TREATMENT OF COMPLICATIONS OF HIGH EZOPHAGOGASTROPLASTICS USING MINIMALLY INVASIVE ROENTGENENDOSCOPIC METHODS

Summary. The most formidable early postoperative complications of Lewis esophagogastroplasty (EGP) is the failure of esophagogastroanastomosis (EGA), and in the late period — stricture of EGA, in some patients there are functional disorders. The aim of the study. Assess the treatment of complications of EGP using minimally invasive methods. Materials and methods: The results of 150 operations for cancer of the middle and upper thoracic esophagus with the imposition of high EGA were analyzed (65 used cervical EGP). X-ray endoscopic techniques are used to treat patients with complications. The functional results of EGP using esophageal manometry and pHZ monitoring were also evaluated. Results and discussion. When applying EGA on the neck was significantly higher incidence of failure of the anastomotic sutures, which was associated with impaired blood supply with increasing length of the graft. Surgical tactics in case of failure of the EGA on the neck was to open and drain the deep space of the neck, conducting a transnasal tube for feeding into the stomach — there were no fatalities. Surgical tactics in case of failure of intrapleural EGA, which took place in 4 cases, consisted of drainage of the empyema cavity and conducting a transnasal tube for nutrition in the initial parts of the small intestine under X-ray video surveillance. In the treatment of failure of intrathoracic anastomoses there was 1 fatal case. At strictures of EGA which took place at 24 patients, performed balloon dilatations under X-ray video control. In 2 patients with the phenomena of pylorospasm performed balloon dilatation of the pyloric pulp under X-ray video control. In general, patients who underwent EGP showed good and satisfactory functional results, but in some patients there were functional disorders that were transient in nature. Conclusions: The use of clinically developed methods of esophagogastroplasty can reduce the number of failures and strictures of anastomoses. At insufficiency and strictures of an esophagogastroanastomosis, and also at a hypertonia of pyloric pulp X-ray endoscopic methods are highly effective and low-traumatic.

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X-ray-anatomical and functional results of Bosch-Magnan osteotomy

Vrač skoroj pomoŝi (Emergency Doctor) ◽

10.33920/med-02-2007-04 ◽

2020 ◽

pp. 69-80

Author(s):

Ruslan Khairutdinov ◽

Timur Minasov ◽

Ekaterina Yakupova

Keyword(s):

Minimally Invasive ◽

Medical Condition ◽

Functional Results ◽

Individual Case ◽

Valgus Deformity ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

X Ray ◽

Results Of Treatment ◽

First Ray

Up to a third of all patients with such medical condition as Hallux valgus can be not pleased with the outcome of an operation. It emphasizes the importance of the choice of specific osteotomy for each individual case. Minimally invasive surgery is used more often and to correct the valgus deformity of the first ray of the foot. Despite the growing interest in minimally invasive procedures, there are a few publications on percutaneous osteotomies. The purpose of this research is to identify and evaluate the available data on the results of treatment of patients with valgus deformity of the first toe using the Bosch-Magnan method.

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Impacted Metallic Spring Requiring Cervical Esophagotomy: A Case Report and Review of the Literature on Foreign Body Removal

Case Reports in Gastrointestinal Medicine ◽

10.1155/2017/5468131 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Patrick Stoner ◽

Eric Hilgenfeldt ◽

Alexander Schlachterman

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Surgical Intervention ◽

Thoracic Esophagus ◽

Unique Case ◽

Foreign Body Removal ◽

Endoscopic Techniques ◽

Successful Removal ◽

Upper Thoracic ◽

Upper Gastrointestinal

Foreign body ingestion is a commonly encountered problem and can cause significant morbidity and mortality. When removal of a foreign body from the upper gastrointestinal tract is indicated, endoscopy is the modality of choice and has a high reported success rate. However, in less than 1% of cases, endoscopic removal of a foreign body is unsuccessful and surgical intervention is necessary. We report a unique case of a large, sharp metallic spring swallowed by an incarcerated patient which subsequently became lodged in his upper thoracic esophagus. This spring was unable to be removed endoscopically due to risk of perforation and cervical esophagotomy was needed for its successful removal, illustrating the limitations of endoscopic techniques in removal of foreign bodies and the role surgical intervention has in these rare instances.

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A technique for endoscopic pituitary tumor removal

Neurosurgical FOCUS ◽

10.3171/foc.1996.1.1.3 ◽

1996 ◽

Vol 1 (1) ◽

pp. E3 ◽

Cited By ~ 18

Author(s):

Michael D. Cusimano ◽

Ronald S. Fenton

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Pituitary Tumor ◽

Tumor Resection ◽

Region Of Interest ◽

Operating Microscope ◽

Tumor Removal ◽

Endoscopic Techniques ◽

Effective Manner ◽

Highly Effective

A number of milestones have marked the development of transsphenoidal pituitary tumor resection this century. The introduction of headlamp illumination, followed by the use of the operating microscope and fluoroscopy have allowed neurosurgeons to perform this surgery in a safe and highly effective manner. With the aid of a case report, we describe the incorporation of endoscopic techniques in pituitary tumor resection. The technique described is minimally invasive, avoiding septal dissection and allowing unsurpassed, unobstructed, and panoramic visualization of the region of interest to the surgeon and operative team.

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SYNCHRONOUS COMBINED ABDOMINAL-RIGHT THORACIC APPROACH FOR CARCINOMA OF THE MIDDLE AND UPPER THORACIC ESOPHAGUS

Journal of Thoracic Surgery ◽

10.1016/s0096-5588(20)30987-9 ◽

1954 ◽

Vol 28 (3) ◽

pp. 305-309

Author(s):

Hawley H. Seiler

Keyword(s):

Thoracic Esophagus ◽

Thoracic Approach ◽

Upper Thoracic

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WITHDRAWN: Periprosthetic Bone Mineral Density After Total Hip Arthroplasty With an AMIStem or Quadra Femoral Component Performed by a Minimally Invasive Anterior Approach (AMIS): A Prospective Randomized Clinical Dual-Energy X-ray Absorptiometry Study

Journal of Clinical Densitometry ◽

10.1016/j.jocd.2013.11.005 ◽

2014 ◽

Author(s):

Gerasimos Petridis ◽

Martin Nolde ◽

Jürgen Beck ◽

Michael Scherer ◽

Thomas Perneger

Keyword(s):

Bone Mineral Density ◽

Total Hip Arthroplasty ◽

Minimally Invasive ◽

Hip Arthroplasty ◽

Anterior Approach ◽

Dual Energy ◽

Mineral Density ◽

Periprosthetic Bone ◽

X Ray ◽

Periprosthetic Bone Mineral Density

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Surgical treatment of the consequences of a gunshot wound to the lumbar spine using endoscopic techniques

Vestnik of Russian military medical Academy ◽

10.17816/brmma70776 ◽

2021 ◽

Vol 23 (2) ◽

pp. 91-98

Author(s):

Gennady G. Bulyschenko ◽

Alexey I. Gayvoronsky ◽

Pavel S. Liev ◽

Mikhail V. Kuznetsov ◽

Dmitry V. Svistov

Keyword(s):

Surgical Treatment ◽

Lumbar Spine ◽

Foreign Body ◽

Endoscopic Surgery ◽

Gunshot Wound ◽

Clinical Case ◽

Decisive Role ◽

Endoscopic Techniques ◽

Surgical Tactics ◽

Transforaminal Endoscopic Surgery

A clinical case of treatment of a patient with long-term consequences of a gunshot wound to the lumbar spine with a follow-up period of fifteen years is presented. In the last year and a half, the repeatedly recurrent retroperitoneal phlegmon associated with a foreign body of the lumbar spine has prompted a decision on the issue of surgical treatment (removal of a foreign body - a bullet). The location of the foreign body and previous experience with endoscopic foreign body removal played a decisive role in the choice of surgical tactics. Removal of the wounding projectile was performed using a percutaneous transforaminal endoscopic approach. The choice of such an approach was dictated by the peculiarity of the location of the foreign body (coaxial with the endoscopic tube in the foraminal approach), as well as sufficient experience in using the technique of percutaneous endoscopic surgery. At the same time, the conversion plan was worked out in sufficient detail with both posterolateral and anterior open approaches with the involvement of appropriate specialists. So, in case of failure, it was planned to transfer endoscopic access to open, using the already installed working tube of the endoscope as a conductor to a foreign body. In case of inefficiency, for some reason, this version of the operation was planned for the next, third stage: wound suturing, patient turning on the back with a right-hand retroperitoneal approach to the anterior-lateral surface of LI and LII bodies. Fortunately, the purpose of the operation was achieved using the most gentle version of the allowance. The given clinical case testifies that the technique of percutaneous transforaminal endoscopic surgery is not limited in indications to the treatment of degenerative-dystrophic diseases of the spine.

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12 X-ray(s)RadiationMinimally invasive spine surgeryradiation inFluoroscopyradiation generation and application inRadiation and Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery ◽

10.1055/b-0040-178547 ◽

2020 ◽

Keyword(s):

Minimally Invasive ◽

Spine Surgery ◽

Minimally Invasive Spine Surgery ◽

X Ray ◽

Minimally Invasive Spine

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Transaxillary left-sided minimally invasive approach for upper thoracic vertebral resection and reconstruction at T2–T3 levels: a case report

SN Comprehensive Clinical Medicine ◽

10.1007/s42399-019-00170-6 ◽

2019 ◽

Vol 1 (12) ◽

pp. 1094-1097

Author(s):

Bassam Redwan ◽

Volkan Kösek ◽

Martin Matip ◽

Maximilian Puchner ◽

Burkhard Thiel

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Upper Thoracic ◽

Vertebral Resection

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PS01.067: SHLYAKHOVSKIY I.A., ERMOLOVA I.V., SELINA I. E., P. O., BURCHULADZE/PERFORATED APPENDICITES IN DIAPHRAGMAL HERNIA

Diseases of the Esophagus ◽

10.1093/dote/doy089.ps01.067 ◽

2018 ◽

Vol 31 (Supplement_1) ◽

pp. 68-68

Author(s):

Igor Shlyakhovskiy

Keyword(s):

Pleural Cavity ◽

Conflicts Of Interest ◽

Abdominal Cavity ◽

Correct Diagnosis ◽

Perforated Appendicitis ◽

X Ray ◽

Satisfactory Condition ◽

Left Pleural Cavity ◽

Surgical Tactics ◽

Small And Large Intestine

Abstract Background We present a clinical case of a patient with acute perforated appendicitis complicated by empyema in a false left-sided diaphragmatic hernia. Methods Patient K. 21 L. taken by ambulance to the intensive care unit. X-ray conclusion—the rupture of the left dome of the diaphragm to the infringement of the colon. The patient urgently operated. The defect of the diaphragm size 10,0х6,5cm. There is a lack in the abdominal cavity of small and large intestine, and spleen. The diagnosis—gangrenous perforated appendicitis in the left pleural cavity, empyema. Performed appendectomy, diaphragm was sutured. 5 days after surgery performed videothoracoscopy Results The patient is in satisfactory condition was discharged from hospital 32 days after admission. Conclusion Polypositional x-ray examination of the chest and abdominal cavity and active surgical tactics has allowed to establish the correct diagnosis and resulted in a favorable outcome. Disclosure All authors have declared no conflicts of interest.

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