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Journal of Minimal Access Surgery

Sandeep Aggarwal, Amit Bhambri, Vitish Singla, Nihar Ranjan Dash, Atul Sharma
Mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) is an emerging weight loss surgical procedure. There are serious concerns not only regarding the symptomatic biliary reflux into the stomach and the oesophagus but also the increased risk of malignancy after MGB/OAGB. A 54-year-old male, with a body mass index (BMI) of 46.1 kg/m2 , underwent Robotic MGB at another centre on 22nd June 2016. His pre-operative upper gastrointestinal endoscopy was not done. He lost 58 kg within 18 months after the surgery and attained a BMI of 25...
February 18, 2019: Journal of Minimal Access Surgery
Kishore G S Bharathy, Somyaa Khuller, Somnath Malage, Manoj Kumar, Sadiq S Sikora
Laparoscopic cholecystectomy is one of the most common procedures performed in surgical practice worldwide. Diaphragmatic injury is an extremely rare complication that can occur intraoperatively and needs to be dealt with immediately. This article describes a case report of diaphragmatic injury, technical details of how to deal with this complication and preventive strategies along with a review of literature on the topic.
February 18, 2019: Journal of Minimal Access Surgery
Jie Jiao, Peiming Guo, Sanyuan Hu, Qingsi He, Shaozhuang Liu, Haifeng Han, A Maimaiti, Wenbin Yu
Objective: Lymph node metastasis (LNM) is one of the important prognostic factors of early gastric cancer (EGC). Moreover, LNM is also important when choosing therapeutic intervention for EGC patients. The purpose of this study is to explore the risk factors of LNM in EGC and to discuss the corresponding treatment. Design: We retrospectively reviewed the medical records of 253 patients with EGC who underwent surgical therapy in our department between 2012 and 2015...
February 18, 2019: Journal of Minimal Access Surgery
Mustafa Zafer Temiz, Brusabhanu Nayak, Serdar Aykan, Prabhjot Singh, Aykut Colakerol, Atilla Semercioz, Ahmet Yaser Muslumanoglu
Background: The use of minimally invasive surgical approaches for the repair of retrocaval ureter (RCU) has been increased in time. However, the results of the robotic approach have not yet been compared with those of open or laparoscopic approaches. We aimed to compare the results of laparoscopic and robotic transperitoneal repair of RCU from two centres. Patients and Methods: Initially, we performed a systemic literature search using MEDLINE/PubMed and Google Scholar about the RCU...
February 18, 2019: Journal of Minimal Access Surgery
Elio Treppiedi, Lorenzo Cocchi, Giuseppe Zimmitti, Alberto Manzoni, Valeria Seletti, Alessandra Bizzotto, Cristiano Spada, Marco Garatti, Edoardo Rosso
Adult intussusception of the bowel is a rare clinical entity, and its management remains debated. The timing of treatment is not yet standardised, and no guidelines exist. We report a case of an 83-year-old woman presenting to the emergency department of our hospital with a history of increasing abdominal pain in the right iliac fossa. A contrast-enhanced computed tomography scan showed the presence of a large ileocolic intussusception with evidence of the terminal ileus invaginated within the right colon and the ileocolic vessels dragged and trapped into the intussusception...
February 18, 2019: Journal of Minimal Access Surgery
Simone Guadagni, Niccolò Furbetta, Gregorio Di Franco, Matteo Palmeri, Desirée Gianardi, Matteo Bianchini, Martina Guadagnucci, Luca Pollina, Gianluca Masi, Chiara Cremolini, Alfredo Falcone, Franco Mosca, Giulio Di Candio, Luca Morelli
Background: Although minimally invasive surgery (MIS) of the liver is increasingly widespread, its role in the treatment of colorectal liver metastasis (CRLM) remains uncertain. In this setting, the role of robotic-assisted surgery (RAS) has not been significantly evaluated yet. The aim of this study was to report our experience with RAS for treatment of CRLM. Subjects and Methods: Prospectively collected surgical and oncologic data on all of the robotic-assisted liver resections for CRLM performed at our centre were retrieved from the institutional database and retrospectively analysed...
February 18, 2019: Journal of Minimal Access Surgery
Gaurav V Kulkarni, Dhiraj Premchandani, Akshay Chitnis, Avinash Katara, Deepraj S Bhandarkar
Transmesocolic and transomental hernias (TOHs) are rare types of internal hernia. Both these hernias occurring concurrently in a patient are even rarer. We report a patient with signs of recurrent small-bowel obstruction who was found to have a dual transmesocolic, TOH. Computed tomography imaging and subsequent laparoscopic exploration identified small-bowel loops passing through a defect in the transverse mesocolon behind the stomach to emerge through the gastrohepatic omentum. This was treated successfully by laparoscopy...
February 18, 2019: Journal of Minimal Access Surgery
Harshit Garg, Deviprasad Tiwari, Brusabhanu Nayak, Prabhjot Singh, Siddharth Yadav, Rajeev Kumar, Amlesh Seth, Rishi Nayyar, Premnath Dogra
Background: Nephron-sparing surgery (NSS) is the standard of care for small renal masses whenever feasible. This study aims to evaluate the perioperative outcomes of NSS performed by open (open partial nephrectomy [OPN]) or laparoscopic (laparoscopic PN [LPN]) or robotic (robotic PN [RPN]) approach over the past 6 years and to study the correlation of histopathological grade of renal cell carcinoma with the RENAL score. Materials and Methods: A retrospective analysis of prospectively collected data of all patients who underwent NSS was done...
February 18, 2019: Journal of Minimal Access Surgery
Bhupendra Kumar Jain, Deepti Choudhary
No abstract text is available yet for this article.
February 18, 2019: Journal of Minimal Access Surgery
Awanish Kumar, Ajay Kumar Pal, Anuraag Choudhary, Akshay Anand, Abhinav Arun Sonkar, Harvinder Singh Pahwa
Purpose: Among laparoscopic surgeries in inguinal hernias, totally extraperitoneal (TEP) repair has demonstrated favourable results in reduction of post-operative pain and mean operative times with early return to physical activity. We have done a prospective comparative study on two different techniques of mesh fixation, i.e., transfascial suture and tack fixation. Materials and Methods: It was a prospective, non-randomised comparative study done on inguinal hernia patients operated by TEP repair from October 2014 to September 2016...
February 18, 2019: Journal of Minimal Access Surgery
Sundeep Singh Saluja, Siddharth Srivastava, S Hari Govind, Amol Dahale, Barjesh Chander Sharma, Pramod Kumar Mishra
Background: Studies comparing surgical versus endoscopic drainage of pseudocyst customarily include patients with both acute and chronic pseudocysts and the endoscopic modalities used for drainage are protean. We compared the outcomes following endoscopic cystogastrostomy (ECG) and surgical cystogastrostomy (SCG) in patients with acute pseudocyst. Methods: Seventy-three patients with acute pseudocyst requiring drainage from 2011 to 2014 were analysed (18 patients excluded: transpapillary drainage n = 15; cystojejunostomy n = 3)...
February 18, 2019: Journal of Minimal Access Surgery
Tsung-Kun Chang, Ching-Wen Huang, Cheng-Jen Ma, Wei-Chih Su, Hsiang-Lin Tsai, Jaw-Yuan Wang
Gastric ectopic pancreas presenting as a submucosal tumour accounts for approximately 11% of all endoscopic ultrasonography (EUS) examinations. Definitive diagnosis through endoscopy is difficult, even with EUS-guided fine-needle aspiration biopsy for histological examination. For symptomatic patients or those with uncertain diagnosis, complete surgical resection is the primary strategy for treatment and diagnosis. Herein, we report a case of gastric ectopic pancreas treated using robotic surgery.
February 18, 2019: Journal of Minimal Access Surgery
Diego Laurentino Lima, Raquel Nogueira Cordeiro, Gustavo Lopes Carvalho, Flavio Malcher
Engagement with social media is increasing within medical professionals. There are many different platforms, such as Facebook, Instagram, Whatsapp, Twitter, Telegram, and so on. Social media is a new and important tool for surgical education. More and more surgeons are joining restricted groups to discuss surgical techniques, manuscripts, etc in a daily basis. It is important that residents and surgeons have a very critical opinion about what they look online. Not everything is good or feasible.
January 4, 2019: Journal of Minimal Access Surgery
Tejas Nikumbh, Ajay Bhandarwar, Shubhangi Sanap, Gajanan Wagholikar
Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. An early laparoscopic intervention to perform a sub-total cholecystectomy with drain placement is enough to treat both cholecystitis and liver abscess in a definitive manner...
January 4, 2019: Journal of Minimal Access Surgery
Gyan Chand, Goonj Johri
Extracervical, scarless in-the-neck endoscopic thyroidectomy (SET) is a relatively new offshoot of minimal access neck surgery which is gaining popularity rapidly. Among all the approaches described, hybrid approaches such as axillary-breast and bilateral axillo-breast (BABA) are most practiced world over. We have performed more than 130 cases of SET using various approaches (ABA, BABA and transoral vestibular approach). We find BABA most suitable for patients who present with larger goitres (≥6cm), toxic glands or low-grade thyroid cancers and are desirous of SET...
January 4, 2019: Journal of Minimal Access Surgery
Shashikant Verma, Vikesh Agrawal, Himanshu Acharya, Dhananjaya Sharma
Introduction: Laparoscopic herniotomy (LH) for hydrocele is an accepted procedure and provides advantages of contralateral diagnosis and repair with the same incisions. The suturing of patent processus vaginalis is associated with various complications. We describe suture-less herniotomy using tissue-sealing device for LH of hydrocele in children. Materials and Methods: The study was carried out on a prospective group of 21 children presenting with hydrocele after 1 year age over a period of 2 years...
January 4, 2019: Journal of Minimal Access Surgery
Bhushan Chittawadagi, Palanisamy Senthilnathan, Samrat V Jankar, Sandeep C Sabnis, Ramakrishnan Parthasarathi, Chinnusamy Palanivelu
Background: Annular pancreas is a rare, congenital, rotational anomaly of pancreas, seen usually in newborns who present with features of duodenal obstruction. However, in adults, only 24% of cases are present with duodenal obstruction. Surgery remains the procedure of choice in patients in whom symptoms can be attributed to duodenal obstruction and the goal of surgery is to relieve obstruction by bypassing the annulus. Laparoscopic Roux en Y duodenostomy (DJ) is our preferred bypass approach for this condition...
January 4, 2019: Journal of Minimal Access Surgery
Zhu Jie, Zheng Siming, Zhang Xuechang, Wang Xiancheng
In laparoscopic cholecystectomy (LC), the anatomical variation of gallbladder canal should be noted. Bile duct injury is one of the most serious complications of LC, which might lead to serious complications. This case because of an intraoperative accidental cut to right anterior inferior lobe bile duct which joins to the cystic duct, after confirming by intraoperative magnetic resonance imaging-guided real-time three-dimensional bile duct reconstruction and performing end-to-end anastomosis of the right anterior inferior lobe bile duct and the gallbladder tube under laparoscopy, the patient was discharged 5 days after surgery, was followed up for 4 months and was disease-free...
January 4, 2019: Journal of Minimal Access Surgery
Varun Madaan, G K Adithya, Satya Prakash Jindal, Rigved Gupta, Vivek Tandon, Deepak Govil
Laparoscopic cholecystectomy has many known complications which can be ascertained to a particular cause. We report a case of ascites development in a young female immediately after Laparoscopic cholecystectomy, for which a cause cannot be found. On review of medical literature, there are few similar case reports, based on them; it can be ascertained to acute allergic reaction to the material used during the procedure may be the CO2 or the electrocautery.
January 4, 2019: Journal of Minimal Access Surgery
Sala Abdalla, Tayo Oke
A Meckel's diverticulum (MD) is a congenital abnormality of the gastrointestinal tract which is estimated to be present in 2% of the population. Gastrointestinal stromal tumours (GISTs) are rare, soft-tissue tumours which represent 0.1%-3% of all gastrointestinal tumours. The association of an MD and a GIST is extremely unusual since fewer than 3% of MD harbour primary neoplasms and most of these neoplasms are carcinoid tumours. While MDs may remain asymptomatic throughout life, a small proportion may be complicated by occult gastrointestinal bleeding, inflammation, perforation and small bowel obstruction...
January 4, 2019: Journal of Minimal Access Surgery
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