Laparoscopic perspectives for distal biliary obstruction

Berti, Stefano; Ferrarese, Alessia; Feleppa, Cosimo; Francone, Elisa; Martino, Valter; Bianchi, Claudio; Falcò, Emilio

doi:10.1016/j.ijsu.2015.04.092

Cited by 10 publications

(6 citation statements)

References 27 publications

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“…Surgery seems to be more difficult in elderly patients [ 85 ], but we consider laparoscopy as feasible in emergency [ 86 – 89 ]. It is a secure technique in both young and elderly patients [ 90 – 96 ] and in repair of wound defects.…”

Section: Discussionmentioning

confidence: 99%

Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients

et al. 2016

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AbstractLaparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and effective technique. In this study we tested the hypothesis that self-gripping mesh used with the laparoscopic approach is comparable to polypropylene mesh in terms of perioperative complications, against a lower overall cost of the procedure.We carried out a prospective randomized trial comparing a group of 30 patients who underwent laparoscopic inguinal hernia repair with self-gripping mesh versus a group of 30 patients who received polypropylene mesh with fibrin glue fixation.There were no statistically significant differences between the two groups with regard to intraoperative variables, early or late intraoperative complications, chronic pain or recurrence.Self-gripping mesh in transabdominal hernia repair was found to be a valid alternative to polypropylene mesh in terms of complications, recurrence and postoperative pain. The cost analysis and comparability of outcomes support the preferential use of self-gripping mesh.

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Section: Discussionmentioning

confidence: 99%

Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients

et al. 2016

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“…Eight (67%) patients had a history of laparotomy and 8 (67%) patients had already undergone a cholecystectomy, of which 2 were by laparotomy. Based on preoperative imaging, median CBD diameter was 14 mm (range [10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Resultsmentioning

confidence: 99%

“…Median estimated blood loss was 90 mL (range 5-500). Median duration of robot docking was 15 min (range [10][11][12][13][14][15][16][17][18][19][20]. Combined cholecystectomy was also performed in 4 (33%) patients.…”

Section: Resultsmentioning

confidence: 99%

“…Mini-invasive surgery achieves similar long-term benefit to open surgery but decreases morbidity and improves quality of life [10,11] . Regarding benign CBD, one case series reported laparoscopic CD as feasible [12] .…”

Section: Discussionmentioning

confidence: 99%

“…However, several studies have demonstrated the feasibility and value of a mini-invasive approach in elderly patients, often suffering from cardiorespiratory diseases [19,20] . Regarding reported laparoscopic CD series, median operative time ranged from 180 to 270 min and no major morbidity was reported [11,21] . In the current series, operative time was reduced from more than 3 h in for the first procedure to less than 2 h in the most recent ones.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Robot-Assisted Choledochoduodenostomy: A Safe and Reproducible Procedure for Benign Common Bile Duct Obstruction

et al. 2017

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Background: Choledochoduodenostomy (CD) is an option for treating choledocholithiasis and benign biliary obstruction after failure of endoscopic treatment. Nevertheless, this procedure is rarely performed using a mini-invasive approach because of its technical complexity. Robotic assistance could be a safer approach to overcome such technical issues. Methods: All consecutive patients who underwent a robot-assisted CD for benign biliary obstruction were included. Results: Between 2012 and 2016, 12 patients were operated on, 7 of whom had a body mass index over 25 (58%) and 7 were ASA class 3 (58%). The median age was 73 years (range 49-93). Median operative time was 140 min (range 105-208) and median blood loss was 90 mL (range 5-500). One patient presented with cholangitis 1 month after surgery (treated medically, Clavien-Dindo grade 2). Median length of stay was 7 days (range 3-8). None of the patients experienced severe morbidity after a median follow-up of 15 months. Conclusion: Robot-assisted CD is safe and feasible in benign biliary obstruction.

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Minimally Invasive Biliary Bypass

Berti¹,

Gennai²,

Francone³

2018

Minimally Invasive Surgery of the Pancreas

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Laparoscopic perspectives for distal biliary obstruction

Abstract: Although the restricted number of patients, our results suggest that laparoscopic biliary bypass could be a valid option in managing distal biliary obstructions, resulting in low perioperative morbidity, effective long term palliation of symptoms and improved quality of life.

Cited by 10 publications

References 27 publications

Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients

Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients

Robot-Assisted Choledochoduodenostomy: A Safe and Reproducible Procedure for Benign Common Bile Duct Obstruction

Minimally Invasive Biliary Bypass

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