摘要:

SummaryAt Mexico City General Hospital, a 32-year-old female with autoimmune hemolytic anemia associated with cholelithiasis underwent elective laparoscopic cholecystectomy and splenectomy. The gallbladder and the spleen were delivered intact through a 7-cm extension of the umbilical trocar site. The patient was discharged in excellent condition. We describe the technique of laparoscopic splenectomy and suggest new advantages for the laparoscopic approach to surgery of the spleen.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryLaparoscopic cholecystectomy is still a challenge to most general surgeons because of the complexity and length of the procedure. We have developed a timesaving technique of dissecting the gallbladder by using a dissection forceps. This new method reduces the operative time by half.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryKlatskin tumors often pose a challenge for diagnosis and treatment. Most of these neoplasms are diagnosed clinically because of the difficulty in obtaining tissue that will provide histologic proof of the disease. When a non-operative course is sought, exhaustive attempts should be made to obtain a tissue diagnosis because of the potential for a false-positive clinical diagnosis. We describe a new way to obtain tissue for diagnosis by placing a laparoscopic choledochoscope through a percutaneous transhepatic cholangiogram track, thus allowing the tumor to be directly visualized and biopsied.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryFor patients with failed endoscopic extraction, further endoscopic, open, or laparoscopic clearance can be attempted. The following case report describes the laparoscopic removal of high common duct stones through a choledochotomy. As a nasobiliary stent was in place, a T-tube was considered unnecessary, and the choledochotomy was simply closed with a running suture. T-tubes are an irritant following laparoscopic duct exploration and in the future might be replaced, in selected cases, by a laparoscopically placed internal stent.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryLaparoscopic resection of a giant retroperitoneal, mesenteric cyst in a 38-year-old man who presented with abdominal distension and pedal edema is described. The diagnosis was made by abdominal computed tomography, which revealed a large cystic mass that was causing extrinsic compression of the inferior vena cava and the right ureter. The hospital course was uneventful, and the patient was discharged 2 days postoperatively. This new endoscopic approach offers a useful alternative to the traditional transabdominal excision of a mesenteric cyst and may have some theoretical advantages, including less postoperative pain and shorter convalescence.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryBronchopleural fistulas represent a serious complication of pulmonary surgery. Surgical treatment of bronchopleural fistulas has a high morbidity and mortality rate. Endoscopic sealing procedures are less invasive and more effective. We describe two patients successfully treated for fistulas stemming from pulmonary surgery. Biological (Tissucol) and synthetic glues (N-butyl-2-cyanoacrylate: Histoacryl) have been used. The technique must be chosen according to the fistulas' characteristics: Tissucol for small and medium-size fistulas, Histoacryl for large ones.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryLaparoscopic cholecystectomy has gained great popularity during the last few years. This procedure has advantages over the traditional open operation, thus making it the standard method for removal of the gallbladder at present. Only a few cases of laparoscopic cholecystectomy during pregnancy have been reported. On the other hand, some authors classify pregnancy as one of the contraindications for this procedure.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummarySymptomatic biliary tract disease in the pregnant patient has always been problematical. The advent and widespread application of laparoscopic cholecystectomy has led to a re-evaluation of the role of surgery in this clinical situation. We report on the use of laparoscopic cholecystectomy on a patient in the first trimester of pregnancy.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryThe surgical modality of laparoscopic cholecystectomy is now widely accepted, and other intra-abdominal operations are also being done laparoscopically. This paper presents a case of laparoscopy-assisted colostomy in which a complete obstruction of the sigmoid colon associated with intraperitoneal dissemination and massive ascites in the end-stages of ovarian cancer was encountered. This procedure was found to be less invasive and thus should be considered the treatment of choice for an obstruction of the gastrointestinal tract in patients with a poor general status.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

SummaryDifficulties involved in hemostasis, drying structures for better visualization, and performing blunt dissection during laparoscopic surgery for gallbladder removal motivated the development of a technique that would permit these activities to be carried out in a practical and safe manner. The method consists of placing a prepared gauze cylinder in the peritoneal cavity, where it can be useful in various situations, as is also the case for open surgeries. We report here the technique and advantages of using gauze in laparoscopic cholecystectomy.

ISSN:1051-7200    

出版商:OVID    

年代:1994

数据来源: OVID