ISSN:8756-0437    

DOI:10.1002/ssu.2980100602

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe use of laparoscopy for diagnosis and staging of intra‐abdominal malignancies is not an exclusive procedure. It is another modality in the armamentarium of caring for the patient. The selection of the appropriate patients is discussed in detail and must include a determination of the long‐range plans for intervention. The technical issues include problems of previous abdominal surgery, adhesions, ability to tolerate general endotracheal anesthesia, and ability to properly position the patient for an adequate examination. The endoscopic surgeon must be able to differentiate between the benign and malignant process during endoscopic examination and must be skilled in obtaining appropriate biopsies. In the staging of lymphoma, laparoscopy has virtually replaced the open celiotomy technique. Laparoscopic removal of appropriate lymph nodes is essential. The role of laparoscopy in a second‐look operation is discussed as well as contraindications and complications of the procedure. © 1994 Wiley‐L

ISSN:8756-0437    

DOI:10.1002/ssu.2980100603

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractMinimally invasive techniques now play an important role in virtually every aspect of general surgery. While it is unlikely that celiotomy for malignant disease will fall into obscurity as rapidly as open cholecystectomy, greater use of videoscopic techniques in surgical oncology are inevitable and will undoubtably improve patient care. Techniques of isopneumic laparoscopy have already proven useful in trauma, chole‐cystectomy, bowel resection, herniorrhaphy, and a variety of other procedures. Further advances in this technique are dependent on the development of “user friendly” abdominal wall retraction systems. © 1994 Wiley‐L

ISSN:8756-0437    

DOI:10.1002/ssu.2980100604

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractLaparoscopy has now assumed a new and important role in the treatment of malignant diseases. An important part of this role is the establishment of feeding enterostomies and stomas. This function is vital in both those patients who may not be candidates for curative therapy and those being staged for definitive therapy. © 1994 Wiley‐Liss, I

ISSN:8756-0437    

DOI:10.1002/ssu.2980100605

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractLaparoscopy is being used to assist in an increasing number and variety of bowel procedures. However, when being used for neoplastic disease concerns of margins and adequacy of mesenteric dissection must be addressed. We've performed 110 laparoscopic‐assisted bowel procedures, with 45 of these performed for neoplastic disease. Ninety‐two bowel resections were performed including 24 subtotal, total, or proctocolectomies. In this chapter we review the results of our series, as well as other reported series, and discuss some of the controversies involved with laparoscopy for neoplastic disease. © 1994 Wiley‐Lis

ISSN:8756-0437    

DOI:10.1002/ssu.2980100606

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractLaparoscopy is considered a modality complimentary to the current staging techniques. Radiology offers sophisticated evaluations such as CT, MRI, ultrasound, and invasive vascular radiologic procedures. Laparoscopy when applied appropriately can provide a diagnosis with increased accuracy and eliminate unnecessary delays in formulating a treatment plan. If a patient appears to have a resectable lesion or lesions and is deemed an acceptable surgical candidate, it is appropriate for laparoscopy to be performed just prior to opening the abdomen for purposes of hepatic resection. The techniques of biopsy, laparoscopic intra‐abdominal ultrasound, and the limitations of laparoscopy are discussed in detail. Lastly, the role of laparoscopic hepatic resection and its application, particularly in superficial or peripheral lesions, is presented. The role of laparoscopy in hepatic lesions is evolving where it is obvious that it offers benefits not available through other means in evaluating the liver tumor. © 1994 Wiley‐Liss,

ISSN:8756-0437    

DOI:10.1002/ssu.2980100607

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe development of endoscopic video capabilities has opened a new era in thoracic operations. This paper discusses video‐assisted thoracic surgery (VATS) as part of the armamentarium of the thoracic surgeon. VATS is the procedure of choice for a solitary pulmonary nodule. It is also a useful staging procedure in selected patients with pulmonary and esophageal tumors. The role of VATS in the definitive resection of certain lung cancers is discussed and there is a call for randomized controlled studies to determine if there is an advantage for the utilization of VATS. The use of VATS for resection of esophageal tumors is discussed. It is currently under development and investigation. © 1994 Wiley‐Liss,

ISSN:8756-0437    

DOI:10.1002/ssu.2980100608

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractLaparoscopic surgery is a rapidly evolving technique in minimally invasive surgery. In the 1970s and 1980s, the greatest advances in laparoscopy were achieved by the gynecologists. Urologist, however, have used the laparoscope for many diagnostic as well as therapeutic procedures. The initial urological procedures performed included the localization of undescended testicles. Following this, procedures such as pelvic lymphadenectomy and varix ligation became common. This paper will review the current applications of laparoscopic nephrectomy and adrenalectomy. © 1994 Wiley‐Liss, I

ISSN:8756-0437    

DOI:10.1002/ssu.2980100609

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractCurrent treatment of prostate cancer is highly controversial, however accurate assessment of pelvic lymph node status is important to determine early in the course of therapy if adjuvant hormonal ablation is necessary. Indications for laparoscopic assessment of pelvic lymph nodes are now better defined and the technique requires a high degree of technical skill and expertise. A series of 50 patients who underwent laparoscopic pelvic lymphadenectomy is presented. A greater than 40% chance of node positivity was found in a group of patients who had either a clinical stage B2, C, DO, or a prostate‐specific antigen level greater than 40 ng/dl, or a total Gleason score of 7, 8, 9, or 10. Laparoscopic pelvic lymphadenectomy remains the current method to accurately stage lymph node involvement in prostate carcinoma.©1994 Wiley‐Liss,

ISSN:8756-0437    

DOI:10.1002/ssu.2980100610

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY

摘要:

AbstractWith the advent of minimally invasive laparoscopic techniques, most gynecologic procedures for benign conditions can be performed in an outpatient setting. However, the role of such techniques in gynecologic oncology is not well defined. By reviewing the literature and presenting some new data, we attempt to elucidate the applications of operative videolaparoscopy in gynecologic oncology. Advanced laparoscopic techniques are utilized for the management of cervical cancer as well as the staging and treatment of endometrial and ovarian cancers. Such techniques are used in performing radical hysterectomy for early stage cervical cancer, pelvic and paraaortic lymphadenectomy, and second look laparoscopy following chemotherapy for ovarian cancer. Even though preliminary data are encouraging, large prospective controlled studies with long‐term follow‐up are necessary to better define the role and limitations of laparoscopy in the treatment of gynecologic malignancies. © 1994 Wiley‐Lis

ISSN:8756-0437    

DOI:10.1002/ssu.2980100611

出版商:John Wiley&Sons, Inc.    

年代:1994

数据来源: WILEY