scholarly journals Current Surgical Attitude Towards Hydatid Liver Disease – Experience of Ist Surgical Department of the Emergency Hospital of Craiova

2014 ◽  
Vol 60 (2) ◽  
pp. 72-74
Author(s):  
B Cirju ◽  
St Patrascu ◽  
D Margaritescu ◽  
R Nemes ◽  
I Georgescu
Keyword(s):  
Postoperative Mortality ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Postoperative Recurrence ◽  
Minimal Invasive ◽  
Biliary Fistula ◽  
Early Recovery ◽  
Invasive Approach ◽  
Surgical Department ◽  
Minimal Invasive Approach

Abstract Introduction: The aim of this study is the evaluation of the diagnostic and therapeutic strategy in liver hydatid disease. Methods: We analyzed 97 cases of liver hydatid cyst (63 females/34 males, aged between 5 and 85 years) hospitalized in the Ist Surgical Department of the Emergency County Hospital of Craiova between 2000 and 2012. The diagnosis was established clinically, by laboratory and imaging tests. Results: The hydatid cysts were unilocular in 60 cases, the majority (68.31%) being located on the right liver, multilocular in 39 cases, located on both lobes of the liver (9.9%); 17 patients had other locations of the cysts as well (spleen 5 cases, peritoneum 12 cases). Fourty-five (46.39%) cases were uncomplicated and the other 52 cases presented one ore more evolutionary complications: biliary - 44 (43.36%), infection - 15 (14.85%), rupture into peritoneum - 12 cases and bilio-bronchial fistula in 1 case. All patients were operated: 90 patients by open surgery and 7 by laparoscopic approach. Albendazole was administered as prophylaxis of postoperative recurrence. In 73 cases (72.27%) the evolution was favorable. We recorded 26 cases (25.74%) of postoperative complications: infectious - 9 cases, external biliary fistula - 12 cases and general complications in 6 cases. The overall postoperative mortality was 2.06%. We did not register any postoperative complication in the laparoscopic group. Conclusions: Laparoscopic approach is both safe and feasible, with well codified indications. The most important factor to achieve a successful laparoscopic procedure is the adequate selection of patients. Both intraoperative and postoperative data clearly indicated that the minimal invasive approach provided superior results to open access surgery in terms of complications rate, early recovery and hospital stay.

scholarly journals Laparoscopic management of isolated metachronous adrenal metastases in a patient with esophageal cancer: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tarun Jindal ◽  
Ankush Sarwal ◽  
Pravin Pawar ◽  
M. Dhanalakshmi ◽  
Neeraj Subedi
Keyword(s):  
Esophageal Cancer ◽  
Laparoscopic Approach ◽  
Early Recovery ◽  
Term Survival ◽  
Invasive Approach ◽  
Case Presentation ◽  
Ivor Lewis ◽  
Asian Ethnicity ◽  
Laparoscopic Excision

Abstract Background The presence of isolated metachronous adrenal metastasis in patients with esophageal cancer is rare. There is significant controversy regarding the management of such patients. Adrenal metastasectomy has been shown to be of benefit in some reports. Minimally invasive approach, although the gold standard for adrenalectomy, has not been used commonly in a postesophagectomy setting owing to the anticipated technical difficulties. We describe one such case wherein this approach helped in early recovery and long-term survival. Case presentation A 59-year-old male of Asian ethnicity presented with an isolated left adrenal nodule, 3 years after an Ivor Lewis esophagectomy for a lower esophageal adenocarcinoma. The biopsy of the nodule was suggestive of metastatic adenocarcinoma. The patient underwent laparoscopic excision of the left adrenal gland. Conclusion Adrenal metastasectomy, in postesophagectomy patients can provide good oncological control. Laparoscopic approach, though technically challenging, can provide results equivalent to those of open surgery, albeit with less morbidity.

Which is the Best Minimal Invasive Approach for the Treatment of Spontaneous Pneumothorax? Uniport, Two, or Three Ports: A Prospective Randomized Trail

2018 ◽  
Vol 66 (07) ◽  
pp. 589-594 ◽  
Author(s):  
Celalettin Kocaturk ◽  
Hasan Akin ◽  
Sertan Erdogan ◽  
Salih Bilen ◽  
Kemal Karapinar ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Standard Treatment ◽  
Thoracoscopic Surgery ◽  
Operation Time ◽  
Treatment Method ◽  
Minimal Invasive ◽  
Invasive Approach ◽  
Pain Scores ◽  
Minimal Invasive Approach ◽  
Video Assisted Thoracoscopic Surgery

Objective Video-assisted thoracoscopic surgery (VATS) has become the standard treatment method for primary spontaneous pneumothorax. Concerns about lesser pain and better cosmesis led to the evolution of uniportal access. This study prospectively compared the results of the uniportal, two-port, and three-port thoracoscopic surgery. Material and Methods One hundred and thirty-five patients were randomized into three groups according to the port numbers. The groups were compared regarding the operation time, hospital stay, amount of drainage, area of pleurectomy, complications, recurrences, and pain scores. Results Except for the amount of drainage (p = 0.03), no factors were found to be statistically significant. The overall recurrence rate was 5%. Although the first and second week pain scores were not statistically significant, the single-incision group patients had significantly less pain at 4, 24, and 72 hours (p < 0.05). Conclusion The study indicated that uniportal VATS approach is less painful and has better cosmetic results, besides it is as efficient as two- or three-port VATS approach.

A New Minimal Approach in Cochlear Implant Surgery: The Colombian Experience

2005 ◽  
Vol 133 (1) ◽  
pp. 147-149 ◽  
Author(s):  
Jorge E. Almario ◽  
Jose G. Lora ◽  
Jose A. Prieto
Keyword(s):  
Cochlear Implant ◽  
Surgical Approach ◽  
Minimal Invasive ◽  
Surgical Trauma ◽  
Invasive Approach ◽  
Implant Surgery ◽  
Minimal Invasive Approach ◽  
Cochlear Implant Surgery ◽  
The Mean ◽  
Age Range

OBJECTIVES: To implement a minimal invasive approach in cochlear implant surgery for children and adults. In order to decrease surgical complications and morbidity with the surgery. SUBJECTS AND METHODS: During a 1-year period, 12 consecutive patients (5 female and 7 male; age range, 1.5 to 78 years; mean age, 14.5 years), who had cochlear implantation (1 Nucleus and 11 Clarion) through a new surgical approach, were prospectively evaluated. RESULTS: The surgical approach was accomplished in all the patients with no major complications. The mean surgical time was 3.2 hours and the mean time between surgery and process of programming was 2.7 weeks. CONCLUSION: The surgical trauma and postoperatory edema was decreased and allowed programming of the implant in a shorter period of time.

A successful outcome using a minimal invasive approach to manage a severe trauma to the primary maxillary incisor in a toddler

2010 ◽  
Vol 26 (3) ◽  
pp. 294-297 ◽  
Author(s):  
Senda Charone ◽  
Erika Calvano Kuchler ◽  
Marcelo De Castro Costa ◽  
Lucianne Cople Maia
Keyword(s):  
Severe Trauma ◽  
Minimal Invasive ◽  
Successful Outcome ◽  
Maxillary Incisor ◽  
Invasive Approach ◽  
Minimal Invasive Approach
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