http://www.journalofmas.com/currentissue.asp J Min Access Surg 2012 - 8(1) Journal of Minimal Access Surgery Medknow Publications0972-9941 Sofie Fransen L Stassen N Bouvy Review Article Journal of Minimal Access Surgery 2012 8(1):1-5doi:10.4103/0972-9941.91771 Journal of Minimal Access Surgery 10.4103/0972-9941.91771 http://www.journalofmas.com/text.asp?2012/8/1/1/91771 http://www.journalofmas.com/text.asp?2012/8/1/1/9177181 1 5 http://www.journalofmas.com/text.asp?2012/8/1/1/91771 Sofie Fransen, L Stassen, N Bouvy

Journal of Minimal Access Surgery 2012 8(1):1-5

Background: The aim of this study was to establish the incidence of postoperative complications after single incision laparoscopic cholecystectomy. Materials and Methods: A literature search was performed using the PubMed database. Search terms included single incision laparoscopic cholecystectomy, single port cholecystectomy, minimal invasive laparoscopic cholecystectomy, nearly scarless cholecystectomy and complications. Results: A total of 38 articles meeting the selection criteria were reviewed. A total of 1180 patients were selected to undergo single incision laparoscopic cholecystectomy. Introduction of extra ports was necessary in 4% of the patients. Conversion to open cholecystectomy was required in 0.4% of the patients. Laparoscopic cholangiography was attempted in 4% of the patients. The incidence of major complications requiring surgical intervention or ERCP with stenting was 1.7%. The mortality rate was zero. Conclusion: Although the number of complications after single incision laparoscopic cholecystectomy seems favourable, it is too early to conclude that single incision laparoscopic cholecystectomy is a safe procedure. Large randomised controlled trials will be necessary to further establish its safety.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/1/91771 Giuseppe Piccinni Andrea Sciusco Angela Gurrado Germana Lissidini Mario Testini Original Article Journal of Minimal Access Surgery 2012 8(1):6-8doi:10.4103/0972-9941.91772 Journal of Minimal Access Surgery 10.4103/0972-9941.91772 http://www.journalofmas.com/text.asp?2012/8/1/6/91772 http://www.journalofmas.com/text.asp?2012/8/1/6/9177281 6 8 http://www.journalofmas.com/text.asp?2012/8/1/6/91772 Giuseppe Piccinni, Andrea Sciusco, Angela Gurrado, Germana Lissidini, Mario Testini

Journal of Minimal Access Surgery 2012 8(1):6-8

Background: Appendicitis is the most common cause of acute abdomen, and appendectomy is the most frequent surgical procedure performed in the world. In recent times, laparoscopic appendectomy has been gaining increasing consensus, although comparison with traditional open surgery is still debated. Recent reports seem to agree in recognizing laparoscopy as the favourable approach in cases of non-complicated appendicitis, in women and in obese patients. The use of a linear stapler to close the appendiceal stump also seems to guarantee a dramatic decrease of complications and this observation could be the rationale for considering the laparoscopic approach to also be safe in complicated appendicitis. In these cases, dissection of the mesoappendix and isolation of the viscum could be very difficult and could cause complications. By proposing this technique using a laparoscopic approach, we try to permit a simple and safe section of the appendix leaving the detachment from vessels and from the neighbourhood to a second moment. Materials and Methods: We report our initial experience including the first 50 cases and proposing our personal technique of laparoscopic appendectomy. Results and Conclusion : We recorded only one intraoperative haemorrhage, one bladder perforation due to trocar insertion and no conversion. Our goal is to standardize and simplify the laparoscopic approach in order to give any surgeon, even non-expert ones, a simple way to remove the viscum especially in complicated pictures.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/6/91772 Oskar Rückbeil Andreas Lewin Matthias Federlein Klaus Gellert Original Article Journal of Minimal Access Surgery 2012 8(1):9-12doi:10.4103/0972-9941.91773 Journal of Minimal Access Surgery 10.4103/0972-9941.91773 http://www.journalofmas.com/text.asp?2012/8/1/9/91773 http://www.journalofmas.com/text.asp?2012/8/1/9/9177381 9 12 http://www.journalofmas.com/text.asp?2012/8/1/9/91773 Oskar Rückbeil, Andreas Lewin, Matthias Federlein, Klaus Gellert

Journal of Minimal Access Surgery 2012 8(1):9-12

Background : Numerous technical and surgical innovations took place in laparoscopic surgery in the recent past. It is debatable whether single-access surgery or natural orifice surgery (NOS) will establish for several standard procedures. Most of the NOS-procedures are controversial and single-access surgery still has to prove its equality in controlled trials. In the intention to reduce the ingress incisons and to facilitate instrumentation, we decided to test the barrier-free AirSeal® -trocar in clinical practice. Materials and Methods : Laparoscopically we performed a cholecystectomy, gastric wedge-resection and a fundoplication using the barrier-free AirSeal® 12-mm-trocar. This trocar works without any mechanical barrier so that via this trocar the use of two instruments is possible. Results : All three operations were successful. Conclusion : Laparoscopic standard procedures are feasible using this barrier-free trocar without a higher degree of difficulty. Because of the facilitated instrumentation, it is possible to work more efficiently and to maintain the focus on the surgical field.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/9/91773 Suresh B Patankar Rupesh B Shah Nimit N Oza Unusual case Journal of Minimal Access Surgery 2012 8(1):13-15doi:10.4103/0972-9941.91774 Journal of Minimal Access Surgery 10.4103/0972-9941.91774 http://www.journalofmas.com/text.asp?2012/8/1/13/91774 http://www.journalofmas.com/text.asp?2012/8/1/13/9177481 13 15 http://www.journalofmas.com/text.asp?2012/8/1/13/91774 Suresh B Patankar, Rupesh B Shah, Nimit N Oza

Journal of Minimal Access Surgery 2012 8(1):13-15

Today, in the era of minimally invasive surgery, paediatric laparoscopy has become widely popular. Extra-adrenal pheochromocytoma is a very rare entity, especially in the paediatric age group and utility of the laparoscopic approach is not established in this population. Early diagnosis and surgical excision are integral part of treatment of childhood pheochromocytoma. We present a case study of a child with hormonally active extra-adrenal pheochromocytoma that was resected laparoscopically. Laparoscopic approach provides excellent exposure with magnification and allows proper identification of the tumour and its relation to surrounding structures; complete resection of tumour was achieved with adequate vascular control. With our initial experience, we suggest laparoscopic resection is an appropriate and feasible tool in such cases.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/13/91774 Sachin Wani Vineet Wakde Rakesh Patel Roy Patankar SK Mathur Unusual case Journal of Minimal Access Surgery 2012 8(1):16-18doi:10.4103/0972-9941.91775 Journal of Minimal Access Surgery 10.4103/0972-9941.91775 http://www.journalofmas.com/text.asp?2012/8/1/16/91775 http://www.journalofmas.com/text.asp?2012/8/1/16/9177581 16 18 http://www.journalofmas.com/text.asp?2012/8/1/16/91775 Sachin Wani, Vineet Wakde, Rakesh Patel, Roy Patankar, SK Mathur

Journal of Minimal Access Surgery 2012 8(1):16-18

Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diagnosis of MAL and colour Doppler is essential to confirm the diagnosis. The classic management involves the surgical division of the MAL fibres. We report successful management of two patients diagnosed as MAL syndrome and treated by laparoscopic release of the MAL.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/16/91775 Seetharam Prasad Lingadakai Ramachandra Saurabh Agarwal Digvijay Sharma Unusual case Journal of Minimal Access Surgery 2012 8(1):19-20doi:10.4103/0972-9941.91776 Journal of Minimal Access Surgery 10.4103/0972-9941.91776 http://www.journalofmas.com/text.asp?2012/8/1/19/91776 http://www.journalofmas.com/text.asp?2012/8/1/19/9177681 19 20 http://www.journalofmas.com/text.asp?2012/8/1/19/91776 Seetharam Prasad, Lingadakai Ramachandra, Saurabh Agarwal, Digvijay Sharma

Journal of Minimal Access Surgery 2012 8(1):19-20

Pleural lipoma is an extremely rare clinical entity. Symptomatic pleural lipoma is rarer. We report a case of symptomatic pleural lipoma which was successfully managed by video-assisted thoracoscopic surgery (VATS). A brief review of relevant literature has been included in the article.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/19/91776 Sadhana V Deo Shailesh P Puntambekar How do I do it? Journal of Minimal Access Surgery 2012 8(1):21-24doi:10.4103/0972-9941.91779 Journal of Minimal Access Surgery 10.4103/0972-9941.91779 http://www.journalofmas.com/text.asp?2012/8/1/21/91779 http://www.journalofmas.com/text.asp?2012/8/1/21/9177981 21 24 http://www.journalofmas.com/text.asp?2012/8/1/21/91779 Sadhana V Deo, Shailesh P Puntambekar

Journal of Minimal Access Surgery 2012 8(1):21-24

Laparoscopic right hemicolectomy is an advanced cancer surgery in today's era. With increasing experience, we have described novel technique for this procedure. To prevent falling down of the colon in the operative field and to have early control on vessels, we go from medial to lateral approach.]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/21/91779 Vipul D Yagnik Letter to the Editor Journal of Minimal Access Surgery 2012 8(1):25-25doi:10.4103/0972-9941.91780 Journal of Minimal Access Surgery 10.4103/0972-9941.91780 http://www.journalofmas.com/text.asp?2012/8/1/25/91780 http://www.journalofmas.com/text.asp?2012/8/1/25/9178081 25 25 http://www.journalofmas.com/text.asp?2012/8/1/25/91780 Vipul D Yagnik

Journal of Minimal Access Surgery 2012 8(1):25-25

]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/25/91780 Arvind P Ganpule Letter to the Editor Journal of Minimal Access Surgery 2012 8(1):25-26doi:10.4103/0972-9941.91782 Journal of Minimal Access Surgery 10.4103/0972-9941.91782 http://www.journalofmas.com/text.asp?2012/8/1/25/91782 http://www.journalofmas.com/text.asp?2012/8/1/25/9178281 25 26 http://www.journalofmas.com/text.asp?2012/8/1/25/91782 Arvind P Ganpule

Journal of Minimal Access Surgery 2012 8(1):25-26

]]> Fri,13 Jan 2012http://www.journalofmas.com/text.asp?2012/8/1/25/91782 Tehemton E Udwadia Book Review Journal of Minimal Access Surgery 2012 8(1):27-27Journal of Minimal Access Surgery http://www.journalofmas.com/text.asp?2012/8/1/27/91783 http://www.journalofmas.com/text.asp?2012/8/1/27/9178381 27 27 http://www.journalofmas.com/text.asp?2012/8/1/27/91783 Tehemton E Udwadia

Journal of Minimal Access Surgery 2012 8(1):27-27

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