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Laparoscopic operation

Giuseppe Portale, Alessandro Valdegamberi, Francesco Cavallin, Flavio Frigo, Valentino Fiscon
BACKGROUND AND AIM: Conflicting findings have been reported in older patients undergoing laparoscopic surgery for rectal cancer. The aim of this study was to evaluate the effects of age and comorbidities on short- and long-term results of patients undergoing laparoscopic curative resection for rectal cancer (LCRRC). MATERIALS AND METHODS: We retrospectively evaluated all 173 consecutive patients undergoing LCRRC at our unit (June 2005-September 2015). They were divided into two age groups as follows: <75 (n = 122) and ≥75 (n = 51) years...
August 15, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Xu Cong Ruan, Wai Loong Wong, Hui Qing Yeong, Yong Kuei Timothy Lim
INTRODUCTION: Endometrial carcinoma is the most common gynaecological malignancy. Studies have shown that laparoscopic total hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection was advantageous compared to laparotomy in reducing length of stay and intraoperative blood loss. However, these studies had a predominantly Caucasian population. A comparison study was conducted among the Singapore population to investigate the differences in oncological and surgical outcomes between these two methods...
July 2018: Singapore Medical Journal
De-Cai Yu, Xing-Yu Wu, Xi-Tai Sun, Yi-Tao Ding
BACKGROUND: Laparoscopic anatomic hepatectomy remains challenging because of the complex interior structures of the liver. Our novel strategy includes the Glissonian approach and the major hepatic vein first, which serves to define the external and internal landmarks for laparoscopic anatomic hepatectomy. METHODS: Eleven cases underwent laparoscopic anatomic hepatectomy, including three right hepatectomies, three left hepatectomies, three right posterior hepatectomies, and two mesohepatectomies...
June 25, 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
K C Zhang, L Chen
It has been thirty years since the three-dimensional (3D) laparoscopy was put into clinical use. The advantages of 3D laparoscopy are depth perception, high cost-efficacy, tactile feedback, education for basic procedures in laparoscopy and accurate operation. Currently, high-level of evidence for 3D laparoscopy in gastric cancer is still lacking. The advantage of 3D laparoscopy could be maximized in complicated procedures, like hilar lymphadenectomy and totally laparoscopic reconstruction in gastrectomy. In order to acquire optimal depth perception, optimal standing position and stereoacuity check should be emphasized for surgeons in 3D laparoscopic surgery...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Y Xiao
Laparoscopic right colectomy by the rule of complete mesocolic excision is becoming a standard operation for right colon cancer. Intraoperative iatrogenic vascular injuries are rare but disastrous complications. In addition to the dissection along the embryonic plane, reducing iatrogenic bleeding is of crucial importance to safeguard the surgical procedure. Keeping the operative field clear by gentle suction to have a good exposure is essential to identify the origin of bleeding, and then to make decision how to control the bleeding by bipolar coagulation, clipping and transection, suturing or conversion to open surgery...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Ruchir Gupta, Marco Tori, Stephen K Babitz, Conrad M Tobert, John G Anema, Sabrina L Noyes, Brian R Lane
OBJECTIVE: To evaluate the accuracy of Radius, Exophytic/endophytic, Nearness to collecting system/sinus, Anterior/posterior, and Location relative to polar lines (RENAL), Preoperative Aspects and Dimensions Used for Anatomical classification (PADUA), Contact Surface Area (CSA), and Pre-operative Assessment of Volume Preservation (PAVP) nephrometry scores in predicting post-operative renal functional outcomes after partial nephrectomy (PN). Few studies have compared the accuracy of tumor complexity systems directly in the same set of PN patients...
August 11, 2018: Urology
Sung Ryul Lee, Pyoung Jae Park
PURPOSE: In some patients with recurrent inguinal hernias who have undergone previous laparoscopic herniorrhaphy, dissecting the entire posterior wall is difficult due to mesh adhesion. We applied a novel transabdominal preperitoneal (TAPP) hernioplasty technique that involves closing of the hernia defect and implantation of a newly added mesh while preserving the pre-existing mesh for inguinal hernia recurrence after laparoscopic herniorrhaphy. This study was performed to evaluate this novel technique for treatment of recurrent inguinal hernias...
August 14, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Shashi P Sharma, Shahzada K Sohail, Salah Makkawi, Emadeldien Abdalla
Heterotopic pancreas is defined as aberrantly located pancreatic tissue without anatomical, vascular, or neural connection to the pancreas. Usual sites include the stomach, duodenum, jejunum, and spleen; in rare cases, heterotopic pancreas can be found in the lungs, gallbladder, Meckel's diverticulum, and the mediastinum. In most cases, it is an insignificant, incidental finding. Pre-operative diagnosis is not possible, and histopathological examination is mandatory for establishing a definite diagnosis. Less than 40 cases of heterotopic pancreas in the gallbladder have been reported worldwide...
August 2018: Saudi Medical Journal
Shailesh Puntambekar, Yogesh Gauba, Mihir Chitale, Manoj Manchekar, Mangesh Panse, Priyesh Halgaonkar, Mehul Mehta, Advait Jathar, Ravindra Sathe, Aishwarya Puntambekar
Introduction: Minimal Invasive Surgery of oesophageal cancers is gaining popularity. We have published our Thoracoscopic Esophagectomy results. The present study focuses on our expertise of TransHiatal Esophagectomy. Materials and Methods: 287 patients underwent Esophagectomies for Cancer of Esophagus at Galaxy Care Laparoscopy Institute from January 2010 to December 2014 after thorough assesment. Out of these, 81 patients underwent laparoscopic trans hiatal esophagectomies...
August 7, 2018: Journal of Minimal Access Surgery
Bao Jin, Shunda Du, Haifeng Xu, Yongchang Zheng, Xin Lu, Xinting Sang, Yilei Mao
Background: Laparoscopic hepatectomy is more conducive to the rapid rehabilitation of patients after surgery compared with open hepatectomy. However, there have been no reports on performing laparoscopic resection for liver metastases in enterostomy patients. Materials: From December 2016 to April 2017, the Liver Surgery Department of the Peking Union Medical College Hospital received three patients who had focal liver lesions after colorectal cancer surgery and enterostomy...
August 7, 2018: Journal of Minimal Access Surgery
Vinay K Kapoor
Bile duct injury (BDI) is not uncommon during laparoscopic cholecystectomy (LC). Intra-operative cholangiography (IOC) has been recommended to reduce the risk of BDI during LC. Facilities for IOC are, however, scarcely available in India. The author suggests 'in vicinity colleaguography' (IVC) - opinion of a surgical colleague in vicinity - as an easy alternative to IOC.
August 7, 2018: Journal of Minimal Access Surgery
Jie Jiao, Shaozhuang Liu, Cheng Chen, A Maimaiti, Qingsi He, Sanyuan Hu, Wenbin Yu
Introduction: At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve the same curative effect with the laparotomy is still controversial. Materials and Methods: This study retrospectively analysed the clinical data of 269 gastric cancer patients surgically treated by our medical team from May 2011 to December 2015 for comparative analysis of the clinical efficacy of laparoscopic-assisted radical gastrectomy and traditional open radical gastrectomy...
August 7, 2018: Journal of Minimal Access Surgery
Eran Sadot, Natalia Goldberg, Emil Damoni, David Aranovich, Hanoch Kashtan, Arie Bitterman, Riad Haddad
Context: The role of the laparoscopic left lateral sectionectomy (LLLS) is debatable, and Level-1 data are lacking. Aims: The aim of the study is to evaluate the feasibility and safety of this approach. Settings and Design: This was a retrospective study. Subjects and Methods: From 2007 to 2014, patients undergoing LLLS were identified from two institutions. Statistical Analysis Used: Continuous variables were compared between groups with Student's t-test or Mann-Whitney test, as appropriate by type of distribution...
August 7, 2018: Journal of Minimal Access Surgery
Vimalkumar R Dhaduk, Vishwas Johri, S R Harshavardan Majesty, Nadeem Mushtaque, Nikunj Jain, Prasanna Kumar Reddy
Background: Duodenal carcinoids (neuroendocrine tumour) are rare tumour, but recently, increase in incidence has been noted. Various techniques for excision of tumour have been described in literature, but very few case reports and case series have mentioned about laparoscopic management of carcinoid tumour. We describe a case series of seven cases of duodenal non-periampullary carcinoids which was managed by laparoscopic method. Aims: The aim of the study was to check feasibility of laparoscopic management of duodenal carcinoid and technique of surgery...
August 7, 2018: Journal of Minimal Access Surgery
Fadl H Veerankutty, Sidharth Chacko, Vipin I Sreekumar, Prasad Krishnan, Deepak Varma, Prakash Kurumboor
Extralevator abdominoperineal excision (ELAPE) of the rectum offers wider circumferential margin and decreased rate of intraoperative tumour perforation. However, the need to change the position of the patient in between abdominal and perineal stages of the procedure and extended perineal resection result in increased morbidity and operative time. Evolving technique of laparoscopic transabdominal controlled division of levator ani muscles under direct vision could address these issues while providing all benefits of ELAPE for patients with low rectal cancers...
August 7, 2018: Journal of Minimal Access Surgery
Chen-Hsun Ho, Chia-Chang Wu, Chao-Chuan Wu, Yao-Chou Tsai
Aims: We aimed to evaluate the safety and feasibility of laparoscopic total extraperitoneal (TEP) inguinal hernia repair in patients with the continuation of their antithrombotic agents. Settings and Design: This was prospective cohort study. Materials and Methods: A total of 115 patients who underwent TEP inguinal hernia repair between January 2015 and September 2016 were included in the analysis. Seventeen patients continued their antithrombotics (antithrombotic group); the other 98 had not been on antithrombotics (control group)...
August 7, 2018: Journal of Minimal Access Surgery
Luis Gil, Xabier de Aretxabala, Javier Lendoire, Fernando Duek, Juan Hepp, Oscar Imventarza
BACKGROUND: Residual disease (RD) has been described as one of the most relevant prognostic factors after radical surgical resection for incidental gallbladder cancer (IGC). The purpose of the present study was to analyze patterns of RD and determinant prognostic factors in patients undergoing re-resection for IGC. METHODS: Patients undergoing re-exploration due to IGC between 1990 and 2014 were identified in two referral centers from different South-American countries...
August 13, 2018: World Journal of Surgery
Shohei Yoshiya, Ryosuke Minagawa, Keisuke Kamo, Meidai Kasai, Kenji Taketani, Takafumi Yukaya, Yasue Kimura, Tadashi Koga, Masanori Kai, Kiyoshi Kajiyama, Tomoharu Yoshizumi
BACKGROUND: Patients with persistent symptoms of acute cholecystitis for >72 h who cannot undergo urgent laparoscopic cholecystectomy (LC) often undergo percutaneous transhepatic gallbladder drainage (PTGBD) and delayed LC. However, intraoperative near-infrared fluorescence with indocyanine green (ICG) has recently become available in various surgical settings. Therefore, we evaluated the usability of intraoperative fluorescence imaging with ICG for LC after PTGBD in patients with acute cholecystitis...
August 13, 2018: World Journal of Surgery
Nobuyoshi Takeshita, Soo Jay Phee, Philip WaiYan Chiu, Khek Yu Ho
Background and study aims:  The Master and Slave Transluminal Endoscopic Robot (MASTER) is a novel robotic endosurgical system with two operating arms that offer multiple degrees of freedom. We developed a new assessment tool, the Global Evaluative Assessment of Robotic Skills in Endoscopy (GEARS-E), derived from existing tools in laparoscopic and robotic surgery, and evaluated its utility in the performance of procedures using MASTER. Methods : This was a pilot study conducted in vivo and ex vivo on animals...
August 2018: Endoscopy International Open
Chunling Wang, Zhangkan Huang, Xiaozhun Huang, Caixia Liu, Zhanzhou Lin, Xuelan Lu, Fengxiang Shi, Biao Zheng, Shuisheng Zhang, Fanyuan Wen
BACKGROUND: Laparoscopic surgery in patients with liver cirrhosis (CL) is considered to be challenging. Recent studies have shown that laparoscopic liver resection (LLR) is more beneficial of reduced operative stress and postoperative complications in patients with CL. AIM: A meta-analysis was done to review the currently available published data comparing LLR for patients with CL versus those non-cirrhosis of the liver (NCL). METHODS: The electronic databases of PubMed, Wiley, Web of Science, Embase, and the Cochrane Library were searched from date of inception to January 29, 2018...
August 10, 2018: Clinics and Research in Hepatology and Gastroenterology
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