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laparoscopy complication

John Rodriguez, Andrew T Strong, Ivy N Haskins, Joshua P Landreneau, Matthew T Allemang, Kevin El-Hayek, James Villamere, Chao Tu, Michael S Cline, Matthew Kroh, Jeffrey L Ponsky
OBJECTIVE: For patients with gastroparesis, temporary pyloric disruption has been shown to improve symptoms and gastric emptying. Per-oral pyloromyotomy (POP) is an innovative endoscopic procedure to divide the pylorus from within a submucosal tunnel, as a corollary to surgical pyloromyotomy. Here we evaluate subjective and objective outcomes 12-weeks after POP at a high volume center. METHODS: The first 100 consecutive patients undergoing POP were included, with procedure dates between January 2016 and October 2017...
July 12, 2018: Annals of Surgery
Maciej Sebastian, Agata Sebastian, Maciej Sroczyński, Jerzy Rudnicki
Abdominal pseudocyst (AP) is quite a rare complication after ventriculoperitoneal shunting (VPS) for the treatment of hydrocephalus. Laparoscopy is an alternative method to open surgery with well-known advantages. There are not many reports of using laparoscopy to treat this condition and existing algorithms are based on small groups of patients; thus every case would give an additional insight into the treatment of this complication. A 37-year-old male patient with a history of VPS presented with headache, nausea and upper abdominal pain...
June 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Piotr Małczak, Magdalena Mizera, Grzegorz Torbicz, Jan Witowski, Piotr Major, Magdalena Pisarska, Michał Wysocki, Marcin Strzałka, Andrzej Budzyński, Michał Pędziwiatr
Introduction: Over the past years the incidence of colorectal cancers has increased worldwide. Currently it is the most common gastrointestinal malignancy worldwide. The laparoscopic approach has become the gold standard for surgical treatment. However, a recently published meta-analysis showed no difference in short- and long-term oncological outcomes of laparoscopy for treating rectal cancer. Aim: To assess current literature on short-term outcomes of rectal cancer treatment using laparoscopic surgery in comparison to the open approach...
June 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Piyush Bansal, Kavita Khoiwal, Neena Malhotra, Vatsla Dadhwal, Aparna Sharma, Dipika Deka
Objective: Treatment with laparoscopic surgery, gonadotropin-releasing hormone analog (GnRHa) therapy, superovulation (SO), and intrauterine insemination (IUI) have individual benefits in improving fertility outcomes in women with endometriosis. The aim of the study was to evaluate the role of GnRHa in improving outcome in women undergoing SO and IUI after surgical correction of mild endometriosis. Materials and Methods: This was a randomized controlled trial conducted in the Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India, over a period of 2 years and 6 months...
June 2018: Eurasian Journal of Medicine
Tristan Greilsamer, Claire Nomine-Criqui, Michaël Thy, Timothy Ullmann, Rasa Zarnegar, Laurent Bresler, Laurent Brunaud
BACKGROUND: There is no consensus about the utility of using the robotic platform to perform a unilateral lateral transabdominal adrenalectomy in comparison with conventional laparoscopy. In some groups, obese patients (Body Mass Index > 30 kg/m2 ) and patients with tumor size > 5 cm have been considered as good candidates for robotic adrenalectomy. However, evaluation of incidence and risk factors for perioperative complications is currently lacking in large series of patients...
July 11, 2018: Surgical Endoscopy
Huyên-Thu Nguyen Xuan, Deloménie Myriam, Ngo Charlotte, Douard Richard, Bats Anne-Sophie, Timsit Marc Olivier, Méjean Arnaud, Lécuru Fabrice
After concomitant chemo-radiation therapy, 20 to 30% of advanced cervical cancers recur in irradiated territory. Pelvic exenteration remains a therapeutic option for selected patients. However, this procedure remains complex because of tissue fragility after radiotherapy and their associated co-morbidities. Minimally invasive surgery such as robotically assisted laparoscopy may overcome these surgical challenges. The objective of this study was to evaluate the feasibility of pelvic exenteration with robotically assisted laparoscopy...
August 2018: Gynecologic Oncology Reports
J J Wang, Y Wang, Y J Fang, T Liu, Y F Wu
Objective: To explore the safety and reliable of low pressure laparoscopy in old patients, and the advantage over conventional pressure laparoscopy. Methods: Sixty-six patients(≥70 year) with gastric cancer from 2014.4 to 2017.4 were enrolled, and they were divided into three groups randomly. The value of Ejection Fraction (EF), central venous pressure (CVP), B-type natriuretic peptide (BNP), O(2) pressure, CO(2) pressure, complications of three groups were compared and analysis. Results: There was no differences between low-pressure laparoscopic group, conventional laparoscopic group and laparotomy group in age, gender, EF, oxygen pressure, CVP ( P >0...
June 26, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Carolina Talini, Bruna Cecília Neves DE-Carvalho, Letícia Alves Antunes, Claudio Schulz, Cesar Cavalli Sabbaga, Sylvio Gilberto Andrade Avilla, João Carlos Garbers, Luiz Roberto Farion DE-Aguiar, Leila Grisa Telles, Giovana Camargo DE-Almeida, Fernando Antonio Bersani Amado, Elisangela DE Mattos E-Silva
OBJECTIVE: to describe the first 13 cases of laparoscopic correction of common bile duct cyst in the Pequeno Príncipe Hospital, Curitiba, Paraná, Brazil. METHODS: we performed a retrospective analysis of medical records of cases of choledochal cyst operated by laparoscopy between March 2014 and September 2016. RESULTS: of the 13 patients, eight were female and the mean age at surgery was 7.8 years. The most common symptom was abdominal pain...
July 10, 2018: Revista do Colégio Brasileiro de Cirurgiões
Joel Cardenas-Goicoechea, Yu Wang, Susan McGorray, Mohammed D Saleem, Semiramis L Carbajal Mamani, Ariel F Pomputius, Merry-Jennifer Markham, Jacqueline C Castagno
The introduction of minimally invasive surgery in other gynecologic cancers has shown benefits with similar oncologic outcomes. However, the biology and complexity of surgery for ovarian cancer may preclude this approach for ovarian cancer patients. Our objective is to assess feasibility to achieve complete cytoreductive surgery after neoadjuvant chemotherapy for stage IIIC-IV ovarian cancer patients via minimally invasive surgery. Our data sources include PubMed, Embase, Scopus, Biosis,, and the Cochrane Library...
July 10, 2018: Journal of Robotic Surgery
Luís Sepúlveda, Diana Coimbra, Mário Lourenço, Liliana Santos, Catarina Oliveira, Silvia Coutinho, Manuel Ramos
OBJECTIVE: To report and compare the clinical outcomes after varicocele treatment managed by open surgery, laparoscopic approach and embolization, with an emphasis in terms of recurrence, complication rate and length of surgery. METHODS: 2 different Portuguese Centers collected pre and postoperative data of patients submitted to varicocele treatment. Over a period of 8 years, 251 cases were evaluated retrospectively and 161 were included and further divided in procedure-related groups...
July 2018: Archivos Españoles de Urología
Anne-Sophie Gremeau, Marion Corvaisier, Nicolas Bourdel, Michel Canis, Denis Gallot, Jean Luc Pouly
INTRODUCTION: The purpose of this study is to report on our experience of laparoscopic cervico-isthmic cerclage. MATERIAL AND METHOD: A monocentric retrospective study covering a 13-year period during which 25 cases of laparoscopic cerclage outside of pregnancy were performed, using the technique described by Dubuisson, at the University Hospital of Clermont-Ferrand. Individual patient data included pregnancy outcomes before and after cerclage and the characteristics of surgery...
July 7, 2018: Journal of Gynecology Obstetrics and Human Reproduction
Jens Rassweiler, Jan Klein, Ali Serdar Goezen
Objective: To compare laparoscopic Anderson-Hynes pyeloplasty (LAHP) and retroperitoneal laparoscopic YV-pyeloplasty (LRYVP) in ureteropelvic junction obstruction (UPJ) in presence of a crossing vessels (CV). Methods: Our database showed 380 UPJO-cases,who underwent laparoscopic retroperitoneal surgery during the last 2 decades including 206 non-dismembered LRYVP, 157 dismembered pyeloplasties LAHP, and 17 cases of laparoscopic ureterolysis. Among them 198 cases were suitable for a matched-pair (2:1) analysis comparing laparoscopic retroperitoneal non-dismembered LRYVP (Group 1, n  = 131) and dismembered LAHP (Group 2, n  = 67) in presence of a crossing vessel...
July 2018: Asian Journal of Urology
Kenneth Chen, Yu Guang Tan, Darren Tan, Gregory Pek, Hong Hong Huang, Soon Phang Allen Sim
Purpose: Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disease, and 20% of patients eventually require nephrectomies due to compressive symptoms or renal-related complications. Traditionally, nephrectomies were performed via the open approach in view of space constraints. We evaluate our institution's outcomes for laparoscopic nephrectomy (LN) for ADPKD. Materials and Methods: We retrospectively reviewed 33 patients with ADPKD who underwent nephrectomies from November 2005 to December 2016 at a tertiary institution...
July 2018: Investigative and Clinical Urology
K Ramdhani, M J A Malessy, M J G Simon, V A L Huurman
To date live laparoscopic donor nephrectomies (LLDN) are frequently performed. The most common complications entail bleeding, wound infection, and incisional hernia. Here we discuss a 50-year-old patient with a severe less known complication, namely, postoperative persistent neuropathic pain in the scrotum and left upper leg. Satisfactory pain control could not be obtained in 3 years of postoperative pain treatment which consisted of neuroleptic drugs, blocks of the L1/L2 dorsal roots with local anaesthetics, and pulsed radiofrequency lesioning...
2018: Case Reports in Transplantation
Joseph I Ikechebelu, George U Eleje, Prashant Bhamare, Ngozi N Joe-Ikechebelu, Chidimma D Okafor, Abdulhakeem O Akintobi
Objectives: To determine fertility outcomes following laparoscopy-guided hysteroscopic tubal cannulation for cornual obstruction. Study Design: A prospective cohort study in Life Institute for Endoscopy at Life Specialist Hospital Nnewi, Southeast Nigeria. Patients with unilateral or bilateral cornual tubal obstruction as the only cause of infertility were included. Outcome measures included successful tubal recanalization, procedural complications, conception rates (first spontaneous conception after the procedure), and live birth rates...
2018: Obstetrics and Gynecology International
Renee Huang, Alan Harzman, Mark Arnold, Nyle Hendrickson, Mahmoud Abdel-Rasoul, Syed Husain
Although laparoscopy improves outcomes for common general surgical procedures, its role in complex colorectal procedures is not clearly defined. We sought to evaluate whether laparoscopy retains its short-term benefits when used for treatment of complex intra-abdominal fistulae. A retrospective analysis was conducted including patients undergoing surgeries for enteric fistulas over a 7-year period. The χ tests, the Fisher exact tests, and Student t tests were used. Logistic regression models were used to assess the relationship between outcome and predictors...
July 2, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ki H Lee, Ye W Jung, Soo Y Song, Byung H Kang, Jung B Yang, Young B Ko, Mina Lee, Hye Y Han, Heon J Yoo
AIM: To compare the efficacy between dienogest and levonorgestrel-releasing intrauterine system (LNG-IUS) after laparoscopic surgery for endometriosis. METHODS: A total of 285 women were diagnosed as endometriosis by laparoscopy between 2011 and 2015. Patients were grouped into no treatment (n = 83), treatment with dienogest (n =130) and treatment with LNG-IUS (n =72) after laparoscopic surgery. The changes of the pain scores were checked at 6, 12 and 24 months after the surgery, and the rates of disease recurrence and treatment discontinuation rate were determined...
July 5, 2018: Journal of Obstetrics and Gynaecology Research
Yu Xia, Gong-Xian Wang, Bin Fu, Wei-Peng Liu, Cheng Zhang, Xiao-Chen Zhou
The present study aims to compare the operative outcomes following the use of robot-assisted retroperitoneal partial nephrectomy (RARPN) with radius, exophytic/endophytic, nearness to sinus, anterior/posterior, and location (RENAL) scoring or laparoscopic retroperitoneal partial nephrectomy (LRPN) for the treatment of renal tumors. Eighty-three nephron-sparing surgery (NSS) procedures performed between January 2013 and December 2015 were reviewed. The study set consisted of 26 robot-assisted retroperitoneal laparoscopes, of which 3 were high risk (RENAL score ≥10), 11 were medium risk (RENAL score ≥7 < 9), and 12 were low risk (RENAL score <7) and 57 laparoscopic retroperitoneal partial nephrectomy procedures (7 high, 22 medium, and 28 low risk)...
June 2018: Indian Journal of Surgery
Soykan Arikan, Mehmet Baki Dogan, Ahmet Kocakusak, Feyzullah Ersoz, Serkan Sari, Yigit Duzkoylu, Ali Emre Nayci, Emre Ozoran, Emine Tozan, Turkan Dubus
A Morgagni's hernia is a congenital defect found in the anterior aspect of the diaphragm between the costal and the sternal portions of this muscle. This defect is also referred to as the space of Larrey. It has been reported that 70% of patients with Morgagni's hernia are female, 90% of the hernias are right-sided, and 92% of the hernias have hernia sacs. This type of hernia is a rare clinical entity and accounts for 3% of all surgically treated diaphragmatic hernias. There are no large retrospective or prospective studies on this topic...
June 2018: Indian Journal of Surgery
Chao Xu, Jie Peng, Su Liu, YiZhou Huang, XiaoWei Guo, HanBing Xiao, DunYi Qi
OBJECTIVES: This meta-analysis was conducted to compare the effects of goal-directed fluid therapy (GDFT) versus conventional fluid therapy (CFT) in colorectal surgery on patients' postoperative outcome and to detect whether the results differ between studies with the Enhanced Recovery After Surgery (ERAS) protocol and those without, between studies using different devices for GDFT, or between different surgical approaches (laparoscopy or laparotomy). METHODS: The Cochrane Library, PubMed, Embase, Wanfang Data and ClinicalTrials...
July 1, 2018: International Journal of Surgery
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