Articles Related to Laparoscopic

The European Association of Urology currently recommends partial nephrectomy as the preferred management for localised cT1 renal tumours, irrespective of surgical approach. With the advent of robotic assisted partial nephrectomy, there is growing evidence that warm ischaemia time may be reduced compared to the traditional laparoscopic approach.

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The Aims: The retro-prospective clinical study was to compare these two methods of laparoscopic and classical cholecystectomy. To prove the postoperative benefits of laparoscopic treatment are, less pain, aesthetic aspect without surgical scarring and shorter hospital stay, faster return to social activities as well as more cost effective. Material and Methods: The operated patients, from January 2017 to December 2019 in the abdominal surgery ward in Gjilan. Important data for the study are taken from the operative list, history of the disease, adequate list compiled specifically for this study. The study included 389 patients with chronic calculous cholecystitis. Results: According to the results obtained for calculous diseases of the biliary system are predisposed persons with blood group O, Rh-positive, with 44.2%, followed by group A + with 29.5%, group B + with 14.7%. Other blood groups and Rh factors are below 6.5%. Statistical point of view is significant (p <0.05). The study analyzed, C-reactive protein (CRP) values in both research group (RG) and control groups (CG); CRP by gender; and by age group. RG recorded 76.9% of females with increased CRP values> 6, while 23.1% of males. The percentage difference in statistical terms is significant p <0.05. Conclusion: The results obtained have shown that there are no significant differences in the presentation of intra-operative complications in terms of gender and age, to both methods. Optimization measures for postoperative management of patients after laparoscopic cholecystectomy. Continuing education in laparoscopic surgery is important for successful management.

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Lower urinary tract injury in hysterectomy is rare, but once it occurs, the consequence can be deteriorating. We experienced late onset urinary tract injury that developed as late as 15 days after laparoscopic hysterectomy. The objective of this case report is to alert all gynecological laparoscopists that such late onset complication may happen to any of patients.

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The aim of this study was to compare and determine the feasibility, surgical outcomes, intraoperative and postoperative complications of the use of the posterior approach technique in the laparoscopic radical hysterectomy (LRH) to the conventional laparoscopic radical hysterectomy in patients with cervical cancer.

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The number of bariatric procedures being performed worldwide has increased markedly over the past two decades and this has led to revisional bariatric surgery being increasingly performed.

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Three dimensional anatomy and congenital anomalies are crucial determining the trocar positions and the optimal site view for any laparoscopic procedure. Such critical issue mandates preoperative diagnosis of topographic anatomical variations. Clinical reporting on congenital foregut anomalies does not include yet variation in liver rotation. This research is documenting such unrevealed anomaly and stressing on its implication in the field of contemporary laparoscopic surgery.

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Ectopic liver tissue is an uncommon finding and may be found in multiple abdominal sites, most commonly on the gall bladder. It is usually asymptomatic and is discovered incidentally during cholecystectomy, but there are potential complications. We present a case of an ectopic liver seen on the gallbladder serosa during laparoscopic cholecystectomy being performed for symptomatic cholelithiasis, and briefly review the literature.

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Routine intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy (LC) helps to confirm biliary anatomy and reduce bile leaks. It also allows identification of common bile duct stones intraoperatively which in selected patients can be cleared transcystically in the same procedure which is much less morbid than through post-operative endoscopic retrograde cholangiopancreatography (ERCP). Despite this, some surgeons only selectively perform IOC or forgot it all together.

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Studies comparing robotic-assisted laparoscopic surgery (RALS) and conventional laparoscopic surgery (CLS) suggest that the two approaches have similar outcomes. However, RALS leads to higher cost and longer operative time. We sought to investigate patient perceptions of RALS for benign gynecologic pathology.

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Inguinal hernia is a common surgical problem, but it can present a surgical dilemma for the skilled surgeon when it exhibits some unusual contents.

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A monoclonal antibody (Mab) designated as GHR106 was generated against the extracellular domain (N1-29 synthetic peptide) of human gonadotropin releasing hormone (GnRH) receptor. It is a first-in-class GnRH analog and can serve as a drug candidate for potential applications in the treatment of human cancers and/or fertility regulations.

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Minilaparotomy has been used for tubal sterilization for decades. It became a new surgical idea described by some who performed minilaparotomy hysterectomy and achieved outcomes that were less invasive than those of traditional open laparotomy. Pelosi and Pelosi 2004 reported a minilaparotomy procedure in patients in whom vaginal hysterectomy was considered contraindicated. Their procedure offered a safe alternative with minimal access and good outcome.

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Ascariasis is the most common helminthic infection in the world and is seen mostly in the developing countries of Asia. We report a case of heavy worm infestation in a 2-year-old child who presented with worms in small bowel, common bile duct and liver with abscesses. He was managed conservatively and recovered well without any sequalae.

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Cutaneous metastases from abdominal malignancies are rare and have been reported in less than 5% of patients [1]. Furthermore, metastases in patients suffering from colorectal neoplasia are even rarer entity. Tan et al, among 2538 of the new cases of colorectal cancer over the period of 6 years, reported only 3 cases (0.1%) with cutaneous deposits [1]. Presentation varies from cutaneous or subcutaneous small nodules, rash or large fungating lesions [1-4]. Inevitably, their presence implies the disease progression, and poor prognosis with the reported survival between 1 to 34 months [2,3,5].

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This case report describes the diagnosis and management of a large mesenteric cyst in a 55 year old lady who presented with abdominal distension & with mass in the left upper quadrant. Mesenteric cysts are rare, benign, abdominal tumors to which <1000 cases have been reported in the literature.

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