Background:
Completely avoiding abdominal wall incisions through the use of transanal laparoscopic access represents the most current evolution in minimally invasive surgery. The combination of laparo-endoscopic single-site (LESS) surgery and natural orifice transluminal endoscopic surgery (NOTES™) can achieve totally transanal LESS pullthrough colectomy (TLPC) and creation of a totally transanal ileal J-pouch (TLPC-J). The novel aim of our experimental study was to provide evidence that TLPC-J
Background: Natural Orifice Transluminal Endoscopic Surgery (NOTES) and single-incision laparoscopy are emerging, minimally invasive techniques. Total mesorectal excision (TME), the gold standard treatment for patients with resectable distal rectal tumors, is usually performed in an “up-to-down” approach, either laparoscopically or via open techniques. We already reported a NOTES, transanal, “down-to-up” variant of TME (NOTES TME) (Group A). The aim of the present study was to assess the short t
Introduction
The laparoscopic sleeve gastrectomy is a bariatric procedure that has been extended to special cases with BMI under 35. The real benefit is under investigation, but previous studies have shown beneficial results and safety.
In this paper, we try to demonstrate that LSG can be performed in patients with BMI between 30 and 35 obtaining comparable results to severe and morbidly obese patients, with resolution of their comorbidities.
Methods and Procedures
Descriptive and prospect
OBJECTIVES: Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (SG) both result in significant weight loss and reduction of comorbidities in the morbidly obese population. Although long-term data has been published on the complications after RYGB, sleeve gastrectomy is a relatively new procedure without a well-established long-term procedure-related morbidity profile. Our aim was to compare the 5-year data on re-operations occurring after and related to RYGB versus
Introduction: Surgeons should consider optimizing a patient’s modifiable risk factors before elective surgery to reduce morbidity and mortality. Postoperative sepsis is a rare but serious complication following elective surgery. The purpose of this study was to identify the rate of postoperative sepsis following elective laparoscopic gastric bypass and to identify pertinent pre-operative risk factors.
Methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQI