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  Access statistics : Table of Contents
   2012| January-March  | Volume 8 | Issue 1  
    Online since January 13, 2012

 
 
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REVIEW ARTICLE
Single incision laparoscopic cholecystectomy: A review on the complications
Sofie Fransen, L Stassen, N Bouvy
January-March 2012, 8(1):1-5
DOI:10.4103/0972-9941.91771  PMID:22303080
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.
  4,990 265 17
HOW I DO IT
Laparoscopic right radical hemicolectomy
Sadhana V Deo, Shailesh P Puntambekar
January-March 2012, 8(1):21-24
DOI:10.4103/0972-9941.91779  PMID:22303086
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.
  5,071 172 -
ORIGINAL ARTICLES
The "BASE-FIRST" technique in laparoscopic appendectomy
Giuseppe Piccinni, Andrea Sciusco, Angela Gurrado, Germana Lissidini, Mario Testini
January-March 2012, 8(1):6-8
DOI:10.4103/0972-9941.91772  PMID:22303081
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.
  4,108 279 3
UNUSUAL CASE
Laparoscopic release of median arcuate ligament
Sachin Wani, Vineet Wakde, Rakesh Patel, Roy Patankar, SK Mathur
January-March 2012, 8(1):16-18
DOI:10.4103/0972-9941.91775  PMID:22303084
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.
  3,850 126 -
Successful management of pleural lipoma by video-assisted thoracoscopic surgery
Seetharam Prasad, Lingadakai Ramachandra, Saurabh Agarwal, Digvijay Sharma
January-March 2012, 8(1):19-20
DOI:10.4103/0972-9941.91776  PMID:22303085
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.
  3,114 106 1
Laparoscopic resection of extra-adrenal pheochromocytoma in paediatric age
Suresh B Patankar, Rupesh B Shah, Nimit N Oza
January-March 2012, 8(1):13-15
DOI:10.4103/0972-9941.91774  PMID:22303083
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.
  2,475 95 -
LETTERS TO THE EDITOR
Boerhaave syndrome
Vipul D Yagnik
January-March 2012, 8(1):25-25
DOI:10.4103/0972-9941.91780  PMID:22303087
  2,169 121 -
ORIGINAL ARTICLES
The barrier-free trocar technique in three laparoscopic standard procedures
Oskar Rückbeil, Andreas Lewin, Matthias Federlein, Klaus Gellert
January-March 2012, 8(1):9-12
DOI:10.4103/0972-9941.91773  PMID:22303082
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.
  2,029 101 -
LETTERS TO THE EDITOR
Imaging in ureteric stones
Arvind P Ganpule
January-March 2012, 8(1):25-26
DOI:10.4103/0972-9941.91782  PMID:22303088
  1,891 78 2
BOOK REVIEW
Safe Cholecystectomy A-Z
Tehemton E Udwadia
January-March 2012, 8(1):27-27
  1,451 125 -
© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04