Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Dec 1999
Comparative Study Clinical Trial Controlled Clinical TrialLong-term benefits for the quality of life after video-assisted thoracoscopic lobectomy in patients with lung cancer.
Quality of life (QOL) after video-assisted thoracic surgical (VATS) lobectomy remains to be defined. Forty-four consecutive patients with clinical stage I lung cancer underwent lobectomy by the VATS approach (n = 22 patients) or thoracotomy approach (n = 22 patients). Acute pain was quantitated by postoperative narcotic requirements and the need for epidural anesthesia. ⋯ Patients also had more confidence regarding wound size and their overall impression of the operation. In this series, VATS lobectomy was associated with long-term benefits for the QOL in patients with lung cancer. However, the exact role of this approach should be defined by carefully-designed controlled trials studying long-term survival.
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Surg Laparosc Endosc Percutan Tech · Dec 1999
Case ReportsPurely laparoscopic pylorus-preserving gastrectomy with extraperigastric lymphadenectomy for early gastric cancer: a case and technical report.
For the purpose of prevention of postgastrectomy syndrome and a less invasive and yet curative oncological resection, a purely laparoscopic pylorus-preserving gastrectomy with extraperigastric lymphadenectomy was performed for a patient with early gastric cancer located in the middle third of the stomach. The patient's postoperative course was uneventful. ⋯ As of the seventh postoperative month, the patient never experienced dumping syndrome or alkaline reflux gastritis. This procedure is technically feasible and an excellent option because of its reduced surgical invasiveness and better postoperative quality of life.
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Surg Laparosc Endosc Percutan Tech · Aug 1999
Review Case ReportsUreteral complications after gasless laparoscopic hysterectomy.
Laparoscopic hysterectomy is becoming a more common operation. Gasless laparoscopy initially seems to be a better technique, reducing CO2 complications and allowing the use of conventional instruments rather than more expensive laparoscopic tools. We report our experience with 50 cases of laparoscopic hysterectomies, 5 of which were performed using a gasless technique. ⋯ We have decided not to use a gasless technique with hysterectomy. We believe that the actual complication rate may be higher than reported, due to investigators' reluctance to report such complications. Our hope is that this report will encourage other investigators to help establish a more accurate rate of possible complications associated with this procedure.