Journal of laparoendoscopic & advanced surgical techniques. Part A
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J Laparoendosc Adv Surg Tech A · Oct 2002
Impact of temperature and humidity of carbon dioxide pneumoperitoneum on body temperature and peritoneal morphology.
The insufflation of cold gas during laparoscopic surgery exposes patients to the risk for hypothermia. The objectives of this study were to investigate whether heating or humidification of insufflation gas could prevent peroperative hypothermia in a rat model, and to assess whether the peritoneum was affected by heating or humidification of the insufflation gas. ⋯ Insufflation with cold, dry CO2 may lower the body temperature during laparoscopic surgery. Hypothermia can be prevented by both heating and humidifying the insufflation gas. Changes of the peritoneal surface occur after CO2 insufflation, despite heating or humidifying, and also after gasless surgery.
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J Laparoendosc Adv Surg Tech A · Dec 2001
Thoracoscopic management of chylothorax complicating esophagectomy.
Chylothorax is a relatively uncommon complication of esophageal surgery that may lead to severe respiratory, nutritional, and immunologic deficiencies. ⋯ Thoracoscopy is a safe and effective procedure for the treatment of chylothorax complicating esophagectomy. Given the minimal trauma to the patient, early thoracoscopic reoperation can be advocated in patients with high-output chyle loss in order to reduce the hospital stay.
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J Laparoendosc Adv Surg Tech A · Aug 2001
Clinical TrialDiagnostic laparoscopy decreases the rate of unnecessary laparotomies and reduces hospital costs in trauma patients.
The use of laparoscopy for the treatment of various surgical diseases has been well described, and recently, it has gained popularity in the evaluation of abdominal trauma patients. The value of diagnostic laparoscopy (DL) in avoiding unnecessary laparotomies and its effects on hospital costs was evaluated in a prospective clinical trial. ⋯ Diagnostic laparoscopy might be used in selected patients to exclude significant intra-abdominal injuries.
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J Laparoendosc Adv Surg Tech A · Apr 2001
Video-assisted thoracoscopic T2 sympathetic block by clipping for palmar hyperhidrosis: analysis of 52 cases.
Endoscopic thoracic sympathectomy or sympathicotomy is a standard method in treating palmar hyperhidrosis, but postoperative compensatory sweating may be troublesome in some patients. Therefore, we designed a new technique for only T2 sympathetic blocking by clipping instead of interruption of the sympathetic trunk. ⋯ We believe that video-assisted thoracoscopic T2 sympathetic block by clipping will be a safe and effective method of treating patients with palmar hyperhidrosis. Compensatory sweating may be improved by the reverse operation: removal of the endo clip.
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J Laparoendosc Adv Surg Tech A · Apr 2001
Comparative StudyA new method of laparoscopic cholecystectomy using three trocars combined with suture retraction of gallbladder.
Since the establishment of laparoscopic cholecystectomy (LC) for benign gallbladder lesions, the four-trocar method has been the standard procedure. However, the fourth trocar generally is used just for fundic retraction of the gallbladder. We have developed a three-trocar method for LC and performed it in 132 patients. ⋯ This method also has cosmetic advantages. Therefore, we believe this method might be recommended for LC.