{"title":"The learning curve of posterior retroperitoneoscopic adrenalectomy: a review of literature","authors":"A. van Uitert, J. Langenhuijsen","doi":"10.21037/ls-22-20","DOIUrl":"https://doi.org/10.21037/ls-22-20","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45771431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial and infrastructural resources for new technology implementation","authors":"K. Limbach, Y. Fong","doi":"10.21037/ls-22-5","DOIUrl":"https://doi.org/10.21037/ls-22-5","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47069642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Acute appendicitis, while exceedingly common carries a wide range of clinically variable presentations. We present a case of a perforated appendicitis manifesting clinically as an anterior abdominal wall abscess and its subsequent management. There have been eight documented case reports to date of direct extension into the anterior abdominal wall, in contrast to the commonly documented retroperitoneal perforation. The management of this condition has varied in the published reports from intravenous antibiotics to surgical debridement of the abdominal wall. The aetiology of the direct extension into the abdominal wall remains nebulous. In our patient it was felt that the appendicolith could be a contributing factor for perforation through the abdominal wall. Our patient was initially managed with intravenous antibiotics and percutaneous abscess drainage, followed by an interval laparoscopic appendectomy three weeks later. The patient’s age and her dementia precluded conservative management of the appendix post percutaneous abscess drainage, as an elective appendectomy is no longer the standard of care. A colonoscopy performed three months later also excluded a colonic malignancy. We believe this is the first documented case of an abdominal wall pneumatocele which formed as part of the abdominal wall abscess. It is our fervent desire that this case report contributes to the surgical armamentarium of acute care surgeons in the management of this complex condition.
{"title":"A rare case report of an appendiceal abscess with a pneumatocele and direct extension into an anterior abdominal wall abscess","authors":"Kendell Pon, Y. Pillay","doi":"10.21037/ls-21-14","DOIUrl":"https://doi.org/10.21037/ls-21-14","url":null,"abstract":": Acute appendicitis, while exceedingly common carries a wide range of clinically variable presentations. We present a case of a perforated appendicitis manifesting clinically as an anterior abdominal wall abscess and its subsequent management. There have been eight documented case reports to date of direct extension into the anterior abdominal wall, in contrast to the commonly documented retroperitoneal perforation. The management of this condition has varied in the published reports from intravenous antibiotics to surgical debridement of the abdominal wall. The aetiology of the direct extension into the abdominal wall remains nebulous. In our patient it was felt that the appendicolith could be a contributing factor for perforation through the abdominal wall. Our patient was initially managed with intravenous antibiotics and percutaneous abscess drainage, followed by an interval laparoscopic appendectomy three weeks later. The patient’s age and her dementia precluded conservative management of the appendix post percutaneous abscess drainage, as an elective appendectomy is no longer the standard of care. A colonoscopy performed three months later also excluded a colonic malignancy. We believe this is the first documented case of an abdominal wall pneumatocele which formed as part of the abdominal wall abscess. It is our fervent desire that this case report contributes to the surgical armamentarium of acute care surgeons in the management of this complex condition.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45530892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Bisgaard, F. Helgstrand, H. Friis-Andersen, J. Rosenberg, L. Jørgensen, K. Pedersen, N. Henriksen
: The National Danish Inguinal Hernia Database (1997) and Ventral Hernia Database (2007), together the Danish Hernia Database, was launched to monitor and optimize surgical quality and outcomes after hernia repairs. The purpose of the present qualitative review was to present five “highlight” publications from the 123 published/in press (October 2020) original publications from the Danish Hernia Database. Two international hernia experts independently nominated 10 publications from the Database publication list published between 2010 and 2020. Each of the 10 members of the database steering group ranked the 10 publications according to the following three categories: (I) originality, (II) methodology, and (III) clinical impact. The publications were ranked as 1= good, 2= very good, 3= outstanding. The five publications with the highest score were depicted as highlights. The publications dealt with: (I) long-term mesh-related complications after incisional hernia repair, (II) outcomes after parastomal hernia repairs, (III) mesh or suture repair of ventral hernias in women having subsequent pregnancy, (IV) reoperation for recurrence versus clinical recurrence rates, and (V) recurrence rates after resorbable versus non-resorbable tackers for laparoscopic ventral hernia repair. Data from the Danish Hernia Database is internationally acknowledged. The nationwide Danish data supplements the higher-ranking evidence by randomized controlled trials (RCTs) by adding evidence-based answers to scientifically clinically relevant questions. The Danish Hernia Database is still active after more than 20 years.
{"title":"Optimizing outcomes after hernia repair: scientific highlights from the Danish Hernia Database 2010–2020","authors":"T. Bisgaard, F. Helgstrand, H. Friis-Andersen, J. Rosenberg, L. Jørgensen, K. Pedersen, N. Henriksen","doi":"10.21037/LS-20-130","DOIUrl":"https://doi.org/10.21037/LS-20-130","url":null,"abstract":": The National Danish Inguinal Hernia Database (1997) and Ventral Hernia Database (2007), together the Danish Hernia Database, was launched to monitor and optimize surgical quality and outcomes after hernia repairs. The purpose of the present qualitative review was to present five “highlight” publications from the 123 published/in press (October 2020) original publications from the Danish Hernia Database. Two international hernia experts independently nominated 10 publications from the Database publication list published between 2010 and 2020. Each of the 10 members of the database steering group ranked the 10 publications according to the following three categories: (I) originality, (II) methodology, and (III) clinical impact. The publications were ranked as 1= good, 2= very good, 3= outstanding. The five publications with the highest score were depicted as highlights. The publications dealt with: (I) long-term mesh-related complications after incisional hernia repair, (II) outcomes after parastomal hernia repairs, (III) mesh or suture repair of ventral hernias in women having subsequent pregnancy, (IV) reoperation for recurrence versus clinical recurrence rates, and (V) recurrence rates after resorbable versus non-resorbable tackers for laparoscopic ventral hernia repair. Data from the Danish Hernia Database is internationally acknowledged. The nationwide Danish data supplements the higher-ranking evidence by randomized controlled trials (RCTs) by adding evidence-based answers to scientifically clinically relevant questions. The Danish Hernia Database is still active after more than 20 years.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46417600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Inguinal bladder hernia (IBH) is a rare disease, with only 73 adult cases being reported in Medline over the past decade, 75 cases including the present report. Its preoperative diagnosis is difficult without typical presentation; however, the three most common signs/symptoms are urinary frequency, two-stage urination and acute kidney injury (AKI). Prompt diagnosis should be made in patients presenting with an inguinoscrotal mass along with the aforementioned symptoms. According to a review of the literature of the last decade, 93.3% of IBH diagnoses were made prior to surgery, compared to fewer than 10% in the past century. However, documented cases show that IBH is associated with significant complications if diagnosis is delayed. In addition, there were no reports on the laparoscopic extended-totally extraperitoneal (eTEP) in such cases. Herein, we report 2 cases of IBH along with the literature review. The first patient was diagnosed with IBH during open hernioplasty using saline insufflation via a Foley’s catheter. The second patient presented as an early recurrence, with incarceration after ipsilateral open hernioplasty. This case was diagnosed and successfully treated by eTEP repair. All patients recovered without complications. We aimed to report the diagnosis and surgical approach in IBH along with evidence-based discussion from published studies. The eTEP approach was feasible and safe for the treatment of an incarcerated extraperitoneal type of IBH. The advantages of a minimally invasive approach for IBH are discussed in this report.
{"title":"Advantages of minimally invasive approach for inguinal bladder hernia repair: case report and literature review","authors":"Lalida Rachiwong, Nan-ak Wiboonkhwan, Siripong Cheewatanakornkul","doi":"10.21037/ls-21-19","DOIUrl":"https://doi.org/10.21037/ls-21-19","url":null,"abstract":": Inguinal bladder hernia (IBH) is a rare disease, with only 73 adult cases being reported in Medline over the past decade, 75 cases including the present report. Its preoperative diagnosis is difficult without typical presentation; however, the three most common signs/symptoms are urinary frequency, two-stage urination and acute kidney injury (AKI). Prompt diagnosis should be made in patients presenting with an inguinoscrotal mass along with the aforementioned symptoms. According to a review of the literature of the last decade, 93.3% of IBH diagnoses were made prior to surgery, compared to fewer than 10% in the past century. However, documented cases show that IBH is associated with significant complications if diagnosis is delayed. In addition, there were no reports on the laparoscopic extended-totally extraperitoneal (eTEP) in such cases. Herein, we report 2 cases of IBH along with the literature review. The first patient was diagnosed with IBH during open hernioplasty using saline insufflation via a Foley’s catheter. The second patient presented as an early recurrence, with incarceration after ipsilateral open hernioplasty. This case was diagnosed and successfully treated by eTEP repair. All patients recovered without complications. We aimed to report the diagnosis and surgical approach in IBH along with evidence-based discussion from published studies. The eTEP approach was feasible and safe for the treatment of an incarcerated extraperitoneal type of IBH. The advantages of a minimally invasive approach for IBH are discussed in this report.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41722824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Perotti, M. Mineccia, P. Massucco, F. Gonella, N. Russolillo, A. Ferrero
{"title":"Early experience with simultaneous double equipe laparoscopic proctectomy and J-pouch reconstruction with trans anal mini-invasive approach for ulcerative colitis","authors":"S. Perotti, M. Mineccia, P. Massucco, F. Gonella, N. Russolillo, A. Ferrero","doi":"10.21037/ls-2020-01","DOIUrl":"https://doi.org/10.21037/ls-2020-01","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42027878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juliana Di Menno Stavron, V. Ardiles, M. E. Fratantoni, P. Uad, R. S. Clariá, M. Santibañes, J. Pekolj, O. Mazza
{"title":"Laparoscopic one-step approach for the management of acute biliary pancreatitis: 10 years experience in a high volume center","authors":"Juliana Di Menno Stavron, V. Ardiles, M. E. Fratantoni, P. Uad, R. S. Clariá, M. Santibañes, J. Pekolj, O. Mazza","doi":"10.21037/ls-21-12","DOIUrl":"https://doi.org/10.21037/ls-21-12","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46569927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retroperitoneoscopic adrenalectomy: indications and technical considerations","authors":"Kristin McCoy, C. Valdez, Courtney E. Gibson","doi":"10.21037/ls-21-24","DOIUrl":"https://doi.org/10.21037/ls-21-24","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47779204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Choledochal cyst is a congenital disease classified in 5 types according to Todani classification and associated to biliary stones, cholangitis, secondary biliary cirrhosis and increased risk of cholangiocarcinoma. The surgical approach ranges from simple cyst excision to complex surgery. Recently, more and more surgeons have started using a minimally invasive approach to treat this disease, mainly for type I and II. We described a totally laparoscopic approach to a Type II choledochal cyst. In addition, a PubMed literature review focusing on laparoscopic surgical resection of choledochal cyst was performed and summarized. We present the case of 25-years-old women with a Type II choledochal cyst diagnosed on Magnetic resonance cholangiopancreatography (MRCP). The patient underwent laparoscopic resection of the cyst and common bile duct followed by Roux-en-Y hepaticojejunostomy without any intraoperative complications. Postoperatively, the patient experienced a bleeding arising from the stapler line of the cul-de-sac of the Roux en Y loop managed conservatively. The patient was discharged at post-operative day-8. Despite the laparoscopic approach is challenging, it has been widely adopted and is now preferred to the open surgery. This approach should be confined to expert centers and performed by skilled hepato-biliary and laparoscopic surgeons.
{"title":"Laparoscopic treatment of choledochal cysts in adults: case report with video and review of literature","authors":"M. Tedeschi, A. S. Cunha, G. Pittau","doi":"10.21037/LS.2020.03.09","DOIUrl":"https://doi.org/10.21037/LS.2020.03.09","url":null,"abstract":"Choledochal cyst is a congenital disease classified in 5 types according to Todani classification and associated to biliary stones, cholangitis, secondary biliary cirrhosis and increased risk of cholangiocarcinoma. The surgical approach ranges from simple cyst excision to complex surgery. Recently, more and more surgeons have started using a minimally invasive approach to treat this disease, mainly for type I and II. We described a totally laparoscopic approach to a Type II choledochal cyst. In addition, a PubMed literature review focusing on laparoscopic surgical resection of choledochal cyst was performed and summarized. We present the case of 25-years-old women with a Type II choledochal cyst diagnosed on Magnetic resonance cholangiopancreatography (MRCP). The patient underwent laparoscopic resection of the cyst and common bile duct followed by Roux-en-Y hepaticojejunostomy without any intraoperative complications. Postoperatively, the patient experienced a bleeding arising from the stapler line of the cul-de-sac of the Roux en Y loop managed conservatively. The patient was discharged at post-operative day-8. Despite the laparoscopic approach is challenging, it has been widely adopted and is now preferred to the open surgery. This approach should be confined to expert centers and performed by skilled hepato-biliary and laparoscopic surgeons.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45265320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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