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laparoscopy complication

Ela Ekmekcigil, Ömer Ünalp, Alper Uğuz, Ruslan Hasanov, Halil Bozkaya, Timur Köse, Mustafa Parıldar, Ömer Özütemiz, Ahmet Çoker
OBJECTIVE: Iatrogenic bile duct injuries remain a challenge for the surgeons to overcome. The predictive factors affecting morbidity and mortality are important for determining the best management modality. MATERIALS AND METHODS: The patients who referred to Ege University Faculty of Medicine after laparoscopy associated iatrogenic bile duct injury are grouped according to Strasberg-Bismuth classification system. The type and number of prior attempts, concomitant complications, and treatment modalities are analyzed using the SPSS version 18 (IBM, Chicago, IL, USA)...
August 28, 2018: Turkish journal of surgery
Borut Kobal, Marco Noventa, Branko Cvjeticanin, Matija Barbic, Leon Meglic, Marusa Herzog, Giulia Bordi, Amerigo Vitagliano, Carlo Saccardi, Erik Skof
Background The aim of the study was to analyze the overall survival (OS) and progression free survival (PFS) of patients with high grade and advanced stage epithelial ovarian cancer (EOC) with at least 60 months of follow-up treated in a single gynecologic oncology institute. We compared primary debulking surgery (PDS) versus neoadjuvant chemotherapy plus interval debulking surgery (NACT + IDS) stratifying data based on residual disease with the intent to identify the rationale for therapeutic option decision and the role of laparoscopic evaluation of resectability for that intention...
September 11, 2018: Radiology and Oncology
Kevin Bain, Vadim Meytes, Grace C Chang, Michael F Timoney
INTRODUCTION: Diagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating abdominal trauma (PAT). Trauma surgeons can utilize this minimally invasive technique to quickly assess for injury in hemodynamically stable patients. DL with a confirmed injury can be repaired through therapeutic laparoscopy (TL) or conversion to exploratory laparotomy (EL). This study analyzes the use of laparoscopy as a first-line therapy for hemodynamically stable patients with PAT...
September 12, 2018: Surgical Endoscopy
Yu A Shelygin, M A Nagudov, A A Ponomarenko, M V Alekseev, E G Rybakov, M A Tarasov, S I Achkasov
AIM: To identify the most effective management of colorectal anastomosis failure via analysis of available literature sources. RESULTS: Systematic review included 20 original trials. Effectiveness of redo interventions for colorectal anastomosis failure including open, laparoscopic, minimally invasive techniques (transanal drainage, endoscopic vacuum therapy, endoscopic drainage) was described. Anastomotic failure rate was 6.5%. Medication was effective in 57% (95% CI 34-77%) of cases...
2018: Khirurgiia
Giovanni Cassata, Vincenzo Palumbo, Luca Cicero, Antonino De Luca, Giuseppe Damiano, Salvatore Fazzotta, Salvatore Buscemi, Attilio Ignazio Lo Monte
INTRODUCTION: The induction of pneumoperitoneum is the first and most critical phase of laparoscopy, due to the significant risk of serious vascular and visceral complications. The closed technique for the creation of pneumoperitoneum could lead to several surgical complications. The present study aimed to overcome the complications associated with the insertion of Veress needle, improving its use, and facilitating the rapid creation of pneumoperitoneum. METHODS: Thirty large white female pigs were enrolled in our study...
September 10, 2018: Surgical Innovation
Karl-Friedrich Kowalewski, Andreas Minassian, Jonathan David Hendrie, Laura Benner, Anas Amin Preukschas, Hannes Götz Kenngott, Lars Fischer, Beat P Müller-Stich, Felix Nickel
BACKGROUND: There are no standards for optimal utilization of workplaces in laparoscopic training. This study aimed to define whether laparoscopy training should be done alone or in pairs (known as dyad training). METHODS: This was a three-arm randomized controlled trial with laparoscopically naïve medical students (n = 100). Intervention groups participated alone (n = 40) or as dyad (n = 40) in a multimodality training curriculum with e-learning, basic, and procedural skills training using box and VR trainers...
September 7, 2018: Surgical Endoscopy
Toru Aoyama, Takaki Yoshikawa, Tsutomu Sato, Tsutomu Hayashi, Takanobu Yamada, Takashi Ogata, Haruhiko Cho
BACKGROUND: Laparoscopy-assisted distal gastrectomy (LADG) has an advantage of earlier recovery after surgery due to having lower invasiveness and wound pain than open distal gastrectomy (ODG). However, whether the same enhanced recovery after surgery (ERAS) program for LADG is equally feasible and safe for ODG remains unclear. METHODS: We retrospectively extracted the clinical data of the patients enrolled in JCOG0912 from the medical record system of our hospital and compared the treatment process and short-term surgical outcomes between LADG and ODG...
September 7, 2018: Gastric Cancer
Rut M Raventós-Tato, Javier de la Torre-Fernández de Vega, José L Sánchez-Iglesias, Berta Díaz-Feijoó, Jordi Sabadell, María A Pérez-Benavente, Antonio Gil-Moreno
AIM: Endometrial cancer is often associated with obesity. We want to compare the outcomes of surgical staging according to the surgical approach in patients with a body mass index ≥35 kg/m2 . METHODS: A retrospective cohort study with 138 patients with endometrial cancer and body mass index ≥35 kg/m2 with different surgical staging routes: laparotomy (LPT; n = 94) and minimally invasive surgery (MIS): laparoscopy (LPC; n = 18) + robotic assisted laparoscopy (n = 26)...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
J Bollo, P Salas, M C Martinez, P Hernandez, A Rabal, E Carrillo, E Targarona
BACKGROUND: Colorectal cancer (CRC) is the third most frequent cancer diagnosed in men and the second in women. Laparoscopic surgery has been a technical revolution in colorectal surgery, facilitating a better recovery of patients with lower morbidity and better esthetic results, compared to traditional surgery via laparotomy, without compromising safety and long-term oncological results. PURPOSE: The trial is a randomized controlled trial indented to evaluate the two interventions with thorough measurements of the postoperative variables and complications to improve the evaluation of the surgical technique...
September 6, 2018: International Journal of Colorectal Disease
Astrid Collatz Schyum, Björg-Maria Berg Rosendal, Bent Andersen
Reimplantation of trophoblastic tissue in the abdomen after treatment of an ectopic pregnancy is rarely reported but is very likely an underestimated complication to laparoscopy. We present a case report and review of the literature. A total of 25 cases of reimplantation of trophoblastic tissue following laparoscopic removal of ectopic pregnancy (EP) have been reported in the period January 1989 to January 2018 including our case. No cases have been reported before 1989. The use of salpingostomy vs. salpingectomy as the primary treatment of EP prior to the complication is comparable...
September 3, 2018: Journal of Gynecology Obstetrics and Human Reproduction
B Furnes, K E Storli, H M Forsmo, A Karliczek, G E Eide, F Pfeffer
BACKGROUND: Rectal cancer surgery is standardized, resulting in improved survival. Colon cancer has fallen behind and therefore more radical surgical techniques have been introduced. One technique is complete mesocolic excision. The aim of this article was to study the complications after the introduction of standardized complete mesocolic excision in a single center. METHODS: Complete mesocolic excision was introduced in 2007, and data were collected from 286 patients prior to surgery (2007-2010)...
September 6, 2018: Scandinavian Journal of Surgery: SJS
Zebing Zheng, Fan Zhang, Zhu Jin, Mingjuan Gao, Yuchen Mao, Yan Qu, Yuanmei Liu
In all existing radical resection procedures available for Hirschprung's disease (HD), the muscular cuff has been retained. In recent years, our study group has modified the procedure using a stepwise gradient muscular cuff cutting pull-through method for the treatment of HD. The objective of the present study was to assess patient prognosis following the use of the transanal endorectal pull-through (TEPT) method or the laparoscopy-assisted pull-through (LPT) method and to provide evidence to assist in clinical decisions...
September 2018: Experimental and Therapeutic Medicine
Wouter K G Leclercq, Angelique van Sambeek, Martine Uittenbogaart, Hendrik J Niemarkt, Marlies Y Bongers, Judith O E H van Laar
Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy that may be related to previous operations. Two patients, a 38-year-old twin-primigravida who had a gestation period of 24+6 weeks and a 26-year-old woman who had a gestation period of 24 weeks, both of whom had laparoscopic gastric bypass (RYGB) surgery 2 and 3 years previously, developed abdominal pain. The patients were not ill, but had diffuse abdominal pain in combination with normal blood tests and imaging...
July 27, 2018: Nederlands Tijdschrift Voor Geneeskunde
J D Foster, S Tou, N J Curtis, N J Smart, A Acheson, C Maxwell-Armstrong, A Watts, B Singh, N K Francis
BACKGROUND: Perineal wound morbidity is common following abdominoperineal excision of the rectum (APE). There is no consensus on the optimum perineal reconstruction method after APE, and in particular 'extra-levator APE' (ELAPE). METHODS: A systematic review of the PubMed, Embase and Cochrane databases was performed. This position statement formulated clinical questions and graded the evidence to make recommendations. RESULTS: Perineal wound complications may be higher following ELAPE compared to 'conventional APE (cAPE)' however there is insufficient evidence to recommend cAPE over ELAPE with regards to the impact upon perineal wound healing...
September 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Oleh Yevhenovych Matsevych, Modise Zacharia Koto, Moses Balabyeki, Lehlogonolo David Mashego, Colleen Aldous
Background: Selective non-operative management (NOM) and diagnostic laparoscopy (DL) are well-accepted approaches in the management of stable patients with penetrating abdominal trauma (PAT). The aim of this pilot study was to investigate the advantages and disadvantages of early DL in stable asymptomatic or minimally symptomatic patients with PAT as opposed to NOM, a standard of care in this scenario. The secondary aim was to suggest possible indications for DL. Methods: Patients managed with DL or NOM over a 12-month period were included in this study...
September 3, 2018: Journal of Minimal Access Surgery
Yuma Ebihara, Yo Kurashima, Soichi Murakami, Toshiaki Shichinohe, Satoshi Hirano
Background: The optimal approach to resection for Siewert type II adenocarcinoma of the oesophagogastric junction (AEG) is still controversial. Our novel procedures and experience with a minimally invasive abdominal and left thoracic approach (MALTA) for Siewert type II AEG are described. Patients and Methods: Intra- and post-operative outcomes for MALTA were assessed in seven consecutive patients with a preoperative diagnosis of Siewert type II AEG at Hokkaido University Hospital...
September 3, 2018: Journal of Minimal Access Surgery
H Huhta, S Vuolio, I Typpö, A Rahko, K Suokanerva, J M Rintala
BACKGROUND AND AIMS: Over the past decades, laparoscopic colorectal surgery has become widely used for various indications. Large multicenter studies have demonstrated that laparoscopy has clear advantages over open surgery. Compared to open procedures, laparoscopy decreases perioperative blood loss, post-operative pain, and hospitalization time, but provides equivalent long-term oncological and surgical results. Most studies have been conducted in high-volume institutions with selected patients, which may have influenced the reported outcome of laparoscopy...
September 4, 2018: Scandinavian Journal of Surgery: SJS
Wancheng Zhao, Qing Yang, Ningning Zhang, Yu Wang, Guangwei Wang, Dandan Wang
STUDY OBJECTIVE: To introduce an effective assisted method using hysteroscopy transmittance test and a Foley catheter to repair previous cesarean scar defect (PCSD) by laparoscopy. DESIGN: A step-by-step explanation of the surgery using video. SETTING: A university hospital PATIENTS: A young woman with abnormal uterine bleeding. INTERVENTIONS: Firstly, we inspected the pelvic cavity and detached the adhesion, opened the uterovesical peritoneal reflection, and pushed down the bladder...
August 31, 2018: Journal of Minimally Invasive Gynecology
Paul MacKoul, Rupen Baxi, Natalya Danilyants, Louise Q van der Does, Leah R Haworth, Nilofar Kazi
STUDY OBJECTIVE: Laparoscopic and robotic-assisted myomectomy are limited in the number and size of myoma that can be removed, while abdominal myomectomy is associated with increased complications and morbidity. The objective of our study was to evaluate surgical outcomes of myomectomy approaches, including laparoscopic-assisted myomectomy, a hybrid approach that combines laparoscopy and minilaparotomy, with bilateral uterine artery occlusion or ligation to control blood loss. DESIGN: Retrospective chart review (Canadian Task Force classification II-1)...
August 28, 2018: Journal of Minimally Invasive Gynecology
Magali Blockhuys, Bart Gypen, Stijn Heyman, Jody Valk, Frank van Sprundel, Leo Hendrickx
BACKGROUND AND AIMS: Bowel obstruction due to internal hernia (IH) is a well-known late complication of a laparoscopic roux-en-y gastric bypass (LRYGBP). The objective of this study is to evaluate if closure of the mesenteric defect and Petersen's space will decrease the rate of internal hernias compared to only closure of the mesenteric defect. METHODS: A single-center retrospective descriptive study was performed. All patients with LRYGBP from 2011 till April 2017 were included...
August 30, 2018: Obesity Surgery
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