Curative colectomy via minilaparotomy approach without utilizing specific instruments

AbstractIntroduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.

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Minilaparotomy Approach for the Resection of Laterally Spreading Tumors of the Colon

Surgery Today ◽

10.1007/s00595-004-2822-5 ◽

2004 ◽

Vol 34 (9) ◽

Author(s):

Tohru Nakagoe ◽

Terumitsu Sawai ◽

Takashi Tsuji ◽

Kenji Tanaka ◽

Shin-ichi Shibasaki ◽

...

Keyword(s):

Minilaparotomy Approach ◽

Laterally Spreading Tumors

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Minilaparotomy approach to terminal ileal Crohn’s disease

World Journal of Surgery ◽

10.1007/s00268-002-6217-8 ◽

2002 ◽

Vol 26 (6) ◽

pp. 721-725 ◽

Cited By ~ 2

Author(s):

Tohru Nakagoe ◽

Terumitsu Sawai ◽

Takashi Tsuji ◽

Masa-aki Jibiki ◽

Atsushi Nanashima ◽

...

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Minilaparotomy Approach

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Minilaparotomy Approach to Colon Cancer

Surgery Today ◽

10.1007/s10595-002-2534-8 ◽

2003 ◽

Vol 33 (6) ◽

pp. 414-420 ◽

Cited By ~ 17

Author(s):

Kenji Takegami ◽

Yoneei Kawaguchi ◽

Hiroshi Nakayama ◽

Yoshiro Kubota ◽

Hirokazu Nagawa

Keyword(s):

Colon Cancer ◽

Minilaparotomy Approach

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Recanalization of Chronic Extrahepatic Portal Vein Obstruction in Pediatric Patients Using a Minilaparotomy Approach

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/mpg.0000000000002206 ◽

2019 ◽

Vol 68 (3) ◽

pp. 384-388

Author(s):

Sydne Muratore ◽

Siobhan Flanagan ◽

David Hunter ◽

Robert Acton

Keyword(s):

Portal Vein ◽

Pediatric Patients ◽

Extrahepatic Portal Vein Obstruction ◽

Portal Vein Obstruction ◽

Minilaparotomy Approach

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Prepubic Minilaparotomy as the Surgical Approach in Treatment of Prostate Disorders in Dogs. A Cadaver Study

Bulletin of the Veterinary Institute in Pulawy ◽

10.2478/v10213-012-0119-9 ◽

2012 ◽

Vol 56 (4) ◽

pp. 677-680

Author(s):

Piotr Trębacz ◽

Marek Galanty

Keyword(s):

Body Weight ◽

Surgical Treatment ◽

Surgical Procedures ◽

Surgical Approach ◽

Histopathological Examination ◽

Abdominal Cavity ◽

Cadaver Study ◽

Tissue Specimens ◽

The Right ◽

Minilaparotomy Approach

Abstract The aim of the study was to assess the prepubic minilaparotomy approach in the surgical treatment of prostatic disorders in dogs. The technique of a limited approach to the prostate was developed on the fresh cadavers of 14 intact adult male dogs, diversified in regard to size and body weight. The abdominal cavity was opened in midline, from the right-sided prepubic parapenile incision. The cut was limited to 7 cm. Afterwards, it was expanded by self-retaining retractors: Gelpi, Weislander, Finnochetto Baby, and Adson. Finnochetto Baby and Gelpi retractors used in pairs enabled an adequate exposition of the prostate in small dogs. The Finnochetto Baby retractor enabled an adequate exposition of the prostate in medium dogs and the Adson retractor - in large and giant dogs. The Weislander and Gelpi retractors used individually did not allow for sufficient access to the prostate in any group of the cadavers. Prepubic minilaparotomy can be a useful surgical approach in the treatment of prostate disorders in dogs. It can be used especially for minor surgical procedures, e.g. sampling of large tissue specimens for histopathological examination, partial prostatectomy, or treatment of intraparenchymal cavitary lesions.

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Oncologic Outcome of Stages II/III Colon Cancer Treated via Minilaparotomy

International Surgery ◽

10.9738/1384.1 ◽

2011 ◽

Vol 96 (2) ◽

pp. 127-134 ◽

Cited By ~ 3

Author(s):

Hideyuki Ishida ◽

Toru Ishiguro ◽

Tomonori Ohsawa ◽

Norimichi Okada ◽

Kensuke Kumamoto ◽

...

Keyword(s):

Colon Cancer ◽

Survival Data ◽

Open Surgery ◽

Survival Rates ◽

Oncologic Outcome ◽

Skin Incision ◽

Consecutive Series ◽

Minilaparotomy Approach ◽

Conventional Open Surgery ◽

Disease Free

Abstract We analyzed clinicopathologic, surgical, and survival data on consecutive series of patients with stages II/III colon cancer for whom curative resection via minilaparotomy (skin incision, ≤7 cm) was attempted between September 2002 and March 2009 to clarify the oncologic safety of this type of surgery. There were 64 men and 55 women; the median age was 70 years (range, 25–91 years). The median body mass index was 21.7 kg/m2 (range, 15.1–28.9 kg/m2). The minilaparotomy approach was successful in 115 cases (96.6%). The cumulative 5-year disease-free and overall survival rates were 89.7% and 82.4%, respectively, in patients with stage II disease (n = 62) and were 68.4% and 82.4%, respectively, in patients with stage III disease (n = 57), all of which were compatible with those of the historical control patients who underwent conventional open surgery. Minilaparotomy approach for stages II/III colon cancer seems to be oncologically equivalent to conventional open surgery.

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