scholarly journals The case of the multistage treatment of acute pancreatitis using a variety of minimally invasive techniques

2020 ◽  
Vol 39 (3) ◽  
pp. 40-49
Author(s):  
Sergey Y. Ivanusa ◽  
Maksim Lazutkin ◽  
Dmitriy Shershen ◽  
Anton Chebotar
Keyword(s):  
Acute Pancreatitis ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Infectious Complications ◽  
Minimally Invasive Techniques ◽  
Septic Complications ◽  
Results Of Treatment ◽  
Invasive Techniques ◽  
Surgical Injury

Treatment of acute pancreatitis and infectious complications is a complex multidisciplinary task. The use of traditional surgical procedures for the rehabilitation of foci of pancreatogenic infection often aggravates the course of the disease, leads to the development of postoperative complications, does not improve the results of treatment. On the contrary, the use of minimally invasive techniques avoids additional surgical injury. The case of stage treatment of acute pancreatitis and its purulent-septic complications with the use of minimally invasive technologies is presented to the readers.

scholarly journals Robotic oesophago-gastric cancer surgery

2018 ◽  
Vol 100 (6_sup) ◽  
pp. 27-35 ◽  
Author(s):  
YA Qureshi ◽  
B Mohammadi
Keyword(s):  
Gastric Cancer ◽  
Robotic Surgery ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Cancer Surgery ◽  
Minimally Invasive Techniques ◽  
Gastric Cancer Surgery ◽  
Complications Rate ◽  
Invasive Techniques

A postoperative complications rate of nearly 50% has compelled oesophago-gastric practice to adopt minimally invasive techniques such as robotic surgery

scholarly journals KEEL-SHAPED DEFORMITY OF THE CHEST

2018 ◽  
Vol 8 (3) ◽  
pp. 45-52
Author(s):  
M. A. Akselrov ◽  
М. P. Razin ◽  
M. N. Satyvaldayev ◽  
G. B. Vol’skiy ◽  
V. A. Skobelev ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Constant Pressure ◽  
Hospital Treatment ◽  
Minimally Invasive Techniques ◽  
Clinical Hospital ◽  
Results Of Treatment ◽  
Treatment Stage ◽  
Invasive Techniques

Purpose.To analyze the results of treatment of children with keel-shaped deformity of the chest using various methods.Materials and methods.The work is based on the retrospective analysis of treatment outcomes for 28 children who obtained treatment for KSDC at pediatric surgical departments of Regional Clinical Hospital No. 2 in Tyumen and Children’s Regional Clinical Hospital in Kirov. These are clinical bases of pediatric surgery departments of Tyumen and Kirov State Medical Universities. Various treatment methods were applied including chest constant pressure devices and thoracoplasties.Results and discussion. The Ravich procedure was done in 14 children. The patients stayed at the hospital for 18±3 days and required prolonged anesthesia and long-term antibacterial therapy; discharge was followed by long-term immobilization with a plaster or polymer corset. 6 children had surgeries using smallinvasive thoracoplasty based on the method offered by H. Abramson. The hospital treatment stage was 7 to 11 days. 8 children had therapy using orthosis.Conclusion. The authors believe that mental traumas caused by a keel-shaped deformity require minimally invasive techniques for correction that eliminate the deformity considering esthetic requirements of a patient.

Robotic Camera Assistance: The Future of Laparoscopic and Thoracoscopic Surgery?

2018 ◽  
Vol 25 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Jason M. Ali ◽  
Kyle Lam ◽  
Aman S. Coonar
Keyword(s):  
Visual Field ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Thoracoscopic Surgery ◽  
Minimally Invasive Techniques ◽  
Robotic Technology ◽  
Robotic Camera ◽  
Camera Holder ◽  
Invasive Techniques ◽  
Surgeon Satisfaction

Introduction. Minimally invasive techniques have become the standard for a variety of procedures across all surgical specialties. There has been a recent move to integrate robotic technology into standard laparoscopic and thoracoscopic surgery with the aim of improving stability of the visual field with the use of robotic camera assistance. The aim of this study was to report on and examine the use of a headset-controlled robotic camera holder, FreeHand. Methods. Between May 2013 and Dec 2016, 105 procedures were observed where the FreeHand robotic camera assistant was used. Observations were made of 43 consultant surgeons in 30 hospitals performing 21 different surgical procedures. During the surgery, the number of scope cleans and collisions were quantified, and surgeons were asked to score from 0 to 5 the setup, ergonomics, usability, and overall experience in a questionnaire. Results. Overall surgeon satisfaction was rated as “good” for setup (4.29), ergonomics of the system (4.12), usability (4.39), and overall experience of the system (4.34). In 8 operations (7.6%), there was a conversion from robotic camera assistant to manual assistant. There were no reported adverse events attributable to the use of the system. Conclusion. This study demonstrates the breadth of surgical procedures that can be performed with a robotic camera assistant. The robotic camera assistant was found to be safe and simple to use and was positively perceived on assessment in multiple procedures spanning several surgical specialties. This work suggests that robotic camera assistants may offer significant benefits to laparoscopic and thoracoscopic surgeons.

Minimally Invasive Suturing Device

1999 ◽  
Author(s):  
Brian M. Fudge ◽  
Drew Verkade
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Medical Devices ◽  
Medical Costs ◽  
The Body ◽  
Minimally Invasive Techniques ◽  
Small Incision ◽  
Invasive Techniques ◽  
Rehabilitation Time

Abstract The design of an intracorpeal suturing device that will assist surgeons in placing an internal suture through a small incision. Performing surgical procedures through a small incision greatly reduces patient trauma and rehabilitation time, both of which are proportionally related to medical costs. Medical devices exists today that allow surgeons to perform procedures through small incisions, unfortunately, it is difficult to place sutures deep in the body using minimally invasive techniques. A device that enables surgeons to place sutures minimally invasively will facilitate surgeons by increasing the scope of procedures that can be preformed using this technique.

scholarly journals Minimally invasive surgery in the treatment of acute pancreatitis

2020 ◽  
Vol 11 (4) ◽  
pp. 75-80
Author(s):  
Eldar E. Topuzov ◽  
Bella G. Tsatinyan ◽  
Eskender G. Topuzov ◽  
Vyacheslav K. Balashov ◽  
Esma A. Arshba ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Medical Records ◽  
Pancreatic Necrosis ◽  
Surgical Intervention ◽  
Minimally Invasive Techniques ◽  
Severe Degree ◽  
Invasive Techniques ◽  
Positive Effect

Background. In recent years, the lethality from acute pancreatitis in Russia has not undergone significant changes and according to various data is from 15% to 25%. Purpose. The evaluation of the performing minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis. Materials and methods. The authors retrospectively analyzed the medical records of 169 patients, the structure of mortality and complications depending on the choice of surgical intervention for the patients with acute pancreatitis of moderate and severe degree. Results. Lethal outcomes in the group of patients using minimally invasive interventions amounted to 11.5%, in the group of patients using traditional operations 37.5%, p 0.05. Laparoscopic interventions were effective in 88.8% of the cases, and drug therapy had a positive effect in 81.2% of the cases, p 0.05. Conclusion. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the levels of mortality, postoperative complications, which improves the overall results of acute pancreatitis treatment.

The role of minimally invasive techniques for necrosectomy in acute pancreatitis

2007 ◽  
Vol 194 (4) ◽  
pp. S24-S27 ◽  
Author(s):  
Jens Werner ◽  
Werner Hartwig ◽  
Thilo Hackert ◽  
Markus W. Büchler
Keyword(s):  
Acute Pancreatitis ◽  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Combined Surgical Tactics with Step-up Approach in the Treatment of Infected Acute Pancreatitis

2020 ◽  
Vol 87 (3-4) ◽  
pp. 3-9
Author(s):  
I. A. Kryvoruchko ◽  
V. V. Boyko ◽  
K. Yu. Parkhomenko ◽  
A. G. Drozdova ◽  
S. A. Andreieshchev
Keyword(s):  
Acute Pancreatitis ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Open Surgery ◽  
Postoperative Mortality ◽  
Multiple Organ ◽  
Percutaneous Catheter Drainage ◽  
Results Of Treatment ◽  
Surgical Tactics ◽  
Open Necrosectomy

Objective. To evaluate the results of treatment using minimally invasive interventions and open necrectomy in patients with infected acute pancreatitis. Materials and methods. A retrospective cohort two-centered analysis was performed in 211 patients with infected acute pancreatitis who divided into two groups: the first included 101 patients, in the treatment of which used open surgery; the second included 110 patients, in the treatment of which used treatment tactic step-up approach. Results. In the first group used open necrosectomy with drainage for postoperative lavage (75 patients, 74.3%), including open packing with planned re-laparotomy (8 patients, 7.9%), and omentobursostomy for necrosectomy after surgery (18 patients, 17.8%). Postoperative complications occurred in 58 (57.4%), after the surgery 34 (33.7%) patients was died: 30 had a thirty-day mortality, and 4 had a ninety-day mortality. In the second group group, 72 (65.5%) patients were treated by percutaneous catheter drainage, 6 (5.5%) by video-assisted retroperitoneal debridement and drainage, 5 (4.5%) by through the wall of the stomach or duodenum in the infected pseudocyst and open necrosectomy was performed on 27 (24.5%) patients. Postoperative complications occurred in 37 (33.6%) patients, after the surgery 19 (17.3%) was died: 15 had a thirty -day mortality and 4 had a ninety-day mortality. In the regression analysis, only the presence of multiple organ dysfunction before (AUC = 0.867) and after surgery (AUC = 0.930) significantly affected postoperative mortality, but the effect of the prevalence of pancreatic necrosis (AUC = 0.693) on mortality was limited. Differences were likely between groups (χ2=7.282, p=0.026). Conclusion. The surgical treatment should be initiated with a minimally invasive procedures and combination these operations with open surgery was able to reduce complications and mortality in the patients with infected acute pancreatitis.

scholarly journals MINIMALLY INVASIVE SURGERY IN THE COMPLEX TREATMENT OF ACUTE PANCREATITIS

2019 ◽  
Vol 20 (1) ◽  
pp. 46-52
Author(s):  
E. E. Topuzov ◽  
V. K. Balashov ◽  
E. G. Topuzov ◽  
B. G. Tsatinyan
Keyword(s):  
Acute Pancreatitis ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Medical Documentation ◽  
Minimally Invasive Techniques ◽  
Complex Treatment ◽  
Medicinal Treatment ◽  
Invasive Techniques ◽  
Minimally Invasive Methods

For the purpose of justification for the use of various minimally invasive interventions in the treatment of patients with moderate to severe acute pancreatitis, the authors retrospectively analyzed the data of medical documentation for the period from 2009 to 2017, shows the results of surgical and medicinal treatment, the structure of mortality and complications depending on the choice of surgical manual for patients with acute pancreatitis. The possibilities of minimally invasive methods of surgical treatment in comparison with traditional operations are presented. It is shown that the use of minimally invasive techniques in the treatment of pancreatic necrosis significantly reduces the level of mortality associated with complications of infected pancreatonecrosis, and also reduces the level of postoperative complications.

Minimally invasive techniques in common surgical procedures: Implications for training

2003 ◽  
Vol 172 (1) ◽  
pp. 27-29 ◽  
Author(s):  
PH McCormick ◽  
WA Tanner ◽  
FBV Keane ◽  
S Tierney
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Choice of Thyroid Nodules Treatment

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
A. V. Shidlovskyy
Keyword(s):  
Connective Tissue ◽  
Minimally Invasive ◽  
Thyroid Nodules ◽  
High Efficiency ◽  
Minimally Invasive Techniques ◽  
Results Of Treatment ◽  
Functional Autonomy ◽  
Invasive Techniques ◽  
Interstitial Thermotherapy ◽  
Harmful Effects

Introduction. Questions regarding indications and contraindications to the use of minimally invasive technologies in the treatment of various types of thyroid nodules remain still disputable. The objective of the research was to analyse the results of minimally invasive technologies use in the treatment of thyroid nodules and develop the indications for their use.Materials and methods. Results of treatment of 643 patients with thyroid nodules were analysed. Results. Indications to separate use of minimally invasive techniques and cases where they should be combined were determined. The absence of harmful effects of laser-induced interstitial thermotherapy and sclerotherapy with 70 % ethanol on paranodular tissue was proven. High efficiency of laser-induced interstitial thermotherapy in the treatment of functional autonomy of thyroid nodules with gradual achievement of clinical and laboratory stable euthyroidism was observed.Conclusions. When the indications to their use are observed, minimally invasive technologies result in the nodule replacement unit with the connective tissue in 98% of cases.

Sign in / Sign up

Export Citation Format

Share Document