Articles: surgery.
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J. Thorac. Cardiovasc. Surg. · Oct 2011
Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms.
Many general thoracic surgeons are learning robotic pulmonary resection. ⋯ The newly refined CPRL-4 is safe and yields an R0 resection with complete lymph node removal. It has lower morbidity, mortality, shorter hospital stay, and better quality of life than rib- and nerve-sparing thoracotomy. Technical advances are possible to shorten and improve the operation.
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Langenbecks Arch Surg · Oct 2011
Comparative StudyCombined intraoperative use of contrast-enhanced ultrasonography imaging using a sonazoid and fluorescence navigation system with indocyanine green during anatomical hepatectomy.
The clear demarcation line is ideal for real-time surgical navigation imaging during hepatectomy. ⋯ The combined use of these methods is therefore considered to be useful and safe for surgeons, as an additional tool for performing a liver resection.
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Cuaj Can Urol Assoc · Oct 2011
Enhanced recovery after surgery (ERAS) protocols: Time to change practice?
Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. ⋯ Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow. The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.
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J. Thorac. Cardiovasc. Surg. · Oct 2011
Early and midterm results of totally endoscopic coronary artery bypass grafting on the beating heart.
Despite the early introduction of totally endoscopic coronary artery bypass on the beating heart, only a limited number of cases have been performed. The limiting factor has been the concern about safety and graft patency of the anastomosis. This study describes our experience with totally endoscopic coronary artery bypass on the beating heart with robotic assistance and its early and midterm results. ⋯ Totally endoscopic coronary artery bypass on the beating heart is a safe procedure in selected patients and produces excellent early and midterm patency of anastomosis.
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J. Oral Maxillofac. Surg. · Oct 2011
Comparative StudySafety of intravenous sedation administered by the operating oral surgeon: the second 7 years of office practice.
This follow-up study provides an additional 7 years of data (December 2001 through November 2008) pertaining to complications that occurred in patients who received intravenous sedation in the practice of a single board-certified oral and maxillofacial surgeon. Together with the previously published 7 years of data (December 1994 through November 2001), this study summarizes the frequency of various complications encountered in patients sedated intravenously by the surgeon over a 14-year period. ⋯ The results of this follow-up study confirm the previous findings. The administration of intravenous sedation by the operating surgeon for outpatient oral surgery is safe, with a low frequency of complications. Numerous patients were also made aware of previously undiagnosed medical problems, improving overall patient health.