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Laparoscopy And Surgery

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https://read.qxmd.com/read/30892805/when-prospective-randomized-trials-have-unexpected-results-where-do-we-go-from-there
#1
Linda R Duska
With the modernization of laparoscopy and subsequent rapid uptake of the robotic platform, minimally invasive surgery (MIS) became the widely accepted standard of care for gynecologic cancer. Virtually all data supporting improved patient outcomes and oncologic safety for MIS in gynecologic cancer derive from retrospective studies. Nevertheless, the advantages of MIS rapidly became accepted, not only due to perceived benefits to patients. This article is protected by copyright. All rights reserved.
March 20, 2019: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/30888474/the-short-cut-laparoscopic-reverse-approach-a-novel-strategy-for-synchronous-colorectal-cancer-and-liver-metastases-requiring-major-or-complex-procedures
#2
Mehdi Karoui, Olivier Scatton
AIM: To report on the feasibility and the safety of a novel strategy in patients with colorectal cancer and synchronous liver metastases (SLM) requiring major or complex procedures for both the primary and liver deposits. PATIENTS AND METHODS: The strategy consisted in performing the two major procedures (liver first and colorectal) by laparoscopy within a short interval in order to keep both oncological advantages and short-terms outcome benefits. RESULTS: Two patients were treated with this strategy: one with a laparoscopic resection of segment VIII extended to the segment IVb followed by the laparosopic rectal resection; the second with a laparoscopic left hepatectomy with a microwave ablation of the lesion located in the segment VII followed by the laparoscopic resection of the sigmoid colon...
March 19, 2019: World Journal of Surgery
https://read.qxmd.com/read/30885707/laparoscopy-assisted-transgastric-endoscopic-retrograde-cholangiopancreatography-preliminary-experience-and-technique-description
#3
S Tzedakis, R Memeo, M Nedelcu, M Rodriguez, M Delvaux, J Huppertz, H Jeddou, D Mutter, J Marescaux, P Pessaux
INTRODUCTION: Common bile duct lithiasis after Roux-en-Y gastric bypass (RYGB) or upper gastrointestinal stenosis has become a challenging problem nowadays, especially as obesity surgery is increasing. In this study, we assess the feasibility and performance of laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography (LAERCP) and describe its technique. METHODS: A retrospective review of a prospectively collected database of consecutive patients undergoing a LAERCP between February 2014 and May 2015 was performed at a single institution...
March 15, 2019: Journal of Visceral Surgery
https://read.qxmd.com/read/30885559/long-term-follow-up-of-pediatric-open-and-laparoscopic-inguinal-hernia-repair
#4
Albert J Chong, Helene B Fevrier, Lisa J Herrinton
BACKGROUND: Pediatric laparoscopic inguinal hernia repair is not widely accepted. STUDY DESIGN: Children 0-14 years who underwent inguinal hernia repair during 2010-2016 at Kaiser Permanente Northern California were classified into five groups: (1) open unilateral repair without contralateral exploration; (2) open unilateral repair with contralateral laparoscopic exploration ("open+explore"); (3) open bilateral repair; (4) laparoscopic unilateral repair; and (5) laparoscopic bilateral repair...
February 27, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30885027/effect-of-multimodal-intervention-on-postoperative-nausea-and-vomiting-in-patients-undergoing-gynecological-laparoscopy
#5
Kai Ma, Xiuxiu Wu, Yongquan Chen, Hui Yuan
OBJECTIVE: Postoperative nausea and vomiting (PONV) is a common complication in patients undergoing gynecological laparoscopic surgery, and achieving good results is difficult with a single antiemetic method. This study investigated whether multimodal intervention can reduce PONV in patients undergoing gynecological laparoscopic surgery. METHODS: A total of 153 patients who underwent gynecological laparoscopic surgery were randomized into the control group and multimodal group...
March 18, 2019: Journal of International Medical Research
https://read.qxmd.com/read/30877564/laparoscopic-subtotal-colectomy-with-double-end-ileosigmoidostomy-in-right-iliac-fossa-facilitates-second-stage-surgery-in-patients-with-inflammatory-bowel-disease
#6
Diane Mege, Alice Frontali, Gianluca Pellino, Samuel Adegbola, Léon Maggiori, Janindra Warusavitarne, Yves Panis
BACKGROUND: There is no consensus about the most appropriate management of rectal stump in laparoscopic subtotal colectomy (STC) performed for inflammatory bowel disease (IBD). The objective is to report our experience of laparoscopic STC with double-end ileosigmoidostomy in the right iliac fossa for IBD. METHODS: All patients undergoing laparoscopic STC and double-end ileosigmoidostomy in the right iliac fossa for IBD in 2 European expert centres were included...
March 14, 2019: Surgical Endoscopy
https://read.qxmd.com/read/30868938/the-impact-of-warmed-and-humidified-co-2-insufflation-during-robotic-radical-prostatectomy-results-of-a-randomized-controlled-trial
#7
Marco Oderda, Elisabetta Cerutti, Paolo Gontero, Tilde Manetta, Giulio Mengozzi, Nicolas Meyer, Stefania Munegato, Eric Noll, Paola Rampa, Thierry Piéchaud, Pierre Diemunsch
BACKGROUND: Cool and dry gas insufflation during laparoscopy induces hypothermia and cytokine increase, with significant perioperative morbidity. Our aim was to assess if warmed and humidified CO2 insufflation with HumiGard™ device can achieve significant benefits over standard insufflation in terms of risk of hypothermia, cytokine response, blood gases, and intra- and postoperative parameters, in the setting of robot-assisted radical prostatectomy (RARP). METHODS: This was a prospective, randomized controlled clinical trial...
March 14, 2019: Urologia
https://read.qxmd.com/read/30868546/open-versus-minimally-invasive-surgery-for-rectal-cancer-a-single-center-cohort-study-on-237-consecutive-patients
#8
Giuseppe Quero, Fausto Rosa, Riccardo Ricci, Claudio Fiorillo, Maria C Giustiniani, Caterina Cina, Roberta Menghi, Giovanni B Doglietto, Sergio Alfieri
Minimally invasive surgery (MIS) is gaining popularity in rectal tumor treatment. However, contrasting data are available regarding its safety and efficacy. Our aim is to compare the open and MIS approaches for rectal cancer treatment. Two-hundred-thirty-seven patients were included: 113 open and 124 MIS rectal resections. After the propensity score matching analysis (PS), the cases were matched into 42 open and 42 MIS. Short- and long-term outcomes, and pathological findings were analyzed before and after PS...
March 13, 2019: Updates in Surgery
https://read.qxmd.com/read/30868324/laparoscopic-appendicectomy-is-superior-to-open-surgery-for-complicated-appendicitis
#9
Gaik S Quah, Guy D Eslick, Michael R Cox
BACKGROUND: Over the last three decades, laparoscopic appendicectomy (LA) has become the routine treatment for uncomplicated acute appendicitis. The role of laparoscopic surgery for complicated appendicitis (gangrenous and/or perforated) remains controversial due to concerns of an increased incidence of post-operative intra-abdominal abscesses (IAA) in LA compared to open appendicectomy (OA). The aim of this study was to compare the outcomes of LA versus OA for complicated appendicitis...
March 13, 2019: Surgical Endoscopy
https://read.qxmd.com/read/30868067/comparison-of-laparoscopic-and-conventional-cystotomy-partial-cystectomy-in-treatment-of-liver-hydatidosis
#10
Huseyin Kazim Bektasoglu, Mustafa Hasbahceci, Yunus Tasci, Ibrahim Aydogdu, Fatma Umit Malya, Enver Kunduz, Kemal Dolay
Introduction: Hydatidosis is a zoonotic infection and treatment is mandatory to avoid complications. Surgery remains the first choice in the treatment especially for CE2-CE3b cysts. Open or laparoscopic approaches are available. However, comparative studies are limited. Materials and Methods: Data of patients who underwent cystotomy/partial cystectomy for liver hydatidosis between January 2012 and September 2016 (n=77) were evaluated retrospectively. Recurrent cases and the patients with previous hepatobiliary surgery were excluded...
2019: BioMed Research International
https://read.qxmd.com/read/30863926/long-term-follow-up-after-single-incision-laparoscopic-surgery
#11
Atakan Görkem Barutcu, Denis Klein, Maik Kilian, Matthias Biebl, Roland Raakow, Johann Pratschke, Jonas Raakow
BACKGROUND: Single-incision laparoscopic surgery (SILS) is growing in popularity. The increased diameter of the umbilical incision might raise questions about the possibility of a greater risk of postoperative incisional hernia in comparison to conventional laparoscopy. This study aims to disclose the frequency of incisional hernia after SILS in long-term follow-up as well as to reveal the factors predisposing patients to this feared complication. METHODS: The patient collective consists of cholecystectomy and appendectomy patients, who were operated on using SILS technique...
March 12, 2019: Surgical Endoscopy
https://read.qxmd.com/read/30855456/learning-curve-and-short-term-outcomes-of-modularized-ladg-for-advanced-gastric-cancer-a-retrospective-study
#12
Gang Liao, Ziwei Wang, Hui Li, Jiang Min, Jinkun Zhong, Sandrie Mariella, Kun Qian, Wei Zhang
Laparoscopy-assisted distal gastrectomy (LADG) is a complicated procedure. To reduce the difficulty of the operation and standardize the surgical procedure, we explored a new operation mode, which we termed modularized LADG (MLADG). To further extend the new operation mode, we conducted this study to evaluate the short-term outcomes of MLADG for advanced gastric cancer, and determine the learning curve.Data from 100 consecutive patients who received LADG between October 2016 and October 2017 were retrospectively analyzed...
March 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30855307/how-patient-complexity-and-surgical-approach-influence-episode-based-payment-models-for-colectomy
#13
Kyle H Sheetz, Justin B Dimick, Scott E Regenbogen
BACKGROUND: Bundled payment programs broaden hospitals' responsibility for spending to entire episodes of care. After demonstration programs in cardiac surgery and joint replacement, these payment reforms could soon extend to major operations like colectomy under Medicare's Bundled Payments for Care Improvement - Advanced Model. OBJECTIVE: This study aims to evaluate how specific policies and surgical practice patterns would influence hospital reimbursement in a bundled payment program for colectomy...
March 5, 2019: Diseases of the Colon and Rectum
https://read.qxmd.com/read/30855202/three-dimensional-versus-two-dimensional-laparoscopic-assisted-transanal-pull-through-for-hirschsprung-s-disease-in-children-preliminary-results-of-a-prospective-cohort-study-in-a-tertiary-hospital
#14
Yujiao Wang, Weibing Chen, Shunlin Xia, Ting Wang, Shouqing Wang, Fengnian Zhang, Bing Li
BACKGROUND: This prospective cohort study is aimed to compare the efficacy and safety of three-dimensional (3D) versus two-dimensional (2D) laparoscopy in laparoscopic-assisted transanal pull-through (LATP) for the surgical treatment of Hirschsprung's disease (HD) in children. METHODS: This study enrolled 80 children who were histologically diagnosed with HD and undergone LATP performed by a single experienced surgeon at our department between January 2015 and November 2017...
March 11, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30851914/robotic-spleen-preserving-splenic-hilar-lymphadenectomy-for-advanced-proximal-gastric-cancer-a-feasible-and-simplified-procedure
#15
Qi-Yue Chen, Qing Zhong, Chao-Hui Zheng, Chang-Ming Huang
BACKGROUND: Robotic systems recently have been introduced to overcome technical limitations of conventional laparoscopic gastrectomy, especially for complex procedures [1]. We developed a set of procedural operation steps for robotic spleen-preserving splenic hilar lymphadenectomy, which is difficult and recommended in D2 lymph node (LN) dissection during total gastrectomy [2-4]. METHODS: The robotic operative procedures of splenic hilar lymphadenectomy using the da Vinci® Si system were demonstrated in a step-by-step manner, with technical tips for each step, in the video clip...
March 2019: Surgical Oncology
https://read.qxmd.com/read/30851821/minimally-invasive-surgical-approaches-for-peritoneal-surface-malignancy
#16
REVIEW
Laura M Enomoto, Edward A Levine, Kathleen C Perry, Konstantinos I Votanopoulos, Michael Kuncewitch, Perry Shen
Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is an evolving strategy in the locoregional management of peritoneal surface malignancies, and the role of laparoscopy is expanding. Staging laparoscopy is routinely used to obtain tissue for diagnosis and assess extent of tumor burden. Laparoscopic CRS and HIPEC with curative intent is safe and effective in patients with a low disease burden. In patients with refractory malignant ascites, complete resolution of ascites and improvement in quality of life have been demonstrated with palliative laparoscopic HIPEC...
April 2019: Surgical Oncology Clinics of North America
https://read.qxmd.com/read/30845995/a-multi-center-prospective-randomized-controlled-trial-phase-iii-comparing-the-quality-of-life-between-laparoscopy-assisted-distal-gastrectomy-and-totally-laparoscopic-distal-gastrectomy-for-gastric-cancer-study-protocol
#17
Chang Min Lee, Ji Ho Park, Chang In Choi, Han Hong Lee, Jae-Seok Min, Ye Seob Jee, Oh Jeong, Hyundong Chae, Sung Il Choi, Hua Huang, Sungsoo Park
BACKGROUND: KLASS (the Korean Laparoendoscopic Gastrointestinal Surgery Study) is a time-honored study group that has established laparoscopic surgery for gastrointestinal disease in Korea and has performed some important studies for the rationale of laparoscopic gastrointestinal surgery. A multi-center RCT (randomized controlled trial) to compare the quality of life (QOL) of patients undergoing totally laparoscopic distal gastrectomy (TLDG) and laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer, named as KLASS 07, has been currently prepared in Korea...
March 7, 2019: BMC Cancer
https://read.qxmd.com/read/30843442/the-diagnostic-accuracy-of-ultrasound-in-the-diagnosis-of-acute-appendicitis-in-pregnancy
#18
Yoav Baruch, Michal Canetti, Yair Blecher, Yariv Yogev, Dan Grisaru, Nadav Michaan
OBJECTIVE: Clinically suspected appendicitis is the most common nonobstetric surgical problem encountered in pregnancy. The diagnosis of appendicitis is hampered by equivocal symptoms during pregnancy. Ultrasonography (US) remains, as a rule, the imaging test of choice for the diagnosis of clinically suspected appendicitis during pregnancy and other imaging tools such as computed tomography (CT) or MRI are usually avoided. We evaluated the accuracy of US in the diagnosis of appendicitis during pregnancy...
March 7, 2019: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/30843343/surgery-for-cholangiocarcinoma
#19
Umberto Cillo, Constantino Fondevila, Matteo Donadon, Enrico Gringeri, Federico Mocchegiani, Hans J Schlitt, Jan N M Ijzermans, Marco Vivarelli, Krzysztof Zieniewicz, Steven W M Olde Damink, Bas Groot Koerkamp
Surgical resection is the only potentially curative treatment for patients with cholangiocarcinoma. For both perihilar cholangiocarcinoma (pCCA) and intrahepatic cholangiocarcinoma (iCCA), 5-year overall survival of about 30% has been reported in large series. This review addresses several challenges in surgical management of cholangiocarcinoma. The first challenge is diagnosis: a biopsy is typically avoided because of the risk of seeding metastases and the low yield of a brush of the bile duct. However, about 15% of patients with suspected pCCA are found to have a benign diagnosis after resection...
March 6, 2019: Liver International: Official Journal of the International Association for the Study of the Liver
https://read.qxmd.com/read/30840956/1-000-retroperitoneoscopic-procedures-of-the-upper-urinary-tract-analysis-of-complications
#20
Julia Klap, Zentia Butow, Cecile M Champy, Alexandra Masson-Lecomte, Julien Defontaines, Alexandre De la Taille, Laurent Salomon
BACKGROUND AND OBJECTIVE: To evaluate risk factors and complications of retroperitoneoscopic procedures of upper urinary tract and adrenal gland. METHODS: From 1994 to 2016, 1,000 retroperitoneal laparoscopies were performed - 476 nephrectomies, 201 adrenalectomies, 103 partial nephrectomies, 91 pyeloplasties, 70 nephro-ureterectomies, and 59 miscellaneous surgeries (diverticulectomy). Data collection was prospective. We analyzed age, body mass index (BMI), American Society of Anesthesiologists (ASA) score, operative time, blood loss, hospitalization stay and complications...
March 6, 2019: Urologia Internationalis
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