Technique of Totally Laparoscopic Treatment of Diverticular Colovesical Fistula with Transanal Colorectal Anastomosis and Urinary Bladder Repair

2021 ◽  
Author(s):  
Konstantin Grozdev ◽  
Nabil Khayat ◽  
Angel Arabadzhiev ◽  
Kostadin Angelov
Author(s):  
A. V. Dmitriev ◽  
Yu. V. Khoronko ◽  
S. V. Pereskokov ◽  
V. S. Groshilin ◽  
M. A. Kozyrevskiy ◽  
...  

Purpose of research. Evaluation of direct results of surgical treatment of patients with cancer localization in the middle and lower ampullary rectum using laparoscopic and open methods. Materials and methods: a retrospective analysis was performed on 221 patients who underwent anterior and low anterior rectal resection. Results. Independent risk factors for failure of low colorectal anastomosis were determined. Laparoscopic treatment of rectal cancer with total mesorectumectomy does not lead to an increase in the number of intra—and postoperative complications. Laparoscopic mesorectumectomy is a priority method in comparison with the open method of operation.


2019 ◽  
Vol 05 (03) ◽  
pp. e110-e112 ◽  
Author(s):  
Fadl H. Veerankutty ◽  
Shiraz Ahmad Rather ◽  
Varghese Yeldho ◽  
Bincy M. Zacharia ◽  
Shabeer Ali TU ◽  
...  

AbstractRisk of massive intraoperative hemorrhage and the difficulty to control it makes the laparoscopic treatment of giant hepatic hemangiomas (GH) a challenge for minimally invasive hepatobiliary surgeons. Symptomatic GHs of more than 20 cm (extremely giant hepatic hemangiomas) are typically treated with an open resection. There is a paucity of literature on laparoscopic resection of extremely giant hepatic hemangiomas. We describe (with video), here, the technical nuances of pure laparoscopic resection of an extremely giant hepatic hemangioma using modified port positions and the anterior approach.


ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 055-055
Author(s):  
Emanuele Asti ◽  
Daniele Bernardi ◽  
Erika Andreatta ◽  
Andrea Conti ◽  
Luca Carmignani ◽  
...  

2013 ◽  
Vol 79 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Luigi Masoni ◽  
Francesco Saverio Mari ◽  
Giuseppe Nigri ◽  
Francesco Favi ◽  
Fioralba Pindozzi ◽  
...  

Hartmann's procedure is still performed in those cases in which colorectal anastomosis might be unsafe. Reversal of Hartmann's procedure (HR) is considered a major surgical procedure with a high morbidity (55 to 60%) and mortality rate (0 to 4%). To decrease these rates, laparoscopic Hartmann's reversal procedure was successfully experienced. We report our totally laparoscopic Hartmann's reversal technique. Between 2004 and 2010 we performed 27 HRs with a totally laparoscopic approach. The efficacy and safety of this technique were demonstrated evaluating the operative data, postoperative complications, and the outcome of the patients. There were no open conversions or major intraoperative complications. Anastomotic leaking occurred in one patient requiring an ileostomy; one patient needed a blood transfusion and one had a nosocomial pneumonia. The mean postoperative hospitalization was 5.7 days. Laparoscopic HR is a feasible and safe procedure and can be considered a valid alternative to open HR.


2020 ◽  
Vol 24 (4) ◽  
pp. 170-173
Author(s):  
Giulio Mari ◽  
Pietro Achilli ◽  
Jacopo Crippa ◽  
Giuseppe Cordaro ◽  
Valter Berardi ◽  
...  

Author(s):  
A.J. Mia ◽  
L.X. Oakford ◽  
T. Yorio

The amphibian urinary bladder has been used as a ‘model’ system for studies of the mechanism of action of antidiuretic hormone (ADH) in stimulating transepithelial water flow. The increase in water permeability is accompanied by morphological changes that include the stimulation of apical microvilli, mobilization of microtubules and microfilaments and vesicular membrane fusion events . It has been shown that alterations in the cytosolic calcium concentrations can inhibit ADH transmembrane water flow and induce alterations in the epithelial cell cytomorphology, including the cytoskeletal system . Recently, the subapical granules of the granular cell in the amphibian urinary bladder have been shown to contain high concentrations of calcium, and it was suggested that these cytoplasmic constituents may act as calcium storage sites for intracellular calcium homeostasis. The present study utilizes the calcium antagonist, verapamil, to examine the effect of calcium deprivation on the cytomorphological features of epithelial cells from amphibian urinary bladder, with particular emphasis on subapical granule and microfilament distribution.


Author(s):  
A.J. Mia ◽  
L.X. Oakford ◽  
T. Yorio

Protein kinase C (PKC) isozymes, when activated, are translocated to particulate membrane fractions for transport to the apical membrane surface in a variety of cell types. Evidence of PKC translocation was demonstrated in human megakaryoblastic leukemic cells, and in cardiac myocytes and fibroblasts, using FTTC immunofluorescent antibody labeling techniques. Recently, we reported immunogold localizations of PKC subtypes I and II in toad urinary bladder epithelia, following 60 min stimulation with Mezerein (MZ), a PKC activator, or antidiuretic hormone (ADH). Localization of isozyme subtypes I and n was carried out in separate grids using specific monoclonal antibodies with subsequent labeling with 20nm protein A-gold probes. Each PKC subtype was found to be distributed singularly and in discrete isolated patches in the cytosol as well as in the apical membrane domains. To determine if the PKC isozymes co-localized within the cell, a double immunogold labeling technique using single grids was utilized.


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