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single port laparoscopic hysterectomy: Feasibility and safety

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Open Journal of Obstetrics and Gynecology 2013年第7期3卷 1-3页

作者： Soon Pyo Lee Sun Hye Yang Chun Hoe Ku Sung Ho Lee Jin Woo Shin Department of Obstetrics and Gynecology Gil Medical Center Gachon University Incheon Korea

Objective: To evaluate the feasibility and safety of single-port laparoscopic hysterectomy comparing with multi-port laparoscopic hysterectomy in treatment of benign uterine diseases. Methods: Data were collected retrospectively by review of the medical records of 252 patients who underwent multi-port or single-port laparoscopic surgery for treatment of benign gynecologic diseases. Laparoscopy assisted vaginal hysterectomy (LAVH) was performed for single-port surgery and LAVH and total laparoscopic hysterectomy (TLH) were performed for multi-port surgery. Demographic variables were collected and analyzed by independent t-test and Pearson Chi-Square test. The primary outcome was analyzed by independent t-test and Fisher’s Exact test. Results: A longer operative time was observed in the multi-port surgery group compared with that of the single-port group (p single-port laparoscopic hysterectomy for treatment of benign uterine diseases is a safe and feasible method.

关键词： Laparoscopic Hysterectomy Benign Uterine Diseases single-port

Present laparoscopic surgery for colorectal cancer in Japan

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World Journal of Clinical Oncology 2016年第2期7卷 155-159页

作者： Takeo Sato Masahiko Watanabe Department of Surgery Kitasato University School of Medicine

In many clinical studies,laparoscopic surgery(LS) for colon cancer has been shown to be less invasive than open surgery(OS) while maintaining similar ***,there are no significant differences between LS and OS in long-term ***,LS has been accepted as one of the standard treatments for colon *** the treatments of rectal cancer as well,LS has achieved favorable outcomes,with many reports showing long-term outcomes comparable to those of ***,the magnification in laparoscopy improves visualization in the pelvic cavity and facilitates precise manipulation,as well as providing excellent educational *** these reasons,rectal cancer has seemed to be well indicated for LS,as has been colon *** indication for LS in the treatment of locally advanced rectal cancer,which is relatively unresectable(e.g.,cancer invading other organs),remains an open *** recent years,new techniques such as singleport and robotic surgery have begun to be introduced for ***,various clinical studies in our country as well as in most Western countries have demonstrated that LS,with these new techniques,are gradually showing long-term outcomes.

关键词： Laparoscopic surgery Colorectal cancer Colectomy Total mesorectal excision Randomized controlled trial Robotic surgery single-port surgery

single-site laparoscopic partial nephrectomy: Where are we going?

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World Journal of Clinical Urology 2014年第3期3卷 358-363页

作者： Roberto Castellucci Luca Cindolo Mario Alvaréz-Maestro Guido Giusti Francesco Berardinelli Fabio Pellegrini Luigi Schips Urology Department Hospital "Infanta Sofia"65129 Madrid Spain Urology Department Hospital "S.Pio da Pieterelcina"66054 Vasto Italy Stone Center Urology Department Humanitas Clinical and Research Center20089 Rozzano Italy

AIM:To review an evolution of laparoscopic surgery,there has been a growing interest in laparoendoscopic single-site surgery(LESS).METHODS:A comprehensive electronic literature search was conducted using PubM ed database to identify all publications relating to LESS-partial nephrectomy(PN).The research includes articles published from April 2008 to January *** focused our attention only on articles in which were cited the single-site surgical technique(laparoscopic and robotic),tumour stage and grade,mean tumour size,intraoperative variables,blood loss and transfusion rate,length of postoperative stay and complication rates,Clavien classification,positive of surgical margins,pain assessment at ***:A total of 9 studies were collected with 221patients *** mean patients age was 62 *** mean tumor size was 2.35 cm with a mean operative time of 181 min(range 111-270 min)and 58.3%were done by *** mean ischemia time was *** 25.8%of patients underwent an unclamp *** estimated blood loss was 296 mL and median length of hospital stay was 4 *** rate of severe post-operative complications(≥Clavien gradeⅢ)was 5.4%.Not all surgical series of LESS-PN or Robotic-LESS-PN shows conversion in Multiport Laparoscopic or Open *** oncologic outcomes,surgical margins were positive 4%of patients(9/221),no distant or port-site metastases were ***:LESS-PN and RLESS-PN are feasible and associated with reduced postoperative pain,shorter median hospital stay,shorter recovery time,and better cosmetic satisfaction without compromising surgical and oncological safety.

关键词： Nephron sparing surgery Partial nephrectomy Laparoendoscopic single-site surgery single-port access surgery single-incision laparoscopic surgery Robotic single-port partial nephrectomy

Thoracoscopy in Cameroon: Indications, Technics and Short Term Results

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Surgical Science 2024年第4期15卷 278-288页

作者： Guy Aristide Bang Richard II Mbele Fabrice Stephane Arroye Betou Arlette Joelle Moukitek Banaken Amos Bella Ela Charles Mve Mvondo Arthur Essomba Department of Surgery and Specialities Faculty of Medicine and Biomedical Sciences Yaound&#233 I University Yaound&#233 Cameroon Department of Surgery and Specialities Yaound&#233 Teaching Hospital Yaound&#233 Cameroon General Surgery Service Mvog-Ada District Hospital Yaound&#233 Cameroon Department of Cardiothoracic and Vascular Surgery Laquintinie Hospital Douala Cameroon Department of Cardiothoracic and Vascular Surgery Yaound&#233 General Hospital Yaound&#233 Cameroon Cardiac Center Shisong St. Elizabeth Catholic General Hospital Shisong Kumbo Cameroon

Introduction: Thoracoscopy is a video-assisted surgical approach that mirrors the techniques used in thoracotomy. Our aim is to map the current state of thoracoscopy practice in Cameroon’s hospitals. Methods: This was a descriptive study that collected both retrospective and prospective data over 57 months across four hospitals in Cameroon. It included 13 patients and focused on variables such as socio-demographic factors, clinical profiles, surgical procedures, and postoperative follow-up. Results: Thirteen patients, predominantly male (84.6%, n = 11), with a mean age of 37.5 ± 16 years, were enrolled. Alcohol use (61.5%) and smoking (38.5%) were the most common past histories. The major complaints were dyspnea (84.6%) and chest pain (58.3%). The primary surgical procedure was clot-free thoracoscopy in 30.8% of cases, mainly for persistent hemothorax (41.8%). Most surgeries were elective (76.9%) and performed under general anesthesia with selective intubation (61.5%). The most common approach was single-port thoracoscopy (U-VATS) (76.9%), with no reported difficulties;however, one intraoperative incident occurred and was successfully treated. Drainage was performed systematically in all patients, and one case required conversion to open surgery. Postoperative complications were minor (Clavien-Dindo grade I) and mainly consisted of pain, with a mortality rate of 15.4%. No significant association was found between risk factors and the occurrence of complications or postoperative mortality. Conclusion: Thoracoscopy, a novel approach in our context, primarily focuses on minor thoracic surgeries.

关键词： Thoracoscopy single-port Hemothorax Cameroon

Feasibility of single-incision laparoscopic cholecystectomy for acute cholecystitis

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World Journal of Gastrointestinal Endoscopy 2015年第19期7卷 1327-1333页

作者： Taro Ikumoto Hidetsugu Yamagishi Mineo Iwatate Yasushi Sano Masahito Kotaka Yasuo Imai Gastrointestinal Cancer Center and Institute of Minimally-invasive Endoscopic Care Sano Hospital Department of Diagnostic Pathology Dokkyo Medical University Department of Anatomic and Diagnostic Pathology Dokkyo Medical University

AIM: To assess the safety of single-incision laparoscopic cholecystectomy(SILC) for acute ***: All patients who underwent SILC at Sano Hospital(Kobe, Japan) between January 2010 and December 2014 were included in this retrospective study. Clinical data related to patient characteristics and surgical outcomes were collected from medical records. The parameters for assessing the safety of the procedure included operative time, volume of blood loss, achievement of the critical view of safety, use of additional trocars, conversion to laparotomy, intraoperative and postoperative complications, and duration of postoperative hospital stay. Patient backgrounds were statistically compared between those with and without conversion to ***: A total of 100 patients underwent SILC for acute cholecystitis during the period. Preoperative endoscopic treatment was performed for suspected choledocholithiasis in 41 patients(41%). The mean time from onset of acute cholecystitis was 7.7 d. According to the Updated Tokyo Guidelines(TG13) for the severity of cholecystitis, 86 and 14 patients had grade Ⅰ and grade Ⅱ acute cholecystitis, respectively. The mean operative time was 87.4 min. The mean estimated blood loss was 80.6 mL. The critical view of safety was obtained in 89 patients(89%). Conversion laparotomy was performed in 12 patients(12%). Postoperative complications of Clavien-Dindo grade Ⅲ or greater were observed in 4 patients(4%). The mean duration of postoperative hospital stay was 5.7 d. Patients converted from SILC to laparotomy tended to have higher days after ***: SILC is feasible for acute cholecystitis; in addition, early surgical intervention may reduce the risk of laparotomy conversion.

关键词： Acute cholecystitis single-port accesssurgery single incision laparoscopic cholecystectomy single incision laparoscopic surgery Laparo-endoscopicsingle-site surgery

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