Combination of hand-assisted and laparoscopic proctocolectomy (HALP): Technical aspects, learning curve and early postoperative results

2007 ◽  
Vol 22 (6) ◽  
pp. 1547-1552 ◽  
Author(s):  
Ayman Agha ◽  
Christian Moser ◽  
Igors Iesalnieks ◽  
Pompiliou Piso ◽  
Hans-J. Schlitt
2017 ◽  
Vol 224 (5) ◽  
pp. 841-850 ◽  
Author(s):  
Shohei Komatsu ◽  
Olivier Scatton ◽  
Claire Goumard ◽  
Ailton Sepulveda ◽  
Raffaele Brustia ◽  
...  

Author(s):  
Erdem Gurkas ◽  
Tunca Kaya ◽  
Ergun Daglioglu ◽  
Ilkay Akmangit ◽  
Deniz Belen ◽  
...  

2018 ◽  
Vol 53 (4) ◽  
pp. 362-371
Author(s):  
Elina Akalestou ◽  
Laurent Genser ◽  
Francesco Villa ◽  
Ioannis Christakis ◽  
Shilpa Chokshi ◽  
...  

Gastric bypass surgery, an operation that restricts the stomach and bypasses the duodenum and part of the jejunum, results in major improvement or remission of type 2 diabetes. Duodenual-jejunal bypass was developed by one of the authors (FR) as an experimental, stomach-sparing variant of gastric bypass surgery to investigate weight-independent mechanisms of surgical control of diabetes. Duodenual-jejunal bypass has been shown to improve various aspects of glucose homeostasis in rodents and in humans, thus providing an experimental model for investigating mechanisms of action of surgery and elusive aspects of gastrointestinal physiology. Performing duodenual-jejunal bypass in rodents, however, is associated with a steep learning curve. Here we report our experience with duodenual-jejunal bypass and provide practical tips for successful surgery in rats. Duodenual-jejunal bypass was performed on 50 lean rats as part of a study aimed at investigating the effect of the procedure on the physiologic mechanisms of glucose homeostasis. During the study, we have progressively refined details of anatomic exposure, technical aspects of duodeno-jejunostomy and peri-operative care. We analysed the role of such refinements in improving operative time and post-operative mortality. We found that refinement of exposure methods of the gastro-duodenal junction aimed at minimizing tension on small visceral vasculature, technical aspects of duodeno-jejunal anastomosis and peri-operative management played a major role in improving the survival rate and operative time. Overall, an experimental model of duodenual-jejunal bypass was successfully reproduced. Based on this experience, we describe here what we believe are the most important technical tips to reduce the learning curve for the procedure.


2017 ◽  
Vol 24 (3) ◽  
pp. 397-404 ◽  
Author(s):  
Nikolaos Tsilimparis ◽  
Beatrice Fiorucci ◽  
Eike Sebastian Debus ◽  
Fiona Rohlffs ◽  
Tilo Kölbel

Purpose: To describe the planning and technique for implantation of the t-Branch off-the-shelf multibranched aortic endograft. Technique: Total endovascular repair of thoracoabdominal aneurysms (TAAAs) with branched endografts is one of the most important paradigm shifts in the past decade. The t-Branch endograft, an off-the-shelf multibranched graft introduced in the European market in late 2012, allows treatment of patients with suitable anatomy in both the elective and urgent settings to avoid delays related to manufacturing time of custom-made devices. The steps required for the planning and implantation of the device are described, including some tips and tricks. Conclusion: The use of an off-the-shelf multibranched device is an appealing option in the treatment of TAAAs, especially in the acute setting. Nevertheless, results of complex aortic repairs with this specific device are associated with a learning curve and can be improved by identifying a number of intraoperative risks and paying heed to several technical details.


Author(s):  
Annibale D'Annibale ◽  
Giorgio Lucandri ◽  
Igor Monsellato ◽  
Monica De Angelis ◽  
Graziano Pernazza ◽  
...  

2018 ◽  
Vol 44 (videosuppl2) ◽  
pp. Intro
Author(s):  
Gene H. Barnett ◽  
Andrew E. Sloan ◽  
Claudio E. Tatsui

Laser ablation (also known as laser interstitial thermal therapy [LITT]) has emerged as an important new technology for treating various disorders of the brain and spine. As with any new or emerging technology, there is a learning curve for its optimal use, and video tutorials can be important learning tools to help bridge gaps in knowledge for those who wish to become more familiar with laser ablation. In this special supplement to Neurosurgical Focus, videos illustrate laser ablation’s use in the treatment of epilepsy and failed radiosurgery, as well as technical aspects of performing these procedures in eloquent brain and in the spine. We hope that these videos will enable you to enhance your understanding of the evolving use of laser ablation for disorders of the brain or spine. It is the editors’ sincere hope that this will be helpful either in your own practice or in determining whether to refer to a neurosurgical colleague experienced in this field.


2007 ◽  
Vol 177 (4S) ◽  
pp. 526-527 ◽  
Author(s):  
Michael Esposito ◽  
George Dakwar ◽  
Mutahar Ahmed ◽  
Vincent Lanteri
Keyword(s):  

2006 ◽  
Vol 175 (4S) ◽  
pp. 348-348
Author(s):  
Edward M. Gong ◽  
Albert A. Mikhail ◽  
Alvaro Lucioni ◽  
Marcelo A. Orvieto ◽  
Arieh L. Shalhav ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document