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Procedure: Laparoscopy

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Total 161 results found since Jan 2013.

Perioperative stroke arising from the interplay of patent foramen ovale, atrial septal aneurysm, and right diaphragm paralysis during endoscopic surgery
A number of risk factors and mechanisms have been associated with vulnerability to perioperative stroke, yet there remains the need to increase awareness of this potential complication, its risks, and consequences. A case of a 59 year old man who underwent a prolonged laparoscopic-thoracoscopic diaphragmatic plication procedure for paralyzed right hemidiaphragm is reported. His past medical history included coronary artery disease, diabetes mellitus type II, hypertension, and hyperlipidemia. Routine transthoracic echocardiogram performed 6 months prior to surgery was unremarkable, noting normal ejection fraction, no valvul...
Source: Journal of Clinical Anesthesia - September 25, 2013 Category: Anesthesiology Authors: Ioanna Apostolidou, Kamini Sundarbose, Sarah L. Richards, Mojca R. Konia Tags: Correspondence Source Type: research

Safety of Outpatient Laparoscopic Cholecystectomy in the Elderly: Analysis of 15,248 Patients Using the NSQIP Database
Background: Studies have shown that laparoscopic cholecystectomy (LC) in an ambulatory setting is a safe alternative to the traditional overnight hospital stay. However, there are limited data on the morbidity and mortality of outpatient LC in elderly patients. We evaluated the safety of ambulatory LC in the elderly and identified risk factors that predict inpatient admission.Study Design: A retrospective analysis was performed using the American College of Surgeon's NSQIP database between 2007 and 2010. The database was searched for patients older than 65 years of age who underwent elective LC at all participating hospita...
Source: Journal of the American College of Surgeons - August 7, 2013 Category: Surgery Authors: Ajit Rao, Antonio Polanco, Sujing Qiu, Joseph Kim, Edward H. Chin, Celia M. Divino, Scott Q. Nguyen Tags: Original Scientific Articles Source Type: research

Positive end-expiratory pressure during laparoscopy: cardiac and respiratory effects
Conclusions: Ventilation with PEEP (up to 10 cm H2O) recruits the hypoventilated areas of the lungs and reduces cardiac afterload.
Source: Journal of Clinical Anesthesia - July 8, 2013 Category: Anesthesiology Authors: Andrea Russo, Enrico Di Stasio, Alessandro Scagliusi, Francesca Bevilacqua, Maria Antonietta Isgrò, Riccardo Marana, Elisabetta Marana Tags: Original contributions Source Type: research

Follow-up to ‘Cholecystectomy in the presence of a large patent foramen ovale: laparoscopic or open?’
We previously reported an obese patient with cholelithiasis and acute cholecystitis, who was scheduled to undergo an emergency laparoscopic cholecystectomy, but was recognized preoperatively to have a large patent foramen ovale (PFO) with a right-to-left shunt that was open at rest . She also had concomitant choledocholithiasis, and she underwent an endoscopic sphincterotomy with prompt resolution of her fever and abdominal pain. At the time, the benefits of laparoscopy were weighed against the risk of paradoxical emboli and stroke, and the choice of either a laparoscopic or open cholecystectomy was discussed carefully wit...
Source: Journal of Clinical Anesthesia - April 22, 2013 Category: Anesthesiology Authors: Pringl L. Miller, Larry Litt, Nelson Schiller, John Maa Tags: Correspondence Source Type: research

Pulmonary embolism and fatal stroke in a patient with severe factor XI deficiency after bariatric surgery
We report the case of a 40-year-old woman with a severe factor XI (FXI) deficiency who died from a stroke due to bilateral internal carotid arteries occlusion after a laparoscopic gastric bypass (bariatric surgery). This stroke was probably secondary to a pulmonary embolism with a paradoxical embolism through a previously unknown foramen ovale. This woman who had one severe episode of bleeding before the bypass received for the intervention a single infusion of 27 U/kg of FXI concentrate. A careful evaluation of the bleeding and thrombotic risk was performed before surgery, and despite all preventive measures, this tragi...
Source: Blood Coagulation and Fibrinolysis - April 1, 2013 Category: Hematology Tags: Case Reports Source Type: research

Low CD8 T‐cells in neonates and infants prior to surgery and healthcare‐associated infections: a prospective observational study.
Cytotoxic T‐lymphocytes (CD8 T‐cells) are a powerful component of the adaptive immune system. They are involved in the eradication of intracellular infections, tumours, and contribute to rejection of organ transplants; and autoimmunity [1]. Several studies in humans and animals have demonstrated that altered host defence mechanisms after major surgery or trauma are an important risk in the development of postsurgical healthcare‐associated infections [2‐4]. These and other studies have demonstrated decreased counts and/or response of T‐lymphocytes to mitogenic activation in patients following general surgery, blun...
Source: Pediatrics International - April 1, 2013 Category: Pediatrics Authors: Stefan Grosek, Ziva Petrin, Andreja Natasa Kopitar, Tanja Gmeiner Stopar, Mirjana Petreska, Janez Primozic, Janez Erzen, Jan Grosek, Alojz Ihan Tags: Clinical Investigations Source Type: research

Summary: International Kidney Cancer Symposium
Conclusions:  Ideal ischemia time is 20-25 minutes or less improves short and long term renal function.  >25 minutes carried 5 year risk of new onset stage 4 CKD No differences on GFR for cold vs. warm ischemia times Preoperative GFR and the percent of kidney preserved was a better predictor of post op GFR.  No ischemia preserves renal function better than warm. Longer cold ischemia times were equivalent to shorter warm ischemia times. Quality and quantity of the remaining kidney is associated with ultimate renal function. Robotics in RCC Surgery Gennady Bratslavsky, MD The...
Source: Kidney Cancer Association - December 15, 2011 Category: Urology & Nephrology Source Type: news