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Laparocopic surgery

Maximilian Brunner, Klaus Matzel, Archil Aladashvili, Christian Krautz, Robert Grützmann, Roland Croner
PURPOSE: Robotic systems are becoming increasingly important in abdominal surgery. We describe the implementation of a robotic program at a German centre for abdominal surgery, with focus on feasibility, safety, patient selection, learning curves, financial aspects and the lessons learned. METHODS: This retrospective analysis covered data on patient demographics, intra- and postoperative parameters, oncological results and costs of all robotic-assisted abdominal operations performed at our institution between August 2012 to December 2016...
May 18, 2018: Zentralblatt Für Chirurgie
Won-Suk Lee, Kwang-Beom Lee, Soyi Lim, Young Gin Chang
BACKGROUND: Selective 5-hydroxytryptamine type 3 (5-HT3) receptor antagonists are reported to have potent antiemetic effects for postoperative nausea and vomiting (PONV). The purpose of this study was to prospectively evaluate the efficacy of palonosetron, granisetron, and ramosetron for the prevention of PONV in patients undergoing laparoscopic gynecologic surgery. METHODS: In this prospective, randomized observational study, 105 healthy female patients who were undergoing laparocopic hystectomy under general anaesthesia were enrolled (clinical trial number: NCT01752374, www...
September 3, 2015: BMC Anesthesiology
Maite Cusidó, F Fargas, S Baulies, A Plana, I Rodríguez, F Tresserra, M A Pascual, R Fábregas
STUDY OBJECTIVE: To identify the characteristics of uterine sarcomas and assess the impact of morcellation on prognosis. DESIGN: Case-control study. (Canadian Task Force classification II-2). SETTING: Hospital Quiron-Dexeus, an academic hospital. PATIENTS: Patients with uterine sarcoma histologically diagnosed and treated in our center between 1987 and 2013. INTERVENTION: All descriptive data, including type of surgery and clinical and pathological data, were reviewed...
September 2015: Journal of Minimally Invasive Gynecology
Roger C Odell
Monopolar electrosurgical energy is the most commonly used energy source during laparotomic and laparoscopic surgery. The clinical application of monopolar energy is not without risk. Monopolar electrosurgical energy was introduced into surgical practice at the turn of the 20th century. Alternate site burns during laparotomic application were the most common complication for the first half century (i.e., ground point burns and dispersive electrode burns [1920-1970]). The aims of this article were to discuss historic design flaws associated with the most common alternate site burns, ground point burns, and dispersive electrode burns and the technological advancements introduced to mitigate these risks to the patient and to discuss current design flaws associated with stray energy burns during laparoscopy because of insulation failure and capacitive coupling and the technological advancements introduced to eliminate these risks to the patient...
May 2013: Journal of Minimally Invasive Gynecology
Roberto Rea, Paolo Falco, Domenico Izzo, Maddalena Leongito, Bruno Amato
BACKGROUND: The treatment of ventral hernias is still a subject of debate. The affixing of a prosthesis and the subsequent introduction of laparoscopic treatment have reduced complications and recurrences. The high incidence of seromas and high costs remain open problems. METHODS: At our Department between January 2008 and December 2011, 87 patients (43 over 65 years), out of a total of 132, with defects of wall whose major axis was less than 10 cm, or minor and multiple defects (Swiss-cheese defect) on an axis not exceeding 12 cm underwent laparoscopic ventral hernia repair (LVHR) with primary and transparietal closure of the hernial defect...
2012: BMC Surgery
G Anania, M Santini, L Vedana, A Marzetti, L Scagliarini, A Zelante, A Pezzoli, G Resta, G Cavallesco
Introduction. Small bowel adenocarcinoma is a rare tumor, with a still not well studied tumorigenesis process, and non-specific symptoms that cause a delay in the diagnosis and consequently a worst outcome for the patient. Videocapsule endoscopy (VCE) and double-balloon enteroscopy (DBE) have revolutionized the diagnosis and management of patients with small bowel diseases. Surgery is the treatment of choice when feasible, while the chemotherapeutic approach is still not well standardized. Case reports. Two cases in 2 months (two women 52 and 72-yr-old) of primary bowel adenocarcinoma is reported...
June 2012: Il Giornale di Chirurgia
Bulent Citgez, Muharrem Battal, Gokhan Cipe, Oguzhan Karatepe, Mahmut Muslumanoglu
BACKGROUND/AIMS: Eccinococal disease is an important problem in regions such as Turkey, where tapeworms are endemic. Surgery is the main key to successful treatment. Among the various techniques, laparoscopy has recently come to be preferred over the commonly used open technique. The aim of this review was to evaluate the feasibility, safety and potential benefits of laparoscopic hydatid surgery. METHODOLOGY: Three independent investigators conducted comprehensive research using PubMed, MEDLINE, Embase and the Cochrane library...
June 2013: Hepato-gastroenterology
P Bader
With increasing experience and availability of the da Vinci® robotic surgery system there has been an extension of the indications from initially exclusively ablative interventions, such as nephrectomy and radical prostatectomy to reconstructive interventions, such as pyeloplasty, bladder augmentation and urinary diversion. Laparocopic pyeloplasty has been established for both adults and children, with results comparable to the open procedure. In comparison the conventional laparoscopic procedure is little cost-intensive and therefore widely used...
May 2012: Der Urologe. Ausg. A
M Kasalický, D Michalský, J Housová, M Haluzík
INTRODUCTION: Nowadays, obesity is the commonest multifactorial metabolic disorder. The role of bariatric surgery, i.e. surgery specializing in the treatment of obesity, in the management of obese patients, where conservative therapy failed and who have high incidence of obesity relapses, or in morbidly obese subjects (BMI > 40, resp. BMI > 35), as well as in superobese subjects (BMI > 60), is irreplacable. Most of the surgical procedures for the morbid obesity treatement use miinvasive laparocopic techniques...
November 2007: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Anibal W Branco, Alcides J Branco Filho, William Kondo
Pelvic surgery is the most common cause of iatrogenic ureteral injury, and traditionally repair of such injuries requires laparotomy. We report the case of a 48-year-old woman with an iatrogenic ureteral injury after laparoscopic ophorectomy which was laparoscopically reimplanted using the Lich-Gregoire technique. Total operating time was 150 minutes and estimated blood loss was 100 mL. Two months after surgery she is asymptomatic with normal renal function.
January 2005: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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