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Cholecystectomy Procedures News
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All Recent Cholecystectomy Procedures News |
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Evidence for Practice
Bispectral index (BIS) is used to measure the patient's level of consciousness under general anesthesia to prevent surgical awareness. Several factors have been found to alter the BIS reading without affecting the depth of anesthesia, however. Anesthesiologists at a university hospital in Saudi Arabia noticed a change in BIS readings that appeared to be associated with changes in the position of the patient, either head-down as for gynecologic procedures or head-up as for laparoscopic cholecystectomy. Positioning of the patient is an important step of the surgical process, providing the required access to the structures that must be visualized or manipulated during the surgical procedure. A patient to be anesthetized usually starts in the supine position, which can be changed to head-down,......
POSTED 08/31/2010 at 06:00 PM --
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Risk of proximal colonic neoplasms in asymptomatic adults older than 50 years found to have distal hyperplastic polyps on routine colorectal cancer screening.
Conclusion: Routinely recommending a colonoscopy for every patient with distal HPs found only by screening flexible sigmoidoscopy is neither justified nor necessary. Nevertheless, further investigation (ie, colonoscopy) may be warranted in the aforementioned subgroups.
PMID: 20740111 [PubMed - in process] (Source: Cancer Control)...
POSTED 08/29/2010 at 07:30 AM --
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The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy
Conclusion: Laparoscopic appendectomy and cholecystectomy appear to be as safe as the respective open procedures in pregnant patients; however, this population in particular remains at risk for perinatal complications regardless of the method of abdominal access. (Source: American Journal of Surgery)...
POSTED 08/28/2010 at 03:02 AM --
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How should singleâaccess or natural orifice cholecystectomy be introduced?
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)...
POSTED 08/28/2010 at 01:07 AM --
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Laparoendoscopic Single-Site Surgery for Treatment of Concomitant Ovarian Cystectomy and Cholecystectomy
Abstract: Since the first laparoscopic appendectomy was performed by Semm in 1983, laparoscopic surgery has become the criterion standard surgical route for treatment of several pathologic conditions across disciplines. Attempts to minimize access-related injuries and complications resulted in development of laparoendoscopic single-site surgery (LESS), which, because of the decreased number of ports used, may be the next generation of minimally invasive surgery. Laparoscopic single-site surgery has been reported in nephrectomy, pyeloplasty, radical prostatectomy, cholecystectomy, and colorectal, bariatric, and gynecologic surgery. This technique may increase the benefits of traditional minimally invasive surgery such as decreased blood loss and postoperative pain, faster recovery time, few......
POSTED 08/24/2010 at 02:12 AM --
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The Developments and Achievements of Endoscopic Surgery, Robotic Surgery and Function-preserving Surgery
The breakthrough in laparoscopic surgery has been the development of a charge-coupled device camera system and Mouret performing cholecystectomy in 1987. The short-term benefits of laparoscopic surgery are widely accepted and the long-term benefit of less incidence of bowel obstruction can be expected. The important developments have been the articulating instrumentation via new laparoscopic access ports. Since 2007, single-incision laparoscopic surgery has spread all over the world. Not only single-scar but also no-scar operation is a current topic. In 2004, Kalloo reported the flexible transgastric peritoneoscopy as a novel approach to therapeutic interventions. In 2007, Marescaux reported transvaginal cholecystectomy in a patient. The breakthrough in robotic surgery was the development ......
POSTED 08/24/2010 at 01:19 AM --
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Clinical experience with a multifunctional, flexible surgery system for endolumenal, single-port, and NOTES procedures
Conclusion Availability of a multifunctional, flexible surgery platform provides a choice of a single-port or incisionless surgical approach
with the potential to reduce complications, pain, and recovery time while improving cosmesis.
Content Type Journal ArticleDOI 10.1007/s00464-010-1225-5Authors
Santiago Horgan, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAKari Thompson, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAMark Talamini, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAAlberto Ferreres, Department of General Surgery, Hospital Bocalandro, University of Buenos Aires, Buenos Aires, Argent......
POSTED 08/24/2010 at 01:01 AM --
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Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management
Conclusion: Good surgical technique, awareness and early recognition and management of such cases are keys to success when dealing with this problem. (Source: Journal of Minimal Access Surgery)...
POSTED 08/21/2010 at 03:15 AM --
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Surgical treatment of cystic neoplasms of the pancreas
CONCLUSIONS: The most common cystic neoplasms of the pancreas are serous and mucinous cysts. These tumors are more frequent in female. Although almost all serous cysts are benign, 40% of mucinous cysts are malign. Misdiagnosis may delay appropriate treatment and increase mortality.RACIONAL: O diagnóstico e tratamento das neoplasias cÃsticas do pâncreas aumentaram significativamente nas últimas décadas. Existem poucas publicações brasileiras sobre estes tumores, sendo que a maioria é limitada à descrição de um ou poucos casos. OBJETIVO: Apresentar a experiência com 27 pacientes com neoplasia cÃstica do pâncreas. MÃTODOS: Os dados demográficos, quadro clÃnico, exames complementares, procedimento cirúrgico com as suas complicações e a evolução pós-operatória de 27 paci......
POSTED 08/20/2010 at 01:13 AM --
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Durability of the self-approximating translumenal access technique (STAT) for potential use in natural orifice translumenal surgery (NOTES)
Conclusions Although this study was a limited, prospective, animal survival study without a control arm, it again indicates that STAT
allows safe abdominal access, a reliable means of closure, and directed endoscope positioning. Although one significant mucosal
tear did occur, this study suggests STAT will tolerate the mechanical forces of peroral transgastric procedures provided the
organ resected is small to moderate in size (<8 Ã 3 cm).
Content Type Journal ArticleDOI 10.1007/s00464-010-1141-8Authors
Matthew T. Moyer, Division of Gastroenterology/Hepatology, Penn State Hershey Medical Center, Hershey, PA USAEric M. Pauli, Department of General Surgery, Penn State Hershey Medical Center, Hershey, PA USAJegan Gopal, Division of Minimally Invasiv......
POSTED 08/20/2010 at 12:47 AM --
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Feasibility of single-port laparoscopic cholecystectomy using a homemade laparoscopic port: a clinical report of 50 cases
Conclusion The homemade umbilical port reported in this study is useful for multiple instrument access and allows TUSPLC to be performed
safely, with its inherent cosmetic and cost advantages. Further studies of this technique are ongoing.
Content Type Journal ArticleDOI 10.1007/s00464-010-1287-4Authors
Kuo-Chang Wen, Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, TaiwanKai-Yuan Lin, Department of Medical Research, Chi-Mei Medical Center, Tainan, TaiwanYi Chen, Division of General Surgery, Department of Surgery, Chi-Mei Medical Center, Tainan, TaiwanYi-Feng Lin, Division of General Surgery, Department of Surgery, Chi-Mei Medical Center, Tainan, TaiwanKuo-Shan Wen, Department of Medical Research, Chi-Mei Medical Center, Tain......
POSTED 08/20/2010 at 12:47 AM --
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Should the wheel be reinvented in a human study?
Abstract Recently, Zimmer and colleagues reported a lack of analgesic efficacy from intraperitoneal nebulization of bupivacaine using
the Insuflow® device for patients undergoing laparoscopic cholecystectomy. This is not surprising. An in vitro study in 2008 showed that
hot evaporation-based devices, similar to Insuflow®, are unable to transport drug molecules dissolved in a water solvent. These results are in keeping with the physical principle
that hot evaporation enables only evaporation of the solvent (e.g., water) and not of the solute (e.g., bupivacaine). Although
this well-conducted human study has a defendable medical justification and a high theoretical interest, it is not acceptable
to choose a human model for an experimental study that attempts to explore a que......
POSTED 08/20/2010 at 12:47 AM --
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Hybrid NOTES transgastric cholecystectomy with reliable gastric closure: an animal survival study
Conclusion Hybrid transgastric NOTES cholecystectomy is feasible, safe and results in optimal CVS. Use of OTSC for gastrotomy closure
is feasible, reliable and results in histology-proven full-thickness closure in survival porcine experiments.
Content Type Journal ArticleDOI 10.1007/s00464-010-1242-4Authors
Rogier P. Voermans, Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 DE Amsterdam, The NetherlandsMark I. van Berge Henegouwen, Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsWillem A. Bemelman, Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsPaul Fockens, Department of Gastroenterology and Hepa......
POSTED 08/19/2010 at 01:24 AM --
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Most Bile Duct Injuries Best Repaired Immediately: Study
If recognized right away, most bile duct injuries related to laparoscopic cholecystectomy should be repaired quickly in a tertiary hepatobiliary center -- within 3 days at most, say the authors of a new paper. Reuters Health Information (Source: Medscape General Surgery Headlines)...
POSTED 08/18/2010 at 04:02 PM --
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Laparoscopic Cholecystectomy for Early Gallbladder Carcinoma [Correspondence]
(Source: Archives of Surgery)...
POSTED 08/16/2010 at 02:50 PM --
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Bile Duct Injuries Associated With Laparoscopic Cholecystectomy: Timing of Repair and Long-term Outcomes [Original Article]
Conclusions Our results suggest that the timing of LC-BDI repair is an important determinant of long-term outcome. Repairs in the intermediate period were significantly associated with biliary stricture. Thus, repairs should be undertaken either in the immediate (0-72 hours) or delayed (>6 weeks) periods after LC. (Source: Archives of Surgery)...
POSTED 08/16/2010 at 02:50 PM --
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Asian Race/Ethnicity as a Risk Factor for Bile Duct Injury During Cholecystectomy [Resident's Forum]
We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies. (Source: Archives of Surgery)...
POSTED 08/16/2010 at 02:50 PM --
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The outcome of patients on the cholecystectomy waiting list in Western Australia 1999â2005
(Source: ANZ Journal of Surgery)...
POSTED 08/16/2010 at 04:12 AM --
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Effectiveness of a Surgical Glove Port for Single Port Surgery
Conclusions This surgical-glove port is easy to install and is made from conventional, commonly used surgical equipment, making it unnecessary
to purchase any expensive new devices. This surgical-glove port technique is a promising method to introduce SPS, because
developing or purchasing new devices is unnecessary. Our experience demonstrates the efficacy, appropriateness, and cost-effectiveness
of this simple port technique.
Content Type Journal ArticleDOI 10.1007/s00268-010-0649-3Authors
Michihiro Hayashi, Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki, Osaka, 569-8686 JapanMitsuhiro Asakuma, Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki, Osaka, 5......
POSTED 08/12/2010 at 01:00 AM --
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Shoulder Pain Following Laparoscopic Cholecystectomy: Factors Affecting the Incidence and Severity
Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)...
POSTED 08/11/2010 at 08:01 PM --
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