Search results for " LAPAROSCOPY"

showing 10 items of 100 documents

Adrenal cavernous hemangioma: which correct decision making process?

2016

Introduction: Cavernous hemangioma of the adrenal gland is a rare benign tumor characterized by the presence of blood-fil- led, dilated vascular spaces. These adrenal masses are usually non-functioning and the patients have no symptoms so the diagnosis is incidental. Methods: We performed a systematic literature review for all articles published until April 2015. The initial search identified 98 publications. We considered some characteristics: the mean age of the patients at diagnosis was 59 years (range 19 - 84); there were approximately 1.7 times more female patients than male patients; mean diameter of the lesions was 10.3 cm (range 2 - 25). Surgical treatment was more often open with m…

Settore MED/18 - Chirurgia GeneraleSettore MED/09 - Medicina InternaAdrenal cavernous hemangioma; laparoscopic adrenalectomy; laparoscopy; lapartoscopic surgery; adrenal surgery.laparoscopylapartoscopic surgerylaparoscopic adrenalectomyAdrenal cavernous hemangiomaadrenal surgery.Settore MED/13 - Endocrinologia
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Laparoscopic Treatment of Deferential Reflux in Pediatric Varicocele Based on Preoperative Color Doppler Ultrasound Assessment

2008

Settore MED/20 - Chirurgia Pediatrica E Infantilevaricocele defrential reflux laparoscopy
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Gasless laparoscopy with conventional surgical instruments

1996

The main advantages of gasless laparoscopy arise from the use of conventional laparotomy instruments (clamps, scissors and needle pushers). The operative time, for example, for hysterectomy procedures decreases to about 60% of the time taken hysterectomy for using conventional gas techniques. During cauterization, smoke escapes immediately through the open trocars and may even be suctioned using a conventional suction tube. As far as the nursing team is concerned, the equipment is familiar as they use the same instruments and the same sutures as in laparotomy. High respiration pressure, caused by the elevated abdominal pressure, as well as hypercapnia, are avoided. Therefore this procedure …

Suction (medicine)medicine.medical_specialtyHysterectomyHysterectomy procedurebusiness.industrymedicine.medical_treatmentGeneral surgeryObstetrics and GynecologyMedicine (miscellaneous)Abdominal pressureSurgeryLaparotomyInvasive surgeryCauterizationMedicinebusinessGasless laparoscopyGynaecological Endoscopy
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The laparoscopic approach to Acute Mesenteric Ischemia is today unclear and less debated (AMI). There are in fact no clinical evidences on this parti…

2016

The laparoscopic approach to Acute Mesenteric Ischemia is today unclear and less debated (AMI). There are in fact no clinical evidences on this particular focus and only few articles can be found in several databases (pubmed, cochrane library, etc.), and the problem concerns both diagnostic and therapeutic utilization of the procedure. These considerations were already taken into account in 2012 EAES guidelines where the Grade of Recommendation (GoR) of laparoscopy in AMI was low in both diagnostic and therapeutic aspects. According to the new Oxford Classification [1], the use of laparoscopy in patients with suspicious or diagnosed AMI presents a weak GoR.

The laparoscopic approach to Acute Mesenteric Ischemia is today unclear and less debated (AMI). There are in fact no clinical evidences on this particular focus and only few articles can be found in several databases (pubmed cochrane library etc.) and the problem concerns both diagnostic and therapeutic utilization of the procedure. These considerations were already taken into account in 2012 EAES guidelines where the Grade of Recommendation (GoR) of laparoscopy in AMI was low in both diagnostic and therapeutic aspects. According to the new Oxford Classification [1] the use of laparoscopy in patients with suspicious or diagnosed AMI presents a weak GoR.
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Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di …

2018

Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on three-dimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative d…

Three Dimensional Vision . Laparoscopy. Surgery- Health Technology assessment. Systemic ReviewTechnology Assessment BiomedicalHealth technology assessment Laparoscopy; Surgery Systematic review Three-dimensional visionOperative TimeSustainable innovationEndoscopic surgeryThree-dimensional vision03 medical and health sciencesImaging Three-DimensionalPostoperative Complications0302 clinical medicineEconomicaHumansUrologic surgeryMedicineHealth technology assessmentLaparoscopyDepth PerceptionMedical educationmedicine.diagnostic_testbusiness.industryHealth technologyMultiple-criteria decision analysisNew TechnologyHealth technology assessment; Laparoscopy; Surgery; Systematic review; Three-dimensional vision; SurgeryItaly030220 oncology & carcinogenesisCosts and Cost AnalysisSystematic review030211 gastroenterology & hepatologyHealth technology assessment; Laparoscopy; Surgery; Systematic review; Three-dimensional vision;LaparoscopySurgeryPatient SafetybusinessHealthcare providersPsychomotor PerformanceSystematic search
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Robotic versus laparoscopic radical hysterectomy in early cervical cancer: A case matched control study

2018

Abstract Background This study aims at evaluating the feasibility, surgical outcome and oncological results observed after robotic radical hysterectomy (RH) compared to laparoscopy for patients with early stage cervical cancer (ECC) patients. Methods Between January 2010 and October 2016, 210 patients underwent RH for treatment of ECC: 70 underwent robotic approach (Cases), and 140 underwent laparoscopic approach (Controls). Results There was no statistically significant difference between the two approaches with regard to clinical patient characteristics and in terms of extent of RH and rate of pelvic and aortic lymphadenectomy. Operative time was significantly longer in the robotic versus…

Uterine Cervical NeoplasmTime Factorsmedicine.medical_treatmentEarly stage cervical cancerUterine Cervical Neoplasms0302 clinical medicinePostoperative ComplicationsRetrospective StudieLaparotomy80 and overMedicineEarly Detection of CancerEarly stage cervical cancer; Laparoscopy; Robotic surgery; Adult; Aged; Aged 80 and over; Female; Humans; Hysterectomy; Incidence; Italy; Laparoscopy; Middle Aged; Postoperative Complications; Retrospective Studies; Robotics; Survival Rate; Time Factors; Uterine Cervical Neoplasms; Young Adult; Early Detection of Cancer; Neoplasm Staging; Surgery; OncologyAged 80 and over030219 obstetrics & reproductive medicineIncidenceGeneral MedicineRoboticsMiddle AgedSurvival RateOncologyItaly030220 oncology & carcinogenesisFemaleHumanAdultmedicine.medical_specialtyTime FactorHysterectomy03 medical and health sciencesYoung AdultHumansRobotic surgeryRadical surgeryRadical HysterectomySurvival rateRetrospective StudiesAgedNeoplasm StagingHysterectomybusiness.industryRobotic surgeryPerioperativeSurgeryRoboticSettore MED/40 - GINECOLOGIA E OSTETRICIASurgeryLymphadenectomyLaparoscopyPostoperative Complicationbusiness
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SURGICAL INNOVATION IN COLON CANCER: STUDY OF ROLE OF LAPAROSCOPY IN COMPLETE MESOCOLIC EXCISION (CME) FOR RIGHT-SIDED COLON CANCER. FEASIBILITY, SAF…

2021

colon cancer - laparoscopy - complete mesocolic excisionSettore MED/18 - Chirurgia GeneraleSettore MED/06 - Oncologia MedicaSettore MED/36 - Diagnostica Per Immagini E Radioterapia
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Risk of Virus Contamination Through Surgical Smoke During Minimally Invasive Surgery: A Systematic Review of the Literature on a Neglected Issue Revi…

2020

Abstract Context The coronavirus disease 2019 (COVID-19) pandemic raised concerns about the safety of laparoscopy due to the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diffusion in surgical smoke. Although no case of SARS-CoV-2 contagion related to surgical smoke has been reported, several international surgical societies recommended caution or even discouraged the use of a laparoscopic approach. Objective To evaluate the risk of virus spread due to surgical smoke during surgical procedures. Evidence acquisition We searched PubMed and Scopus for eligible studies, including clinical and preclinical studies assessing the presence of any virus in the surgical smoke fr…

covid-19; minimally invasive surgery; smoke; surgical; virus; covid-19; colectomy; condylomata acuminata; coronavirus infections; gastrectomy; hepatectomy; humans; laryngeal neoplasms; minimally invasive surgical procedures; pandemics; papilloma; papillomavirus infections; pneumonia; viral; risk; sars-cov-2; warts; betacoronavirus; hepatitis b virus; infectious disease transmission; patient-to-professional; laparoscopy; papillomaviridae; smokehepatitis b virusvirusesmedicine.medical_treatmentlaparoscopy030232 urology & nephrologyDiseasemedicine.disease_causeCOVID-19; Minimally invasive surgery; Surgical; Virus; smoke.Genital warts0302 clinical medicineSurgicalwartsPandemichumansriskColectomyCoronaviruscondylomata acuminataCOVID-19 Minimally invasive surgery smoke Surgical Virus Colectomy Condylomata Acuminata Coronavirus Infections Gastrectomy Hepatectomy Humans Laryngeal Neoplasms Minimally Invasive Surgical Procedures Pandemics Papilloma Papillomavirus Infections Pneumonia Viral Risk Warts Betacoronavirus Hepatitis B virus Infectious Disease Transmission Patient-to-Professional Laparoscopy Papillomaviridae SmokeTransmission (medicine)virus diseasescolectomyCOVID-19; Minimally invasive surgery; smoke; Surgical; VirusgastrectomyViruspapillomasars-cov-2030220 oncology & carcinogenesispatient-to-professionalpapillomavirus infectionsviralmedicine.medical_specialtyInfectious Disease Transmission Patient-to-Professionallaryngeal neoplasmsUrologyPneumonia ViralContext (language use)pandemicsArticle03 medical and health sciencescoronavirus infectionshepatectomyMinimally invasive surgerymedicinepneumoniaIntensive care medicinepapillomaviridaebusiness.industryCOVID-19infectious disease transmissionmedicine.diseasebetacoronavirusminimally invasive surgical proceduresPneumoniasmokebusinessEuropean Urology Focus
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Histologic analysis of specimens from laparoscopic endometrioma excision performed by different surgeons: does the surgeon matter?

2011

Objective To evaluate whether the amount of ovarian tissue inadvertently removed along with the endometrioma cyst wall at laparoscopy differs in relation to the operating surgeon's level of expertise. Design Multicenter, prospective trial. Setting Four tertiary care university hospitals. Patient(s) Fifty patients, aged 25 to 40 years, with monolateral ovarian endometriomas who underwent laparoscopic excision. Intervention(s) Operation with the stripping technique by surgeons with specific expertise in endometriosis surgery in four centers (groups A, B, C, and D) and by residents with average training in laparoscopic surgery (group E). Main Outcome Measure(s) Histologic examination for the e…

endometriosisLaparoscopic surgerymedicine.medical_treatmentEndometriosisEndometriosis laparoscopy ovarian cystsGynecologic Surgical Proceduresmorphologyovarian endometriomaMedicineSingle-Blind MethodOvarian DiseasesLaparoscopyclinical articleresidency educationmedicine.diagnostic_testmedical specialistarticleObstetrics and Gynecologyendometriosis; laparoscopy; ovarian cystsOrgan Sizelaparoscopic surgeryTumor Burdenendometrium tumorfemaleuterus surgerymedicine.anatomical_structurepriority journalstripping techniquehistopathologyClinical CompetenceAdultmedicine.medical_specialtyOvaryPhysiciansHumanshumanOvarian cystbusiness.industryOvaryHistologymedicine.diseasehuman tissuethicknessSurgeryEndoscopyadult; article; clinical article; endometriosis; endometrium tumor; female; histopathology; human; human tissue; laparoscopic surgery; medical specialist; morphology; multicenter study; ovarian endometrioma; ovary; priority journal; residency education; stripping technique; surgeon; thickness; uterus surgery Adult; Clinical Competence; Endometriosis; Female; Gynecologic Surgical Procedures; Humans; Laparoscopy; Organ Size; Ovarian Diseases; Ovary; Physicians; Single-Blind Method; Tumor Burdenmulticenter studySettore MED/40 - GINECOLOGIA E OSTETRICIAReproductive MedicinesurgeonLaparoscopyHistopathologybusiness
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Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

2023

Background: The aim of our study was to compare the number of lymph nodes removed during indocyanine green (ICG)-guided laparoscopic/robotic pelvic lymphadenectomy with standard systematic lymphadenectomy in endometrial cancer (EC) and cervical cancer (CC). Methods: This is a multicenter retrospective comparative study (Clinical Trial ID: NCT04246580; updated on 31 January 2023). Women affected by EC and CC who underwent laparoscopic/robotic systematic pelvic lymphadenectomy, with (cases) or without (controls) the use of ICG tracer injection within the uterine cervix, were included in the study. Results: The two groups were homogeneous for age (p = 0.08), Body Mass Index, International Fede…

indocyanine greenRobotic surgery.pelvic lymphadenectomycervical cancerHealth Toxicology and Mutagenesisendometrial cancerrobotic surgeryPublic Health Environmental and Occupational Healthlaparoscopygynecologic oncologySettore MED/40 - Ginecologia E Ostetriciaminimally invasive surgerycervical cancer; endometrial cancer; gynecologic oncology; indocyanine green; laparoscopy; minimally invasive surgery; pelvic lymphadenectomy; robotic surgery
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