Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Apr 2015
Randomized Controlled TrialEfficacy and safety of remifentanil and sulfentanyl in painless gastroscopic examination: a prospective study.
We aim to assess efficacy and safety of remifentanil or sulfentanyl combined with propofol during painless gastroscopic examination in patients. In this study, 270 patients were randomly divided into 3 groups: propofol was given only in group P; propofol and remifentanil in group PR; propofol and sulfentanyl in group PS during the gastroscopic examination. Efficiency of group P was significantly higher than that of group PR and PS (P<0.01) [corrected]. ⋯ Incidence of chest wall rigidity and oxygen desaturation in group PR were higher than group P and PS (P<0.05), whereas there was no difference between groups P and PS (P>0.05). Propofol combined with remifentanil could provide satisfying anesthesia and more respiratory depression, whereas sulfentanyl at equivalent dose combined with propofol could also provide with satisfying anesthesia and less respiratory depression. Combined sufentanyl with propofol would be an effective anesthesia technique in the daytime procedure.
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Surg Laparosc Endosc Percutan Tech · Apr 2015
The role of the laparoscopy on circumferential resection margin positivity in patients with rectal cancer: long-term outcomes at a single high-volume institution.
The aim of this study was to evaluate the influence of laparoscopic rectal cancer surgery on circumferential resection margin (CRM) involvement. ⋯ Laparoscopic surgery for rectal cancer is associated with similar complication rates, CRM involvement status, and long-term outcomes as those associated with open surgery but with the advantages of minimally invasive surgery. Although laparoscopic surgery might necessitate more advanced technical skills, similar long-term oncological results can be obtained with this technique.
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Surg Laparosc Endosc Percutan Tech · Apr 2015
ReviewRetained abdominal gallstones after laparoscopic cholecystectomy: a systematic review.
The aim of this study is to make a systematic review of high-quality published trails regarding the complications of retained gallstones after laparoscopic cholecystectomy for cholelitiasis. ⋯ Retained abdominal gallstones can cause various postoperative problems including extra-abdominal complications. In case of perforation of the gallbladder during laparoscopic cholecystectomy, spilled gallstones should be collected to prevent further complications but conversion to open surgery is not mandatory.
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Surg Laparosc Endosc Percutan Tech · Apr 2015
Amelioration of the effects of obesity on short-term postoperative complications of laparoscopic and open ventral hernia repair.
Recent studies indicate that laparoscopic ventral hernia repair has a lower incidence of postoperative surgical site infections (SSI) and length of stay (LOS). There is limited literature evaluating postoperative SSI, LOS, blood loss, and operation time (OT) in obese patients. The objective of this study was to compare postoperative SSI, LOS, blood loss, and OT in obese patients undergoing laparoscopic and open ventral hernia repair (OVHR). ⋯ LVHR repair is related to a decreased risk for superficial SSI's and LOS in obese patients, without extending OT.
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Surg Laparosc Endosc Percutan Tech · Apr 2015
Totally laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for choledochal cyst in adults: a single-institute experience of 5 years.
The present study aimed to describe the authors' experience and the intermediate-term outcome for totally laparoscopic choledochal cyst excision and Roux-en-Y hepatoenterostomy at a single center in a 5-year period. ⋯ Totally laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy is a safe, efficacious, and minimally invasive procedure for the most instances of adult choledochal cyst. The key of success is skilled laparoscopic skills, good team cooperation, and stapler anastomosis.