CRSLS : MIS case reports from SLS最新文献_第5页

Subvesical Duct Detected by Magnetic Resonance Cholangiopancreatography (MRCP) in a Patient with Bile Leak after Laparoscopic Cholecystectomy. 磁共振胆管造影(MRCP)检测腹腔镜胆囊切除术后胆漏患者的膀胱下管。

CRSLS : MIS case reports from SLS Pub Date : 2021-04-01 eCollection Date: 2021-01-01 DOI: 10.4293/CRSLS.2020.00074

Yi-Hsuan Lin, Chih-Wen Lin, Wen-Yao Yin

引用次数: 1

Laparoscopic Iliopubic Tract Repair with Transabdominal Preperitoneal Hernioplasty after Radical Prostatectomy. 根治性前列腺切除术后经腹腹膜前疝成形术的腹腔镜髂耻道修复。

CRSLS : MIS case reports from SLS Pub Date : 2021-04-01 eCollection Date: 2021-01-01 DOI: 10.4293/CRSLS.2020.00085

Sung Ryul Lee, Geon Young Byun

{"title":"Laparoscopic Iliopubic Tract Repair with Transabdominal Preperitoneal Hernioplasty after Radical Prostatectomy.","authors":"Sung Ryul Lee, Geon Young Byun","doi":"10.4293/CRSLS.2020.00085","DOIUrl":"https://doi.org/10.4293/CRSLS.2020.00085","url":null,"abstract":"Background and objectives: In patients with inguinal hernias who have undergone radical prostatectomy, dissecting the medial preperitoneal space is difficult because of the presence of fibrotic scars. It is also difficult to guarantee sufficient space for mesh implantation. We added laparoscopic iliopubic tract repair (IPTR) to transabdominal preperitoneal (TAPP) hernioplasty, and evaluated this for the treatment of inguinal hernias after radical prostatectomy.Methods: This retrospective study included 29 male patients with inguinal hernias after radical prostatectomy who underwent TAPP hernioplasty between January 1, 2015 and October 31, 2018. Laparoscopic IPTR was performed first, followed by TAPP hernioplasty.Results: All patients had an indirect inguinal hernia. The mean time from radical prostatectomy to TAPP hernioplasty was 2.1 years (range, 0.3-11 years). In one patient, the peritoneal flap was insufficient, and the operation was performed using a dual-layer mesh. All other patients underwent conventional TAPP hernioplasty. The mean operation time was 42 min (range, 30-50 min), and the mean duration until return to normal activities was 8.4 days. There were two minor postoperative complications (one hematoma and one seroma). The mean follow-up period was 45.8 ± 14.0 months (range, 22-67 months), and chronic pain or recurrence was not observed.Conclusion: Adding laparoscopic IPTR to TAPP hernioplasty in patients with a history of radical prostatectomy is feasible and safe, with a low risk of chronic pain and recurrence.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/8d/e2020.00085.PMC9387399.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438364","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: 2

Laparoscopic Revision of Nissen to Partial Fundoplication 20 Years After Initial Surgery as an Infant. 婴儿首次手术后20年腹腔镜下对部分眼底重复Nissen的修正。

CRSLS : MIS case reports from SLS Pub Date : 2021-03-01 eCollection Date: 2021-04-01 DOI: 10.4293/CRSLS.2021.00002

Brianne Wiemann, Cyril Kamya, Edward Auyang

{"title":"Laparoscopic Revision of Nissen to Partial Fundoplication 20 Years After Initial Surgery as an Infant.","authors":"Brianne Wiemann, Cyril Kamya, Edward Auyang","doi":"10.4293/CRSLS.2021.00002","DOIUrl":"https://doi.org/10.4293/CRSLS.2021.00002","url":null,"abstract":"We report a case of a 21-year-old male who presented with adult-onset dysphagia after previous Nissen fundoplication initially created at age 10.5 months. The patient first presented one year ago to a different hospital, where he underwent extensive workup for his symptomatology. Physiologic tests performed were esophagogastroduodenoscopy (EGD), abdominal ultrasound, hepatobiliary iminodiacetic acid scan, esophageal manometry, and lactulose breath test. The EGD identified stricture at the level of the gastroesophageal junction. The other studies did not reveal other physiologic causes for his symptoms. The patient then presented to our institution, at which time a repeat EGD showed evidence of tight Nissen fundoplication. The patient subsequently underwent laparoscopic exploration, which revealed that the fundoplication had was partially disrupted, herniated, and twisted causing a long-segment distal stricture. To alleviate the patient's presenting symptom of dysphagia as well as prevent possible future reflux, it was decided to convert repair the hernia and revise the Nissen into a partial fundoplication. This was successfully accomplished laparoscopically with subsequent resolution of the patient's symptoms.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/46/e2021.00002.PMC9387396.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438017","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

Diagnosis and Treatment of High-risk Pregnant Women With Cushing Syndrome Caused by Adrenal Tumor. 肾上腺肿瘤致高危孕妇库欣综合征的诊断与治疗。

CRSLS : MIS case reports from SLS Pub Date : 2021-02-23 eCollection Date: 2021-01-01 DOI: 10.4293/CRSLS.2020.00079

Juping Zhao, Parehe Alimu, Jun Dai, Jing Xie, Danfeng Xu, Fukang Sun

{"title":"Diagnosis and Treatment of High-risk Pregnant Women With Cushing Syndrome Caused by Adrenal Tumor.","authors":"Juping Zhao, Parehe Alimu, Jun Dai, Jing Xie, Danfeng Xu, Fukang Sun","doi":"10.4293/CRSLS.2020.00079","DOIUrl":"https://doi.org/10.4293/CRSLS.2020.00079","url":null,"abstract":"Introduction: The occurrence of pregnancy with Cushing syndrome (CS) is rare but with high risks, posing a great challenge to the clinical diagnosis and treatment of the disease.Case description: From Aug 2016 to Aug 2019, we admitted two pregnant women with CS caused by adrenal tumors. After multidisciplinary consultation, they underwent emergency Cesarean section because of heart failure and severe hypoxemia, and finally delivered a living baby after adjuvant therapy. Both patients underwent retroperitoneal laparoscopic adrenectomy (RLA) 2.6 and 1.5 months postpartum to have the adrenal tumors removed successfully. The postoperative pathology confirmed the adrenal tumor as adrenocortical adenoma. Partial hormone replacement therapy was initiated postoperatively and withdrawn uneventfully 1 year after RLA in both patients, and both patients have recovered well.Conclusions: It is difficult to find CS in early pregnancy, and when it is detected in late pregnancy, it often poses a great risk because it is necessary to consider the safety of both mother and fetus, which requires multidisciplinary coordination and cooperation to positively adjust the cardiopulmonary function and internal environment after Cesarean section, knowing that timely RLA to remove the adrenocortical adenoma can effectively cure CS.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/e6/e2020.00079.PMC9387398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438251","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

Laparoscopic Repair of a Ruptured Diaphragm: Avoiding a Trauma Laparotomy 腹腔镜下膈膜破裂修补术:避免创伤性剖腹手术

CRSLS : MIS case reports from SLS Pub Date : 2015-05-09 DOI: 10.4293/CRSLS.2015.00011

K. Wilson, E. Bowman, L. Matthews, O. Danner, J. Rosser

引用次数: 1