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Laparoscopic operation

Adam T Stearns, Filomena Liccardo, Kok-Neang Tan, Emre Sivrikoz, Omer Aziz, John T Jenkins, Robin H Kennedy
INTRODUCTION: Anastomotic leakage (AL) is often identified 7-10 days after colorectal surgery. However, in retrospect, patients may have abnormalities evident much earlier. This study aims to identify the clinical time-point when AL occurs. METHODS: This is a retrospective case-matched cohort-comparison study, assessing patients undergoing left-sided colorectal resection between 2006 and 2015 at a specialist colorectal unit. Patients who developed anastomotic leakage (LEAK) were case-matched to two CONTROL patients by procedure, sex, laparoscopic-modality and diverting stoma...
December 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Mohammed Aradaib, Paul Neary, Adnan Hafeez, Reza Kalbassi, Amjad Parvaiz, Diarmuid O'Riordain
Robotic surgery enhances the precision of minimally invasive surgery through improved three-dimensional views and articulated instruments. There has been increasing interest in adopting this technology to colorectal surgery and this has recently been introduced to the Irish health system. This paper gives an account of our early institutional experience with adoption of robotic colorectal surgery using structured training. Analysis was conducted of a prospectively maintained database of our first 55 consecutive robotic colorectal cases, performed by four colorectal surgeons, each at the beginning of his robotic surgery experience, using the Da Vinci Si® system and undergoing training as per the European Academy of Robotic Colorectal Surgery (EARCS) programme...
December 10, 2018: Journal of Robotic Surgery
Lun Wang, Jinfa Wang, Tao Jiang
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has been proved to be the most effective treatment strategy for the treatment of type 2 diabetes mellitus (T2DM) with a body mass index ≥ 30 kg/m2 achieving high remission rates. However, there are few clinical studies on the treatment of T2DM patients with a body mass index less than 30 kg/m2 by LSG. This study aims to study the effect of LSG on type 2 diabetes mellitus(T2DM) in patients with a body mass index (BMI) less than 30 kg/m2 ...
December 8, 2018: Obesity Surgery
Walaa F Abdelmoaty, Christy M Dunst, Chris Neighorn, Lee L Swanstrom, Chet W Hammill
BACKGROUND: Cost-effectiveness of robotic-assisted surgery is still debatable. Robotic-assisted inguinal hernia repair has no clear clinical benefit over laparoscopic repair. We performed a comprehensive cost-analysis comparison between the two approaches for evaluation of their cost-effectiveness in a large healthcare system in the Western United States. METHODS: Health records in 32 hospitals were queried for procedural costs of inguinal hernia repairs between January 2015 and March 2017...
December 7, 2018: Surgical Endoscopy
Anuj Desai, Matthew Hudnall, Adam B Weiner, Mehul Patel, Jason Cohen, Pooja Gogana, Roohallah Sharifi, Joshua J Meeks
Introduction: Among veterans, prostate cancer is the most common malignancy and has a higher incidence compared to the rest of the nation. No study has compared the effectiveness of Robotic-assisted-laparoscopic radical prostatectomy (RALP) vs. open radical prostatectomy (ORP) in the Veteran's Affairs (VA) hospital setting during the adoption of RALP. Methods: Institutional Review Board approval was obtained. Retrospective review was completed on Veterans with prostate cancer who underwent ORP or RALP from March 2011 to January 2017 during the introduction of RALP at one VA hospital...
December 7, 2018: Military Medicine
Ci Huang, Mun-Kun Hong, Tang-Yuan Chu, Dah-Ching Ding
Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km2 , 330,000 residents). Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. We compared the symptoms, objective findings, and surgical outcomes of patients who underwent laparotomy or laparoscopy...
2018: PeerJ
Huiqi Yang, Yiting Liu, Jie Chen, Yingmo Shen
We present our experience in managing mesh infection after laparoscopic inguinal hernia repair. We analyzed 19 patients with extensive mesh infection treated between 2012 and 2017 via laparoscopic mesh excision after preoperative workup. After mesh removal and insertion of a drain into the preperitoneal space, the peritoneal flap was closed with 3/0 absorbable consecutive suture. The operative course in all patients was uneventful. Sigmoidectomy for a fistula was required in 1 patient. Two patients required a second laparoscopic surgery for infection on the contralateral side and residual mesh around the pubic bone...
December 10, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Britt J Sandler, Kimberly A Davis, Kevin M Schuster
BACKGROUND: The impact of HIV infection on outcomes following common emergency general surgery procedures has not been evaluated since the widespread introduction of highly-active antiretroviral therapy (HAART). METHODS: A retrospective cohort study was conducted using the Nationwide Inpatient Sample. Records of patients who underwent laparoscopic or open appendectomy, cholecystectomy, or colon resection after emergency admission from 2004-2011 were obtained. Outcomes analyzed included in-hospital mortality, length of stay, total charges, and selected postoperative complications...
December 5, 2018: Journal of Trauma and Acute Care Surgery
Maria E Linnaus, William W Sheaffer, Mariam N Ali-Mucheru, Cristine S Velazco, Matthew Neville, Richard J Gray
BACKGROUND: Surgeons are the fifth largest prescribers of opioids in the US. Few studies exist to describe surgeon prescribing practices. METHODS: A survey was conducted of surgical providers at all ACGME-accredited surgical residency programs. Statistical comparisons between groups were made. RESULTS: A total of 114 providers from 21 states responded; 58% male, 57% residents. Only 8% reported being told they were over-prescribing opioids...
December 3, 2018: American Journal of Surgery
Steven Radtke, Todd Boren, Stephen Depasquale
STUDY OBJECTIVE: To determine if performing a para-cervical block with 0.5% bupivacaine prior to laparoscopic hysterectomy reduces post-operative pain. DESIGN: Double-blind randomized controlled trial (Canadian Task Force classification I). SETTING: University affiliated hospital. PATIENTS: Between 18 and 65 years of age scheduled to undergo total laparoscopic hysterectomy for benign indications. INTERVENTIONS: Eligible patients were allocated to control or treatment groups using block randomization...
December 6, 2018: Journal of Minimally Invasive Gynecology
Jony van Hilst, Thijs de Rooij, Peter B van den Boezem, Koop Bosscha, Olivier R Busch, Peter van Duijvendijk, Sebastiaan Festen, Michael F Gerhards, Ignace H de Hingh, Tom M Karsten, Geert Kazemier, Daniel J Lips, Misha D Luyer, Vincent B Nieuwenhuijs, Gijs A Patijn, Martijn W Stommel, Babs M Zonderhuis, Freek Daams, Marc G Besselink
BACKGROUND: Laparoscopic pancreatoduodenectomy with open reconstruction (LPD-OR) has been suggested to lower the rate of postoperative pancreatic fistula reported after laparoscopic pancreatoduodenectomy with laparoscopic reconstruction (LPD). Propensity score matched studies are, lacking. METHODS: This is a multicenter prospective cohort study including patients from 7 Dutch centers between 2014-2018. Patients undergoing LPD-OR were matched LPD patients in a 1:1 ratio based on propensity scores...
December 4, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Martha Godfrey, Alexandra A Rosser, Carla M Pugh, Ajit K Sachdeva, Sarah Sullivan
BACKGROUND: Given their variegated backgrounds, surgeons taking continuing medical education (CME) courses possess different learning needs. This study examines the relationship between surgeons' levels of experience and the questions they asked in a simulation-based CME course. METHODS: We analyzed transcribed audio-video data collected from surgeons participating in a simulated laparoscopic hernia repair CME course and identified four types of questions learners posed to their instructors...
November 27, 2018: American Journal of Surgery
Jia-Wei Feng, Xing-Hai Yang, Chi-Wen Liu, Bao-Qiang Wu, Dong-Lin Sun, Xue-Min Chen, Yong Jiang, Zhen Qu
BACKGROUND: Preliminary study on the feasibility and efficacy of laparoscopic cholecystectomy and radical cholecystectomy in stage Tis-T3 gallbladder cancer (GBC). METHODS: Retrospective analysis of the clinical data of 102 patients with GBC from August 2008 to August 2017 in the Department of Hepatopancreatobiliary Surgery at the Third Affiliated Hospital of Soochow University. The clinical and pathological data of laparoscopic surgery and open surgery were compared...
February 2019: Journal of Surgical Research
Swathikan Chidambaram, Simon Erridge, Daniel Leff, Sanjay Purkayastha
BACKGROUND: Surgical training has traditionally involved teaching trainees in the operating room. However, intraoperative training is time-intensive and exposes patients to greater risks. Touch Surgery (TS) is an application that uses animation to provide simulation training via cognitive task analysis as an adjunct to intraoperative training. METHODS: Forty students were recruited and randomly allocated to either a control or intervention group. Each group received the same preparation before intervention, including a 10-min introduction to laparoscopic equipment and a 15-min educational tutorial on laparoscopic cholecystectomies...
February 2019: Journal of Surgical Research
Valerie L Luks, Jonathan Merola, Brian N Arnold, Christopher Ibarra, Kevin Y Pei
BACKGROUND: Prophylactic placement of ureteral stents is performed during open colectomy to aid in ureteral identification and to enhance detection of injury. The effects of this practice in laparoscopic colectomy are unknown. This study compares outcomes of patients undergoing laparoscopic colectomy with and without prophylactic ureteral stenting. METHODS: A retrospective cohort study at a tertiary academic medical center was performed. The primary outcome measure was the incidence of ureteral injury...
February 2019: Journal of Surgical Research
A Lari, P Curings, H Person, H Demian, F Braye, J Mabrut, A Mojallal, H Shipkov
BACKGROUND: Umbilical necrosis is a well-known complication of abdominoplasty, the risk of this complication can be increased when an associated umbilical hernia requires further dissection in peri-umbilical region, potentially leading to umbilical devascularisation. Multiple minimally invasive open techniques were described to avoid this problem. The combined approach of abdominoplasty with laparoscopic umbilical hernia repair is one promising solution to avoid devascularising the umbilicus...
December 4, 2018: Annales de Chirurgie Plastique et Esthétique
Andre Roncon Dias, Carlos Eduardo Jacob, Marcus Fernando Kodama Pertille Ramos, Marina Alessandra Pereira, Daniel Jose Szor, Osmar Kenji Yagi, Leandro Cardoso Barchi, Ulysses Ribeiro, Bruno Zilberstein, Ivan Cecconello
INTRODUCTION: Although the first laparoscopic gastrectomy was performed in 1991, there was a long delay until it was incorporated into the regular practice of western surgeons. In Brazil, there are only few case series reported and data on its safety and efficacy along with mid- and long-term results are desired. OBJECTIVE: Present the mid-term results of laparoscopic gastrectomy with curative intent in the treatment of gastric adenocarcinoma and review the current evidence on the therapy of this neoplasia with the laparoscopic access...
December 11, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Dawid Janczak, Urszula Szydełko, Wojciech Apoznański, Wojciech Panek, Tomasz Szydełko
Introduction: Anderson-Hynes (A-H) dismembered pyeloplasty has remained nearly unchanged since its introduction in 1949. The authors present a modification of the uretero-pelvic anastomosis as described by Anderson and Hynes. The new approach, called the W-type suture, is thought to be more watertight and associated with fewer complications than the original. Aim: To assess the effectiveness of the modification of Anderson-Hynes dismembered pyeloplasty named the W-type suture...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Turgut Donmez, Halim Ozcevik, Oguzhan Sunamak, Dogan Yildirim
Introduction: Port site herniation is one of the serious complications of laparoscopic surgery, which decreases its benefits. Closure of a fascia defect at the port site is an important problem of laparoscopic surgery, especially in obese patients. Aim: To evaluate needle grasper fascia closure. Material and methods: We closed the port site fascia using a percutaneous organ-holding device (needle grasper) in laparoscopic cholecystectomy patients...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Dogan Yildirim, Turgut Donmez, Halim Ozcevik, Mikail Cakir, Suleyman Demiryas, Okan Murat Akturk
Introduction: Endoscopic hernia repair integrates the advantages of tension-free preperitoneal mesh support of the groin with the advantages of minimally invasive surgery procedures. Aim: To compare outcomes between slit mesh (SM) and nonslit mesh (NSM) placement in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Material and methods: This is a retrospective study of 353 patients who underwent TEP inguinal hernia repair between January 2010 and December 2011...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
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