Laparoscopic adrenalectomy: The surgical technique and initial results of 13 cases

1993 ◽  
Vol 2 (3) ◽  
pp. 123-127 ◽  
Author(s):  
T. Matsuda ◽  
T. Terachi ◽  
O. Yoshida
2007 ◽  
Vol 52 (5) ◽  
pp. 1347-1357 ◽  
Author(s):  
Jean-Baptiste Lattouf ◽  
Avi Beri ◽  
Stephan Jeschke ◽  
Wolfgang Sega ◽  
Karl Leeb ◽  
...  

2018 ◽  
Vol 146 (3-4) ◽  
pp. 183-186
Author(s):  
Vuk Sekulic ◽  
Jovo Bogdanovic ◽  
Jasenko Djozic ◽  
Ranko Herin ◽  
Dimitrije Jeremic

Introduction/Objective. Vesica ileale Padovana is the surgical technique for reconstruction of lower urinary tract following radical cystectomy using isolated ileal segment. This operative technique requires dissection of both ureters in full length, that can?t be possible in some cases. The paper is aimed to present our experience with modified surgical technique of vesica ileale Padovana using 40 cm of an isolated ileal segment and initial results. Methods. 10 male patients received modified ileal neobladder following radical cystectomy at our institution during the period 2008 to 2011. The mean age of patients was 59 years (45-70). Median follow-up was 76 months (62-93). Patients were monitored cautiously for functional outcome, local recurrence, and distant progression. Results. Perioperative, early and late postoperative mortality have not been noticed. There were only 2 major complications: prolonged postoperative ileus and prolonged urinary leakage requiring percutaneous nephrostomy and subsequent ureteral reimplantation due to stenosis of ureterovesical anastomosis in 1 patient (10 %), respectively. Average ileal neobladder capacity was 450 ml. Daytime and night continence were achieved in 9 (90%) and 7 (70%) of patients, respectively. Conclusion. This modification of orthotopic ileal neobladder has not been difficult to perform in our hands. Modified technique provides a clear advantage in easier ureteral implantation more proximally than in the original technique, requiring less length of ureters. Initial encouraging results should be confirmed in further clinical practice.


Urology ◽  
2009 ◽  
Vol 73 (5) ◽  
pp. 1061-1065 ◽  
Author(s):  
Xu Zhang ◽  
Baojun Wang ◽  
Xin Ma ◽  
GuoXi Zhang ◽  
Taoping Shi ◽  
...  

1997 ◽  
Vol 4 (4) ◽  
pp. 223-229
Author(s):  
J. Marescaux ◽  
D. Mutter

2016 ◽  
Vol 102 (1) ◽  
pp. 99-104 ◽  
Author(s):  
J.R.B. Hutt ◽  
M.-A. LeBlanc ◽  
V. Massé ◽  
M. Lavigne ◽  
P.-A. Vendittoli

Author(s):  
Luiz Gustavo DE-QUADROS ◽  
Roberto Luiz KAISER-JUNIOR ◽  
Josemberg Marins CAMPOS ◽  
Valter Nilton FELIX ◽  
Mário FLAMINI-JÚNIOR ◽  
...  

ABSTRACT Background: With a prevalence of 0.4-3.5%, subepithelial lesions of the upper digestive tract are discovered during endoscopic procedures. Treatment depends on etiological and pathophysiological information, ability to diagnose and the different technical resources available. Aim: To demonstrate the effectiveness of a surgical technique that combines endoscopy and videolaparoscopy in the transgastric resection of subepithelial juxtacardic lesions. Method: The patients were assisted with a technical combination between endoscopy and laparoscopy. After diagnosis of subepithelial tumor, intraoperative endoscopy was performed after pneumoperitoneum and placement of laparoscopic tweezers. Through endoscopy, the following steps were performed: demarcation of surgical margins, visualization of the intragastric image for the laparoscopic procedure and removal of the surgical specimen. By laparoscopy the following steps were performed: intragastric intra-abdominal access, resection of the part and closure of the gaps. Results: This technique was applied in two cases in order to evaluate its initial results. There were two videolaparoendoscopic resections of juxtacardiac gastric tumors of the posterior wall. Both had their endoscopic diagnosis confirmed. After laparoendoscopic and tomographic and/or ecoendoscopic diagnostic complementation and preoperative performance, the laparoendoscopic procedure was indicated. The patients had a good recovery, with a short hospitalization time and no complications. Conclusion: The combined use of videolaparoscopy and endoscopy is a safe and effective technique for transgastric resection of juxtacardiac subepithelial lesions. It may be important for definitive diagnosis of the tumor.


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