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Journal of laparoendoscopic & advanced surgical techniques. Part B, Videoscopy最新文献

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Intraoperative Visualization of the Common Bile Duct During Laparoscopic Near-Total Pancreactectomy Using Indocyanine Green Fluorescence Imaging in an Infant with Congenital Hyperinsulinism: How to Do It 应用吲哚菁绿荧光成像在先天性高胰岛素血症婴儿腹腔镜近全胰切除术中观察胆总管:如何做到
E. S. Zwanenburg, R. Hompes, C. Mooij, N. Zwaveling-Soonawala, M. Besselink, M. Oomen
Abstract Introduction: Congenital hyperinsulinism (CHI), or nesidioblastosis, is the most common cause of severe persistent hypoglycemia in neonates. When left untreated, CHI may cause serious brai...
摘要简介:先天性高胰岛素血症(CHI)或成肾细胞病是新生儿严重持续性低血糖的最常见原因。如果不及时治疗,CHI可能会导致严重的脑损伤。
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引用次数: 0
Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy for Morbid Obesity: A Step-by-Step Video Technique 单纯吻合十二指肠旁路加袖状胃切除术治疗病态肥胖的分步视频技术
V. Girardi, P. Lombardi, V. Nicastro, A. Forgione, M. Gualtierotti, G. Barone, P. De Martini, C. Magistro, C. Bertoglio, M. Mazzola, G. Ferrari
Abstract Introduction: Single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S), a modification of biliopancreatic diversion with duodenal switch, reduces the number of anastomoses a...
摘要简介:袖状胃切除术单吻合十二指肠旁路(SADI-S)是一种改良十二指肠开关胆胰分流术,减少了吻合次数,提高了手术效率。。。
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引用次数: 0
Endoscopically Assisted Band Ligation of Prolapsing Mucosa from Long-Term Gastrostomy Site 内镜辅助带结扎长期胃造口术后渗出粘膜
C. DeLong, R. Juza, E. Pauli
Abstract Introduction: One long-term complication of a gastrostomy tube is the need for future revision. In a retrospective study of >1000 pediatric patients who underwent gastrostomy, revision occ...
摘要简介:胃造瘘管的一个长期并发症是需要将来进行翻修。在一项对1000多名接受胃造口术的儿童患者的回顾性研究中。。。
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引用次数: 0
Robot-Assisted Bladder Augmentation and Artificial Sphincter Placement 机器人辅助膀胱增强和人工括约肌植入
R. A. Zahr, S. Albisinni, B. Akl, J. Moyson, T. Quackels, T. Roumeguère, R. Diamand
Abstract Introduction: Augmentation cystoplasty (AC) has traditionally been used in the treatment of low capacity, poorly compliant, or refractory overactive bladder (OAB). The concept of AC is to ...
摘要简介:膀胱增强成形术(AC)传统上用于治疗低容量、不顺应性或难治性膀胱过动症(OAB)。AC的概念是……
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引用次数: 0
Multimodal Endoscopic Therapy for Closure of a Gastrogastric Fistula: The “Triple O” Method 多模态内镜治疗胃瘘闭合:“三重O”法
C. DeLong, J. Doble, Vamsi V Alli, E. Pauli
Abstract Introduction: Surgical management of gastrointestinal (GI) fistulae is complex and evolving. Recently, numerous endoscopic tools and techniques have been introduced that have changed the m...
摘要简介:胃肠道瘘的外科治疗是复杂和不断发展的。最近,许多内窥镜工具和技术已经被引入,已经改变了…
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引用次数: 1
Full Endoscopic Suprapubic Subcutaneous Access: A New Minimally Invasive Surgical Technique for Midline Ventral Hernias 全内窥镜耻骨上皮下入路:一种治疗腹中线疝的微创手术新技术
J. Luque, Beatriz Bascuas Rodrigo, I. Sanchez-matamoros, F. Mompeán, A. Muñoz
Introduction: When primary ventral hernia and simultaneous diastasis recti are diagnosed, there is no consensus among the surgical community on the surgical treatment regarding indications or surgi...
引言:当诊断为原发性腹疝和直肠同时分离时,外科界对适应症或手术治疗没有达成共识。。。
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引用次数: 1
Modified Repair of Lumbar Hernia Using Posterior Balloon Dissection 后路球囊夹层改良腰椎疝修补术
J. Phillips, J. Walters, I. Haskins, F. Brody
Introduction: Lumbar hernia defects were first described by Barbette in 1672 and later published by Degarangeot in 1731.1 The Petit triangle was believed to be the origin of all posterior abdominal...
腰椎疝缺陷最早由Barbette于1672年描述,后来由Degarangeot于1731年发表。人们认为小三角是所有后腹壁的起源。
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引用次数: 0
Robotic Revision of a Post-Whipple Hepaticojejunostomy Stricture After Previous Open Pancreatoduodenectomy 胰十二指肠切除术后肝空肠造口术后狭窄的机器人修复
Z. Belal, E. Onkendi
Abstract Introduction: Hepaticojejunostomy (HJ) is one of the three anastomoses made during a pancreatoduodenectomy (Whipple) procedure. A rare complication of a HJ anastomosis is a stricture forma...
摘要简介:肝空肠吻合术(HJ)是胰十二指肠切除术(Whipple)过程中的三种吻合方式之一。一种罕见的HJ吻合并发症是狭窄的形式…
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引用次数: 0
Outcome of Robot-Assisted Radical Cholecystectomy in a High-Volume Tertiary Cancer Center in India. 机器人辅助根治性胆囊切除术在印度大容量三级肿瘤中心的疗效。
Mahesh Goel, Sagar R Kurunkar, Amol Kanetkar, Shraddha Patkar

Introduction: Minimally invasive radical cholecystectomy is a complex laparoscopy. Robotic surgery is now an option to complete a radical cholecystectomy because of its high definition, magnified three-dimensional view of the operative field, and articulating instrumentation.1-3 Robotic surgery enables a safe dissection in otherwise difficult to access areas such as the porta hepatis. This video reviews the role of robotic surgery in the management of gall bladder (GB) malignancy. Methods: A 28-year-old lady, with no comorbidities, presented with abdominal pain and underwent an evaluation with a contrast-enhanced CT scan of chest and abdomen. The CT scan revealed a mass in the GB with no evidence of distant metastases. Liver function tests were normal and a CA19-9 was 898 U/mL. A robotic radical cholecystectomy using five ports (four robotic and one assistant port) was performed. The procedure started by clearing the hepatoduodenal ligament nodes (stations 8, 12, and 13 with interaortocaval node sampling). The triangle of Calot was then dissected and secured with clips. Next a wide excision of segments 4b and 5 was performed including the GB. The complete specimen was extracted in a bag from a small incision at the assistant port. Results: The procedure was performed in 330 minutes with a blood loss of 200 mL. There were no perioperative complications and the postoperative stay was 3 days. Final histopathology report revealed moderately differentiated adenocarcinoma of GB invading serosa (pT3) with negative margins and 4 out of 14 lymph nodes showed presence of metastases. The overall cohort shows 22 robotic radical cholecystectomies for GB malignancy. The median age was 53 years. The average duration of surgery was 270 minutes with a median blood loss of 120 mL. The median postoperative stay was 4 days and the median nodal yield for radical cholecystectomy was 8. The overall median survival at 18 months was 100% with one recurrent hepatic lesion. Discussion: Robotic radical cholecystectomy may offer technical superiority over laparoscopic surgery and is an oncologically acceptable approach with good short-term oncologic outcomes. This type of surgery may require a highly specialized center with adequate experience in hepatopancreatobiliary surgery. No competing financial interests exist. Runtime of video: 9 mins 5 secs.

微创胆囊根治术是一项复杂的腹腔镜手术。机器人手术现在是完成根治性胆囊切除术的一种选择,因为它具有高清晰度、放大的手术野三维视图和关节器械。1-3机器人手术可以在难以进入的区域(如肝门)进行安全的解剖。本视频回顾了机器人手术在胆囊(GB)恶性肿瘤治疗中的作用。方法:一名28岁的女性,无合并症,表现为腹痛,接受胸部和腹部CT增强扫描评估。CT扫描显示GB肿块,无远处转移迹象。肝功能检查正常,CA19-9为898 U/mL。采用五个端口(四个机器人端口和一个辅助端口)进行机器人胆囊根治术。手术首先清除肝十二指肠韧带淋巴结(第8、12和13站进行腹主动脉间淋巴结取样)。然后解剖Calot三角并用夹子固定。接下来,广泛切除4b和5段,包括GB。从辅助口的一个小切口取出完整的标本。结果:手术在330分钟内完成,出血量200 mL。无围手术期并发症,术后住院时间3天。最终的组织病理学报告显示:GB浸润浆膜中分化腺癌(pT3),边缘呈阴性,14个淋巴结中有4个存在转移。整个队列显示22例机器人根治性胆囊切除术治疗GB恶性肿瘤。中位年龄为53岁。手术平均持续时间为270分钟,中位失血量为120毫升。术后中位住院时间为4天,根治性胆囊切除术的中位淋巴结率为8。18个月的总中位生存率为100%,伴有一次复发性肝脏病变。讨论:机器人根治性胆囊切除术可能比腹腔镜手术具有技术优势,是一种肿瘤学上可接受的方法,具有良好的短期肿瘤预后。这种类型的手术可能需要高度专业化的中心,在肝胆胰手术方面有足够的经验。不存在相互竞争的经济利益。影片时长:9分5秒。
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引用次数: 4
Thoracoscopic Intercostal Nerve Cryoablation During the Nuss Procedure 胸腔镜肋间神经冷冻消融在Nuss手术中的应用
H. PatelVeeshal, MoraRoberto, E. PadillaBenjamin
Abstract Introduction: The Nuss procedure is the preferred surgical method for pectus excavatum repair. However, it causes significant postoperative pain leading to high opiate requirements, activi...
摘要简介:Nuss手术是修复漏斗胸的首选手术方法。然而,它引起明显的术后疼痛,导致高阿片类药物需求,活动…
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引用次数: 1
期刊
Journal of laparoendoscopic & advanced surgical techniques. Part B, Videoscopy
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