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https://www.readbyqxmd.com/read/27556074/a-comparative-study-of-grasping-type-scissors-forceps-and-insulated-tip-knife-for-endoscopic-submucosal-dissection-of-early-gastric-cancer-a-randomized-controlled-trial
#1
Kengo Nagai, Noriya Uedo, Takeshi Yamashina, Fumi Matsui, Noriko Matsuura, Takashi Ito, Sachiko Yamamoto, Noboru Hanaoka, Yoji Takeuchi, Koji Higashino, Ryu Ishihara, Hiroyasu Iishi
BACKGROUND AND STUDY AIMS: Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) is technically difficult for beginners. Few comparative studies of technical feasibility, efficacy, and safety using various devices have been reported. This study evaluated the feasibility, efficacy, and safety of ESD for EGC < 2 cm using grasping-type scissors forceps (GSF) or insulated-tip knife (IT2) for three resident endoscopists. PATIENTS AND METHODS: This was a randomized phase II study in a cancer referral center...
June 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27492432/bilateral-areolar-endoscopic-sistrunk-operation-a-novel-technique-for-thyroglossal-duct-cyst-surgery
#2
Angkoon Anuwong, Pornpeera Jitpratoom, Thanyawat Sasanakietkul
BACKGROUND: Sistrunk operation of the thyroglossal duct is a procedure for the removal of a cyst, the middle part of the hyoid bone and tract towards the foramen caecum. Unavoidably, this procedure results in a scar on the skin in the neck area. By performing a bilateral areolar endoscopic Sistrunk operation, this study is the first to develop a procedure that can solve the aesthetic problem. This operation results in both an excellent cosmetic result and the successful treatment of TGDC...
August 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27384913/pfannenstiel-laparoendoscopic-reduced-port-radical-nephrectomy
#3
Mutsushi Yamasaki, Toshitaka Shin, Ryuta Sato, Kenichi Hirai, Tomoko Kan, Hiroyuki Fujinami, Kenichi Mori, Yasuhiro Sumino, Takeo Nomura, Fuminori Sato, Hitoshi Masuda, Junji Yonese, Hiromitsu Mimata
INTRODUCTION: We previously reported cases of laparoendoscopic single-site nephrectomy performed through an umbilical or pararectal incision. To improve cosmesis and operability, we performed three Pfannenstiel laparoendoscopic reduced-port nephrectomies. MATERIALS AND SURGICAL TECHNIQUE: In the first case, a GelPOINT access was placed through a 2-cm umbilical incision, and two additional 3-mm trocars were inserted. The specimen was extracted through a 4-cm Pfannenstiel incision...
August 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27380616/comparison-of-the-effect-of-instrument-type-on-transanal-endoscopic-surgery-learning-curves
#4
Ezra N Teitelbaum, Fahd O Arafat, Anne-Marie Boller
BACKGROUND: Transanal endoscopic surgery (TES) can be technically difficult due to the constraints of operating through a narrow proctoscope channel. In this study, we compared the performance of surgical novices using instruments with and without articulating shafts to perform a simulated TES task. METHODS: Medical students each performed 10 repetitions of the Fundamentals of Laparoscopic Surgery circle-cut task. Participants were randomized into 3 groups: 2 performed the task through a TES proctoscope using scissors with either a rigid (TES-R) or articulating (TES-A) shaft...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27262991/ultrasound-guided-intra-articular-tenotomy-of-the-long-head-of-the-biceps-a-cadaveric-feasibility-study
#5
Frank Atlan, Jean David Werthel
PURPOSE: Isolated tenotomy of the long head of the biceps (LHB) is known to improve function in patients with massive and non-reparable cuff tears without osteoarthritis. This two step cadaveric study was performed with the purpose to identify the best surgical technique for isolated LHB tenotomy under USG guidance (pilot study) and evaluate its feasibility (subsequent study). METHODS: Pre-operative ultrasonographic evaluation of the rotator cuff was performed and any specimens whose long head of the biceps was not found to be intact during the pre-operative ultrasound evaluation were excluded...
June 4, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27218662/endoscopic-treatment-of-zenker-s-diverticulum-with-the-stag-beetle-knife-sb-knife-feasibility-and-follow-up
#6
S K Goelder, J Brueckner, H Messmann
BACKGROUND AND AIMS: Flexible endoscopic treatment of symptomatic Zenker's diverticulum (ZD) is an established treatment option. This study reports the first large cohort of ZD patients treated with the stag beetle knife (sb knife, a new scissor-like device) regarding feasibility, safety, and sustainability of mucomyotomy using this technique. METHODS: From August 2013 to January 2016, n = 52 patients (pts) were treated at Klinikum Augsburg, a tertiary referral center, with the sb knife junior or standard...
October 2016: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27173971/robot-assisted-video-endoscopic-inguinal-lymphadenectomy-for-melanoma
#7
Alexis Sánchez, Rene Sotelo, Omaira Rodriguez, Renata Sánchez, José Rosciano, Luis Medina, Liumariel Vegas
Inguinal lymphadenectomy is the indicated procedure in the regional lymph node management for patients with lower limb melanoma and positive nodes. This procedure is commonly associated with surgical site complications. Video endoscopic inguinal lymphadenectomy is a minimally invasive alternative with oncological principles and lower wound-related morbidity. Incorporation of robotic surgery with optimal vision and great maneuverability would offer great advantages. A 42-year-old male patient was diagnosed with acral lentiginous melanoma and palpable inguinal nodes T2 N1 M0...
May 12, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27053847/novel-and-safer-endoscopic-cholecystectomy-using-only-a-flexible-endoscope-via-single-port
#8
Hirohito Mori, Nobuya Kobayashi, Hideki Kobara, Noriko Nishiyama, Shintaro Fujihara, Taiga Chiyo, Maki Ayaki, Takashi Nagase, Tsutomu Masaki
AIM: To apply the laparoscopic and endoscopic cooperative surgery concept, we investigated whether endoscopic cholecystectomy could be performed more safely and rapidly via only 1 port or not. METHODS: Two dogs (11 and 13-mo-old female Beagle) were used in this study. Only 1 blunt port was created, and a flexible endoscope with a tip attachment was inserted between the fundus of gallbladder and liver. After local injection of saline to the gallbladder bed, resection of the gallbladder bed from the liver was performed...
April 7, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27006182/a-new-endoscopic-hand-drill-for-management-of-tracheal-stenosis
#9
Sandro Batzella, Gabriele Lucantoni, Alfonso Fiorelli, Raffaele Dello Iacono, Paolo Battistoni, Umberto Caterino, Mario Santini, Giovanni Galluccio
Tracheal resection and primary anastomosis is the treatment of choice for the management of benign tracheal stenoses. Rigid endoscopy with laser-assisted mechanical dilatation is an alternative to surgery and helps to improve symptoms and quality of life in patients unfit for surgery. Here, we describe the treatment of a simple web-like stenosis, using a new endoscopic hand drill that was assembled by sharpening the blunt tip of a standard endoscopic cotton applicator. The bronchoscopy was positioned proximally to the stenotic lesion and radial holes were made at 12, 3 and 9 o'clock...
July 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26509420/a-novel-bilateral-approach-for-suprasellar-arachnoid-cysts-a-case-report
#10
Shingo Fujio, Jacob Bunyamin, Hirofumi Hirano, Tatsuki Oyoshi, Yuko Sadamura, Manoj Bohara, Kazunori Arita
The endoscopic method is used to treat suprasellar arachnoid cysts (SACs) but it is sometimes difficult to make sufficiently sized fenestrations. Creating a larger fenestration on the cyst wall is preferable to prevent closure of the stoma. In this paper, we report a novel endoscopic approach for SAC treatment in which we use bilateral burr holes to achieve a more extensive cyst fenestration. A 7-year-old girl was referred to our hospital because of incidentally detected hydrocephalus by computed tomography scans...
2016: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26497308/-surgical-decompression-of-the-superficial-radial-nerve-wartenberg-syndrome
#11
C K Spies, L P Müller, J Oppermann, W F Neiss, P Hahn, F Unglaub
OBJECTIVE: Open decompression of the superficial radial nerve is performed at the distal forearm in cases of circumscript entrapment. Broad-based entrapments can be treated by endoscopically assisted decompression. INDICATIONS: Entrapment of the nerve along its course between the brachioradialis and extensor carpi radialis longus muscles or tendons. Persistent neuropathic pain with Tinel's sign. Numbness distal to the entrapment in accordance to nerval innervation...
April 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/26397855/endoscopic-therapy-of-zenker-s-diverticulum-using-a-novel-endoscopic-scissor-the-clutch-cutter-device
#12
Helmut Neumann, Silke Löffler, Stefanie Rieger, Claudia Kretschmer, Andreas Nägel
No abstract text is available yet for this article.
2015: Endoscopy
https://www.readbyqxmd.com/read/26386383/endoscopic-surgery-for-the-antenatal-treatment-of-myelomeningocele-the-cecam-trial
#13
Denise A L Pedreira, Nelci Zanon, Koshiro Nishikuni, Renato A Moreira de Sá, Gregório L Acacio, Ramen H Chmait, Eftichia V Kontopoulos, Rubén A Quintero
BACKGROUND: A recent randomized clinical trial named Management of Myelomeningocele Study (MOMS trial) showed that prenatal correction of open spina bifida (OSB) via open fetal surgery was associated with improved infant neurological outcomes relative to postnatal repair, but at the expense of increased maternal morbidity. OBJECTIVE: We sought to report the final results of our phase I trial (Cirurgia Endoscópica para Correção Antenatal da Meningomielocele [CECAM]) on the feasibility, safety, potential benefits, and side effects of the fetoscopic treatment of OSB using our unique surgical technique...
January 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26380726/a-chest-drainage-system-with-a-real-time-pressure-monitoring-device
#14
Chih-Hao Chen, Tsang-Pai Liu, Ho Chang, Tung-Sung Huang, Hung-Chang Liu, Chao-Hung Chen
BACKGROUND: Tube thoracostomy is a common procedure. A chest bottle may be used to both collect fluids and monitor the recovery of the chest condition. The presence of the "tidaling phenomenon" in the bottle can be reflective of the extent of patient's recovery. OBJECTIVES: However, current practice essentially depends on gross observation of the bottle. The device used here is designed for a real-time monitoring of change in pleural pressure to allow clinicians to objectively determine when the lung has recovered, which is crucially important in order to judge when to remove the chest tube...
July 2015: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26380054/laparoscopic-right-sided-colonic-resection-with-transluminal-colonoscopic-specimen-extraction
#15
Cuneyt Kayaalp, Koray Kutluturk, Mehmet Ali Yagci, Mustafa Ates
AIM: To study the transcolonic extraction of the proximally resected colonic specimens by colonoscopic assistance at laparoscopic colonic surgery. METHODS: The diagnoses of our patients were Crohn's disease, carcinoid of appendix and adenocarcinoma of cecum. We preferred laparoscopic total mesocolic resections. Colon and terminal ileum were divided with endoscopic staplers. A colonoscope was placed per anal and moved proximally in the colon till to reach the colonic closed end under the laparoscopic guidance...
September 10, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26328206/the-transrectal-single-port-laparoscopic-radical-prostatectomy-in-a-cadaver-model
#16
Oktay Akça, Homayoun Zargar, Riccardo Autorino, Luis Felipe Brandao, Ahmet Selçuk Gürler, Abdullah Avşar, Rahim Horuz, Selami Albayrak
OBJECTIVE: To explore the feasibility of laparoscopic trans-rectal Natural Orifice Transluminal Endoscopic Surgery (NOTES) radical prostatectomy in a cadaveric model and to define anatomical landmarks of this surgical route. MATERIALS AND METHODS: After the ethical clearance, the study was conducted in Turkish Council of Forensic Medicine. With the cadaver in an exaggerated lithotomy position, a full thickness incision was made on the anterior wall of the rectum...
June 2015: Turkish Journal of Urology
https://www.readbyqxmd.com/read/26263647/-cystic-tumors-of-suprarenal-glands-and-peculiarities-of-its-surgical-treatment
#17
O A Tovkay
The clinic experience for surgical treatment of patients, suffering cyst of suprarenal gland (SG), consisted of laparoscopic resection of SG together with a cyst and preserving a visually nonaffected parts of SG, due to what the risk reduction for chronic suprarenal insufficiency of various degree occurrence was achieved. The proposed method was applied in 49 (86.0%) patients of 57, who were operated on for the SG cysts. Intraoperative morbidity, complicated postoperative course and the recurrence occurrence after the SG resection were not observed...
April 2015: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/26123484/-applicability-of-the-da-vinci-robotic-system-in-the-skull-base-surgical-approach-preclinical-investigation
#18
Francisco J Fernandez-Nogueras Jimenez, Miguel Segura Fernandez-Nogueras, Majed Jouma Katati, Miguel Ángel Arraez Sanchez, Olga Roda Murillo, Indalecio Sánchez Montesinos
INTRODUCTION: The role of robotic surgery is well established in various specialties such as urology and general surgery, but not in others such as neurosurgery and otolaryngology. In the case of surgery of the skull base, it has just emerged from an experimental phase. OBJECTIVE: To investigate possible applications of the da Vinci surgical robot in transoral skull base surgery, comparing it with the authors' experience using conventional endoscopic transnasal surgery in the same region...
September 2015: Neurocirugía
https://www.readbyqxmd.com/read/25988747/vesicoscopic-treatment-of-symptomatic-congenital-bladder-diverticula-in-children-a-7-year-experience
#19
Antonio Marte, Silvia Cavaiuolo, Maria Esposito, Lucia Pintozzi
Introduction The objective of this study was to report on the use of vesicoscopy in the treatment of symptomatic congenital bladder diverticula (CBD) in children. Material and Methods In this study, 16 males, aged 4 to 12 years (median age, 6.25 years), were treated for symptomatic CBD; 3 patients presented double diverticulum and 13 presented single diverticulum. The presenting symptoms were recurrent urinary tract infection, hematuria, lower abdominal pain, and voiding dysfunctions as urgency, frequency alone, or in association...
June 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25975384/flexible-endoscopic-treatment-for-zenker-s-diverticulum-with-the-sb-knife-preliminary-results-from-a-single-center-experience
#20
Giorgio Battaglia, Alessandro Antonello, Stefano Realdon, Martina Cesarotto, Lisa Zanatta, Sauid Ishaq
BACKGROUND AND AIM: Flexible endoscopic septum division is becoming a prominent treatment option for Zenker's diverticulum (ZD). Over the years, various techniques have been developed and many cutting tools have been tested with varying results. We report our experience with a recently designed, monopolar, rotating, scissor-shaped device (SB Knife). METHODS: Data on 31 consecutive patients that underwent flexible endoscopic treatment for ZD with the use of the SB Knife were retrieved...
November 2015: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
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