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https://www.readbyqxmd.com/read/27890832/operative-treatment-of-type-2-endoleaks-involving-the-inferior-mesenteric-artery
#1
Gabriele Piffaretti, Marco Franchin, Emanuele Botteri, Luigi Boni, Gianpaolo Carrafiello, Giuseppe Battaglia, Stefano Bonardelli, Patrizio Castelli
INTRODUCTION: We report the results of the operative treatment for type 2 endoleak (T2E) involving the inferior mesenteric artery (IMA) using the transarterial embolization (TAE) or the video-laparoscopic ligation (VLS). METHODS: Between January 2005 and December 2015, we retrospectively analyzed 901 patients treated with endovascular aortic repair (EVAR): 883 (98%) had one valid postoperative radiologic evaluation, at least. All patients with operative repair for IMA-related T2E entered the final analysis...
November 24, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27857945/abdominal-aortic-aneurysm-type-ii-endoleaks
#2
Mohamed S Kuziez, Luis A Sanchez, Mohamed A Zayed
Type II endoleaks occur commonly following endovascular aneurysm repair (EVAR). Although they remain enigmatic, multiples studies have evaluated preoperative risk factors and strategies for prevention of type II endoleaks. Prophylactic treatment of type II endoleaks can include embolization of accessory arteries, as well as complete aneurysmal sac occlusion. Regular post-operative surveillance and screening for type II endoleaks with triple-phase CTA is the standard of care. Aneurysm size and growth rate are factors that predict whether a persistence type II endoleak is hemodynamically significant, and whether it requires treatment with percutaneous trans-lumbar or trans-arterial embolization techniques...
September 2016: Journal of Cardiovascular Diseases & Diagnosis
https://www.readbyqxmd.com/read/27856387/robotic-versus-laparoscopic-staging-for-early-ovarian-cancer-a-case-matched-control-study
#3
V Gallotta, C Cicero, C Conte, G Vizzielli, M Petrillo, A Fagotti, V Chiantera, B Costantini, G Scambia, G Ferrandina
STUDY OBJECTIVE: This study aims to evaluate the feasibility, surgical outcome and oncological results observed after robotic staging compared to conventional laparoscopic staging for patients with early-stage ovarian cancer (EOC) patients. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Catholic University of the Sacred Hearth, Rome, Italy. PATIENTS: 96 patients underwent minimally invasive staging for presumed stage I ovarian cancer: 32 underwent robotic approach (Cases), and 64 underwent laparoscopic approach (Controls)...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27826994/diagnostic-efficacy-of-single-pass-abdominal-multidetector-row-ct-prospective-evaluation-of-a-low-dose-protocol
#4
Luigi Camera, Immacolata Liccardo, Federica Romano, Raffaele Liuzzi, Antonio Rispo, Massimo Imbriaco, Anna Testa, Gaetano Luglio, Simona De Fronzo, Fabiana Castiglione, Luigi Bucci, Arturo Brunetti
OBJECTIVES: To evaluate the diagnostic efficacy of single-pass contrast-enhanced multi-detector CT (CE-MDCT) performed with a low radiation-high contrast (LR-HC) dose protocol in selected patients with non traumatic acute bowel disease. METHODS: Sixty-five (32 M; 33 F; aged 20-67 years) consecutive patients with non traumatic acute bowel disease underwent single-pass CE-MDCT performed 70-100 sec after i.v. bolus injection of a non ionic iodinated contrast media (370 mgI/ml)...
November 9, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27819646/from-laparoscopic-cholecystectomy-to-liver-transplantation-when-the-gallbladder-becomes-the-pandora-s-box
#5
Georgios C Sotiropoulos, Peter Tsaparas, Stylianos Kykalos, Nikolaos Machairas, Ernesto P Molmenti, Andreas Paul
Bile duct injuries (BDI) tend to be more complex in laparoscopic than in open cholecystectomy procedures, and frequently involve young adults with benign pathologies. The ultimate consequence may be a liver transplantation (LT), making this situation one of the most rare transplant indications. Fatal post-transplant outcome is extreme infrequently reported. Aim of this study is to report on our single-case experience and to review the literature concerning lethal outcome after LT for major BDI following cholecystectomy...
2016: Chirurgia
https://www.readbyqxmd.com/read/27794476/comprehensive-staging-of-uterine-carcinosarcoma-utilizing-a-multiquadrant-robotic-platform
#6
Thanh H Dellinger, Mark T Wakabayashi, Ernest S Han
OBJECTIVE: To demonstrate the feasibility of multi-quadrant staging of a uterine carcinosarcoma using the latest-generation robotic platform. DESIGN: Step-by-step explanation of the technique using videos and pictures (educative video). SETTING: While laparoscopic and robotic-assisted laparoscopic staging of high-risk uterine cancer is well incorporated into many gynecologic oncology practices, extensive para-aortic lymphadenectomies above the inferior mesenteric artery are less commonly performed...
October 26, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27725278/laparoscopic-sentinel-node-mapping-in-endometrial-cancer-after-hysteroscopic-injection-of-indocyanine-green
#7
Fabio Martinelli, Antonino Ditto, Giorgio Bogani, Mauro Signorelli, Valentina Chiappa, Domenica Lorusso, Edward Haeusler, Francesco Raspagliesi
STUDY OBJECTIVE: To report the detection rate (DR) of sentinel lymph nodes (SLNs) in endometrial cancer (EC) patients after hysteroscopic injection of indocyanine green (ICG) and laparoscopic near-infrared (L-NIR) fluorescence mapping. DESIGN: Prospectively collected data (Canadian Task Force classification II-2). SETTING: Gynecologic oncology referral center. PATIENTS: Consecutive patients with apparent early-stage endometrioid EC scheduled for surgical treatment: total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, SLN mapping...
October 8, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27713633/comparison-of-the-acute-phase-response-after-laparoscopic-versus-open-aortobifemoral-bypass-surgery-a-substudy-of-a-randomized-controlled-trial
#8
Anne H Krog, Mehdi Sahba, Erik M Pettersen, Irene Sandven, Per M Thorsby, Jørgen J Jørgensen, Jon O Sundhagen, Syed Ss Kazmi
PURPOSE: Minimally invasive surgical techniques have been shown to reduce the inflammatory response related to a surgical procedure. The main objective of our study was to measure the inflammatory response in patients undergoing a totally laparoscopic versus open aortobifemoral bypass surgery. This is the first randomized trial on subjects in this population. PATIENTS AND METHODS: This is a substudy of a larger randomized controlled multicenter trial (Norwegian Laparoscopic Aortic Surgery Trial)...
2016: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/27683008/appendicitis-caused-by-the-metastasis-of-her2-positive-breast-cancer
#9
Ryutaro Mori, Manabu Futamura, Kasumi Morimitsu, Kazuhiro Yoshida
The appropriate therapy for metastatic breast cancer must be selected based on the immunohistochemical phenotype of the cancer. However, biopsy for metastatic lesions is difficult. We herein report a patient with incidental appendicitis caused by a metastatic breast cancer which was successfully treated with effective therapy chosen based on the pathological diagnosis obtained on resection. The patient was a 56-year-old female with right breast cancer and an immunohistochemical status of estrogen receptor (ER) (+), progesterone receptor (PgR) (+), human epidermal growth factor receptor 2 (HER2) (3+), and Ki67 40 %...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27681492/%C3%AF-robot-assisted-retroperitoneal-lymph-node-dissection-after-adjuvant-therapy-different-indications
#10
Victor E Corona Montes, Antonio L Pastore, Louis Gausa, Oscar Rodríguez-Faba, Alberto Breda, Joan Palou
BACKGROUND: Today, access to technology through robotic surgery has allowed urologists to have a valuable tool in order to perform various robot - assisted laparoscopic procedures. Robotic surgery allows reproducing complex techniques such as retroperitoneal or extended pelvic lymphadenectomy. The aim of the study was to report our series of robot assisted retroperitoneal lymphadenectomy and to demonstrate its technical and oncological feasibility. METHODS: A retrospective analysis on 7 patients (four cases of testicular tumors, one prostate adenocarcinoma, and two bladder urothelial carcinomas), who underwent retroperitoneal para-aortic, interaorto-cava and extended pelvic lymphadenectomy by robot assisted laparoscopic surgery, was conducted...
September 28, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27678841/laparoscopic-extraperitoneal-inframesenteric-and-infrarenal-aortic-lymphadenectomy
#11
K A O'Hanlan
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678607/laparoscopic-excision-of-isolated-para-aortic-lymph-node-recurrence
#12
W M Lee, J S Choi, J Bae, A R Koh, U S Jung, J H Ko
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678604/laparoscopic-para-aortic-lymphadenectomy-lpal-standard-surgical-boundary-and-technique
#13
J S Choi, J Bae, W M Lee, A R Koh, U S Jung, J H Ko
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678574/standard-surgical-boundary-surgical-results-and-outcomes-of-systemic-laparoscopic-para-aortic-lymphadenectomy-up-to-the-left-renal-vein-level-for-women-with-gynecologic-cancers
#14
U S Jung, J S Choi, J Bae, W M Lee, A R Koh, J H Ko
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27670732/near-infrared-fluorescence-guided-sentinel-node-mapping-of-the-ovary-with-indocyanine-green-in-a-minimally-invasive-setting-a-feasible-study
#15
Alessandro Buda, Paolo Passoni, Giacomo Corrado, Beatrice Bussi, Giuseppe Cutillo, Sonia Magni, Enrico Vizza
Sentinel lymph node (SLN) mapping has increased its feasibility in both early stage cervical and endometrial cancer. There are few SLN studies regarding the ovary, because of the risk of tumor dissemination and perhaps because the ovary represents an inconvenient site for injection. In this preliminary study, we have shown the feasibility of SLN mapping of the ovary with Indocyanine green (ICG) during laparoscopic retroperitoneal aortic surgical staging. The ten women who were included in this study underwent aortic with pelvic laparoscopic staging, which included SLN biopsy, extrafascial total hysterectomy and bilateral salpingo-oophorectomy in case of ovarian tumor...
September 23, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27667785/successful-laparoscopic-ligation-for-massive-chylous-ascites-after-rectal-cancer-surgery
#16
Yudai Fukui, Junichi Shindoh, Shuichiro Matoba, Kenji Tomizawa, Yutaka Hanaoka, Shigeo Toda, Jin Moriyama, Hiroya Kuroyanagi
A 53-year-old man was readmitted with abdominal distention 2 weeks after undergoing laparoscopic low anterior resection with para-aortic lymphadenectomy for advanced rectal cancer (T4aN1M0, Stage IIIb). Ultrasound revealed massive ascites, and paracentesis revealed chylous fluid with a markedly elevated triglyceride level (1762 mg/dL). Despite conservative management, the fistula remained on postoperative day 120. On percutaneous lymphangiography, the chylous leakage point was clearly visualized at the para-aortic site, and surgical intervention was planned...
September 26, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27630347/feasibility-and-safety-of-laparoscopic-total-mesometrial-resection-in-early-stage-cervical-cancer
#17
Sara Nasser, Jumana Almuheimid, Helmut Plett, Jalid Sehouli, Mustafa Zelal Muallem
AIM: In this study we aimed to analyze the safety and feasibility of total mesometrial resection (TMMR) using the laparoscopic approach. PATIENTS AND METHODS: Laparoscopic TMMR and pelvic lymphadenectomy (LNE) was carried out in 34 patients with cervical cancer FIGO IA-IIB from April 2012-April 2016 at our tertiary center. Para-aortic LNE was performed when indicated. The main outcomes included surgical margins, a number of retrieved lymph node, intra- and post-operative complications, and recurrence rates...
September 2016: Anticancer Research
https://www.readbyqxmd.com/read/27621195/classification-of-postoperative-complications-in-robotic-assisted-compared-with-laparoscopic-hysterectomy-for-endometrial-cancer
#18
Allison Barrie, Alexandra H Freeman, Liisa Lyon, Christine Garcia, Carol Conell, Laura H Abbott, Ramey D Littell, C Bethan Powell
STUDY OBJECTIVE: To compare intraoperative and postoperative surgical complications and outcomes between robotic-assisted and laparoscopic surgical management of endometrial cancer using a standardized classification system. DESIGN: Retrospective Cohort Study DESIGN CLASSIFICATION: II-2 SETTING: Integrated health care system in Northern California PATIENTS: 1433 women with a diagnosis of complex atypical hyperplasia and endometrial cancer managed by minimally invasive hysterectomy and surgical staging from January 2009 to January 2014...
September 9, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27594911/the-role-of-surgery-in-advanced-epithelial-ovarian-cancer
#19
REVIEW
María Martín-Cameán, Elsa Delgado-Sánchez, Antonio Piñera, Maria Dolores Diestro, Javier De Santiago, Ignacio Zapardiel
Nowadays, the standard management of advanced epithelial ovarian cancer is correct surgical staging and optimal tumour cytoreduction followed by platinum and taxane-based chemotherapy. Standard surgical staging consists of peritoneal washings, total hysterectomy, and bilateral salpingo-oophorectomy, inspection of all abdominal organs and the peritoneal surface, biopsies of suspicious areas or randomised biopsies if they are not present, omentectomy and para-aortic lymphadenectomy. After this complete surgical staging, the International Federation of Gynaecology and Obstetrics (FIGO) staging system for ovarian cancer is applied to determine the management and prognosis of the patient...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27590380/long-term-survival-outcomes-of-laparoscopic-staging-surgery-in-treating-endometrial-cancer-20-years-of-follow-up
#20
Chyi-Long Lee, Soshi Kusunoki, Kuan-Gen Huang, Kai-Yun Wu, Chen-Yin Huang, Chih-Feng Yen
OBJECTIVE: To assess the long-term outcomes of laparoscopic staging surgery (LSS) in treating patients with endometrial carcinoma. MATERIALS AND METHODS: Patients with endometrial cancer who underwent LSS between June 1995 and June 2014 were prospectively registered. Perioperative data, complications, disease recurrence, and long-term survival were measured. RESULTS: The study included 287 consecutive patients [mean age (± standard deviation), 53±10...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
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