Journal of laparoendoscopic surgery最新文献_第7页

The use of T-bars in laparoscopic ventral hernia repair. t型棒在腹腔镜腹疝修补术中的应用。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.109

A A Saiz, D Paul, I H Willis, M Sivina

引用次数: 5

Outpatient laparoscopic cholecystectomy feasibility. 门诊腹腔镜胆囊切除术的可行性。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.73

E Taylor, F Gaw, C Kennedy

{"title":"Outpatient laparoscopic cholecystectomy feasibility.","authors":"E Taylor, F Gaw, C Kennedy","doi":"10.1089/lps.1996.6.73","DOIUrl":"https://doi.org/10.1089/lps.1996.6.73","url":null,"abstract":"One-hundred nineteen elective cholecystectomies were performed at Kern Medical Center over a 20-month period from October 1992 to May 1994 and were retrospectively reviewed. Eight males and 111 females ranged in age from 16 to 70. Laparoscopic cholecystectomy was attempted in 116 patients and converted to open in 8 (7%). Of the elective procedures, 108 (91%) were planned as outpatient procedures. Of the 108 planned outpatient procedures, 73 (68%) were successfully completed as outpatients. Of the 35 patients who required unplanned admission, 21 were discharged in less than 24 h. In total, 101 (87%) of the 116 elective cholecystectomies begun laparoscopically were discharged in less than 24 h. Subsequent to this data analysis, our institution is developing a 23.9 h \"day hospital\" for postanesthesia observation. With extended postoperative monitoring and observation, patients with short-term problems such as nausea, vomiting, pain, and even patients with medical conditions requiring close observation and control should be able to avoid admission. This retrospective study indicates that with development of a 23.9 h postanesthesia care unit, the majority of elective cholecystectomies can be attempted and completed laparoscopically on an outpatient basis.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 2","pages":"73-7"},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.73","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19707797","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

A case-control study of postoperative pulmonary complications after laparoscopic and open cholecystectomy. 腹腔镜和开放胆囊切除术后肺部并发症的病例对照研究。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.87

J C Hall, R A Tarala, J L Hall

{"title":"A case-control study of postoperative pulmonary complications after laparoscopic and open cholecystectomy.","authors":"J C Hall, R A Tarala, J L Hall","doi":"10.1089/lps.1996.6.87","DOIUrl":"https://doi.org/10.1089/lps.1996.6.87","url":null,"abstract":"Postoperative pulmonary complications (PPC) are common after upper abdominal surgery. The objective of this case-control study was to compare the incidence of PPC after laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) within a tertiary care center. Patients were accrued from two sequential clinical trials that evaluated the role of incentive spirometry in the prevention of PPC after abdominal surgery. Included for study were patients with gallstones undergoing elective surgery who had an American Society of Anesthesiologists (ASA) classification < 3. All patients included in the study were encouraged to use an incentive spirometer at least 10 times each hour while awake. Patients with chronic bronchitis were excluded from study, as were patients who received other forms of physical therapy. OC was performed through either a transverse or an oblique incision. There was an equitable dispersion of putative risk factors for PPC between the groups at baseline. PPC were defined as clinical features consistent with collapse/consolidation, an otherwise unexplained temperature above 38 degrees C, plus either confirmatory chest radiology or positive sputum microbiology. The incidence of PPC was 2.7% (1/37) after LC and 17.2% (10/58) after OC (p < 0.05). It is concluded that PPC are less common after laparoscopic cholecystectomy than after open cholecystectomy.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 2","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19708351","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

Three-Trocar Laparoscopic Cholecystectomy 三套管针腹腔镜胆囊切除术

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/LPS.1996.6.136

A. Schwartzman

引用次数: 0

TEXTBOOK OF LAPAROSCOPY 腹腔镜教科书

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/LPS.1996.6.137

M. Otterson

引用次数: 0

Comparative stress hormone changes during helium versus carbon dioxide laparoscopic cholecystectomy. 氦与二氧化碳腹腔镜胆囊切除术中比较应激激素的变化。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.93

G P Naude, M K Ryan, N A Pianim, S R Klein, M Lippmann, F S Bongard

{"title":"Comparative stress hormone changes during helium versus carbon dioxide laparoscopic cholecystectomy.","authors":"G P Naude, M K Ryan, N A Pianim, S R Klein, M Lippmann, F S Bongard","doi":"10.1089/lps.1996.6.93","DOIUrl":"https://doi.org/10.1089/lps.1996.6.93","url":null,"abstract":"Laparoscopic surgery has been termed minimally invasive surgery by advocates of this technology. It has been demonstrated previously that using carbon dioxide for insufflation produces a respiratory acidosis due to transperitoneal absorption of gas. Insufflation with helium does not create this acidosis. We questioned whether laparoscopic surgery would elicit a stress response and whether the absence of acidosis with helium might prevent or reduce the levels of stress hormones. Sixteen female patients undergoing laparoscopic cholecystectomy were randomly assigned to helium (n = 8) or CO2 (n = 8) insufflation. Serum cortisol, epinephrine, and norepinephrine were measured preoperatively, after induction of anesthesia but before insufflation, at 45 min of surgery, and after desufflation. There were increases in epinephrine, norepinephrine, plasma cortisol, and urine cortisol at 45 min and at the conclusion of the procedure over the preoperative value. With ANOVA, each variable showed significant increases from preoperative values, at 45 min, and at the end of the case. Except for the increased epinephrine when helium was used, there were no significant differences in the other variables between helium and CO2. Laparoscopic cholecystectomy produces significant increases in stress hormone levels. Prevention of acidosis with helium insufflation does not appear to protect against increases in stress hormones. Epinephrine levels with helium insufflation are higher than with CO2, and elevations in stress hormones suggest that laparoscopic cholecystectomy is not physiologically minimally invasive.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 2","pages":"93-8"},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19708352","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: 19

Three-trocar laparoscopic cholecystectomy. 三套管针腹腔镜胆囊切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.135

K Slim, D Pezet, J Chipponi

引用次数: 8

Safety evaluation of laparoscopically applied clips. 腹腔镜应用夹的安全性评价。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.99

T Papaioannou, L Daykhovsky, W S Grundfest

{"title":"Safety evaluation of laparoscopically applied clips.","authors":"T Papaioannou, L Daykhovsky, W S Grundfest","doi":"10.1089/lps.1996.6.99","DOIUrl":"https://doi.org/10.1089/lps.1996.6.99","url":null,"abstract":"We have evaluated in vitro, the security of laparoscopically applied clips, through two commercially available clip appliers: the Endo Clip II (US Surgical) and the Ligaclip (Ethicon). The clip performance was tested with respect to dislodgment and leakage. Dislodgment was attempted both transversely and at 45 degrees with respect to the main axis of the tubular structures tested. The mean maximum force (N = 24) necessary to dislodge a clip applied to silicone tubing (2.1, 2.4, 3.2 mm o.d.) and porcine vascular tissue was measured. The maximum force needed to transversely dislodge a clip applied to silicone tubing, ranged from 262 +/- 9 g (2.1 mm) to 315 +/- 11 g (3.2 mm) for the Endo Clip II applier, while the values for the Ligaclip were 220 +/- 28 g (2.1 mm) and 273 +/- 11 g (3.2 mm), respectively. To achieve dislodgment at 45 degrees pull, corresponding forces of 294 +/- 8 g (2.1 mm) and 369 +/- 14 g (3.2 mm) for the Endo Clip II, and 254 +/- 14 g (2.1 mm) and 297 +/- 13 g (3.2 mm) for the Ligaclip (N = 24) were required. Transverse dislodgment forces, for clips applied to tissue, were 556 +/- 146 g for the Endo Clip II and 356 +/- 170 for the Ligaclip (N = 6). Leakage tests were also performed under pulsatile blood circulation at mean pressure of approximately 800 mm Hg. No tested clips applied to either silicone tubing or tissue allowed for any blood leakage. The dislodgment test showed that the Endo Clip II exhibits superior performance compared to the Ligaclip, based on the fact that it requires more force for transverse and semiaxial dislodgment. In the leakage test, both clip appliers performed equivalently.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 2","pages":"99-107"},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/lps.1996.6.99","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19708354","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: 12

Surgical decisions in the laparoscopic management of small bowel obstruction: report on two cases. 腹腔镜治疗小肠梗阻的手术决策:两例报告。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.117

C Posta

引用次数: 3

Empyema from lost gallstones: a thoracic complication of laparoscopic cholecystectomy. 胆囊结石丢失引起的脓胸:腹腔镜胆囊切除术的胸部并发症。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.123

C L Willekes, W D Widmann

引用次数: 27