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Full-thickness Resection

Alexandru Lupu, Jérémie Jacques, Jérôme Rivory, Jean-Christophe Saurin, Florian Rostain, Thierry Ponchon, Mathieu Pioche
No abstract text is available yet for this article.
August 8, 2018: Endoscopy
Gernot Hudelist, Kristine Aas-Eng, Tudor Birsan, Franz Berger, Ursula Sevelda, Lisa Kirchner, Mohamad Salama, Bernhard Dauser
INTODUCTION: Choosing the optimal treatment for bowel endometriosis (DIE), i.e. conservative versus radical surgery, is under debate. We aimed to evaluate the surgical outcomes of segmental resection (SR) and disc resection (DR) regarding fertility, pain symptoms and quality of life score of women with colorectal DIE. MATERIAL AND METHODS: From March 2011 to December 2016, 134 consecutive patients with symptomatic DIE of the rectosigmoid up to 25cm from the anal verge undergoing SR or DR were prospectively evaluated regarding reduction in pain symptoms, fertility outcomes and complication rates according to Clavien-Dindo classification...
August 6, 2018: Acta Obstetricia et Gynecologica Scandinavica
James Chi-Yong Ngu, Li-Jen Kuo, Ching-Huei Kung, Chi-Long Chen, Chia-Chun Kuo, Sheng-Wei Chang, Chia-Che Chen
BACKGROUND: Full-thickness local excision (FTLE) for rectal cancer showing clinical complete remission (cCR) after neoadjuvant chemoradiation therapy (NCRT) is associated with good oncological results. The purpose of this study was to report the results of robotic transanal minimally invasive surgery for such patients. METHODS: Patients were treated with a 5-fluorouracil-based NCRT regimen. The determination of cCR was based on digital rectal examination, colonoscopy, and magnetic resonance imaging...
August 2, 2018: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
Gulara Hajiyeva, Saowanee Ngamruengphong
PURPOSE OF REVIEW: Accurate diagnosis of gastrointestinal neuromuscular diseases requires full thickness biopsy for adequate histologic evaluation of the enteric neuromuscular and ancillary cells. Historically, this has been achieved by surgical approaches. An overview of procedure evolution and current techniques of endoscopic full thickness biopsy (EFTB) for diagnosis of gastrointestinal neuromuscular disorders will be presented. RECENT FINDINGS: Emergence and advancement of endoscopic full thickness resection techniques has offered a less invasive, nevertheless an effective modality of tissue acquirement...
September 2018: Current Opinion in Gastroenterology
Nick Tovar, Lukasz Witek, Pablo Atria, Michael Sobieraj, Michelle Bowers, Christopher Lopez, Bruce Cronstein, Paulo G Coelho
STATEMENT OF PURPOSE: Injuries to the extremities often require resection of necrotic hard tissue. For large bone defects, autogenous bone grafting is ideal, but similar to all grafting procedures, is subject to limitations. Synthetic biomaterial driven engineered healing offers an alternative approach. This work focuses on three-dimensional (3D) printing technology of solid-free form fabrication (SFF), more specifically robocasting/direct write. The research hypothesizes that a bioactive calcium-phosphate scaffold may successfully regenerate extensive bony defects in vivo and that newly regenerated bone will demonstrate mechanical properties similar to native bone as healing time elapses...
July 25, 2018: Journal of Tissue Engineering and Regenerative Medicine
Yu Zhang, Xin-Li Mao, Xian-Bin Zhou, Hai Yang, Lin-Hong Zhu, Guang Chen, Li-Ping Ye
AIM: To evaluate the long-term efficacy of endoscopic resection (ER) for small (≤ 4.0 cm) gastric gastrointestinal stromal tumors (GISTs) originating from the muscularis propria layer. METHODS: Between June 2005 and February 2015, we retrospectively analyzed 229 consecutive patients with gastric MP-GISTs who underwent ER with a follow-up at least 36 mo. The main outcome measurements included complete resection rate, complications, and long-term follow-up outcomes...
July 21, 2018: World Journal of Gastroenterology: WJG
Kyoko Nishikimi, Shinichi Tate, Ayumu Matsuoka, Makio Shozu
OBJECTIVE: Ovarian carcinomas sometimes metastasize to the cardiophrenic lymph node. We present a surgical technique for metastatic cardiophrenic lymph node resection following full-thickness resection of the right diaphragm. METHODS: A 51-year-old woman presented with ovarian carcinoma and cardiophrenic lymph node metastasis with peritoneal dissemination. The surgical procedure for metastatic cardiophrenic lymph node resection following full-thickness resection of the right diaphragm was as follows...
July 19, 2018: Gynecologic Oncology
Shanglei Liu, Toshiaki Suzuki, Bryce W Murray, Lisa Parry, Craig S Johnson, Santiago Horgan, Sonia Ramamoorthy, Samuel Eisenstein
BACKGROUND: Transanal minimally invasive surgery (TAMIS) offers intra-luminal full-thickness excision of rectal neoplasia. Robotic TAMIS (RT) allows for greater versatility in motion while operating in the limited space of the rectum. We present our experience with this technique in practice using the DaVinci Xi™ platform. METHOD: This is a multi-institutional retrospective analysis for patient undergoing Robotic TAMIS for resection of rectal lesions at two tertiary referral hospitals in the United States...
July 13, 2018: Surgical Endoscopy
Nan Chen, Yi-Fan Peng, Yun-Feng Yao, Jin Gu
AIM: To evaluate the feasibility and safety of trans-anal minimally invasive surgery (TAMIS) from single institute in China. METHODS: A retrospective review was conducted for patients with rectal neoplasia, who underwent TAMIS using single incision laparoscopic surgery-Port from January 2013 till January 2016 by a group of colorectal surgeons from Gastrointestinal Center Unit III, Peking University Cancer Hospital. Patients' demographic data, surgical related information, post-operational pathology, as well as peri-operative follow-up were all collected...
June 15, 2018: World Journal of Gastrointestinal Oncology
Amirahwaty Abdullah, Manidhar Lekkala, Zachary Wolfe, Charumathi Raghu, Safi Ullah Khan, Mrinalini Krishnan, Lydia Winnicka, Bradley Lash
Background: The treatment of metastatic renal cell carcinoma (RCC) has been radically changed by the advent of tyrosine kinase inhibitors (TKIs). However, few reports have described their role in cardiac metastases. We present a case of a left ventricular metastasis from RCC that was managed with pazopanib therapy. Case Report: A 74-year-old male with stage I RCC underwent right nephrectomy in 2004 and right lung metastasis resection in 2009. He was well till March 2016, when he presented with chest pain...
May 2018: Case Reports in Oncology
Alvaro Martínez-Alcalá, Felipe Martínez-Alcalá García, Klaus Mönkemüller, Helmut Neumann, Felipe Martínez-Alcalá
No abstract text is available yet for this article.
July 3, 2018: Endoscopy
Alexander Meier, A Eigler
No abstract text is available yet for this article.
June 2018: MMW Fortschritte der Medizin
R Zhou, G Zang, Q Yu, K Pang, X Zhou, H He, Q Liang, T Fan, C Han
The purpose of this work is to investigate the total resection of bladder tumor under transurethral fluorescence cystoscopy. Nineteen patients with bladder tumor, from which we resected a total of 26 tumors, including 16 single tumors with diameters of 0.5~2 cm, were enrolled in the study. All tumors were located in the posterior wall or neck of the bladder. For the surgery, the size and location of tumors in the bladder were observed by fluorescence cystoscopy. Then, plasma electrocision was used to cut the full-thickness of the bladder to the fat outside of the bladder along the near-end of the tumor, then along the left and right side of bladder (to the far-end), and the full-thickness of the tumor was resected...
May 2018: Journal of Biological Regulators and Homeostatic Agents
Bhavtosh Dedania, Tejal Mistry, Jamie Buryanek, Shashideep Singhal
No abstract text is available yet for this article.
March 2018: VideoGIE: an official video journal of the American Society for Gastrointestinal Endoscopy
Monica Saumoy, Brandon Guenthart, Luai Madanat, Cheguevara Afaneh, Michel Kahaleh
No abstract text is available yet for this article.
August 2018: Endoscopy
Juho T K Salo, Erkki J Tukiainen
BACKGROUND: The aim of this study was to analyze chest wall reconstruction following oncologic resection performed by a single surgeon over a 19-year period. METHODS: A retrospective review was performed for 135 patients who underwent oncologic chest wall resection from 1997 to 2015. RESULTS: Average patient age was 57.8 years. Indications for resection were advanced breast cancer (n = 44), soft-tissue sarcoma (n = 38), bone sarcoma or chondrosarcoma (n = 28), desmoid tumor (n = 11), metastasis from other cancers (n = 7), and other primary tumors (n = 7)...
August 2018: Plastic and Reconstructive Surgery
Qiang Shi, Bing Li, Zhi-Peng Qi, Li-Qing Yao, Mei-Dong Xu, Shi-Lun Cai, Di Sun, Ping-Hong Zhou, Yun-Shi Zhong
BACKGROUND: Endoscopic full-thickness resection (EFTR) derived from endoscopic submucosal dissection has gradually been accepted and even promoted for the treatment of submucosal tumors (SMTs) originating from the muscularis propria (MP) layer. However, there are some difficulties when EFTR is used to treat MP lesions in the gastric fundus. This study intends to explore whether EFTR can be made simpler, safer, and more effective with the traction assistance of dental floss. METHODS: The clinical data of patients (trial group) with lesions in the MP layer in the gastric fundus undergoing EFTR with traction assistance of dental floss at Zhongshan Hospital, in 2016, were reviewed retrospectively...
June 6, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Mami Yoshitomi, Suguru Hasegawa, Ryo Takahashi, Koya Hida, Kenji Kawada, Yoshiharu Sakai
INTRODUCTION: Local excision (LE) is used in early rectal cancer and other pathologies for diagnostic purposes and curative treatment, as well as for palliative surgery in patients who are medically unfit for radical resection. Recently, transanal minimally invasive surgery (TAMIS) has been increasingly accepted as a means for performing LE. Here, we present a TAMIS technique for LE to which endoscopic submucosal dissection was applied. MATERIALS AND SURGICAL TECHNIQUE: We used conventional laparoscopic instruments, including a 10-mm 30° camera...
May 2018: Asian Journal of Endoscopic Surgery
Zhenguo Qiao, Xin Ling, Jianhong Zhu, Guojian Ying, Lihua Xu, Hong Zhu, Jinhai Tang
The present study was performed to evaluate the therapeutic safety and feasibility of purse-string sutures with nylon loops and metal clips under single-channel endoscopy to repair gastrointestinal wall defects that had previously developed during endoscopic full-thickness resection (EFR). A multicenter prospective cohort study of 42 patients who had developed defects of the gastrointestinal wall during EFR was conducted from April 2012 to October 2016. All lesions were endoscopically repaired with either a single-channel gastroscope (research group, n=18) or double-channel gastroscope (control group, n=24)...
May 2018: Experimental and Therapeutic Medicine
S Lemaître, C Lévy-Gabriel, L Desjardins, M González-Candial, S Gardrat, R Dendale, N Cassoux, B Couturaud
INTRODUCTION: Surgical excision of large malignant lower eyelid tumors may cause important full-thickness eyelid defects. The reconstruction of such defects must restore the physiologic function of the eyelid and also re-establish an acceptable aesthetic result. MATERIALS AND METHODS: We report the outcomes of full-thickness excision of tumors extending over half of the horizontal lid length, followed by reconstruction using a nasal chondromucosal graft (coming from the ipsilateral ala of the nose) and an upper eyelid myocutaneous flap...
May 2018: Journal Français D'ophtalmologie
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