Laparoscopic-Assisted Segmental Colectomy: Surgical Techniques

Between 1993 and 1994, 368 women underwent hysterectomies for benign disorders at the University of Kiel. Of these, 58.7% were performed either by pelviscopic or by laparotomy Classic Intrafascial Supracervical Hysterectomy (CISH). Of the remaining, 14.8% were performed by abdominal hysterectomy, 13.6% by Intrafascial Vaginal Hysterectomy (IVH), 12.2% by Vaginal Hysterectomy (VH), and only 0.05% by Laparoscopic Assisted Vaginal Hysterectomy (LAVH). Comparative data of these six surgical techniques concerning patients characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weights and postoperatively used analgesics are described.

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Laparoscopic-Assisted Segmental Colectomy: Early Mayo Clinic Experience

Mayo Clinic Proceedings ◽

10.1016/s0025-6196(12)61784-4 ◽

1994 ◽

Vol 69 (9) ◽

pp. 834-840 ◽

Cited By ~ 59

Author(s):

PHILLIP A. DEAN ◽

ROBERT W. BEART ◽

HEIDI NELSON ◽

TODD D. ELFTMANN ◽

RICHARD T. SCHLINKERT

Keyword(s):

Mayo Clinic ◽

Segmental Colectomy ◽

Clinic Experience ◽

Laparoscopic Assisted

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Dipyrone, scopolamine, and meloxicam for conventional or two-port laparoscopic-assisted ovariohysterectomy in female dogs

Semina Ciências Agrárias ◽

10.5433/1679-0359.2020v41n3p887 ◽

2020 ◽

Vol 41 (3) ◽

pp. 887

Author(s):

Fabíola Dalmolin ◽

Marília Teresa Oliveira ◽

Saulo Tadeu Lemos Pinto Filho ◽

Marcos André Braz Vaz ◽

Bianca Santana de Cecco ◽

...

Keyword(s):

Veterinary Medicine ◽

Minimally Invasive ◽

Short Form ◽

Surgical Techniques ◽

Conventional Technique ◽

Pain Scale ◽

Laparoscopic Technique ◽

Minimally Invasive Surgical ◽

Operative Recovery ◽

Laparoscopic Assisted

For ethical and organic reasons, surgical and analgesic techniques that minimize and adequately control pain should be studied. Ovariohysterectomy is the most common surgical technique in veterinary medicine and is performed in female dogs for elective or therapeutic purposes. Both conventional and minimally invasive surgical techniques are used in veterinary medicine; however, the minimally invasive laparoscopic technique is considered superior to the conventional technique because it is associated with a less painful and faster post-operative recovery. However, for various reasons, the laparoscopic technique is not yet widely used in veterinary medicine, and the conventional ovariohysterectomy is still the most common. The aim of this study, therefore, was to validate the efficacy of the combination of dipyrone, scopolamine, and meloxicam after conventional or two-port laparoscopic-assisted ovariohysterectomies in female dogs. Additionally, this study sought to assess recovery after the two surgical modalities while receiving the same analgesic protocol. Fourteen healthy adult female dogs were spayed and then evaluated using the Visual Analogue Scale, the Melbourne Scale, and the short form of the Glasgow Composite Measure Pain Scale for 72 hours after surgery. The analgesic protocol was efficient for pain control after both techniques, with minimal differences between the groups.

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Evolution and Transformation of Uterine Transplantation: A Systematic Review of Surgical Techniques and Outcomes

Journal of Reconstructive Microsurgery ◽

10.1055/s-0041-1735261 ◽

2021 ◽

Author(s):

Joseph M. Escandón ◽

Valeria P. Bustos ◽

Eric Santamaría ◽

Howard N. Langstein ◽

Pedro Ciudad ◽

...

Keyword(s):

Surgical Techniques ◽

Staging System ◽

Graft Harvest ◽

Estimated Blood Loss ◽

Uterine Transplantation ◽

Internal Iliac ◽

Comprehensive Search ◽

Deceased Donors ◽

Tract Infections ◽

Laparoscopic Assisted

Abstract Background Uterine transplantation (UTx) is acknowledged to be on the second (2A) of five steps of development in accordance with the staging system for the evaluation of surgical innovations. Accordingly, we aimed to systematically review the available evidence of the surgical techniques and outcomes of UTx in terms of graft survival. Methods A comprehensive search was conducted across PubMed Medline, Cochrane-EBMR, Scopus, Web of Science, and CENTRAL through November 2020. Results Forty studies, reporting 64 recipients and 64 donors, satisfied inclusion criteria. The surgical time and the estimated blood loss were 515 minutes and 679 mL for graft procurement via laparotomy, 210 minutes and 100 mL for laparoscopic-assisted graft harvest, and 660 minutes and 173 mL for robotic-assisted procedures, respectively. Urinary tract infections (n = 8) and injury to the urinary system (n = 6) were the most common donor complications. Using the donor's internal iliac system, two arterial anastomoses were performed in all cases. Venous outflow was accomplished through the uterine veins (UVs) in 13 cases, a combination of the UVs and the ovarian/uteroovarian veins (OVs/UOVs) in 36 cases, and solely through the OVs/UOVs in 13 cases. Ischemia time was 161 and 258 minutes when using living donors (LD) and deceased donors (DD), respectively. Forty-eight uteri were successfully transplanted or fulfilled the purpose of transplantation, 41 from LDs and 7 from DDs. Twenty-five and four live childbirths from LDs and DDs have been reported, respectively. Conclusion UTx is still experimental. Further series are required to recommend specific surgical techniques that best yield a successful transplant and reduce complications for donors and recipients.

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Refinements in surgical techniques for visualized tunnel formation in laparoscopic-assisted anorectoplasty

Pediatric Surgery International ◽

10.1007/s00383-021-04909-y ◽

2021 ◽

Author(s):

Long Li ◽

Anxiao Ming ◽

Yan Zhou ◽

Hang Xu ◽

Hailin Sun ◽

...

Keyword(s):

Surgical Techniques ◽

Laparoscopic Assisted

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Learning Curve of Basic Surgical Skill Acquisition on the Sep Robot

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363513x13690603820388 ◽

2013 ◽

Vol 95 (9) ◽

pp. 300-302 ◽

Cited By ~ 1

Author(s):

MM Malik ◽

AN Bahsoun ◽

MS Khan ◽

P Dasgupta ◽

K Ahmed

Keyword(s):

Skill Acquisition ◽

Surgical Techniques ◽

Minimal Invasive ◽

Robotic Assistance ◽

Surgical Skill ◽

Conventional Laparoscopic Surgery ◽

Rapid Acquisition ◽

Conventional Laparoscopic ◽

Surgical Trainees ◽

Laparoscopic Assisted

The benefits of minimally invasive surgery have led to adoption of laparoscopic assisted robotic surgery across several surgical specialties. Surgeons have acquired considerable expertise in conventional laparoscopic surgery but robotic assistance has allowed performance of similar tasks with greater ease. However, the embracing of minimal invasive surgical techniques demands the rapid acquisition of new skills by surgical trainees and practising surgeons.

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Transanal one-stage endorectal technique for Hirschprung's disease: A preliminary report of 24 cases from a single institution

Acta chirurgica iugoslavica ◽

10.2298/aci0901109j ◽

2009 ◽

Vol 56 (1) ◽

pp. 109-113 ◽

Cited By ~ 1

Author(s):

D.D. Jovanovic ◽

V.A. Milojkovic ◽

Z.M. Stevanovic ◽

M.M. Vukadin

Keyword(s):

Postoperative Complications ◽

Preliminary Report ◽

Minimal Invasive Surgery ◽

Surgical Techniques ◽

Minimal Invasive ◽

Single Institution ◽

Conventional Surgery ◽

Pull Through ◽

Laparoscopic Assisted ◽

Hirschprung's Disease

Numerous surgical techniques for Hirschprung's disease have been developed and modified, being associated with extensive surgical procedures involving laparotomy, resection of affected segment of colon and descensus of the functional bowel to the anus. Conventional surgery was followed by complications, although the incidence of early and late postoperative complications has significantly decreased. Transanal mucosectomy was practiced as a part of conventional and laparoscopic assisted pull through procedures. The latest promising achievement is entirely transanal pull-through procedure, described by De la Tore-Mondragon and Ortega-Salgado: entirely transanal endorectal pull-through, thus avoiding both laparotomy and laparoscopy. Due to minimal invasive surgery it offers excellent results. During a five year period (2003-2008), 24 patients were operated with this technique. The recovery was uneventful in all patients. This study adds valuable information of meticulous details of the new, still developing technique with the emphasis on controversies about surgical complications reported in multicentric studies. .

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Laparoscopic-assisted Gastrectomy for Gastric Cancer with D2 Lymphadenectomy: Experience with more than 500 Cases at Military Hospital, Vietnam

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.5307 ◽

2020 ◽

Vol 8 (B) ◽

pp. 1219-1224

Author(s):

Ho Chi Thanh ◽

Hoang Manh An ◽

Dang Viet Dung ◽

Nguyen Trong Hoe ◽

Tran Doanh Hieu ◽

...

Keyword(s):

Gastric Cancer ◽

Total Gastrectomy ◽

Proximal Gastrectomy ◽

Surgical Techniques ◽

Military Hospital ◽

Laparoscopic Technique ◽

D2 Lymphadenectomy ◽

Japanese Gastric Cancer Association ◽

Less Invasive ◽

Laparoscopic Assisted

BACKGROUND: Among the less invasive operations noted in recent years, laparoscopic gastrectomy (LG) for gastric cancer has become popular because of advances in surgical techniques. We have performed LG with D2 lymphadenectomy for 515 cases of gastric cancer between April 2009 and November 2019 at military hospital 103. AIM: We aimed to presented the techniques and results of laparoscopic-assisted gastrectomy (LAG) for gastric cancer. METHODS: Of the 515 gastric malignancy cases, distal gastrectomy was performed in 402 cases, proximal gastrectomy in 37 cases, and total gastrectomy in 76 cases. In all the cases, D2 lymph node dissection was performed according to the general rule of the Japanese gastric cancer association 3rd. RESULTS: Quicker recovery was observed in the LG cases than in the open cases. The post-operative complications with this technique were within a permissible range. There was a statistical difference that was seen in the survival outcomes after LAG for gastric cancer between the laparoscopic-assisted distant, proximal, and total gastrectomy. CONCLUSION: The laparoscopic technique is not only less invasive but also relatively safe and curative compared with open gastrectomy for advanced gastric cancer.

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