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https://read.qxmd.com/read/30772120/anesthesia-for-non-obstetric-surgery-during-pregnancy-in-a-tertiary-referral-center-a-16-year-retrospective-matched-case-control-cohort-study
#1
S Devroe, T Bleeser, M Van de Velde, L Verbrugge, F De Buck, J Deprest, R Devlieger, S Rex
INTRODUCTION: This retrospective, matched case-control cohort study describes the incidence, indications, anesthesia techniques and outcomes of pregnancies complicated by surgery in a single tertiary-referral hospital. METHODS: Retrospective review of the hospital records of 171 patients who had non-obstetric surgery in the current pregnancy, between 2001 and 2016. Pregnancy outcomes of these women were firstly compared with all contemporary non-exposed patients (n=35 411), and secondly with 684 non-exposed control patients, matched for age, time of delivery and parity...
January 12, 2019: International Journal of Obstetric Anesthesia
https://read.qxmd.com/read/30770698/-study-on-the-application-and-classifcation-of-the-laparoscopy-pouch
#2
Yanli Yue, Wenzhuo Li, Yongsheng Chai, Yan Li, Linglong Mou, Qi Wang, Xikuan Liu, Shoumin Yin
With the development of minimally invasive surgery, many open surgery has been replaced by intracavity surgery. In laparoscopic surgery, an electric fibroid morcellator must be used to remove large tissue specimens from a small abdominal incision. Of course, there are some complications in the use, in order to follow the principle of no tumor, the doctor used the laparoscopic pouch in clinical operation to reduce the risk of spreading potential tumor tissue. There are various kinds of pouches, which are classified according to their existing state before use, it can be classified into two categories:overlapping and non-overlapping...
January 30, 2019: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://read.qxmd.com/read/30768066/negative-pressure-therapy-in-combination-with-mesh-mediated-fascial-traction-in-the-treatment-of-infected-pancreatic-necrosis-a-new-therapeutic-option
#3
Jesús R García-Corral, Luis E Cárdenas-Lailson, Carlos A Sanjuan-Martínez, Christian H Arellano-Solorio, Jorge E Aquino-Matus, Andrea Carrillo-Romero
Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage. Clinical case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge...
2019: Cirugia y Cirujanos
https://read.qxmd.com/read/30767061/feasibility-and-safety-of-laparoscopic-partial-splenectomy-a-systematic-review
#4
REVIEW
Gangshan Liu, Ying Fan
BACKGROUND: Laparoscopic partial splenectomy (LPS) is a challenging procedure. The aim of this review was to evaluate its feasibility, safety, and potential benefits. METHODS: We conducted a comprehensive review for the years 1995-2018 to retrieve all relevant articles. RESULTS: A total of 44 studies with 252 patients undergoing LPS were reviewed. Six studies described combined operations. Ranges of operative time and estimated blood loss were 50-225 min and 0-1200 ml, respectively...
February 14, 2019: World Journal of Surgery
https://read.qxmd.com/read/30766636/antegrade-stent-placement-in-laparoscopic-upper-urinary-tract-surgery-is-there-an-easy-way
#5
Kaan Gökçen, Gökhan Gökçe, Yakup Kordan, Emre Kıraç, Gökçe Dündar, Emin Yener Gültekin
Introduction: Antegrade placement of double J stents in laparoscopy is considered a challenging and time-consuming process due to limitations regarding stent flexibility. Aim: To describe the method we used to facilitate the antegrade placement of intracorporeal stents in laparoscopic upper urinary tract (LUUT) surgery and report its results. Material and methods: Data obtained from 42 consecutive patients who had stents placed antegradely in laparoscopic pyeloplasty or in laparoscopic ureterolithotomy for middle-upper ureteral stones were retrospectively evaluated...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://read.qxmd.com/read/30766630/laparoscopic-and-open-repair-for-perforated-duodenal-ulcer-single-center-experience
#6
Suren Agho Stepanyan, Areg Artak Petrosyan, Hayk Hovhannes Safaryan, Hayk Henrik Yeghiazaryan, Andranik Yuri Aleksanyan, Vahe Mkrtich Hakobyan, Karen Tigran Papazyan, Mkrtich Hamlet Mkrtchyan
Introduction: Perforation is a dangerous complication of peptic ulcer disease and requires emergency surgical treatment. In recent decades laparoscopic repair of duodenal perforation has been widely used in emergency abdominal surgery. Aim: To analyze laparoscopic and open surgical treatment of 120 consecutive patients with perforated duodenal ulcer. Material and methods: The study included a group of 120 consecutive patients, operated on for perforated duodenal ulcer in a single institution...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://read.qxmd.com/read/30765264/laparoscopic-versus-open-adhesiolysis-for-adhesive-small-bowel-obstruction-lasso-an-international-multicentre-randomised-open-label-trial
#7
Ville Sallinen, Salomone Di Saverio, Eija Haukijärvi, Risto Juusela, Heidi Wikström, Vesa Koivukangas, Fausto Catena, Berndt Enholm, Arianna Birindelli, Ari Leppäniemi, Panu Mentula
BACKGROUND: Although laparoscopic adhesiolysis for adhesive small bowel obstruction is being done more frequently, it is not widely accepted due to the lack of supporting evidence of its superiority over an open approach and concerns regarding its benefits. We aimed to investigate whether laparoscopic adhesiolysis was a superior treatment for adhesive small bowel obstruction compared with an open approach in terms of length of postoperative hospital stay and morbidity. METHODS: In this international, multicentre, parallel, open-label trial, we randomly assigned patients (1:1) aged 18-95 years who had adhesive small bowel obstruction that had not resolved with conservative management to have either open or laparoscopic adhesiolysis...
February 11, 2019: Lancet. Gastroenterology & Hepatology
https://read.qxmd.com/read/30763745/pneumatosis-intestinalis-after-molecular-targeted-therapy
#8
Nauman S Chaudhry, Wenya Linda Bi, Saksham Gupta, Abhishek Keraliya, Naomi Shimizu, E Antonio Chiocca
BACKGROUND: Pneumoperitoneum after surgical manipulation of the abdomen implies a perforation. Rare cases of non-operated cancer patients, largely with gastrointestinal or genitourinary cancers, have been noted to have radiological findings of pneumatosis intestinalis and/or pneumoperitoneum as a complication of molecular-targeted therapy (MTT) without confounding factors for perforation. We present a patient with a cranial malignancy treated with bevacizumab who subsequently manifested with pneumatosis intestinalis...
February 11, 2019: World Neurosurgery
https://read.qxmd.com/read/30762727/duodenoscope-combined-with-laparoscopy-in-treatment-of-biliary-stones-for-a-patient-with-situs-inversus-totalis-a-case-report
#9
Liangshuo Hu, Yichao Chai, Xue Yang, Zheng Wu, Hao Sun, Zheng Wang
RATIONALE: Although endoscopic and laparoscopic techniques in situs inversus totalis (SIT) have been reported respectively, endo-laparoscopic combination therapy due to biliary lithiasis remains infrequent. We shared the experience regarding the operations with a video report and discussed the similarities and differences with the usual procedures, which proved to be challenging to some extent for SIT. PATIENT CONCERNS: Herein we present a 72-year-old man with SIT who underwent endo-laparscopic combination therapy due to choledocholithiasis and gallbladder stone...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30761829/outcomes-of-laparoscopic-surgery-for-pt3-pt4-colorectal-cancer-in-young-vs-old-patients
#10
Gabriele Bellio, Marina Troian, Arianna Pasquali, Nicolò De Manzini
BACKGROUND: Laparoscopy for locally advanced colorectal cancer is not standardized yet and its potential risks and benefits in elderly patients are still under debate. The aim of this study was to evaluate clinical and oncologic results of laparoscopic surgery for pT3/pT4 lesions in both old and young people. METHODS: Between 2006 and 2015, 115 patients aged <70 years and 112 patients aged ≥70 years underwent elective laparoscopic surgery for pT3/pT4 colorectal cancer presenting without distant metastasis at the Department of General Surgery, Trieste...
February 13, 2019: Minerva Chirurgica
https://read.qxmd.com/read/30760356/single-institution-early-experience-and-learning-curve-with-robotic-liver-resections
#11
Aviad Gravetz, Iswanto Sucandy, Chandler Wilfong, Nirrita Patel, Janelle Spence, Sharona Ross, Alexander Rosemurgy
Robotic liver resection is being introduced with its potential to overcome limitations of conventional laparoscopy. This study was undertaken to document early experience and learning curve of robotic liver resection in our institution. All patients undergoing liver resection between 2013 and 2017 were prospectively followed. Patients were divided into three consecutive tertiles (cohort I-III). Thirty-three patients underwent robotic liver resection within the study period. Twenty-four per cent of patients underwent formal right or left hemihepatectomy, 21 per cent underwent sectionectomy, 6 per cent underwent central hepatectomy, and the remainder underwent nonanatomical liver resection...
January 1, 2019: American Surgeon
https://read.qxmd.com/read/30760343/robotic-surgery-is-more-expensive-with-similar-outcomes-in-sleeve-gastrectomy-analysis-of-the-nis-database
#12
Marcus J Adair, Samer Alharthi, Jorge Ortiz, Weikai Qu, Mohanad Baldawi, Munier Nazzal, Arunkumar Baskara
The aim of this study was to compare postoperative outcomes after robotic-assisted and laparoscopic bariatric sleeve gastrectomy (SG). Sleeve gastrectomy is traditionally performed using laparoscopic techniques. Robotic-assisted surgery enables surgeons to perform minimally invasive SG, but with unknown benefits. Using a national database, we compared postoperative outcomes after laparoscopic SG and robotic-assisted SG. National data from individuals undergoing elective SG in the National Inpatient Sample database between 2011 and 2013 were analyzed...
January 1, 2019: American Surgeon
https://read.qxmd.com/read/30747679/surgical-intervention-for-right-side-diverticulitis-a-case-matched-comparison-with-left-side-diverticulitis
#13
Mohammed H Al-Temimi, Charles N Trujillo, Scott Mahlberg, Joseph Ruan, Patrick Nguyen, Robert Yuhan, Joseph C Carmichael
Right-side diverticulitis (RSD) is an uncommon disease in Western countries. We conducted a case-matched comparison of surgically managed right-side and left-side diverticulitis (LSD) from the Southern California Kaiser Permanente database (2007-2014). Of 995 patients undergoing emergent surgery for diverticulitis, 33 RSD (3.3%) met our inclusion criteria and were matched (1:1) to LSD based on age, gender, year of diagnosis, and Hinchey class. Mean age of the RSD group was 56 ± 13.9 years, and 24.2 per cent were Asian...
October 1, 2018: American Surgeon
https://read.qxmd.com/read/30747666/impact-of-children-s-hospital-designation-on-outcomes-and-costs-after-cholecystectomy-in-adolescent-patients
#14
Cynthia M Tom, Roy P Won, Scott Friedlander, Rie Sakai-Bizmark, Christian de Virgilio, Steven L Lee
Variations in the management of adolescents at children's hospitals (CHs) and nonchildren's hospitals (NCHs) have been well described in the trauma literature. However, the effects of CH designation on outcomes after common general surgical procedures have not been investigated. The purpose of this study was to compare the outcomes and costs of adolescent cholecystectomies performed at CHs and NCHs. Within the California State Inpatient Database (2005-2011), we identified 8117 cholecystectomy patients aged 13 to 18 years at CHs and NCHs...
October 1, 2018: American Surgeon
https://read.qxmd.com/read/30747631/short-term-outcomes-with-robotic-right-colectomy
#15
Scott R Kelley, Emilie Duchalais, David W Larson
Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. One hundred and fourteen consecutive patients who underwent a right colectomy by two colorectal surgeons between 2012 and 2017 were included. Patients were separated into two groups: laparoscopic technique with extracorporeal anastomosis (n = 87) and robotic technique with intracorporeal anastomosis (n = 27)...
November 1, 2018: American Surgeon
https://read.qxmd.com/read/30740955/laparoscopic-surgery-for-low-intermediate-and-high-risk-endometrial-cancer
#16
Mehmet Ali Vardar, Umran Kucukgoz Gulec, Ahmet Baris Guzel, Derya Gumurdulu, Ghanim Khatib, Gulsah Seydaoglu
OBJECTIVE: The aim of the present study was to compare the long-term outcomes of the laparotomy (LT) and laparoscopic surgery and to evaluate the results according to low, intermediate, and high-risk groups of endometrial cancer (EC). METHODS: We identified 801 patients with EC and these patients were classified as group 1, who underwent LT (n=515); and group 2, who underwent laparoscopy (LS) (n=286). Patient's demographics, clinical characteristics such as stage, grade, histopathologic type, lymphovascular space invasion, myometrial invasion, lymph node involvement, and risk groups, peri- and post-operative outcomes, and survival outcomes were compared between the groups according to risk classification...
November 16, 2018: Journal of Gynecologic Oncology
https://read.qxmd.com/read/30740878/rectal-surgery-evaluation-trial-reset-protocol-for-a-parallel-cohort-trial-of-outcomes-using-surgical-techniques-for-total-mesorectal-excision-with-low-anterior-resection-in-high-risk-rectal-cancer-patients
#17
P Rouanet, S Gourgou, I Gogenur, D Jayne, A Ulrich, T Rautio, G Spinoglio, N Bouazza, A Moussion, M Gomez Ruiz
BACKGROUND: Total mesorectal excision (TME) is the standard of care for rectal cancer, which can be combined with low anterior resection (LAR) in patients with mid-to-low rectal cancer. The narrow pelvic space and difficulties in obtaining adequate exposure make surgery technically challenging. Four techniques are used to perform the surgery: open laparotomy, laparoscopy, robot-assisted surgery, and transanal surgery. Comparative data for these techniques is required to provide clinical data on the surgical management of rectal cancers...
February 10, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30733191/-diagnostic-and-prognostic-value-of-tumor-markers-scores-clinical-and-biological-algorithms-in-front-of-an-ovarian-mass-suspected-of-an-epithelial-ovarian-cancer-article-drafted-from-the-french-guidelines-in-oncology-entitled-initial-management-of-patients
#18
S Bendifallah, G Body, E Daraï, L Ouldamer
OBJECTIVES: To evaluate the diagnostic value of serum/urinary biomarkers and the operability diagnosis strategy to make management recommendations. METHODS: Bibliographical search in French and English languages by consultation of Pubmed, Cochrane and Embase databases. RESULTS: For the diagnosis of a suspicious adnexal mass on imaging: Serum CA125 antigen is recommended (grade A). Serum CAE is not recommended (grade C). The low evidence in literature concerning diagnostic value of CA19...
February 4, 2019: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/30725432/laparoscopic-sleeve-gastrectomy-after-orthotopic-liver-transplantation-video-reported
#19
Georges Bou Nassif, Chady Salloum, Luca Paolino, Daniel Azoulay, Andrea Lazzati
INTRODUCTION: The immunosuppressive therapy for life after liver transplantation (LT) is considered as a risk factor for obesity. Seven percent of the transplanted patients develop severe or morbid obesity. The obesity induces non-alcoholic steatohepatitis (NASH), which is a major risk factor for liver cirrhosis and hepatocellular carcinoma, without forgetting the cardiovascular risk and the devastating impact of obesity on quality of life of the transplanted patients. Consequently, obesity exposes these patients to future transplant loss...
February 6, 2019: Obesity Surgery
https://read.qxmd.com/read/30718266/small-bowel-obstruction-with-multiple-perforations-post-chestnut-ingestion
#20
Raevin K Ravindra, Atandrila Das, Grace L Chew, Eric Daniel
Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. He proceeded to a laparoscopy, which revealed multiple perforations throughout the small bowel, from the proximal jejunum to the terminal ileum...
February 3, 2019: BMJ Case Reports
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