Subinguinal orchiectomy—A minimally invasive approach to open surgery

Aim. To evaluate the reproducibility and safety of the developed pancreatogastric anastomosis with various surgical approaches during pancreatoduodenectomy.Materials and methods. The experience of surgical treatment of 47 patients with malignant tumours of the periampullary zone, who underwent pancreatoduodenectomy, was considered. The proposed variant of anastomose was performed to 14 (29.8%) patients: in 7 cases with a minimally invasive approach to perform pancreatoduodenectomy; and in 7 cases with an open approach. To compare retrospectively 33 (70.2%) patients who underwent pancreatogastric anastomosis according to the Bassi technique: 9 – with minimally invasive surgery, 24 – with open surgery. The frequency of pancreatic fistulas, the number of repeated interferences, and hospital mortality were taken into account.Results. A significant advantage of the new method of forming an anastomosis in the duration of the operation was noted in comparison with the Bassi technique. There were no statistically significant differences in blood loss while various types of anastomoses (p > 0.05). When using the proposed technique, the formation of pancreatic fistulas was not revealed. The development of pancreatic fistula was observed in 4 (16.7%) patients after open surgery and in 7 (77.8%) patients after minimally invasive Bassi anastomose formation. Reoperations were performed after open surgery in 3 (12.5%) cases and in 4 (44.4%) cases of minimally invasive surgery according to the Bassi technique. There were 2 (22.2%) deaths in the minimally invasive group.Conclusion. The proposed pancreatogastric anastomosis is applicable in clinical practice. This method allows to create relatively fast and less challenging anastomosis, including with a minimally invasive approach. The use of this technique makes it possible to reduce mortality and postoperative complications in patients with a “complex” pancreas.

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Experimental Measurement of the Migration Force at the Proximal End of an Aortic Endograft

ASME 2010 Summer Bioengineering Conference, Parts A and B ◽

10.1115/sbc2010-19243 ◽

2010 ◽

Author(s):

Timothy J. Corbett ◽

Anthony Callanan ◽

Tim M. McGloughlin

Keyword(s):

Blood Flow ◽

Minimally Invasive ◽

Stent Graft ◽

Experimental Measurement ◽

Traditional Method ◽

Open Surgery ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Considerable Success ◽

Recovery Times

Endovascular AAA repair has evolved since its inception in the late 1980s to become an accepted alternative to open surgery. This minimally invasive approach involves inserting a collapsed stent-graft through the vasculature to the AAA location and allowing it to expand to form a new conduit for blood flow [1]. EVAR carries lower operative risk than the traditional method and recovery times are significantly lower. It has been performed with considerable success in octogenarians and patients with significant comorbidities [1].

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VATS Versus Open Surgery for Lung Cancer Resection: Moving Toward a Minimally Invasive Approach

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2015.0023 ◽

2015 ◽

Vol 13 (2) ◽

pp. 162-164 ◽

Cited By ~ 21

Author(s):

Jacob Klapper ◽

Thomas A. D’Amico

Keyword(s):

Lung Cancer ◽

Minimally Invasive ◽

Open Surgery ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Cancer Resection

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Minimally invasive approach to a symptomatic giant mid esophageal diverticulum

International Surgery Journal ◽

10.18203/2349-2902.isj20170528 ◽

2017 ◽

Vol 4 (3) ◽

pp. 1090

Author(s):

Villalan Ramasamy ◽

Sivakumar K. ◽

Rajendran S. ◽

Naganath Babu O. L.

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Open Surgery ◽

Rare Entity ◽

Esophageal Diverticulum ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Esophageal Diverticula

Mid esophageal diverticula are a rare entity and are most commonly of pulsion variety. Though rarely symptomatic, they can result in dangerous complications like aspiration, bleeding, fistulisation and malignancy especially when they are large. They have been traditionally approached by open surgery. With the advent of minimally invasive approaches, thoracoscopic resections have been increasingly performed offering several advantages. We have described a case report of a symptomatic giant mid esophageal diverticulum successfully managed by minimally invasive approach.

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Thoracoscopic Repair of Congenital Diaphragmatic Hernia

European Journal of Pediatric Surgery ◽

10.1055/s-0040-1702222 ◽

2020 ◽

Vol 30 (02) ◽

pp. 137-141

Author(s):

Richard Wagner ◽

Steffi Mayer ◽

Xiaoyan Feng ◽

Jan-Hendrik Gosemann ◽

Peter Zimmermann ◽

...

Keyword(s):

Minimally Invasive ◽

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Open Surgery ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Patch Repair ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Thoracoscopic Repair

AbstractThe surgical management of patients with congenital diaphragmatic hernia (CDH) is challenging and ever changing. It requires the highest expertise not only on the surgical level but also of neonatologists and anesthesiologists. In selected patients traditional open surgery is increasingly replaced by thoracoscopic CDH repair in many centers worldwide. Despite obvious and well-described advantages of the minimally invasive approach like a shorter ventilatory time, less pain, a shorter hospital length of stay, and a better cosmesis, important controversies remain. This review discusses hot topics of minimally invasive CDH repair, such as extracorporeal membrane oxygenation, hypercapnia/acidosis, patch repair, surgical training, and recurrence.

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