CRSLS : MIS case reports from SLS最新文献_第2页

Incidental Gastrointestinal Stromal Tumor in a Patient Undergoing Robotic Sleeve Gastrectomy. 机械人袖胃切除术患者的偶发胃肠道间质肿瘤。

CRSLS : MIS case reports from SLS Pub Date : 2025-03-25 eCollection Date: 2024-10-01 DOI: 10.4293/CRSLS.2024.00045

Adham Ahmed, Tara Ranjbar, Ricky Y Lovell, Samantha Colon, Branden Tejada, Claire Platt, Caitlin Russell, Indraneil Mukherjee, Olivia Haney

引用次数: 0

Acute Internal Pelvic Hernia: A Complex Diagnostic Challenge. 急性盆腔内疝：一个复杂的诊断挑战。

CRSLS : MIS case reports from SLS Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.4293/CRSLS.2024.00074

Ahmad Kaleem, Deema Othman, Carlos Yanez, Jody Miller

{"title":"Acute Internal Pelvic Hernia: A Complex Diagnostic Challenge.","authors":"Ahmad Kaleem, Deema Othman, Carlos Yanez, Jody Miller","doi":"10.4293/CRSLS.2024.00074","DOIUrl":"10.4293/CRSLS.2024.00074","url":null,"abstract":"Introduction: Internal abdominopelvic hernias, whether congenital or acquired, are a rare cause of acute small bowel obstruction. Symptoms range from recurrent abdominal pain to acute obstruction, which can lead to severe complications like bowel ischemia, perforation, or death if untreated. Diagnosis is often difficult due to variable symptoms, but prompt surgical intervention is crucial to prevent life-threatening outcomes.Case description: We treated a 42-year-old female airline cabin crew member who presented with colicky abdominal pain, bilious vomiting, and lower abdominal tenderness. Her abdominal computed tomography (CT) scan showed small bowel obstruction with loops of small bowel predominantly in the left lower abdomen. She had a history of a single episode of similar abdominal pain many years prior, which resolved spontaneously. The rest of her history was unremarkable. She received nonoperative management initially, but due to persistent abdominal pain and vomiting, a diagnostic laparoscopy was done. The diagnostic laparoscopy showed congested but viable small bowel herniating into a peritoneal defect through the lateral part of left broad ligament at the lateral pelvic wall into the retroperitoneum. The hernia was reduced, and the defect was repaired. Postoperatively, she had an uncomplicated recovery.Discussion: Internal hernia is an important differential diagnosis in patients presenting with an acute abdomen, especially with a history of recurrent small bowel obstructions, regardless of surgical history. Physicians need to have a high index of suspicion to diagnose and treat this condition without delay, preventing morbidity and mortality in this patient group.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

360-Degree Running Suture Technique in Robotic-Assisted Surgery for Bladder Neck Contracture. 机器人辅助膀胱颈部挛缩手术的360度运行缝合技术。

CRSLS : MIS case reports from SLS Pub Date : 2025-01-17 eCollection Date: 2024-10-01 DOI: 10.4293/CRSLS.2024.00041

Daniel Melecchi de Oliveira Freitas, Vagner Menegotto Comin, Eduardo Rodrigues

{"title":"360-Degree Running Suture Technique in Robotic-Assisted Surgery for Bladder Neck Contracture.","authors":"Daniel Melecchi de Oliveira Freitas, Vagner Menegotto Comin, Eduardo Rodrigues","doi":"10.4293/CRSLS.2024.00041","DOIUrl":"10.4293/CRSLS.2024.00041","url":null,"abstract":"Introduction: Benign prostatic hyperplasia (BPH) affects a significant proportion of aging males, often requiring surgical intervention when conservative treatments fail.Case description: This case report details the management of a 58-year-old male with severe lower urinary tract symptoms and a markedly enlarged prostate, presenting with bladder stones and persistent obstruction despite medication. The patient underwent an open simple prostatectomy but developed bladder neck contracture and recurrent urinary retention, necessitating a suprapubic cystostomy. Following this, a robotic-assisted approach was chosen to address the complex contracture. The surgical strategy involved a vertical posterior bladder incision, after guide wire was visualized a bladder stone was removed, resection of inflammatory tissue, and a novel 360-degree running suture with 3-0 thread for bladder neck reconstruction. This approach was followed by closure with a double-layer running suture using 3-0 V-Lock material. The patient showed significant improvement in urinary flow and symptom resolution postoperatively, with no residual contracture detected on follow-up imaging.Discussion: This report highlights the effectiveness of the robotic-assisted technique and the innovative use of the 360-degree running suture for managing challenging bladder neck contractures, marking a novel application in surgical practice.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Repair of Gastrobronchial Fistula Presenting 12 Years Post Uncomplicated Laparoscopic Sleeve Gastrectomy. 无并发症腹腔镜袖式胃切除术后12年胃支气管瘘的一期修复。

CRSLS : MIS case reports from SLS Pub Date : 2025-01-10 eCollection Date: 2024-07-01 DOI: 10.4293/CRSLS.2023.00057

Hassan Hifni, Ali A AlQahtani, Nuha Qattan, Abdullah I AlJunaydil, Ashwaq A Almajed, Nouf AlShammari, Fahad Bamehriz

{"title":"Primary Repair of Gastrobronchial Fistula Presenting 12 Years Post Uncomplicated Laparoscopic Sleeve Gastrectomy.","authors":"Hassan Hifni, Ali A AlQahtani, Nuha Qattan, Abdullah I AlJunaydil, Ashwaq A Almajed, Nouf AlShammari, Fahad Bamehriz","doi":"10.4293/CRSLS.2023.00057","DOIUrl":"10.4293/CRSLS.2023.00057","url":null,"abstract":"Background: Obesity is an alarmingly increasing global public health issue. Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery owing to its simplicity, effectiveness, and low complication rates. The complications can be classified as early or late, with fistula formation being one of the most severe complications. Here, we report a rare gastrobronchial fistula (GBF) that presented 12 years post LSG.Case presentation: A 34-year-old woman who underwent LSG in 2011 was referred to our institution. The patient complained of recurrent upper respiratory tract infections, nausea, and vomiting. Abdominal computed tomography (CT) with oral contrast showed abnormal fistulous communication between the fundus and left lung. Conservative management was initiated but failed multiple times. After counseling the patient on the surgical options, she underwent fistula removal and primary repair of the fundus with a healthy omental wrap and an omental diaphragmatic flap. She tolerated the procedure well, recovered uneventfully, and was discharged on postoperative day 7.Conclusion: GBF diagnosis is challenging. Imaging studies, such as CT and radiography with contrast and endoluminal diagnosis with esophagogastroduodenoscopy (EGD), bronchoscopy, and bronchial secretion analysis, aid in the diagnosis. GBF management requires a multidisciplinary team. Patients should be initially offered conservative management with the understanding that reoperation would be the only option if failure is seen for 3 months.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Synchronous Acute Appendicitis and Cholecystitis. 同步急性阑尾炎和胆囊炎。

CRSLS : MIS case reports from SLS Pub Date : 2025-01-02 eCollection Date: 2024-07-01 DOI: 10.4293/CRSLS.2024.00004

Abdullah A Aljunaydil, Rafif E Mattar, Khadija Almufawaz, Ghada AlOthman, Hamad Aljaedi, Faisal Alalem

{"title":"Synchronous Acute Appendicitis and Cholecystitis.","authors":"Abdullah A Aljunaydil, Rafif E Mattar, Khadija Almufawaz, Ghada AlOthman, Hamad Aljaedi, Faisal Alalem","doi":"10.4293/CRSLS.2024.00004","DOIUrl":"10.4293/CRSLS.2024.00004","url":null,"abstract":"Introduction: Acute appendicitis and acute cholecystitis are two of the most commonly encountered surgical entities. Multiple hypotheses are behind their coexistence, which include pathogen predilection, and mucosal ischemia inducing portal vein bacteremia as the management of uncomplicated acute cholecystitis and acute appendicitis is surgical, for which a single operation for synchronous presentation is effective. Here, we report a case with coexistent acute cholecystitis and acute appendicitis managed at our institution.Case/technique description: A 30-year-old female presented with right upper quadrant abdominal pain for four days. The pain was radiating to the right shoulder, not related to fatty foods, associated with vomiting, anorexia, and burning micturition. On examination, she was vitally stable and afebrile with soft nondistended abdomen, a negative Murphy's sign, right lower quadrant rebound tenderness, and suprapubic tenderness. Laboratory tests showed leukocytosis (17.59 × 109) and high ALT (40 IU/L) and AST (32.5 IU/L). Ultrasound showed a distended gallbladder with two echogenic intraluminal nonshadowing echogenicity, the largest measuring 0.57 cm. Due to the vague presentation we elected to go for computed tomography of the abdomen which showed a distended gallbladder with adjacent fat stranding, subhepatic appendix with distended tip and no surrounding fat stranding. She underwent diagnostic laparoscopy with cholecystectomy and appendectomy. The patient had an uneventful postoperative course and was discharge home on day 1.Conclusion: We aim to shed light on the rare, but possible, synchronous coexistence of these diseases, raise the index of clinical suspicion. Management options for synchronous presentation can follow their asynchronous guidelines such as Tokyo and WSES.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic Laparoscopic Assisted Treatment of Inguinal Hernia Containing an Incarcerated Ectopic Pregnancy. 机器人腹腔镜辅助治疗嵌顿异位妊娠腹股沟疝。

CRSLS : MIS case reports from SLS Pub Date : 2024-12-30 eCollection Date: 2024-07-01 DOI: 10.4293/CRSLS.2024.00013

Nashali Ferrara, Michael Scutella, Hetal Lad, Tiffany Hsiung, Yasmin Abedin, Arpit Amin

引用次数: 0

Robot-Assisted Laparoscopic Application of Fibrin Sealant Patch for Repair of Inferior Vena Cava. 机器人辅助腹腔镜下纤维蛋白密封贴片在下腔静脉修复中的应用。

CRSLS : MIS case reports from SLS Pub Date : 2024-12-30 eCollection Date: 2024-10-01 DOI: 10.4293/CRSLS.2024.00044

Timur K Seckin, Nicole E Friedlich, Clare Murphy, Amanda Chu, Dmitri Alden, Tamer A Seckin

{"title":"Robot-Assisted Laparoscopic Application of Fibrin Sealant Patch for Repair of Inferior Vena Cava.","authors":"Timur K Seckin, Nicole E Friedlich, Clare Murphy, Amanda Chu, Dmitri Alden, Tamer A Seckin","doi":"10.4293/CRSLS.2024.00044","DOIUrl":"10.4293/CRSLS.2024.00044","url":null,"abstract":"Introduction: There is a risk of iatrogenic vascular injuries during robotic-assisted laparoscopic excision of diaphragmatic endometriosis. Although studies are limited, the first reported case of a suprahepatic inferior vena cava (IVC) injury during robotic diaphragmatic endometriosis excision was successfully treated using a fibrin sealant patch, preventing exsanguination and conversion to laparotomy.Case description: A 36-year-old female with a history of recurrent catamenial pneumothorax and two prior video-assisted thoracoscopic surgeries to treat diaphragmatic endometriosis presented to our clinic with right-sided shoulder pain and a chest tube in place. She underwent robotic-assisted laparoscopic pelvic and bowel resection for severe endometriosis and liver mobilization to repair the right diaphragm. During liver mobilization, the surgeon inadvertently caused a 2-mm defect in the suprahepatic IVC, resulting in 250 mL of venous hemorrhage. Hemostasis was achieved using robotic compression of a fibrin sealant patch, avoiding conversion to laparotomy. The chest tube was maintained throughout surgery and postoperatively for drainage. The patient experienced no thrombotic complications.Discussion: This case illustrates the successful use of a fibrin sealant patch to control a major vascular injury in the robotic-assisted laparoscopic setting. While fibrin sealant patches are Food and Drug Administration-approved for soft tissue hemostasis, their application in major vascular repairs, including the IVC, is off-label. The blood loss (250 mL) and absence of thrombotic events highlight the safety and efficacy of the fibrin sealant patch. Further investigation is warranted to establish the efficacy of fibrin sealants in the repair of major vascular injuries in robotic-assisted and traditional laparoscopic surgeries.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Autoamputation of Adnexa. 自发性附件自残。

CRSLS : MIS case reports from SLS Pub Date : 2024-10-22 eCollection Date: 2024-07-01 DOI: 10.4293/CRSLS.2024.00025

Mariam S Banoub, Elena M Konrath, Burhan A Khan, Rayan A Elkattah

{"title":"Spontaneous Autoamputation of Adnexa.","authors":"Mariam S Banoub, Elena M Konrath, Burhan A Khan, Rayan A Elkattah","doi":"10.4293/CRSLS.2024.00025","DOIUrl":"10.4293/CRSLS.2024.00025","url":null,"abstract":"Introduction: Acquired ovarian torsion is an uncommon gynecologic emergency that afflicts women of reproductive age and requires correction by surgery. A rare complication of asymptomatic ovarian torsion can be necrosis and autoamputation of the adnexal structures.Case description: A 28-year-old nulliparous woman presented with irregular menses since puberty associated with dysmenorrhea, menorrhagia, and nausea, and that did not improve with trials of oral hormone therapy. Ultrasound and pelvic MRI revealed a large, tubular-cystic mass separated from the right ovary and tubo-ovarian junction. Intraoperative findings revealed filmy adhesions and fimbriae emanating from this cystic lesion, as well as dilation of the medial portion of the right fallopian tube. Histopathology reported dilated, cystic structures with focal tubal-type epithelial lining, and a dilated fallopian tube lumen, consistent with hydrosalpinx.Discussion: Autoamputation of fallopian tube is a rare but serious complication of adnexal torsion that should be treated promptly via intraoperative detorsion.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic-Assisted Laparoscopic Epiphrenic Esophageal Diverticulectomy with Myotomy. 机器人辅助腹腔镜虹膜外食管憩室肌切开术

CRSLS : MIS case reports from SLS Pub Date : 2024-10-22 eCollection Date: 2024-04-01 DOI: 10.4293/CRSLS.2024.00015

Najiha Farooqi, Olivia Lossia, Felipe Pacheco, Samuel Shaheen, Maher Ghanem

{"title":"Robotic-Assisted Laparoscopic Epiphrenic Esophageal Diverticulectomy with Myotomy.","authors":"Najiha Farooqi, Olivia Lossia, Felipe Pacheco, Samuel Shaheen, Maher Ghanem","doi":"10.4293/CRSLS.2024.00015","DOIUrl":"10.4293/CRSLS.2024.00015","url":null,"abstract":"Introduction: A large epiphrenic esophageal diverticulum can cause troublesome symptoms for patients, including dysphagia and reflux, ultimately, leading to debilitating weight loss.Case description/technique description: We present a case of a 68-year-old female with a history of systemic lupus erythematosus presented with a large epiphrenic esophageal diverticulum with dysphagia, gastroesophageal reflux disease, and associated weight loss. The patient underwent a robotic-assisted laparoscopic epiphrenic diverticulectomy with esophageal myotomy. Intraoperative findings were consistent with epiphrenic esophageal diverticulum 7.5 × 6.0 × 4.0 cm with severe adhesions to the pericardium and pleura bilaterally. The diverticulum was transected using a stapler, and a myotomy was performed on the opposite side of the diverticulectomy. The patient tolerated the surgery without complication and was discharged home on postoperative day 5. Pathology was consistent with moderate chronic inflammation.Discussion: The robotic trans hiatal approach offers a safe alternative to the transthoracic approach for the surgical management of epiphrenic diverticula.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creation of a Neovagina with Single Staged Uterine Anastomosis. 用单段子宫吻合术创建新阴道

CRSLS : MIS case reports from SLS Pub Date : 2024-09-17 eCollection Date: 2024-04-01 DOI: 10.4293/CRSLS.2024.00014

Aimal Khan, Mary Baker, Melissa Kaufman, Amanda Yunker, Salam Kassis

{"title":"Creation of a Neovagina with Single Staged Uterine Anastomosis.","authors":"Aimal Khan, Mary Baker, Melissa Kaufman, Amanda Yunker, Salam Kassis","doi":"10.4293/CRSLS.2024.00014","DOIUrl":"10.4293/CRSLS.2024.00014","url":null,"abstract":"Introduction: While vaginal agenesis most often occurs with an absent or rudimentary, nonfunctioning uterus, it may also occur with a fully developed uterine body. In these scenarios, anastomosis of the functional uterus to a neovagina allows for both egress of menstrual blood as well as potential preservation of fertility: case reports exist of spontaneous conception following creation of a neovagina. However, prior attempts at anastomosis have all included delayed surgery with anastomosis to the uterus several months following the creation of the neovagina.Case description: The patient was a 17-year-old female who presented with amenorrhea several years after thelarche. After noting a blind ending vagina and a 46XX karyotype, ultrasound and MRI revealed an apparently normal uterus with questionable presence of a cervix, and polycystic appearing ovaries, which may have accounted for the patients minimal hematometra. A multidisciplinary team including gynecology, urology, plastic surgery, and colorectal surgery was organized for creation of a neovagina and attempted anastomosis to the normal appearing uterus. In a single staged robotic procedure, a peritoneal neovagina created in a modified Davydov technique was successfully connected to the uterus. A foley catheter was placed in the uterine cavity to allow for canalization. Diagnostic hysteroscopy six weeks after surgery confirmed a canal into the uterus, and the patient reported ongoing cyclical bleeding with the use of oral contraceptives several months after surgery.Conclusions: In vaginal agenesis with a functional upper reproductive tract, peritoneal neovaginas may be successfully anastomosed to the uterus in a single stage robotic approach.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0