153,667 results match your criteria laparoscopic


Gallbladder duplication complicated by cholecystitis and unsuspected choledocholithiasis: A case report and review of literature.

Int J Surg Case Rep 2021 Sep 21;87:106433. Epub 2021 Sep 21.

University of the Philippines College of Medicine, Philippines.

Introduction: Gallbladder duplication is a rare congenital anomaly of the biliary tree. Although a double gallbladder by itself is not clinically significant, complications of gallstone disease increases the complexity of the management. Preoperative recognition decreases the risk of complications during laparoscopic cholecystectomy. Read More

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September 2021

Diagnosis of Endometriosis at Laparoscopy: A Validation Study Comparing Surgeon Visualization with Histologic Findings.

J Obstet Gynaecol Can 2021 Sep 22. Epub 2021 Sep 22.

Ottawa Hospital Research Institute, 501 Smyth Box 511, Ottawa, ON, Canada, K1H 8L6; Department of Obstetrics, Gynecology and Newborn Care, University of Ottawa, Rm 7236-3, 1967 Riverside Drive, Ottawa, ON, Canada, K1H 7W9; Minimally Invasive Gynecology, The Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, Canada, K1H 8L6.

Objective: This study aimed to evaluate the validity of laparoscopic visualization for the diagnosis of endometriosis compared with histopathology.

Methods: We conducted a retrospective chart review at a tertiary care hospital in Canada for the period of April 1, 2016 to March 31, 2017. Of 1069 women, 96 were selected for having undergone laparoscopic visualization and concurrent histopathological biopsy for suspected endometriosis. Read More

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September 2021

Extended robot-assisted laparoscopic prostatectomy and extended pelvic lymph node dissection as a monotherapy in patients with very high-risk prostate cancer Patients.

Cancer Med 2021 Sep 25. Epub 2021 Sep 25.

Department of Urology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.

Background: Patients with very-high-risk prostate cancer (VHRPCa) have earlier biochemical recurrences (BCRs) and higher mortality rates. It remains unknown whether extended robot-assisted laparoscopic prostatectomy (eRALP) without neoadjuvant or adjuvant therapy can improve the outcomes of VHRPCa patients. We aimed to determine the feasibility and efficacy of eRALP as a form of monotherapy for VHRPCa. Read More

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September 2021

Effect of Subcostal Anterior Quadratus Lumborum Block vs. Oblique Subcostal Transversus Abdominis Plane Block after Laparoscopic Radical Gastrectomy.

Curr Med Sci 2021 Sep 25. Epub 2021 Sep 25.

Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Objective: To evaluate the analgesic effect of ultrasound-guided subcostal anterior quadratus lumborum block (QLB) for laparoscopic radical gastrectomy surgery.

Methods: Patients (aged 20-65 years, ASA I - II, and weighing 40-75 kg) scheduled for elective laparoscopic radical gastrectomy were enrolled in the current study. Sixty patients were randomly assigned to two groups by computer-generated randomization codes: an ultrasound-guided oblique subcostal transversus abdominis plane block (TAPB) group (group T, n=30) or an ultrasound-guided subcostal anterior QLB group (group Q, n=30). Read More

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September 2021

The value of bacterial metagenomic analysis in post-surgical examination of gallstones.

Arch Microbiol 2021 Sep 25. Epub 2021 Sep 25.

Department of Clinical Genetics, Medical University of Lodz, Pomorska 251, 92-213, Lodz, Poland.

Gallstone disease is one of the most common causes of hospitalization for gastrointestinal diseases in the world. Recent studies have examined the presence of bacteria in the formation of stones. Our main goal was to determine the overall composition of gallstone microflora. Read More

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September 2021

Intraoperative cholangiography and bile duct flushing in 47 dogs receiving laparoscopic cholecystectomy for benign gallbladder disease: A retrospective analysis.

Vet Surg 2021 Sep 25. Epub 2021 Sep 25.

Study Group of Small Animal Minimally Invasive Treatment (SAMIT), Himeji, Japan.

Objective: To describe a laparoscopic approach for performing intraoperative cholangiography (IOC) and bile duct flushing (BDF) during laparoscopic cholecystectomy (LC) in dogs. To investigate the clinical outcomes of dogs undergoing these procedures for the treatment of benign gallbladder disease, ie gallbladder mucocele (GM) or cholecystitis.

Study Design: Retrospective study. Read More

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September 2021

Oncological safety of laparoscopic surgery for women with apparent early-stage uterine serous carcinoma: A multi-institutional retrospective cohort study.

Int J Gynaecol Obstet 2021 Sep 24. Epub 2021 Sep 24.

Department of Obstetrics and Gynecology, Enshi Clinical College of Wuhan University, Enshi, China.

Objective: The purpose of this study was to compare the long-term survival outcomes of patients with apparent early-stage uterine serous carcinoma (USC) who underwent laparoscopic staging surgery with those who underwent open surgical staging.

Methods: A total of 295 patients from four Chinese teaching hospitals were included. Overall survival (OS) and disease-free survival (DFS) were estimated and compared using the Kaplan-Meier method and the log-rank test among patients after laparoscopic surgery or open surgery. Read More

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September 2021

Therapeutic effect of laparoscopic fundoplication for GERD-related disease in the elderly.

Gen Thorac Cardiovasc Surg 2021 Sep 24. Epub 2021 Sep 24.

Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan.

Background: It is anticipated that surgical treatment for gastro-esophageal reflux disease (GERD) in the elderly will increase. This time, using propensity score matching, we examined the results of laparoscopic fundoplication (LF) for GERD-related diseases in the elderly.

Methods: Of 302 cases which underwent initial LF for GERD-related diseases during the period from June 2008 to February 2019, we classified them into elderly (65 years of age or older) and non-elderly groups (64 years of age or younger). Read More

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September 2021

Laparoscopic cholecystectomy for gallbladder volvulus (with video).

J Visc Surg 2021 Sep 21. Epub 2021 Sep 21.

Department of Digestive Surgery and Transplantation, University Hospital Center. Université de Montpellier- Nîmes, 641 avenue du Doyen Gaston Giraud, 34090 Montpellier, France.

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September 2021

Effects of different plasma target concentrations of remifentanil on the MAC of sevoflurane in children with laparoscopic surgery.

BMC Anesthesiol 2021 Sep 24;21(1):231. Epub 2021 Sep 24.

Department of Clinical Laboratory, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, Sichuan, China.

Background: To investigate the effects of different plasma target concentrations of remifentanil on the minimum alveolar concentration (MAC) for blocking adrenergic response (BAR) of sevoflurane in children with laparoscopic herniorrhaphy.

Methods: Seventy-five children with 3-7 years old scheduled for laparoscopic herniorrhaphy were randomly divided into group R, group R and group R according to different remifentanil plasma target concentration (0, 1, and 2 ngml), respectively. The MAC of sevoflurane was determined by the up-and-down and sequential method in each group. Read More

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September 2021

Role of melatonin in attenuation of hemodynamic response to intubation and anesthetic requirements: a randomized controlled double blind study.

Braz J Anesthesiol 2021 Sep 21. Epub 2021 Sep 21.

Dr. S.N. Medical College, Department of Orthopedics, Jodhpur, India.

Background: Melatonin has been studied to have anxiolytic, sedative, and analgesic effects. However, there is limited data on the effect of melatonin in the attenuation of hemodynamic response to intubation. We aimed to study whether preanesthetic oral melatonin attenuates hemodynamic responses to intubation and anesthetic requirements. Read More

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September 2021

National disparities in use of minimally invasive surgery for rectal cancer in older adults.

J Am Geriatr Soc 2021 Sep 24. Epub 2021 Sep 24.

Division of Colorectal Surgery, Department of Surgery, The University of California at Davis Medical Center, Sacramento, California, USA.

Background: Minimally invasive surgery (MIS) is safe and improves outcomes in older persons with rectal cancer but may be underutilized. As older persons are the largest surgical population, investigation of the current use and factors impacting MIS use is warranted. Our goal is to investigate the trends and disparities that affect utilization of MIS in older persons with rectal cancer. Read More

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September 2021

Laparoscopic ventral and incisional hernia repair using intraperitoneal onlay mesh with peritoneal bridging.

Hernia 2021 Sep 24. Epub 2021 Sep 24.

Department of Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, Örebro, Sweden.

Purpose: The aim of this study was to assess the feasibility and safety of a novel IPOM procedure with peritoneal bridging (IPOM-pb) for laparoscopic ventral hernia repair, and to compare the outcomes of this procedure with IPOM with- (IPOM-plus) and IPOM without (sIPOM) defect closure.

Method: A single-centre retrospective study comparing a novel IPOM technique with peritoneal bridging (IPOM-pb) with the two commonly used IPOM techniques, IPOM with defect closure (IPOM-plus) and without defect closure (sIPOM). The intraoperative and postoperative data of patients who underwent laparoscopic IPOM ventral hernia repair were reviewed. Read More

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September 2021

Reducing the risk of postoperative pancreatic fistula in radical gastrectomy: pre-assessment with computed tomography for the diagnosis of pancreatic steatosis.

Langenbecks Arch Surg 2021 Sep 24. Epub 2021 Sep 24.

Department of Gastroenterological Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.

Purpose: To determine whether pancreatic steatosis (PS) is associated with the risk of postoperative pancreatic fistula (POPF) after radical gastrectomy, and if so, to investigate whether pre-assessment by diagnostic imaging can mitigate the risk.

Methods: The clinical records of 276 patients with cStage I gastric cancer who underwent laparoscopic gastrectomy with D1 + lymphadenectomy between 2012 and 2015 were reviewed. In the first phase up to July 2013 (n = 138), PS was classified from computed tomography (CT) findings into type S (superficial fat deposition) or type D (diffuse fatty replacement) and examined for association with POPF. Read More

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September 2021

Environmental impact and life cycle financial cost of hybrid (reusable/single-use) instruments versus single-use equivalents in laparoscopic cholecystectomy.

Surg Endosc 2021 Sep 24. Epub 2021 Sep 24.

University Hospitals Sussex NHS Foundation Trust, Brighton, UK.

Background: Hybrid surgical instruments contain both single-use and reusable components, potentially bringing together advantages from both approaches. The environmental and financial costs of such instruments have not previously been evaluated.

Methods: We used Life Cycle Assessment to evaluate the environmental impact of hybrid laparoscopic clip appliers, scissors, and ports used for a laparoscopic cholecystectomy, comparing these with single-use equivalents. Read More

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September 2021

Comparison of the effects of retroperitoneoscopic ureterolithotomy and ureteroscopic lithotripsy in the treatment of upper ureteral calculi.

Medicine (Baltimore) 2021 Sep;100(38):e27328

Department of Urology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China.

Abstract: This study compares the efficacy of retroperitoneoscopic ureterolithotomy (RPUL) and ureteroscopic lithotripsy (URL) in the treatment of upper ureteral calculi.The clinical data of 150 patients with upper ureteral calculi who underwent RPUL and 136 patients who underwent URL between January 2014 and October 2019 were retrospectively analyzed. The operation time, postoperative hospital stay, operation success rate, stone clearance rate, and surgical complications were evaluated between the two groups. Read More

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September 2021

Laparoscopic treatment of a recurrent biliary stone forming around a Hem-o-lok clip in a patient with previous gastrectomies: Case report.

Medicine (Baltimore) 2021 Sep;100(38):e27213

Department of Hepatobiliary Pancreatic Surgery, the First Hospital of Jilin University, Changchun, Jilin Province, China.

Rationale: A history of gastrectomy is associated with an increased incidence of gallstones requiring surgery. Endoscopic retrograde cholangiopancreatography is challenging for patients who undergo total or Billroth II gastrectomy. Laparoscopic common bile duct exploration (LCBDE) has been attempted in such cases. Read More

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September 2021

Comparison of the outcomes between laparoscopic surgery and conventional open surgery in treating patients with stage II endometrial carcinoma: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Sep;100(38):e27148

Department of Obstetrics and Gynecology, Hai'an Hospital Affiliated to Nantong University, Nantong, Jiangsu, China.

Background: Endometrial carcinoma is a prevalent form of cancer. In fact, its incidence ranks fourth among European and North American females. Moreover, it is the most common gynecological malignant disease. Read More

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September 2021

Hydatid Disease of the Liver in the Middle East: A Single Center Experience.

Surg Infect (Larchmt) 2021 Sep 23. Epub 2021 Sep 23.

Liver Transplantation and Hepatopancreaticobiliary Unit, Department of General Surgery, American University of Beirut Medical Center Beirut, Lebanon.

Human cystic echinococcosis (CE), most commonly caused by echinococcosis granulosis, is the most common presentation of hydatid disease of the liver and is considered endemic in the Middle East region. This study is a retrospective single-center analysis of all patients with hepatic hydatid disease presenting for surgical management from 2001 to 2019. From 2001 to 2019, 100 patients (54 males, 46 females) were diagnosed with hydatid disease of the liver with a mean age of 45 years (range, 19-82). Read More

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September 2021

An Analysis of Major Causes of Surgical Failure Using Bähren System in Intraoperative Venography During Varicocelectomy.

Yonsei Med J 2021 Oct;62(10):928-935

Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Purpose: In young patients with varicocele, preservation of the internal spermatic artery may be advantageous for catch-up growth, but it may also increase the likelihood of treatment failure. Intraoperative venography reduces the likelihood that unsealed veins will remain after varicocelectomy. We analyzed the characteristics of remnant veins visualized through intraoperative venography to investigate the cause of surgical failure in artery-sparing varicocelectomy (ASV). Read More

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October 2021

Comparison of the impact of open and laparoscopic inguinal hernia operations on male sexual function and pain during sexual activity.

Andrologia 2021 Sep 24:e14254. Epub 2021 Sep 24.

Department of Urology, School of Medicine, University of Health Sciences, Ankara State Hospital, Ankara, Turkey.

In the current study, we aimed to compare sexual function and pain during the sexual activity of men who underwent surgery with the open or laparoscopic total extraperitoneal hernia repair techniques. Patients were randomised into two groups according to the technique used during the operation: the Lichtenstein hernia repair open technique (n = 63) and the laparoscopic total extraperitoneal repair technique (n = 57). In both groups, postoperative sexual function score was significantly improved compared with the preoperative period (p < . Read More

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September 2021

Iatrogenic bladder perforation post laparoscopic totally extraperitoneal inguinal hernia repair: Troubleshooting with laparoscopic approach.

J Minim Access Surg 2021 Oct-Dec;17(4):584-585

Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.

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September 2021

Laparoscopic real-time vessel navigation using indocyanine green fluorescence during laparoscopy-assisted gastric tube reconstruction: First experience.

J Minim Access Surg 2021 Oct-Dec;17(4):576-579

Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

A considerable percentage of morbidity and mortality after oesophagectomy is due to leakage of oesophagogastrostomy, which is mainly caused by ischaemia of the gastric tube. Therefore, we performed laparoscopic real-time vessel navigation (LRTVN) using indocyanine green fluorescence (ICG) during laparoscopy-assisted gastric tube reconstruction (LAGR) to evaluate gastric tube blood flow and avoid vascular injury. This study included five oesophageal cancer patients who underwent video-assisted thoracoscopic oesophagectomy and LAGR. Read More

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September 2021

"Misra's appendicular hitch" stich - Innovative technique for simplifying endo-suturing during laparoscopic appendectomy.

J Minim Access Surg 2021 Oct-Dec;17(4):573-575

Department of Surgery, All India Institute of Medical Sciences, New Delhi, India.

Laparoscopic suture transfixation and free tie ligation are the most commonly used cost-effective technique of managing the base of the appendix during laparoscopic appendectomy in low resource settings such as India. This becomes technically cumbersome especially in the presence of the long friable appendix and for novice surgeons. We hereby describe an innovative technique of suspending the appendix using a transfacial suture to ease the placement of suture at the base of the appendix during laparoscopic appendectomy. Read More

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September 2021

Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer.

J Minim Access Surg 2021 Oct-Dec;17(4):570-572

Department of Obstetrics and Gynecoloty, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.

Background: We report the application of transuterine suspension sutures (TUSSs) for manipulation and vaginal closure before colpotomy in laparoscopic radical hysterectomy for early-stage cervical cancer.

Methodology: Eight patients with clinical stage IB1 cervical squamous cell cancer were treated with laparoscopic radical hysterectomy between October 2019 and May 2020. The procedure was performed without a traditional uterine manipulator, and the vaginal cuff was closed with a stapler before colpotomy to prevent tumour spillage. Read More

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September 2021

A case of unusual evisceration through laparoscopic port site.

J Minim Access Surg 2021 Oct-Dec;17(4):559-561

Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Drain site eviscerations have been reported as a rare complication following abdominal surgery. An 82-year-old women was diagnosed with carcinoma stomach and underwent laparoscopic subtotal gastrectomy. A few hours following removal of the duodenal stump drain, she developed small bowel evisceration through the drain site. Read More

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September 2021

Gastric glomus tumour: A case report.

J Minim Access Surg 2021 Oct-Dec;17(4):551-553

Department of Pathology, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Glomus tumours (GTs) are rare, mesenchymal neoplasms arising from the glomus body. Atypical sites, like the stomach, have been reported with extreme rarity since the usual location lies under the nail beds. We report a rare case of gastric GT in a 28-year-old female presenting with upper abdominal pain, intermittent haematemesis and melena. Read More

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September 2021

Endoscopic ultrasound-guided drainage of intra-abdominal diverticular abscess. A case series.

J Minim Access Surg 2021 Oct-Dec;17(4):513-518

Department of Surgical, General and Laparoscopic Surgery Unit, Lilavati Hospital and Research Center, Mumbai, India.

Aim: Diverticular disease is widespread worldwide. Mainstay approach is non-operative treatment with bowel rest and broad-spectrum intravenous antibiotics. However, extra-colic abscess larger than 4 cm may require percutaneous trans-abdominal drainage. Read More

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September 2021

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy: Focus on an unusual and dangerous complication.

J Minim Access Surg 2021 Oct-Dec;17(4):450-457

Department of Surgery, General University Hospital of Patras, Patras, Greece.

Background: Laparoscopic cholecystectomy (LC) has been associated with an increase in the incidence of biliary and vascular injuries. Pseudoaneurysms (PAs) following LC are rare life-threatening events with limited available experience regarding diagnosis and treatment.

Materials And Methods: An extensive review of literature during a 26-year period (1994-2020) using MEDLINE database and Google Scholar academic search engine revealed 134 patients with at least one symptomatic PA following LC. Read More

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September 2021

Long-term and short-term outcomes after laparoscopic versus open surgery for advanced gastric cancer: An updated meta-analysis.

J Minim Access Surg 2021 Oct-Dec;17(4):423-434

Department of Pancreatic and Gastric Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang District, Beijing; Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China.

Background: The efficacy of laparoscopy for advanced gastric cancer (AGC) remains controversial.

Materials And Methods: We conducted a literature search on the EMBASE, PubMed and Cochrane Library databases to identify relevant available articles published between the time of the databases' inception and July 2020.

Results: A total of 14,689 patients were included in the 41 studies identified. Read More

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September 2021