Laparoscopic Liver Resection Using a Silicone Band Retraction Method (With Video)

Conclusion: The silicone band retraction method is a useful approach that results in a safe LLR.
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Technical Reports Source Type: research

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This study aimed to assess the impact of bariatric interventions on the development of endometrial, ovarian and breast cancer.MethodsThe New York Statewide Planning and Research Cooperative System database was used to identify all female patients without a pre-existing cancer diagnosis who had a diagnosis of obesity between 2006 and 2012. The risk of having female-specific cancer diagnosis in patients who underwent bariatric surgery were compared with those who had no bariatric interventions using multivariable proportional sub-distribution hazard regression analysis. Subsequent cancer diagnoses were followed up to 2016.Re...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsRemote-controlled camera holders have demonstrated the potential to significantly benefit intra-operative performance and surgical experience where camera movement is minimal. Future high-quality studies are needed to evaluate RCHs in clinical practice.Trial registrationISRCTN 83733979
Source: Surgical Endoscopy - Category: Surgery Source Type: research
We present a literature review of the EDGE technique from its inception to current, in addition to reviewing other access techniques, their advantages, disadvantages and outcomes.
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
We describe a 72-year-old woman with anemia and melena. Hemoglobin was 6.0 g/dL, and the stools were positive for occult blood (4+). Blood pressure was 116/54 mm Hg. Physical examination showed pale face and pitting edema in both lower limbs. Abdominal computerized tomography showed calcification in the small intestine of the left lower abdomen. Capsule endoscopy showed a blood clot. Diagnoses: Dieulafoy lesion. Interventions: Single balloon endoscopy was performed via the oral approach and showed a blood clot on the suspected submucosal tumor of jejunum. A hemostatic clip was placed at the base of the le...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Conclusions: Our results indicate that early elective repair of uncomplicated umbilical hernias is recommended in cirrhotic patients with tolerable hepatic functional reserve or when the expected time for liver transplantation is>3 months. Umbilical hernias are supposed to be corrected in the process of liver transplantation, provided that patients could have a better prospect to be transplanted within 3 months. Control of ascites is a crucial part to successful outcomes of umbilical hernia repair. Large volume paracentesis, concomitant peritoneovenous shunting with herniorrhaphy and transjugular intrahepatic portos...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Review Articles Source Type: research
Patients covered by Medicaid insurance are consistently shown to have reduced access to appropriate medical care as compared to private insurance carriers. Greenstein et al. (2012) found that patients presenting with acute cholecystitis (AC) covered by Medicaid insurance receive lower rates of laparoscopic cholecystectomy, the gold standard cholecystectomy approach. In addition to updating rates of laparoscopic approach, we investigated disparities in time to surgery, length of stay, and mortality between Medicaid and private insurance carriers.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Friday, May 21, 2021 Source Type: research
Current palliation for malignant gastric outlet obstruction includes Lap-GJ, EUS-GJ and PCDS. The optimal treatment is yet to be determined. The aim of this study was to compare the clinical outcomes between these three treatments.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Saturday, May 22, 2021 Source Type: research
AbstractIntroductionObesity and its associated comorbidities represent a pervasive problem in the United States across all age groups. There are conflicting data regarding the effectiveness and postoperative recovery of bariatric surgery in elderly patients. The aim of this study was to compare outcomes of bariatric surgery across age groups.Materials and MethodsAfter obtaining institutional review board approval, patients with morbid obesity who underwent non-revisional laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG) at our institution between 2011 and 2015 were included in this retrospective st...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractObjectiveThe aim of this meta-analysis is to evaluate the safety and efficacy of bariatric surgery (BS) in patients with obesity by robotic bariatric surgery (RBS) compared with laparoscopic bariatric surgery (LBS).MethodsThe study was performed through searching in Pubmed, Web of Science, Embase database and Cochrane Library until March 31, 2020 comparing RBS with LBS. Data were calculated on the following endpoints: operative time, length of hospital stay, reoperation within 30  days, overall complications, leak, stricture, pulmonary embolisms, estimated blood loss and mortality. Data as relative risks (OR),...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsThe LPD failure rate decreased after the first 60 cases and stabilized after 84 cases. For safe dissemination of LPD, it is important to shorten the long learning curve and decrease the unfavorable outcomes in the early phase of the learning curve.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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