(objective)When performing laparoscopic hysterectomy (LH) for benign uterine tumors, we currently employ two-step laparoscopic hysterectomy (LTSH), a two-step procedure in which the cervix is removed after amputation of the uterine body. We have already reported on the usefulness of this procedure at conferences of the Society. We conducted an analysis to determine the factors that […]
[Introduction] Pneumoperitoneum creates a sufficient workspace,but we have many disadvantage about crowding and clashing of instruments and air-tight trocars in Single Port Laparoscopic Surgery (SPS). For the purpose of avoiding difficulties concerning about pneumoperitneum, we developed SPS under abdominal wall lifting method. We performed single port laparoscopic appendectomy, hernia repair, cholecystectomy under abdominal wall lifting […]
Introduction: Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. Preoperative chemoradiation therapy (CRT) for rectal cancer reduces local recurrence and increases anal sphincter preservation rate. On the other hand, laparoscopic surgery is accepted as minimally invasive treatment for rectal cancer. We considered […]
INTRODUCTION. In a case of major hepatectomy, an inadequate volume of liver remnant is necessary and pre operative assessment to be induced hypertrophy of future liver remnant is considered to be candidates for percutaneus transhepatic portal vein embolization. It is difficult to use the transhepatic route in a case with giant liver tumor or multiple […]
Background: Laparoscopic pancreatic surgery for pancreatic disorders includes enucleation, distal pancreatectomy, pancreatoduodenectomy, and cystgastrostomy. However, these procedures are still uncommon, with limited indications. If postoperative complications such as a pancreatic leakage occur, they can be potentially serious. Methods: During recent ten years, we experienced six consecutive laparoscopic pancreatic surgeries. Preoperative diagnoses are islet cell tumors […]