polyester anatomical mesh (Parietex™) in laparoscopic total extraperitoneal inguinal hernia repair...
October 4, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28949078/conversion-during-laparoscopic-anterior-resection-for-rectal-cancer-with-a-congenital-solitary-pelvic-kidney-a-case-report
#9
Koki Takeda, Chu Matsuda, Hidekazu Takahashi, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Tsunekazu Mizushima, Yuichiro Doki, Masaki Mori
A 54-year-old female patient was hospitalized with a chief complaint of anal discomfort. Based on biopsy results, she was diagnosed with highly differentiated adenocarcinoma, and colonoscopy findings indicated a type 3 rectal tumor. We observed a right pelvic kidney on enhanced abdominal CT. We began a laparoscopic operation but converted to an open operation after resecting the right pelvic renal artery by mistake. After low anterior resection, urologists performed angioplasty of the right renal pelvic artery...
September 26, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28929612/comparison-of-laparoscopic-toupet-and-laparoscopic-nissen-fundoplications-in-neurologically-normal-children
#10
Go Miyano, Masaya Yamoto, Hiromu Miyake, Masakatsu Kaneshiro, Keiichi Morita, Hiroshi Nouso, Mariko Koyama, Manabu Okawada, Takashi Doi, Hiroyuki Koga, Geoffrey J Lane, Koji Fukumoto, Atsuyuki Yamataka, Naoto Urushihara
INTRODUCTION: We compared laparoscopic Toupet fundoplication (LTF) and laparoscopic Nissen fundoplication (LNF) in neurologically normal children. METHODS: Forty neurologically normal children who were followed up for more than 3 years after LTF (n = 22) or LNF (n = 18) were reviewed retrospectively. LTF and LNF were performed between 2006 and 2012. RESULTS: There were no significant differences in gender (LTF, 15 male and 7 female patients; LNF:, 12 male and 6 female patients), mean age at surgery (LTF vs LNF: 2...
September 20, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28880495/case-report-of-perineal-hernia-after-laparoscopic-abdominoperineal-resection
#11
Kumpei Honjo, Kazuhiro Sakamoto, Shunsuke Motegi, Ryoichi Tsukamoto, Shinya Munakata, Kiichi Sugimoto, Hirohiko Kamiyama, Makoto Takahashi, Yutaka Kojima, Tetsu Fukunaga, Yoshiaki Kajiyama, Seiji Kawasaki
Perineal hernia (PH) is a rare complication following laparoscopic abdominoperineal resection (APR) for rectal cancer. We present a case report of perineal hernia after laparoscopic APR and discuss its management. The patient was a 77-year-old man who was diagnosed with lower rectal cancer. He underwent laparoscopic APR and bilateral lateral lymph node dissection. Two months after the surgery, pain and bulging in the perineal region developed, and PH was diagnosed by CT. Repair with a polypropylene mesh was performed using a combination of laparoscopic abdominal and transperineal approaches...
September 7, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28856871/pfannenstiel-laparoendoscopic-reduced-port-bilateral-radical-nephrectomy-for-a-patient-with-renal-cell-carcinoma-undergoing-hemodialysis
#12
Takeo Nomura, Mutsushi Yamasaki, Kohei Takei, Fuminori Sato, Toshiro Terachi, Hiromitsu Mimata
We performed Pfannenstiel laparoendoscopic reduced-port bilateral radical nephrectomy on a patient with renal cell carcinoma undergoing hemodialysis. A 4-cm Pfannenstiel incision was made, and a GelPOINT access was inserted. Three trocars were placed through the access platform, and additional 5- and 3-mm trocars were inserted in the umbilicus and paraumbilical area, respectively. After left nephrectomy, right nephrectomy was successfully completed in 401 min, with an estimated blood loss of 70 mL. There were no intraoperative or postoperative complications, and the patient was discharged 10 days postoperatively...
August 30, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28856845/latif-s-point-a-new-point-for-veress-needle-insertion-for-pneumoperitoneum-in-difficult-laparoscopy
#13
Mohamed E Abd Ellatif, Wagih M Ghnnam, Ashraf Abbas, Magdy Basheer, Ibrahim Dawoud, Ramadan Ellaithy
INTRODUCTION: Creating pneumoperitoneum is the most challenging step during laparoscopy. The periumbilical area is the classic site for Veress needle insertion. We adopted a new access point for peritoneal insufflation. METHODS: We introduced a new point for Veress needle insertion to create pneumoperitoneum during difficult laparoscopic procedures. The needle is placed between the xiphoid process and the right costal margin, and it then proceeds toward the patient's right axilla...
August 30, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28856831/metachronous-solitary-mediastinal-lymph-node-metastases-of-hepatocellular-carcinoma-treated-by-video-assisted-thoracic-surgery-twice-report-of-a-case
#14
Masatake Taniguchi, Masanobu Hyodo, Kenji Tezuka, Shoichi Shinohara, Hirofumi Hayashi, Yasuhiro Inoue, Hirotake Satoh, Munetoshi Tsukahara, Alan Kawarai Lefor, Masaki Okada, Yoshikazu Yasuda
Solitary mediastinal lymph node metastasis of hepatocellular carcinoma (HCC) is rare. We report a case of metachronically solitary mediastinal metastases of HCC treated by video-assisted thoracic surgery (VATS) twice. A 66-year-old man underwent repeated laparoscopic radiofrequency ablation or trans-arterial catheter chemo-embolization against HCC for more than 10 years. The level of alpha fetoprotein protein was elevated, and radiological modalities including FDG-PET revealed solitary mediastinal tumor metachronically...
August 30, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28856811/life-threatening-hemorrhage-from-the-corona-mortis-after-laparoscopic-inguinal-hernia-repair-report-of-a-case
#15
Tomohiko Yasuda, Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Youichi Kawano, Kumiko Sekiguchi, Fumihiko Ando, Takeshi Matsutani, Eiji Uchida
Along with the increased use of other laparoscopic procedures, laparoscopic inguinal hernia repair has become widely used because of its minimally invasive nature. Here, we report a case of 66-year-old man who underwent transabdominal preperitoneal laparoscopic hernioplasty and developed hemorrhagic shock on postoperative day 1. CT showed postoperative venous hemorrhage from the retropubic space. Successful hemostasis of the massive hemorrhage was achieved laparoscopically. The origin of the hemorrhage was assumed to be the corona mortis vein, which was slightly injured during the operation...
August 30, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28856802/esophagogastric-junction-cancer-successfully-treated-by-laparoscopic-proximal-gastrectomy-and-lower-esophagectomy-with-intrathoracic-double-flap-technique-a-case-report
#16
Kei Hosoda, Keishi Yamashita, Hiromitsu Moriya, Marie Washio, Hiroaki Mieno, Akira Ema, Masahiko Watanabe
A 66-year-old man was referred to our hospital for treatment of esophagogastric junction cancer. He was diagnosed as cT2N0M0, and the esophageal invasion was found to be 1 cm from the esophagogastric junction. He underwent laparoscopy-assisted proximal gastrectomy and lower esophagectomy with esophagogastrostomy using the intrathoracic double-flap technique through the transhiatal approach. The operative time was 662 min (suturing time was 198 min), and blood loss was 200 mL. The operative time was much longer for this procedure than for esophagogastrostomy with the conventional (intra-abdominal) double-flap technique...
August 30, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29076277/robotic-surgery-for-the-upper-gastrointestinal-tract-current-status-and-future-perspectives
#17
REVIEW
Masaya Nakauchi, Ichiro Uyama, Koichi Suda, Mohamed Mahran, Tetsuya Nakamura, Susumu Shibasaki, Kenji Kikuchi, Shinichi Kadoya, Kazuki Inaba
More than 4000 da Vinci Surgical Systems have been installed worldwide. Robotic surgery using the da Vinci Surgical System has been increasingly performed in the last decade, especially in urology and gynecology. The da Vinci Surgical System has not become standard in surgery of the upper gastrointestinal tract because of a lack of clear benefits in comparison with conventional minimally invasive surgery. We initiated robotic gastrectomy and esophagectomy for patients with upper gastrointestinal cancer in 2009, and we have demonstrated the potential advantages of the da Vinci Surgical System in reducing postoperative local complications after gastrectomy and recurrent laryngeal nerve palsy after esophagectomy...
November 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29076276/hybrid-approach-to-laparoscopic-decapsulation-combined-with-splenic-artery-balloon-occlusion-in-a-patient-with-carbohydrate-antigen-19-9-producing-splenic-cysts
#18
Eri Maeda, Keiichi Okano, Hironobu Suto, Eisuke Asano, Minoru Oshima, Takayoshi Kishino, Masao Fujiwara, Naoki Yamamoto, Takayuki Sanomura, Yasuyuki Suzuki
INTRODUCTION: Carbohydrate antigen 19-9 producing splenic cysts are relatively rare and usually occur in women and young individuals. This report describes the use of a novel splenic-preserving surgical approach in the hybrid operating room to reduce the risk of bleeding. MATERIALS AND SURGICAL TECHNIQUE: A 27-year-old woman presented at our hospital with a chief complaint of chest pain. CT showed an encapsulated left pleural effusion and multiple splenic cysts...
November 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28980441/endoscopic-surgery-in-japan-the-12th-national-survey-2012-2013-by-the-japan-society-for-endoscopic-surgery
#19
Toshio Bandoh, Norio Shiraishi, Yuichi Yamashita, Toshiro Terachi, Makoto Hashizume, Shigeo Akira, Toshiaki Morikawa, Yuko Kitagawa, Katsuhiko Yanaga, Shunsuke Endo, Kiyoshi Onishi, Shuji Takiguchi, Yasuhiro Tamaki, Toru Hasegawa, Hiromitsu Mimata, Minoru Tabata, Ryohei Yozu, Masafumi Inomata, Sumio Matsumoto, Seigo Kitano, Masahiko Watanabe
In Japan, the first endoscopic surgery, a laparoscopic cholecystectomy, was performed in 1990. Since then, operative procedures have been standardized, and the safety and usefulness of endoscopic surgery have been evaluated. With the acceptance of endoscopic surgery as less invasive than open surgery, the number of the endoscopic procedures continues to increase in all surgical domains. The Japan Society for Endoscopic Surgery (JSES) has had an important role in the development of endoscopic surgery in Japan...
November 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28949102/robotic-surgery-for-rectal-cancer
#20
REVIEW
Hiroaki Nozawa, Toshiaki Watanabe
Laparoscopic surgery has gained acceptance as a less invasive approach in the treatment of colon cancer. However, laparoscopic surgery for rectal cancer, particularly cancer of the lower rectum, is still challenging because of limited accessibility. Robotic surgery overcomes the limitations of laparoscopy associated with anatomy and offers certain advantages, including 3-D imaging, dexterity and ambidextrous capability, lack of tremors, motion scaling, and a short learning curve. Robotic rectal surgery has been reported to reduce conversion rates, particularly in low anterior resection, but it is associated with longer operative times than the conventional laparoscopic approach...
November 2017: Asian Journal of Endoscopic Surgery
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