Journal of laparoendoscopic surgery最新文献_第4页

Laparoscopic cholecystectomy in histologically confirmed acute cholecystitis. 经组织学证实的急性胆囊炎的腹腔镜胆囊切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.227

E W Taylor, L M Guirguis, S D Johna

{"title":"Laparoscopic cholecystectomy in histologically confirmed acute cholecystitis.","authors":"E W Taylor, L M Guirguis, S D Johna","doi":"10.1089/lps.1996.6.227","DOIUrl":"https://doi.org/10.1089/lps.1996.6.227","url":null,"abstract":"Forty-four patients with histologically confirmed acute cholecystitis (AC) underwent attempted laparoscopic cholecystectomy (LC) from August 1990 to February 1994 and were retrospectively reviewed. During this time frame, LC was attempted in all patients with AC. Twelve of the patients were scheduled for elective LC as they were not thought to have AC preoperatively. Interestingly, eight of these unsuspected cases of acute cholecystitis had both a normal preoperative white blood cell count and were afebrile. The other 32 patients had a clinical presentation consistent with AC. The only diagnostic finding common to all cases of AC was abdominal pain and tenderness. In addition to AC, five patients also had gallstone pancreatitis, and three others were found to have concomitant choledocholithiasis. Fourteen patients required intraoperative conversion to open cholecystectomy for a laparoscopic success rate of 68%. The most common reason for conversion was difficulty in the dissection or unclear anatomy caused by dense adhesions. LC is an appropriate surgical treatment of AC, provided the surgeon abandons the laparoscopic approach if unable to safely proceed. Diagnostic and admission criteria for AC that requires elevated white blood cell count and/or fever may need revision.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19841975","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: 3

Cholangiography for evaluation of the proximal biliary ducts in laparoscopic cholecystectomy. 胆管造影对腹腔镜胆囊切除术中近端胆管的评价。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.245

A Hawasli

引用次数: 0

A prospective evaluation of an endoscopic ultrasonic probe to detect intraparenchymal malignancy at pediatric thoracoscopy. 小儿胸腔镜下超声探头检测肺实质内恶性肿瘤的前瞻性评价。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.233

M B Smith, T E Lobe, K P Schropp, D A Rogers

{"title":"A prospective evaluation of an endoscopic ultrasonic probe to detect intraparenchymal malignancy at pediatric thoracoscopy.","authors":"M B Smith, T E Lobe, K P Schropp, D A Rogers","doi":"10.1089/lps.1996.6.233","DOIUrl":"https://doi.org/10.1089/lps.1996.6.233","url":null,"abstract":"Thoracoscopy has been proposed as the procedure of choice for the evaluation of focal, suspected malignant pulmonary lesions in children. One drawback with this approach, however, is the concern that intraparenchymal lesions may go undetected. We prospectively evaluated the ability of an endoscopic ultrasonic probe to detect intraparenchymal nodules. The handheld probe contains a piezoelectric ultrasound emitter and receiver that operates at 7.5 MHz. The axial resolution of the probe is 1.1 cm. Two different probe tips were used. One is a forward viewing tip and the other is angled at 45 degrees relative to the axis of the probe shaft. Both probes image 90 degrees sectors. Twelve thoracoscopies on nine patients were performed using the ultrasound probe. Of seven patients with confirmed metastatic disease, six had thoracoscopy converted to open thoracotomy to assure that no lesion had been missed. The probe was able to accurately assess surrounding bronchovascular structures and the presence and location of previously placed surgical clips. Although deep structures were readily visualized with the probe, lesions within 1.5 cm of the surface of the lung were poorly visualized. No complications occurred. This ultrasound system allows for the distinction of dense lesions from the surrounding pulmonary parenchyma except for those lying near the surface of the lung, which are usually easy to see directly. Furthermore, the images define the broncho vascular structures adjacent to the lesion. This device may enhance thoracoscopy by facilitating the detection of, and ability to resect, pulmonary intraparenchymal lesions.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"233-7"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19841976","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: 9

Myocardial bridging prevents safe laparoscopy? A case report. 心肌桥接妨碍安全腹腔镜检查?一份病例报告。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.249

D L Reiss, M D Williams, C B Rodning

引用次数: 1

Laparoscopic repair of a traumatic lumbar hernia: a case report. 腹腔镜治疗外伤性腰疝1例报告。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.259

A J Burick, S A Parascandola

引用次数: 88

LAPAROSCOPIC COLORECTAL SURGERY 腹腔镜结直肠手术

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/LPS.1996.6.279

C. Brandt

引用次数: 0

Laparoscopic versus open inguinal herniorrhaphy: a critical appraisal. 腹腔镜与开放式腹股沟疝修补术:一个关键的评估。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.209

M J Wexler

引用次数: 2

Laparoscopic oophorectomy in children by a multiple-trocar technique. 应用多套管针技术进行儿童腹腔镜卵巢切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.275

M A Pelosi, M A Pelosi

引用次数: 0

Laparoscopic herniorrhaphy versus traditional open repair at a community hospital. 社区医院腹腔镜疝修补术与传统开放式修补术比较。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.203

J J Lukaszczyk, R J Preletz, G J Morrow, M K Lange, T J Tachovsky, J M Krall

{"title":"Laparoscopic herniorrhaphy versus traditional open repair at a community hospital.","authors":"J J Lukaszczyk, R J Preletz, G J Morrow, M K Lange, T J Tachovsky, J M Krall","doi":"10.1089/lps.1996.6.203","DOIUrl":"https://doi.org/10.1089/lps.1996.6.203","url":null,"abstract":"Over a 2-year period 157 inguinal hernias in 151 patients were consecutively entered in this descriptive, observational study to determine any difference in outcome between a laparoscopic inguinal hernia repair versus an open inguinal hernia repair in a community hospital setting. The laparoscopic transabdominal preperitoneal technique was utilized in 50 cases. A conventional open repair was used in 107 cases. There were statistically significant differences when the laparoscopic and open groups were compared for the number of days until driving a car (p < 0.01), the number of days until getting in and out of bed comfortably (p = 0.01), the number of days until working on a limited basis (p = 0.01), and the number of days until working on a full-time basis (p < 0.05), although these differences may be due to confounding factors in this nonrandomized study. The average length of operating time was 72.2 min laparoscopic versus 51.6 min open (p < 0.001). We have shown that laparoscopic inguinal hernia repairs may have benefits over conventional hernia repairs. This may make its use more widespread than it has already become.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"203-8"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19841971","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: 9

Technique of hand-assisted laparoscopic surgery. 手辅助腹腔镜手术技术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.239

M J O'Reilly, W B Saye, S G Mullins, S E Pinto, P T Falkner

引用次数: 80