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Echolaparoscopy: an indispensable procedure for laparoscopic surgery. 腹腔镜:腹腔镜手术中不可缺少的一项技术。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
E Cavina, O Goletti, P Buccianti
{"title":"Echolaparoscopy: an indispensable procedure for laparoscopic surgery.","authors":"E Cavina,&nbsp;O Goletti,&nbsp;P Buccianti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The widespread use of operative and diagnostic laparoscopy leads to growing use of laparoscopic ultrasound as a complementary procedure. A preliminary study was performed to evaluate the efficacy of laparoscopic ultrasound using a linear array laparoscopic probe characterised by double frequency, mechanical flexibility and availability of Doppler analysis. Twenty-five cases of cholecystolithiasis were evaluated during laparoscopic cholecystectomy in comparison with laparoscopic cholangiography: no differences were observed. Nine cases of gastrointestinal neoplasms (gastric, colon, pancreatic, and liver cancer) were evaluated in comparison with preoperative sonography and computed tomography. Laparoscopic sonography improves abdominal malignancy detection (cancer spread, lymph node metastasis, liver metastasis), thus modifying therapeutic decisions. The possibility of moving the probe in flexion extension movements allows a complete, multiplane exploration of operative fields. Laparoscopic sonography represents a complementary, indispensable diagnostic method during laparoscopic surgery.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075674","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: 0
Update on laparoscopic ultrasonography. 腹腔镜超声检查的最新进展。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
R C McIntyre, G V Stiegmann, N W Pearlman
{"title":"Update on laparoscopic ultrasonography.","authors":"R C McIntyre,&nbsp;G V Stiegmann,&nbsp;N W Pearlman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ultrasonography has many clinical applications and can be done with both extra- and intracorporeal techniques. Miniaturization of ultrasound transducers has opened the way for intracorporeal use of ultrasound at laparoscopy. The principles of ultrasonography are presented. Laparoscopic intracorporeal ultrasound (LICU) has proven to be useful in the differential diagnosis of liver tumours. In one series, 75 of 85 patients had positive identification of a suspected liver tumour with laparoscopic ultrasound examination. LICU has also been useful for delineation of hepatobiliary anatomy during laparoscopic cholecystectomy in both animal models and patients having cholecystectomy. LICU may detect useful anatomic information prior to dissection of the cystic duct and is accurate in detecting common bile duct stones. LICU may also be useful in the preoperative staging of pancreatic malignancy. Laparoscopic intracorporeal ultrasound may find practical application in other areas as experience evolves.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075676","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: 0
Laparoscopic posterior vagotomy and anterior seromyotomy. 腹腔镜后迷走神经切开术和前血清切开术。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
N Katkhouda, J Heimbucher, J Mouiel
{"title":"Laparoscopic posterior vagotomy and anterior seromyotomy.","authors":"N Katkhouda,&nbsp;J Heimbucher,&nbsp;J Mouiel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laparoscopic truncal vagotomy with anterior seromyotomy, as described by Taylor, is our operation of choice in open surgery for elective treatment of chronic duodenal ulcer because it is a rapid, reliable and efficacious procedure. This procedure also does not have the variability of highly selective vagotomy in relation to the surgeon who is performing the operation. The technique is standardised and the results on 90 patients showed minimal morbidity and no mortality with a recurrence rate of 4.2% after a follow-up of 2-41 months. These results are very similar to those obtained in open surgery and compare favorably with the recurrence results after medical treatment. The procedure is therefore effective and safe and should be included in the armamentarium of treatment of chronic duodenal ulcer resistant to a thorough medical treatment.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19074999","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: 0
Technical and clinical aspects of intraoperative ultrasound applicable to laparoscopic ultrasound. 术中超声技术和临床方面适用于腹腔镜超声。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
J J Jakimowicz
{"title":"Technical and clinical aspects of intraoperative ultrasound applicable to laparoscopic ultrasound.","authors":"J J Jakimowicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The advent and spread of minimal access surgery (MAS) has underscored the importance of laparoscopic intraoperative ultrasonography (LIOU). The basic requirements of LIOU equipment are discussed and currently available ultrasound transducer probes for LIOU are reviewed. An examination technique with different ultrasound probes is presented and illustrated. Clinical experience gained with LIOU of the biliary tract in 262 patients and in 46 patients undergoing staging laparoscopy is presented. LIOU is a simple, efficient procedure which provides useful information in intraoperative decision-making. It has considerable potential for further development and will play an increasing role in future not only for diagnostics but also to facilitate the safe performance of complex MAS procedures.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075671","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: 0
A method for training surgeons in laparoscopic ultrasound. 一种训练外科医生腹腔镜超声的方法。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
P M Velez, D W Robertson
{"title":"A method for training surgeons in laparoscopic ultrasound.","authors":"P M Velez,&nbsp;D W Robertson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the increased use of laparoscopic surgery and the obligatory loss of palpation of solid organs, laparoscopic ultrasound will be an invaluable tool for the location and evaluation of solid or fluid-filled masses and retroperitoneal organs. Surgeons have heretofore had limited experience with ultrasound but are increasingly using other minimally invasive techniques to perform major operations. A graduated learning experience has been developed for surgeons, including a didactic introduction to ultrasound, inanimate and ex vivo training models, and finally, a live large animal model. Hepatic metastases were simulated and surgeons trained to locate and biopsy these lesions within the liver parenchyma under laparoscopic ultrasound guidance. The devised training session has allowed the participating surgeons to feel confident that they could identify and then biopsy intrahepatic lesions using minimally invasive techniques.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19074995","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: 0
Laparoscopic proximal gastric vagotomy. 腹腔镜胃近端迷走神经切开术。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
G B Cadiére, J Himpens, J Bruyns
{"title":"Laparoscopic proximal gastric vagotomy.","authors":"G B Cadiére,&nbsp;J Himpens,&nbsp;J Bruyns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Proximal gastric vagotomy, considered the conventional surgical treatment of choice for peptic ulcer disease, is now performed laparoscopically. Thirty-three patients underwent the procedure. Seven patients were treated on an emergency basis for perforated peptic ulcer. Morbidity and mortality of the procedure were zero. Patient acceptance (Visick staging) was good to excellent in 22 of 25 patients in follow-up. Laparoscopic proximal gastric vagotomy appears to be a good treatment in chronic peptic ulcer disease even when complicated by an acute perforation.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075151","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: 0
Laparoscopic posterior truncal vagotomy and anterior proximal gastric vagotomy. 腹腔镜后截迷走神经切开术和胃前近端迷走神经切开术。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
E Croce, M Azzola, M Golia, R Russo, S Angelini, G Contin, D Ubezio, C Pompa
{"title":"Laparoscopic posterior truncal vagotomy and anterior proximal gastric vagotomy.","authors":"E Croce,&nbsp;M Azzola,&nbsp;M Golia,&nbsp;R Russo,&nbsp;S Angelini,&nbsp;G Contin,&nbsp;D Ubezio,&nbsp;C Pompa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Simplified parietal cell vagotomies (Taylor's and Hill-Barker's procedures) were proposed more than a decade ago to make the operation easier and faster. Efficacy and safety have proven to be as good as with proximal gastric vagotomy. The Hill-Barker operation is particularly simplified by the laparoscopic approach, which enables the procedure to be performed very precisely. The limited trauma of minimally invasive vagotomy has increased the interest in peptic ulcer surgery, especially for patients with chronic duodenal ulcer disease who cannot or do not want to take long-term continuous medication, or who are resistant to it. We describe our technique of performing the laparoscopic Hill-Barker procedure. Our initial results with eleven patients show no operative mortality and minimal morbidity with early discharge and ulcer of all patients. Of the 9 cases which are evaluable, 8 are pain-free and one had an ulcer recurrence after incomplete vagotomy.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075669","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: 0
Laparoscopic ultrasonography: limits and potential of present technologies. 腹腔镜超声检查:现有技术的局限性和潜力。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
M M Lirici, M Caratozzolo, V Urbano, L Angelini
{"title":"Laparoscopic ultrasonography: limits and potential of present technologies.","authors":"M M Lirici,&nbsp;M Caratozzolo,&nbsp;V Urbano,&nbsp;L Angelini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During recent years, laparoscopic contact sonography has been introduced into clinical practice to remedy the limitations of minimal invasive surgery. The technology of laparoscopic ultrasound probes is described in this paper as well as the technique of US contact scanning via the laparoscopic approach. This method is a tool which allows the examination of tissues and non-palpable parenchymal organs in endoscopic surgery, thus permitting correct assessment of both anatomy and the spreading of neoplasms, with consequent impact upon surgical decision making.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075672","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: 0
Clinical experience with sector scan and linear array ultrasound probes in laparoscopic surgery. 扇形扫描和线阵超声探头在腹腔镜手术中的临床应用经验。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
T G John, O J Garden
{"title":"Clinical experience with sector scan and linear array ultrasound probes in laparoscopic surgery.","authors":"T G John,&nbsp;O J Garden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laparoscopic ultrasonography combines the advantages of diagnostic laparoscopy and intraoperative contact ultrasonography. The early prototypes were based on the linear array intraoperative ultrasound transducer, which provided the hepatobiliary surgeon with detailed information on the hepatic and pancreatic tumour in addition to its relationship with the associated vasculature. The laparoscopic linear array probes provide similar information in patients submitted to diagnostic laparoscopy and provide the surgeon with rectilinear images that are easy to interpret. Laparoscopic sector scanning probes are now available and have the advantage of requiring only a small area of contact to produce a pie-shaped scan of the area of interest. Such images may be more difficult to orientate, but end viewing probes enable rapid changes in image direction when rotated and are probably the probe of choice in the detection of choledocholithiasis. At the present time, the laparoscopic ultrasonographer may have need of both probes to enable adequate evaluation of intraabdominal pathology. Technological advances will almost certainly provide more versatile ultrasound systems that will confirm the place of laparoscopic ultrasonography as a valuable investigative tool during laparoscopic procedures.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075673","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: 0
Thoracoscopic ultrasonic localisation of lung nodules: initial results of an in-vitro and in-vivo study. 胸腔镜下肺结节的超声定位:体外和体内研究的初步结果。
Endoscopic surgery and allied technologies Pub Date : 1994-04-01
D Gossot, S Colomer, P Fourquier, M Celerier, Y Revillon
{"title":"Thoracoscopic ultrasonic localisation of lung nodules: initial results of an in-vitro and in-vivo study.","authors":"D Gossot,&nbsp;S Colomer,&nbsp;P Fourquier,&nbsp;M Celerier,&nbsp;Y Revillon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The main problem in thoracoscopic resection of lung nodules is the difficulty in localising the target. In the following we describe the use of an ultrasonographic, deflectable linear array probe of 7.5 MHz which was first tested during an in-vitro study. This study has provided useful information with respect to the US inspection of normal parenchyma and lung nodules. Initial results in clinical use in 14 patients demonstrate some limitations linked to the difficulty in manoeuvering the probe and to the remaining air in the parenchyma. However, endoscopic US is an interesting additional tool during thoracoscopic exploration of the lung.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19075675","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: 0
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