Journals Journal of Laparoendoscopic & ...

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Vvs Chandrasekharam
Background: Available reports regarding the technical factors for successful endoscopic treatment (ET) of vesicoureteric reflux (VUR) using dextranomer/hyaluronic acid copolymer are inconclusive. We studied single-surgeon data to evaluate the association of injected volume and surgeon experience with success after ET for VUR. Materials and Methods: Fifty-eight children (87 ureters) with grades 2-4 primary VUR were included. Success was defined as complete resolution of reflux on follow-up imaging. Volume of injection between success and failed groups was analyzed; volume of injection was further studied using receiver operating characteristic curve (ROC) analysis...
October 27, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Wendy Jo Svetanoff, Charlene Dekonenko, Kayla B Briggs, James Fraser, Tolulope A Oyetunji, Shawn D St Peter
Introduction: Minimal esophageal mobilization during laparoscopic fundoplication decreases the rate of wrap transmigration, and previous study has shown that placement of esophageal-crural sutures does not offer any advantages in preventing wrap migration. Our aim was to determine the need for posterior crural sutures during laparoscopic fundoplication. Methods: This was a retrospective review of patients >1 month old who underwent a primary laparoscopic fundoplication from 2010 to 2019. Demographic, surgical, and outcome data were recorded...
October 27, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jeffrey W Milsom, Koianka Trencheva, Farida Gadalla, Sharon Abramovitz, Kelly A Garrett
Background: Rectal prolapse (RP) is primarily a disease of the elderly, where treatment may be associated with significant postoperative morbidity including that related to anesthesia. Objective: The aim of this study was to evaluate the safety and feasibility of a novel abdominal approach to RP repair under sedation and local anesthesia and to assess short- and long-term clinical outcomes in elderly patients (>70 years). Design Settings: This is a prospective pilot study with 10 patients using a novel RP repair...
October 21, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Xiaoming Yang, Jing Wang, Yiwei Wang, Qiong Fan, Yuhong Li, Yudong Wang
Background: To introduce the surgical procedure based on special space anatomy that can safely and efficiently complete the dissociation of the ureter and uterine artery during laparoscopic radical trachelectomy with uterine artery preservation. Methods: We introduce the key technique elements of this surgical procedure using a patient we treated as an example. A 27-year-old patient was diagnosed as well-differentiated cervical adenocarcinoma, stage IB1, and had a strong desire for future fertility. Laparoscopic radical trachelectomy with uterine artery preservation was performed in this patient by using this new surgical technique based on space anatomy...
October 21, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Tetsuya Ishimaru, Takahiro Hosokawa, Hiroshi Kawashima, Kentaro Hayashi, Shohei Takayama, Kanako Omata, Yohei Sanmoto, Takumi Gohara
Aim: To clarify the characteristics of patients with rectal prolapse after laparoscopically assisted anorectoplasty (LAARP), estimate the causes, and evaluate its impact on postoperative bowel function. Methods: The medical records of patients who underwent LAARP for high- or intermediate-type anorectal malformation between 2000 and 2019 were retrospectively reviewed. Clinical data were compared between patients with (Group P) and without prolapse (normal, Group N). Fecal continence was evaluated using the clinical assessment score for fecal continence developed by the Japanese Study Group of Anorectal Anomalies...
October 21, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Wael Y Khoder, Markus Grabbert, August Sigle, Sophie Astheimer, Stefan Vallo, Christian Gratzke
Background: To evaluate the indication and benefit of minimally invasive laparoscopic marsupialization (MIS) of symptomatic giant renal cysts. Materials and Methods: Sixty-four consecutive patients who underwent MIS for large renal cysts (Bosniak I; 4 × 5-16 × 12 cm) by one surgeon were included in the study. Presenting symptoms were renal pain (100%), associated with hypertension (28%), renal dysfunction (4.7%), hematuria (4.7%), ureteropelvic junction obstruction (UPJO) (7.8%), ipsilateral urolithiasis (4...
October 19, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Raimundas Lunevicius, Juanita A Haagsma
Introduction: Data on subtotal cholecystectomy (STC) as an alternative to conventional cholecystectomy in difficult surgical situations are limited. This multiaspectual report aims to reduce the STC-specific knowledge gap and inform clinical decision-making strategies. Materials and Methods: All 180 patients who underwent STC at a single center between 2011 and 2017 were assessed in this retrospective cohort study. Their outcomes were followed up until March 23, 2018. Six subgroups stratified by surgical setting (elective/nonelective), surgical approach used (open/laparoscopic), and type of STC (reconstituting/fenestrating) were compared...
October 16, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Paolo Ossola, Federico Mascioli, Diego Coletta, Marco Bononi
Background: Surgery, with the aid of chemotherapy and radiotherapy, is the only curative chance for gastric cancer. Unfortunately, gastric cancer had an elevated recurrence rate, primarily locally. Mesogastrium excision (MGE) during D2 lymphadenectomy has the aim to remove all possible contaminated tissue around the stomach. Methods: PubMed, EMBASE, and the Web of Science (WOS) were systematically searched for MGE reports in gastric cancer up to March 2020. The outcome reported were the number of lymph nodes retrieved, operative time (OT), overall morbidity, intra- and postoperative complications, conversion rate, and length of hospital stay...
October 14, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jeremy D Richmon
Background: The transoral endoscopic approach to the central neck has rapidly become one of the most widely utilized remote-access approaches for thyroid and parathyroid surgery in the world. The approach involves three small incisions inside the lower lip and has an optimal cosmetic outcome with no visible scar. However, the technique is quite difficult and poses several challenges that limit its widespread adoption. To overcome these issues, a novel lateral vestibular approach (LaVA) was explored in cadavers...
October 9, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Kang Xu, Yulin Liu, Peng Yu, Wei Shang, Yongbo Zhang, Mingwen Jiao, Zhonghui Cui, Lijian Xia, Jingbo Chen
Background: Radical surgery is recommended for high-risk pathological stage T1 (pT1) or pT2 rectal cancer after transanal endoscopic microsurgery (TEM). However, in clinical practice, many patients may unfit or decline radical surgery. In recent years, adjuvant chemoradiotherapy (CRT) after TEM was considered as an alternative to radical surgery for these patients. This study aimed to assess oncological outcomes of adjuvant CRT after TEM for high-risk early rectal cancer. Materials and Methods: We collected retrospectively data of 97 patients who underwent TEM with pT1 and pT2 between January 2008 and December 2018...
October 7, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Hailong Luo, Haolong Zhang, Jianming Sun, Yikuan Chen, Xiaotong Qi, Haiyang Wang, Bo Tang
Background: Giant inguinal hernia (GIH) is a rare disease but it can cause serious complications, such as intestinal obstruction and strangulation. Few studies have explored surgical treatment with respect to the transabdominal preperitoneal (TAPP) approach or measures to reduce the occurrence of postoperative seroma. Purpose: To investigate the safety and efficacy of the TAPP approach with negative pressure drainage in GIHs. Methods: From January 2017 to December 2019, 32 patients who underwent TAPP procedures with negative pressure drainage for GIHs at our hospital were reviewed...
October 6, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Mariano Eduardo Giménez, Alain Garcia Vazquez, Carlos Federico Davrieux, Juan M Verde, Edgardo Serra, Mariano Palermo, Eduardo Javier Houghton, Bernard Dallemagne, Silvana Perretta, Pablo Agustín Acquafresca, Michele Diana, Jacques Marescaux
Background: Malignant or benign biliary obstructions can be successfully managed with minimally invasive percutaneous interventions. Since percutaneous approaches are challenging, extensive training using relevant models is fundamental to improve the proficiency of percutaneous physicians. The aim of this experimental study was to develop an in vivo training model in pigs to simulate bile duct dilatation to be used during percutaneous biliary interventions. Materials and Methods: Twenty-eight large white pigs were involved and procedures were performed in an experimental hybrid operating room...
September 29, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Nripesh Rajbhandari, Banira Karki, Laura C Guglielmetti, Raphael N Vuille-Dit-Bille
Background: Single-port, laparoscopic, needle-assisted, inguinal hernia repair (LNAR) in children intends to reduce surgical trauma and enables contralateral assessment and closure of contralateral patent processus vaginalis if necessary. The aim of the present study was to demonstrate that laparoscopic inguinal repair can be performed safely and cost-effectively in a developing country where laparoscopy is not yet commonly used. Methods: In this single-center study, we included all children undergoing LNAR between January 2017 and December 2018...
September 28, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Muhammad Abdelhafez Mahmoud, Mohammad Alsayed Daboos, Ahmed Said Sayed Bayoumi, Ahmed Abdelgaffar Helal, Mohamed Shahin, Khaled Zamel Aldaraan, Mohamed Hany Hassab
Background: Urethral catheterization is very common, considered a minor procedure done by physicians and well-trained nurses. However, in some traumatic or congenital cases, male catheterization is problematic. A multitude of techniques are available and still can utilize the natural urethral opening to manage this distressing situation. Among these techniques, cystoscopic-assisted retrograde catheterization and railroad techniques are reliable options. This article aimed to document application and to evaluate outcomes of both techniques for problematic male urethral catheterization...
September 23, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Cristobal Abello, Maria Florencia Varela, Marc Oria, Tomas Molinari, Jose L Peiro
Introduction: Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has become a popular approach and several benefits have been published. Patch closure requires demanding thoracoscopic skills and therefore primary closure with tight sutures is often pursued, which increases the risk of recurrence. The purpose of this study was to create and assess the performance of a new technique for thoracoscopic repair of CDH, which facilitates the surgical procedure. Materials and Methods: An innovative system for thoracoscopic repair of CDH with a novel patch was developed...
September 22, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Sophia M Schmitz, Patrick H Alizai, Roman M Eickhoff, Lena Schooren, Andreas Kroh, Anjali A Roeth, Ulf P Neumann, Christian D Klink
Background and Objectives: There are two operative approaches for adenocarcinomas of the esophagogastric junction: thoracoabdominal esophagectomy or transhiatal extended gastrectomy. Both procedures can be performed minimally invasively. Dependent on the exact localization of the tumor, both approaches are feasible. Aim of this study was to compare the health-related quality of life (HRQOL) of patients after minimally invasive esophagectomy (MIE) with patients who underwent minimally invasive gastrectomy (MIG)...
September 22, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Carlos Federico Davrieux, Mariano Palermo, Edgardo Serra, Pablo Acquafresca, Mariano E Giménez
Background: Bariatric surgery is an effective treatment for obesity and its associated morbidities. They are safe surgeries, their general complication rate is 0%-10%. However, acute gastric dilation is an unusual complication. It requires rapid diagnosis and treatment to avoid major complications. Image-guided surgery represents a group of minimally invasive procedures. Acute gastric dilation is a complication that can benefit from the application of this type of procedure. We present a report of patients with acute gastric dilation of the remnant as a complication after bariatric surgery, its resolution through image-guided surgery, and updating...
September 22, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Bing Wang, Lianghui Shi, Weihua Fu, Tong Liu
Objective: To evaluate rates of postoperative infection in patients with acute purulent appendicitis or gangrenous perforated appendicitis after laparoscopic appendectomy (LA). Methods: In this retrospective cohort study the medical records of patients who had undergone LA for acute appendicitis at Yijishan Hospital of Wannan Medical College between January 2015 and December 2019 were reviewed. The patients were divided into 2 groups based on the sequential order in which peritoneal irrigation, suction, and extraction of appendix had been performed...
September 22, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Anthony I Squillaro, Katherine Sanders, Chinwendu Onwubiko, Cindy J Chang, Sunghoon Kim
Background: Slipping rib syndrome (SRS) is an often unrecognized cause of lower chest and upper abdominal pain in children and adolescents. Surgical resection of the cartilaginous portions of the slipping rib often provides permanent pain relief, with the standard surgical approach being an open resection. A minimally invasive approach has not been reported previously; we report a novel laparoscopic technique for the treatment of SRS with satisfactory results. Materials and Methods: A retrospective review of all consecutive pediatric patients who underwent laparoscopic cartilage resection during the year 2019 and open cartilage resection during the year 2018 was included...
September 21, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
David Nocca, Marius Nedelcu, Marcelo Loureiro, Mariano Palermo, Martha Silvestri, Audrey de Jong, Almino Ramos
Background: Laparoscopic sleeve gastrectomy (LSG) is currently the most performed bariatric procedure worldwide. We have developed a modification to the usual surgical technique of LSG by adding a Nissen fundoplication. Objectives: Provide the technical details of this new bariatric procedure. Materials and Methods: The first step of the N-sleeve technique involves dissection and reduction within the abdominal cavity of a possible hiatal hernia and closure of the hiatal orifice. A short 3 cm Nissen valve is created to maintain a gastric fundus as small and functional as possible...
September 21, 2020: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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