Transumbilical laparoscopic cholecystectomy. Experience in 12 patients Background: A new laparoscopic cholecystectomy technique uses a single umbilical port, to reduce trauma. Aim: To evaluate prospectively the feasibility of performing single incision laparoscopic cholecystectomies. Material and Methods: Patients with cholelithiasis or gallbladder polyps, without recent acute biliary episodes and a normal biliary tract were considered eligible for the study. An optical device with a working channel was introduced through a single umbilical incision. A second smaller trocar was also introduced through the same incision. Results: Between May 2008 and February 2009, twelve women aged 14 to 64 years (nine with cholelitiasis and three with gallbladder polyps) fulfilled inclusion criteria. The procedure lasted 160 minutes at the beginning of the series to 45 minutes in the latest cases. Abdominal pain and hospital stay (12-48 hours) do not differ from patients subjected conventional laparoscopy cases. No complication was recorded and no patient had to be converted to conventional surgery. Conclusions: Single umbilical incision laparoscopic cholecystectomy is similar to conventional laparoscopy procedures in terms of surgical pain and hospital stay and offers a better esthetic outcome.
endoscopic submucosal dissection for early gastric cancer introduction: Endoscopic submucosal dissection (ESD) is nowadays the standard treatment for a subgroup of early gastric cancer with low risk of lymph node metastasis. This procedure has the advantage of achieving a higher percentage of negative margins and of allowing resections of larger tumors compared with the endoscopic mucosal resection (EMR) method, being less invasive compared with surgery. aim: To analyze the postoperative outcomes, histology and overall survival of patients undergoing ESD in our center. methods: Descriptive study. Data were collected from clinical records of patients undergoing ESD from January 2008 to June 2012. results: 15 patients (8 males and 7 females, median age 70 years (45-88)) were included. The tumor was located at upper, middle and lower third in 2, 5 and 8 patients, respectively. Median tumor size was 13.5 mm (6-21). Most tumors were classified as type IIc. Among postoperative complications, there was 1 gastric bleeding and 3 gastric perforations. Hospital stay was 3 days (1-23). There was no mortality. There was one case of submucosal invasion. negative margins were achieved in 86.7%. There was one deep and one lateral positive margin, managed by surgery and re-ESD, respectively. At 16 months (7-61) of median follow-up, overall survival was 100%. Tumor recurrence was observed in one patient at 51 months, was treated by surgery. conclusion: ESD is a feasible technique in the minimally invasive management of early gastric cancer, allowing a high percentage of negative margins.
3.-En caso afirmativo ¿cuántas ecotomografías realiza a la semana? a.-1 a 5 b.-6 a 10 c.-más de 10 4.-Considera que el curso de ecotomografía le entregó conocimientos útiles y prácticos para su trabajo médico. a.-Sí b.-No 5.-Cree Ud. que debiera reciclar sus conocimientos y destrezas ecográficos periódicamente a.-Sí (cada cuánto tiempo) b.-No 6.-Considera que necesita algún conocimiento específico no entregado en el curso a.-Sí (cuál) b.-No 7.-Cree Ud. que la ecotomografía debiera ser materia de cursos formales en: a.-Pregrado b.-En la beca de cirugía Agradeceríamos cualquier sugerencia o comentario que considere oportuno para ser considerado en cursos futuros.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.