Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Aug 2008
Comparative StudyTotally laparoscopic radical BII gastrectomy for the treatment of gastric cancer: a comparison with open surgery.
Laparoscopically assisted distal gastrectomy has been used for distal part early gastric cancer resection. However, use of totally laparoscopic gastric cancer resection remains limited because of technical problems, especially when standard D2 nodal dissection was applied. We had reported the first totally laparoscopic Billroth II (BII) subtotal gastrectomy with lymphadenectomy for early gastric cancer in the year 1998. The aim of this study is to determine whether this procedure is superior to conventional open technique. ⋯ Although totally laparoscopic BII gastrectomy using the upper to lower technique required a longer surgical time and was technically more demanding than conventional open surgery, it resulted in shorter recovery time, less analgesic use, and less severe physical discomfort without compromising the operative curability and oncologic outcomes.
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Surg Laparosc Endosc Percutan Tech · Aug 2008
Randomized Controlled TrialIs local anesthesia or oral analgesics necessary after mini-laparoscopic functional surgery in children and young adults?: A prospective randomized trial.
This prospective, randomized, single-blind trial was to determine if local anesthesia or oral analgesics reduce postoperative pain after mini-laparoscopic functional surgery. ⋯ Local anesthesia and routine oral analgesic did not significantly reduce postoperative pain after mini-laparoscopic surgeries in children and young adults.
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Surg Laparosc Endosc Percutan Tech · Aug 2008
Case ReportsDeath during laparoscopy: can 1 gas push out another? Danger of argon electrocoagulation.
We report the death of a young man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst. The report analyzes the very particular mechanism of a gas embolism, which caused death here. This analysis leads us to recommend a close attention on the use of argon coagulators during laparoscopy. The aim of this article is to draw surgeons' attention to the conclusions of a court-ordered expert assessment intended to elucidate the mechanisms responsible for the death of a 20-year-old man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Laparoscopic ventral hernia repair: a new method for fixation of the mesh with sutures.
Laparoscopic technique has proven to be a safe and feasible alternative to open mesh repair in the treatment of ventral hernias. It has been seen that the recurrence rate is the same as with open repair but with lesser morbidity. For the repair of ventral hernia with laparoscopy, mesh is placed intraperitoneally. The most common approach for intraperitoneal fixation of the mesh is by using a combination of transfascial sutures and tackers. This paper describes a new technique for intraperitoneal fixation of the mesh using sutures. ⋯ This is a novel technique for fixation of the mesh to the abdominal wall intraperitoneally during laparoscopic repair of ventral hernia. Tackers are not required for the fixation of mesh.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Case ReportsUse of temporary esophageal stent in management of perforations after benign esophageal surgery.
Successful conservative management in 3 patients with catastrophic postoperative esophageal leak after nonresection surgery is presented. In each case, the placement of removable stent played a significant role. First patient had persistent leak after primary repair of intrathoracic esophageal perforation. ⋯ Stent placement was successful in all patients allowing immediate resumption of diet. After stent removal, contrast study showed no leak or stricture. Endoscopic stent therapy is an effective option in the management of postoperative esophageal perforation.