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Journal of laparoendoscopic surgery最新文献

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Transinguinal diagnostic laparoscopy in pediatric inguinal hernia. 经腹股沟腹腔镜诊断小儿腹股沟疝。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
J L Zitsman
{"title":"Transinguinal diagnostic laparoscopy in pediatric inguinal hernia.","authors":"J L Zitsman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision of the surgeon whether to explore the opposite groin in a child with an inguinal hernia remains controversial. Numerous techniques have been used to determine the need for contralateral repair. Two groups of patients underwent transinguinal diagnostic laparoscopy at the time of herniorrhaphy to assess the contralateral groin. Of 20 patients older than 24 months, only 1 (5%) was found to have a patent processus vaginalis. In a group of 21 patients ranging from 2 to 24 months, 9 (42.9%) were found to have a contralateral patent processus vaginalis. Twelve patients had a closed or slit-like peritoneum at the internal ring. Transinguinal diagnostic laparoscopy can be used to identify which children may benefit from contralateral exploration, as well as those in whom surgery can be avoided.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S15-20"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800849","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
Thoracoscopic repair of hiatal hernia following fundoplication: a new approach to an old problem. 胸腔镜下补底后裂孔疝:解决老问题的新方法。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
K H Sartotelli, S S Rothenberg, F M Karrer, J R Lilly
{"title":"Thoracoscopic repair of hiatal hernia following fundoplication: a new approach to an old problem.","authors":"K H Sartotelli,&nbsp;S S Rothenberg,&nbsp;F M Karrer,&nbsp;J R Lilly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three children with symptomatic postfundoplication hiatal hernias were repaired using a novel thoracoscopic approach. All repairs were successful as shown by follow-up barium swallows. The average operative time was 86 mm (range 50-120 mm) and hospital stay averaged 2.3 days. This approach appears to be a feasible means of handling this relatively frequent complication.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S91-3"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19801889","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 Nissen fundoplication in the infant. 婴儿腹腔镜尼森底重复。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
W R Thompson, B A Hicks, P C Guzzetta
{"title":"Laparoscopic Nissen fundoplication in the infant.","authors":"W R Thompson,&nbsp;B A Hicks,&nbsp;P C Guzzetta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-five children weighing less than 8 kg underwent laparoscopic Nissen fundoplication for treatment of refractory gastroesophageal reflux (GER) between January 1993 and April 1995. Mean patient age was 6 months and weight was 5.1 kg. Mean operative time was 114 min, including gastrostomy in 20 patients. Nineteen patients are alive without evidence of GER with a mean follow-up of 359 days. Perioperative complications were unusual and mild. There were 6 late deaths due to progression of underlying disease and not attributable to the procedure. Laparoscopic Nissen fundoplication provides effective antireflux protection to very small children with acceptable morbidity and mortality through short-term follow-up.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S5-7"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800847","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
The use of laparoscopy in the management of the nonpalpable testis. 腹腔镜在不可触及睾丸治疗中的应用。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
J W Brock, G W Holcomb, W M Morgan
{"title":"The use of laparoscopy in the management of the nonpalpable testis.","authors":"J W Brock,&nbsp;G W Holcomb,&nbsp;W M Morgan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fifty-eight children with a nonpalpable testis have been evaluated at our institution between 1988 and 1994. Laparoscopy was performed in these children to effect a treatment plan. The children range in age from 10 months to 14 years. Thirty patients had a nonpalpable left testis, 18 had a nonpalpable right testis, and 10 had bilateral nonpalpable testes. In 28 children, a testis was visualized. Two underwent laparoscopic orchiectomy and 26 underwent either a standard single stage procedure (11), a staged open procedure (3), or a laparoscopically assisted staged procedure (12). Attenuated vessels were seen in 26 patients and inguinal exploration revealed a viable testis in 6 patients and a testis remnant, which was removed, in 20 patients. Four patients had laparoscopic blind-ending vessels. Diagnostic laparoscopy affords the surgeon not only the ability to localize the testis with virtual certainty, but also the advantage of planning a highly successful treatment program. The position of the testis intra-abdominally and the length of the spermatic vessels can be easily evaluated to decide whether a staged approach versus a single stage procedure can be performed. The use of the KTP laser has made the two staged procedure quite easy with only one Trocar site necessary. This experience has allowed us to develop and modify an algorithm for the effective management of the nonpalpable testis.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S35-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800852","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
Retroperitoneal laparoscopic nephrectomy in children: preliminary report of six cases. 儿童后腹腔镜肾切除术:6例初步报告。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
J S Valla, B Guilloneau, P Montupet, S Geiss, H Steyaert, R Leculee, A El Ghoneimi, M Dahman, P Volpe
{"title":"Retroperitoneal laparoscopic nephrectomy in children: preliminary report of six cases.","authors":"J S Valla,&nbsp;B Guilloneau,&nbsp;P Montupet,&nbsp;S Geiss,&nbsp;H Steyaert,&nbsp;R Leculee,&nbsp;A El Ghoneimi,&nbsp;M Dahman,&nbsp;P Volpe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laparoscopic nephrectomy is a new procedure that must be evaluated in adults and children. This technique allows a reduction in complications and sequelae. The majority of indications, such as renal dysplasia and destroyed kidneys due to obstructive or refluxing uropathy, are suitable for laparoscopic nephrectomy. Contraindications are Wilms' tumor and trauma, which represent only 20 percent of nephrectomies in our experience. As in open surgery, to perform nephroureterectomy for benign disease, a retroperitoneal approach seems more logical than transperitoneal approach, which is the usual approach for laparoscopic surgeons. We have attempted six retroperitoneal laparoscopic nephrectomies in children from 3 months to 14 years old. The patient is positioned in a lateral position after creation of a retropneumoperitoneum under visual control; three or four ports are needed and renal vessels are dissected then clipped, or coagulated if small. Destroyed kidneys are generally of small size, so they can be extracted via a 10- or 12-mm cannula site without morcellation. Operative time ranges from 35 to 210 mm (median 120 mm). We have had no complications or conversions. Retroperitoneal laparoscopic nephrectomy in children is a feasible and safe procedure in well-trained hands.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S55-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800745","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
Does laparoscopy adversely affect gas exchange and pulmonary mechanics in the newborn? An experimental study. 腹腔镜检查是否对新生儿的气体交换和肺力学有不利影响?一项实验性研究。
Journal of laparoendoscopic surgery Pub Date : 1996-03-01
S Z Rubin, G M Davis, Y Sehgal, M J Kaminski
{"title":"Does laparoscopy adversely affect gas exchange and pulmonary mechanics in the newborn? An experimental study.","authors":"S Z Rubin,&nbsp;G M Davis,&nbsp;Y Sehgal,&nbsp;M J Kaminski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Notwithstanding the clinical acceptability of pediatric laparoscopy, the physiological consequences of carbon dioxide (CO(2)) peritoneal insufflation on lung mechanics and gas exchange are not established. This study seeks to establish the affects of increased intraabdominal pressure (P ABD) from CO(2) insufflation on lung mechanics, the compliance of the respiratory system (CRS stat), and gas exchange. Ten anesthetized tracheostomized, and paralyzed rabbits (2.5-3.1 kg) were examined. Mechanical ventilation was established to produce normal ventilation (PaCO(2) 35-45 Torr). Continuous pulse, blood pressure (BP), and serial arterial blood gas measurements were obtained by femoral arteriotomy. The animals were examined at baseline conditions (P ABD = 0 mm Hg), at 2 levels of external compression (P ABD = 6 and 12 mm Hg, respectively), and at two levels of intraperitoneal CO(2) insufflation (P ABD=6 and 12 mm Hg, respectively). Increased P ABD, whether applied externally or by intraperitoneal insufflation, did not alter the CRS stat (ANOVA p = 0.557), nor systematically change the pH, PaCO(2) or PaO(2) (ANOVA p = 0.541, p = 0.545, p = 0.446, respectively). Neither BP nor pulse rate showed any change. Under conditions encountered during laparoscopy, P ABD of 0-12 mm Hg did not have a deleterious effect on ventilation and gas exchange in the ventilated and paralyzed small animal.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S69-73"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800748","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-assisted gastrostomy in 26 patients: indications and outcome at 2 years. 腹腔镜辅助胃造口术26例:2年适应症和结果。
Journal of laparoendoscopic surgery Pub Date : 1996-02-01 DOI: 10.1089/lps.1996.6.25
P C Hin
{"title":"Laparoscopic-assisted gastrostomy in 26 patients: indications and outcome at 2 years.","authors":"P C Hin","doi":"10.1089/lps.1996.6.25","DOIUrl":"https://doi.org/10.1089/lps.1996.6.25","url":null,"abstract":"<p><p>Laparoscopic-assisted gastrostomy using an original technique was successfully performed in 26 patients referred for nutritional support. The indications were neurological disorders of swallowing in 15, head and neck cancer in 4, and head injuries in 7. No major complications were seen in this group. One episode of temporary peritubal leakage settled after catheter change. One tube blocked after 4 months of feeding and temporary loss to follow-up. At follow-up, the tube continued to function in 7 patients, a mean of 130 days (range 45-667 days). In 7 patients recovery was sufficient to allow catheter removal at a mean of 134 days (range 56-450 days). Twelve patients died of their disease, a mean of 76 days after insertion (range 43-300). Patient tolerance and ease of care have been excellent. There is a suggestion that recovery specially in head injury patients may be enhanced. Laparoscopic-assisted gastrostomy should be considered in all patients referred for medium or long-term nutritional support.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 1","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19882970","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: 7
Trocar site seeding of inapparent gallbladder carcinoma during laparoscopic cholecystectomy. 腹腔镜胆囊切除术中套管针植入隐性胆囊癌的研究。
Journal of laparoendoscopic surgery Pub Date : 1996-02-01 DOI: 10.1089/lps.1996.6.35
A M Cotlar, C R Mueller, J W Pettit, E R Schmidt, H V Villar
{"title":"Trocar site seeding of inapparent gallbladder carcinoma during laparoscopic cholecystectomy.","authors":"A M Cotlar,&nbsp;C R Mueller,&nbsp;J W Pettit,&nbsp;E R Schmidt,&nbsp;H V Villar","doi":"10.1089/lps.1996.6.35","DOIUrl":"https://doi.org/10.1089/lps.1996.6.35","url":null,"abstract":"<p><p>There are increasing reports of seeding of tumor at the trocar sites following laparoscopic cholecystectomy in patients with unexpected or inapparent gallbladder carcinoma. A patient is reported here whose primary tumor appeared controlled by surgery and radiation, but who died of the disease after developing implant metastases at three untreated trocar sites. The second case report illustrates the difficulty in identifying gallbladder cancer during laparoscopic cholecystectomy, and the importance of a diligent preoperative effort to establish the diagnosis. Current literature suggests that tumor implantation occurring during laparoscopic cholecystectomy for inapparent carcinoma adversely affects prognosis, and, until the effect of laparoscopy on the spread of this tumor is better understood and controlled, open operation should be performed when carcinoma of the gallbladder is suspected. When laparoscopic cholecystectomy is done for inapparent gallbladder cancer, surgical and adjuvant radiotherapy to the trocar sites appears to improve outcome in association with extended treatment to the gallbladder bed and adjacent areas. Recent reports suggest that progress in diagnostic, surgical, and adjuvant techniques could substantially improve survival in carcinoma of the gallbladder.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19884857","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: 28
Blunt preperitoneal finger dissection during extraperitoneal laparoscopic inguinal hernia repair: an effective alternative to instrumental techniques. 腹膜外腹腔镜腹股沟疝修补术中钝性腹膜前手指分离:器械技术的有效替代。
Journal of laparoendoscopic surgery Pub Date : 1996-02-01 DOI: 10.1089/lps.1996.6.47
C G Posta
{"title":"Blunt preperitoneal finger dissection during extraperitoneal laparoscopic inguinal hernia repair: an effective alternative to instrumental techniques.","authors":"C G Posta","doi":"10.1089/lps.1996.6.47","DOIUrl":"https://doi.org/10.1089/lps.1996.6.47","url":null,"abstract":"<p><p>Extraperitoneal laparoscopic inguinal hernia repair is a technically demanding procedure that nevertheless has significant advantages over the other types of laparoscopic inguinal hernia repairs. One of the difficulties inherent to the procedure is the establishment of an adequate working space between the abdominal wall and the peritoneum. A quick and efficient method is reported here that was used in 15 consecutive patients. The method provides wide exposure without the use of any sophisticated equipment or the need for a significant learning curve. Exposure of the preperitoneal space with the dissection technique described simplifies a difficult first step and makes the extraperitoneal repair an easier undertaking.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 1","pages":"47-9"},"PeriodicalIF":0.0,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19884858","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 drainage of right subphrenic abscess: report of one case. 腹腔镜下右膈下脓肿引流术1例报告。
Journal of laparoendoscopic surgery Pub Date : 1996-02-01 DOI: 10.1089/lps.1996.6.55
P J Robles, B Lancaster
{"title":"Laparoscopic drainage of right subphrenic abscess: report of one case.","authors":"P J Robles,&nbsp;B Lancaster","doi":"10.1089/lps.1996.6.55","DOIUrl":"https://doi.org/10.1089/lps.1996.6.55","url":null,"abstract":"<p><p>Laparoscopic surgery has proven to be a very useful technique. Subphrenic abscess, although a rare entity, occurs in the majority of the cases in association with gastroduodenal and biliary disease, appendicitis, or following abdominal surgery. We present the case of a 45-year-old male with a right subphrenic abscess that was successfully treated by laparoscopy. Laparoscopic drainage of subphrenic abscess should be considered as an alternative modern option when dealing with this problem.</p>","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 1","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.55","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19884860","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: 10
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