Single-port Roux-en-Y gastric bypass: toward a less invasive procedure with the same surgical results and a better cosmesis

Background: Conventional three–port laparoscopic appendectomy is becoming popular for the treatment of acute appendicitis. In this report, we present the early results of a new technique of laparoscopic appendectomy conducted through a single-port. Patients and Methods: From March 2011 to October 2013, we have performed 86 operations Single Port Laparoscopic Appendectomy at Hue University Hospital and Hue Central Hospital. SILS Port (Covidien) is used, it can be performed with basic laparoscopic instruments. Results: In this study, 86 patients underwent Single-Port laparoscopic appendectomy, among them 52.33% were femele, 47.67% were male, female/male ratio was 1.09. The mean age was 33.09. An orther trocar insertion was required in 2 patients (2.33%). The mean operation time was 42.03 minutes and mean postoperative hospital stay 3.37 days. Postoperative complication occurred in 2 case (2.33%) was of omphalitis. During 2 weeks follow up, 2 case (2.33%) was of omphalitis. Conclusions: Single - port intracorporeal appendectomy is a safe, minimal invasive procedure with excellent cosmetic results. Key words: Single Port Laparoscopic Appendectomy, appendectomy

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ASSESSMENT RESULTS OF SINGLE-PORT LAPAROSCOPIC APPENDECTOMY AT HUE CENTRAL HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.6.14 ◽

2011 ◽

pp. 114-118

Author(s):

Nhu Hiep Pham ◽

Huu Thien Ho ◽

Anh Vu Pham ◽

Van Nghia Tran

Keyword(s):

Laparoscopic Appendectomy ◽

Single Port ◽

Operation Time ◽

Invasive Procedure ◽

Minimal Invasive ◽

Central Hospital ◽

Surgical Department ◽

A New Technique ◽

Rate Female

Objectives: Laparoscopic appendectomy (LA) is becoming popular for the treatment of acute appendicitis. Since it was the first described, LA has been modified various times. We present the results of a new technique of LA conducted through a single port. Materials and methods: From March 2011 to November 2011, we have performed 28 operations Single Port Laparoscopic Appendectomy at the Surgical Department of Hue Central Hospital. Results: There were 28 patients, 57.1% were female, 42.9% were male, rate female/male was 1.3. The mean age is 36.4. The second port insertion was required in 2 patients (7.2%). Mean operation time was 44.6 minutes and postoperative hospital stay 3-5 days took 71.4%. Postoperative compications occurred in 1 case (3.6%) was of omphalitis. During 2-4 weeks follow up no problem related to the appendectomy have been reported. Conclusions: Single - port intracorporeal appendectomy procedure is a safe, minimal invasive procedure with excellent cosmetic results.

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Nine-Millimeter Endoscopic Balloon Dacryocystorhinostomy: A New, Less-Invasive Procedure for Tearing in Adults

The Lacrimal System ◽

10.1007/978-0-387-35267-1_19 ◽

2006 ◽

pp. 205-211

Author(s):

David I. Silbert

Keyword(s):

Invasive Procedure ◽

Less Invasive ◽

Endoscopic Balloon

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Image-Derived Input Function for Brain PET Studies: Many Challenges and Few Opportunities

Journal of Cerebral Blood Flow & Metabolism ◽

10.1038/jcbfm.2011.107 ◽

2011 ◽

Vol 31 (10) ◽

pp. 1986-1998 ◽

Cited By ~ 108

Author(s):

Paolo Zanotti-Fregonara ◽

Kewei Chen ◽

Jeih-San Liow ◽

Masahiro Fujita ◽

Robert B Innis

Keyword(s):

Invasive Procedure ◽

Input Function ◽

Emission Tomography ◽

Alternative Methods ◽

Less Invasive ◽

Brain Pet ◽

Positron Emission ◽

Arterial Sampling ◽

Challenging Technique ◽

Methodological Problems

Quantitative positron emission tomography (PET) brain studies often require that the input function be measured, typically via arterial cannulation. Image-derived input function (IDIF) is an elegant and attractive noninvasive alternative to arterial sampling. However, IDIF is also a very challenging technique associated with several problems that must be overcome before it can be successfully implemented in clinical practice. As a result, IDIF is rarely used as a tool to reduce invasiveness in patients. The aim of the present review was to identify the methodological problems that hinder widespread use of IDIF in PET brain studies. We conclude that IDIF can be successfully implemented only with a minority of PET tracers. Even in those cases, it only rarely translates into a less-invasive procedure for the patient. Finally, we discuss some possible alternative methods for obtaining less-invasive input function.

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Detection of Largyneal Sensory-Evoked Potentials (LSEPs) in the Cat

Otolaryngology ◽

10.1177/019459989310900419 ◽

1993 ◽

Vol 109 (4) ◽

pp. 748-752

Author(s):

Tsuyako Fukuyama ◽

Toshiro Umezaki ◽

Takemoto Shin

Keyword(s):

Evoked Potentials ◽

Evoked Potential ◽

Superior Laryngeal Nerve ◽

Invasive Procedure ◽

Human Beings ◽

Less Invasive ◽

Sensory Evoked Potential ◽

Laryngeal Mucosa ◽

Disk Electrodes ◽

Sensory Evoked

We previously reported on evoked potentials elicited by electrical stimulation of the superior laryngeal nerve at an appropriate site on the dural surface as a reflection of activities in the brain stem and cortex in anesthetized cats. This evoked potential was called the laryngeal sensory evoked potential (LSEP). In this study we attempted to establish a less invasive procedure for measuring LSEP. The procedures were recording on the scalp using chloride-coated silver disk electrodes and stimulation by insertion of a bipolar platinum hooked wire electrode into the laryngeal mucosa. Evoked potentials could be detected using these less invasive procedures. The response morphologies and relative timing of LSEP components were quite similar for each method in a given cat. However, the amplitudes were slightly lower and the latencies were slightly prolonged with the less invasive techniques. These results suggest that this LSEP method might be applicable to human beings as a noninvasive method for evaluating the function of the laryngeal sensory pathway

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A Modified and Less Invasive Procedure in Aortic Arch Replacement

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2016.08.066 ◽

2017 ◽

Vol 103 (2) ◽

pp. e203-e206 ◽

Cited By ~ 2

Author(s):

Feng Gao ◽

Jing Chen ◽

Qian Zeng ◽

Fangming Lin

Keyword(s):

Aortic Arch ◽

Invasive Procedure ◽

Aortic Arch Replacement ◽

Less Invasive

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A 9-year experience study of single-port micro-laparoscopic repair of pediatric inguinal hernia using a simple needle

Hernia ◽

10.1007/s10029-019-02079-4 ◽

2019 ◽

Vol 24 (3) ◽

pp. 639-644

Author(s):

R. Chen ◽

S. Tang ◽

Q. Lu ◽

X. Zhang ◽

W. Zhang ◽

...

Keyword(s):

Inguinal Hernia ◽

Single Port ◽

Average Length ◽

Operating Time ◽

Laparoscopic Approach ◽

Invasive Procedure ◽

High Ligation ◽

Laparoscopic Technique ◽

Inguinal Hernias ◽

Laparoscopic Techniques

Abstract Purpose As laparoscopic techniques and equipments improve, laparoscopic inguinal hernia repair has been gaining popularity. The objective of the study was to summarize 9 years of experience using a single-port micro-laparoscopic approach to repair pediatric inguinal hernias with a simple hernia needle. Methods 1880 children with inguinal hernias were enrolled using micro-laparoscopic surgery between June 2009 and 2018. All patients underwent high ligation surgery using a single-port micro-laparoscopic technique. The clinical data were retrospectively analyzed. Results All micro-laparoscopic surgeries were successfully performed in the 1880 patients, who ranged in age from 2 months to 14 years (3.66 ± 2.96 years) including 1622 males and 258 females. Among them, 1299 cases were unilateral hernias and 581 cases were bilateral hernias. The average operating time was 12.5 ± 3.5 min for a unilateral hernia and 20.5 ± 4.5 min for bilateral hernias. All patients were discharged 1–2 days after surgery, and the average length of their hospital stay was 2–4 days. Complications of knot reaction and pneumoscrotum occurred in 5 cases (0.27%) and 54 cases (2.87%), respectively, but these cases were properly managed, with no major impact on the operational outcomes. All patients were followed up for 3–65 months; there were 13 recurrent cases (0.69%). Conclusions Single-port micro-laparoscopic herniorrhaphy in children using a simple hernia needle is a reliable and minimally invasive procedure.

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Alcohol Septal Ablation Versus Surgical Myectomy in Hypertrophic Obstructive Cardiomyopathy

10.37191/mapsci-jccr-1(1)-009 ◽

2020 ◽

Author(s):

Hussein Taqi

Keyword(s):

Treatment Modality ◽

Heart Block ◽

Invasive Procedure ◽

Hypertrophic Obstructive Cardiomyopathy ◽

Major Surgery ◽

Muscle Area ◽

Alcohol Septal Ablation ◽

Invasive Approach ◽

Less Invasive ◽

Surgical Myectomy

The surgical myomectomy for hypertrophied myocardium in patients with HOCM is a well-established and evidence-based treatment modality. However, with the drawback of exposing the patient to major surgery and prolonged post-operative periods, cardiologists together with their surgical peers found the advent of a potentially less invasive procedure. This has been accomplished by the installation of alcohol through the coronary arteries in order to shrink the diseased and hypertrophied muscle area with an aim to alleviate the symptoms in the first instance if not completely curing the pathology as an endeavor goal. Nevertheless, with this invention, a few complications have started to emerge. The main drawback was heart block, which could require permanent pacemaker insertion in most of the cases. In the interim, there is no clear pathway or guideline to decide which treatment option would be the best, and there is no certain inclusion or exclusion criteria incorporate patients who can undergo either one of the modalities. In this review, four studies were scrutinized to investigate the major consequences of each route, especially focusing on the proportion of complete heart block. Also, the role of MRI in the delineation of the resected area either surgically or by alcohol administration is studied in detail. After reviewing these articles, it has been concluded that despite alcohol septal ablation being less invasive approach, surgical therapy remains the preferred treatment modality and it is preferred treatment modality and so far, it is the gold standard option in the management of hypertrophic obstructive cardiomyopathy. Nevertheless, it could not be overlooked the lack of strong RCTS in such area which could be one of the main points that future trialists need to consider.

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