Endoscopic closure of large colonic perforations with a novel endoscopic clip device: An animal study (with videos)

2019 ◽  
Vol 34 (12) ◽  
pp. 2152-2157
Author(s):  
Zhi‐jie Wang ◽  
Shi‐yu Li ◽  
Yan‐hui Zhang ◽  
Yan Chen ◽  
Ping‐ping Zhang ◽  
...  

2009 ◽  
Vol 69 (5) ◽  
pp. AB256
Author(s):  
Daniel Von Renteln ◽  
Arthur R. Schmidt ◽  
Maria Gieselmann ◽  
Tamara E. Gutmann ◽  
Hans U. Rudolph ◽  
...  


Endoscopy ◽  
2016 ◽  
Vol 48 (08) ◽  
pp. 766-770
Author(s):  
Ji Kim ◽  
Bo-In Lee ◽  
Sung Lee ◽  
Joon Kim ◽  
Myong Baeg ◽  
...  


2020 ◽  
Author(s):  
Toshio Uraoka ◽  
Shunji Yunoki ◽  
Satoshi Kinoshita ◽  
Yusaku Takatori ◽  
Yuichiro Hirai ◽  
...  


Author(s):  
Tetsuya Horai ◽  
Kiyotaka Fukamachi ◽  
Hideyuki Fumoto ◽  
Tohru Takaseya ◽  
Akira Shiose ◽  
...  

Objective The purpose of this study was to develop a new method for minimally invasive mitral valve repair under direct endoscopic visualization in the beating heart. Methods Fiberoptic cardioscopy of the left heart was conducted in 12 calves. Systemic perfusion was maintained by cardiopulmonary bypass through a median sternotomy. A clear solution (Ringer's lactate) was temporarily administered via the pulmonary artery to flush out the pulmonary vasculature, and additional perfusion of the left heart chambers enhanced visualization of the intracardiac anatomy. The endoscope, with an open-ended transparent flexible outer sheath, was inserted through the left ventricular apex, and an endoscopic clip was used for edge-to-edge mitral valve repair. Hemodilution was avoided by the drainage of irrigation fluid via a left ventricular cannula. Results Direct endoscopic visualization of the mitral valve in an in vivo beating heart was obtained clearly, avoiding systemic hemodilution. In the last experiment, edge-to-edge repair using an endoscopic clip was successfully performed. Use of an effective intracardiac irrigation method was important for successful image acquisition and achievement of repair procedures. Conclusions This acute animal study showed the technical feasibility of beating-heart mitral valve surgery under direct endoscopic imaging. Although this study was performed under open-chest conditions, our successful experiment is a first step toward closed-chest intracardiac surgery with direct endoscopic visualization.



1994 ◽  
Vol 111 (6) ◽  
pp. 710-716 ◽  
Author(s):  
Y CHEN ◽  
N YANAGIHARA ◽  
S MURAKAMI
Keyword(s):  


2018 ◽  
Author(s):  
B Velayos ◽  
L Del Olmo ◽  
J Trueba ◽  
J Herreros ◽  
L Merino ◽  
...  
Keyword(s):  


Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
M. Nersesyan ◽  
D. Kapitanov ◽  
A. Lopatin ◽  
A. Potapov ◽  
A. Kravchuk ◽  
...  
Keyword(s):  


2016 ◽  
Vol 25 (1) ◽  
pp. 95-98 ◽  
Author(s):  
Koichi Soga ◽  
Kyoichi Kassai ◽  
Kenji Itani

The patient was a 66-year-old woman who had undergone laparoscopic cholecystectomy (Lap-C) secondary to chronic cholecystitis status post endoscopic choledocholithotomy 13 months previously. During surgery, Hem-o-Lok clips were used to control the cystic duct and the cystic artery. Due to the presence of extensive adhesions of the cystic duct and surrounding tissue, the surgeons had difficulty in debriding the area. Thirteen months after Lap-C, the patient underwent a screening esophagogastroduodenoscopy (EGD), which demonstrated clip appearance at the inferior wall of the first part of the duodenum. In the EGD, duodenal erosions and edema were observed around the clip. We appreciated that endoscopic clip removal would be difficult because of the presence of severe adhesions and inflammation of the duodenal bulb. On clinical examination of the patient, no major abnormalities or physical findings were noted. Therefore, we decided not to attempt to remove the clip. The patient was treated with an oral proton pump inhibitor to prevent extensive duodenal mucosal injury. Two months later, we repeated the EGD, which revealed that the clip was no longer present, and the duodenum was covered with normal mucosa surrounding the scar. Abbreviations: EGD: esophagogastroduodenoscopy; Lap-C: laparoscopic cholecystectomy; PPI: proton pump inhibitor.



2019 ◽  
Vol 46 (5) ◽  
pp. 2137-2144
Author(s):  
Sahmin Lee ◽  
Seunghyun Choi ◽  
Sehwan Kim ◽  
Yeongjin Jeong ◽  
Kyusup Lee ◽  
...  


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