New strategy for suspected T2 gallbladder carcinoma by laparoscopic approach and its comparison with the conventional open approach

2014 ◽  
Vol 219 (4) ◽  
pp. e116
Author(s):  
Osamu Itano ◽  
Masahiro Shinoda ◽  
Minoru Kitago ◽  
Yuta Abe ◽  
Taizo Hibi ◽  
...  
Keyword(s):  
Gallbladder Carcinoma ◽  
Laparoscopic Approach ◽  
Open Approach ◽  
New Strategy ◽  
Conventional Open Approach

scholarly journals Laparoscopic management of cholecystoduodenal fistula: a case report

2018 ◽  
Vol 5 (11) ◽  
pp. 3744
Author(s):  
Tharun Ganapathy C. ◽  
Jeyakumar S. ◽  
Manimaran P. ◽  
Sidhu Sekhar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Laparoscopic Approach ◽  
Open Approach ◽  
Cholecystoduodenal Fistula ◽  
Cholecystoenteric Fistula ◽  
Bladder Pathology ◽  
Almost All ◽  
Conventional Open Approach ◽  
Laparoscopic Techniques

Laparoscopic cholecystectomy has been the most widely accepted modality of treatment for patients with gall bladder disease. With time and increasing experience laparoscopic cholecystectomy is now being successfully attempted to treat almost all benign gall bladder pathology and their complications. One such uncommon infrequent complication of cholecystolithiasis is the cholecystoenteric fistula. Management of cholecystoduodenal fistula was traditionally performed by open method. With increasing newer laparoscopic techniques and advancement in the field, cholecystoduodenal fistula, an uncommon clinical entity is now being successfully treated via laparoscopic approach. It is feasible and safer than the conventional open approach in experienced hands, thus decreasing the overall morbidity and mortality attributed to the condition. We report a case of cholecystoduodenal fistula treated successfully by laparoscopic approach using an Endo GIA stapler.

Minilaparotomy for Perforated Duodenal Ulcer

2011 ◽  
Vol 96 (3) ◽  
pp. 194-200 ◽  
Author(s):  
Hideyuki Ishida ◽  
Toru Ishiguro ◽  
Kensuke Kumamoto ◽  
Tomonori Ohsawa ◽  
Jun Sobajima ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Significant Risk ◽  
Laparoscopic Approach ◽  
Significant Risk Factor ◽  
Skin Incision ◽  
Open Approach ◽  
Perforated Duodenal Ulcer ◽  
Invasive Approach ◽  
Minilaparotomy Approach ◽  
Conventional Open Approach

Abstract The usefulness of the minilaparotomy approach for perforated duodenal ulcer repair was retrospectively evaluated in 37 patients (26 men; mean age, 56.5 years). Simple closure with an omental patch by minilaparotomy (skin incision, ≤7 cm) was successful in 86.5% of the cases, with an operative mortality of 2.7%. Compared with the results in historic control patients who underwent conventional open surgery (n  =  27), a shorter operative time (P < 0.01), lower frequency of analgesic use (P  =  0.03), earlier passage of flatus (P < 0.01), and shorter hospital stay (P  =  0.04) were obtained in the patients undergoing minilapartomoy. The postoperative morbidity was identical between the two groups (16.2% versus 33.3%, P  =  0.40). On multivariate analysis, a large amount of intra-abdominal fluid was the only significant risk factor for extension of the minilaparotomy wound (P  =  0.012). The minilaparotomy approach appears to be a feasible, safe, and less invasive approach compared with the conventional open approach and could be a useful alternative to the laparoscopic approach in selected patients with perforated duodenal ulcer.

scholarly journals Purely laparoscopic feeding jejunostomy: a procedure which deserves more attention

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hsin-I. Tsai ◽  
Ta-Chun Chou ◽  
Ming-Chin Yu ◽  
Chun-Nan Yeh ◽  
Meng-Ting Peng ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Intraoperative Complications ◽  
Postoperative Outcome ◽  
Early Enteral Nutrition ◽  
Chang Gung Memorial Hospital ◽  
Open Approach ◽  
Feeding Jejunostomy ◽  
Laparoscopic Jejunostomy ◽  
Conventional Open Approach ◽  
Laparoscopic Feeding Jejunostomy

Abstract Background Laparoscopic procedure has inherent merits of smaller incisions, better cosmesis, less postoperative pain, and earlier recovery. In the current study, we presented our method of purely laparoscopic feeding jejunostomy and compared its results with that of conventional open approach. Methods We retrospectively reviewed our patients from 2012 to 2019 who had received either laparoscopic jejunostomy (LJ, n = 29) or open ones (OJ, n = 94) in Chang Gung Memorial Hospital, Linkou. Peri-operative data and postoperative outcomes were analyzed. Results In the current study, we employed 3-0 Vicryl, instead of V-loc barbed sutures, for laparoscopic jejunostomy. The mean operative duration of LJ group was about 30 min longer than the OJ group (159 ± 57.2 mins vs 128 ± 34.6 mins; P = 0.001). There were no intraoperative complications reported in both groups. The patients in the LJ group suffered significantly less postoperative pain than in the OJ group (mean NRS 2.03 ± 0.9 vs. 2.79 ± 1.2; P = 0.002). The majority of patients in both groups received early enteral nutrition (< 48 h) after the operation (86.2% vs. 74.5%; P = 0.143). Conclusions Our study demonstrated that purely laparoscopic feeding jejunostomy is a safe and feasible procedure with less postoperative pain and excellent postoperative outcome. It also provides surgeons opportunities to enhance intracorporeal suture techniques.

Redo Surgery after Failure of Antireflux Surgery

2018 ◽  
Vol 84 (11) ◽  
pp. 1819-1824 ◽  
Author(s):  
Alberto Vilar ◽  
Pablo Priego ◽  
Ana Puerta ◽  
Marta Cuadrado ◽  
Francisco GarcÍA Angarita ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Laparoscopic Approach ◽  
Long Term Results ◽  
Complication Rates ◽  
Open Approach ◽  
Redo Surgery ◽  
Primary Surgery ◽  
Satisfactory Outcome ◽  
Symptomatic Outcome ◽  
Recurrent Hiatal Hernia

Surgery for refractory gastroesophageal reflux disease (GERD) has a satisfactory outcome for most patients; however, sometimes redo surgery is required. The Outcome and morbidity of a redo are suggested to be less successful than those of primary surgery. The aim of this study was to describe our experience, long-term results, and complications in redo surgery. From 2000 to 2016, 765 patients were operated on for GERD at our hospital. A retrospective analysis of 56 patients (7.3%) who underwent redo surgery was conducted. Large symptomatic recurrent hiatal hernia (50%) and dysphagia (28.6%) were the most frequent indications for redo. An open approach was chosen in 64.5 per cent of patients. Intraoperative and postoperative complication rates were 18 per cent and 14.3 per cent, respectively. Mortality rate was 1.8 per cent. Symptomatic outcome was successful in 71.3 per cent. Patients reoperated because of dysphagia and large recurrent hiatal hernia had a significantly higher failure rate (32.3% and 31.2%, respectively; P = 0.001). Complication rate was significantly lower in the laparoscopic group (0% vs 22.2%; P = 0.04). There were no statistical differences between expert and nonexpert surgeons. Laparoscopic approach has increased to 83.3 per cent in the last five years. Symptomatic outcome after redo surgery was less satisfactory than that after primary surgery. Complications were lower if a minimally invasive surgical approach was used.

scholarly journals Liver Surgery for Hepatocellular Carcinoma: Laparoscopic versus Open Approach

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
C. G. Ker ◽  
J. S. Chen ◽  
K. K. Kuo ◽  
S. C. Chuang ◽  
S. J. Wang ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Average Length ◽  
Survival Rates ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
Open Approach ◽  
Full Diet ◽  
Or Groups ◽  
Significant Difference

In this study, we try to compare the benefit of laparoscopic versus open operative procedures.Patients and Methods. One hundred and sixteen patients underwent laparoscopic liver resection (LR) and another 208 patients went for open liver resection (OR) for hepatocellular carcinoma (HCC). Patients' selection for open or laparoscopic approach was not randomized.Results. The CLIP score for LR and OR was 0.59 ± 0.75 and 0.86 ± 1.04, respectively, (). The operation time was 156.3 ± 308.2 and 190.9 ± 79.2 min for LR and OR groups, respectively. The necessity for blood transfusion was found in 8 patients (6.9%) and 106 patients (50.9%) for LR and OR groups. Patients resumed full diet on the 2nd and 3rd postoperative day, and the average length of hospital stay was 6 days and 12 days for LR and OR groups. The complication rate and mortality rate were 0% and 6.0%, 2.9% and 30.2% for LR and OR groups, respectively. The 1-yr, 3-yr, and 5-yr survival rate was 87.0%, 70.4%, 62.2% and 83.2%, 76.0%, 71.8% for LR and OR group, respectively, of non-significant difference. From these results, HCC patients accepted laparoscopic or open approach were of no significant differences between their survival rates.

scholarly journals Laparoscopic repair for perforated peptic ulcer: our experience, a comparison with the open approach and a review of the literature.

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Samuele Vaccari ◽  
Vito D'Andrea ◽  
Augusto Lauro ◽  
Roberto D'Intino ◽  
Eliana Gulotta ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Approach ◽  
Perforated Peptic Ulcer ◽  
Suture Repair ◽  
Open Approach ◽  
Peptic Ulcers ◽  
Severe Condition ◽  
Extensive Experience ◽  
Optimal Outcomes ◽  
Immediate Surgery

Backgrounds: The incidence of perforated peptic ulcers has decreased during the last decades but the optimal treatment for these patients remains controversial. At the same time, a laparoscopic approach to this condition has been adopted by an increased number of surgeons. Therefore, this study wants to evaluate the postoperative results of the laparoscopic treatment of perforated peptic ulcer performed in one Italian center with extensive experience in laparoscopic surgery. Methods: This retrospective study includes 94 patients who were operated for perforated peptic ulcer peritonitis at “St. Orsola Hospital - Emergency Surgery Unit - University of Bologna” from May 2014 to December 2019. The patients’ charts were reviewed for demographics, surgical procedure, complications, and short-term outcomes. Results: The diagnosis was made clinically and confirmed by the presence of gas under diaphragm on abdominal X-ray. All patients underwent primary suture repair with or without omentopexy. Boey score 0 or 1 was found in 66 (70%) patients, Boey 2 or 3 in 28 (30%) patients. The operative time was between 35 and 255 minutes, with a mean of 93 minutes. The overall median hospital stay was 9.5 (1-60) days. Post-operative complications occurred in 19 (20%) patients and 18 (19%) patients died. Conclusions: Perforated peptic ulcer is a severe condition that requires early hospital admission and immediate surgery. Laparoscopy in experienced centers and for selected patients is safe, associated with optimal outcomes and should be the preferred approach.

scholarly journals Incidence and management of inguinodynia after inguinal plasty

2020 ◽  
Vol 8 (10) ◽  
pp. 3432
Author(s):  
Juan J. Granados-Romero ◽  
Jesus C. Ceballos-Villalva ◽  
Israel García-Olivo ◽  
Cruz Escobar Jonathan E. ◽  
María J. Corona-Torres ◽  
...  
Keyword(s):  
Hospital Costs ◽  
Laparoscopic Approach ◽  
Systematic Investigation ◽  
Pain Scale ◽  
Diagnostic Methods ◽  
Visual Analogue Pain Scale ◽  
Open Approach ◽  
Cross Sectional ◽  
Visual Analogue Pain ◽  
Quality Life

Background: Hernia is defined as a defect of fascial and muscle-aponeurotic structures, allowing the protrusion of elements. The most frequent is inguinal region, prevailing in men 3:1 vs female. The most frequent complications are persistent chronic pain.Methods: A descriptive, prospective and cross-sectional study was performed in postoperative inguinal plasty patients, using a laparoscopic approach and open approach, the presence or absence of inguinodynia was studied using the visual analogue pain scale (VAS) and the Semmes-Weinstein monofilament, in addition to a systematic investigation in the following PubMed, Medline, Clinical Key and Index Medicus databases, with articles from July 2019 to April 2020.Results: Inguinodynia was present in laparoscopic surgery and open approach, 58 patients had inguinodynia at two weeks associated with the inflammatory response of the tissues and the presence of a foreign body (mesh), 77% of the patients with persistence of pain at 3 months reported mild pain (VAS 1-4), 21% moderate pain that did not limit their daily activities (VAS 5-8) and 2% of the patients reported severe pain which limited physical activity and effort   (VAS 9-10).Conclusions: Inguinodynia has an impact on hospital costs and quality life, we consider it is essential to domain the anatomical variants of the region. We propose an extensive follow-up of this group of patients, to make a comparison of diagnostic methods, as well as conservative management vs. modern techniques for pain control.

scholarly journals A comparative study of open preperitoneal versus laparoscopic mesh hernioplasty in cases of incisional hernia repair

2020 ◽  
Vol 7 (10) ◽  
pp. 3360
Author(s):  
Ashish Kharadi ◽  
Vikas Makwana ◽  
Pranav Patel
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Repair ◽  
Laparoscopic Approach ◽  
Incisional Hernia Repair ◽  
Cross Sectional Study ◽  
Open Approach ◽  
Cross Sectional ◽  
Routine Work ◽  
Bowel Movements ◽  
Pain Duration

Background: Incisional hernias repair being done in large numbers there is still not a consensus about the best repair. Very few studies have been done on comparison open and laparoscopic incisional hernia repair.Methods: A prospective, cross-sectional study was undertaken in Department of Surgery of Civil Hospital. The study included total 50 patients, out of which 25 patients underwent open approach and rest of 25 patients, underwent laparoscopic approach. Patients were assigned to both the groups randomly.Results: Pain, duration of post-operative stay, and return to routine work is earlier in patients with laparoscopic repair mainly due to decreased pain, fewer complications, early mobility and faster return of bowel movements. Laparoscopic repair is more expensive and operative time is more as compared to open method.Conclusions: Keeping in view the advantages and limitations of laparoscopic repair, the choice among two surgical modalities should be made on a case to case basis depending on patient preference and characteristics. 

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