Journal of laparoendoscopic & advanced surgical techniques. Part A
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J Laparoendosc Adv Surg Tech A · May 2012
Surgical outcome of patients with perforation after endoscopic retrograde cholangiopancreatography.
The most important criterion in the management of endoscopic retrograde cholangiopancreatography (ERCP)-related perforations is the delineation of the injury pattern. The aim of the present study was to evaluate in a retrospective manner the patients who undergo surgery due to ERCP-related perforations. ⋯ Duodenal wall perforations have a serious fatal outcome even if early surgical intervention is performed. In contrast to duodenal wall injuries, perivaterian and choledochal injuries have a better outcome.
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J Laparoendosc Adv Surg Tech A · May 2012
Strategic laparoscopic surgery for improved cosmesis in general and bariatric surgery: analysis of initial 127 cases.
Strategic laparoscopic surgery for improved cosmesis (SLIC) is a less invasive surgical approach than conventional laparoscopic surgery. The aim of this study was to examine the feasibility and safety of SLIC for general and bariatric surgical operations. Additionally, we compared the outcomes of laparoscopic sleeve gastrectomy with those performed by the SLIC technique. ⋯ SLIC in general and bariatric operations is technically feasible, safe, and associated with a low rate of conversion to conventional laparoscopy. Compared with laparoscopic sleeve gastrectomy, SLIC sleeve gastrectomy can be performed without a prolonged operative time with comparable perioperative outcomes.
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J Laparoendosc Adv Surg Tech A · Apr 2012
Initial experience of total thoracoscopic and laparoscopic Ivor Lewis esophagectomy.
Morbidity and mortality remain relatively high for transthoracic esophagectomy with open thoracotomy. The literature is limited in describing the total combined laparoscopic and thoracoscopic Ivor Lewis esophagectomy. The aim of this study is to evaluate the outcomes of combined thoracoscopic and laparoscopic Ivor Lewis esophagectomy for the treatment of esophageal carcinoma. ⋯ Total thoracoscopic and laparoscopic Ivor Lewis esophagectomy is technically feasible, and we were able to achieve relatively good initial outcomes without major morbidity and mortality.
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J Laparoendosc Adv Surg Tech A · Mar 2012
Comparative StudySingle-port laparoscopic appendectomy: comparison with conventional laparoscopic appendectomy.
Laparoscopic appendectomy is becoming popular for the treatment of acute appendicitis. Since it was first described, laparoscopic appendectomy has been modified various times for reducing pain and improving cosmetic results. Single-port laparoscopic appendectomy (SPLA) may reduce more postoperative trauma and obtain reliable cosmetic results. We compared the safety and feasibility of this technique with those of conventional laparoscopic appendectomy (CLA). ⋯ SPLA is a safe technique and shows excellent cosmetic results. This is an easy procedure for an experienced laparoscopic surgeon even with conventional laparoscopic instruments. It remains to be evaluated in cases of perforated appendicitis and periappendiceal abscess.
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J Laparoendosc Adv Surg Tech A · Mar 2012
Contralateral inguinal hernia after negative laparoscopic evaluation: a rare but real phenomenon.
The procedure of inguinal herniorrhaphy is the most common procedure performed by pediatric surgeons today. Laparoscopy has proved to be both sensitive and specific for evaluating the contralateral inguinal region. Despite the attractiveness that transinguinal laparoscopy offers and the success it has seen, we report a series of hernias after the utilization of this tool. ⋯ When using laparoscopy to explore the contralateral inguinal region, the surgeon should be aware that a negative exam may still be associated with a small chance of clinically developing a hernia.