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Lymph node dissection in gynaecologic malignancy: the role of laparoscopy. 妇科恶性肿瘤淋巴结清扫:腹腔镜的作用。
Endoscopic surgery and allied technologies Pub Date : 1995-04-01
F J Montz
{"title":"Lymph node dissection in gynaecologic malignancy: the role of laparoscopy.","authors":"F J Montz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical sampling and resection of the pelvic and para-aortic lymph nodes plays a critical role in the management of women with selected gynaecologic malignancies. Techniques to perform laparoscopic bilateral pelvic and para-aortic lymphadenectomies have been developed. Published reports reviewing the use of these techniques are limited and have critical deficiencies. Well-controlled multicentre trials must be completed to confirm the merit and efficiency of this innovative approach prior to it becoming a new surgical standard.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18559569","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
Durability and function of disposable versus reusable laparoscopic instrumentation. 一次性与可重复使用腹腔镜器械的耐久性和功能。
Endoscopic surgery and allied technologies Pub Date : 1995-04-01
J R Bessell, M Patkin, L Isabel
{"title":"Durability and function of disposable versus reusable laparoscopic instrumentation.","authors":"J R Bessell,&nbsp;M Patkin,&nbsp;L Isabel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The durability and function of reusable and disposable laparoscopic instruments are compared, and the relative advantages and disadvantages of each are illustrated. Familiarity with the relevant issues described should allow surgeons to make informed choices on the most suitable instruments for their specific situation.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18559571","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
Vaginal vault suspension. 阴道拱顶悬吊。
Endoscopic surgery and allied technologies Pub Date : 1995-04-01
T L Lyons, W K Winer
{"title":"Vaginal vault suspension.","authors":"T L Lyons,&nbsp;W K Winer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A laparoscopic approach to significant pelvic relaxation and vault prolapse, including technical aspects of the procedures involved and an anatomic rationale for the laparoscopic approach, are described. The results demonstrate good clinical outcomes in addition to low intraoperative and post operative morbidity. It is concluded that the laparoscopic approach to vault support has a superior result when compared to open vaginal alternatives.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18559574","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
Trocars and other access techniques. 套管针和其他存取技术。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
L K Nathanson
{"title":"Trocars and other access techniques.","authors":"L K Nathanson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18759675","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
Overview of extraperitoneal laparoscopy. 腹膜外腹腔镜手术概述。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
M J Coptcoat
{"title":"Overview of extraperitoneal laparoscopy.","authors":"M J Coptcoat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent developments in extraperitoneal endoscopic techniques are causing a second wave of excitement amongst laparoscopic surgeons. In certain situations, there are definite advantages over an intraperitoneal alternative but the new interest of many surgeons for whom this has always been a more natural open route is also very welcome and timely. Many of the frustrating problems of access into the extraperitoneal space have been overcome by the introduction of an expanding dissecting balloon which both creates an adequate working space and tamponades potentially small haemorrhagic vessels torn in the dissection. Routine laparoscopic techniques can then take over using carbon dioxide for insufflation. The major advantage for the patient seems to be reduced post-operative pain but the major problem facing the surgeon is one of orientation in a space where there are no recognisable anatomical landmarks. This problem is being overcome with adjuvant radiological techniques.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18759669","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
Extraperitoneal pelvic and para-aortic lymphadenectomy. 腹膜外盆腔及腹主动脉旁淋巴结切除术。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
M J Coptcoat
{"title":"Extraperitoneal pelvic and para-aortic lymphadenectomy.","authors":"M J Coptcoat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many laparoscopic surgeons, particularly in urology, have been performing a laparoscopic transperitoneal pelvic and para-aortic lymphadenectomy for prostatic and germ cell cancers respectively with great success. The transperitoneal route has been superceded by an extraperitoneal approach. Although the working space is sometimes a little more restricted and orientation more difficult, the ultimate result is a procedure associated with much less post-operative pain.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18760237","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
Retroperitoneal endoscopic lumbar sympathectomy: laboratory and clinical experience. 腹膜后内镜腰交感神经切除术:实验室和临床经验。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
J J Bannenberg, P Hourlay, D W Meijer, G Vangertruyden
{"title":"Retroperitoneal endoscopic lumbar sympathectomy: laboratory and clinical experience.","authors":"J J Bannenberg,&nbsp;P Hourlay,&nbsp;D W Meijer,&nbsp;G Vangertruyden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retroperitoneal endoscopic lumbar sympathectomy was performed in four pigs in the prone or lateral position to study the feasibility of these new approaches. Positioning, port placement and the dissection technique are described in detail. In nine patients retroperitoneal endoscopic lumbar sympathectomy, using the lateral position technique, was performed. The importance of port placement and dissection techniques for visualisation of the sympathetic chain are emphasised. The endoscopic retroperitoneal approach enables the sympathetic chain to be accurately localised whilst enhanced endoscopic vision aids dissection. Retroperitoneal endoscopic lumbar sympathectomy is a feasible technique offering patients the benefits of the minimally invasive approach.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18759670","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
Vacuum-supported endoscopic access. 真空支持的内镜通道。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
B Klemm, R Salm
{"title":"Vacuum-supported endoscopic access.","authors":"B Klemm,&nbsp;R Salm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rapid increase in the number of endoscopic operations performed has resulted in a corresponding rise in the incidence of severe complications. This issue has generated widespread concern at recent congresses. It is now indisputable that safer access to the abdominal cavity is required. We have developed a technique of vacuum-supported visual access which allows the surgeon to anticipate dangerous sites of access and avoid injuries to internal organs or retroperitoneal blood vessels. The procedure has two major advantages: Firstly, a pre-peritoneal approach allows the surgeon to visualise the structures behind the peritoneum, and secondly, puncture of the insufflation-needle is facilitated and the depth of insertion is minimised. The underlying principle is to use negative pressure to elevate the peritoneum. Using this approach, the principles of open surgery are adhered to during abdominal access, thereby avoiding visceral injury.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18758218","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
Access techniques: Veress needle--initial blind trocar insertion versus open laparoscopy with the Hasson trocar. 进入技术:Veress针-初始盲套管针插入与开放腹腔镜与Hasson套管针插入。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
J B McKernan, J K Champion
{"title":"Access techniques: Veress needle--initial blind trocar insertion versus open laparoscopy with the Hasson trocar.","authors":"J B McKernan,&nbsp;J K Champion","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The two most common techniques used to gain entry into the peritoneal cavity during laparoscopic general surgery are the blind Veress needle/trocar insertion and open trocar placement under direct visualisation. Once entry to the peritoneal cavity has been achieved, gas insufflation is used to establish pneumoperitoneum and enable visualisation of abdominal structures. Many of the complications associated with operative laparoscopy arise from creation of the pneumoperitoneum, such as subcutaneous emphysema and gas embolism, or from injury to internal structures during abdominal entry. Because of the relative infancy of laparoscopic general surgery, much of the information relating to these types of complications are associated with minimally invasive gynaecologic procedures. Compared to gynaecologic laparoscopy, general surgical interventions are typically more complicated, require longer operative times and a greater number of access sites, and are more likely to be performed in older patients. Therefore, complication rates associated with pneumoperitoneum or abdominal entry may actually turn out to be higher for laparoscopic general surgery, making selection of a blind versus open access technique more important. Two direct comparisons of these access approaches in laparoscopic cholecystectomy indicated that an open technique employing a peritoneal cut-down and trocar insertion under direct visualisation was safer than blind insertion of the Veress needle and primary trocar. We also favour the open access technique, believing that the risk for serious visceral or vascular complications is less than that with a blind approach.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18759676","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
Alternative endoscopic access techniques to the retroperitoneum. 经内镜进入腹膜后的替代技术。
Endoscopic surgery and allied technologies Pub Date : 1995-02-01
C G Eden
{"title":"Alternative endoscopic access techniques to the retroperitoneum.","authors":"C G Eden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Operative retroperitoneoscopy provides a less traumatic alternative to transperitoneal laparoscopy for the minimal access surgery of retroperitoneal structures. Although open and closed techniques have been described for achieving access, the former allows the creation of a larger initial retroperitoneal workspace with a greater margin of safety and in a shorter space of time.</p>","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18759673","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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