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https://www.readbyqxmd.com/read/29661564/a-new-technique-for-hepatic-parenchymal-transection-using-an-articulating-bipolar-5-cm-radiofrequency-device-results-from-the-first-100-procedures
#1
Hideo Takahashi, Muhammet Akyuz, Erol Aksoy, Federico Aucejo, Cristiano Quintini, Charles Miller, John Fung, Eren Berber
BACKGROUND: Parenchymal transection(PT) still remains a challenge in liver resection. The outcomes of the first experience of a novel vessel-sealer for hepatic transection were assessed. METHODS: A bipolar articulating vessel-sealer (Caiman® , Aesculap Inc., Center Valley, PA) was used in 100 liver resections through both open (OLR) and laparoscopic (LLR) approaches. All data were prospectively collected into an IRB-approved department database, and clinical, surgical and perioperative parameters were analyzed...
April 13, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29653059/re-in-pursuit-of-the-most-cost-effective-pediatric-laparoscopic-appendectomy-the-effect-of-disposable-instrument-choice-on-operative-time-and-surgeon-controllable-cost-j-laparoendosc-adv-surg-tech-a-2017-27-1309-1313
#2
Ralf-Bodobs Trö
No abstract text is available yet for this article.
April 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29649837/-cost-effectiveness-and-cost-utility-analyses-of-antireflux-medicine
#3
Ines Gockel, Undine Gabriele Lange, Olaf Schürmann, Boris Jansen-Winkeln, Rainer Sibbel, Orestis Lyros, Nikolaus von Dercks
INTRODUCTION: Laparoscopic antireflux surgery and medical therapy with proton pump inhibitors are gold standards of gastroesophageal reflux treatment. On account of limited resources and increasing healthcare needs and costs, in this analysis, not only optimal medical results, but also superiority in health economics of these 2 methods are evaluated. METHODS: We performed an electronic literature survey in MEDLINE, PubMed, Cochrane Library, ISRCTN (International Standard Randomization Controlled Trial Number) as well as in the NHS Economic Evaluation Database, including studies published until 1/2017...
April 12, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29629353/comparison-of-surgical-outcomes-of-intracorporeal-hepaticojejunostomy-in-the-excision-of-choledochal-cysts-using-laparoscopic-versus-robot-techniques
#4
Hongeun Lee, Wooil Kwon, Youngmin Han, Jae Ri Kim, Sun-Whe Kim, Jin-Young Jang
Purpose: Increasing surgical expertise in minimally invasive surgery has allowed laparoscopic surgery to be performed in many abdominal surgeries. Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy are challenging and sophisticated surgeries because of the difficult anastomosis. Recent advances in robotic surgery have enabled more delicate and precise movements, and Endowrist instruments allow for securing sutures during anastomosis. This study aimed to compare surgical outcomes of laparoscopic and robotic hepaticojejunostomy in choledochal cyst excision...
April 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29628601/i-gel%C3%A2-may-be-the-device-of-choice-for-controlled-ventilation-in-patients-with-hemophilia-undergoing-abdominal-laparoscopic-surgery
#5
Sreyashi Sen, Koel Mitra, Shanta Ganguli, Sudakshina Mukherji
Haemophilia is an inherited bleeding disorder with variable deficiency of Factor VIII in the plasma and is characterised by bleeding into joints, muscles and tissues either spontaneously or in response to trivial trauma. Perioperative care requires multidisciplinary involvement. Perioperative management involves the risk of excessive bleeding from surgical site as well as spontaneous bleeding into the brain in response to surgical stress in patients with previous history of intracerebral haemorrhage. Airway management of such patients during anaesthetic intervention is a challenge and entails the risk of life threatening haemorrhage into the airway...
January 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29626708/ureteral-injuries-during-different-types-of-hysterecomy-a-7-year-series-at-a-single-university-center
#6
Matija Barbic, Kalina Telenta, Marco Noventa, Mija Blaganje
OBJECTIVES: Accidental ureteral injury with gynaecologic surgery, especially hysterectomy, represents a high risk of patient morbidity. The incidence may vary from centre to centre. As the introduction of new minimally invasive surgical techniques and instruments may have affected the incidence of ureteral injury, we de novo analysed the incidence data for the last seven years. STUDY DESIGN: Incidence of ureteral injury was analysed stratifying the data according to the type of hysterectomy (n = 3071)...
March 23, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29616866/changes-in-abdominal-wall-thickness-during-laparoscopy-implications-for-the-use-of-magnetic-assisted-surgery
#7
Noam Shussman, Liat Appelbaum, Gad Marom, Lisandro Luques, Ram Elazary, Mahmoud Abu-Gazala, Alon J Pikarsky, Yoav Mintz
INTRODUCTION: Recently, magnetic solutions have been proposed to minimize surgical invasiveness. These are comprised of deployable instruments containing magnets which are inserted into the abdominal cavity through a single access point. The manipulation of the internal elements occurs via magnets held on the external surface of the abdominal wall. This technology relies on the magnetic force between the magnets, which is inversely related to the abdominal wall thickness (AWT). The aim of this study was to establish the expected change in AWT from before and after initiation of pneumoperitoneum...
April 4, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29611045/sages-mini-med-school-inspiring-high-school-students-through-exposure-to-the-field-of-surgery
#8
James C Rosser, Timothy B Legare, Charles Jacobs, Katherine M Choi, Jeffrey P Fleming, Jamie Nakagiri
OBJECTIVE: The SAGES Mini Med School (SMMS) was designed to expose high school students to the field of surgery through mentoring, knowledge transfer, and hands-on experience with simulation. The objective of this paper is to profile the evolutionary development, performance metrics, and satisfaction queries of this innovative effort. METHODS: Sixty-one high school students, grades 9-12, took part in the (SMMS) program during the 2015 SAGES Annual Congress. The students completed a surgical skills lab session where they attempted tasks associated with the development of open surgical and laparoscopic skills...
April 2, 2018: Surgical Endoscopy
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/29602989/an-in-vivo-analysis-of-safe-laparoscopic-grasping-thresholds-for-colorectal-surgery
#10
Jenifer Barrie, Louise Russell, Adrian J Hood, David G Jayne, Anne Neville, Peter R Culmer
BACKGROUND: Analysis of safe laparoscopic grasping thresholds for the colon has not been performed. This study aimed to analyse tissue damage thresholds when the colon is grasped laparoscopically, correlating histological changes to mechanical compressive forces. METHODS: An instrumented laparoscopic grasper was used to measure the forces applied to porcine colon, with data captured and plotted as a force-time (f-t) curve. Haematoxylin and eosin histochemistry of tissue subjected to 10, 20, 40, 50 and 70 N for 5, 30 and 60 s was performed, and the area of colonic circular and longitudinal muscle was compared in grasped and un-grasped regions...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29601079/relationship-between-intraoperative-non-technical-performance-and-technical-events-in-bariatric-surgery
#11
A B Fecso, S S Kuzulugil, C Babaoglu, A B Bener, T P Grantcharov
BACKGROUND: The operating theatre is a unique environment with complex team interactions, where technical and non-technical performance affect patient outcomes. The correlation between technical and non-technical performance, however, remains underinvestigated. The purpose of this study was to explore these interactions in the operating theatre. METHODS: A prospective single-centre observational study was conducted at a tertiary academic medical centre. One surgeon and three fellows participated as main operators...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29594001/urinary-ascites-in-late-onset-of-bladder-injury-post-laparoscopic-hysterectomy
#12
Josette C Dawkins, Gregory K Lewis, Benjamin Christensen, Morris Wortman
Urinary tract injuries are unfortunate complications of pelvic surgery. With the increasing popularity of minimally invasive surgery, a thorough understanding of electrosurgical instrumentation and their thermal spread is important to reduce patient injuries. The index patient was a 50 year old woman who underwent a supracervical hysterectomy 5 years prior to her presentation with pelvic pain and dysuria. When her symptoms failed to improve despite antibiotic and analgesic therapy, an abdominal CT scan revealed an ovarian cyst and ascites...
October 2017: Case Reports in Women's Health
https://www.readbyqxmd.com/read/29589115/alternative-laparoscopic-intracorporeal-pringle-maneuver-by-huang-s-loop
#13
Jian-Wei Huang, Wen-Lung Su, Shen-Nien Wang
AIM: This paper aims to describe an intracorporeal tourniquet method for laparoscopic Pringle maneuver (PM). METHODS: One shortened Foley tube with side-hole on the tip was put into the abdomen. Then, the tail was pulled out through the side-hole to make a loop to encircle porta hepatis for inflow control. RESULT: It is easy to keep the tension by a metallic clip, and when released, the clip can be removed and the loop loosened. CONCLUSION: Therefore, PM could be performed inside the abdomen without special instrument nor extra trocar port...
March 27, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29581684/robotic-pancreaticoduodenectomy-single-surgeon-initial-experience
#14
Mingjun Wang, Yunqiang Cai, Yongbin Li, Bing Peng
Minimally invasive surgery has gained increasing acceptance over the last few years, which has expanded to pancreaticoduodenectomy. Laparoscopic pancreaticoduodenectomy has been determined to be a feasible, safe, and effective procedure in an experienced surgeon's hands, but the adaptations to the clumsy instruments are needed. The improved dexterity of the Da Vinci robotic system provides a good opportunity to perform this challenging procedure in the minimally invasive context. The aim of this study was to share our preliminary experience of totally robotic pancreaticoduodenectomy...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29578907/technical-performance-as-a-predictor-of-clinical-outcomes-in-laparoscopic-gastric-cancer-surgery
#15
Andras B Fecso, Junaid A Bhatti, Peter K Stotland, Fayez A Quereshy, Teodor P Grantcharov
OBJECTIVE: The purpose of this study was to evaluate the relationship between technical performance and patient outcomes in laparoscopic gastric cancer surgery. BACKGROUND: Laparoscopic gastrectomy for cancer is an advanced procedure with high rate of postoperative morbidity and mortality. Many variables including patient, disease, and perioperative management factors have been shown to impact postoperative outcomes; however, the role of surgical performance is insufficiently investigated...
March 23, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29577211/-transanal-total-mesorectal-excision-for-low-rectal-cancer-pros-and-cons
#16
Keller Deborah S, Steele Scott R
Colorectal cancer is the 3rd most commonly diagnosed cancer, with rectal cancer specifically accounting for 1/3 of new cases. Despite advances in care, there is still a lack of standardization in diagnosis, staging, and treatment, with associated high rates of positive margins, recurrence, and mortality. The gold standard for curative resection remains a total mesorectal excision(TME), and the quality of the TME is one of the most important prognostic factors for local recurrence. The proper TME specimen with negative resection margins is inherently challenging due to patient and tumour-related factors...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29577170/robotic-rectal-cancer-surgery-in-obese-patients-may-lead-to-better-short-term-outcomes-when-compared-to-laparoscopy-a-comparative-propensity-scored-match-study
#17
Sofoklis Panteleimonitis, Oliver Pickering, Hassan Abbas, Mick Harper, Ngianga Kandala, Nuno Figueiredo, Tahseen Qureshi, Amjad Parvaiz
PURPOSE: Laparoscopic rectal surgery in obese patients is technically challenging. The technological advantages of robotic instruments can help overcome some of those challenges, but whether this translates to superior short-term outcomes is largely unknown. The aim of this study is to compare the short-term surgical outcomes of obese (BMI ≥ 30) robotic and laparoscopic rectal cancer surgery patients. METHODS: All consecutive obese patients receiving laparoscopic and robotic rectal cancer resection surgery from three centres, two from the UK and one from Portugal, between 2006 and 2017 were identified from prospectively collated databases...
March 25, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29573597/laparoscopic-roux-en-y-gastric-bypass-in-a-patient-with-situs-inversus-totalis-case-report-technical-tips-and-review-of-the-literature
#18
Abdelaziz Atwez, Zeid Keilani
INTRODUCTION: Laparoscopic Roux-en-Y gastric bypass (LRYGB) has proven over the years to be one of the most effective bariatric procedures. It is highly technical, and therefore is mostly performed by bariatric and metabolic surgeons. Although Situs Inversus Totalis (SIT) is a very rare congenital condition, surgeons do occasionally have to operate intra-abdominally on those patients, consequently facing some challenges related to the unusual anatomy. CASE PRESENTATION: We describe a rare case of LRYGB for chronic morbid obesity on a 43 year old patient with pre-operative diagnosis of situs inversus totalis without Kartagener's syndrome, using slight modification from the usual technique based on anatomical correlation without the need to change the surgeon's position or switching trocar placements as described in previous papers...
March 15, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29571551/computed-tomography-of-internal-hernias-following-laparoscopic-roux-en-y-gastric-bypass-surgery
#19
Yoan K Kagoma, Gabriela Gayer
Internal hernia in the postoperative laparoscopic Roux-en-Y patient is a diagnosis associated with significant morbidity and risk of death. The radiologist plays an instrumental role in workup of this patient group; however, the imaging assessment of these patients is not straightforward given their complex postsurgical anatomy. Multiple radiologic signs of internal hernia have been studied in the literature. This review article presents these signs with representative cases as well as a summary of their diagnostic accuracy...
April 2018: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/29554323/intraoperative-nerve-monitoring-in-robotic-assisted-resection-of-presacral-ganglioneuroma-operative-technique
#20
Tomas Garzon-Muvdi, Allan Belzberg, Mohamad E Allaf, Jean-Paul Wolinsky
BACKGROUND: Robotic-assisted techniques have been implemented in the surgical treatment of tumors in the pelvis, abdomen, and thorax. In pelvic tumors, robotic-assisted techniques evade the need for sizable surgical exposure, but make stimulation of the nerves of the sacral plexus very difficult. OBJECTIVE: To describe how laparoscopic robotic-assisted surgery can couple with tools such as the nerve stimulator to aid in the resection of presacral masses emanating from the neural elements and potentially improve neurological outcome by preventing inadvertent injury to involved nerves...
March 14, 2018: Operative Neurosurgery (Hagerstown, Md.)
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