These authors conclude that laparoscopic surgery for rectal cancer can be performed safely with a reduced rate of postoperative complications, need for blood transfusions, infection, and hospital stay.
HighlightsVenous catheter malposition is a rare event with potential catastrophic consequences.Catheter malposition can occur on induction or late.Ultrasound guided insertion offers extra safety in combination with clinical blood back-flow confirmation of intravascular placement.Periodical and systematic check of intravascular lines prior to their use can confirm positioning during patient transfers.
Encouraging results of endovascular treatment of pararenal PAUs were observed. One major and fatal complication was encountered, which underlines the complexity and risks of the techniques. Another patient required re-intervention owing to an endoleak following off label use of covered stents for Ch-EVAR. FEVAR, which generally requires a custom made graft, was increasingly applied over the study period, potentially because of an increased awareness of this distinct pathology allowing for elective procedure planning. Ch-EVAR and hybrid procedures were predominantly used in symptomatic patients, whereas FEVAR was the preferred elective treatment option.
In the case where intraoperative endoscopy is necessary and there is no endoscope available in the hospital, there is a solution, the use of available laparoscopic equipment. The technique is simple and without being time consuming. All its needed is a laparoscopic video- camera, and laparoscopic ports. The whole procedure takes place in the surgical field and provides an immediate solution for the endoscopic inspection of stomach, small intestine and large intestine. We describe the first case where it takes place in an open right colectomy in a patient with colon cancer and a suspicious lesion at the left colon. Further studies are needed to evaluate the indications and the effectiveness of the method.
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