Surgical Results of Laparoscopic Roux-en-Y Gastric Bypass in Super Obese Patients With BMI≥60 in China
Conclusions:Chinese obese population is unique in diet, lifestyle, sex, age, and geographical differences. LRYGB is feasible for Chinese super obese patients, with significant short-term results. Further observations are required to assess long-term outcomes. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Gasless Transaxillary Endoscopic Thyroidectomy: A Decade On
Conclusions:Gasless ET is comparable to open thyroidectomy in terms of early surgical outcomes and complications, and it bridges the gap between conventional open surgery and robotic transaxillary thyroidectomy. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Single-Incision Laparoscopic Cholecystectomy: Will it Succeed as the Future Leading Technique for Gallbladder Removal?
Background:The quest for less traumatic abdominal approaches is changing paradigms in times of minimally invasive surgery. While natural orifice translumenal endoscopic surgery remains experimental, the single-incision approach could be the future of gallbladder surgery. Methods:Prospectively collected data from 875 patients subjected to conventional single-incision laparoscopic cholecystectomy (SILC) or 4-port [laparoscopic cholecystectomy (LC)] were retrospectively analyzed and discussed with the current literature. Results:Between 2008 and 2011, 201 (23%) SILCs and 674 (77%) LCs were performed. Mean age was 51.7±...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Laparoscopic Roux-en-Y Gastric Bypass for Type 2 Diabetes Mellitus in Nonobese Chinese Patients
Background:Although bariatric surgery performed for morbid obesity has been shown to significantly improve type 2 diabetes mellitus (T2DM), data on its effectiveness to improve T2DM in nonobese patients are scarce. The present pilot study evaluated the clinical effects of laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) in Chinese T2DM patients with body mass index (BMI) ≤27.5 kg/m2. Materials and methods:A total of 68 consecutive patients with uncontrolled T2DM underwent LRYGB from May 2010 to March 2012. All patients were subjected to follow-up controls with anthropometric and metabolic indices at 1, 3, 6, and 12...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Laparoscopy Versus Open Distal Gastrectomy for Advanced Gastric Cancer: A Systematic Review and Meta-analysis (Qiu J et al. Surg Laparosc Endosc Percutan Tech 2013;23:1-7)
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Letter to the Editor Source Type: research

Efficacy of Self-expanding Metallic Stent for Right-sided Colonic Obstruction Due to Carcinoma Before 1-Stage Laparoscopic Surgery
Conclusion:One-stage laparoscopic surgery, as a minimally invasive therapy, can be safely performed by SEMS placement in patients with acute right-sided colonic obstruction due to carcinoma. A large sample study is required to confirm the efficacy of this procedure. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Closure of Benign Leaks, Perforations, and Fistulas With Temporary Placement of Fully Covered Metal Stents: A Retrospective Analysis
Conclusions:Temporary placement of FC-SEMS for benign perforations, fistulas, and leaks is feasible in sealing the leaks. All migrations could be solved endoscopically. It is very important to insert the stent before sepsis is established. This article also would be an addition to the growing body of literature supporting stenting as a good alternative if not standard approach to controlling these leaks. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Percutaneous Cholecystostomy Versus Laparoscopic Cholecystectomy in Patients With Acute Cholecystitis and Failed Conservative Management: A Matched-Pair Analysis
Conclusion:In this matched cohort analysis, PC failed to show a significant reduction in morbidity compared with LC and was associated with a significantly longer hospital stay. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Laparoscopic Hepatectomy is Associated With Considerably Less Morbidity and a Long-term Survival Similar to That of the Open Procedure in Patients With Hepatic Colorectal Metastases
Background:Laparoscopic hepatectomy (LH) provides significant promising results when compared with open hepatectomy (OH). However, the oncologic outcome of LH for hepatic colorectal metastases (HCRM) remains controversial. The purpose of this study was to review the results of LH retrospectively and to compare them with those obtained using the conventional OH procedure for HCRM patients. Materials and Methods:Demographic details of 24 patients with pathologic determination of HCRM who underwent LH were reviewed retrospectively and weighed against the 25 HCRM patients chosen from the prospective OH database. Postsurgical b...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Predictive Factors for Post-ERCP Pancreatitis: A Large-scale Single Expertized Endoscopist Study
Conclusions:History of acute pancreatitis, needle-knife papillotomy, transpancreatic sphincterotomy, opacification of first-class and second-class pancreatic ductules, and acinarization were all identified as independent risk factors for PEP. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Modified Hepatic Vascular Occlusion Facilitates Hepatectomy for Malignant Hepatic Tumor in Laparoscopy
Conclusions:HVO facilitates LH in transecting liver parenchyma and reduces bleeding, making LH safe and feasible only using monopolar electrocautery in selected patients with malignancies. Moreover, the selective HVO have more advantages over the Pringle maneuver in decreasing ischemic injury. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Results of Endoscopic Treatment for the Management of Stenotic End-to-Side Hepaticoduodenostomy
Conclusion:Endoscopic management is also a realistic treatment option for stenotic HD anastomosis, although success rates may vary. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era: Our Experience in 7 Years
Conclusions:Preoperative diagnosis of MS is difficult, but it is essential in the proper management of the disease. Investigations as magnetic cholangiography resonance and endoscopic retrograde cholangiopancreatogram contribute to the success of preoperative identification. LC should be reserved to MS type I and type II highly selected cases. This pathology should be treated by experienced surgeons to decrease the risk of iatrogenia. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Admission Levels of Serum Amyloid A and Procalcitonin are More Predictive of the Diagnosis of Acute Appendicitis Compared With C-reactive Protein
Conclusions:The measurement of SAA and serum ProCT on admission in patients with clinically suspected acute appendicitis seems to outperform serum CRP in aiding that diagnosis. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Difficult Situations in Laparoscopic Cholecystectomy: A Multicentric Retrospective Study
Conclusions:Because of the increasing exposure and expertise of surgeons dealing with complex gall bladder laparoscopies, rates of conversion to open cholecystectomy are decreasing and many difficult cases are now handled laparoscopically. However, if required, conversion should not be considered as a failure for the benefit of the patient. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Robotic Surgery for Colorectal Cancer: Systematic Review of the Literature
Conclusions:Robotic colorectal operations provide favorable results, with acceptable operative times and low conversion rates and morbidity. Surgical robots may provide additional benefits treating challenging pathologies, such as rectal cancer. Further clinical studies and long-term follow-up are required to better evaluate the outcomes of robotic colorectal surgery. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Systematic Review Source Type: research

Laparoscopic Ventral Hernia Repair: Defining the Learning Curve
Between 2004 and June 2011, 181 patients underwent laparoscopic ventral hernia repair. Three main surgeons, all experienced in laparoscopic procedures, performed all the cases. After analyzing the operative time (OT) for 3 main surgeons, within the first 20 cases the overall performance plateaued. Data from 60 patients (50F, 10M), with a mean age of 42.3 years (range, 26 to 88 y) and a mean hernia defect size of 6.5 cm (range, 4 to 18 y), were evaluated. No significant differences were recorded among the 3 surgeons in OT and intraoperative or postoperative complications. But 3 (5%, P (Source: Surgical Laparoscopy, Endoscop...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2014 Category: Surgery Tags: Review Article Source Type: research

Atrial Fibrillation as an Unexpected Complication After Peroral Endoscopic Myotomy (POEM): A Case Report
This report also includes several interesting radiographic images to illustrate what occurred. Finally, we provide a brief review of the literature on complications that have been described after POEM. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Case Report Source Type: research

Assessment of a Manipulator Device for NOTES With Basic Surgical Skill Tests: A Bench Study
Advanced complex surgery performed with the natural orifice translumenal endoscopic surgery technique requires use of a multitasking platform. The aim of this study is to evaluate the basic functionality of a prototype multitasking platform “EndoSAMURAI” with the use of a biosimulation model and ex vivo porcine stomach. We compared the performance of basic surgical skill tasks between the EndoSAMURAI and standard laparoscopic instrumentation. Basic surgical tasks include cutting, dissection, and suturing and knot tying. Main outcome measurements were the time to complete each task and leak pressure to evaluate ...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

Robotic Surgery Twice Performed in the Treatment of Hilar Cholangiocarcinoma With Deep Jaundice: Delayed Right Hemihepatectomy Following the Right-Hepatic Vascular Control
Conclusions:Under the Da Vinci robotic surgical system, a programmed treatment can be achieved: first, the hepatic vessels were controlled gradually together with biliary drainage, which results in liver’s partial atrophy and compensatory hypertrophy in the other part. Then a radical hepatectomy could be achieved. Such programmed hepatectomy provides a new treatment for patients of hilar cholangiocarcinoma with deep jaundice who have the possibility of radical heptolobectomy. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

Single-incision Laparoscopic Splenectomy for Massive Splenomegaly Combining Gastroesophageal Devascularization Using Conventional Instruments.
Conclusions: SILS combining gastroesophageal devascularization for massive splenomegaly is technically feasible in the hands of surgeons with experiences of laparoscopic splenectomy. Indeed, the relative large scale of operation field for laparoscopic splenectomy makes the conflicts of instruments less practically challenging; however, techniques and sequences of the laparoscopic procedures should be modified to facilitate it, given the unavoidable constriction of movements for each instrument. (C) 2014 by Lippincott Williams & Wilkins (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports: PDF Only Source Type: research

Laparoscopic Lateral Pancreaticojejunostomy and Laparoscopic Berne Modification of Beger Procedure for the Treatment of Chronic Pancreatitis: The First UK Experience
Conclusions:The laparoscopic approach to pancreatic duct drainage and duodenum-preserving head resection in carefully selected patients and in experienced hands is feasible and safe with good short-term results and potential advantages. Further expansion of experience and longer follow-up is required. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Ergonomics Problems Due to the Use and Design of Dissector and Needle Holder: A Survey in Minimally Invasive Surgery
Conclusions:As far as we know, this is the largest Spanish survey conducted on this topic. From this survey, some ergonomic drawbacks have been identified in: (a) the instruments’ design, (b) the operating tables, and (c) the posture of the surgeons. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Are Contrast Swallows Necessary Immediately Postlaparoscopic Heller Cardiomyotomy?
Laparoscopic cardiomyotomy is an effective treatment for achalasia. Intraoperative leak tests are carried out to exclude mucosal perforations, additionally some surgeon perform postoperative contrast swallows. The aim of the study was to identify whether postoperative contrast swallows were necessary in all patients who undergo laparoscopic cardiomyotomy. All patients who underwent a laparoscopic cardiomyotomy at a single center between 2004 and 2011 were identified. Median age was 55 (18 to 79), median body mass index 26 (17 to 37), and median length of stay was 1 day (1 to 4). A total of 54% of patients had previous pneu...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Laparoscopic Surgery Decreases the Surgical Risks Associated With Hyperlipidemia in Rectal Cancer: A Retrospective Analysis of 495 Patients
Background:Epidemiologic studies provide evidence for a link between disorders of lipid metabolism and the risk for colorectal cancer, hyperlipidemia is a common feature of rectal cancer patients. However, information about the effects of hyperlipidemia on rectal cancer surgery is scarce. Objective:The aim of this study was to investigate whether hyperlipidemia affected short-term outcomes of rectal cancer surgery, and determine the preferable surgery method based on the comparison of laparoscopic surgery and open surgery. Methods:Clinical data of 495 rectal cancer patients who received traditional open or laparoscopic rad...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Comparison of Hand-assisted Laparoscopic Surgery Using Tissue Fusion Devices and Open Resection for Treatment of Rectosigmoid Carcinoma
Modern tissue fusion devices used in hand-assisted laparoscopic surgery (HALS), a method of combining endoscopic surgery with tactile sensation, can minimize surgical trauma and hospitalization times beyond both conventional laparoscopy and open surgery. The outcomes of HALS using tissue fusion devices and conventional open surgery for curative resection of rectosigmoid carcinoma were compared. A total of 78 (45 males, 33 females; mean age, 57.2±11.7 y) rectosigmoid carcinoma patients underwent HALS surgery (HALS group) and 78 age-matched, sex-matched, and tumor status–matched rectosigmoid carcinoma patients (...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research

Impact of Splenic Flexure Mobilization on Short-term Outcomes After Laparoscopic Left Colectomy for Colorectal Cancer
Conclusions:Splenic flexure mobilization can provide a tension-free anastomosis and sufficiently vascularized anastomosis in laparoscopic colorectal surgery for distal colon pathology, with no impact on immediate postoperative outcomes, despite longer operative time. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Bilateral Axillo-breast Approach (BABA) Endoscopic Sistrunk Operation in Patients With Thyroglossal Duct Cyst: Technical Report of the Novel Endoscopic Sistrunk Operation: Erratum
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Erratum Source Type: research

Endoscopic Management for the Assessment and Treatment of Anastomotic Bleeding in Laparoscopic Anterior Resection for Rectal Cancer
Conclusion:IOE is an independent protective factor of anastomotic bleeding after LAR. Endoscopic hemostasis is recommended for an anastomotic bleeding after LAR for rectal cancer with a stapling technique. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Laparoscopic Tension-free Abdominal Wall Repair: Impact of Mesh Size and of Different Fixation Devices in a Consecutive Series of 120 Patients
Conclusions:Mesh size and obesity were the main factors influencing postoperative outcomes. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Insurance Status and Outcomes in Laparoscopic Adjustable Gastric Banding
Conclusions:This is the first study assessing outcomes and complication rates with respect to pay status in an outpatient surgery center bariatric patient population. These results demonstrate that self-financed patients did not achieve greater weight loss compared with privately insured patients undergoing LAGB. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Endowrist Versus Wrist: A Case-Controlled Study Comparing Robotic Versus Hand-assisted Laparoscopic Surgery for Rectal Cancer
This study aims to compare the surgical outcomes of the robotic-assisted laparoscopic (RAL) versus hand-assisted laparoscopic (HAL) techniques in performing TME for patients with rectal cancers. Methods:A retrospective review of all patients who underwent RAL TME for rectal cancers was performed. These cases were matched for age, sex, and stage of malignancy with patients who underwent HAL TME. Data collected included age, sex, American Society of Anesthesiologists scores, comorbid conditions, types of surgical resections and operative times, perioperative complications, length of hospital stays, and histopathologic outcom...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Roux-en-Y Gastrojejunostomy After Totally Laparoscopic Distal Gastrectomy: Comparison With Billorth II Reconstruction
Purpose:The purpose of this study was to compare Roux-en-Y (R-Y) reconstruction with Billroth-II (B-II) reconstruction after a totally laparoscopic distal gastrectomy (TLDG). Methods:Eighty-one consecutive TLDG procedures were performed by a single surgeon and subsequently examined. Postoperative outcomes, clinicopathologic features, and postoperative endoscopic findings between the 2 groups were evaluated and compared. Results:The mean operation time was not significantly higher in the R-Y than in the B-II group (P=0.396). Postoperative hospital stay was longer in the R-Y than in the B-II group (P=0.037). The severities o...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Use of Dual Knife for Large Pedunculated Colorectal Polyps
Conclusions:Combined use of a dual knife and prophylactic hemostatic procedures is a feasible alternative technique for removing large pedunculated colorectal polyps when conventional snare resection is impossible or difficult. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Single-port Laparoscopic Left Adrenalectomy (SILS): 3 Years’ Experience of a Single Institution
Conclusions:SILS left adrenalectomy is a technically feasible and safe procedure in carefully selected patients and seems to have results similar to a conventional approach in our initial comparison. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

The Role of Staging Laparoscopy in Treatment of Locally Advanced Gastric Cancer
Purpose:The aim of this study was to evaluate the role of videolaparoscopy (VLP) in gastric cancer staging, particularly for the detection of peritoneal cancer, to verify its impact in changing the therapeutic conduct, as well as defining the characteristics of the group that can benefit from VLP as staging method. Patients and Methods:A prospective cohort study was conducted from May 2011 to March 2013. Thirty-two patients with gastric adenocarcinoma underwent conventional staging together with VLP staging. Results:VLP identified peritoneal disease in 22.6% of patients. Sensitivity was 86%, and specificity was 100%. In th...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Guidewire-assisted Transpancreatic Sphincterotomy for Difficult Biliary Cannulation: A Prospective Randomized Controlled Trial
Purpose:Precut techniques have been used to facilitate biliary cannulation during difficult endoscopic retrograde cholangiopancreatography. Presently, needle-knife sphincterotomy (NKS) is a commonly used precut technique. Since its first description, transpancreatic sphincterotomy, as an alternative method for bile duct entry when conventional biliary cannulation failed, has been debated on its success rate of cannulation and its complications, such as increased incidence of pancreatitis. Guidewire techniques are another effective method to improve the success rate of selective bile duct cannulation. This is a single-cente...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

The Effect of Serosal Suture Reinforcement on Burst Pressure in Sleeve Gastrectomy Specimens
Purpose:Staple-line leak is a life-threatening complication of laparoscopic sleeve gastrectomy. Reinforcement materials have been reported to lower the risk of staple-line bleeding, but their effects on leak risk have not been elucidated. The aim of this study was to compare the effects of 2 supportive techniques on burst pressures in sleeved gastrectomy specimens. Methods:A total of 30 patients who underwent laparoscopic sleeve gastrectomy were evaluated. The resected sleeve gastrectomy specimens were categorized into 3 groups: group 1 had no extra support in the staple-line, group 2 had interrupted serosal suture on the ...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Sugammadex Reduces Postoperative Pain After Laparoscopic Bariatric Surgery: A Randomized Trial
Background:Morbid obese (MO) population is increasing every year worldwide, and laparoscopic bariatric surgery (LBS) has a central role in their treatment. The postoperative period of MO is not free from complications. The introduction of sugammadex has brought huge developments in patient’s safety and nowadays LBS is performed with better care and quality. However, the effect of this agent in postoperative pain is still unknown. Materials and Methods:A controlled trial enrolling 88 MO submitted to LBS under general anesthesia using muscle relaxation, randomly assigned into 2 groups: one received sugammadex (SUG grou...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Timing and Choice of Intervention Influences Outcome in Acute Cholecystitis: A Prospective Study
Conclusions and Relevance:A high complication rate seen with radiology placed percutaneous cholecystostomy tubes prompted our center to reevaluate the treatment algorithm used to treat patients with complex acute cholecystitis. Although laparoscopic cholecystectomy is considered to be the gold standard in the treatment of acute cholecystitis, if laparoscopic cholecystectomy is not felt to be safe due to gallbladder wall thickening or symptoms of>72 hours’ duration, we now encourage the use of intravenous antibiotics to “cool” patients down followed by interval laparoscopic cholecystectomy approximately...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

The Effects of Different Oxygen Concentrations on Recruitment Maneuver During General Anesthesia for Laparoscopic Surgery
In this study, we aimed to determine the effects of different oxygen concentrations during RM on the arterial oxygenation and respiration mechanics in laparoscopic cases. Materials and Methods:Thirty-two patients undergoing laparoscopic cholecystectomy were recruited into the study. The patients were randomly divided into 2 groups. RM with a 30% oxygen concentration was performed in patients within the first group (group I, n=16), whereas patients in the second group (group II, n=16) received RM with 100% oxygen. To study respiratory mechanics, dynamic compliance (Cdyn), airway resistance (Raw), and peak inspiratory pressu...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Original Articles Source Type: research

Appendectomy in Women. Is the Laparoscopic Approach Always Better Than the “Open” Approach in Uncomplicated Appendicitis?
Conclusions:LAs are not associated with a lower complication rate than the OAs and, above all, LAs are more expensive than OAs. Also we believe that laparoscopic approach should be used only in case of unclear abdominal pain and not for the treatment of clear acute and uncomplicated appendicitis. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Review Articles Source Type: research

Gastric Cancer Following Bariatric Surgery: A Review
Conclusions:There is a lack of evidence about a connection between the late occurrence of gastric adenocarcinoma and the bariatric surgery. For this reason, although the preoperative upper endoscopy is still mandatory, there is no need for a regular endoscopic evaluation of patients after surgery. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Review Articles Source Type: research

Comparison of Outcome and Side Effects Between Conventional and Transvaginal Laparoscopic Cholecystectomy: A Meta-analysis
In conclusion, TVC patients have significantly less postoperative pain but need much longer operative time. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2014 Category: Surgery Tags: Review Articles Source Type: research

A Unique Approach to Thoracic Duct Leak After Esophagectomy
Chylothorax is a severe complication of esophagectomy. Those who do not respond to conservative measures require reoperation. We have described a minimally invasive technique to control a late postoperative chyle leak. A 41-year-old patient underwent an Ivor-Lewis esophagectomy. Day 4 after surgery he was found to have an esophageal leak. He underwent thoracotomy and esophageal stent insertion. On day 20, a radiologic drain was placed to control a small supradiaphragmatic collection. The collection was found to be chyle, and 2.5 L was drained per day. As this was 3 weeks after thoracotomy, a technique of sinus track dilata...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Case Reports Source Type: research

Minimally Invasive 3-Field Esophagectomy With Cervical Single-port Access
Conclusions:Video-assisted thoracoscopic and laparoscopic esophagectomy combined with a cervical single-port assist is a safe and minimally invasive technique for whole esophagus and mediastinal lymph node dissection. This technique allows for the clear visualization of the mediastinum, reducing the risk of surgery-related trauma. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Case Reports Source Type: research

Modified Laparoscopic Technique for Fixation of Peritoneal Dialysis Catheter
Conclusions:The laparoscopic 2-site fixation technique is an effective and safe procedure but long-term follow-up and more cases are necessary. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

Single-port Transanal Endoscopic Microsurgery: A Developing Technique
Conclusions:Transanal resection of rectal tumors using the SILS technique is a feasible procedure. Longer series and prospective studies are necessary. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

A 3-Step Gradual Dilation Method: A New Safe Technique of Percutaneous Endoscopic Gastrostomy for Obstructive Esophageal Cancer
Although percutaneous endoscopic gastrostomy (PEG) is the preferred method to provide enteral nutrition for a longer time period, in obstructive esophageal cancer, we cannot safely perform endoscopic access to the stomach even with the ultrathin endoscope. We experienced 1 fatal case due to esophageal perforation caused by balloon dilation, and hence, we developed a safer method. We treated 4 patients with obstructive esophageal cancer using a 3-step gradual dilation method with nasogastric tubes (from 8 to 16 Fr). After about 2 weeks of initial dilation, we could safely perform endoscopic access to the stomach with the ul...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

Safety and Feasibility of Retrieval of Intragastric Balloon Followed by Antiobesity Surgery on the Same Day
In conclusion, concomitant retrieval of an intragastric balloon followed by sleeve gastrectomy is feasible, safe, and cost effective. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2014 Category: Surgery Tags: Online Articles: Original Articles Source Type: research