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https://www.readbyqxmd.com/read/29775978/-initiating-a-robotic-program-for-abdominal-surgery-experiences-from-a-centre-in-germany
#1
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
https://www.readbyqxmd.com/read/29771797/measuring-in-hospital-recovery-after-colorectal-surgery-within-a-well-established-enhanced-recovery-pathway-a-comparison-between-hospital-length-of-stay-and-time-to-readiness-for-discharge
#2
Saba Balvardi, Nicolò Pecorelli, Tanya Castelino, Petru Niculiseanu, A Sender Liberman, Patrick Charlebois, Barry Stein, Franco Carli, Nancy E Mayo, Liane S Feldman, Julio F Fiore
BACKGROUND: Hospital length of stay is often used as a measure of in-hospital recovery but may be confounded by organizational factors. Time to readiness for discharge may provide a superior index of recovery. OBJECTIVE: The purpose of this study was to contribute evidence for the construct validity of time to readiness for discharge and length of stay as measures of in-hospital recovery after colorectal surgery in the context of a well-established enhanced recovery pathway...
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29770881/robot-assisted-laparoscopic-resection-of-clinical-t4b-tumours-of-distal-sigmoid-and-rectum-initial-results
#3
Rogier M P H Crolla, Janneke J C Tersteeg, George P van der Schelling, Jan H Wijsman, Jennifer M J Schreinemakers
BACKGROUND: Radical resection by multivisceral resection of colorectal T4 tumours is important to reduce local recurrence and improve survival. Oncological safety of laparoscopic resection of T4 tumours is controversial. However, robot-assisted resections might have advantages, such as 3D view and greater range of motion of instruments. The aim of this study is to evaluate the initial results of robot-assisted resection of T4 rectal and distal sigmoid tumours. METHODS: This is a cohort study of a prospectively kept database of all robot-assisted rectal and sigmoid resections between 2012 and 2017...
May 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29770791/effects-of-laparoscopic-and-conventional-methods-on-lung-functions-in-colorectal-surgery
#4
Sebahattin Celik, Eyüp M Yılmaz
BACKGROUND We aimed to compare the lung functions, complication rates, and durations of the hospital and intensive care unit stays of patients who had undergone laparoscopic colorectal resection and open colorectal resection. MATERIAL AND METHODS In this study, data were collected prospectively and then evaluated retrospectively. The study was carried out between January 2015 and November 2016 in 2 university hospitals. Pulmonary function tests (PFT) and chest radiography were performed in all patients preoperatively...
May 17, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29766654/prospective-short-term-feasibility-study-of-perioperative-suprapubic-catheters-in-laparoscopic-colectomy
#5
Sayaka Nagao, Yoshihisa Saida, Toshiyuki Enomoto, Asako Takahashi, Tadashi Higuchi, Hodaka Moriyama, Toru Niituma, Manabu Watanabe, Koji Asai, Shinya Kusachi
INTRODUCTION: Here we report a prospective study on whether a temporary suprapubic catheter (SPC) can be safely inserted as a substitute for transurethral balloon catheterization during laparoscopy-assisted colectomy. METHODS: Our subjects included 52 cases who gave informed consent to have an SPC inserted. These subjects were selected from cases who underwent laparoscopy-assisted surgery for primary colorectal cancer from October 2014 to August 2015. RESULTS: An SPC was inserted into 45 of the original 52 cases...
May 16, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29761279/recurrence-patterns-after-laparoscopic-resection-of-colorectal-liver-metastases
#6
Nicolas Tabchouri, Brice Gayet, Shinya Okumura, Gianfranco Donatelli, Marc Beaussier, Mostefa Bennamoun, Christophe Louvet, David Fuks
BACKGROUND: The major issue after liver resection for colorectal liver metastases (CRLM) is the high incidence of recurrence. Unlike open liver resection (OLR), recurrence following laparoscopic liver resection (LLR) is not well documented. The aim of this study was to analyze recurrence patterns and treatment following LLR for CRLM. STUDY DESIGN: All patients who underwent LLR for CRLM from 2000 to 2016 were reviewed. Patients who presented with recurrence were compared to those who did not...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29761276/does-robotic-rectal-cancer-surgery-improve-the-results-of-experienced-laparoscopic-surgeons-an-observational-single-institution-study-comparing-168-robotic-assisted-with-184-laparoscopic-rectal-resections
#7
Rogier M P H Crolla, Paul G Mulder, George P van der Schelling
BACKGROUND: The role of robotic assistance in colorectal cancer surgery has not been established yet. We compared the results of robotic assisted with those of laparoscopic rectal resections done by two surgeons experienced in laparoscopic as well as in robotic rectal cancer surgery. METHODS: Two surgeons who were already experienced laparoscopic colorectal surgeons in 2005 started robotic surgery with the daVinci SI system in 2012. All their rectal cancer resections between 2005 and 2015 were retrieved from a prospectively recorded colorectal database of routinely collected patient data...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29761274/lower-intra-abdominal-pressure-has-no-cardiopulmonary-benefits-during-laparoscopic-colorectal-surgery-a-double-blind-randomized-controlled-trial
#8
Youn Joung Cho, Hyesun Paik, Seung-Yong Jeong, Ji Won Park, Woo Young Jo, Yunseok Jeon, Kook Hyun Lee, Jeong-Hwa Seo
BACKGROUND: Higher intra-abdominal pressure may impair cardiopulmonary functions during laparoscopic surgery. While 12-15 mmHg is generally recommended as a standard pressure, the benefits of lower intra-abdominal pressure are unclear. We thus studied whether the low intra-abdominal pressure compared with the standard pressure improves cardiopulmonary dynamics during laparoscopic surgery. METHODS: Patients were randomized according to the intra-abdominal pressure and neuromuscular blocking levels during laparoscopic colorectal surgery: low pressure (8 mmHg) with deep-block (post-tetanic count 1-2), standard pressure (12 mmHg) with deep-block, and standard pressure with moderate-block (train-of-four count 1-2) groups...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29760967/blood-vessel-detection-localization-and-estimation-using-a-smart-laparoscopic-grasper-a-monte-carlo-study
#9
Amal Chaturvedi, Shetha A Shukair, Paul Le Rolland, Mayank Vijayvergia, Jonathan W Gunn, Hariharan Subramanian
For centuries, surgeons have relied on their sense of touch to identify vital structures such as blood vessels in traditional open surgery. Over the past two decades, surgeons have shifted to minimally invasive surgical (MIS) approaches, including laparoscopic surgery, which include benefits such as less scarring, less risk for infection, and quicker recovery times. In fact, some surgeries such as cholecystectomies have seen more than an 80% adoption of this technique because of those benefits. However, due to the fundamental challenges associated with using laparoscopic surgery, there has been a lower adoption in more complex specialties, such as colorectal and thoracic surgery, where the field of surgery has bleeding, fat, scar tissue, and adhesions...
May 1, 2018: Biomedical Optics Express
https://www.readbyqxmd.com/read/29746337/bowel-obstruction-and-ventral-hernia-after-laparoscopic-versus-open-surgery-for-rectal-cancer-in-a-randomized-trial-color-ii
#10
Josefin Petersson, Thomas W Koedam, H Jaap Bonjer, John Andersson, Eva Angenete, David Bock, Miguel A Cuesta, Charlotte L Deijen, Alois Fürst, Antonio M Lacy, Jacob Rosenberg, Eva Haglind
OBJECTIVE: The aim of this study was to evaluate the risk of bowel obstruction, incisional, and parastomal hernia following laparoscopic versus open surgery for rectal cancer. SUMMARY BACKGROUND DATA: Laparoscopic surgery for rectal cancer has been adopted worldwide, after trials reported similar oncological outcomes compared with open surgery. Little is known about long-term morbidity, including bowel obstruction, incisional, and parastomal hernia following surgery...
May 9, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29745069/comparison-of-recurrence-patterns-of-colorectal-cancer-in-laparoscopic-and-open-surgery-groups-of-patients-a-meta-analysis
#11
Aleksandar Karanikolic, Ilija Golubovic, Milan Radojkovic, Milorad Pavlovic, Dusan Sokolovic, Predrag Kovacevic
PURPOSE: The purpose of this meta-analysis was to evaluate differences between laparoscopic and open surgery and also the development of local and distant colorectal cancer (CRC) recurrences in treated patients. METHODS: 2,058 cases treated with laparoscopic surgery and 2,365 cases with open surgery from 20 included studies were analyzed, using the random-effects model. The mean difference and odds ratio (OR) with 95% confidence interval (95%CI) were calculated...
March 2018: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/29742862/trephine-transverse-colostomy-is-effective-for-patients-who-have-previously-undergone-rectal-surgery
#12
Seung-Seop Yeom, Chan Wook Kim, Sung Woo Jung, Se Heon Oh, Jong Lyul Lee, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
PURPOSE: Colostomy creation is an essential procedure for colorectal surgeons, but the preferred method of colostomy varies by surgeon. We compared the outcomes of trephine colostomy creation with open those for the (laparotomy) and laparoscopic methods and evaluated appropriate indications for a trephine colostomy and the advantages of the technique. METHODS: We retrospectively evaluated 263 patients who had undergone colostomy creation by trephine, open and laparoscopic approaches between April 2006 and March 2016...
April 2018: Annals of Coloproctology
https://www.readbyqxmd.com/read/29741975/introducing-anatomically-correct-ct-guided-laparoscopic-right-colectomy-with-d3-anterior-posterior-extended-mesenterectomy-initial-experience-and-technical-pitfalls
#13
Robin Gaupset, Jens Marius Nesgaard, Airazat M Kazaryan, Bojan V Stimec, Bjørn Edwin, Dejan Ignjatovic
BACKGROUND: Laparoscopic D3 anterior posterior extended mesenterectomy (D3APEM) in right colectomy has received increased attention. The aim of this study is to prove feasibility, systemize technical accomplishment, and provide short-term outcomes data. METHODS: From July 2013 to February 2017, 18 patients with adenocarcinoma in the right colon underwent right colectomy with laparoscopic D3APEM, including lymph nodes anterior and posterior to the superior mesenteric vessels...
May 9, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29733247/robotic-colorectal-surgery-learning-curve-and-case-complexity
#14
Darcy D Shaw, Moriah Wright, Lindsay Taylor, Noelle L Bertelson, Maniamparampil Shashidharan, Prem Menon, Vijay Menon, Samuel Wood, Charles A Ternent
PURPOSE: To understand the role of case complexity in the learning curve for robotic colorectal surgery. MATERIALS AND METHODS: Sixty-two patients who underwent robot-assisted colorectal surgery were retrospectively reviewed. Each case was assigned a category of complexity ranging from I to IV. Overall, groups and categories of segmental colectomy, rectopexy, and proctectomy for cancer were analyzed according to case volume. Forty-eight patients who underwent similar laparoscopic cases during the same period were also reviewed for comparison...
May 7, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29727328/short-term-outcomes-of-ambulatory-colectomy-for-157-consecutive-patients
#15
Benoit Gignoux, Marilyn Gosgnach, Thomas Lanz, Alexandre Vulliez, Marie-Cecile Blanchet, Vincent Frering, Jean-Luc Faucheron, Philippe Chasserant
OBJECTIVE: To evaluate short-term outcomes of laparoscopic colectomy for selected consecutive patients in an ambulatory setting at two institutions. BACKGROUND: Several studies showed that an enhanced recovery protocol for colorectal surgery reduces postoperative morbidity and mortality, and shortens the length of hospital stay. The development of such a program has allowed us to gradually reduce the length of stay for colorectal surgery, until ambulatory management...
May 1, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29727028/effects-of-depth-of-neuromuscular-block-on-surgical-conditions-during-laparoscopic-colorectal-surgery-a-randomised-controlled-trial
#16
B W Koo, A Y Oh, H S Na, H J Lee, S B Kang, D W Kim, K S Seo
There have been few objective evaluations of the effects of deep neuromuscular blockade on intra-operative conditions. In this prospective randomised controlled study, we evaluated the effects of deep neuromuscular block on surgical conditions during laparoscopic colorectal surgery. Patients were randomly allocated using a computer-generated randomisation code to either moderate (train-of-four count 1-2 maintained and antagonised with neostigmine) or deep (post-tetanic count 1-2 maintained and reversed with sugammadex) levels of neuromuscular blockade...
May 4, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29723578/conventional-epidural-vs-transversus-abdominis-plane-block-with-liposomal-bupivacaine-a-randomized-trial-in-colorectal-surgery
#17
Matthew Torgeson, Joel Kileny, Christopher Pfeifer, Lawrence Narkiewicz, Shawn Obi
BACKGROUND: Colorectal surgery is a focus of enhanced recovery protocols (ERP). The utility of Transversus Abdominis Plane block (TAP) for abdominal surgery has demonstrated effectiveness in ERP, however no direct comparison of epidural versus TAP for non-analgesic clinical factors have been published to date. The primary aim of this study was to compare epidural to TAP for length of stay (LOS) in colorectal surgery. STUDY DESIGN: Patients undergoing open and laparoscopic colorectal surgery were prospectively randomized into epidural (n=39) or TAP (n=44) groups preoperatively...
April 30, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29722730/virtual-reality-exploration-and-planning-for-precision-colorectal-surgery
#18
Ludovica Guerriero, Giuseppe Quero, Michele Diana, Luc Soler, Vincent Agnus, Jacques Marescaux, Francesco Corcione
BACKGROUND: Medical software can build a digital clone of the patient with 3-dimensional reconstruction of Digital Imaging and Communication in Medicine images. The virtual clone can be manipulated (rotations, zooms, etc), and the various organs can be selectively displayed or hidden to facilitate a virtual reality preoperative surgical exploration and planning. OBJECTIVE: We present preliminary cases showing the potential interest of virtual reality in colorectal surgery for both cases of diverticular disease and colonic neoplasms...
June 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29718883/the-american-society-of-anesthesiologists-score-influences-on-postoperative-complications-and-total-hospital-charges-after-laparoscopic-colorectal-cancer-surgery
#19
Jae-Hyun Park, Dong-Hyun Kim, Bo-Ra Kim, Young-Wan Kim
The aim of this study was to investigate the influence of American Society of Anesthesiologists (ASA) scores on postoperative complication rates and total hospital charges following laparoscopic surgery for colorectal cancer.All patients (n = 664) underwent laparoscopic colorectal cancer surgery. A group of patients with an ASA score of 1 or 2 (n = 575) and a group of patients with an ASA score of 3 (n = 89) were compared.The mean age was higher in the group of patients with an ASA score of 3 than in the group of patients with an ASA score of 1 or 2 (70 vs 67 years)...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29718820/characteristics-of-surgical-site-infection-following-colorectal-surgery-in-a-tertiary-center-extended-spectrum-%C3%AE-lactamase-producing-bacteria-culprits-in-disease
#20
Eliana Kalakouti, Constantinos Simillis, Gianluca Pellino, Nabeela Mughal, Oliver Warren, Sarah Mills, Emile Tan, Christos Kontovounisios, Paris P Tekkis
INTRODUCTION: Surgical site infection (SSI) is a well-known complication of colorectal surgery associated with increased morbidity and hospital stay. Antimicrobial prophylaxis can reduce the risk of SSI by as much as 75%. Extended-spectrum β-lactamase (ESBL)-producing pathogens make the successful use of such prophylaxis a challenge and are a real threat to patient care following colorectal surgery. OBJECTIVE: The aim of this study is to report the common characteristics of SSIs after colorectal surgery and to highlight the prevalence, risk factors, and clinical relevance of ESBL infections among these patients in a tertiary center...
December 2017: Wounds: a Compendium of Clinical Research and Practice
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