Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Oct 2009
Review Case ReportsLaparoscopic examination and resection for giant lipoma of the omentum: a case report and review of related literature.
We report herein the case of a giant lipoma of the greater omentum that was treated by laparoscopic surgery. A 71-year-old male patient was admitted with a diagnosis of sigmoid colon cancer. During preoperative examination, a gallbladder stone and an intra-abdominal giant lipoma were accidentally diagnosed. ⋯ We then performed a sigmoidectomy for sigmoid colon cancer through the same laparotomy. The resected tumor measured 29 x 19 x 3 cm and weighed 1250 g, and a histopathologic examination revealed a benign lipoma. Laparoscopic examination and resection of a giant lipoma of the omentum are particularly useful.
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Surg Laparosc Endosc Percutan Tech · Oct 2009
Comparative StudyShould the macroscopically normal appendix be removed during laparoscopy for acute right iliac fossa pain when no other explanatory pathology is found?
Acute appendicitis remains the most common surgical emergency and although diagnosis should be made on clinical grounds, sometimes this can be difficult. Laparoscopy has gained increasing favour as a method of both investigating right iliac fossa pain and treating the finding of appendicitis. The aim of this study was to determine the accuracy of intraoperative diagnosis of appendicitis. ⋯ Laparoscopy may aid in the diagnosis of acute right iliac fossa pain. However, intraoperative diagnosis is not easy with almost one-third of apparently normal appendices being inflamed histologically. We would therefore advocate the removal of a normal looking appendix in the absence of other explanatory pathology.
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Surg Laparosc Endosc Percutan Tech · Oct 2009
Bile leaks after cholecystectomy: the significance of patient selection.
A retrospective analysis of laparoscopic and open cholecystectomies, with introduction of selection criteria and estimation of postoperative bile leaks. ⋯ The study highlights the significance of patient selection based on clinical criteria with respect to the type of operation performed. It seems that when patients are selected for laparoscopy according to carefully chosen criteria, the expected postoperative bile leaks could be minimal.
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Surg Laparosc Endosc Percutan Tech · Oct 2009
Intracorporeal Billroth-I anastomosis using a circular stapler by the abdominal wall lifting method in laparoscopy-assisted distal gastrectomy.
Laparoscopy-assisted distal gastrectomy (LADG) has recently been accepted as a preferred surgical procedure for patient with early gastric cancer. The Billroth-I method has been performed widely because of physiologic advantages and technical simplicity. ⋯ This anastomotic technique should be useful as an easy and safe reconstruction method in LADG and is especially recommendable for less-experienced laparoscopic gastric surgeons.
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Surg Laparosc Endosc Percutan Tech · Oct 2009
Case ReportsTransecting the pancreas neck with electrothermal bipolar vessel sealer (LigaSure) in laparoscopic left pancreatectomy: case report.
Pancreatic fistula after distal pancreatectomy remains an unsolved problem, ranging in frequency between 15% and 40%, regardless of whether the intervention is performed laparoscopically or by open surgery. ⋯ A simple and safe technique for pancreas neck transection, particularly suitable for laparoscopic left pancreatectomy, is described.