Laparoscopic intrapelvic operation, such as gynecological, urological and rectal operations, are often interrupted by the phenomenon of the small intestine flowing into the pelvic space. This phenomenon makes intrapelvic laparoscopic operations difficult. Although, patients are placed in an extreme head down position to keep the pelvic space wide to prevent this interruption of the small… Continue Reading
A Comparison Study of Laparoscopic , Hand-Assisted Laparoscopic, and Open Techniques for Treatment of Complicated Diverticulitis
INTRODUCTION-Our study was aimed at demonstrating that two laparoscopic methods, complete laparoscopy (LAP) and hand-assisted laparoscopy (HAL) are acceptable techniques for sigmoid resection in patients with complicated diverticulitis as compared to open surgery (OS). METHODS AND PROCEDURES- A retrospective review of 88 patients with complicated diverticulitis diagnosed between February 2003 and August 2007, were divided… Continue Reading
Background: The purpose of this study is to clarify of the safety and the feasibility of the short-term and long-term results of the laparoscopic surgery for patients with rectal cancer from the accumulated data of 28 leading hospitals in Japan.Methods: From May 1994 to February 2006, this study group comprised 1057 patients with rectal cancer… Continue Reading
With increased regularity of diagnostic colonoscopies, it has been suggested that rectal carcinoids are being detected earlier with decreasing need for radical therapy. The purpose of our study was to evaluate our experience with rectal carcinoids, in particular, to identify trends towards earlier detection and minimally invasive treatment options.Rectal carcinoid patients identified from a pathology… Continue Reading
Aim of this study is to report the clinical results of 852 consecutive colorectal cancer (CRC) resections between April 2001 and December 2006.Laparoscopic bowel resection (LAC) with lymph node dissection (D2/D3) was applied for advanced CRC as well as LAC with D1 lymph node dissection for early CRC where endoscopic mucosal resection was not indicated.… Continue Reading
Comparison of the incidence of anastomotic leak following laparoscopic and open low anterior resection
OBJECTIVE: To compare the incidence of postoperative anastomotic leak following laparoscopic (LP) versus open (OS) lower anterior resection. METHODS: A retrospective review of cases were performed between September of 2000 and June of 2007. A total of 33 cases of LP and 31 cases of OS lower anterior resection were performed by the same surgeon.… Continue Reading
Background: Conversion from laparoscopic to open surgery occurs in up to 30% of cases of colon and rectal surgery. Patients in whom the operation is converted to a laparotomy may have a worse outcome than after a successfully completed laparoscopic procedure. The aim of this study was to compare the outcome of converted cases based… Continue Reading
INTRODUCTION: Studies conducted in urban centers examining the relationship between CT scans, negative appendectomies and appendiceal perforation are not applicable to rural centers due to higher proportion of older adults, difficult access and absence of management algorithms at most centers.METHODS AND PROCEDURES: Retrospective analysis of all patients who underwent appendectomies from January 2000 to June… Continue Reading
Current Status of Laparoscopy-Assisted Surgery for Colorectal Cancer in Cancer Institute Hospital in Japan
Introduction: Laparoscopic surgery was introduced for the treatment of colorectal cancer about 15 years ago in Japan and now has been rapidly widespread. The objective of this study was to demonstrate the safety and feasibility of laparoscopy-assisted surgery for colorectal cancer in aspects of treatment results and expenses as compared to open surgery.Patients and Methods:… Continue Reading
INTRODUCTION: With the recent introduction of hand-assist devices in laparoscopic colorectal surgery, there is renewed interest in the impact of incision length. The aim of this study is to define the impact of incision length on short-term postoperative outcomes.METHODS: Consecutive patients undergoing laparoscopic left-sided colorectal resection by 4 surgeons from 4 different academic centers from… Continue Reading
Does Increasing Experience with Laparoscopic Colorectal Surgery Influence the Outcome of Complex Cases?
OBJECTIVES: To define major risk factors for intraoperative complications (IOC) in laparoscopic colorectal surgery, and to assess whether surgeon experience influences the outcomes of complex cases.METHODS: Consecutive patients undergoing laparoscopic colorectal procedures from 1991-2005 were analyzed from a prospectively-collected database. All patients referred to the four surgeons involved in this study were offered a minimally… Continue Reading
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
Evaluation of learning curve relating to short-term oncologic parameters for laparoscopic surgery in patients with recto-sigmoid carcinoma
INTRODUCTION: Previous studies analyzing the learning curves in laparoscopic colorectal surgery have focused mainly on non-oncologic outcomes or consisted predominantly of patients with colon cancer. The aim of this study was to analyze the learning curve with particular reference to short-term oncologic outcomes for the laparoscopic approach to recto-sigmoid carcinoma (RSC). MATERIALS AND METHODS: A… Continue Reading
Extracorporeal versus intracorporeal anastomosis after laparoscopic left colectomy – does it matter?
PURPOSE: Means of anastomosis after laparoscopic colectomy may be extracorporeal(EC) or intracorporeal(IC). Since there is paucity of data reporting the effect of means of anastomosis on outcomes for patients undergoing laparoscopic left colectomy, we compare outcomes for patients undergoing EC and IC.METHODS: Patients undergoing anastomosis after laparoscopic left colectomy, sigmoidectomy and resection rectopexy, when either… Continue Reading
Introduction: The natural history of colostomies and end ileostomies for colonic disease is not well documented in the literature. The primary objective of this study is to identify factors which impact colostomy and ileostomy reversal among patients with colonic diseases Methods: A retrospective review of patients with end ileostomies and colostomies was performed at a… Continue Reading