Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Aug 2011
Comparative StudyProspects of robotic thyroidectomy using a gasless, transaxillary approach for the management of thyroid carcinoma.
Robotic surgical systems are among the most innovative surgical developments and have radically promoted the use of minimally invasive techniques. Robotic technologies using different approaches have also been applied to thyroid surgery. Recently, the authors described a novel robotic surgical method for thyroid surgery based on a gasless, transaxillary approach (TAA), and have since serially reported on its technical feasibility and safety. Here, the authors report their experience of a consecutive series of 1000 cases treated using robotic thyroidectomy, and demonstrate its use for the surgical management of thyroid cancer. ⋯ The authors conclude that robotic thyroidectomy using a gasless TAA is a feasible, safe, and promising surgical alternative for selected patients with low-risk thyroid cancer, and recommend that the inclusion criteria of this technique be gradually extended to advanced thyroid cancer given suitable operator experience and future developments in robotic systems and instrumentation.
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Surg Laparosc Endosc Percutan Tech · Aug 2011
Case ReportsLaparoscopic-assisted spleen-preserving and pylorus-preserving total pancreatectomy for main duct type intraductal papillary mucinous tumors of the pancreas: a case report.
Minimally invasive and function-preserving pancreatectomy would be the ideal approach for benign and borderline malignant tumors of the pancreas. Total pancreatectomy can be indicated for the main duct type of intraductal papillary mucin-producing tumor (IPMT) to achieve radical resection. Recently, several studies advocating total pancreatectomy in IPMT have been published, but they are all believed to be done by conventional laparotomy. ⋯ She was discharged 20 days after surgery. She was followed for more than 2 years without evidence of tumor recurrence. Her blood sugar level was well controlled by insulin pump therapy and image study showed well-preserved spleen function.
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Surg Laparosc Endosc Percutan Tech · Aug 2011
Comparative StudyIntraluminal resection of gastric tumors using intragastric trocar technique.
We are presenting our experiences with combined laparoscopic and endoscopic approaches applied to the minimally invasive intragastric resection of the gastric tumors. ⋯ The combined intraluminal resection using 1 intragastric trocar of potential benign posterior gastric wall tumors, of tumors near the cardia and the pylorus is a safe surgical procedure with low invasivity and morbidity.
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Surg Laparosc Endosc Percutan Tech · Aug 2011
Case ReportsLaparoscopic repair of esophageal perforation due to Boerhaave syndrome.
Boerhaave syndrome is the spontaneous transmural rupture of the esophagus due to an increase in intraesophageal pressure when vomiting against a closed glottis. There are various methods of managing it, with the main principles of limiting sepsis, draining the area, and maintaining nutrition. ⋯ There is a paucity of literature regarding this mode of management and we have discussed the various options available in literature. We conclude that this is a safe and viable option in the management of Boerhaave syndrome in a nonseptic patient presenting early.
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Surg Laparosc Endosc Percutan Tech · Aug 2011
Case ReportsFinding a lost needle in laparoscopic surgery.
A lost needle during laparoscopic surgery is an uncommon major surgical problem. Finding and retrieval can be a challenge, whereas failure to do so carry potentially serious clinical and medicolegal implications. This study aims to investigate the application of a new device to retrieve lost needles intraoperatively compared with traditional management. ⋯ Lost needles during laparoscopic surgery can be located and retrieved by various methods. We found the laparoscopic magnet to be the safest and most efficient way of retrieving lost needles intraoperatively.