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Timing of laparoscopic cholecystectomy

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https://www.readbyqxmd.com/read/29650921/-a-case-of-laparoscopic-whole-layer-cholecystectomy-for-elevated-lesion-suspected-biliary-cancer
#1
Yosuke Ishihara, Kei Naito, Koji Miyagawa, Satoshi Kataoka, Nobuaki Fuji
A case of attempted laparoscopic cholecystectomy for elevated lesion which was clearly early biliary cancer. Laparoscopic cholecystectomy has become popular as a minimally invasive surgical method, and is the primary choice for benign diseases. However for cases of suspected biliary cancer, open cholecystectomy, rather than laparoscopic, is recommended according to medical guidelines. The reason for this is that in cases of damage to the gallbladder, bile spillage to the abdominal cavity may occur, leading to port site recurrence and peritoneal recurrence...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29643955/implementation-of-laparoscopic-approach-in-colorectal-surgery-a-single-center-s-experience
#2
Andrzej P Kwiatkowski, Gabriela Stępińska, Edward Stanowski, Krzysztof Paśnik
Introduction: Implementation of the laparoscopic approach in colorectal surgery has not happened as rapidly as in cholecystectomy, because of concerns about oncological safety. The results of controlled trials in multiple centers showed the method to be safe. Consequently, surgeons decided to try the approach with colorectal surgery. This process, in our clinic, began in earnest about four years ago. Aim: To analyze and present the clinical outcomes of applying the laparoscopic approach to colorectal surgery in a single center...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29643880/intra-operative-predictors-of-difficult-cholecystectomy-and-conversion-to-open-cholecystectomy-a-new-scoring-system
#3
Nauman Ahmed, Maaz Ul Hassan, Maham Tahira, Abdul Samad, Hamad Naeem Rana
Objective: To evaluate the intra-operative scoring system to predict difficult cholecystectomy and conversion to open surgery. Methods: This descriptive study was conducted from March 2016 to August, 2016 in the Department of Surgery, Shalimar Hospital. The study recruited 120 patients of either gender, age greater than 18 years and indicated for laparoscopic cholecystectomy (LC). Intra-operatively all patients were evaluated using the new scoring system. The scoring system included five aspects; appearance and adhesion of Gall Bladder (GB), distension or contracture degree of GB, ease in access, local or septic complications, and time required for cystic artery and duct identification...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29628583/pressure-controlled-volume-guaranteed-mode-improves-respiratory-dynamics-during-laparoscopic-cholecystectomy-a-comparison-with-conventional-modes
#4
Apoorwa Kothari, Deepa Baskaran
Background: Pneumoperitoneum and altered positioning 1in laparoscopic cholecystectomy predispose to alterations in cardiorespiratory physiology. We compared the effects of volume controlled, pressure controlled, and the newly introduced pressure controlled-volume guaranteed ventilation (PCV-VG) modes of ventilation on respiratory mechanics and oxygenation during laparoscopic cholecystectomy. Materials and Methods: Seventy-five physical status American Society of Anesthesiologists Classes I and II patients with normal lungs undergoing laparoscopic cholecystectomy were randomly allocated to receive volume controlled ventilation (VCV), pressure-controlled ventilation (PCV), or PCV-VG modes of ventilation during general anesthesia...
January 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29628560/effect-of-esmolol-and-diltiazem-infusions-on-hemodynamic-response-to-pneumoperitoneum-on-laparoscopic-simple-nephrectomy-a-randomized-controlled-trial
#5
Alka Verma, Divya Srivastava, Mekhala Paul, Arindam Chatterjee, Abhilash Chandra
Background: Several studies have been conducted in search of appropriate drugs to attenuate hemodynamic responses in laparoscopic cholecystectomy, but till date, no such study has been conducted on patients undergoing laparoscopic nephrectomy. Aim: The study was designed to assess the effect of esmolol and diltiazem infusions on hemodynamic changes during routine laparoscopic transperitoneal simple nephrectomy. Settings and Design: A prospective double-blinded randomized control trial...
January 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29627156/various-approaches-of-laparoscopic-common-bile-duct-exploration-plus-primary-duct-closure-for-choledocholithiasis-a-systematic-review-and-meta-analysis
#6
Ming-Yan He, Xia-Dong Zhou, Hao Chen, Peng Zheng, Fa-Zhan Zhang, Wei-Wei Ren
BACKGROUND: Common bile duct (CBD) stones may occur in up to 3%-14.7% of all patients with cholecystectomy. Various approaches of laparoscopic CBD exploration plus primary duct closure (PDC) are the most commonly used and the best methods to treat CBD stone. This systematic review was to compare the effectiveness and safety of the various approaches of laparoscopic CBD exploration plus PDC for choledocholithiasis. DATA SOURCES: Randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) (case-control studies or cohort studies) were searched from Cochrane library (until Issue 2, 2015), Web of Science (1980-January 2016), PubMed (1966-January 2016), and Baidu search engine...
March 24, 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29611896/outcomes-of-early-versus-delayed-laparoscopic-cholecystectomy-for-acute-cholecystitis-performed-at-a-single-institution
#7
Atsushi Kohga, Kenji Suzuki, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Akihiro Kawabe, Taizo Kimura
INTRODUCTION: Debate continues regarding the clinical outcomes of early laparoscopic cholecystectomy (ELC) versus delayed laparoscopic cholecystectomy (DLC) for acute cholecystitis (AC). The aim of this retrospective study was to compare clinical outcomes of ELC and DLC. METHODS: This study consisted of 465 patients who had undergone laparoscopic cholecystectomy for AC between January 2000 and February 2017. Patients were divided between an ELC group (patients who underwent laparoscopic cholecystectomy within 6 days of symptom onset, n = 288) and a DLC group (patients who underwent laparoscopic cholecystectomy at least 7 days from symptom onset, n = 177), and clinical outcomes were compared...
April 3, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29607432/gallbladder-perforation-during-elective-laparoscopic-cholecystectomy-incidence-risk-factors-and-outcomes
#8
Yunus Emre Altuntas, Mustafa Oncel, Mustafa Haksal, Metin Kement, Ersin Gundogdu, Nihat Aksakal, Fazli Cem Gezen
OBJECTIVE: This study aimed to reveal the risk factors and outcomes of gallbladder perforation (GP) during laparoscopic cholecystectomy. METHODS: Videotapes of all patients who underwent an elective cholecystectomy at our department were retrospectively analyzed, and the patients were divided into two groups based on the presence of GP. The possible risk factors and early outcomes were analyzed. RESULTS: In total, 664 patients [524 (78.9%) females, 49...
2018: Northern Clinics of Istanbul
https://www.readbyqxmd.com/read/29603004/single-stage-laparoscopic-common-bile-duct-exploration-and-cholecystectomy-versus-two-stage-endoscopic-stone-extraction-followed-by-laparoscopic-cholecystectomy-for-patients-with-gallbladder-stones-with-common-bile-duct-stones-systematic-review-and-meta-analysis
#9
REVIEW
Anand Narayan Singh, Ragini Kilambi
BACKGROUND: The ideal management of common bile duct (CBD) stones associated with gall stones is a matter of debate. We planned a meta-analysis of randomized trials comparing single-stage laparoscopic CBD exploration and cholecystectomy (LCBDE) with two-stage preoperative endoscopic stone extraction followed by cholecystectomy (ERCP + LC). METHODS: We searched the Pubmed/Medline, Web of science, Science citation index, Google scholar and Cochrane Central Register of Controlled trials electronic databases till June 2017 for all English language randomized trials comparing the two approaches...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602995/learning-curve-for-performing-choledochotomy-bile-duct-exploration-with-primary-closure-after-laparoscopic-cholecystectomy
#10
Hengqing Zhu, Linquan Wu, Rongfa Yuan, Yu Wang, Wenjun Liao, Jun Lei, Jianghua Shao
BACKGROUND: Primary closure after laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) is a safe and effective approach for treating cholecystolithiasis with choledocholithiasis. The aim of this study was to evaluate the learning curve of performing primary closure after LC+LCBDE. METHODS: We retrospectively identified all patients who underwent primary closure after LC+LCBDE performed by a single surgeon from January 2009 to April 2015 in our institution, and analyzed preoperative, intraoperative, and postoperative data using the cumulative sum (CUSUM) analysis to evaluate the learning curve for this procedure...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602986/transferability-of-laparoscopic-skills-using-the-virtual-reality-simulator
#11
Cui Yang, Uljana Kalinitschenko, Jens R Helmert, Juergen Weitz, Christoph Reissfelder, Soeren Torge Mees
BACKGROUND: Skill transfer represents an important issue in surgical education, and is not well understood. The aim of this randomized study is to assess the transferability of surgical skills between two laparoscopic abdominal procedures using the virtual reality simulator in surgical novices. METHODS: From September 2016 to July 2017, 44 surgical novices were randomized into two groups and underwent a proficiency-based basic training consisting of five selected simulated laparoscopic tasks...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29595660/sealing-of-the-cystic-and-appendix-arteries-with-monopolar-electrocautery-during-laparoscopic-combined-cholecystectomy-and-appendectomy
#12
Gui-Bao Liu, Yuan-Yuan Mao, Chang-Ping Yang, Jin-Lin Cao
The best method to ligate the arteries during laparoscopic cholecystectomy or appendectomy remains controversy. The aim of this study is to introduce a new approach during laparoscopic combined cholecystectomy and appendectomy using a monopolar electrocautery to seal the cystic and appendix arteries. We retrospectively reviewed data from 57 patients who underwent laparoscopic combined cholecystectomy and appendectomy between December 2006 and June 2016. Each laparoscopic combined cholecystectomy and appendectomy was performed by coagulating and sealing the cystic and appendix arteries...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29594168/feasibility-and-usefulness-of-a-joystick-guided-robotic-scope-holder-soloassist-in-laparoscopic-surgery
#13
REVIEW
Yasushi Ohmura, Mari Nakagawa, Hiromitsu Suzuki, Kazutoshi Kotani, Atsushi Teramoto
Introduction: The Soloassist® system is a joystick-guided robotic scope holder. We evaluated the efficacy of Soloassist in laparoscopic surgery. Methods: We investigated operative time, blood loss, set-up time, length of hospital stay, and the number of participating surgeons in laparoscopic cholecystectomy cases before and after the introduction of Soloassist. Furthermore, we evaluated these factors in each group of 20 elective and emergency cholecystectomy cases by single surgeon after matching their background...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594167/first-experiences-with-the-new-senhance%C3%A2-telerobotic-system-in-visceral-surgery
#14
REVIEW
Dietmar Stephan, Heike Sälzer, Frank Willeke
Until recently, robotic-assisted surgery has exclusively been connected to the name DaVinci®. In 2016, a second robotic system, the Senhance®, became available. To introduce the new robotic system into clinical routine, detailed team training and an integration program were useful. Within the first 6 months, 116 cases were performed with this system. The integration program intended to start with simple and well-standardized clinical cases. We chose inguinal hernia repair using the TAPP (transabdominal preperitoneal) technique as the starting procedure...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29582801/short-term-outcomes-of-minimally-invasive-surgery-for-patients-presenting-with-suspected-gallbladder-cancer-report-of-8-cases
#15
Gerald Zeng, Nan Zun Teo, Brian K P Goh
INTRODUCTION: Minimally invasive surgery (MIS) for gallbladder cancer (GBCa) has traditionally been discouraged, with limited studies reporting on its outcomes. The aim of this study was to evaluate the short-term outcomes of MIS for patients with GBCa or suspected GBCa. METHODS: A retrospective study of 8 consecutive patients who underwent MIS for GBCa by a single surgeon over a 22-month period between 2015 and 2017. RESULTS: Three patients underwent robotic surgery, while five underwent conventional laparoscopic surgery...
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29580344/building-a-single-site-robotic-cholecystectomy-program-in-a-public-teaching-hospital-is-it-safe-for-patients-and-feasible-for-residents-to-participate
#16
Michael P O'leary, Reed I Ayabe, Christine E Dauphine, Danielle M Hari, Junko J Ozao-Choy
Single-site robotic cholecystectomy (SSRC) accounts for most of the robotic surgery cases performed by general surgeons at our institution since acquiring the da Vinci Si Surgical SystemTM (Intuitive Surgical, Inc., Sunnyvale, CA) in 2014. We sought to determine whether a SSRC program is safe to start in a public teaching hospital and to determine whether resident participation in this procedure is feasible. Data on age, gender, race, BMI, total operative time, length of stay, comorbidities, and conversion from laparoscopic to open surgery were examined for elective SSRC and laparoscopic cholecystectomies (LCs) performed by two faculty surgeons between February 2015 and August 2015...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29577610/is-postponed-laparoscopic-cholecystectomy-justified-for-acute-cholecystitis-appearing-early-after-onset
#17
Atsushi Kohga, Kenji Suzuki, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Akihiro Kawabe, Taizo Kimura
INTRODUCTION: Early laparoscopic cholecystectomy (ELC) is considered the standard treatment for acute cholecystitis for patients who can tolerate surgery. The ideal time for performing ELC is reported to be 72 h from onset. However, many patients undergo surgery on or after the fourth day from onset, even if they presented early after onset. A few reports have investigated the feasibility and disadvantages of this so-called "postponed laparoscopic cholecystectomy" (PLC). METHODS: This study consisted of 215 patients who had undergone laparoscopic cholecystectomy for acute cholecystitis within 6 days of onset between July 2006 and December 2017...
March 25, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29577217/-impact-of-previous-abdominal-surgery-on-the-outcomes-of-laparoscopic-resection-for-colorectal-cancer
#18
Jinhua Tao, Xishan Wang, Zheng Liu, Zheng Jiang, Chunguang Guo, Jianan Chen, Zhijie Wang, Qian Liu
OBJECTIVE: To investigate the effect of previous abdominal surgery(PAS) on laparoscopic resection of colorectal cancer. METHODS: The retrospective cohort study was adopted.Clinical data of consecutive colorectal cancer patients with PAS history (past history of at least one abdominal surgery, exclusion of previous inguinal hernia repair, simple laparoscopic approach, appendectomy of the right lower quadrant and endoscopic therapy) undergoing laparoscopic surgery at the Cancer Hospital of Chinese Academy of Medical Sciences between 2010 and 2015 were collected, meanwhile other colorectal cancer patients without PAS history were selected according to 1 to 1 match in age, sex, body mass index, American Society of Anesthesiologists score, tumor location, type of surgery, and staging of tumor...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29570974/online-monitoring-of-intraoperative-exhaled-propofol-by-acetone-assisted-negative-photoionization-ion-mobility-spectrometry-coupled-with-time-resolved-purge-introduction
#19
Dandan Jiang, Enyou Li, Qinghua Zhou, Xin Wang, Hanwei Li, Bangyu Ju, Lei Guo, Desheng Liu, Haiyang Li
Online monitoring of exhaled propofol concentration is important for anesthetists to provide adequate anesthesia as propofol concentrations in plasma and breath are correlated reasonably well. Exhaled propofol could be detected by 63Ni ion mobility spectrometry in negative ion mode, however, the radioactivity of 63Ni source restricts its clinical application due to safety, environmental, and regulatory concerns. An acetone-assisted negative photoionization ion mobility spectrometer (AANP-IMS) using a side-mounted vacuum ultraviolet (VUV) lamp in the unidirectional (UD) flow mode was developed for sensitively measurement of exhaled propofol by producing high percentage of O2-(H2O)n...
March 23, 2018: Analytical Chemistry
https://www.readbyqxmd.com/read/29560297/harmonic-scalpel-assisted-laparoscopic-cholecystectomy-vs-conventional-laparoscopic-cholecystectomy-a-non-randomized-control-trial
#20
Kumar Rajnish, Sathasivam Sureshkumar, Manwar S Ali, Chellappa Vijayakumar, Sundaramurthi Sudharsanan, Chinnakali Palanivel
Introduction Laparoscopic cholecystectomy (LC) is the most commonly done, minimally invasive surgical procedure. Routinely used electrocautery produces more smoke, which masks the operating field, thereby prolongs the surgery and posing an increased risk of gallbladder (GB) perforation. The titanium clips used for clipping the cystic artery and cystic duct have a risk of slippage, which may lead to bleeding, and an increased risk for bile leakage. In addition, it may act as a nidus for stone formation. Advanced energy sources, such as the harmonic scalpel, though expensive, may provide the advantage of shorter operating time by reducing smoke, bloodless dissection in the GB bed, lower risk of bleeding from the cystic artery due to secure vessel sealing, and avoiding the use of a larger number of titanium clips...
January 18, 2018: Curēus
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