scholarly journals Splenic Rupture After Minimal Invasive Lateral Retropleural Corpectomy

2020 ◽  
pp. 1-3
Author(s):  
Michele Cappuccio ◽  
Michele Cappuccio ◽  
Gregorio Tugnoli ◽  
Tiziano Fidilio ◽  
Federico De Iure
Keyword(s):  
Lateral Approach ◽  
Minimal Invasive ◽  
Thoracolumbar Junction ◽  
General Surgeon ◽  
Invasive Approach ◽  
Thoracoscopic Approach ◽  
Minimal Invasive Approach ◽  
Tissue Sparing ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Retropleural minimal invasive approach to the thoracolumbar junction has become more popular in the last decade both for degenerative and traumatic spine surgery as it marries the advantages of direct vision typical of open surgery and the philosophy of tissue sparing which characterizes the thoracoscopic approach. Nevertheless, as with the just mentioned techniques, this approach also requires the caudal displacement of the diaphragm with the organs below including the spleen. The authors report one case of postoperative spleen disruption following a retropleural minimal invasive approach in a patient with an underlying grade II spleen lesion occurred 8 days before and considered safe by the general surgeon. We conclude that even negligible spleen injuries must be considered an absolute contraindication to thoracolumbar junction lateral approach even with minimal invasive techniques.

Practice points for surgical oncology

2016 ◽  
pp. 163-172
Author(s):  
Petra G. Boelens ◽  
C.B.M. van den Broek ◽  
Cornelis J.H. van de Velde
Keyword(s):  
Locally Advanced ◽  
Laparoscopic Approach ◽  
Oncologic Outcome ◽  
Surgical Oncology ◽  
Infectious Complications ◽  
Minimal Invasive ◽  
Locoregional Recurrence Rate ◽  
Cancer Types ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Cancer surgery remains the cornerstone of curative cancer treatment for most solid cancers. Staging, resectability and timing of surgery should be discussed in a multidisciplinary team. Complete resection offers the best prognosis at many stages. Anatomical planes of surgery need to be taught and respected to reduce locoregional recurrence rate. Age, comorbidities, and patient preferences are important to consider before surgical treatment is advised. Minimal invasive techniques have shown equivalence in oncologic outcome for certain cancer types and established benefits in short-term outcomes. A laparoscopic approach is even sometimes possible. It remains important to select patients for these techniques according to medical history, staging, and fitness. In specialized centres locally advanced disease can be treated by a multimodal approach. The quality of surgery can be improved using standardized audit structures to monitor and feed back on outcome of surgery such as resected margins, infectious complications, and disease-free and overall survival.

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2020 ◽  
pp. 16-18
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

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.

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