The current status of laparoscopic hepatectomy.

The current status of laparoscopic hepatectomy. J Nippon Med Sch. 2019 Jun 15;: Authors: Yoshida H, Taniai N, Yoshioka M, Hirakata A, Kawano Y, Shimizu T, Ueda J, Takata H, Nakamura Y, Mamada Y Abstract Before the first laparoscopic hepatectomy (LH) was described in 1991, open hepatectomy (OH) was the only choice for the surgical treatment of liver tumors. At first, LH was indicated solely by tumor location, size, and type. The use of LH has spread rapidly throughout the world because it reduces the incision size. This review systematically assesses the current status of LH.LH is significantly less complicated, requires a shorter hospital stay, and less blood loss compared with OH. The long-term survival rates with LH and OH are comparable. Developing new techniques and instruments will improve the conversion rate and reduce complications. Furthermore, the development of surgical navigation will improve the safety and efficacy of LH. Laparoscopic major hepatectomy for HCC has remained a challenging technique. It should only be performed by experienced practitioners. A training system for young surgeons will become mandatory in the near future for the standardization of LH. LH is likely to become a more standard procedure with wider applications. PMID: 31204380 [PubMed - as supplied by publisher]
Source: Journal of Nippon Medical School - Category: Universities & Medical Training Authors: Tags: J Nippon Med Sch Source Type: research

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ConclusionTHL in an outpatient setting can detect anatomical abnormalities comparable to the, more invasive, reference standard diagnostic laparoscopy. If THL succeeds, there is no need to add a diagnostic laparoscopy in the work-up.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
The objectives of our study were to (i) examine the rate of vesico-ureteral injury at benign hysterectomy by surgical approach and (ii) compare the risk of vesico-ureteral injury specifically between minimally-invasive laparoscopic and abdominal hysterectomy on a populational level.DesignRetrospective population-based observational study.SettingThe National Inpatient Sample.Patients501,110 women who underwent hysterectomy for benign gynecological disease from 1/2012-9/2015 were included: total abdominal hysterectomy (TAH, n=284,365 [56.7%]), total laparoscopic hysterectomy (TLH, n=60,410, [12.1%]), abdominal supracerv...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsThe PCV-VG mode of ventilation limited the peak inspiratory pressure, decreased the driving pressure and increased the dynamic compliance compared to VCV in obese patients undergoing laparoscopic hysterectomy. PCV-VG may be a preferable modality to prevent barotrauma during laparoscopic surgeries in obese patients.ResumoJustificativa e objetivosO objetivo deste estudo foi investigar a eficácia dos modos de ventilação garantida por volume controlado por pressão (PCV-VG) e ventilação controlada por volume (VCV) para manter pressões adequadas nas vias aéreas, ...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
ConclusionIn clinical routine severe complications occurred in 1%. The latter were unrelated to pectopexy, but occurred due to concomitant procedures or adhesions. The overall operating time as well as the operating time for pectopexy were similar to those reported in published studies on sacrocolpopexy.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
CONCLUSION: The etiology of chronic groin pain post hernia repair is related in part to nerve injury. This is supported by the high frequency of sensory symptoms and numbness in these patients. However other factors including the role of tissue injury and inflammatory postoperative changes need to be considered. KEY WORDS: Chronic postoperative pain, Inguinal hernia repair, Open surgery, Laparoscopic surgery. PMID: 31719216 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
Publication date: Available online 15 November 2019Source: European UrologyAuthor(s): Muhammad Shamim Khan, Kawa Omar, Kamran Ahmed, Christine Gan, Mieke Van Hemelrijck, Rajesh Nair, Ramesh Thurairaja, Peter Rimington, Prokar DasguptaAbstractBackgroundThe long-term oncological outcomes of laparoscopic (LRC) and robotic-assisted radical cystectomy (RARC) are still maturing compared with open radical cystectomy (ORC).ObjectiveTo evaluate the 5-yr oncological outcomes of patients recruited into the randomised trial of Open, Laparoscopic and Robot Assisted Cystectomy (CORAL) and extracorporeal urinary diversion.Design, setting...
Source: European Urology - Category: Urology & Nephrology Source Type: research
ConclusionIn selected cases, endoscopic management is more cost-effective, minimally invasive, has less post-operative complications, and leads to a more expeditious recovery. Therefore, the role of therapeutic endoscopy for gastric perforations secondary to foreign bodies should always be considered.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionThis video shows how deep urinary endometriosis can be performed laparoscopically. Mastering suturing is essential to avoid complications.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionFifteen years with a national database have resulted in a marked quality improvement: Denmark has 85% minimally invasive hysterectomies and has reduced the number of major complications by 50%.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: November 2019Source: European Urology Supplements, Volume 18, Issue 11Author(s): A. Kalpinskiy, B. Alekseev, K.M. Nyushko, A.A. Muhomedyarova, D.S. Fedorinov, A.D. Kaprin
Source: European Urology Supplements - Category: Urology & Nephrology Source Type: research
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