Journal of laparoendoscopic surgery最新文献_第3页

Control of venous hemorrhage during laparoscopic adrenalectomy: a case report. 腹腔镜肾上腺切除术中静脉出血的控制1例。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.349

M A Carlson, C T Frantzides

引用次数: 7

Laparoscopic transabdominal preperitoneal hernioplasty: results of 1000 consecutive cases. 腹腔镜经腹腹膜前疝成形术:连续1000例的结果。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.293

M Birth, R L Friedman, M Melullis, H F Weiser

引用次数: 22

Laparoscopic-assisted reversal of Hartmann's procedure: a simplified technique and audit of twelve cases. 腹腔镜辅助哈特曼手术反转:一种简化的技术及12例的审计。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.305

S C Macpherson, D T Hansell, C Porteous

引用次数: 37

Laparoscopic resection of a mesenteric cyst: presentation of a new case. 腹腔镜肠系膜囊肿切除术:一个新病例的报告。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.353

R Rosado, B Flores, P Medina, D Ramírez, J Silic

引用次数: 12

Effective peritoneal and fascial closure of abdominal trocar sites utilizing the Endo-Judge. 利用Endo-Judge对腹部套管针部位进行有效的腹膜和筋膜闭合。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.329

M D Hellinger, S W Larach, A Ferrara, T B Blake

引用次数: 9

Laparoscopic jaboulay gastroduodenostomy for gastric outlet obstruction: a case report. 腹腔镜贾布利胃十二指肠吻合治疗胃出口梗阻1例。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.341

C T Frantzides, M A Carlson

引用次数: 2

Laparoscopy for triage of penetrating trauma: the decision to explore. 腹腔镜在穿透性创伤分诊中的应用:探讨的决定。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.285

M L Ditmars, F Bongard

{"title":"Laparoscopy for triage of penetrating trauma: the decision to explore.","authors":"M L Ditmars, F Bongard","doi":"10.1089/lps.1996.6.285","DOIUrl":"https://doi.org/10.1089/lps.1996.6.285","url":null,"abstract":"The role of diagnostic laparoscopy in penetrating trauma continues to evolve. We reviewed our experience to determine the effect of laparoscopy on therapeutic laparotomy rates, length of hospital stay, and hospital charges. Laparoscopy was performed on 106 hemodynamically stable patients with penetrating abdominal injuries (66 had gunshot wounds, 40 had stab wounds). All patients with laparoscopically identified peritoneal penetration underwent open laparotomy. At laparoscopy, 41 (39%) had positive findings, whereas 65 (61%) had none. Two patients with retroperitoneal hematomas and one with ecchymosis of the peritoneum were not explored. Thus 68 (64%) did not require laparotomy. Among the 38 who underwent laparotomy, 29 (76%) had positive findings and 9 (24%) had a negative laparotomy. Nineteen patients (50%) had a therapeutic laparotomy. This compares with a therapeutic laparotomy rate of 18% had all 106 patients undergone mandatory laparotomy. Data for length of stay and hospital charges were analyzed. Due to the extended stay associated with tube thoracostomy (n = 21), a subgroup excluding patients with chest tubes was also analyzed. In this subgroup, there was a significant difference in hospital stay between those who had only a laparoscopy and those who underwent a negative laparotomy (2.6 +/- 1.7 vs. 4.7 +/- 1.6, p < 0.01). The average nonsurgical charge for patients who had a negative laparotomy was more than double that for those who had laparoscopy only ($8275 +/- 4692 vs. $3762 +/- 3786, p < 0.01). We conclude that the use of diagnostic laparoscopy to identify peritoneal penetration resulted in an improved therapeutic laparotomy rate as well as significant reduction in hospital stay and hospital charges.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 5","pages":"285-91"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19862004","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: 43

Laparoscopic management of paraesophageal hernia: early results. 食管旁疝的腹腔镜治疗:早期结果。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.311

K E Behrns, R T Schlinkert

{"title":"Laparoscopic management of paraesophageal hernia: early results.","authors":"K E Behrns, R T Schlinkert","doi":"10.1089/lps.1996.6.311","DOIUrl":"https://doi.org/10.1089/lps.1996.6.311","url":null,"abstract":"The objective was to review our early results with laparoscopic repair of paraesophageal hernias to determine the safety, technical feasibility, and short-term outcome of the operation. Twelve patients with a mean age of 75 +/- 1 years underwent laparoscopic repair of a paraesophageal hernia. Principles of open repair, including sac excision, primary crural repair, and pexy, were accomplished laparoscopically in 83%, 83%, and 100% of patients, respectively. In two patients the diaphragmatic defect was closed with mesh. Fundoplication was also performed in seven patients with symptoms of reflux disease. No laparoscopic procedure was converted to an open repair; however, one patient required a postoperative celiotomy to control hemorrhage. Short-term evaluation of all patients postoperatively detected gastroesophageal reflux disease (GERD) in five patients (42%), four of whom did not undergo fundoplication. Two major complications were esophageal perforation and bleeding. Minor complications included atrial fibrillation in two patients, meat impaction in one patient, and a small asymptomatic recurrence in a single patient. Overall patient satisfaction was high. Laparoscopic repair of paraesophageal hernias was safe and technically feasible and warrants further investigation. The incidence of postoperative esophageal reflux, however, is high if an antireflux procedure is not performed. Extensive preoperative evaluation for reflux should objectively identify patients requiring fundoplication and decrease the incidence of postoperative GERD.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 5","pages":"311-7"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19862008","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: 36

Laparoscopic splenectomy for immune thrombocytopenic purpura. 腹腔镜脾切除术治疗免疫性血小板减少性紫癜。

Journal of laparoendoscopic surgery Pub Date : 1996-10-01 DOI: 10.1089/lps.1996.6.301

O Zamir, A Szold, Y Matzner, D Ben-Yehuda, D Seror, I Deutsch, H R Freund

{"title":"Laparoscopic splenectomy for immune thrombocytopenic purpura.","authors":"O Zamir, A Szold, Y Matzner, D Ben-Yehuda, D Seror, I Deutsch, H R Freund","doi":"10.1089/lps.1996.6.301","DOIUrl":"https://doi.org/10.1089/lps.1996.6.301","url":null,"abstract":"Splenectomy is an effective treatment for immune thrombocytopenic purpura (ITP). The recent advances in laparoscopic technique and technology have made laparoscopic splenectomy a viable option. Over 36 months we performed a total of 17 laparoscopic splenectomies, 15 of them for ITP and 2 for familial spherocytosis. We present our initial experience with laparoscopic splenectomy in 15 patients (age 16-71 years) with ITP. Operations were performed 2-24 months after the establishment of the diagnosis and initiation of appropriate therapy. Technically, the splenic artery was clipped first; the lower pole of the spleen and its posterolateral attachments were dissected using endoclips and electrocautery; the hilum and short gastric vessels were separated using an endostapler; the spleen was placed in a plastic bag, its opening pulled out through the umbilical incision, and the spleen fragmented and aspirated out of the bag. Operations lasted 100-300 min (mean 170 min). No patient required blood transfusion. The postoperative course was uneventful in all patients with minimal requirement of analgesia and early return to normal activity. Platelet counts returned to normal in all patients in a follow-up period of 2-36 months. Laparoscopic splenectomy is safe and effective for patients with ITP because of reduced operative trauma, less postoperative pain, cosmetic advantage, and possibly less postoperative complications.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 5","pages":"301-4"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19862006","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: 36

Gasless laparoscopic resection of hepatocellular carcinoma (HCC) in cirrhosis. 无气腹腹腔镜下肝硬化肝细胞癌切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.263

M Intra, M P Viani, C Ballarini, A Pisani Ceretti, B Ongari, A M Croce, G De Murtas, G Marraro, G P Spina

{"title":"Gasless laparoscopic resection of hepatocellular carcinoma (HCC) in cirrhosis.","authors":"M Intra, M P Viani, C Ballarini, A Pisani Ceretti, B Ongari, A M Croce, G De Murtas, G Marraro, G P Spina","doi":"10.1089/lps.1996.6.263","DOIUrl":"https://doi.org/10.1089/lps.1996.6.263","url":null,"abstract":"Liver resection by open surgery remains the method of choice for treatment of hepatocellular carcinoma (HCC) in cirrhotic patients with compensated liver function. Laparoscopy for surgical treatment of hepatic diseases is at an early stage. Laparoscopy has been often proposed for diagnosis, staging of hepatic malignancy, treatment of hepatic cyst or benign tumors, but very few laparoscopic treatments of hepatic malignancies have been reported at present and always using conventional CO2 laparoscopy. We describe herein the operative treatment of a single subglissonian HCC of segment III in a child, HCV (hepatitis C virus)-related cirrhosis. A nonanatomical wedge resection was performed by gasless laparoscopic technique using a mechanical retractor obviating the creation of the pneumoperitoneum and of the sealed environment. The technique, in selected cases, is a simple, safe, and effective surgical method. The gasless technique guarantees a clear vision, it makes possible the continuous suction of smoke and fluids, it allows the use of conventional instruments for classic maneuvers of the liver surgery (Pringle maneuver), and the easy management of suturing. The present case has proved to be another abdominal procedure that can be carried out with all the advantages of gasless minimally invasive surgery.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"263-70"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19843649","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: 16