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Seminars in laparoscopic surgery最新文献

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Ultrasonic dissectors and minimally invasive surgery. 超声解剖与微创手术。
Seminars in laparoscopic surgery Pub Date : 1999-12-01 DOI: 10.1053/SLAS00600229
B S Gill, B V MacFadyen
{"title":"Ultrasonic dissectors and minimally invasive surgery.","authors":"B S Gill,&nbsp;B V MacFadyen","doi":"10.1053/SLAS00600229","DOIUrl":"https://doi.org/10.1053/SLAS00600229","url":null,"abstract":"<p><p>As increasingly complex operations are performed laparoscopically, new problems arise regarding basic tasks such as dissection and retraction. Emerging technologies continue to reduce the technical demands of minimally invasive surgery. Recent studies have shown that ultrasonic devices have the potential to replace electrocautery without compromising safety in minimally invasive operations. With the combination of several functions into a single instrument, significant reductions in operative time and expense are possible and should increase the acceptance of this new technology.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 4","pages":"229-34"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21537616","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
Cardiomyotomy. 心肌切开术。
Seminars in laparoscopic surgery Pub Date : 1999-12-01 DOI: 10.1053/SLAS00600186
M G Patti, A Tamburini, C A Pellegrini
{"title":"Cardiomyotomy.","authors":"M G Patti,&nbsp;A Tamburini,&nbsp;C A Pellegrini","doi":"10.1053/SLAS00600186","DOIUrl":"https://doi.org/10.1053/SLAS00600186","url":null,"abstract":"<p><p>During the last decade, minimally invasive surgery has replaced open surgery in the treatment of esophageal achalasia. This new approach, in fact, determines results similar to the open approach, but is associated to a shorter hospital stay, minimal postoperative discomfort, and faster return to regular activity. Between 1991 and 1998, 168 patients underwent a cardiomyotomy by minimally invasive techniques. Good or excellent results were obtained in 85% of patients after thoracoscopic myotomy, and 93% of patients after laparoscopic myotomy and partial fundoplication. The latter procedure was followed by a lower incidence of postoperative gastroesophageal reflux (60% versus 17%). Laparoscopic Heller myotomy and partial fundoplication has emerged as the procedure of choice for esophageal achalasia, and it should be considered today the primary form of treatment for this disease.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 4","pages":"186-93"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21537612","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
Current state, techniques, and results of laparoscopic antireflux surgery. 腹腔镜抗反流手术的现状、技术和结果。
Seminars in laparoscopic surgery Pub Date : 1999-12-01 DOI: 10.1053/SLAS00600194
D J Bowrey, J H Peters
{"title":"Current state, techniques, and results of laparoscopic antireflux surgery.","authors":"D J Bowrey,&nbsp;J H Peters","doi":"10.1053/SLAS00600194","DOIUrl":"https://doi.org/10.1053/SLAS00600194","url":null,"abstract":"<p><p>The introduction of laparoscopic fundoplication has dramatically changed the face of antireflux surgery. Central to the success of laparoscopic fundoplication is careful preoperative patient evaluation and attention to surgical technique. Emerging evidence has questioned the long-term durability of laparoscopic partial fundoplications underscoring the place of laparoscopic Nissen fundoplication as the procedure of choice for most patients. The technique of laparoscopic Nissen fundoplication should incorporate crural closure, complete fundic mobilization by short gastric vessel division, and the creation of a short, loose fundoplication by enveloping the anterior and posterior fundic walls around the esophagus. Relief of typical reflux symptoms can be anticipated in over 90% of patients. The outcome of atypical reflux symptoms is less predictable, on average two thirds of patients benefiting. The cost of laparoscopic fundoplication compares favorably to long-term medical therapy and open fundoplication. Current trends indicate that laparoscopic fundoplication is being used increasingly as an alternative to long-term medical therapy.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 4","pages":"194-212"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21537613","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
Endoscopic treatments for Zenker's diverticulum. Zenker憩室的内镜治疗。
Seminars in laparoscopic surgery Pub Date : 1999-12-01 DOI: 10.1053/SLAS00600177
P S White, R E Mountain
{"title":"Endoscopic treatments for Zenker's diverticulum.","authors":"P S White,&nbsp;R E Mountain","doi":"10.1053/SLAS00600177","DOIUrl":"https://doi.org/10.1053/SLAS00600177","url":null,"abstract":"","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 4","pages":"177-85"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21538243","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: 2
Totally laparoscopic abdominal aortic aneurysm repair. 全腹腔镜腹主动脉瘤修复术。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600153
R Ludemann, L L Swanström
{"title":"Totally laparoscopic abdominal aortic aneurysm repair.","authors":"R Ludemann,&nbsp;L L Swanström","doi":"10.1053/SLAS00600153","DOIUrl":"https://doi.org/10.1053/SLAS00600153","url":null,"abstract":"<p><p>Current experience with totally laparoscopic aortic aneurysm repair is reviewed with particular attention to the techniques of surgery. Vascular surgery has been slow to enter the field of minimally invasive surgery because of the unique difficulties of managing arterial anatomy with minimal access techniques. Laparoscopic instrumentation has undergone a stunning evolution, and surgeon experience with minimally invasive surgery has grown exponentially. This dramatic revolution has allowed several groups to perform laparoscopic aortic vascular surgery. The surgical approach that each group has taken has varied. The approaches have included both laparoscopically assisted and totally laparoscopic aortic surgery with both transperitoneal and retroperitoneal approaches to the aorta. A review of these varied techniques will be discussed and include our experience with totally laparoscopic aortic surgery. This experience includes both transperitoneal and retroperitoneal approaches to infrarenal aortic aneurysms. An extended discussion of our surgical technique for aneurysm bypass is included. Patient selection, patient positioning, and trocar placement are described. The pattern of surgery for both techniques is enumerated, and postoperative care is discussed. However, the world experience with minimally invasive vascular surgery remains small, therefore a wider acceptance will require a prospective, randomized trial that shows an equally as safe surgical approach as provided open vascular surgery. With its acceptance, minimally invasive vascular surgery should show the patient benefits that befall minimally invasive surgery patients.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"153-63"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389620","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
Technological advances in laparoscopic aorto-occlusive surgery. 腹腔镜主动脉闭塞手术的技术进展。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600164
C R Gracia, Y M Dion
{"title":"Technological advances in laparoscopic aorto-occlusive surgery.","authors":"C R Gracia,&nbsp;Y M Dion","doi":"10.1053/SLAS00600164","DOIUrl":"https://doi.org/10.1053/SLAS00600164","url":null,"abstract":"<p><p>Minimally invasive surgery (MIS) has been recognized as increasingly beneficial to patients undergoing various cardiovascular surgical procedures. Cardiac applications with MIS techniques and technologies are being shown as beneficial in heart valve replacement and in coronary artery bypass. In vascular surgery, benefits are being reported for endoscopic saphenous vein harvesting as well as endoscopic ligation of incompetent perforators. Since 1993, applications of laparoscopy to aortic surgery have been reported. Until these reports, percutaneous interventional procedures have been the mainstay of MIS vascular work for aortoiliac disease. Reported laparoscopic techniques have ranged from laparoscopically assisted techniques to procedures performed completely laparoscopically. Several studies show that laparoscopic aortic surgery is feasible. These show the known advantages of MIS for patients, with decreased use of analgesics, shortened ileus, earlier ambulation, and shortened length of stay. Laparoscopy has been showing a growing role in the armamentarium of the modern vascular surgeon.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"164-74"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389621","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
Endoscopic vein harvest techniques for coronary and infrainguinal bypass. 冠状动脉和腹股沟下旁路的内镜静脉采集技术。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600127
V J Weiss, P Lin, A B Lumsden
{"title":"Endoscopic vein harvest techniques for coronary and infrainguinal bypass.","authors":"V J Weiss,&nbsp;P Lin,&nbsp;A B Lumsden","doi":"10.1053/SLAS00600127","DOIUrl":"https://doi.org/10.1053/SLAS00600127","url":null,"abstract":"<p><p>Endoscopic saphenous vein harvest represents a minimally invasive approach to obtain a suitable bypass conduit for coronary or extremity revascularization. Endoscopic vein harvest has been designed to reduce wound complications in a population typically at risk for problematic wound healing. Most studies have shown a reduction in such wound healing complications and improved patient comfort, which may result in fewer postoperative visits. The technique of endoscopic saphenous vein harvest is described, and the current limitations of the procedure are discussed.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"127-34"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389617","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
Minimally invasive approaches in venous surgery. 静脉手术的微创入路。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600120
G R Faust, T Banks
{"title":"Minimally invasive approaches in venous surgery.","authors":"G R Faust,&nbsp;T Banks","doi":"10.1053/SLAS00600120","DOIUrl":"https://doi.org/10.1053/SLAS00600120","url":null,"abstract":"","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"120-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389616","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
Laparoscopically assisted abdominal aortic aneurysm repair. 腹腔镜辅助腹主动脉瘤修复术。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600144
J J Cerveira, J R Cohen
{"title":"Laparoscopically assisted abdominal aortic aneurysm repair.","authors":"J J Cerveira,&nbsp;J R Cohen","doi":"10.1053/SLAS00600144","DOIUrl":"https://doi.org/10.1053/SLAS00600144","url":null,"abstract":"<p><p>Since the advent of laparoscopy, the sweeping changes seen in general surgery have not been paralleled in vascular surgery. However, the application of laparoscopic techniques to intraabdominal vascular procedures has now progressed from the animal laboratory to the clinical arena. Initial experience with laparoscopically assisted aortic bypasses for occlusive disease has led to the development of procedures for aneurysmal disease. This article reviews the current clinical experience in the evolving technique of laparoscopically assisted abdominal aortic aneurysm repair.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"144-52"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389619","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
Endovascular in situ bypass. 血管内原位搭桥。
Seminars in laparoscopic surgery Pub Date : 1999-09-01 DOI: 10.1053/SLAS00600135
S G Friedman
{"title":"Endovascular in situ bypass.","authors":"S G Friedman","doi":"10.1053/SLAS00600135","DOIUrl":"https://doi.org/10.1053/SLAS00600135","url":null,"abstract":"<p><p>The history of arterial bypass dates back to the turn of the century. Recent advances have reduced the significant morbidity of some of these procedures.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 3","pages":"135-43"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21389618","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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