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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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https://read.qxmd.com/read/30969195/short-term-and-long-term-outcomes-following-laparoscopic-gastrectomy-for-advanced-gastric-cancer-compared-with-open-gastrectomy
#1
Kazuaki Shibuya, Hideki Kawamura, Shusaku Takahashi, Yosuke Ohno, Nobuki Ichikawa, Tadashi Yoshida, Shigenori Homma, Hiroyuki Ishizu, Masahiro Takahashi, Akinobu Taketomi
INTRODUCTION: To investigate the oncological feasibility and technical safety of laparoscopic gastrectomy with D2 lymphadenectomy for advanced gastric cancer. METHODS: A total of 186 advanced gastric cancer patients treated by gastrectomy with D2 lymphadenectomy were eligible for inclusion including those with invasion into the muscularis propria, subserosa, and serosa without involvement of other organs, and stages N0-2 and M0. We retrospectively compared the short-term and long-term outcomes between laparoscopic gastrectomy and open gastrectomy...
April 8, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30889057/the-first-report-of-laparoscopic-pancreaticoduodenectomy-for-primary-duodenal-carcinoma-in-a-patient-with-situs-inversus-totalis-report-of-a-rare-case
#2
Cheng-Xiang Guo, Wei Chen, Wei-Yun Yao, Guo-Gang Li, Qi Zhang, Yi-Wen Chen, Yao Pan, Yi-Nan Shen, Ting-Bo Liang, Xue-Li Bai
BACKGROUND: Situs inversus (SI) is a rare congenital anomaly characterized by the transposition of thoracic and abdominal viscera. Laparoscopic pancreaticoduodenectomy (LPD) is increasingly used in patients with periampullar and pancreatic carcinomas. For patients with SI, LPD can be more complicated because of reversed anatomy and possible other associated anomalies that have not been expected before surgery. CASE PRESENTATION: A female patient with SI totalis presented with inappetence, vomiting, and weight loss for 2 months...
March 18, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30870314/treatment-of-congenital-gastric-outlet-obstruction-due-to-a-web-a-retrospective-single-center-review
#3
Philipp Gehwolf, Paul Hechenleitner, Murat Sanal, Christoph Profanter, Beatrice Häussler, Bettina Härter
BACKGROUND: Congenital gastric antral web and congenital pyloric atresia are rare reasons of congenital gastric outlet obstruction (CGOO). Depending on the different forms, the symptoms vary from unspecific epigastric pain to nonbilious "projectile" vomiting, ileus and failure to thrive. Throughout the years, many different treatment options are described, like simple surgical dilatation, incision or excision of the membrane, possibly combined with a pyloroplasty. PATIENTS AND METHODS: In this retrospective single-center observation study, we present 9 cases with different kinds of webs leading to CGOO...
March 11, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30870313/risks-of-postendoscopic-retrograde-cholangiopancreatography-pancreatitis-and-hyperamylasemia-after-endoscopic-papillary-balloon-dilation-a-retrospective-analysis
#4
Shan-Shan Liu, Xiao-Hua Chang, Ji-Tao Song, Jing Chen, Ji-Feng Wen, Ying Hu, Qian-Qian Huang, Jing-Ming Guan, Jun Xu
It is currently unclear whether endoscopic papillary balloon dilation (EPBD) is associated with increased severe postendoscopic retrograde cholangiopancreatography pancreatitis (PEP)-related morbidity owing to conflicting reports. This study aimed to investigate whether EPBD increases the risk of PEP and hyperamylasemia. Clinical data of patients with choledocholithiasis, treated at the Second Affiliated Hospital of Harbin Medical University from January 2015 to December 2016 were analyzed. Patients were divided into the EPBD group and endoscopic sphincterotomy (EST)+EPBD group, and their characteristics and PEP and hyperamylasemia incidences were compared...
March 11, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30870312/multimodal-treatment-strategies-for-esophageal-perforation
#5
Massimiliano Mutignani, Lorenzo Dioscoridi, Edoardo Forti, Francesco Pugliese, Angelo Italia, Marcello Cintolo, Alberto Tringali
No abstract text is available yet for this article.
March 11, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30855403/clinical-outcome-and-surgical-technique-of-laparoscopic-posterior-rectopexy-using-the-mesh-with-anti-adhesion-coating
#6
Yasunori Matsuda, Masahiro Nishikawa, Satoshi Nishizawa, Yoshinori Yane, Hokuto Ushijima, Taigo Tokuhara
We herein present an innovative technique of laparoscopic posterior mesh rectopexy (LPMR) for full-thickness rectal prolapse and report the clinical outcomes in our institution. Ten consecutive patients who were treated with our latest LPMR technique using mesh with an anti-adhesion coating from June 2014 to May 2017 were retrospectively analyzed. All patients were women with a mean age of 63.6 years (range, 39 to 82 y). The median operative time and blood loss volume were 197.5 minutes (range, 156 to 285 min) and 0 mL (range, 0 to 152 mL), respectively...
March 6, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30855402/suture-cruroplasty-versus-mesh-hiatal-herniorrhaphy-for-large-hiatal-hernias-hhs-an-updated-meta-analysis-and-systematic-review-of-randomized-controlled-trials
#7
Muhammed A Memon, Manjunath Siddaiah-Subramanya, Rossita M Yunus, Breda Memon, Shahjahan Khan
BACKGROUND: To explore the clinical outcomes, safety and effectiveness of suture cruroplasty versus mesh repair for large hiatal hernias (HHs) by an updated meta-analysis. MATERIAL AND METHODS: Randomized controlled trials evaluating the effects of these 2 treatment modalities were searched from PubMed and other electronic databases between January 1991 and July 2018. The outcome variables analyzed included operating time, complications, recurrence of HH or wrap migration, reoperation, hospital stay and quality of life...
March 6, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30855401/complications-after-endoscopic-stenting-for-malignant-gastric-outlet-obstruction-a-cohort-study
#8
Antonio V Sterpetti, Enrico Fiori, Paolo Sapienza, Antonietta Lamazza
BACKGROUND: Gastric stenting has become a common place in clinical practice. The aim of our study was to evaluate the factors influencing the clinical outcome in patients who received endoscopic stenting for malignant gastric outlet obstruction (GOO). MATERIALS AND METHODS: We prospectively evaluated the clinical course of 87 patients who presented to our attention with malignant GOO. RESULTS: There was neither mortality nor major morbidity after endoscopic stenting...
March 6, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30855400/laparoscopic-anatomic-spiegel-lobectomy-with-the-extrahepatic-glissonean-approach
#9
Shuai Xiang, Yu-Xin Zhang, Song-Shan Chai, Wan-Guang Zhang
BACKGROUND: Laparoscopic Spiegel lobectomy is difficult due to its deep location and being surrounded by gross vessels. Extrahepatic Glissonean pedicle transection method has been proposed by Takasaki during open liver resections. This approach can be successfully performed during laparoscopic anatomic hepatectomy. Here we describe pure laparoscopic Spiegel lobectomy using the extrahepatic Glissonean approach. METHODS: The patient was a 25-year-old male with a background of hepatitis B...
March 6, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30855399/the-influence-of-etoricoxib-on-pain-control-for-laparoscopic-cholecystectomy-a-meta-analysis-of-randomized-controlled-trials
#10
Jin Qiu, Mian Xie, Ronglan Qu
INTRODUCTION: The efficacy of etoricoxib on pain control for laparoscopic cholecystectomy remains controversial. We conduct a systematic review and meta-analysis to explore the impact of etoricoxib on pain intensity after laparoscopic cholecystectomy. MATERIALS AND METHODS: We searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through September 2018 for randomized controlled trials assessing the effect of etoricoxib versus placebo on pain management after laparoscopic cholecystectomy...
March 6, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30839362/clinical-outcome-of-single-port-surgery-in-patients-with-pathologic-t4-colon-cancer
#11
Mitsuyoshi Tei, Masahisa Otsuka, Yozo Suzuki, Hiroki Akamatsu
PURPOSE: The aim of this study was to evaluate the clinical outcomes of single-port surgery (SPS), compared with those of multiport surgery (MPS) in patients with pathologic T4 colon cancer. MATERIALS AND METHODS: A total of 188 patients with proven pathologic T4 colon cancer who underwent laparoscopic surgery from January 2008 to December 2014 were enrolled in this study. These patients were divided into the SPS group (n=94) and the MPS group (n=94). The clinical outcomes were compared between groups...
March 4, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30817696/impact-of-sleep-deprivation-on-surgical-laparoscopic-performance-in-novices-a-computer-based-crossover-study
#12
Svenja Leu, Ralph F Staerkle, Stefan Gaukel, Lukas Fink, Christopher Soll, Davis M Aasen, Kenneth Liechty, Martina Vitz, Leonhard E Ramseier, Raphael N Vuille-Dit-Bille
OBJECTIVE: The 24-hour work shifts are newly permitted to first-year surgical residents in the United States. Whether surgery novices' motor activity is affected by sleep deprivation is controversial. MATERIALS AND METHODS: This study assesses sleep deprivation effects in computer-simulated laparoscopy in 20 surgical novices following 24 hours of sleep deprivation and after resting using a virtual-reality trainer. Participants were randomly assigned to perform simulator tests either well rested or sleep deprived first...
February 25, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30817695/the-impact-of-parecoxib-on-pain-management-for-laparoscopic-cholecystectomy-a-meta-analysis-of-randomized-controlled-trials
#13
Zhifang Luo, Huarong Wang, Dinggui Huang
INTRODUCTION: The efficacy of parecoxib on pain management for laparoscopic cholecystectomy remains controversial. We conducted a systematic review and meta-analysis to explore the impact of parecoxib on pain management after laparoscopic cholecystectomy. MATERIALS AND METHODS: We searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library database results through September 2018 for randomized controlled trials to assess the effect of IV parecoxib versus placebo or noting on pain management after laparoscopic cholecystectomy...
February 25, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30817694/intracorporeal-versus-extracorporeal-anastomosis-for-laparoscopic-resection-of-the-splenic-flexure-colon-cancer-a-multicenter-propensity-score-analysis
#14
Michele Grieco, Diletta Cassini, Domenico Spoletini, Enrica Soligo, Emanuela Grattarola, Gianandrea Baldazzi, Silvio Testa, Massimo Carlini
PURPOSE: The aim of this study is to compare the short and long-term outcomes of intracorporeal anastomosis (IA) versus extracorporeal anastomosis (EA) during laparoscopic resection of splenic flexure for cancer, in 3 high-volume Italian centers. MATERIALS AND METHODS: A retrospective analysis was conducted on a multicenter database of a consecutive series of patients who underwent an elective laparoscopic resection of the splenic flexure for colon cancer in 3 high-volume centers between January 2008 and August 2017...
February 25, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30801391/thoracoscopic-thymectomy-for-large-thymic-cyst-myasthenia-gravis-with-thymoma-concealed-by-thymic-cyst
#15
Motoki Yano, Hiroki Numanami, Takashi Akiyama, Rumiko Taguchi, Chihiro Furuta, Akari Iwakoshi, Masayuki Haniuda
We herein report a case of myasthenia gravis (MG) in which thoracoscopic thymectomy was performed for a large thymic cystic lesion using a subxiphoid approach. We have previously suggested the usefulness of the subxiphoid approach in thymectomy. The indications of thoracoscopic thymectomy were recently expanded to include large thymic cystic lesions without intraoperative rupture of the lesions. The pathologic diagnosis of the lesion in the present case was multilocular thymic cyst with type A thymoma and micronodular thymoma...
February 20, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30801390/prospective-randomized-control-study-on-the-efficiency-and-safety-of-a-novel-port-site-closure-device-the-ez-close-port-site-closure-system
#16
Hee Youn Kim, Seung-Ju Lee
AIM: The efficiency and safety of EZ-close Port-Site Closure System were investigated in comparison with those of the Carter-Thomason CloseSure System (CT) device. METHODS: This was a prospective randomized control study. The primary outcome was the time taken to complete the closure of the port site using either the EZ or CT. The suture time (mean±SD) for the EZ group was significantly less than that of the CT group (36.8±10.1 s for the EZ group vs. 48.9±21...
February 20, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30801389/two-surgeon-model-in-laparoscopic-pancreaticoduodenectomy
#17
Yunqiang Cai, Sirui Chen, Bing Peng
PURPOSE: Laparoscopic pancreaticoduodenectomy (LPD) is one of the most challenging gastrointestinal surgeries. Herein, we propose a new laparoscopic surgical conception called the 2-surgeon model and share our experience in LPD. MATERIALS AND METHODS: We began performing LPD using the 2-surgeon model in October 2015. To December 2017, we have performed 203 cases of LPDs using 2-surgeon model. Data associated with demographic characteristics, operative outcomes, and postoperative results were prospectively collected and analyzed retrospectively...
February 20, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30768495/short-term-results-after-totally-robotic-restorative-total-proctocolectomy-with-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#18
Ismail Hamzaoglu, Bilgi Baca, Eren Esen, Erman Aytac, Volkan Ozben, Afag Aghayeva, Ismail A Bilgin, Tayfun Karahasanoglu
In this study, we aimed to present our initial experience on totally robotic total restorative proctocolectomy in ulcerative colitis (UC) patients. Patients undergoing a totally robotic restorative total proctocolectomy with ileal J-pouch anal anastomosis for UC between January 2015 and November 2017 were included. The da Vinci Xi was used for the operations. Patient demographics, perioperative and short-term operative outcomes were evaluated. Ten patients were included. The median operative time was 380 minutes(range, 300 to 480 min)...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30768494/a-simple-method-of-intracorporeal-w-shaped-liver-retraction-technique-for-minimally-invasive-gastric-cancer-surgery
#19
Chih-Jung Wang, Ying-Jui Chao, Edgar D Sy, Yan-Shen Shan
BACKGROUND: Minimally invasive gastric cancer surgery requires an extended liver retraction in order to provide optimal operative view, working space for lymph node dissection, and esophageojejunal reconstruction. Ideally, it should avoid reposition of the retractor, additional skin incision or puncture, and liver parenchyma injury. Herein, we introduced an intracorporeal W-shaped liver retraction technique (W-LRT) for minimally invasive gastric cancer surgery without an additional incision or abodminal puncture...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30768493/preprocedural-administration-of-simethicone-and-otilonium-bromide-improves-the-quality-of-endoscopic-retrograde-cholangiopancreatography-a-prospective-randomized-trial
#20
Erkan Somuncu, İnanc S Sarici, Yahya K Caliskan, Mustafa U Kalayci
PURPOSE: Endoscopic retrograde cholangiopancreaticography (ERCP) is performed for diagnostic and therapeutic purposes in patients with pancreaticobiliary diseases. We investigated the role of simethicone and concomitant otilonium bromide during ERCP. PATIENTS AND METHODS: This prospective randomized study included 120 patients who underwent ERCP (study and control group=60 patients each). The study group received otilonium bromide and simethicone. The control group received no medication...
February 12, 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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