Ureteral laparoscopic surgery: 5 years experience

1996 ◽  
Vol 63 (3) ◽  
pp. 360-367
Author(s):  
E. Belgrano ◽  
C. Trombetta ◽  
C. Lodolo
Keyword(s):  
Laparoscopic Surgery ◽  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Locally Advanced ◽  
Laparoscopic Procedures ◽  
The World ◽  
Vesico Ureteral Reflux

The main problem in surgically treating ureteral pathologies is the choice of approach. In this study we describe our experience in 8 cases of laparoscopic surgery. Two of these cases involved vesico-ureteral reflux, two retroperitoneal fibrosis, two ureterocele in a poorly functioning duplicated kidney and the last two cases dealt with ureteral obstruction from locally advanced pelvic neoplasia. The most widely performed ureteral laparoscopic procedures in the world are also reviewed.

Laparoscopy Using Room Air Insufflation in a Rural African Jungle Hospital: The Bongolo Hospital Experience, January 2006 to December 2013

2017 ◽  
Vol 24 (3) ◽  
pp. 264-267
Author(s):  
Zachary O’Connor ◽  
Marco Faniriko ◽  
Keir Thelander ◽  
Jennifer O’Connor ◽  
David Thompson ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Open Surgery ◽  
The Other ◽  
Laparoscopic Procedures ◽  
Time Period ◽  
Free Air ◽  
The World ◽  
Air Insufflation

Introduction. Carbon dioxide is the standard insufflation gas for laparoscopy. However, in many areas of the world, bottled carbon dioxide is not available. Laparoscopy offers advantages over open surgery and has been practiced using filtered room air insufflation since 2006 at Bongolo Hospital in Gabon, Africa. Objective. Our primary goal was to evaluate the safety of room air insufflation related to intraoperative and postoperative complications. Our secondary aim was to review the types of cases performed laparoscopically at our institution. Methods. This retrospective review evaluates laparoscopic cases performed at Bongolo Hospital between January 2006 and December 2013. Demographic and perioperative information for patients undergoing laparoscopic procedures was collected. Insufflation was achieved using a standard, oil-free air compressor using filtered air and a standard insufflation regulator. Results. A total of 368 laparoscopic procedures were identified within the time period. The majority of cases were gynecologic (43%). There was a 2% (8/368) complication rate with one perioperative death. The 2 complications related to insufflation were episodes of hypotension responsive to standard corrective measures. No intracorporeal combustion events were observed in any cases in which the use of diathermy and room air insufflation were combined. The other complications and the death were unrelated to the use of insufflation with air. Conclusion. Insufflation complications with room air occurred in our study. However, the complications related to insufflation with room air in our study were no different than those described in the literature using carbon dioxide. As room air is less costly than carbon dioxide and readily available, confirming the safety of room air insufflation in prospective studies is warranted. Room air appears to be safe for establishing and maintaining pneumoperitoneum, making laparoscopic surgery more accessible to patients in low-resource settings.

scholarly journals Non-inflammatory aortoiliac aneurysm with ureteral obstruction and consequent hydronephrosis: Case report

2012 ◽  
Vol 140 (1-2) ◽  
pp. 91-93
Author(s):  
Srdjan Babic ◽  
Djordje Radak ◽  
Predrag Matic ◽  
Vladimir Kovacevic ◽  
Dario Jocic
Keyword(s):  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Obstructive Uropathy ◽  
Elevated Serum ◽  
Multislice Ct ◽  
Domestic Literature ◽  
Aortoiliac Aneurysm ◽  
Ct Findings ◽  
Atherosclerotic Aneurysm ◽  
Vascular Status

Introduction. The natural course of abdominal aneurysms is progressive expansion, rupture, embolisation, thrombosis and compression of the visceral organs. The majority of papers report that inflammatory aortic and iliac aneurysms are associated with perianeurysmal and retroperitoneal fibrosis that ultimately results in the structural compromise of the urinary tract. Ureteral obstruction occurs in 20% to 71% of cases and approximately one half of these patients will present with obstructive uropathy. Most patients with inflammatory aneurysm are symptomatic, with elevated serum inflammatory markers, and characteristic multislice CT findings including a thickened aortic wall and a mass of periaortic inflammatory tissue. Case Outline. A 70-year-old man was admitted at the Vascular Surgery Clinic ?Dedinje?, Belgrade, because of ultrasonically verified asymptomatic aortoiliac aneurysm. Multisclice CT findings showed left urethral dilatation and hydronephrosis secondary to extrinsic ureteral obstruction due to aortoiliac aneurysm. CT findings, laboratory tests and finally, histopathologic examination showed atherosclerotic aneurysm without inflammation and retroperitoneal fibrosis. The patient was successfully treated with surgical resection of the aneurysm and aortobiiliac reconstruction with ?Y? prosthesis. Conclusion. We present a rare case of ureteral obstruction secondary to atherosclerotic aneurysm which, to our knowledge, has not been previously described in the domestic literature. A successful operative repair was performed. Postoperative course was uneventful and the patient was discharged on the seventh day after the surgery with normal vascular status and renal function.

Gastric cancer

2018 ◽  
pp. 279-294
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Gastric Cancer ◽  
Endoscopic Resection ◽  
Patient Selection ◽  
Locally Advanced ◽  
Prognostic Features ◽  
Early Lesions ◽  
Oncological Therapy ◽  
Multiple Biopsies ◽  
The World ◽  
Selection For

Gastric cancer presents in the majority of cases at a locally advanced/metastatic stage. Initial investigations should be on the dyspepsia pathway. Multiple biopsies are necessary from any suspicious endoscopic lesions. Accurate staging and MDT assessment is essential for optimum patient selection for surgery. Endoscopic resection can now be recommended for very early lesions with good prognostic features. In gastrectomy, controversy exists across the world as to the extent of lymphadenectomy. This is discussed, as well as neoadjuvant and adjuvant oncological therapy.

L'imaging della fibrosi retroperitoneale primitiva: Primitive retroperitoneal fibrosis imaging

1998 ◽  
Vol 65 (2) ◽  
pp. 276-286
Author(s):  
N. D'Attoma ◽  
E. Residori ◽  
R. Mariotto ◽  
R. Cerini ◽  
M. Gregianin ◽  
...  
Keyword(s):  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Imaging Techniques ◽  
Renal Scintigraphy ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
Morphological Approach ◽  
Clinically Significant ◽  
Therapeutic Tools ◽  
Improved Accuracy

Idiopathic retroperitoneal fibrosis (RPF) is characterised by the development of a fibrotic mass in the prelumbar or presacral area which becomes clinically significant when it causes ureteral obstruction. New imaging techniques have improved accuracy of the morphological approach to the disease, but urography and sequential renal scintigraphy are still important for assessing ureteral involvement. The role of imaging techniques is discussed and current diagnostic and therapeutic tools are evaluated.

scholarly journals RETROPERITONEAL FIBROSIS PRESENTING AS URETERAL OBSTRUCTION SECONDARY TO SARCOIDOSIS

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A1200
Author(s):  
Murat Tatari ◽  
David Abia Trujillo ◽  
Isabel Mira-Avendano
Keyword(s):  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis

Rare complication after ileal pouch-anal anastomosis: Bilateral ureteral obstruction due to pelvic sepsis and retroperitoneal fibrosis

2012 ◽  
Vol 16 (2) ◽  
pp. 81-83 ◽  
Author(s):  
Leonardo Maciel da Fonseca ◽  
Cristiane de Souza Bechara ◽  
Conrado Leonel Menezes ◽  
Carlos Eduardo Corradi Fonseca ◽  
Rodrigo Gomes da Silva
Keyword(s):  
Ureteral Obstruction ◽  
Ileal Pouch ◽  
Retroperitoneal Fibrosis ◽  
Rare Complication ◽  
Ileal Pouch Anal Anastomosis ◽  
Pelvic Sepsis ◽  
Anal Anastomosis

scholarly journals Management of ureteral obstruction with Davinci laparoscopic surgery

2015 ◽  
Vol 26 (4) ◽  
pp. 305
Author(s):  
Jue-Hawn Yin ◽  
Min-Yung Kuo ◽  
Min-Che Tung
Keyword(s):  
Laparoscopic Surgery ◽  
Ureteral Obstruction

scholarly journals Adenoid squamous cell carcinoma of right gingivobuccal sulcus – A rare case report

2014 ◽  
Vol 6 (3) ◽  
pp. 94-96
Author(s):  
Pankaj Pande ◽  
Prakash Murigeppa Patil ◽  
Mihir J. Bhalodia ◽  
Jyotirling Savle ◽  
Himanshu Mulay
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Rare Case ◽  
Locally Advanced ◽  
Advanced Stage ◽  
Medical Sciences ◽  
The World ◽  
Rare Case Report ◽  
Common Malignancy

Oral cancer is the sixth most common malignancy in the world and third most common in southeast Asia. When it does occur, it is most commonly seen on the tongue or lip. Cancers of the gingivobuccal sulcus are uncommon and reported infrequently. Here we report a case of 35 years female diagnosed with adenoid squamous cell carcinoma of right gingivobuccal sulcus. Most of these cancers are locally advanced stage due to delay in presentation and ignorance of population.   DOI: http://dx.doi.org/10.3126/ajms.v6i3.10793Asian Journal of Medical Sciences Vol.6(3) 2015 94-96

scholarly journals Perspectives on Laparoscopic Surgery Among Chinese General Surgery Residents: Single-Site Survey Study with Instructive Lessons for Program Directors and Teaching Hospitals

2019 ◽  
Author(s):  
Bao Jin ◽  
Zhibo Zheng ◽  
Yongchang Zheng ◽  
Haifeng Xu ◽  
Tianyi Chi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedure ◽  
Final Analysis ◽  
Survey Study ◽  
Teaching Hospitals ◽  
First Year ◽  
Laparoscopic Procedures ◽  
Surgical Residents ◽  
Site Survey ◽  
Hands On

Abstract Background To assess resident perspectives on laparoscopic surgery and how it might differ compared to open surgery. Materials and Methods Anonymous surveys were sent to residents who came to hepatic surgery service rotation during Sep 2013 to Aug 2017. Statistical comparisons were conducted using student T-test, comparing mean satisfaction and preferences. Results A total of 80 residents responded to the survey, distributed across the spectrum of training levels. Of the 80 respondents, 9 were in their first year of training, while 18, 41, and 12 were in their second, third, or fourth years of training, respectively. Among them, there were 11 residents were not included in the final analysis. Residents indicated that they preferred open procedures for conferring greater exposure to operating (7.172 ± 1.4646 for open vs 4.414 ± 2.1442 for laparoscopy, p < 0.001). Residents indicated that laparoscopic procedures were preferred in aiding in understanding of the surgical procedure (6.814 ± 1.3323 for open vs 7.407 ± 1.3014 for laparoscopy, p = 0.016). Conclusions These results suggest that residents prefer open procedures for hands-on experience, while laparoscopic procedures confer the advantage of facilitating the learning of a surgical procedure. This provides an opportunity for intervention, as minimally invasive surgeries(MIS) are a major component of modern surgical practice and, therefore, must be an area of strength in the training of surgical residents.

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