Robotic Resection of the Liver Caudate Lobe: Technical Description and Initial Consideration
Conclusions Despite several concerns regarding cost-effectiveness, fully robotic partial resection of the caudate lobe is an advantageous, implementable technique that provides promising short-term postoperative outcomes with an acceptable benefit–risk profile.
AbstractAbdomino-perineal resection (APR) for rectal cancer is challenging, due to the difficult exposure of the surgical field. Many investigations proved worst results in terms of circumferential resection margin (CRM) involvement compared to rectal anterior resection (RAR) with total mesorectal excision (TME). Extralevator abdomino-perineal excision (ELAPE) improved oncologic outcomes, but is burdened by important limitations (positioning, wound closure). Applying the concept of transanal minimally invasive surgery (TAMIS) and the experience in transanal TME (TaTME) to the perineal phase of APR could overcome these limi...
CONCLUSIONS: We could prove the safety and effectiveness of descending TLN technique. The main advantages of descending TLN over traditional ascending nephrectomy technique are shorter operation time and hospital stay. PMID: 31697253 [PubMed - in process]
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
ConclusionsOur findings suggest that patients who underwent RALRP with HIV did not experience higher risk of potentially life-threatening postoperative complications. RALRP could be safely considered as a surgical treatment for HIV(+) patients with prostate cancer.
ConclusionThe pinpoint accuracy of the bipolar method allowed for safe and complete dissection.
ConclusionIn skilled hands, robotic-assisted laparoscopic hysterectomy in women with large uteri is an acceptable option, associated with minimal complications.
This study aimed to introduce the care bundle into clinical practice and assess its impact on transfusion rates and other perioperative parameters.
Fibroids are common, benign masses which can result in significant morbidity for affected women due to heavy menstrual bleeding and anemia, bulk symptoms and infertility. In women who are pre-menopausal or wishing to retain future fertility, the surgical management of symptomatic fibroids is by way of myomectomy. The surgical removal of fibroids can be associated with significant intraoperative blood loss and subsequent blood transfusion, which is an important morbidity associated with this elective procedure in reproductive-aged women.
Conclusions: This series presents our laparoscopic technique for continent urinary diversions, showing that it is feasible and safe in adult patients with neurogenic bladder.
Abstract BACKGROUND: Laparoscopy has been widely used in general surgical procedures, but total laparoscopic pancreaticoduodenectomy (TLPD) is still a complex and challenging surgery that is only performed in a small number of patients at a few large academic medical centers. Although the safety and feasibility of TLPD have been established, few studies have compared it with open pancreaticoduodenectomy (OPD) with regard to perioperative and oncological outcomes. Therefore, we carried out a meta-analysis to evaluate whether TLPD is superior to OPD. AIM: To compare the treatment outcomes of TLPD and OPD in ord...