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Laparoscopic colectomy

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https://www.readbyqxmd.com/read/28225647/early-experience-with-single-incision-laparoscopic-total-abdominal-colectomy-in-children
#1
Cristen N Litz, Paul D Danielson, Nicole M Chandler
PURPOSE: Single-incision laparoscopic surgery for pediatric colorectal disease has been shown to be feasible and safe; however, the literature is scarce regarding the outcomes of single-incision laparoscopic total abdominal colectomy (SIL-TAC) in the pediatric population. The purpose of this pilot study was to review our initial experience and outcomes with SIL-TAC. MATERIALS AND METHODS: A retrospective review of patients who underwent SIL-TAC from 2013 to 2015 was performed...
February 22, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28208110/trocar-site-evisceration-of-the-vermiform-appendix-following-laparoscopic-sigmoid-colectomy-a-case-report
#2
Jagdeep Singh Bhangu, Ruth Exner, Thomas Bachleitner-Hofmann
INTRODUCTION: There is an ongoing debate whether prophylactic drainage or incidental appendectomy should be performed in patients undergoing colorectal surgery. On the other hand, it has been shown that the placement of drains through former trocar sites as well as the use of large (≥10mm) trocars, incomplete fascial closure or closed laparoscopy technique all predispose for the occurrence of trocar site hernias. PRESENTATION OF CASE: We report the case of a 59-year-old male patient who underwent laparoscopic sigmoid colectomy with primary anastomosis for recurrent sigmoid diverticulitis...
February 1, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28205051/impact-of-preoperative-steroid-or-immunosuppressant-use-on-short-term-outcomes-following-colectomy-in-crohn-s-disease-patients
#3
N Valizadeh, A C A Murray, K Suradkar, A Al-Mazrou, R P Kiran
BACKGROUND: Evaluating the impact of steroid or immunosuppressants (SI) therapy prior to colectomy in Crohn's disease (CD) patients on postoperative septic and colectomy-specific outcomes using the American College of Surgeons (ACS)-National Surgical Quality Improvement Program (NSQIP)-targeted colectomy database. METHODS: All CD patients undergoing colectomy were retrieved from the 2012-2013 NSQIP-targeted database. Thirty-day postoperative outcomes were compared for patients who were on steroids or immunosuppressants (SI) within the 30 days prior to colectomy to the others using univariable and multivariable analyses...
February 15, 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28204867/right-versus-left-laparoscopic-colectomy-for-colon-cancer-does-side-make-any-difference
#4
Juan P Campana, Pablo A Pellegrini, Gustavo L Rossi, Guillermo Ojea Quintana, Ricardo E Mentz, Carlos A Vaccaro
PURPOSE: To compare the intraoperative and postoperative outcomes between right laparoscopic colectomy (RLC) and left laparoscopic colectomy (LLC) for colon cancer. METHOD: Patients who underwent elective RLC or LLC for colon cancer between January 2004 and December 2014 were identified and elected for a retrospective analysis. Primary outcomes were technical difficulty (including operative time, intraoperative complications, and conversion rate) and postoperative outcome (including postoperative complications, length of hospital stay, reinterventions, readmissions, and mortality)...
February 15, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28183049/case-report-of-a-giant-colonic-sigmoid-diverticulum-causing-sigmoid-volvulus
#5
John Alfred Carr
INTRODUCTION: Giant colonic diverticulum is a rare complication of colonic diverticulosis that occurs when a single diverticulum enlarges to over 4cm in diameter. There have been fewer than 200 cases reported worldwide since it was first described in 1946. PRESENTATION OF CASE: The author presents a rare case of a giant colonic diverticulum that presented as a sigmoid volvulus. The patient underwent emergency surgery with resection of the diverticulum and reduction of the volvulus...
January 25, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28176493/one-stage-laparoscopy-assisted-colectomy-for-synchronous-double-colorectal-cancers
#6
Kodai Tomioka, Masahiko Murakami, Makoto Watanabe, Nobuaki Matsui, Yoshiaki Ozawa, Sota Yoshizawa, Tomotake Koizumi, Satoru Goto, Akira Fujimori, Osamu Yoshitake, Koji Otsuka, Takeshi Aoki
Synchronous multiple malignant colorectal lesions are rare, and there have been very few studies about one-stage laparoscopic operations in these cases. Here, we evaluated the short-term outcomes of laparoscopy-assisted colectomy (LAC) for synchronous double colorectal cancers. Seven patients underwent one-stage LAC that required two resections and anastomoses in our hospital from 2010 to 2014. We retrospectively examined each patient's background and subsequent surgical outcomes. The median age of patients was 78 years, and the median BMI was 19...
February 8, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28172747/p142-postoperative-course-of-laparoscopic-subtotal-colectomy-is-not-affected-by-preoperative-medical-treatment-in-patients-with-acute-colitis-complicating-inflammatory-bowel-disease
#7
D Mege, M Monsinjon, L Maggiori, X Tréton, Y Bouhnik, Y Panis
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172514/p476-sigmoidostomy-or-hartman-s-procedure-during-laparoscopic-subtotal-colectomy-for-acute-colitis-complicating-inflammatory-bowel-disease-a%C3%A2-comparative-study-in-129-consecutive-patients
#8
D Mege, C Buskens, L Maggiori, M Stellingwerf, W Bemelman, Y Panis
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28133239/-a-case-of-small-intestinal-gastrointestinal-stromal-tumor-gist-with-synchronous-colonic-cancer-and-gastric-cancer-at-a-different-time
#9
Yukika Tsukamoto, Hisami Oshima, Takashi Katsumori, Hiromitsu Hamaguchi, Shinichi Yamamoto, Tomohiro Iwanaga, Susumu Ohkawara
The patient was a 70-year-old woman with a gastrointestinalstromaltumor (GIST)of the small intestine and synchronous colonic cancer, who underwent laparoscopic right colectomy and resection of the small intestine. We started imatinib therapy because GIST belongs to a high-risk group, according to the modified Fletcher classification. Gastric cancer was diagnosed 2 years after the start of imatinib therapy. Only 4 of the 12 GIST cases seen at our institution over the last 5 years were complicated by another cancer...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28126972/intravenous-lignocaine-infusion-facilitates-acute-rehabilitation-after-laparoscopic-colectomy-in-the-chinese-patients
#10
M Wh Lee, D Yl Or, A Cf Tsang, D Ck Ng, P P Chen, M Hy Cheung, R Sk Li, H T Leong
INTRODUCTION: Intravenous infusion of lignocaine has emerged in recent years as a feasible, cost-effective, and safe method to provide postoperative analgesia. There is, however, no literature about this peri-operative pain control modality in Chinese patients. This study aimed to determine whether peri-operative intravenous lignocaine safely reduces postoperative pain, shortens postoperative ileus, and reduces the length of hospital stay in laparoscopic colorectal surgery. METHODS: Between September 2012 and May 2015, 16 patients who underwent elective laparoscopic resection of colorectal cancer and received a 1% lignocaine infusion for 24 hours postoperatively were studied...
January 27, 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28119864/obstructive-left-colon-cancer-should-be-managed-by-using-a-subtotal-colectomy-instead-of-colonic-stenting
#11
Chung Ki Min, Hyung Ook Kim, Donghyoun Lee, Kyung Uk Jung, Sung Ryol Lee, Hungdai Kim, Ho-Kyung Chun
PURPOSE: This study compared a subtotal colectomy to self-expandable metallic stent (SEMS) insertion as a bridge to surgery for patients with left colon-cancer obstruction. METHODS: Ninety-four consecutive patients with left colon-cancer obstruction underwent an emergency subtotal colectomy or elective SEMS insertion between January 2007 and August 2014. Using prospectively collected data, we performed a retrospective comparative analysis on an intention-to-treat basis...
December 2016: Annals of Coloproctology
https://www.readbyqxmd.com/read/28099377/what-is-the-current-role-of-laparoscopic-lavage-in-perforated-diverticulitis
#12
Walter L Biffl, Frederick A Moore, Ernest E Moore
Patients with perforated diverticulitis suffer high morbidity and mortality. For decades, sigmoid colectomy with colostomy (Hartman's procedure) has been considered the standard surgical management. Over the past several years, less-morbid alternatives have been advocated. Laparoscopic lavage showed promise in retrospective studies. However, recent prospective randomized clinical trials have suggested that outcomes may not be better compared with the Hartman's procedure. A critical analysis of the literature leads the authors to the conclusion that there is still a role for laparoscopic lavage in selected patients, as a bridge to elective colectomy or, in some cases, as definitive management...
January 17, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28096327/pneumatosis-coli-causing-pneumoperitoneum
#13
Jennifer M Nishimura, Ted Farzaneh, Alessio Pigazzi
This is a case of a 54-year-old gentleman who presented to an outside hospital emergency department with lower abdominal pain. Computed tomography imaging showed a small amount of intraperitoneal free air and cystic pneumatosis coli. He was admitted, managed conservatively with intravenous antibiotics, and then discharged home after his symptoms improved. Elective laparoscopic sigmoid colectomy was subsequently performed with intraoperative findings of partial sigmoid volvulus and extensive pneumatosis coli of the sigmoid colon...
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28093425/unexpected-complication-of-colonoscopy
#14
Ramesh Nadarajah, Leon Pee
The authors present a rare case of a 71-year-old man presenting with large bowel obstruction after attempted colonoscopy. The procedure was impossible to complete due to a tight sigmoid stricture and the patient presented with an acute abdomen the following day. He was managed conservatively and discharged before returning for an elective laparoscopic sigmoid colectomy. The potential differentials of an acute abdomen post-colonoscopy are discussed and the literature reviewed on this rare complication. Finally, the authors review whether there is pressure on endoscopists to 'complete' colonoscopies (by achieving caecal intubation) based on regulatory indices in quality, and how this might have to be disregarded in unfavourable circumstances...
January 16, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28065524/effects-of-age-after-laparoscopic-right-colectomy-for-cancer-are-there-any-specific-outcomes
#15
Christine Denet, David Fuks, Francesca Cocco, Sophie Chopinet, Marcel Abbas, Cyprian Costea, Hugues Levard, Thierry Perniceni, Brice Gayet
BACKGROUND: Laparoscopic approach in colorectal surgery has demonstrated to give advantages in terms of postoperative outcomes, particularly in high-risk patients. The aim was to assess the impact of patients' age on the short-term outcomes after laparoscopic right colectomy for cancer. METHODS: From January 2004 to September 2014, all patients who underwent laparoscopic right colectomy for cancer in a single institution were divided into four groups (A: <64 years; B: 65-74 years; C: 75-84 years; D ≥85 years)...
December 21, 2016: Digestive and Liver Disease
https://www.readbyqxmd.com/read/28027818/laparoscopic-colectomy-for-cancer-improved-compliance-with-guidelines-for-chemotherapy-and-survival
#16
Roger H Kim, Mindie M Kavanaugh, Gloria C Caldito
BACKGROUND: Laparoscopic surgery for colon cancer has been demonstrated in clinical trials to have short-term benefits when compared to the open surgical approach. Guidelines of the National Comprehensive Cancer Network recommend that patients with stage III or high-risk stage II colon cancer undergo adjuvant chemotherapy. We hypothesized that laparoscopic colectomy is associated with increased compliance to recommendations for chemotherapy, a lesser time to start of chemotherapy, and increased overall survival...
December 24, 2016: Surgery
https://www.readbyqxmd.com/read/28011967/reduced-wound-infection-in-colorectal-resection-by-using-a-wound-auto-retractor
#17
Juan J Arenal, Agustín Martínez, María V Maderuelo, Claudia Tinoco, César Benito, Miguel A Citores, José M Eiros
Surgical site infection (SSI) remains an important problem in colorectal surgery. The aim of this study is to determine whether the use of a wound protection system can be effective in reducing the incidence of wound infection after colorectal resection. Ninety-five consecutive patients underwent colorectal resection, carried out by one single surgeon during a six-year period (2009-2015). A laparotomy auto-retractor was used in all cases (Alexis Wound Retractor; Applied Medical, Rancho Santa Margarita, CA)...
1, 2016: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/28000648/robotics-in-general-surgery-a-systematic-cost-assessment
#18
REVIEW
Ioannis D Gkegkes, Ioannis A Mamais, Christos Iavazzo
The utilisation of robotic-assisted techniques is a novelty in the field of general surgery. Our intention was to examine the up to date available literature on the cost assessment of robotic surgery of diverse operations in general surgery. PubMed and Scopus databases were searched in a systematic way to retrieve the included studies in our review. Thirty-one studies were retrieved, referring on a vast range of surgical operations. The mean cost for robotic, open and laparoscopic ranged from 2539 to 57,002, 7888 to 16,851 and 1799 to 50,408 Euros, respectively...
December 21, 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28000188/-role-of-transumbilical-single-port-laparoscopic-surgery-in-the-treatment-of-chronic-intractable-constipation
#19
Wenjing Gong, Yajun Jiang
With the development of laparoscopic technique, single port laparoscopic technique application is more and more common, further achieving the ideal effect without abdominal scar. Efficacy of colectomy by transumbilical single port laparoscopic surgery in treating patients with chronic intractable constipation was satisfactory in our hospital during the past two years. This paper mainly introduces the role and development of single port laparoscopic surgery in the treatment of chronic intractable constipation...
December 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27999950/the-single-center-experience-with-the-standardization-of-single-site-laparoscopic-colectomy-for-right-sided-colon-cancer
#20
Hidekazu Takahashi, Ichiro Takemasa, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Hirofumi Yamamoto, Chu Matsuda, Tsunekazu Mizushima, Yuichiro Doki, Masaki Mori
PURPOSE: Complete mesocolic excision (CME) with central vascular ligation (CVL) has been widely accepted as a surgical treatment for right-sided colon cancer. Single-site laparoscopic colectomy (SLC) is associated with reduced pain and improved cosmesis, in comparison to the multi-site laparoscopic colectomy (MCL). Although the feasibility of CME + CVL under MCL has been reported, SLC for right-sided colon cancer is generally challenging. The purpose of this study is to demonstrate our efforts to standardize the SLC for right-sided colon cancer...
December 20, 2016: Surgery Today
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