scholarly journals Results of laparoscopic retroperitoneal nephrectomy for benign nonfunction kidneys at Ninh Binh General Hospital

2020 ◽  
Vol 10 (5) ◽  
Author(s):  
Việt Phương Trần ◽  
Keyword(s):  
General Hospital ◽  
Operating Time ◽  
Treatment Method ◽  
Laparoscopic Nephrectomy ◽  
Average Amount ◽  
Removal Time ◽  
Drain Removal ◽  
Average Operating Time ◽  
Retroperitoneal Laparoscopy ◽  
Retroperitoneal Nephrectomy

Abstract Introduction: Evaluating the result of laparoscopic retroperitoneal nephrectomy for benign nonfunctioning pathology at Ninh Binh General Hospital. Materials and Methods: 20 patients underwent laparoscopic nephrectomy surgery from 08/2016 - 03/2020 at Ninh Binh General Hospital, research with descriptive and prospective method. Results: The average operating time is 100,25 ± 22 minutes (80 - 180 minutes), the average amount of blood loss is 61,5 ± 26,6ml (30 - 100ml), the average amount of drain removal time is 2,5 ± 0,5 day (2 - 3 days), the time of taking analgesic is 3 days, the average amount of time for treatment in the hospital is 4,25 ± 1,1 days (3 - 6 days). During the operations, there is 1 case in which renal abscess and kidney inflammation occur. Therefore, it's difficult to carry out the umbilicus dissection and have to switch to kidney – removal open surgery. There are no adverse medical events or complications after the surgery. Conclusions: Laparoscopic retroperitoneal surgery in kidney removal due to nonfunctioning benign pathology is a safe and effective treatment method. Keywords: Laparoscopic nephrectomy, retroperitoneal laparoscopy.

Minilaparotomy Cholecystectomy as a Day Surgery Procedure: A Prospective Clinical Pilot Study

2007 ◽  
Vol 96 (3) ◽  
pp. 206-208 ◽  
Author(s):  
J. Harju ◽  
M. Pääkkönen ◽  
M. Eskelinen
Keyword(s):  
Randomised Trial ◽  
Operating Time ◽  
Day Surgery ◽  
Prospective Randomised Trial ◽  
Wound Pain ◽  
Average Operating ◽  
Average Operating Time ◽  
Study Support ◽  
The Mean

Background and Aims: In some studies minilaparotomy cholecystectomy (MC) has been shown to be as good as laparoscopic cholecystectomy (LC) in the surgical treatment of cholecystolithiasis. To our knowledge, the MC operation is rarely considered as a day surgery procedure. Patients and Methods: Thirty elective symptomatic non-complicated patients were included in the study during the end of the year 2004 to June 2005. The mean age of patients was 52 years (range 27–68), the mean body mass index 29 kg/m2 (range 19–41). Gallstones were confirmed with ultrasound and the pre-operative liver laboratory tests were normal in all patients. A five (+/-2) centimetre-long incision was used avoiding to split the rectus abdominis muscle. All patients were re-evaluated four weeks postoperatively with the follow-up letter. Results: The average operating time was 51 minutes (range 30–105 minutes). Day surgery was possible in 25 cases (83%). Five patients (17%) stayed over night at the hospital. There were four (13%) conversions to conventional cholecystectomy. The average postoperative sick leave was 16 days (range 14–30). Two patients returned to hospital. One patient had wound pain, but no complication was found, and the patient was not admitted. One patient had a wound infection and spent 6 days in the hospital. Twenty-nine (97%) patients were satisfied with the operation and were ready to recommend it for other patients. Conclusions: The results of this study support the suitability of MC as a day surgery procedure, but a prospective randomised trial is needed to evaluate the relative advantages of MC and LC.

scholarly journals Video assisted resections. Increasing access to minimally invasive liver surgery?

2015 ◽  
Vol 42 (5) ◽  
pp. 318-324 ◽  
Author(s):  
Fabricio Ferreira Coelho ◽  
Marcos Vinícius Perini ◽  
Jaime Arthur Pirola Kruger ◽  
Renato Micelli Lupinacci ◽  
Fábio Ferrari Makdissi ◽  
...  
Keyword(s):  
Operating Time ◽  
Perioperative Outcomes ◽  
Liver Lesions ◽  
Minimally Invasive Liver Surgery ◽  
Video Assisted ◽  
Average Operating ◽  
Average Operating Time ◽  
Average Size ◽  
Anesthesia Time ◽  
Prospective Database

Objective: To evaluate perioperative outcomes, safety and feasibility of video-assisted resection for primary and secondary liver lesions. Methods : From a prospective database, we analyzed the perioperative results (up to 90 days) of 25 consecutive patients undergoing video-assisted resections in the period between June 2007 and June 2013. Results : The mean age was 53.4 years (23-73) and 16 (64%) patients were female. Of the total, 84% were suffering from malignant diseases. We performed 33 resections (1 to 4 nodules per patient). The procedures performed were non-anatomical resections (n = 26), segmentectomy (n = 1), 2/3 bisegmentectomy (n = 1), 6/7 bisegmentectomy (n = 1), left hepatectomy (n = 2) and right hepatectomy (n = 2). The procedures contemplated postero-superior segments in 66.7%, requiring multiple or larger resections. The average operating time was 226 minutes (80-420), and anesthesia time, 360 minutes (200-630). The average size of resected nodes was 3.2 cm (0.8 to 10) and the surgical margins were free in all the analyzed specimens. Eight percent of patients needed blood transfusion and no case was converted to open surgery. The length of stay was 6.5 days (3-16). Postoperative complications occurred in 20% of patients, with no perioperative mortality. Conclusion : The video-assisted liver resection is feasible and safe and should be part of the liver surgeon armamentarium for resection of primary and secondary liver lesions.

OUTCOME ANALYSIS OF PERCUTANEOUS NEPHROLITHOTOMY IN SUPINE POSITION

2021 ◽  
pp. 26-27
Author(s):  
N.Dhinakar Babu ◽  
D.Mohan Kumar
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Supine Position ◽  
Operating Time ◽  
Easy Access ◽  
Outcome Analysis ◽  
Complication Rates ◽  
Visceral Injury ◽  
Average Operating Time ◽  
Treat All ◽  
A Prospective Study

Supine PCNL (Percutaneous Nephrolithotomy) is an Alternative to traditional prone positioning. Benets of the supine position include easy access to the airway and Optimization of cardiopulmonary function in patients. This is a prospective study which analyzes the outcome of percutaneous nephrolithotomy in supine position. There were totally 50 patients included in the study. 27 were male and 23 female patients. Mean age was 43 years, ranging from 18 to 70 years. Right side stones seen in 60% of cases ( 30/50). Average stone size was 2.6cm ranging from 1.8 to 6cm. Average operating time were 63.5 minutes and uroscopy 18.9 minutes (5 to 35 minutes). Clearance rate in our study were pretty good with 90% (45 out of 50 cases). Five patients required secondary procedures and ve had complications in form of sepsis and bleeding requiring blood transfusion. There were no visceral injury or srtula. Thus Supine PCNL has several potential advantages with successful technical feasibility and can be used to treat all stone sizes especially very effective in high risk patients for anesthesia. There is no added risk in this technique, and the stone clearance and complication rates are comparable to standard prone PCNL

scholarly journals Introducing a reserve waiting list initiative for elective general surgery at a District General Hospital

2019 ◽  
Vol 8 (3) ◽  
pp. e000745 ◽  
Author(s):  
Vaki Antoniou ◽  
Olivia Burke ◽  
Roland Fernandes
Keyword(s):  
General Hospital ◽  
General Surgery ◽  
Fast Track ◽  
Operating Time ◽  
District General Hospital ◽  
Waiting List ◽  
Related Factors ◽  
Simple Protocol ◽  
Significant Burden ◽  
Training Opportunities

Cancelled operations represent a significant burden on the National Health Service in terms of theatre efficiency, financial implications and lost training opportunities. Moreover, they carry considerable physical and psychological effects to patients and their relatives. Evidence has shown that up to 93% of cancelled operations are due to patient-related factors. An analysis at our District General Hospital revealed that approximately 18 operations are cancelled on the day of surgery each month. This equates to 27 hours of allocated operating time valued by the trust as £67 500, not being used effectively. This retrospective quality improvement report aims to reduce unused theatre time due to cancelled elective operations in general surgery theatres—thereby improving theatre efficiency and patient care. To ascertain the baseline number of cancelled operations, an initial review of theatre cases was undertaken. Further review was then completed after implementation of two improvements—a short notice surgical waiting list and fast track pre-assessment clinics. The results showed that implementation of the reserve surgical waiting list reduced unused operating time by an average of 2.25 hours per month. By further adding in the fast track preassessment clinic, these figures increased to an average of 11.5 hours over the next 3 months. This precipitated a reutilisation of otherwise wasted theatre time. Economic impact of this time amounts around £28 750 a month, after implementation of both improvements. Simple protocol changes can lead to large improvements in the efficient running of theatres. The resultant change has improved patient satisfaction, led to greater training opportunities and improved theatre efficiency. Extrapolation of our results show better usage of previously underused theatre time, to the equivalent worth of £345 000. Further implementation of these improvements in other surgical specialities and hospitals would be beneficial.

Laparoscopic “en-bloc” ligation of spermatic veins

1996 ◽  
Vol 63 (3) ◽  
pp. 384-388
Author(s):  
C. Trombetta ◽  
G. Savoca ◽  
G. Liguori ◽  
A. Tamai ◽  
S. Siracusano ◽  
...  
Keyword(s):  
General Anaesthesia ◽  
Operating Time ◽  
Case Histories ◽  
En Bloc ◽  
Optical Magnification ◽  
Average Operating ◽  
Average Operating Time ◽  
The Right

Laparoscopic varicocelectomy is suggested only for II-III grade bilateral varicocele. The optical magnification granted by videosurgical techniques, prevents damaging testicular arteries; this possibility, however, requires a considerable amount of time. We performed a laparoscopic “en-bloc” ligation without sparing the artery on 13 patients with bilateral varicocele in order to assess eventual changes in gonadal volume. 10 patients underwent bilateral “en-bloc” ligation of spermatic vessels with an average operating time of 21 minutes. In 3 other patients, “en-bloc” ligation was performed on the right side while on the left side the artery was identified and saved; in these cases the average operating time was 33 minutes. After an average follow-up period of 19 months no cases of testicle atrophy nor of hydrocele were reported. ColorDoppler sonography, performed 3 months later on the 10 patients treated by bilateral “en-bloc” ligation, showed no persistent reflux. No case of homolateral persistent reflux was encountered in the 3 patients who underwent only right-side “en-bloc” ligation, but on the left side, where selective ligation had been performed, persistence of reflux was registered in one patient. Our experience has confirmed that laparoscopic “en-bloc” ligation of the internal spermatic pedicle, sparing vasa deferentia, prevents the persistence of reflux in all cases and allows a reduction in operating time. The opportunity of treating a pathology like bilateral varicocele by means of laparoscopy, which requires general anaesthesia, needs further confirmation and a larger number of case histories.

Single stage laparoscopic treatment of Hirschprungs disease for childrend under 6 month old in Viet Duc hospital

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Việt Hoa Nguyễn
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Operating Time ◽  
Single Stage ◽  
Average Hospital ◽  
Conversion To Open Surgery ◽  
Stay Time ◽  
Average Operating Time ◽  
Pull Through ◽  
Laparoscopic Assisted

Tóm tắt Đặt vấn đề: Ứng dụng phẫu thuật nội soi ổ bụng kết hợp với đường qua hậu môn cắt đoạn đại trực tràng vô hạch ở trẻ 2 - 6 tháng tuổi tại khoa Nhi bệnh viện Việt Đức Phương pháp nghiên cứu: Nghiên cứu hồi cứu cho trẻ 2 - 6 tháng tuổi được chẩn đoán phình đại tràng bẩm sinh dựa vào lâm sàng, chụp đại tràng có thuốc cản quang và sinh thiết tức thì trong mổ. Phẫu thuật 1 thì, nội soi ổ bụng sử dụng 3 trocars phẫu tích đoạn đại tràng cần cắt bỏ, kết hợp đường qua hậu môn sử dụng van Lonestar bóc đoạn trực tràng trên đường lược khỏi thanh cơ phương pháp Soave, kéo đoạn đại tràng vô hạch ra ngoài qua hậu môn, cắt và nối đại tràng lành với ống hậu môn. Đánh giá kết quả theo tiêu chuẩn Wingspread 1984 Kết quả: Trong thời gian từ tháng 6/2014 đến tháng 6/2017 có 32 người bệnh được phẫu thuật nội soi, tuổi trung bình 3,5 tháng. Thời gian phẫu thuật trung bình 150 ± 40 phút. Thời gian nằm viện trung bình 7,4 ± 2,2 ngày. Đại tràng vô hạch vị trí xích ma 1/3 dưới 19 người bệnh (59,37%), xích ma 1/3 giữa 11 người bệnh (34,38%), xích ma 1/3 trên 2 người bệnh (6,25%). Không có trường hợp nào chuyển mổ mở. chảy máu nặng hay bục rò miệng nối sau mổ. Theo dõi sau mổ từ 3 tháng - 4 năm: Viêm quanh hậu môn 6 người bệnh (18,75%); viêm ruột 8 người bệnh (25%); són phân 5 người bệnh (15,62%); táo bón 1 người bệnh (3,12%). Đánh giá chức năng đại tiện rất tốt 68,75%, tốt 21,88%, trung bình 9,37%. Chưa có trường hợp mổ lại, Kết luận: Phẫu thuật nội soi ổ bụng kết hợp đường qua hậu môn cắt đoạn đại trực tràng vô hạch một thì ở trẻ nhỏ là phương pháp phẫu thuật an toàn, mang lại chức năng đại tiện tốt, đảm bảo thẩm mỹ. Abstract Introduction: Laparoscopic assisted endorectal colon pull-through for Hirschsprung's disease have been applied for children under 6 month old in Viet Duc hospital Material and Methods: Restrospective. Children from 2 to 6 month with diagnosis of Hirschsprung's disease by clinical, radiological symptoms and biopsy during operation. Laparoscopic assisted endorectal colon pull- through by using Lonestar valve for resection of colon and coloanal anastomosis. Functional defecation is assessed according to the standard of Wingspread 1984. Results: 32 patients during from 6/2014 to 6/2017. Mean age: 3,5 months old, average operating time: 150 ± 40 minutes, average hospital stay time: 7,4 ± 2,2 days. The aganglionics lower sigmoid segment in 19 patiens (59,37%), 1/3 middle sigmoid segment in 11 patiens (34,38%), sigmoid segment in 2 patiens (6,25%). Non bleeding during the operation, no conversion to open surgery, no anastomotic fistula. Follow – up postoperative from 3 months to 4 years peri-anal: infection 6 patients (18,75%), enterocolitis 8 patients (25%), fecal incontinence 5 patients (15,62%), constipation 1 patient (4,45%). Functional defecation assessement: very good 68,75; good 21,88; average 9,37%. No re- operation. Conclusion: Single stage laparoscopic assisted endorectal colon pull- through for Hirschsprung's disease in children under 6 month old is safe with good functional defecation assessement. Keyword: Hirschprung ‘s desease, laparoscopic, endorectal colon pull- through

scholarly journals Laparoscopic Adrenalectomy for Adrenal Tumors

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sun Chuan-yu ◽  
Ho Yat-faat ◽  
Ding Wei-hong ◽  
Gou Yuan-cheng ◽  
Hu Qing-feng ◽  
...  
Keyword(s):  
Blood Loss ◽  
Laparoscopic Adrenalectomy ◽  
Benign Tumor ◽  
Operating Time ◽  
Adrenal Tumors ◽  
Benign Tumors ◽  
Intraoperative Blood Loss ◽  
First Choice ◽  
Average Operating ◽  
Average Operating Time

Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor.Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm.Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P<0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence.Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.

scholarly journals DURATION OF SURGERY OF LAPAROSCOPIC NEPHRECTOMY -AN INITIAL EXPERIENCE IN IGMC, SHIMLA

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Bhartendu Nagesh ◽  
D.K Verma ◽  
R S Jhobta ◽  
Sanjiv Sharma ◽  
Mehar Chand
Keyword(s):  
Operating Time ◽  
Standard Of Care ◽  
Laparoscopic Nephrectomy ◽  
P Value ◽  
Dense Adhesion ◽  
Medical College ◽  
Duration Of Surgery ◽  
The Mean ◽  
Gandhi Medical College ◽  
Hydronephrotic Kidney

Background: Laparoscopic nephrectomy has been established as the standard of care for the management of benign non-functioning kidneys and has gained worldwide popularity over the past decade. Methods- This study was conducted in the Department of General surgery, Indira Gandhi medical college, Shimla on 20 selected patients of benign non functional kidney admitted for elective Laparoscopic Nephrectomy between July 2018 to June 2019 Results: In this study, the mean operating time in success full laparoscopic nephrectomies was 103.7 + 20.6 min in lap converted to open it was    165 .7 +26.99 min and in hand-assisted tame taken was 150 min which is statically not significant with p value =0.1317. Conclusion: The mean time taken for completion of laparoscopic nephrectomy in first 4 cases was 105 min and in next 4 cases was 108 min and in last 4 cases it was 97 min there was definitive learning curve as in last 4 cases operating time was less as compared to initial cases but operating time also depends on other factors like in hydronephrotic kidney due to well maintained plane dissection take less time ,but in  pyonephrotic kidney ,tubercular kidney,previously intervension like PCN, there were dense adhesion resulting in more time for disection. Keywords: Laparoscopy, Nephrectomy, Duration of surgery

scholarly journals URBAN PUBLIC TRANSPORT: MARGINAL VALUE OF THE CAPACITY FACTOR

2019 ◽  
Vol 16 (3) ◽  
pp. 290-301
Author(s):  
A. I. Fadeev ◽  
Ye. V. Fomin ◽  
S. Alhusseini
Keyword(s):  
Public Transport ◽  
Operating Time ◽  
Capacity Utilization ◽  
Utilization Factor ◽  
Marginal Value ◽  
Passenger Traffic ◽  
Urban Public Transport ◽  
Speed Fluctuation ◽  
Average Operating ◽  
Average Operating Time

Introduction. One of the most important indicators determining the public transport service quality is the capacity utilization factor of transport fleet. This parameter directly effects on the economic efficiency of the transport organization. For the carrier it is desirable from an economic point of view that the value of the capacity utilization factor takes on the greatest value. Passengers, on the contrary, prefer to transfer without overfull capacity of transport vehicles. Moreover, this factor is used in determining travel fares, analyzing the executed movement regarding the availability of reserves in carrying capacity and planning transportation process. The paper discusses the method of marginal value calculation of the transport fleet’s capacity utilization factor of urban public transport based on ensuring standard vehicle's cabin filling limits.Materials and methods. The authors solved the task of determining the filling marginal value for transport fleet while working on regular urban routes by analyzing the dependence of the capacity utilization factor on the passenger traffic parameters, the average operating time of the transport fleet on the route and the speed fluctuation during public transport operation. The authors also proposed the indicator of the transportation speed fluctuation during the operation of urban public transport.Results. The authors found out that the capacity utilization factor of transport fleet substantially depended on the passenger traffic parameters, on the average operating time of the transport fleet and on the speed fluctuation during public transport operation.Discussion and conclusion. The obtained dependences allow us calculating the marginal values of capacity utilization factor with taking into account the parameters of the planned transport process. The standard capacity utilization factor varies within considerable limits from 0.2 to 0.4, depending on the operating conditions.

RETROPERITONEALS SINGLE INCISION LAPAROSCOPIC NEPHRECTOMY: MINI-INVASIVE TECHNICAL, SAFETY AND COSMETIC

2018 ◽  
Vol 8 (6) ◽  
pp. 23-26
Author(s):  
Liem Ngo Thanh ◽  
Hung Nguyen Khoa ◽  
Tung Hoang Van
Keyword(s):  
Single Incision ◽  
Single Port ◽  
Operating Time ◽  
Laparoscopic Nephrectomy ◽  
Central Hospital ◽  
Hospital Patients ◽  
Sils Port ◽  
A Prospective Study ◽  
Objective Outcome ◽  
Technical Safety

Objective: Outcome of 45 retroperitoneal single incision laparoscopic nephrectomy of benigns nonfunction kidneys at Hue Central Hospital. Patients and method: A prospective study was perform on 45 patients with benign nonfuncion kidney, treated by retroperitoneal single incision laparoscopic nephrectomy at Department of General Surgery - Hue Central Hospital from May 2015 to August 2018. Results: Success: 42/45 patients. Mean operating time 87.5mins (50 - 155 mins), postoperative hospital stay 5-7 days. SILS Port of Covidien was inserted by 2.5 cm skin transverse incision, standard straight laparoscopic instruments were used instead of roticular instruments. Conclusion: This is a mini-invasive technical, safety and cosmetic Keywords: retroperitoneal single incision laparoscopic nephrectomy, single port nephrectomy.

Sign in / Sign up

Export Citation Format

Share Document