Journal of laparoendoscopic surgery最新文献_第5页

Laparoscopic marsupialization of lymphocele after combined pancreas-kidney transplantation. 胰肾联合移植后腹腔镜淋巴囊肿有袋化术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.271

H Waleczek, M Buesing, W Kozuschek

引用次数: 1

Laparoscopic-assisted surgery of the spleen: clinical experience in expanding indications. 腹腔镜辅助脾手术:扩大适应证的临床经验。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.213

T Bové, G Delvaux, P Van Eijkelenburg, A De Backer, G Willems

{"title":"Laparoscopic-assisted surgery of the spleen: clinical experience in expanding indications.","authors":"T Bové, G Delvaux, P Van Eijkelenburg, A De Backer, G Willems","doi":"10.1089/lps.1996.6.213","DOIUrl":"https://doi.org/10.1089/lps.1996.6.213","url":null,"abstract":"Between January 1993 and November 1995 laparoscopic surgery was used in 21 patients with a variety of splenic diseases, namely idiopathic thrombocytopenic purpura, congenital spherocytosis, lymphoma, leukemic infiltrative disease, splenic infarction, trauma, or splenic cyst. Total splenectomy was carried out laparoscopically in 16 patients. Conversion to open splenectomy was necessary in two other patients because of intractable bleeding. Two patients with a splenic cyst underwent laparoscopic unroofing of the cyst. Conservative hemostasis of a spleen injury grade II was carried out in a child after blunt trauma. The total mean duration of the laparoscopic procedures was 158 min and the mean blood loss volume was 350 ml, both conversions being excluded. Postsurgical recovery was excellent and the average hospital stay was 5 days, including the patients with conversion. There were no significant postoperative complications. Our observations indicate that an increasing number of surgical diseases of the spleen can be managed adequately by a less invasive laparoscopic approach. However, the criteria for using this procedure are in an expanding phase and are still mainly dependent on the surgeon's technical experience.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"213-7"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19841973","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: 21

Laparoscopic Heller's cardiomyotomy and Dor's fundoplication for esophageal achalasia. 腹腔镜下食管贲门失弛缓症的Heller’s心肌切开术和Dor’s底扩术。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.253

E Xynos, G Tzovaras, I Petrakis, E Chrysos, J S Vassilakis

{"title":"Laparoscopic Heller's cardiomyotomy and Dor's fundoplication for esophageal achalasia.","authors":"E Xynos, G Tzovaras, I Petrakis, E Chrysos, J S Vassilakis","doi":"10.1089/lps.1996.6.253","DOIUrl":"https://doi.org/10.1089/lps.1996.6.253","url":null,"abstract":"The study's aim was to assess the functional results of laparoscopically performed Heller's myotomy and Dor's fundoplication in our first few cases of esophageal achalasia. Four male patients (mean age: 61 years) with long-standing symptoms of achalasia (documented on esophagogram and esophageal manometry) and not responding to several sessions of pneumatic dilatation, had laparoscopic Heller's myotomy and Dor's fundoplication. Myotomy was facilitated by distending the esophagus. The mean duration of the operation was 99 min. The third patient developed a leak from the exposed esophageal mucosa on the 5th postoperative day while at home. The leak was attributed to late desloughing of a mucosal burn, and was sealed spontaneously 15 days later after drainage. The remaining three patients were discharged after resuming diet within the first 2 postoperative days. By 1 year postoperatively, dysphagia was abolished in all cases, and there were no gastroesophageal reflux symptoms. The esophagogram showed no reflux, which was also confirmed on ambulatory 24-h esophageal pH measurement. On manometry, lower esophageal sphincter (LES) pressure dropped significantly postoperatively (preop: 56 +/- 7 SD mm Hg, postop: 5 +/- 1 SD mm Hg, p < 0.001). In conclusion, laparoscopic Heller's myotomy with Dor's fundoplication for esophageal achalasia is a feasible procedure, offering clinical and laboratory results similar to the open approach, but with better patient tolerance.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"253-8"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19843647","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: 14

Laparoscopic fundoplication. 腹腔镜fundoplication。

Journal of laparoendoscopic surgery Pub Date : 1996-08-01 DOI: 10.1089/lps.1996.6.219

L T Medina, R Veintimilla, M D Williams, M E Fenoglio

{"title":"Laparoscopic fundoplication.","authors":"L T Medina, R Veintimilla, M D Williams, M E Fenoglio","doi":"10.1089/lps.1996.6.219","DOIUrl":"https://doi.org/10.1089/lps.1996.6.219","url":null,"abstract":"Most reports on laparoscopic fundoplication are from large, tertiary referral medical centers. Presented here is an experience by a single surgeon (M.E.F.) in community hospitals with 74 cases. All patients had esophagitis. All but two patients were Visick grade IV off medication. All patients had an incompetent lower esophageal sphicter. Four with abnormally low esophageal contractions underwent a Toupet procedure; the rest had a Nissen fundoplication. The largest estimated blood loss was 300 cc. One case (1.4%) had to be converted intraoperatively to an open procedure because of bleeding from an iatrogenic liver laceration. There were two minor complications (a urinary tract infection and a pneumothorax) and one death (massive liver necrosis with an otherwise unremarkable post mortem, thus it was felt to be due to anesthesia). The mean length of hospital stay was 2.8 +/- 0.21 days. Eighty-nine percent of the operations totally relieved reflux. Nineteen patients (26%) had mild, early postoperative dysphagia, gas bloat, and/or early satiety. Four patients did not get any improvement in their reflux, three still require chronic medication, and one underwent a redo open fundoplication. Three early patients had severe, new-onset postoperative dysphagia secondary to too tight a fundoplication. Attention must be focused on creating a loose wrap, a \"floppy\" Nissen by routine division of the short gastric vessels and the use of a large dilator in the esophagus when the fundoplication is constructed. Laparoscopic fundoplication is technically feasible, safe, and effective in a community hospital and does not require a large, tertiary referral medical center.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 4","pages":"219-26"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19841974","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: 1

Appendicitis after laparoscopic appendectomy: a warning. 腹腔镜阑尾切除术后阑尾炎:警告。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.185

J J Greenberg, T J Esposito

引用次数: 38

Laparoscopic posterior partial fundoplication: analysis of 100 consecutive cases. 腹腔镜后部分眼底复制术:连续100例分析。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.141

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

{"title":"Laparoscopic posterior partial fundoplication: analysis of 100 consecutive cases.","authors":"M J O'Reilly, S G Mullins, W B Saye, S E Pinto, P T Falkner","doi":"10.1089/lps.1996.6.141","DOIUrl":"https://doi.org/10.1089/lps.1996.6.141","url":null,"abstract":"Performance of a laparoscopic posterior partial fundoplication (LPPF) for severe gastroesophageal reflux disease may have significant advantages. These include a low incidence of postop dysphagia, maintenance of the ability to belch, excellent antireflux effects, and the ease of performance of the surgery. The purpose of this study was to evaluate this antireflux procedure for these advantages to determine both its safety and effectiveness. Over 200 LPPFs have been performed by the authors in a community setting. One hundred consecutive cases are evaluated for indications, preop, and postop studies (EGD, manometry, 24 h pH), time of operation, hospital stay, complications, and conversions to an open procedure. Our technique of LPPF is presented in detail. All patients maintained the ability to belch. Postop dysphagia resolved totally in 4 patients by 7 days. Four pneumothoraces occurred; 1 patient required bilateral chest tube placement. There were no esophageal, stomach, or splenic injuries. The average hospital stay was 1.6 days. Postop 24 h pH studies revealed resolution of the esophageal reflux. Postop manometric studies show a median increase of 9.2 mm Hg for the LES pressure. No patients have resumed antireflux medication. No short gastric vessels were divided and no esophageal sutures were placed. There were no conversions to a laparotomy. Laparoscopic posterior partial fundoplication is a safe and effective antireflux procedure.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 3","pages":"141-50"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776209","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: 30

Preceding PTGBD decreases complications of laparoscopic cholecystectomy for patients with acute suppurative cholecystitis. 术前PTGBD可减少急性化脓性胆囊炎患者腹腔镜胆囊切除术的并发症。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.161

Y Watanabe, M Sato, Y Abe, S Iseki, N Sato, S Kimura

引用次数: 24

TISSUE APPROXIMATION IN ENDOSCOPIC SURGERY 内窥镜手术中的组织近似

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/LPS.1996.6.200

R. Rege

引用次数: 0

Laparoscopic training in residency program. 住院医师项目的腹腔镜培训。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.171

A Hawasli, R Featherstone, L Lloyd, M Vorhees

引用次数: 36

Laparoscopic gastric bypass in a porcine model. 猪模型的腹腔镜胃旁路手术。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.197

G W Clark, A C Wittgrove

引用次数: 7