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Laparoscopic hemicolectomy

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https://www.readbyqxmd.com/read/27904307/hybrid-transvaginal-notes-and-mini-laparoscopic-colectomy-benefit-through-synergy
#1
Jayson M Moloney, Philip S L Gan
BACKGROUND AND OBJECTIVES: Hybrid-natural orifice surgery combines the advantages of traditional transabdominal laparoscopic surgery, while limiting surgical trauma to the abdominal wall. Among various routes of intra-abdominal access, the transvaginal method is most appealing because of its utility and proven safety. We describe a series of 4 colonic resections performed with this approach, combined with minilaparoscopy and needlescopic approaches, and discuss the technical aspects, efficacy, and applicability of this technique...
October 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27903856/laparoscopic-left-hemicolectomy-for-colon-cancer-in-peritoneal-dialysis-patients-a-valid-and-safe-surgical-technique-to-ensure-peritoneal-dialysis-survival
#2
Sara Auricchio, Giulio Mari, Andrea Galassi, Beatrice Dozio, Marco Pozzi, Dario Maggioni, Renzo Scanziani
A laparoscopic approach represents an effective alternative to open surgery in patients undergoing peritoneal dialysis (PD). In these patients, conventional thinking provides for removal of the peritoneal catheter during left colon resections because of higher risk of patient contamination and peritonitis. The present paper describes 3 cases of laparoscopic left hemicolectomy for colon cancer performed in PD patients without complications and without peritoneal catheter removal, leading to subsequent early PD resumption...
November 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/27902621/total-laparoscopic-right-hemicolectomy-with-3-step-stapled-intracorporeal-isoperistaltic-ileocolic-anastomosis-for-colon-cancer-an-evaluation-of-short-term-outcomes
#3
Tu Jian-Cheng, Wang Shu-Sheng, Zhang Bo, Fang Jian, Zhou Liang
Laparoscopic right hemicolectomy with extracorporeal anastomosis is a widely used procedure; several authors have published their approach to intracorporeal anastomosis. In this paper, we present an approach developed by us and compare short-term outcomes with those of extracorporeal anastomosis in colon cancer patients.Retrospective review of colon cancer patients treated with laparoscopic right hemicolectomy either with intracorporeal anastomosis (TLG group) or extracorporeal anastomosis (LG group) at the Zhangjiagang Hospital Affiliated to Soochow University between January 2011 and October 2015...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27896461/transversus-abdominis-plane-block-for-postoperative-pain-relief-after-hand-assisted-laparoscopic-colon-surgery-a-randomized-placebo-controlled-clinical-trial
#4
R Tikuisis, P Miliauskas, V Lukoseviciene, N Samalavicius, A Dulskas, L Zabuliene, V Zabulis, J Urboniene
BACKGROUND: Although hand-assisted laparoscopic surgery (HALS) offers patients smaller surgical incisions, they still experience pain. Currently, there is no consensus on the optimal analgesic package for patients undergoing HALS. The aim of this prospective, randomized, double-blinded, placebo-controlled clinical trial was to evaluate the effect of transversus abdominis plane (TAP) block on postoperative pain control (pain score and analgesic use) and other outcomes in colon cancer patients undergoing hand-assisted laparoscopic left hemicolectomy...
November 28, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27876330/pneumomediastinum-pneumothorax-and-subcutaneous-emphysema-caused-by-colonoscopic-perforation-a-report-of-two-cases
#5
Pyong Wha Choi
BACKGROUND: Although colonoscopy is generally a safe procedure, lethal complications can occur. Colonoscopic perforation is one of the most serious complications, and it can present with various clinical symptoms and signs. Aggravating abdominal pain and free air on simple radiography are representative clinical manifestations of colonoscopic perforation. However, unusual symptoms and signs, such as dyspnea and subcutaneous emphysema, which are less likely to be related with complicating colonoscopy, may obscure correct clinical diagnosis...
November 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27864726/hand-assisted-laparoscopic-right-hemicolectomy-with-complete-mesocolic-excision-and-central-vascular-ligation-a-novel-technique-for-right-colon-cancer
#6
Qing-Bin Wu, Xiang-Bing Deng, Xu-Yang Yang, Bing-Chen Chen, Wan-Bin He, Tao Hu, Ming-Tian Wei, Zi-Qiang Wang
BACKGROUND: It can be difficult to locate the superior mesenteric vein and dissect around middle colic vessels during laparoscopic right hemicolectomy with complete mesocolon excision due to a high rate of vascular variations in the superior mesenteric vessels. Therefore, we report a modified technique for hand-assisted laparoscopic right hemicolectomy with complete mesocolic excision and central vascular ligation, which addresses these two problems. METHODS: Thirty-one consecutive patients with right colon cancer underwent this procedure from March 2014 to August 2015...
November 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27846182/a-comparison-of-open-laparoscopic-and-robotic-surgery-in-the-treatment-of-right-sided-colon-cancer
#7
Jeonghyun Kang, Yoon Ah Park, Seung Hyuk Baik, Seung-Kook Sohn, Kang Young Lee
INTRODUCTION: Multidimensional comparison between open, laparoscopy, and robotic surgery in the management of right-sided colon cancer are lacking. The aim of this study was to compare the early perioperative results and oncologic outcomes among the 3 different methods. PATIENTS AND METHODS: Between June 2007 and 2011, a total of 96 patients who underwent right hemicolectomy in a single institution were classified into the open surgery (OS; n=33), the laparoscopy surgery (LS; n=43), and the robot surgery (RS; n=20) groups...
November 14, 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27821798/clinical-outcomes-of-laparoscopic-assisted-synchronous-bowel-anastomoses-for-synchronous-colorectal-cancer-initial-clinical-experience
#8
Zhengtian Li, Dawei Wang, Yunwei Wei, Peng Liu, Jun Xu
The primary aim of this study was to explore the safety and feasibility of laparoscopic-assisted synchronous bowel anastomoses (LSBA) for synchronous colorectal cancer (SCRC). All patients who underwent LSBA for SCRC were retrospectively reviewed and analyzed for clinical and pathological features, technical feasibility and short-term as well as long-term oncological outcomes. Between July 2008 and January 2012, a series of 11 consecutive SCRC patients underwent LSBA. Six patients underwent laparoscopic-assisted right hemicolectomy and anterior resection...
November 3, 2016: Oncotarget
https://www.readbyqxmd.com/read/27714518/laparoscopic-complete-mesocolic-excision-for-right-sided-colon-cancer-using-a-cranial-approach-anatomical-and-embryological-consideration
#9
Takeru Matsuda, Takeshi Iwasaki, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: Complete mesocolic excision (CME) with central vascular ligation (CVL) should be employed for the treatment of colon cancer patients because of its superior oncological outcomes. However, this technique is technically challenging in laparoscopic right hemicolectomy because of the anatomical complexity of the transverse mesocolon. METHODS: We focused on the embryology and anatomy of the transverse mesocolon to overcome the difficulty of this surgery. The validity and efficacy of a cranial approach in achieving CME with CVL in laparoscopic right hemicolectomy was elucidated from the embryological point of view...
October 6, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27713191/not-ery-small-bowel-submucosal-mass-is-a-gist-a-rare-case-of-small-bowel-schwannoma
#10
Giuseppe Portale, Mariano De Vito, Alberto Morabito, Massimiliano Zuccaro, Valentino Fiscon
INTRODUCTION: Schwannomas are slow-growing tumors, rarely occurring in the GI tract. When found, their location is mostly in the stomach. Presentation in the small bowel is extremely rare, anecdotal. CASE REPORT: We present the case of a 47-year old male who underwent laparoscopic elective left hemicolectomy for recurrent diverticulitis. RESULTS: At surgery an exophytic mass originating from the first jejunal loop was identified and resected, under the suspicion of a GIST...
July 8, 2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27671014/single-incision-and-natural-orifice-translumenal-endoscopic-surgery-in-switzerland
#11
Daniel C Steinemann, Andreas Zerz, Michel Adamina, Walter Brunner, Andreas Keerl, Antonio Nocito, Andreas Scheiwiller, Rene Spalinger, Stephan A Vorburger, Sebastian H Lamm
BACKGROUND: Single-incision laparoscopy (SIL) and natural orifice translumenal endoscopic surgery (NOTES) aim at reducing surgical access trauma. To monitor the introduction of emerging technologies, the Swiss Association for Laparo- and Thoracoscopic Surgeons launched a database in 2010. The current status of SIL and NOTES in Switzerland is reported, and the techniques are compared. METHODS: The number and type of procedures, surgeon experience, their impressions of performance, conversion, and complications between 2010 and 2015 are described...
September 26, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27604677/single-port-right-colectomy-surgical-technique
#12
Ionuţ Vîlcea, Leon Maggiori, Traean Burcoş, Yves Panis
The single port laparoscopic method was first used in 1999 by Bresadola for cholecystectomy. Nearly a decade later, in 2008, the first single port right hemicolectomy was reported by Bucher and others in a case involving an ascending colon polyp (1,2). The continuous technological evolutional lows the first single port right hemicolectomy 17 years after the first laparoscopic hemicolectomy (1991) which was initially met with reluctance and after has gained a well-established place in the range of colorectal surgery (2)...
July 2016: Chirurgia
https://www.readbyqxmd.com/read/27595589/a-critical-and-comprehensive-systematic-review-and-meta-analysis-of-studies-comparing-intracorporeal-and-extracorporeal-anastomosis-in-laparoscopic-right-hemicolectomy
#13
Claudio Ricci, Riccardo Casadei, Vincenzo Alagna, Elia Zani, Giovanni Taffurelli, Carlo Alberto Pacilio, Francesco Minni
PURPOSE: Two main techniques are commonly used during laparoscopic right hemicolectomy in order to perform the ileocolic anastomosis: intracorporeal (IA) and extracorporeal (EA). The aim of this study was to evaluate the safety of the two techniques. METHODS: A systematic review was carried out to identify studies comparing IA and EA. The primary endpoint was anastomotic leakage. The secondary endpoints were intra- and postoperative results. A meta-analysis was carried out using the random-effects model...
September 5, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27583883/contrast-enhanced-ultrasound-improves-accurate-identification-of-appendiceal-mucinous-adenocarcinoma-in-an-old-patient-a-case-report
#14
Jing Shang, Li-Tao Ruan, Ying Dang, Yun-Yue Wang, Yan Song, Jie Lian
BACKGROUND: Adenocarcinoma of appendiceal origin is far rarer than other colorectal carcinomas and its preoperative diagnosis is challenging. To our knowledge, utility of contrast-enhanced ultrasound (CEUS) to diagnose it is much less. METHOD: A 61-year-old man presented with abdominal pain in the right lower quadrant for 20 days. In order to fulfill an accurately preoperative diagnosis, he received laboratory and imaging tests such as carcinoembryonic antigen (CEA), computer tomography (CT), CEUS and endoscope...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27550618/a-safe-method-for-middle-colic-dissection-and-ligation-at-its-origin-in-a-laparoscopic-extended-right-hemicolectomy
#15
Frederick H Koh, Ker-Kan Tan
BACKGROUND: Laparoscopic extended right hemicolectomy is regarded as one of the more difficult procedures in colorectal surgery due to the complexity of the dissection around the pancreatic neck to identify the origin of the middle colic artery.1 Proper identification and ligation of the middle colic artery at its origin is paramount to achieve complete mesocolic excision.2 (,) 3 We describe our technique of middle colic vessels dissection in a laparoscopic extended right hemicolectomy...
August 22, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27545458/-history-and-development-trend-of-minimally-invasive-surgery-for-colorectal-cancer-in-china
#16
Minhua Zheng, Junjun Ma
With the development in past 20 years, the utilization of the laparoscopic surgery, which is the main trend in minimally invasive surgery for colorectal cancer, has tremendously changed. Minimally invasive surgery for colorectal cancer is now at a high level platform after going through the exploration at the very beginning and rapid development in the period of standardizing and promoting the regulations. Nowadays, the unique advantage that the laparoscopy owns is high definition and enlargement of the image, along with the establishment of the key note in series of laparoscopic complete mesocolic excision and the improvement of surgical instruments and methods make the operation skills accurate and normative in exploration of correct plane, high ligation of vessels and protection of nerve during the lymph node dissection of colorectal surgery...
August 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27522400/ileal-duplication-cyst-in-the-elderly-complicated-by-appendicitis-a-rare-case-report-and-review-of-literature
#17
Kamal S Yadav, Priyanka A Sali, Bhushan Bhole, Chandralekha Tampi, Hitesh Mehta
INTRODUCTION: Gastrointestinal duplication cysts are rare, generally found in infants and young adults. Adult presentation is rare. PRESENTATION OF THE CASE: We present an elderly lady who presented with right iliac fossa pain. Imaging showed a terminal ileal duplication cyst. Laparoscopic right hemicolectomy was done. Histopathology confirmed ileal duplication cyst with reactive appendicitis. DISCUSSION: Surgical resection is deemed appropriate management due to known complications like obstruction, hemorrhage, perforation and malignant degeneration...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27515772/laparoscopic-radical-lymph-node-dissection-for-advanced-colon-cancer-close-to-the-hepatic-flexure
#18
Dai Uematsu, Gaku Akiyama, Takehiko Sugihara, Akiko Magishi, Takuya Yamaguchi, Takayuki Sano
INTRODUCTION: Complete mesocolic excision is currently recognized as a standard procedure for colon cancer. Gastroepiploic, infrapyloric, and superficial pancreatic head lymph node metastases in the gastrocolic ligament have been reported for colon cancer close to the hepatic flexure. We sought to investigate metastases in the gastrocolic ligament in colon cancer close to the hepatic flexure. METHODS: This was a single-center retrospective study. All patients with T2 or deeper invasive colon cancer in the relevant tumor location who underwent laparoscopic right hemicolectomy or extended right hemicolectomy at our institution between 1 April 2011 and 31 March 2015 were included...
August 12, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27502338/the-right-colic-artery-an-anatomical-demonstration-and-its-relevance-in-the-laparoscopic-era
#19
M Haywood, C Molyneux, V Mahadevan, J Lloyd, N Srinivasaiah
INTRODUCTION Hemicolectomies are not tailored in right-sided colon cancer resections, despite significant variation in the incidence and origin of the right colic artery (RCA). Early evidence suggests that removal of the relevant lymphovascular package and associated cancer as part of complete mesocolic excision (CME), rather than the entire right colon, may produce better outcomes. Advancing laparoscopic techniques are making this possible, and so it is increasingly important to more precisely define the anatomy of the RCA...
August 9, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27491099/pre-operative-identification-and-surgical-management-of-the-appendiceal-mucocele-a-case-report
#20
Kevin Lynch, Sung Cho, Robert Andres, Jennifer Knight, Jorge Con
An appendiceal mucocele (AM) is an uncommon differential in the patient being evaluated for acute appendicitis. Although often asymptomatic, AMs can clinically mimic acute appendicitis, and preoperative distinction between these processes facilitates optimal management. We report the case of a 60-year-old male with an AM presenting with nausea and periumbilical pain radiating to the right lower quadrant. Literature relevant to the diagnosis and treatment of AMs is reviewed, with emphasis on diagnosis through radiographic imaging and surgical management...
July 2016: West Virginia Medical Journal
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