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This method is easy and reliable, and does not require special devices or skills when performing reconstruction after laparoscopic total gastrectomy. Because of these factors, it has the potential to be widely used to perform esophagojejunostomy.

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Introduction Several studies have reported that needlescopic appendectomy (NA) is a safe and effective procedure for appendicitis because of reduced trocar wounds and tissue trauma. The aim of this study was to evaluate the efficacy of NA in young patients under 40 years of age whose cosmesis matters with appendicitis by comparing it to conventional laparoscopic appendectomy (CLA). Methods We retrospectively reviewed our database looking for patients under 40 years of age diagnosed with appendicitis who underwent NA or CLA from January 2013 to April 2017. Patients were divided into two groups: the NA group, and the CLA group. Data collected from each group included age, gender, body mass index, preoperative C‐reactive protein, emergency or non‐emergency settings, operative time, postoperative length of stay, postoperative complications, and pathological diagnosis. Results Fifty‐four patients underwent NA and 53 patients underwent CLA. The groups were similar in terms of demographic features. Pathological diagnoses were divided into the following categories: catarrhalis (n = 35), phlegmonous (n = 37), and gangrenous (n = 35). No significant difference was noted regarding the distribution of the three groups (P = .4). NA resulted in significantly shorter operative times (P = .0005), and reduced lengths of hospital stay (P = .03) as compared to CLA. There was no significant difference in the number of complications between the two groups. Conclusion NA might be an effective surgical technique when performing a laparoscopic appendectomy in young patients with appendicitis.

A 9-year-old, male neutered domestic shorthair cat was presented with injury at the hip. The skin was markedly thin and it was easily damaged with minor trauma. Complete blood counts showed anemia and neutrophilia with the left shift. Histopathology revealed severely atrophic epidermis with hyperkeratosis, and atrophic dermis consisted of dispersed collagen fibers. The cat was diagnosed as having acquired skin fragility syndrome. After fifty-four days, the cat suddenly died, and autopsy showed systemic amyloidosis with lipid pneumonia and interstitial nephritis.