Journal of laparoendoscopic surgery最新文献_第6页

Gasless laparoscopic excision of bleeding gastric polyp. 无气腹腹腔镜胃息肉出血切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.189

H T Leong, W T Siu, M K Li

引用次数: 5

Laparoscopic transillumination for the location of anterior abdominal wall blood vessels. 腹腔镜下腹前壁血管透视定位。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.167

E H Quint, F L Wang, W W Hurd

{"title":"Laparoscopic transillumination for the location of anterior abdominal wall blood vessels.","authors":"E H Quint, F L Wang, W W Hurd","doi":"10.1089/lps.1996.6.167","DOIUrl":"https://doi.org/10.1089/lps.1996.6.167","url":null,"abstract":"Objective: To determine the efficacy of transillumination for locating abdominal wall vessels prior to trocar placement during laparoscopy.Design: Prospective clinical descriptive study.Setting: Normal human volunteers in an academic research environment.Patients: Forty-seven white and 21 black women of various weights undergoing laparoscopy for clinical indications unrelated to this study.Interventions: None.Main outcome measures: The location and number of abdominal wall vessels visible by transillumination were recorded for each patient.Results: In women of normal weight, a single vessel could be seen approximately 5 cm from the midline in > 90% of the patients, and second vessel approximately 8 cm from the midline could also be seen in 51%. The more medial vessels did not correlate with the course of the inferior epigastric vessels seen laparoscopically. The ability to see vessels was decreased significantly by the patients' weight but not by skin color.Conclusions: Superficial abdominal wall vessels may be located by transillumination in the majority of women of normal weight regardless of skin color, but is of less value in overweight and obese women. However, the deep (inferior) epigastric vessels cannot be effectively located by transillumination, and thus other techniques should be used to minimize the risk of injury to these vessels.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 3","pages":"167-9"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19777348","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

Iatrogenic "respiratory acidosis" during laparoscopic preperitoneal hernia repair. 腹腔镜腹膜前疝修补术中的医源性“呼吸性酸中毒”。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.181

S J Waisbren, B L Herz, Y Ducheine, H K Yang, R G Karanfilian

引用次数: 10

Pneumothorax complicating laparoscopic ureterolysis. 气胸并发腹腔镜输尿管溶解。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.193

S Altarac, G Janetschek, E Eder, G Bartsch

{"title":"Pneumothorax complicating laparoscopic ureterolysis.","authors":"S Altarac, G Janetschek, E Eder, G Bartsch","doi":"10.1089/lps.1996.6.193","DOIUrl":"https://doi.org/10.1089/lps.1996.6.193","url":null,"abstract":"In a 71-year-old female marked left-sided ureteral stenosis secondary to retroperitoneal fibrosis was diagnosed. Since conservative therapy with cortisone had failed, laparoscopic ureterolysis was performed. Following tracheal intubation the lungs were ventilated with 40 vol% O2 in air and isoflurane 0.5-2%, using a positive end-expiratory pressure of 6 cm H2O. A CO2 pneumoperitoneum was established with a pressure-controlled high-flow insufflator; the intraabdominal pressure during the procedure was 14 mm Hg. Two hours after gas instillation, the peak airway pressure increased from 22 to 40 cm H2O, and the PaCO2 from 45 to 70 mm Hg. Breath sounds over the right lung were no longer heard, and subcutaneous emphysema was noted over the neck and face. An intraoperative chest X-ray confirmed a right pneumothorax. Following peritoneal gas evacuation, the PaCO2 returned to 35 mm Hg, the subcutaneous emphysema diminished, and a repeat chest X-ray showed complete resolution of the pneumothorax. The course of this event led us to the conclusion that the pneumothorax was due to diffusion of CO2 from the peritoneal to the pleural cavity through congenital defects in the diaphragm. Ureterolysis could be continued by laparotomy.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 3","pages":"193-6"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776612","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: 17

General anesthesia using the laryngeal mask airway during brief, laparoscopic inspection of the peritoneum in children. 在儿童腹膜的腹腔镜检查中，使用喉罩气道进行全身麻醉。

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.175

J D Tobias, G W Holcomb, G E Rasmussen, S Lowe, W M Morgan

{"title":"General anesthesia using the laryngeal mask airway during brief, laparoscopic inspection of the peritoneum in children.","authors":"J D Tobias, G W Holcomb, G E Rasmussen, S Lowe, W M Morgan","doi":"10.1089/lps.1996.6.175","DOIUrl":"https://doi.org/10.1089/lps.1996.6.175","url":null,"abstract":"The authors prospectively examined the cardiorespiratory changes seen with general anesthesia using the laryngeal mask with spontaneous ventilation during brief laparoscopic inspection of the peritoneum in children. Anesthesia consisted of halothane in 50% oxygen/air and a caudal epidural block. The patient was allowed to ventilate spontaneously without assistance. Baseline measurements of heart rate, systolic blood pressure (SBP), end-tidal CO2 (ETCO2), tidal volume, respiratory rate, and oxygen saturation were recorded every 1 min for 5 min prior to the start of laparoscopy and every minute during the laparoscopic procedure. A total of 15 patients were enrolled in the study ranging in age from 15 to 90 months (35.5 +/- 23.8 months) and in weight from 10 to 26.4 kg (14.9 +/- 4.9 kg). The length of the laparoscopy varied from 3 to 9 min (6.1 +/- 2.1 min). Although clinically insignificant, there was an increase in the heart rate from a baseline value of 141 +/- 9 to 148 +/- 9 beats/min (p = 0.0016) and in the SBP from a baseline value of 97 +/- 6 mm Hg to 101 +/- 7 mm Hg (p = 0.0087). The baseline tidal volume prior to the start of laparoscopy was 5.2 +/- 1.1 mL/kg and increased to 6.4 +/- 1.4 mL/kg during laparoscopy (p < 0.0001) while the respiratory rate increased from 32 +/- 4 to 40 +/- 6 breaths/min (p < 0.0001). ETCO2 increased from a baseline value of 47 +/- 6 to 53 +/- 6 torr (p = 0.0059). The maximum value of the ETCO2 was 55 torr or greater in 6 patients, exceeded 60 torr in 3 patients, with a maximum value of 63 torr. The increased ETCO2 returned to baseline within 2 to 7 min (4.7 +/- 1.5 min) following completion of the laparoscopy. There was no significant change in oxygen saturation. Our initial experience suggests that general anesthesia may be provided using the laryngeal mask during brief laparoscopic inspection of the peritoneum.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 3","pages":"175-80"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776607","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

A simplified T2-T3 thoracoscopic sympathicolysis technique for the treatment of essential hyperhidrosis: short-term results in 100 patients. 一种简化的T2-T3胸腔镜交感神经松解术治疗原发性多汗症:100例患者的短期疗效

Journal of laparoendoscopic surgery Pub Date : 1996-06-01 DOI: 10.1089/lps.1996.6.151

M Noppen, P Herregodts, J D'Haese, J D'Haens, W Vincken

引用次数: 64

A technique for second-look laparoscopy in the obese patient. 肥胖症患者的二次腹腔镜检查技术。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.113

A Bickel, G Daud, I Vaksman, A Eitan

引用次数: 4

Laparoscopic transabdominal preperitoneal repair of a hernia of Morgagni. 腹腔镜下经腹腹膜前疝修补术。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.131

T R Huntington

引用次数: 59

Outpatient cholecystectomy. 门诊病人胆囊切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.79

A J Voitk

引用次数: 12

Early experience with laparoscopic splenectomy. 腹腔镜脾切除术的早期经验。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.83

G Ferzli, M A Fiorillo, T Kiel

引用次数: 9