Search results for " LAPAROSCOPIC"

showing 10 items of 89 documents

Changes of inflammatory mediators in obese patients after laparoscopic cholecystectomy.

2010

Background Obesity is associated with the impairment of immunological functions. The aim of this study was to analyze some inflammatory mediators in obese subjects who underwent laparoscopic cholecystectomy. Methods Seventeen consecutive female patients with a BMI ranging from 35 to 45 kg/m2 (obese) and 17 consecutive female patients with BMI ranging from 20 to 25 kg/m2 (nonobese) were included in the study. All patients were affected by symptomatic gallbladder stone disease and underwent laparoscopic cholecystectomy. Changes in levels of leukocytes, neutrophils, IL-6, IL-10, leptin, and adiponectin were evaluated. Results We observed a significant increase in leukocyte and neutrophil level…

Leptinmedicine.medical_specialtySurgical stressmedicine.medical_treatmentInflammationGastroenterologyBody Mass IndexLeukocyte CountLaparoscopic cholecystectomyStress PhysiologicalInternal medicinemedicineHumansLaparoscopic cholecystectomy Obesity Inflammatory mediatorsObesitybusiness.industryObesity Laparoscopic Cholecystectomy Inflammatory MediatorsInterleukin-6GallbladderCholecystolithiasisVascular surgerySweet SyndromeInflammatory mediatorsCardiac surgeryInterleukin-10Settore MED/18 - Chirurgia Generalemedicine.anatomical_structureCholecystectomy LaparoscopicCardiothoracic surgerySurgeryCholecystectomyFemaleAdiponectinmedicine.symptomInflammation MediatorsbusinessAbdominal surgery
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An unexpected surprise at the end of a "quiet" cholecystectomy. A case report and review of the literature

2012

BACKGROUND: Anatomic unexpected variations in biliary tree may be discovered during laparoscopic cholecystectomy. CASE REPORT: A 57-year-old man was admitted for abdominal pain, vomiting and mild jaundice. Abdominal ultrasonography revealed a gallbladder containing multiple stones and biliary sludge. All pre-operative investigations showed no anatomical variations in extrahepatic biliary tree. During surgical intervention an accessory extrahepatic duct, connecting the IV segment of the liver to the fundus of gallbladder, was discovered. CONCLUSIONS: Pre-operative routine investigations for gall stones diseases may not reveal anatomic variations of biliary tree.

MaleLaparoscopic cholecystectomySettore MED/18 - Chirurgia GeneraleHumansAberrant bile ductCholecystectomyCholelithiasiMiddle AgedCholelithiasis; Laparoscopic cholecystectomy; Aberrant bile duct
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Current status of laparoscopy for acute abdomen in Italy: a critical appraisal of 2012 clinical guidelines from two consecutive nationwide surveys wi…

2017

Background: Several authors have demonstrated the safety and feasibility of laparoscopy in selected cases of abdominal emergencies. The aim of the study was to analyse the current Italian practice on the use of laparoscopy in abdominal emergencies and to evaluate the impact of the 2012 national guidelines on the daily surgical activity. Methods: Two surveys (42 closed-ended questions) on the use of laparoscopy in acute abdomen were conducted nationwide with an online questionnaire, respectively, before (2010) and after (2014) the national guidelines publication. Data from two surveys were compared using Chi-square or Fisher’s exact test, and data were considered significant when p < 0.05…

MaleLaparoscopic surgeryClinical auditmedicine.medical_specialtymedicine.medical_treatmentAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopyComputer-assisted web interviewing030230 surgeryLaparoscopic surgeryNOClinical auditAcute abdomen03 medical and health sciences0302 clinical medicinemedicineHumansPractice Patterns Physicians'LaparoscopyAbdomen AcuteLaparoscopy acute abdomenNational surveymedicine.diagnostic_testbusiness.industryAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopy; SurgeryGeneral surgeryAbdominal emergenciesmedicine.diseaseLaparoscopic surgery Abdominal emergencies Acute abdomen Laparoscopy National survey Nationwide survey on laparoscopy Emergency laparoscopy guidelines Clinical audit Laparoscopy acute abdomen Laparoscopic acute care surgeryCritical appraisalItalyAcute abdomenEmergency laparoscopy guidelineEmergency laparoscopy guidelinesHealth Care SurveysPractice Guidelines as TopicCholecystitisAbdominal emergencieLaparoscopic acute care surgeryFemale030211 gastroenterology & hepatologyLaparoscopySurgeryGuideline AdherenceEmergenciesmedicine.symptomNationwide survey on laparoscopybusinessAbdominal surgery
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Pentafecta Rates of Three-Dimensional Laparoscopic Radical Prostatectomy: Our Experience after 150 Cases

2017

Introduction Three-dimensional (3D) laparoscopy with a flexible camera was developed to overcome the main limitation of traditional laparoscopic surgery, which is two-dimensional (2D) vision. The aim of our article is to present the largest casistic of 3D laparoscopic radical prostatectomy (LRP) available in literature and evaluate our results in terms of pentafecta and compare it with the literature. Methods We retrospectively evaluated consecutive patients who underwent LRP with 3D technology between March 2014 and December 2015. Total operative time (TOT), anasthomosis time (AT), blood loss and complications were registered. All patients presented at least 3 months of follow-up. Surgical…

MaleLaparoscopic surgeryPentafectamedicine.medical_specialtyLaparoscopic radical prostatectomymedicine.medical_treatment030232 urology & nephrologyMEDLINE03 medical and health sciencesProstate cancerImaging Three-Dimensional0302 clinical medicinemedicineHumansLaparoscopyAgedRetrospective StudiesProstatectomyProstate cancermedicine.diagnostic_testbusiness.industryProstatectomyLaparoscopic radical prostatectomyProstatic NeoplasmsRetrospective cohort studyGeneral MedicineMiddle Agedmedicine.diseaseSurgeryLaparoscopy Laparoscopic radical prostatectomy Pentafecta Prostate cancer Three-dimensional laparoscopyPatient Outcome AssessmentSurgery Computer-Assisted030220 oncology & carcinogenesisLaparoscopybusinessThree-dimensional laparoscopyUrologia Journal
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An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesore…

2018

Introduction: Transanal total mesorectal excision (TaTME) has rapidly emerged as a novel approach for rectal cancer surgery. Safety profiles are still emerging and more comparative data is urgently needed. This study aimed to compare indications and short-term outcomes of TaTME, open, laparoscopic, and robotic TME internationally. Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results: Of 2579 included patients, 76.2% (1966/257…

MaleLaparoscopic surgerymedicine.medical_specialtyColorectal cancermedicine.medical_treatmentOperative TimeAnastomosisMalignancyrectal cancer ; laparoscopic surgery ; TME ; transanal TME ; TaTME ; robotic surgery ; randomized clinical-trial ; short-term outcomes ; laparoscopic-assisted resection ; pathological outcomes ; anastomotic leakage ; initial-experience ; riskNO03 medical and health sciencesPostoperative Complications0302 clinical medicineRobotic Surgical Proceduresrobotic surgerytransanal TMEHumansMedicineRobotic surgeryProspective Studieslaparoscopic surgery; Rectal cancer; robotic surgery; TaTME; TME; transanal TME; GastroenterologyRectal cancerAgedTransanal Endoscopic Surgeryta3126Medical AuditUnivariate analysisProctectomyRectal Neoplasmsbusiness.industryRectumGastroenterologyTMEMargins of ExcisionMiddle Agedmedicine.diseaseTotal mesorectal excisionTaTMElaparoscopic surgerySurgeryTreatment OutcomeElective Surgical Procedures030220 oncology & carcinogenesisRectal cancer surgeryFemaleLaparoscopy030211 gastroenterology & hepatologybusiness
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Role and outcomes of laparoscopic cholecystectomy in the elderly.

2014

Abstract Introduction : Laparoscopic cholecystectomy is the standard of treatment for gallstones disease and acute colecystitis. The prevalence of this disease increases with age and the population is aging in industrialized countries. So, in this study we report our experience in the treatment of gallstone disease in elderly patients, particularly analyzing the outcomes of laparoscopic approach. Methods : Between January 2010 and May 2014 we performed a total of 1227 cholecystectomies. In this retrospective study age group was the primary independent variable: 351 patients were 65–79 years of age and 65 were 80 years of age or older. Results : Only 65 patients (5.3%) of all population had …

MaleLaparoscopic surgerymedicine.medical_specialtymedicine.medical_treatmentLaparoscopic cholecystectomy Gallstone disease-elderly Laparoscopy Laparoscopic surgery Geriatric surgeryCholecystitis AcutePopulationComorbidityGallstonesDiseaseLaparoscopic surgeryCohort StudiesLaparoscopic cholecystectomyCholelithiasismedicineGeriatric surgeryHumansCholecystectomyLaparoscopyeducationAgedRetrospective StudiesAged 80 and overeducation.field_of_studymedicine.diagnostic_testbusiness.industryGeneral surgeryRetrospective cohort studyGeneral MedicineGallstonesMiddle Agedmedicine.diseaseConversion to Open SurgeryComorbiditySettore MED/18 - Chirurgia GeneraleTreatment OutcomeCholecystectomy LaparoscopicElective Surgical ProceduresGallstone disease-elderlyFemaleLaparoscopySurgerybusinessDeveloped country
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Evaluating the efficacy of current treatments for reducing postoperative ileus: a randomized clinical trial in a single center.

2014

AIM: Postoperative ileus has been considered an inevitable consequence of abdominal surgery. The aim of the study was to investigate the efficacy of same treatments in resolving postoperative ileus in various surgical approaches. METHODS: A total of 360 patients underwent abdominal surgery, and was divided into four groups: videolaparoscopic cholecystectomy, laparotomic colo-rectal surgery, laparotomic Hartmann procedure, laparotomic gastric surgery. In each group, patients received different postoperative treatments: chewing gum, olive oil, both, and water. Each group was compared with a control group. RESULTS: In patients who underwent videolaparoscopic cholecystectomy, median postoperati…

MaleSettore MED/17 - Malattie InfettiveColonAbdomen; Chewing gum; Ileus; Olive oil; Surgery; SurgeryIleuChewing gum olive oil ileus abdomen surgeryEatingIleusPostoperative ComplicationsAbdomenFlatulenceHumansPlant OilsDefecationDigestive System Surgical ProceduresAgedLaparotomySettore MED/12 - GastroenterologiaStomachRectumWaterRecovery of FunctionLength of StayMiddle AgedChewing gumSettore MED/18 - Chirurgia GeneraleCholecystectomy LaparoscopicFemaleSurgeryGastrointestinal MotilityOlive oil
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Pulmonary function and complications after laparoscopic cholecystectomy

1998

Objective: To investigate the impairment of pulmonary function and complications after laparoscopic compared with open cholecystectomy through an upper midline incision.Design: Prospective randomised trial.Setting: Teaching hospital, Spain.Subjects: 40 patients, 20 in each group.Interventions: Clinical examination, spirometry, arterial blood gas analysis, and chest radiographs before and after operation.Results: 48 hours postoperatively FVC and FEV had decreased to 56.7% and 53%, respectively, in the patients who had had open cholecystectomy, compared with 85.3% and 84.8% in the laparoscopic group (p < 0.0001). The mean (SD) postoperative percentage reductions in both Pa02 (86.1 (11.1) comp…

MaleSpirometrymedicine.medical_specialtyPartial Pressuremedicine.medical_treatmentVital CapacityPulmonary function testingFEV1/FVC ratioPostoperative ComplicationsForced Expiratory VolumemedicineHumansCholecystectomyProspective StudiesLaparoscopyLungmedicine.diagnostic_testbusiness.industryGallbladderRespiratory diseaseMiddle Agedmedicine.diseaseSurgeryOxygenmedicine.anatomical_structureCholecystectomy LaparoscopicFemaleSurgeryCholecystectomyComplicationbusinessEuropean Journal of Surgery
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Multicenter Multireader Evaluation of an Artificial Intelligence-Based Attention Mapping System for the Detection of Prostate Cancer With Multiparame…

2020

OBJECTIVE. The purpose of this study was to evaluate in a multicenter dataset the performance of an artificial intelligence (AI) detection system with attention mapping compared with multiparametric MRI (mpMRI) interpretation in the detection of prostate cancer. MATERIALS AND METHODS. MRI examinations from five institutions were included in this study and were evaluated by nine readers. In the first round, readers evaluated mpMRI studies using the Prostate Imaging Reporting and Data System version 2. After 4 weeks, images were again presented to readers along with the AI-based detection system output. Readers accepted or rejected lesions within four AI-generated attention map boxes. Additio…

MaleUrologyAdenocarcinomaSensitivity and SpecificityArticle030218 nuclear medicine & medical imaging03 medical and health sciencesProstate cancerRandom Allocation0302 clinical medicineLaparoscopicProstateArtificial IntelligenceStatistical significanceMedicineHumansAttentionRadiology Nuclear Medicine and imagingDiagnosis Computer-AssistedMultiparametric Magnetic Resonance ImagingAgedRetrospective StudiesObserver VariationProstate cancerbusiness.industryartificial intelligence; laparoscopic; MRI; multiparametric; prostate cancer; radical prostatectomy; robot-assistedSignificant differenceCancerMultiparametric MRIProstatic NeoplasmsGeneral MedicineRobot-assistedMiddle Agedmedicine.diseaseRadical prostatectomymedicine.anatomical_structure030220 oncology & carcinogenesisMapping systemMultiparametricArtificial intelligencebusinessAlgorithmsMriAJR. American journal of roentgenology
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Trocar-related abdominal wall bleeding in 200 patients after laparoscopic cholecistectomy: Personal experience

2006

AIM: To determine the complications and incidence of the first and second access-related vascular injuries induced by videolaparoscopic cholecistectomy. METHODS: We retrospectively reviewed vascular injuries in 200 consecutive patients who underwent videolaparoscopic cholecistectomy from 2003 to 2005. One hundred and one patients with placement of radial expanding trocars were assigned into group A and 99 patients with placement of pyramidal tipped trocars into group B. All the patients were submitted to open access according to Hasson for the first trocar. RESULTS: Bleeding did not occur at the intraoperative cannula-site in group A. However, it occurred at the intraoperative cannula-site …

Malemedicine.medical_specialtyTrocarVideolaparoscopyBlood Loss SurgicalAbdominal cavityAbdominal wallVideolaparoscopy; Minor vascular complications; Trocars; PreventionHumansMedicineMajor complicationLaparoscopic cholecystectomyMinor vascular complicationRetrospective Studiesbusiness.industryPreventionAbdominal WallSignificant differenceGastroenterologyRetrospective cohort studyGeneral MedicineMiddle AgedSurgerymedicine.anatomical_structureCholecystectomy LaparoscopicBlood VesselsDirect visionFemalebusinessRapid CommunicationWorld Journal of Gastroenterology
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