World Journal of Laparoscopic Surgery最新文献_第5页

Factors Predicting Success of Laparoscopic Adrenalectomy: Our Experience 预测腹腔镜肾上腺切除术成功的因素:我们的经验

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/jp-journals-10033-1422

H. Pathak, V. Agarwal, A. Sharma, M. Andankar

引用次数: 0

Laparoscopic Management of Suspected Vault Recurrence Following Staging Surgery of Endometrial Cancer 子宫内膜癌分期手术后可疑拱顶复发的腹腔镜治疗

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/JP-JOURNALS-10033-1420

Kuan-Gen Huang, A. Agrawal

引用次数: 0

Mortality and Morbidity in Peptic Ulcer Perforation: A Comparison between Radical Open Repair vs Conservative Laparoscopic Repair 消化性溃疡穿孔的死亡率和发病率:根治性开放式修复与保守性腹腔镜修复的比较

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/JP-JOURNALS-10033-1411

Y. B. Safta, N. Tounsi, M. Maatouk, A. Mabrouk, Aymen Ben Dhaou, M. Moussa

{"title":"Mortality and Morbidity in Peptic Ulcer Perforation: A Comparison between Radical Open Repair vs Conservative Laparoscopic Repair","authors":"Y. B. Safta, N. Tounsi, M. Maatouk, A. Mabrouk, Aymen Ben Dhaou, M. Moussa","doi":"10.5005/JP-JOURNALS-10033-1411","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10033-1411","url":null,"abstract":"Introduction: Currently, in the era of robotic surgery and advancement of laparoscopic technology, the place of open surgery has been reduced. However, the use of laparoscopic surgery for peptic ulcer disease is not yet a consensus. Materials and methods: All patients who had been operated for perforated peptic ulcer (PPU) disease from January 2005 to December 2014 in our hospital were reviewed retrospectively. Patient demographics, perioperative and intraoperative details, and surgical outcomes were evaluated. The objective of our study is to compare the clinical and surgical outcomes of patients who underwent either laparoscopic or open procedure as well as to demonstrate if laparoscopic repair (LR) technique has advantages to open repair (OR) in terms of morbidity and mortality. Results: We diagnosed 159 patients with PPU during the study period. LR was performed for 65 (41%) patients, and the remaining patients underwent OR. Morbidity of medical and surgical complication was higher in open groups (21 vs 2) ( p value = 0.0001). The most frequent complication in both groups was medical complication. Overall, 16 patients in the OR group had medical complications vs 2 patients in the LR group ( p value = 0.009). Surgical complication was higher in open groups (7 vs 0) ( p value = 0.04). Mortality was statistically higher in the open group. We did not report any death in the laparoscopic group. However, six deaths were identified in the OR group ( p value = 0.04). Conclusion: Our results indicate that LR for PPU was a safety option with fewer rates of morbidity, reoperation, and mortality compared to OR.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70800079","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

Cost Analysis of Blood Group and Antibody Screening for Emergency Appendicectomy: Should We Stop? 急诊阑尾切除术中血型和抗体筛查的成本分析:我们应该停止吗?

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/JP-JOURNALS-10033-1414

I. Farrell, Ja Hall, J. Hill

引用次数: 2

Barbed vs Polyglactin 910: A Comparative Study of the Efficacy in Laparoscopic Vaginal Cuff Closure 倒刺与聚乳酸蛋白910:腹腔镜阴道袖带闭合效果的比较研究

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/JP-JOURNALS-10033-1415

H. Kukreja, S. Patil

{"title":"Barbed vs Polyglactin 910: A Comparative Study of the Efficacy in Laparoscopic Vaginal Cuff Closure","authors":"H. Kukreja, S. Patil","doi":"10.5005/JP-JOURNALS-10033-1415","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10033-1415","url":null,"abstract":"Context: Total laparoscopic hysterectomy (TLH) is a popular mode of hysterectomy in the recent times. One of the principal steps is vaginal cuff closure, with many variations in surgical technique and materials. Intracorporeal suturing and knot-tying are crucial steps and are considered to be the most technically difficult skills. To overcome these challenges and learning curve, various measures have been emerging. One among them is the introduction of barbed suture, a new class of suture material. Aim: To evaluate whether the use of barbed suture for vaginal cuff closure during TLH reduced the surgical difficulty and suturing time when compared to polyglactin 910 suture. Materials and methods: This randomized comparative study included 100 patients divided into two groups of 50 each, who underwent TLH with vault closure using either barbed sutures or polyglactin 910. Demographic details, indication for surgery, intraoperative complications, mean suturing time, surgeon difficulty, and average hospital stay were compared between the two groups. Statistical analysis: Student t test for continuous variables and Fischer exact test for categorical variables. p values ≤ 0.05 were considered significant. Results: Use of barbed suture has significantly reduced the suturing time for vaginal vault closure (5.39 vs 6.9 minutes, p value < 0.0001) as well as the technical difficulty in laparoscopic suturing ( p value < 0.0001) when compared to that with polyglactin 910. Conclusion: The introduction of barbed sutures for vault closure during TLH not just reduces the suturing time but is also technically less demanding, making it a potential asset in laparoscopic hysterectomies.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46172417","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: 2

Minimal Access, Optimal Dryness: A Review of Laparoscopic Repair of Vesicovaginal Fistula 最小的通道，最佳的干燥:腹腔镜修补膀胱阴道瘘的综述

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/JP-JOURNALS-10033-1416

M. Archibong, O. Ayegbusi

{"title":"Minimal Access, Optimal Dryness: A Review of Laparoscopic Repair of Vesicovaginal Fistula","authors":"M. Archibong, O. Ayegbusi","doi":"10.5005/JP-JOURNALS-10033-1416","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10033-1416","url":null,"abstract":"Background: Vesicovaginal fistula (VVF) is a an embarrassing condition to women . Various routes of surgical intervention exists with regards to the management of VVF. Laparoscopic repair has been shown to be safe and effective. Objective: To review the success rate of laparoscopic repair of VVF and to highlight the benefits/advantages of the laparoscopic approach. Methods: Using various databases, previous studies of patients who underwent laparoscopic VVF repair between 2008 and 2018 were reviewed . Outcome measures from these studies were success rate, mean blood loss, mean operating time, length of hospital stay, major intraoperative complications and conversion to open surgery. Results: 14 retrospective studies (full text articles) were retrieved and reviewed. 269 patients had laparoscopic repair . The pooled success rate was 96.7%.. Mean Blood loss ranged from 30400mls, length of hospital stay ranged from 1.1 to 7.8 days while the mean operating time ranged from 54 to 229 minutes. There was only one major intra operative complication . Only 4 patients had to be converted to open surgery. Conclusion: Laparoscopic repair of VVF has a high success rate and is a safe, patient friendly and cost effective route for surgical management of VVF.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517973","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

Laparoscopic Entry Using Direct First Trocar Insertion without a Prior Pneumoperitoneum: A Prospective Cohort Study 无气腹情况下直接第一次插入套管针的腹腔镜入路：一项前瞻性队列研究

World Journal of Laparoscopic Surgery Pub Date : 2020-12-28 DOI: 10.5005/jp-journals-10033-1413

Jawad K Shunayeh AL-Dhahiry

{"title":"Laparoscopic Entry Using Direct First Trocar Insertion without a Prior Pneumoperitoneum: A Prospective Cohort Study","authors":"Jawad K Shunayeh AL-Dhahiry","doi":"10.5005/jp-journals-10033-1413","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1413","url":null,"abstract":"Purpose: This study aimed to assess safety, feasibility, complications, and time of direct first trocar insertion (DFTI) with carbon dioxide (CO 2 ) insufflation and operating time in laparoscopic surgery. Materials and methods: This study was a prospective cohort study (clinical original) performed at AL-Karama Teaching Hospital/College of Medicine, Wasit University, Iraq, from April 2011 to December 2017. The study enrolled 687 patients prepared for different laparoscopic procedures using direct first trocar insertion techniques for laparoscopic entry. Conversion of laparoscopic entry to Veress needle (VN) or open technique was performed when direct first trocar insertion technique failed. Recorded data were age, sex, indications for laparoscopic surgery, time of direct first trocar insertion with CO 2 -insufflation,operating time, and direct first trocar insertion-related complications. Results: Direct first trocar insertion technique was successful in 684 (99.57%) patients and failed in 3 patients when trocar entry was converted to Veress needle technique. These three patients were excluded from the statistical analysis of the study data. Demographic distribution of the patients was as follows: 90 (13.2%) males and 594 (86.8%) females. This study had no major complications, while minor complication rate was 1.31%. Mean ± standard deviation (SD) of direct first trocar insertion with CO 2 -insufflation time for males, females, and total patients was 2.32 ± 0.57 minute (m), 1.89 ± 0.53 m, and 1.95 ± 0.56 m, respectively. p value was 0.03 and was statistically significant. This study had no mortality. Conclusion and clinical significance: Direct first trocar insertion is a safe and cost-effective laparoscopic entry technique. It has a high feasibility rate, low complication rate, fast laparoscopic entry, and fast creation of pneumoperitoneum.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49592753","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

Laparoscopy-assisted Approach for Meckel's Diverticulum in Pediatric Age 腹腔镜辅助下小儿Meckel憩室手术入路

World Journal of Laparoscopic Surgery Pub Date : 2020-08-01 DOI: 10.5005/jp-journals-10033-1408

H. Kasem, Mohamed Alekrashi, Wael Elshahat

{"title":"Laparoscopy-assisted Approach for Meckel's Diverticulum in Pediatric Age","authors":"H. Kasem, Mohamed Alekrashi, Wael Elshahat","doi":"10.5005/jp-journals-10033-1408","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1408","url":null,"abstract":"Background: Meckel’s diverticulum (MD) is the most common congenital gastrointestinal tract (GIT) anomaly, with incidence approximately 2–4%. It is usually asymptomatic and it is usually discovered accidentally during laparotomy or presenting with complication as perforation, bleeding, and bowel obstruction. The surgical treatment of MD includes exploratory laparotomy with either diverticulectomy or segmental small bowel resection. Materials and methods: A retrospective review performed for the cases of MD operated by laparoscopy-assistedexcision of the diverticulum in Zagazig University Hospital and International Medical Center Jeddah, during the period from November 2012 to October 2018, all data regarding patients’ demographics, clinical features, diagnostic tests performed, histopathology reports, operative time, conversion to laparotomy, hospital stay, and complications were analyzed. Results: This study includes 17 patients with MD who underwent laparoscopy-assisted excision of MD. The median age of the patients was 8.3 years. The male to female ratio was 11:6. Lower GIT bleeding was the most common presenting symptom. All patients were subjected to a laparoscopy-assisted excision. Four patients underwent wedge excision and 13 patients underwent segmental bowel resection. Conclusion: Laparoscopy-assisted resection of MD is safe, simple, and inexpensive. Moreover, it avoids the risk of intra-abdominal contamination.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49003770","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

Total Laparoscopic Pancreaticoduodenectomy: A Single-center Experience of 33 Cases in Patients with Periampullary Tumor—Lessons Learnt 腹腔镜胰十二指肠全切除术33例壶腹周围肿瘤的经验教训

World Journal of Laparoscopic Surgery Pub Date : 2020-08-01 DOI: 10.5005/jp-journals-10033-1403

Ketan Kshirsagar, J. Churiwala, Shrinivas S Gond, A. S. A. Kaderi

{"title":"Total Laparoscopic Pancreaticoduodenectomy: A Single-center Experience of 33 Cases in Patients with Periampullary Tumor—Lessons Learnt","authors":"Ketan Kshirsagar, J. Churiwala, Shrinivas S Gond, A. S. A. Kaderi","doi":"10.5005/jp-journals-10033-1403","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1403","url":null,"abstract":"Ab s t r Ac t Introduction: The introduction of minimally invasive procedures has revolutionized surgical practice worldwide. However, its application to total pancreaticoduodenectomy since its inception in 1994 by Gagner and Pomp has elicited reluctance and skepticism due to the need for expertise, advanced laparoscopy skills, long operative time, difficulty in adhering to oncological principles of resection, and high rates of conversion to open surgery. Materials and methods: A retrospective review of 33 patients who underwent total laparoscopic pancreaticoduodenectomy at a tertiary care center in Mumbai from May 2015 to December 2019 was performed. All cases were operated by the principal investigator. Patients with malignancy on final histopathology report were included in the study. Patients with involvement of major vessels on preoperative contrastenhanced computed tomography scan, distant metastasis, and contraindication to general anesthesia were excluded from the study. Perioperative data were collected and analyzed. Results: Thirty-three patients were operated for total laparoscopic pancreaticoduodenectomy. The average operative time was 330 minutes. Only one patient required conversion to open surgery and postoperative blood transfusion. The resection margins were negative in all the patients with an average lymph node retrieval rate of 12 nodes. There was no postoperative mortality. Conclusion and clinical significance: Total laparoscopic pancreaticoduodenectomy is a safe and feasible procedure with standard laparoscopic setup in patients with malignant periampullary disease.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43877837","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

Ten-point Strategy for Safe Laparoscopic Cholecystectomy: A Prospective Study 安全腹腔镜胆囊切除术的十点策略:一项前瞻性研究

World Journal of Laparoscopic Surgery Pub Date : 2020-08-01 DOI: 10.5005/jp-journals-10033-1402

A. Yadav, Jeevan Kankaria

{"title":"Ten-point Strategy for Safe Laparoscopic Cholecystectomy: A Prospective Study","authors":"A. Yadav, Jeevan Kankaria","doi":"10.5005/jp-journals-10033-1402","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1402","url":null,"abstract":"Aims/objectives: To devise a 10-point strategy for performing safe laparoscopic cholecystectomy (LC), share experience of 8,000 patients without any conversion to open procedure by adopting the strategy, and assess its effectiveness. Materials and methods: A total of 8,000 patients were prospectively analyzed during 2007 to 2017. A point was assigned to a specific finding intraoperatively. Patients were divided into three groups based on the points. Anatomical variations, time of surgery, intraoperative/postoperative complications were plotted for three groups, and statistical significance was calculated. Results: In this study, 63.5% of patients were female. No case of conversion to open cholecystectomy (OC) was found. The youngest and oldest patients were 2 and 109 years old, respectively. Mortality, negligible morbidity, or significant complications were not observed. Group I (1–4 points) had high-risk patients, and lowest safety, and group III (8–10 points) had low-risk patients, and highest safety, and group II (5–7 points) had with equivocal numbers. Conclusion: Laparoscopic cholecystectomy was performed keeping these 10 points in mind with patience and precautions. Chances of conversion to open surgery can be reduced to zero, with minimal complications. The study suggests that in case of difficult anatomy, go gentle and slow to safeguard from injuries.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41705380","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