1,933 results match your criteria ambulatory laparoscopic


Laparoscopic bowel resection combined with hand-assisted endoscopic balloon dilation for Crohn's disease with multiple bowel strictures.

Endoscopy 2021 Jun 8. Epub 2021 Jun 8.

Guangdong Institute of Gastroenterology, Guangdong Province Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou, Guangdong Province, China.

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Evaluation of diagnostic laparoscopy for penetrating abdominal injuries: About 131 anterior abdominal stab wound.

Surg Endosc 2021 Jun 2. Epub 2021 Jun 2.

Department of Gastrointestinal, Metabolic and Surgical Oncology, University Hospital Nancy Brabois, Rue du Morvan, 54511, Vandoeuvre-Les-Nancy, France.

Background: The management of hemodynamically stable patients with anterior abdominal stab wounds (AASW) is debated. Mini-invasive techniques using laparoscopy and non-operative management (NOM) have reduced the rate of nontherapeutic laparotomies after AASW leading to unnecessary morbidity. The aim of this study was to determine with a systematic diagnostic laparoscopy of peritoneal penetration (PP), patients who do not require abdominal exploration in the management of stable patient with an AASW. Read More

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Risk factors for patient selection in ambulatory laparoscopic cholecystectomy: A Single-centre experience.

J Minim Access Surg 2021 May 25. Epub 2021 May 25.

Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.

Backgrounds: Ambulatory laparoscopic cholecystectomy (LC) reduces healthcare cost and increases hospital bed capacity. Currently, there is no consensus on patient selection for ambulatory LC. Evaluation of risk factors for ambulatory discharge is essential. Read More

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[National survey on the treatment of cholelitiasis in Spain during the initial period of the COVID-19 pandemic].

Cir Esp 2021 May 19;99(5):346-353. Epub 2020 Jul 19.

Servicio de Cirugía, Hospital Universitario de Guadalajara, Guadalajara, España.

Introduction: The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecystitis and cholelythiasis.

Methods: It is a descriptive national study after online voluntary distribution of a specific questionnaire with Google Drive™ to members of the Spanish Association of Surgeons (AEC). Read More

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State-Level Examination of Clinical Outcomes and Costs for Robotic and Laparoscopic Approach to Diaphragmatic Hernia Repair.

J Am Coll Surg 2021 May 17. Epub 2021 May 17.

Department of Surgery, Loyola University Medical Center, Maywood, IL; Edward Hines, Jr Veterans Administration Hospital, Hines, IL.

Background: Published studies evaluating the effect of robotic assistance on clinical outcomes and costs of care in diaphragmatic hernia repair (DHR) have been limited.

Study Design: The Healthcare Cost and Utilization Project State Inpatient and State Ambulatory Surgery and Services Databases for Florida were queried to identify patients undergoing transabdominal DHR between 2011 and 2018 and associated inpatient and outpatient encounters within 12 months after the index operation. Patients undergoing robotic DHR were 1:1:1 propensity score-matched for age, sex, race, Elixhauser comorbidity score, case priority, payer, and facility volume with patients undergoing open and laparoscopic DHR. Read More

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[Analysis of short-term efficacy of overlapping delta-shaped anastomosis in totally laparoscopic left hemicolectomy for digestive tract reconstruction].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 May;24(5):433-439

Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China.

At present, though the laparoscopic delta-shaped anastomosis and overlapping delta-shaped anastomosis have been gradually applied to complete laparoscopic radical resection of left hemicolon cancer, the comparative evaluation of their efficacy has not been mentioned in the published literatures. This study aims to explore the safety, feasibility and short-term efficacy of overlapping delta-shaped anastomosis (ODA) in totally laparoscopic left hemicolectomy. A retrospective cohort study was performed. Read More

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Anterior quadratus lumborum block for ambulatory laparoscopic cholecystectomy: a randomized controlled trial.

Croat Med J 2021 Apr;62(2):137-145

Ann-Chatrin Leonardsen, Østfold Hospital Trust, Postal box code 300, 1714 Grålum, Norway,

Aim: To explore the effects of an anterior quadratus lumborum block (QLB) on opioid consumption, pain, nausea, and vomiting (PONV) after ambulatory laparoscopic cholecystectomy.

Methods: This randomized controlled study recruited 70 patients scheduled for ambulatory laparoscopic cholecystectomy from January 2018 to March 2019. The participants were randomly allocated to one of the following groups: 1) anterior QLB (n=25) with preoperative ropivacaine 3. Read More

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Manometric changes of the esophagus in morbidly obese patients.

Exp Ther Med 2021 Jun 14;21(6):604. Epub 2021 Apr 14.

5th Clinical Department, Gastroenterology and Internal Medicine Discipline, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.

This prospective study aimed to determine the manometric pattern and the prevalence of esophageal dysmotility in 79 morbidly obese patients selected for laparoscopic sleeve gastrectomy. After clinical evaluation and upper gastrointestinal endoscopy, high-resolution esophageal manometry was performed. The esophageal peristalsis, lower esophageal sphincter (LES) basal pressure, and LES relaxation were evaluated. Read More

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Metabolomic Profiling of Lipids and Fatty Acids: 3 Years Postoperative Laparoscopic Sleeve Gastrectomy.

Biology (Basel) 2021 Apr 5;10(4). Epub 2021 Apr 5.

Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates.

Visceral obesity is common in the United Arab Emirates and worldwide. Although laparoscopic sleeve gastrectomy (LSG) leads to effective and sustainable weight loss, its long-term beneficial impact on other risk factors, including blood lipid and fatty acid (FA) profiles, remains unknown. These two profiles were assessed in patients 3 years after undergoing LSG and in LSG candidates (controls). Read More

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Feasibility study on elimination of all oral opioids following bariatric surgery.

Surg Obes Relat Dis 2021 Jun 8;17(6):1069-1077. Epub 2021 Mar 8.

Department of Bariatric Surgery, Kaiser Permanente, South Sacramento Medical Center, Sacramento, California.

Background: The bariatric population is at increased risk for developing chronic opioid dependence. The practice of prescribing oral opioids for analgesia in postoperative ambulatory settings is a known risk factor for developing chronic opioid dependence. The use of oral opioids following minimally invasive bariatric surgery may not be necessary. Read More

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Thirty-Day Unplanned Readmission After Ambulatory Laparoscopic Cholecystectomy in Western China: A Retrospective Study.

Cureus 2021 Mar 16;13(3):e13932. Epub 2021 Mar 16.

Day Surgery Center, West China Hospital, Sichuan University, Chengdu, CHN.

Background Day surgery has been gradually accepted by health professions globally, which can shorten the hospital stay and reduce medical costs. The ambulatory laparoscopic cholecystectomy (LC) has been performed in China since over 10 years. However, few studies focus on its 30-day unplanned readmission rate of ambulatory LC and no standard of unplanned readmission rate for that now. Read More

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Day-only laparoscopic cholecystectomy in 2021.

ANZ J Surg 2021 04;91(4):484

Department of Surgery and Perioperative Medicine, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia.

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Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring.

Obes Surg 2021 Jul 6;31(7):2851-2858. Epub 2021 Apr 6.

Department of Surgery, OLVG, Amsterdam, The Netherlands.

Background: Shortening of hospital stay to 1 night has not affected the short-term safety of patients undergoing laparoscopic Roux-en-Y gastric bypass (RYGB). Whether the RYGB is feasible in an ambulatory setting (same-day discharge) without overnight hospital stay remains to be answered. We aimed to evaluate the feasibility of same-day discharge after laparoscopic Roux-en-Y gastric bypass (RYGB) using additional live video consultation and remote monitoring. Read More

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Prevalence of Postprostatectomy Incontinence Requiring Anti-incontinence Surgery After Radical Prostatectomy for Prostate Cancer: A Retrospective Population-Based Analysis.

Int Neurourol J 2021 Mar 9. Epub 2021 Mar 9.

Department of Urology, Stanford University Medical Center, Stanford, CA, USA.

Purpose: The aim of this study was to examine the prevalence of surgery for post-prostatectomy incontinence (PI) following minimally invasive surgery compared to conventional open surgery for prostate cancer.

Methods: This retrospective cohort study used the Florida State Ambulatory Surgery and State Inpatient Databases, 2008 to 2010, RP patients were identified using ICD-9/10 procedure codes and among this cohort PI was identified also using ICD-9/10 codes. Surgical approaches included Minimally invasive (robotic or laparoscopic) vs. Read More

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A case of pleuroperitoneal communication in which establishing a laparoscopic pneumoperitoneum was useful for the detection of a fistula.

Surg Case Rep 2021 Mar 5;7(1):64. Epub 2021 Mar 5.

Thoracic Surgery, Kokura Memorial Hospital, Asano, Kokurakita-ku, Kitakyushu, Fukuoka, 802-8555, Japan.

Background: Pleuroperitoneal communication (PPC) is rarely observed, accounting for 1.6% of all patients who undergo continuous ambulatory peritoneal dialysis (CAPD). Although there have been several reports concerning the management of this condition, we have encountered several cases in which control failed. Read More

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Safety of ambulatory laparoscopic cholecystectomy in the elderly.

ANZ J Surg 2021 04 18;91(4):597-602. Epub 2021 Feb 18.

Faculty of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital, Beijing, China.

Background: This study aims to retrospectively analyse the safety of ambulatory laparoscopic cholecystectomy (ALC) and identify risk factors for delayed discharge after ALC in the elderly.

Methods: Consecutive patients who were scheduled to undergo ALC were assigned to the elderly group (age ≥ 65 years) or the non-elderly group. The primary outcome was postoperative discharge within 24 h (D24). Read More

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Precision Stone Surgery: Current Status of Miniaturized Percutaneous Nephrolithotomy.

Curr Urol Rep 2021 Feb 12;22(4):24. Epub 2021 Feb 12.

Department of Urology, University of Michigan, Ann Arbor, MI, USA.

Purpose Of Review: Innovations in lasers and surgical technology have led to a renewed interest in the miniaturization of percutaneous nephrolithotomy (PCNL). We review the different approaches and evidence on the efficacy of mini-PCNL.

Recent Findings: Mini-PCNL encompasses a range of techniques using tract sizes from 4. Read More

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February 2021

Ambulatory laparoscopic cholecystectomy: Systematic review and meta-analysis of predictors of failure.

Surgery 2021 Feb 5. Epub 2021 Feb 5.

Department of General and Digestive Surgery, Arnau de Vilanova Hospital, Valencia, Spain.

Background: Outpatient laparoscopic cholecystectomy has proven to be a safe and cost-effective technique; however, it is not yet a universally widespread procedure. The aim of the study was to determine the predictive factors of outpatient laparoscopic cholecystectomy failure.

Method: A systematic review and meta-analysis was performed according to Preferred Reporting Items for Systematic Reviews and Meta-analysis methodology. Read More

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February 2021

Ambulatory robot-assisted laparoscopic radical prostatectomy with extended recovery by total extraperitoneal approach.

Int J Urol 2021 05 7;28(5):561-565. Epub 2021 Feb 7.

Department of Urology, Singapore General Hospital, Singapore.

Objective: To evaluate the feasibility of performing robot-assisted laparoscopic radical prostatectomy in an ambulatory with extended recovery setting by using a total extraperitoneal approach.

Methods: Patients with low- to intermediate-risk, prostate cancer were prospectively recruited in the ambulatory robot-assisted laparoscopic radical prostatectomy with extended recovery by total extraperitoneal approach group (n = 30), and a matched-pair inpatient surgery control group by total extraperitoneal approach (n = 20). Objective discharge criteria were based on the postanesthesia discharge scoring system. Read More

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Assessment, endoscopy, and treatment in patients with acute severe ulcerative colitis during the COVID-19 pandemic (PROTECT-ASUC): a multicentre, observational, case-control study.

Lancet Gastroenterol Hepatol 2021 04 2;6(4):271-281. Epub 2021 Feb 2.

Translational & Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK; Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. Electronic address:

Background: There is a paucity of evidence to support safe and effective management of patients with acute severe ulcerative colitis during the COVID-19 pandemic. We sought to identify alterations to established conventional evidence-based management of acute severe ulcerative colitis during the early COVID-19 pandemic, the effect on outcomes, and any associations with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and severe COVID-19 outcomes.

Methods: The PROTECT-ASUC study was a multicentre, observational, case-control study in 60 acute secondary care hospitals throughout the UK. Read More

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Day case laparoscopic cholecystectomy: Identifying patients for a 'COVID-Cold' isolated day-case unit during the pandemic.

J Perioper Pract 2021 03 5;31(3):62-70. Epub 2021 Feb 5.

Department of General Surgery, 97671Ysbyty Gwynedd, Bangor, Wales, UK.

Background: The UK practice of laparoscopic cholecystectomy has reduced during the COVID-19 pandemic due to cancellation of non-urgent operations. Isolated day-case units have been recommended as 'COVID-cold' operating sites to resume surgical procedures. This study aims to identify patients suitable for day case laparoscopic cholecystectomy (DCLC) at isolated units by investigating patient factors and unexpected admission. Read More

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A Novel Technique Using a Thulium Fiber Laser for Simultaneous Percutaneous Nephrolithotomy and Transpelvic Endopyelotomy for High-Insertion Ureteropelvic Junction Obstruction.

J Endourol Case Rep 2020 29;6(4):297-301. Epub 2020 Dec 29.

Department of Urology, Icahn School of Medicine, Mount Sinai Medical Center, New York, New York, USA.

Endopyelotomy is a minimally invasive option for treatment of ureteropelvic junction (UPJ) obstruction. Although largely supplanted by laparoscopic or robot-assisted laparoscopic pyeloplasty, it retains efficacy and utility in the absence of a crossing vessel in patients not fit for laparoscopy, patients with secondary obstructions or strictures, or those with stones requiring simultaneous treatment. Antegrade endopyelotomy is most commonly performed with scissors, cold knife, or more recently, using a Holmium laser. Read More

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December 2020

[Urology].

Rev Med Suisse 2021 Jan;17(720-1):90-94

Service d'urologie, Département de chirurgie, HUG, 1211 Genève 14.

Over the last year, urologic progress remains driven by the quick technologic evolution, with a focus on Laser and robotics. The latter appears to potentially contribute to the drift towards ambulatory surgery, in particular for distinct sub-populations harbouring kidney or prostate cancer. The Da Vinci robot appears also to increase the drive towards minimally invasiveness with respect to female incontinence and the laparoscopic placement of an artificial urethral sphincter. Read More

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January 2021

Clinical approach to patients admitted to the emergency room due to acute cholecystitis during the COVID-19 pandemic and percutaneous cholecystostomy experience.

Ulus Travma Acil Cerrahi Derg 2021 01;27(1):34-42

Department of General Surgery, Health Science University, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul-Turkey.

Background: Acute cholecystitis (AC), a common complication of gallstones, is responsible for a significant part of emergency applications, and cholecystectomy is the only definitive treatment method for AC. Early cholecystectomy has many reported advantages. Operation-related morbidity and mortality have increased during the COVID-19 pandemic. Read More

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January 2021

Day-only elective cholecystectomy: early experience and barriers to implementation in Australia.

ANZ J Surg 2021 04 28;91(4):590-596. Epub 2020 Dec 28.

Department of Upper Gastrointestinal Tract Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

Background: Day-only laparoscopic cholecystectomy (DOLC) has been shown to be safe and feasible yet has not been widely implemented in Australia. This study explores the introduction of routine DOLC to Westmead Hospital, and highlights the barriers to its implementation.

Methods: Routine day-only cholecystectomy protocol was introduced at Westmead Hospital in 2014. Read More

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Hospital variation in responses to safety warnings about power morcellation in hysterectomy.

Am J Obstet Gynecol 2021 Jun 24;224(6):589.e1-589.e13. Epub 2020 Dec 24.

Internal Medicine, Yale School of Medicine, New Haven, CT; Cancer Outcomes Public Policy and Effectiveness Research Center, Yale School of Medicine, New Haven, CT.

Background: Safety warnings about power morcellation in 2014 considerably changed hysterectomy practice, especially for laparoscopic supracervical hysterectomy that typically requires morcellation to remove the corpus uteri while preserving the cervix. Hospitals might vary in how they respond to safety warnings and altered hysterectomy procedures to avoid use of power morcellation. However, there has been little data on how hospitals differ in their practice changes. Read More

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Hysteroscopic myomectomy for submucosal type 2 fibroids with cold enucleation technique and complete fibroid extraction using a double-lumen intracervical cannula.

Fertil Steril 2021 Feb 4;115(2):522-524. Epub 2020 Dec 4.

InSer, Instituto de Fertilidad Humana, Medellín, Colombia. Electronic address:

Objective: To introduce a new double-lumen intracervical cannula designed to allow a single-step hysteroscopic myomectomy with nonfragmented complete fibroid extraction after cold enucleation of submucosal type 2 fibroids, avoiding complications related to the use of energy and hypo-osmolar solutions.

Design: Video article depicting the use of a new double-lumen intracervical cannula for single-step hysteroscopic cold myomectomy, according to our institutional care guidelines and after obtaining the patient's informed consent. (The publication of this video has been authorized by the Institutional Ethics Committee of CES University in Medellín, Colombia. Read More

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February 2021

Safety of same-day discharge after laparoscopic sleeve gastrectomy: propensity score-matched analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Registry.

Surg Obes Relat Dis 2021 Jan 6;17(1):46-53. Epub 2020 Sep 6.

Department of Surgery, Bariatric Center of Excellence, Texas Tech University Health Science Center, Lubbock, Texas; Department of General, Oncologic, Metabolic, and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland. Electronic address:

Background: Information on the safety of outpatient sleeve gastrectomy is sparse.

Objective: This study aimed to assess the safety of sleeve gastrectomy as a day case surgery.

Setting: University health network, United States. Read More

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January 2021

Differences in midazolam premedication effects on recovery after short-duration ambulatory anesthesia with propofol or sevoflurane for gynecologic surgery in young patients: A randomized controlled trial.

Medicine (Baltimore) 2020 Nov;99(47):e23194

Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu, Republic of Korea.

Background: Anxiolytic premedication requires careful consideration owing to potential side effects including delayed recovery after ambulatory anesthesia. We aimed to compare the effect of midazolam on recovery profiles postoperatively, depending on whether propofol or sevoflurane was the primary anesthetic.

Methods: We enrolled 226 patients (age, 18-50 years) undergoing ambulatory gynecologic laparoscopic surgery. Read More

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November 2020

An Invited Commentary "Day care surgery versus inpatient percutaneous nephrolithotomy: A systemic review and meta-analysis".

Int J Surg 2020 Dec 13;84:154-155. Epub 2020 Nov 13.

Department of Surgery, The Second Affiliated Hospital of Hainan Medical University, 570100, Haikou, China; Department of Urology Surgery, The Second Affiliated Hospital of Hainan Medical University, 570100, Haikou, China. Electronic address:

Day-care percutaneous nephrolithotomy (day-PCNL) is being performed more routinely and rapidly, irrespective of that, medical literature comparative analysis of day-PCNL with inpatient percutaneous nephrolithotomy is scares, despite the advancement in clinical surgical systems, safety and efficiency of these two procedures are still a mainstay concern to surgical professionals globally. The purpose of this systemic review and/or meta-analysis study was to assess the safety and efficacy of PCNL as a day care surgical procedure compared to conventional inpatient PCNL. Read More

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December 2020