World Journal of Laparoscopic Surgery最新文献

{"title":"Laparoscopic Retrieval of a Migrated Intrauterine Contraceptive Device","authors":"E. Al-Ojaimi, Shafeeqa Ali Ebrahim","doi":"10.5005/jp-journals-10033-1409","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1409","url":null,"abstract":"Introduction: Intrauterine contraceptive device (IUCD) migration consequent to perforation of the uterus is not very common, but is one of the more serious complications. Case descriptions: We described two cases of migrated IUCD, at two distinct sites in the pelvic cavity, one was located in the pouch of Douglas embedded behind the left ovary and tube which was adherent to the posterior uterine wall and another was in the left mesovarium between the ovary and the tube. Both IUCDs were successfully removed laparoscopically without any complication. Conclusion: Migrated IUCDs should always be removed once the diagnosis is made to prevent serious complications. Laparoscopic approach is a successful and preferred choice of treatment in selected cases.","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":"42869232","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}

{"title":"Laparoscopic Retrieval of a Displaced Intrauterine Device Presenting as Umbilicus Sinus","authors":"D. Sahu, Kislaya Kumar Sao, Shiv Shankar Dubey","doi":"10.5005/jp-journals-10033-1404","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1404","url":null,"abstract":"Aim: To report a case of displaced intrauterine device (IUD), having unusual presentation, and signify the role of laparoscopy in the surgical management of migrated IUD. Background: The IUD is a popular family planning method worldwide. Intrauterine device migration into the peritoneal cavity is a serious complication and requires surgical removal in the majority of cases. In most of the reported cases, retrieval was performed through laparotomy. Moreover, cases which were attempted laparoscopically, many of them later converted to open. Also, previously published articles have mentioned migration of IUD into rectosigmoid, urinary bladder, small intestine, iliac vessels, and other sites. Ours is a probably first reported case of displaced IUD presenting as discharging umbilical sinus and surgical retrieval performed via laparoscopic approach. Case description: A 28-year-old woman presented with pain and discharge from umbilicus. Investigations revealed displaced IUD at the level of umbilicus. Patient underwent laparoscopy surgery and found to have displaced IUD, embedded in-between omental adhesion to umbilicus. Entire surgery was carried out laparoscopically and IUD removed. Patient had uneventful recovery after surgery. Conclusion: Uterine perforation following IUD insertion is a rare but potentially serious complication. Accurate preoperative localization of displaced IUD is obligatory and helpful. Current practice is to surgically remove all displaced IUDs. Laparoscopic approach appears to be safe with advantage of faster recovery and good cosmesis. Clinical significance: Our article will provide insight in erratic presentation of displaced IUD and further augment the role of laparoscopy in the management of such cases.","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":"47125595","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}

{"title":"Laparoscopic Heminephroureterectomy in Infants Weighing Less Than 10 Kilograms: The Two Peculiar Cases","authors":"M. Iaquinto, M. Scarpa, R. Castro, D. Codrich, E. Guida, A. Cerrina, F. Pederiva, M. Lembo, J. Schleef","doi":"10.5005/JP-JOURNALS-10033-1410","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10033-1410","url":null,"abstract":"Ab s t r Ac t Aim: We report two peculiar cases of laparoscopic heminephrectomy in infants weighing less than 10 kg with megaureter of nonfunctioning renal upper pole. Cases description: A 6-month-old boy, with history of upper pole pyo-hydroureteronephrosis managed by percutaneous nephrostomy, was affected in the left side; while a 17-month-old girl, with history of abdominal mass then proved to be a giant megaureter of nonfunctioning renal upper pole, was affected in the right side and she was previously treated for primitive obstructive megaureter (in the lower pole). Laparoscopic heminephroureterectomy with a transperitoneal approach was performed. Mean length of surgery was 160 minutes. We reported no conversion to open surgery neither intraoperative bleeding/urine leakage. Mean hospitalization duration was 5 days. The reoperation rate was 0%. In both cases at preliminary follow-up, we reported a good outcome. Conclusion: Laparoscopic heminephrectomy is considered a technically challenging procedure, especially for small infant but, according to our experience, it is safe and effective if performed in pediatric centers with high experience in minimally invasive surgery.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46340642","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}

{"title":"Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention","authors":"Hariyono Winarto, K. Y. Saspriyana, A. Kekalih","doi":"10.5005/JP-JOURNALS-10033-1405","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10033-1405","url":null,"abstract":"Ab s t r Ac t Aim: Inexperienced operating assistants are often tasked with the important role of handling camera navigation during laparoscopic surgery. Incorrect handling can lead to poor visualization and increased operating time. The objective of this research was to examine benefit of camera navigation training in laparoscopic used pelvic box based on Objective Structured Assessment of Camera Navigation Skills (OSA CNS) assessment and explore factors correlated to difference skill after training. Materials and methods: An experimental study (pre–post interventional study) was conducted at the training room of Indonesia Clinical Training and Education Centre (ICTEC) Faculty of Medicine Universitas Indonesia-Dr. Cipto Mangunkusumo Hospital (CMH), on December 2018 to January 2019. Participants were Obstetrics and Gynecology resident Medical Faculty of Universitas Indonesia. We did evaluation before training and 1, 2, 3 weeks after training used OSA CNS. Data analysis used paired-t test. Results: There were significant increasing OSA CNS score after camera navigation training used pelvic box. Average OSA CNS score before training and 1, 2, 3 weeks after training were 15.00 ± 2.03, 17.60 ± 2.69, 16.36 ± 1.84, 17.80 ± 2.26, respectively. Optimum duration of OSA CNS evaluation was 3 weeks after the training. Female gender and low experience were two factors influence camera navigation skill after the training. Conclusion: Laparoscopy camera navigation training used pelvic box could be applied to support residency program curriculum and there were increasing camera navigation skills after training used pelvic box. Female gender and low experience were factors significant correlate to training outcome of camera navigation skill used pelvic box. Clinical significance: Camera navigation training used pelvic box is a critical component for teaching safe endoscopic practices in our Ob/Gyn residency training program.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48689354","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}

{"title":"Laparoscopic Diaphragmatic Repair: A Single-center Experience","authors":"E. V. Reddy, G. Shroff, Vemula Bala Reddy, Dinesh Reddy Kaipu, R. Musham","doi":"10.5005/jp-journals-10033-1391","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1391","url":null,"abstract":"Background: With the ongoing advances in the field of laparoscopy, more and more of diaphragmatic repairs are being performed laparoscopically. All forms of diaphragmatic pathologies, such as congenital diaphragmatic hernia (CDH) including diaphragmatic eventration, hiatus hernia as well as traumatic diaphragmatic rupture, can be well performed through laparoscopy. Laparoscopic repair along with the advantage of improved vision and accessibility can also avoid large incisions, thereby reducing morbidity and long hospital stay, due to pain and lung complications, with early return to work. Materials and methods: A total of five cases underwent laparoscopic diaphragmatic repair at our center in 1 year duration. All cases were followed up with immediate postoperative and quarterly chest X-rays. Results: None required conversion to open. Diaphragm was reconstructed and reinforced with mesh. None had any postoperative complications. Follow-up postoperative chest X-rays were unremarkable. Conclusion: Laparoscopic diaphragmatic hernia repair is a feasible, acceptable, affordable, superior, and safe alternative to open repair with better short-term postoperative outcomes and a recurrence rate similar to the open approach.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45119469","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}

{"title":"Hindrance to Day Care Laparoscopic Cholecystectomy in India","authors":"S. Ghatak, Bhaviya Bhargavan Nair Sarala, A. Kar, S. Gulati, V. Bhartia, P. K. Nemani","doi":"10.5005/jp-journals-10033-1396","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1396","url":null,"abstract":"Ab s t r Ac t Background: Laparoscopic cholecystectomy is considered “gold standard” for the treatment of gallstone disease. In spite of the increasing number of laparoscopic cholecystectomies being performed as day care surgery in the West, the surgeons of developing countries are reluctant to adopt this trend probably due to the inadequate resources and infrastructure which they consider a hindrance for safe discharge. Our study aims to assess the feasibility of day care laparoscopic cholecystectomies. Materials and methods: This is a prospective observational study. All patients undergoing laparoscopic cholecystectomy were assessed postoperatively for dischargeability using post-anesthetic discharge scoring system (PADSS). We assessed the factors delaying the early discharge of laparoscopic cholecystectomy patients in terms of patient factors, intraoperative factors, postoperative factors, social factors, and logistic factors. Results: Of the total 88 patients, 57 (64.7%) were dischargeable at 6 hours and 78 (88.6%) were dischargeable at 24 hours. Factors found to affect dischargeability of patients at 6 hours were acute cholecystitis and increased duration of surgery. Difficulty of surgery and the use of drain had significant association with nondischargeability at 24 hours. Eighteen patients were fit for discharge by PADSS criteria but not discharged at 24 hours. Factors, which delayed the discharge of these patients, were continuation of intravenous antibiotics, delay in processing insurance, patients’ unwillingness for early discharge, presence of drain, and surgeon’s perceived fear of complications. Conclusion: Sixty-five percent of all laparoscopic cholecystectomies can be performed as day care procedure safely. Patients with acute cholecystitis and patients requiring an operative time more than 104 minutes should be observed for 24 hours.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43117861","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}

{"title":"Laparoscopic Cholecystectomy and Common Bile Duct Exploration Using Choledochotomy and Primary Closure Following Failed Endoscopic Retrograde Cholangiopancreatography: A Multicentric Comparative Study Using Three-port vs Multiport","authors":"M. Pedraza, L. F. Cabrera, Jean A. Pulido, D. Gomez, Andres Mendoza-Zuchini, M. C. Jimenez, R. Villarreal, Sebastián Sánchez-Ussa","doi":"10.5005/jp-journals-10033-1392","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1392","url":null,"abstract":"Background: Laparoscopic surgery has changed many ways in which we as surgeons manage patients, offering better results, quicker recovery, and fewer complications using minimally invasive techniques, especially in common bile duct (CBD) surgery. Not only can laparoscopic techniques be applied to programed surgery but also emergencies and those following failed endoscopic retrograde cholangiopancreatography (ERCP). Objectives and aims: Describe and compare clinical and surgical results of the laparoscopic CBD exploration with primary closure using a 3-port vs multiport approach. Materials and methods: We present a multicentric comparative study of 197 consecutive patients who underwent a laparoscopic gallbladder removal along with CBD exploration with primary closure following failed (ERCP to extract CBD stones; 104 patients were managed by three-port vs 93 multiport laparoscopic surgery in five centers of Bogotá, Colombia, between 2013 and 2017 with follow-up of 1 year. Results: A total of 197 patients were taken to laparoscopic gallbladder removal along with CBD exploration with primary closure, 104 patients via three-port technique and 93 patients via multiport. All (100%) the patients had previously failed ERCP. The average surgical time on the three-port approach was 106 minutes vs 123 minutes on multiport. Only in the multiport technique we had an average conversion of 2%. Mean hospital stay of 2.5 days, less for the three-port approach vs multiport in 5–7 days. There was a need of reintervention in 1% of the patients who underwent three-port exploration. Conclusion: Postoperative pain, use of an additional port, complication rates, operation time, and cost of the three-port technique were similar to those of the conventional approach. Large randomized controlled trials are needed to examine the true benefits of the three-port","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42153800","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}

{"title":"Laparoscopic Intervention after Ventriculoperitoneal Shunt: A Case Report, Systematic Review, and Recommendations","authors":"M. T. Rad, Sandra Bogdanyova, Lisa Wilhelm, J. Konczalla, F. Raimann, M. Wallwiener, S. Becker","doi":"10.5005/jp-journals-10033-1397","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1397","url":null,"abstract":"Background: In patients presenting pelvic pathology and a placed ventriculoperitoneal (VP) shunt, there is uncertainty regarding the decision whether to use laparoscopy. The aim of the article is to examine the available literature as well as sharing our own experiences operating on a patient with a VP shunt using laparoscopy. Materials and methods: We searched online libraries (PubMed, EMBASE, and Google Scholar) for all publications published between January 1975 and December 2018 on our topic. We performed a systematic review and shared our experience with laparoscopy in a patient with shunt and ovarian cancer. Results: The age of the patients ranged from 1 to 79 years. The operations were performed by the departments of general surgery, gynecology, and urology. The time from the shunt operation to laparoscopy ranged from 5 days to 28 years. In different articles, four important points were considered and discussed: the risk of a shunt infection or complication, technical difficulties carrying out laparoscopy in patients with a VP shunt, the necessity of routine monitoring of the intracranial pressure (ICP) intraoperatively, and perioperative strategies to avoid complications. Conclusion: It seems that a laparoscopic surgery in adults with a VP shunt appears to be a safe option. Based on the results of our case and the review of literature, we consider it necessary to have a neurosurgical consult performed prior to surgery, to have the procedure be carried out by an experienced surgeon, and to avoid complications by implementing recommended precautions.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41467386","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}

{"title":"Laparoscopic vs Open Drainage of Complex Pyogenic Liver Abscess","authors":"Mohamed M. Mogahed, A. Zytoon, B. Eysa, Mohamed Manaa, W. Abdellatif","doi":"10.5005/jp-journals-10033-1395","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1395","url":null,"abstract":"Complex pyogenic liver abscess (CPLA) is a rare fatal disease if untreated. Complex pyogenic liver abscess is a multilocular abscess more than 5 cm in diameter. Pyogenic liver abscess (PLA) is mainly treated by percutaneous aspiration or drainage under antibiotic cover. Surgical drainage is indicated if interventional radiology fails, if ruptured, or if associated with biliary or intra-abdominal pathology. Laparoscopic drainage is a promising management option. Aim: To evaluate the safety and efficacy of laparoscopic drainage as a management of complex pyogenic liver abscesses in comparison to open surgical drainage. Materials and methods: Combined retrospective and prospective comparative study of 48 patients having complex PLA who were admitted to NHTMRI and managed by either laparoscopic drainage or open surgical drainage from January 2012 to January 2020 as regards results, complications, perioperative morbidity, mortality, and possible recurrence. Twenty-six patients were managed by open drainage, and 22 patients by laparoscopic drainage. Culture sensitivity of pus was done for all patients. Patients having small, solitary, and unilocular PLA that responded to antibiotic treatment or/and percutaneous drainage were excluded. All patients were subjected to full clinical assessment, laboratory investigations, ultrasonography, computed tomography, or magnetic resonance images for the abdomen and pelvis. Results: Forty-eight patients having complex PLA with a median age of 54.5 years were managed by either laparoscopic drainage (22 patients) or open surgical drainage (26 patients). The operation time and hospital stay were less, and oral feeding was started earlier in laparoscopic group. Wound infection was higher in open drainage group. Abscess recurrence occurred once in laparoscopic group and once in open surgery group, and both were successfully treated with percutaneous drainage. One laparoscopic operation was converted to open. Conclusion: Both laparoscopic and open surgical drainage of PLA are safe and effective. Laparoscopic drainage has less operative time, morbidity, and hospital stay; however, open drainage is considered the management of choice for patients with severe sepsis or failed percutaneous drainage.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42575434","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}

{"title":"Laparoscopic Ventral Hernia Repair with Polypropylene Mesh: A Literature Review","authors":"Elmutaz A. M. Kanani","doi":"10.5005/jp-journals-10033-1394","DOIUrl":"https://doi.org/10.5005/jp-journals-10033-1394","url":null,"abstract":"Background: Laparoscopic ventral hernia repair (LVHR) is currently considered the gold standard. However, the mesh selection is still controversial. The aim of this review is to look for evidence that supports the use of polypropylene mesh (PPM) in the intraperitoneal position in LVHR. Materials and methods: The literature was searched systematically using Google Scholar and PubMed for controlled studies, prospective descriptive series, and retrospective case series. Results: A total of 11 studies were retrieved. All the studies were either retrospective or animal experiments. Their outcomes are heterogeneous and they have multiple weaknesses. Conclusion: The literature clearly lacks data from controlled randomized trials in humans that can give strong evidence. The use of intraperitoneal PPM in LVHR remains an individual surgeon preference decision until well-designed prospective double-blind randomized controlled clinical trials are available.","PeriodicalId":38741,"journal":{"name":"World Journal of Laparoscopic Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41443757","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}