Surgical endoscopy
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Review Case Reports
Rupture of the lesser gastric curvature after a Heimlich maneuver.
We present a case of lesser gastric curvature injury after a Heimlich maneuver due to obstruction of the breathing tract that was repaired by laparoscopic surgery. ⋯ Laparoscopic surgery can be technically reproduced in the treatment of gastric injury as a result of closed abdominal traumatism.
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Randomized Controlled Trial Comparative Study Clinical Trial
T lymphocyte subsets and Th1/Th2 balance after laparoscopy-assisted distal gastrectomy.
Laparoscopic surgery provides for a less invasive procedure than open surgery in patients with gastric cancer, but the immune responses after laparoscopic surgery for early gastric cancer remain unknown. ⋯ When compared with ODG, LADG contributes to the preservation of postsurgical Th1 cell-mediated immune function.
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Spinal anesthesia has been successfully used to perform various laparoscopic procedures. However, laparoscopic cholecystectomy under spinal anesthesia has not been reported. Is this feasible? ⋯ Laparoscopic cholecystectomy can be performed successfully under spinal anesthesia and is well tolerated.
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Development and clinical application of semi-loop-shaped retractor for gasless laparoscopic surgery.
Gasless laparoscopy has the advantage of avoiding the risk inherent in pneumoperitoneum, but has not gained widespread popularity because of limited exposure of the operative field. Improved retraction devices are therefore needed. ⋯ This new retractor for gasless laparoscopic surgery provides good exposure and has the potential to enhance the performance of advanced laparoscopic surgery.
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Comparative Study
Capnographic monitoring of ventilatory status during moderate (conscious) sedation.
Moderate (conscious) sedation is required to perform endoscopic procedures. Capnography provides a means for continuous, real-time monitoring of ventilation and may also decrease the incidence of oversedation. ⋯ The addition of capnography during moderate sedation endoscopy does not appear to significantly lower anesthesia-related morbidity. However, in cases requiring moderate sedation for prolonged procedures, in older patients with comorbidities, or in instances where respiratory excursion of the patient is obscured from view, practitioners should nonetheless consider capnography.