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Asian Journal of Endoscopic Surgery

Yuji Ishibashi, Shinichi Oka, Satoshi Kanda, Yukinori Yube, Yoshinori Kohira, Sanae Kaji, Hiroki Egawa, Wu Jianzhong, Shun Zhang, Tetsu Fukunaga
INTRODUCTION: A transorally inserted anvil has been developed to facilitate the creation of a stapled anastomosis without the need for a purse string to secure the anvil into place during laparoscopic total gastrectomy (LTG). We describe a hemi-double stapling technique and application of a transorally inserted anvil for esophagojejunostomy during LTG, and we report the results of a retrospective study in which we examined the feasibility and safety of this method. We also describe the key technical details of the method...
May 16, 2019: Asian Journal of Endoscopic Surgery
Shun-Yan B Chan
INTRODUCTION: This study presents the initial results of a transfascial suture mesh fixation technique. This method was devised to reduce operative costs and foreign body-associated risks while embracing the benefits of fixation in laparoscopic inguinal hernia repair. MATERIALS AND SURGICAL TECHNIQUE: Patients undergoing laparoscopic inguinal hernia repair with transfascial suture fixation (TRANSFIX) in our center between March 2017 and March 2018 were retrospectively reviewed...
May 16, 2019: Asian Journal of Endoscopic Surgery
Junfeng Yang, Zirui He, Sen Zhang, Xuan Zhao, Jing Sun, Zhihai Mao
INTRODUCTION: Our aim was to introduce a simple way of making a self-releasing biliary stent for laparoscopic common biliary duct exploration. METHODS: To make a self-releasing biliary stent, an absorbable thread was sutured to a J-shape polyurethane biliary stent. After the evacuation of the calculi, a guide wire was placed into the duodenum antegradely, facilitating the insertion of the biliary stent. The pigtail of the stent was left in the duodenum. The choledochotomy was then sutured, with the absorbable thread left outside the bile duct...
May 9, 2019: Asian Journal of Endoscopic Surgery
Chie Tanaka, Mitsuro Kanda, Kohei Funasaka, Ryoji Miyahara, Kenta Murotani, Yuri Tanaka, Shigeomi Takeda, Daisuke Kobayashi, Yoshiki Hirooka, Michitaka Fujiwara, Hidemi Goto, Yasuhiro Kodera
INTRODUCTION: In laparoscopic gastrectomy, a method to locate the margin of an early-stage cancerous lesion that is invisible from the serosal surface and impalpable during laparoscopic procedures is needed to determine an appropriate transection line. We conducted a prospective study to develop a new marking method using preoperative submucosal injection of indocyanine green (ICG). METHODS: Patients undergoing laparoscopic gastrectomy for T1 gastric cancer were recruited...
May 8, 2019: Asian Journal of Endoscopic Surgery
Ryota Matsuki, Takeaki Ishizawa, Akio Saiura
No abstract text is available yet for this article.
May 7, 2019: Asian Journal of Endoscopic Surgery
Indalecio Cano Novillo, Belén Aneiros Castro, Jorge Godoy Lenz, Maria Consuela Puentes Rivera, Araceli García Vázquez, Cecilia Moreno Zegarra
INTRODUCTION: Improvements in technology and health care have helped reduce morbidity and mortality in patients with esophageal atresia. However, postoperative complications such as dehiscences, strictures, and recurrent fistulas still occur in a large percentage of patients. Here, we present our initial experience using the thoracoscopic approach for complications after esophageal atresia repair. METHODS: We retrospectively analyzed the medical records of patients who developed complications after esophageal atresia repair and underwent thoracoscopic reoperation at two centers...
May 7, 2019: Asian Journal of Endoscopic Surgery
Z H Liu, J W Liu, Fion Sy Chan, Michael Kw Li, Joe Km Fan
INTRODUCTION: Laparoscopic colorectal resection is becoming the gold standard for treating colorectal cancers because it offers superior short-term and comparable long-time outcomes compared to open surgery. Intraoperative colonoscopy (IOC) is increasingly performed for tumor localization and mucosal assessment. The aim of this report was to review the safety and efficacy of IOC in laparoscopic colorectal surgery. METHOD: A MEDLINE search of studies of IOC in laparoscopic colorectal surgery was performed...
April 17, 2019: Asian Journal of Endoscopic Surgery
Shin-Hoo Park, Yun-Suhk Suh, Ji-Ho Park, Tae-Han Kim, Young-Gil Son, Yeon-Ju Huh, Yumi Kim, Han-Byoel Lee, Seong-Ho Kong, Hyuk-Joon Lee, Wonshik Han, Han-Kwang Yang
BACKGROUND: Near-infrared (NIR) imaging with indocyanine green (ICG)-enhanced fluorescence is widely used in laparoscopic surgery. This study aimed to evaluate this technique's feasibility and usefulness in intraoperatively assessing vascular perfusion in a laparoscopically harvested omental flap. MATERIALS AND SURGICAL TECHNIQUES: From March 2015 to February 2016, we prospectively evaluated patients undergoing breast cancer surgery followed by immediate breast reconstruction using a laparoscopically harvested omental flap...
April 15, 2019: Asian Journal of Endoscopic Surgery
Ryota Nakanishi, Yosuke Fukunaga, Toshiya Nagasaki, Shin Emoto, Kazuyoshi Hirayama, Satoshi Yoshioka, Yusuke Kitagawa, Satoru Honma, Tomoyuki Nagaoka, Shinpei Matsui, Tetsuro Tominaga, Hironori Minami, Shun Miyanari, Tomohiro Yamaguchi, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Shoichi Saito, Masashi Ueno
This is the first report of laparoscopic-endoscopic cooperative surgery (LECS) for an ileal tumor. A 50-year-old man was admitted to our hospital with a positive fecal occult blood test. Colonoscopy detected a submucosal tumor with intussusception located in the ileum, 10 cm oral from the Bauhin valve. On further examination, he was diagnosed with an ileal lipoma. There were no signs of malignancy. LECS was performed for the ileal tumor. After submucosal elevation by injecting saline solution, a mucosal incision was made circumferentially along the tumor...
April 11, 2019: Asian Journal of Endoscopic Surgery
Shinji Tokuyama, Hidekazu Takahashi, Norikatsu Miyoshi, Naotsugu Haraguchi, Taishi Hata, Chu Matsuda, Hirofumi Yamamoto, Tsunekazu Mizushima, Masaki Mori, Yuichiro Doki
A 31-year-old man with pain in his thigh was diagnosed with a benign presacral cystic mass. We performed laparoscopic subtotal resection of the cyst utilizing mobilization of a total mesorectal excision procedure used in low anterior resection for rectal cancer. Histopathological findings showed that the cystic lumen of the specimen was lined with pseudostratified columnar ciliated epithelium and had glandular structures and smooth muscle in its wall, leading to a diagnosis of bronchogenic cyst. The postoperative course was uneventful, and as of 6 months after surgery, the patient was doing well with no evidence of recurrence...
April 3, 2019: Asian Journal of Endoscopic Surgery
Jungo Yasuda, Tomoyoshi Okamoto, Shinji Onda, Shuuichi Fujioka, Katsuhiko Yanaga, Naoki Suzuki, Asaki Hattori
BACKGROUND: To achieve safety of the operation, preoperative simulation became a routine practice for hepatobiliary and pancreatic (HBP) surgery. The use of intraoperative ultrasonography (IOUS) is essential in HBP surgery. There is a limitation in the use of IOUS in laparoscopic surgery (LS), for which a new intraoperative system is expected. We have developed an image-guided navigation system (IG-NS) for open HBP surgery since 2006, and we have applied our system to LS. The aim of this study is to evaluate the results of clinical application of IG-NS in LS...
April 3, 2019: Asian Journal of Endoscopic Surgery
Kazuhito Mita, Keiichi Fujino, Hideki Asakawa, Tomokazu Matsuyama, Takashi Hayashi, Hideto Ito
INTRODUCTION: In patients receiving chronic anticoagulation agents, antiplatelet agents, or both, perioperative antithrombotic therapy for inguinal hernia repair requires an understanding of potential side-effects-specifically, the postoperative bleeding risks. In the present study, we evaluated postoperative bleeding complications after transabdominal preperitoneal patch plasty (TAPP) in patients undergoing antithrombotic therapy. METHODS: We retrospectively reviewed 413 patients who had undergone TAPP between February 2013 and June 2017...
March 31, 2019: Asian Journal of Endoscopic Surgery
Kentaro Saito, Hitoshi Hino, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Shoichi Manabe, Yusuke Yamaoka
We present a case of rectal cancer with rare variations of the left renal vessels. A man in his 60s underwent endoscopic mucosal resection for an Ip-type lesion in the upper rectum. Histologically, the lesion was a well-differentiated adenocarcinoma that had invaded the deep submucosal layer. Therefore, additional resection of the rectum with regional lymph node dissection was recommended. Preoperative CT revealed rare variations of the left renal vessels. There were two left renal arteries and veins; the caudal left renal artery and vein were located between the inferior mesenteric artery and the abdominal aorta...
March 31, 2019: Asian Journal of Endoscopic Surgery
Masahiko Kinoshita, Akishige Kanazawa, Shigekazu Takemura, Shogo Tanaka, Shintaro Kodai, Hiroji Shinkawa, Sadatoshi Shimizu, Akihiro Murata, Kohei Nishio, Genya Hamano, Tokuji Ito, Tadashi Tsukamoto, Shoji Kubo
INTRODUCTION: We investigated the indications for laparoscopic liver resection (LLR) of mass-forming intrahepatic cholangiocarcinoma (MF-ICC), including the need for lymph node dissection for improved postoperative prognosis. METHODS: This study involved 36 patients who underwent surgery for solitary peripheral MF-ICC. Fifteen patients underwent LLR, and 21 underwent open liver resection (OLR). Surgical outcomes and prognostic factors were investigated to determine the indications for LLR...
March 28, 2019: Asian Journal of Endoscopic Surgery
Akira Tsunoda, Tomoko Takahashi, Satoshi Matsuda, Naoki Oka, Hiroshi Kusanagi
INTRODUCTION: Although long-term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce. This study assessed midterm annual functional results and QOL after laparoscopic ventral rectopexy for ERP. METHODS: This study consisted of 58 patients and was a retrospective analysis of prospectively collected data. The Fecal Incontinence Severity Index, the Constipation Scoring System, and QOL instruments (ie 36-item Short-Form Health Survey and Fecal Incontinence Quality of Life scale) were administered before and after operation...
March 28, 2019: Asian Journal of Endoscopic Surgery
Makoto Yoshida, Takafumi Oshiro, Toshikatsu Fukuda, Masatsugu Yano, Makoto Ochi, Yuzo Okamoto, Eiji Ono, Hideki Ohdan
INTRODUCTION: Single-incision laparoscopic surgery (SILS) is widely used in many surgical procedures in various specialties. Among the access methods used in SILS, the glove technique, which is typically similar to the multi-trocar approach, is simple, convenient, and inexpensive. However, given the absence of a fulcrum supporting the endoscopic surgical forceps, the technique is less advantageous than methods using commercially available access devices because of the poor maneuverability of the forceps...
March 20, 2019: Asian Journal of Endoscopic Surgery
Kei Kimura, Masataka Ikeda, Hiroyuki Futani, Michiko Hamanaka, Kozo Kataoka, Naohito Beppu, Shinichi Yoshiya, Naohiro Tomita
Lipomas are often lightweight and small in size with few subjective symptoms. Giant lipomas are uncommon. We herein report a case involving a giant, deep-seated dumbbell-shaped intermuscular lipoma in the right thigh that extended into the pelvic region through the obturator foramen and caused obturator neuropathy. A 64-year-old man with numbness while walking was diagnosed with a 17 × 16-cm lipomatous tumor. He underwent radical surgery performed by a multidisciplinary team consisting of orthopedic and colorectal surgeons...
March 19, 2019: Asian Journal of Endoscopic Surgery
Naoya Nagaya, Fumitaka Shimizu, Mayuko Kanayama, Zen-U Hotta, Taishi Nozaki, Yoshiaki Wakumoto, Akira Tujimura, Shigeo Horie
INTRODUCTION: The aim of our study was to elucidate the impact of patients' physical characteristics on the movement of target organs and anatomical landmarks by comparing supine and lateral CT images. METHODS: This study consisted of 55 patients who underwent laparoscopic surgery in the lateral position. CT images of the area between the abdomen and pelvis were taken preoperatively with patients in both supine and lateral positions. We measured the moving distance of target organs and anatomical landmarks on the body surface used for access port settings...
March 13, 2019: Asian Journal of Endoscopic Surgery
Yoichi Nakagawa, Yasuyuki Fukami, Tohru Harada, Atsuyuki Maeda, Yuichi Takayama, Takamasa Takahashi, Masahito Uji, Yuji Kaneoka
Laparoscopic pancreatic surgery is one of the most difficult procedures, and the adoption of laparoscopic pancreaticoduodenectomy has been limited. The application of laparoscopic surgery has extended to advance cancer, but there have been no reports of laparoscopic pancreaticoduodenectomy after laparoscopic liver resection and distal pancreatectomy. In the present case, a 67-year-old woman was diagnosed with remnant pancreatic recurrence of metastatic greater omentum leiomyosarcoma. She had previously undergone laparoscopic distal pancreatectomy and left lateral liver sectionectomy in 2016...
March 6, 2019: Asian Journal of Endoscopic Surgery
Peter Yartsev, Ilya Kirsanov, Yury Teterin, Ilya Dmitriev, Aleksander Lebedev, Victoria Kazakova
We describe a clinical case involving endoscopic treatment of a perforated duodenal ulcer using a partially polyurethane-covered self-expandable nitinol stent. A 93-year-old patient with severe cardiovascular comorbidity underwent a laparoscopic closure of a perforated duodenal ulcer. The early postoperative period was complicated by failure of the closure, and as a result, endoscopic treatment was performed, including the placement of a partially polyurethane-covered self-expandable nitinol stent. The treatment had a positive effect...
March 6, 2019: Asian Journal of Endoscopic Surgery
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