Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Feb 2013
Clinical outcomes of laparoscopy-assisted gastrectomy for patients with heart disease.
Laparoscopy-assisted gastrectomy (LG) is an established treatment for early gastric cancer. However, CO2 pneumoperitoneum during laparoscopic surgery can adversely affect cardiac function in the presence of heart disease (HD). We performed LG in 546 patients and conventional open gastrectomy (OG) in 448 patients. ⋯ Postoperative cardiac complications did not differ between the groups (8.3% vs. 13.6%, P = 0.51). The HD-LG group had significantly more cardiac and abdominal complications than the NR-LG group (P = 0.0011 and 0.0070, respectively). LG was tolerated in patients with gastric cancer and mild or moderate HD, similar to OG.
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Surg Laparosc Endosc Percutan Tech · Feb 2013
Outpatient laparoscopic appendectomy in children: a single center experience with 92 cases.
The purpose of this study was to present the possibility of laparoscopic appendectomy (LA) in children as an outpatient procedure. ⋯ We recommend that an LA can be performed safely as an outpatient procedure in children with uncomplicated appendicitis.