CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons最新文献

AirSeal was Useful in Laparoscopic Surgery for Perforated Appendicitis During Pregnancy AirSeal在妊娠期阑尾炎穿孔腹腔镜手术中的应用

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00008

K. Kai, Takuto Ikeda, Akiko Ichihara, R. Hamada, Kenzo Nagatomo, S. Matsuzawa, J. Ushijima, S. Furukawa, H. Sameshima, A. Nanashima

{"title":"AirSeal was Useful in Laparoscopic Surgery for Perforated Appendicitis During Pregnancy","authors":"K. Kai, Takuto Ikeda, Akiko Ichihara, R. Hamada, Kenzo Nagatomo, S. Matsuzawa, J. Ushijima, S. Furukawa, H. Sameshima, A. Nanashima","doi":"10.4293/crsls.2020.00008","DOIUrl":"https://doi.org/10.4293/crsls.2020.00008","url":null,"abstract":"Introduction: Acute appendicitis is the most common general surgical problem during pregnancy. Laparoscopic appendectomy has been gaining widespread popularity and has been accepted as a minimally invasive surgery based on evidence for its use in appendicitis in pregnant patients. However, the gravid uterus in the third trimester and the frequent suction required for abscess drainage make the working space intractable. Case Description: We report a case in which an AirSeal intelligent flow system (ASIFS) (CONMED Corporation, Utica, NY, USA) was useful for laparoscopic appendectomy and abscess drainage for perforated appendicitis in a 31-wk pregnant patient. ASIFS allowed successful maintenance of a working space, thus making it possible to excise the appendix at its base with double ligation and effectively drain the abscess with no maternal and fetal complications. To our knowledge, there have been no reports of the use of ASIFS in a pregnant patient. A past study reported that ASIFS could induce hypothermia compared with a conventional CO2 supply tube in patients. Although intraoperative hypothermia did not occur in our patient, it would be prudent to carefully avoid frequent suctioning in the short term and to warm the patient intraoperatively because maternal and fetal bodies are susceptible to change in hemodynamics. Conclusion: Surgeons should consider the use of ASIFS before deciding to convert from laparoscopic appendectomy to an open procedure in pregnant patients.","PeriodicalId":311853,"journal":{"name":"CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons","volume":"130 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124251260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic Esophagectomy for Esophageal Gastrointestinal Stromal Tumor 机器人食管切除术治疗食管胃肠道间质瘤

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00054

M. Militz, A. Osvaldt, D. Mossmann, G. Pretto, Mariana Militz, O. Corleta, L. Cavazzola

{"title":"Robotic Esophagectomy for Esophageal Gastrointestinal Stromal Tumor","authors":"M. Militz, A. Osvaldt, D. Mossmann, G. Pretto, Mariana Militz, O. Corleta, L. Cavazzola","doi":"10.4293/crsls.2020.00054","DOIUrl":"https://doi.org/10.4293/crsls.2020.00054","url":null,"abstract":"Gastrointestinal stromal tumors (GST) account for less than 1% of the total tumors of the gastrointestinal tract. Data suggests that 50–60% of these tumors are located within the stomach and 10–20% in the small bowel. The esophagus involvement is extremely rare, accounting for less than 5% of all GST. This explains the scarcity of clinicopathological data and lack of clear recommendations regarding surgical management of this disease. Surgery as the first line therapy has been associated with better outcomes such as disease control, increased survival, and complete cure. We present a case of a 63-year-old woman who was referred to the General Surgery Department of the Hospital de Clínicas de Porto Alegre due to dysphagia for solid food with 5 years of evolution. Upper gastrointestinal endoscopy revealed an ulcerated and stenosing lesion of the middle third of the esophagus extending from 25 cm to 33 cm from the upper dental arch. Lesion biopsies confirmed the diagnosis of esophageal GST. She was submitted to neoadjuvance with tyrosine kinase inhibitor and a robotic esophagectomy in prone position was performed.","PeriodicalId":311853,"journal":{"name":"CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114842491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic Extended-View Totally Extraperitoneal Transversus Abdominis Release (eTEP/TAR) Without Crossover for a Large Right Boundary Incisional Hernia 机器人扩展视野全腹膜外腹侧松解术(eTEP/TAR)无交叉治疗大右边界切口疝

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00025

V. Bindal, D. Sethi, M. Khetan, S. Kalhan, S. John, R. Dadhich, B. Ramana

引用次数: 1

Delayed Splenic Rupture after Robotic Partial Nephrectomy 机器人肾部分切除术后延迟性脾破裂

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2019.00059

Brooke A Gogel, Shruti Zaveri, Elisha Dickstein, S. Nguyen, Linda Zhang, C. Divino, K. Badani, E. Chin

{"title":"Delayed Splenic Rupture after Robotic Partial Nephrectomy","authors":"Brooke A Gogel, Shruti Zaveri, Elisha Dickstein, S. Nguyen, Linda Zhang, C. Divino, K. Badani, E. Chin","doi":"10.4293/crsls.2019.00059","DOIUrl":"https://doi.org/10.4293/crsls.2019.00059","url":null,"abstract":"Introduction: Splenic rupture can be classified as traumatic, pathologic, or spontaneous. Spontaneous splenic rupture is rare, and accounts for only 1% of cases. Most cases of spontaneous splenic rupture involve a histopathologically abnormal spleen, but in rare cases, rupture of the spleen can occur in the absence of underlying disease or trauma. We present a case of delayed spontaneous splenic rupture in the postoperative setting following a partial nephrectomy. Case Description: A 54-y-old man presented with abdominal pain, dysuria, fever, and chills 1 week after a robotic left partial nephrectomy. An initial computed tomography scan showed no evidence of splenic injury, and he was admitted for suspected pyelonephritis. A computed tomography scan was obtained 4 d later for worsening pain and fever and revealed a 14-cm subcapsular hematoma of the spleen extending to the gastrohepatic ligament. He underwent an emergent angiogram and embolization of an actively bleeding splenic artery and inferior phrenic artery. A second embolization was required 2 d later to control ongoing bleeding. He then developed increased abdominal pain with nausea, vomiting, and continued leukocytosis secondary to a completely infarcted and necrotic spleen. A laparoscopic, hand-assisted splenectomy was performed successfully, and he was eventually discharged in stable condition. Conclusion: Spontaneous splenic rupture is extremely rare, particularly in the postoperative setting. It is possible that some of these cases are in fact secondary to occult trauma to the spleen during surgery. Prompt diagnosis and management, often with emergent splenectomy, is critical in these cases. Minimally invasive surgery is a feasible option for splenic resection in cases of spontaneous splenic rupture.","PeriodicalId":311853,"journal":{"name":"CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116275055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Splenic Injury After Colonoscopy 结肠镜检查后脾损伤

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2019.00042

Caitlin R. Loseth, Arianne Johnson, Rohit Sharma

引用次数: 0

Endoscopic Drainage of a Symptomatic Intraperitoneal Hematoma with a Metal Stent and Intracavitary Thrombolytics 内窥镜下金属支架和腔内溶栓治疗症状性腹腔血肿

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00055

Sarah Olivier-Cabrera, V. Tewari, L. Gollapudi, G. Stringel

{"title":"Endoscopic Drainage of a Symptomatic Intraperitoneal Hematoma with a Metal Stent and Intracavitary Thrombolytics","authors":"Sarah Olivier-Cabrera, V. Tewari, L. Gollapudi, G. Stringel","doi":"10.4293/crsls.2020.00055","DOIUrl":"https://doi.org/10.4293/crsls.2020.00055","url":null,"abstract":"Introduction: Symptomatic intraperitoneal collections in difficult anatomical locations can present a management challenge. Even after access and drainage are accomplished, reaccumulation of thick material inside the cavity can continue to cause problems. The use of fibrinolytic agents has been reported to facilitate drainage of thick material, hematomas, purulence, and fibrin. Case Description:We present a 16-year-old male with idiopathic thrombocytopenic purpura who developed a symptomatic intraperitoneal hematoma with dimensions of 5 6 6.7 cm, abutting the spleen, pancreas, and left kidney, caused by blunt trauma. Interventional radiology could not drain the cyst because of the location. Initial drainage was done with endoscopic ultrasound (EUS)-guided placement of a lumen apposing self-expandable 1.5 cm wide metal stent designed for cystogastrostomy. The patient continued to be febrile despite saline irrigation used in the initial procedure. Two endoscopic sessions employing thrombolytic agents (4mg of tissue plasminogen activator and 5mg of deoxyribonuclease) instillation into the collection at weekly intervals were used. The stent was removed after 8weeks with complete resolution of the collection. He was discharged home and remained asymptomatic after 1 year of follow-up. Conclusion: The present case demonstrates the successful and safe use of EUS-guided transgastric drainage in conjunction with fibrinolytic/thrombolytic agents to facilitate dissolution of thickened internal debris, especially in collections with a capsule when mechanical debridement can lead to spillage of infected material and cause generalized peritonitis. To the best of our knowledge, this is the first report of endoscopic drainage utilizing thrombolytic agents.","PeriodicalId":311853,"journal":{"name":"CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127111077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Simultaneous Repair of Paraesophageal Hernia and Colectomy for Colon Cancer 食道旁疝修补术与结肠切除术治疗结肠癌

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00004

M. Mackowsky, Nicole Hadjiloucas, Cassandra Lira, Frank J. Borao

引用次数: 0

Robotic-Assisted Resection of an Abdominal Wall Colorectal Cancer Metastasis 机器人辅助切除腹壁结直肠癌转移

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00019

Cyril Kamya, Amos Zimmermann, J. Hanson, V. Phuoc

{"title":"Robotic-Assisted Resection of an Abdominal Wall Colorectal Cancer Metastasis","authors":"Cyril Kamya, Amos Zimmermann, J. Hanson, V. Phuoc","doi":"10.4293/crsls.2020.00019","DOIUrl":"https://doi.org/10.4293/crsls.2020.00019","url":null,"abstract":"We report a case of a 58-y-old male with a metachronous abdominal wall metastasis secondary to colorectal cancer. The patient initially presented 2 y ago at an outside facility with stage IV (T4, N0, M1) sigmoid colon cancer with liver metastasis. Fine needle aspiration (FNA) was performed of the liver masses, located in segment 5, inferior segment 4B, and segment 2 and ranging between 1 and 3 cm in size. The patient subsequently underwent laparoscopic sigmoid colon resection with end colostomy creation. Following this, adjuvant chemotherapy was administered with five cycles of FOLFOX. Interval computed tomography (CT) scan following chemotherapy demonstrated a decrease in size of the larger liver masses. At our institution, an open total left hepatic lobectomy (hepatic segments 2, 3, and 4) and a partial right hepatectomy of hepatic segment 5 were performed. Twelve further cycles of adjuvant chemotherapy were then performed. One year after the sigmoid resection, robot-assisted colostomy closure with end-to-end, double-stapled coloproctostomy was then performed. A subsequent CT identified a small right liver lesion consistent with metastasis, and as such the patient underwent further cycles of chemotherapy. Following these cycles of chemotherapy, positron emission tomography/CT demonstrated a resolution of the liver recurrence; however, a hypermetabolic lesion at the former site of colostomy within left anterior rectus musculature was evident. This was confirmed on core needle biopsy to be adenocarcinoma of colon primary. Robotic-assisted resection of the abdominal wall metastasis was successfully performed.","PeriodicalId":311853,"journal":{"name":"CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131481878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Gastrogastric Fistulalization After Being Left in Discontinuity of Proximal Gastric Pouch and Roux Limb Due to Catastrophic Gastrojejunal Marginal Ulcer Perforation 灾难性胃空肠边缘溃疡穿孔导致近端胃袋和Roux肢体断续后的自发性胃瘘形成

CRSLS, Journal of the Society of Laparoscopic and Robotic Surgeons Pub Date : 1900-01-01 DOI: 10.4293/crsls.2020.00030

John S. Paek, Chen Chen, N. Tariq

引用次数: 0