Background: Anastomotic leak, bleeding, and stricture are recognized complications with increase morbidity and mortality. The frequency of anastomoses leakage rages from 1% to 24%. The leakage rate is generally higher for rectal anastomosis (12% – 19%) than for colonic anastomoses (11%)(1,2). During laparoscopic colorectal surgery, the anastomosis may be created intra or extracorporeally. The aim of this study is to describe our experience, quality of anastomosis, and the low rate of complicatio
AIM. To compare the colorectal extraction trought the vagina vs the umbilical incision for SILS technique after colorectal laparoscopic resection.
METHODS. Prospective clinical series comparing two surgical approaches for colorectal minimally invasive resection. 24 female patients operated by the same surgeon in the same institution, 12 with minilaparoscopic approach and transvaginal extraction and 12 with SILSTM transumbilical approach with transumbilical extraction.
For the minilaparospic ap
Background: laparoscopic colo-rectal surgery has shown its advantages in terms of reduced post-operative pain, earlier recovery of intestinal peristalsis and shorter hospital stay.
Few studies reported results of laparoscopic surgery in complicated diverticulitis. The aim ofThis study to analyze the results of laparoscopic sigmoidectomy in patients with fistulized sigmoiditis.
Methods: we reviewed 8 patients operated on for fistulized sigmoidectomy between January 2010 to December 2014, in a
Introduction: Matrix Metalloproteinase -2(MMP-2) degrades type IV collagen, a major component of basement membranes. MMP-2 plays important roles in tissue remodeling and wound healing but has also been implicated in disease processes including cancer. Elevated MMP-2 activity has been linked to a poor prognosis in lung, breast, prostate and colorectal cancer (CRC). MMP-2, by degrading basement membrane, facilitates tumor cell invasion and metastasis formation. MMP-2 is also thought to promote tu
Objective: Pneumoperitoneum is the basic step in every laparoscopic procedure, and has been established in previous studies as a trigger for bacterial translocation. Toll-like receptor 4 (TLR-4) is responsible for the recognition of bacterial endotoxin or lipopolysaccharide (LPS) and for initiation of gram-negative bacillary septic shock syndrome. Our objective was to determine the effects of elevated intaabdominal pressure (IAP) on bacterial translocation and TLR-4 signaling in a rat model of a