Introduction Self-expandable metallic stents (SEMS) have become an increasingly accepted minimally invasive alternative to surgery in patients with colorectal obstruction. The aim of this study was to compare the results of SEMS with patients undergoing surgery for acute colonic obstruction at our hospital during five years (August 2003-August 2008).Methods Patients with acute colonic obstruction or […]
LAPAROSCOPIC MANAGEMENT OF GENERALIZED PERITONITISJorge Fernàndez- Alvarez M.D., Omar Pichardo M.D., Armando Baqueiro M.D., Josè Manuel Gòmez M.D., Francisco Terrazas M.D., Iker Leòn M.D. Gonzalo Vargas MD Hospital Español de Mèxico. Objective: In the beginning of laparoscopic surgery, the presence of peritonitis was an absolute contraindication , actually there is controversy about this procedure in […]
Background Open tension-free mesh-plug hernia repair, transabdominal preperitoneal(TAPP) and totally extraperitoneal(TEP) laparoscopic techniques are common surgical procedures for primary unilateral inguinal hernia repair. However, the choice of surgical procedure is still controversial in China. Objective To compare open tension-free hernioplasty with two laparoscopic hernia repairs. Methods One hundred sixty-four male patients suffering from primary unilateral […]
INTRODUCTION: Laparoscopic liver surgery requires high degree of anatomical knowledge, laparoscopic skills and technical know how of latest state of the art haemostatic and parenchymal split instruments, more so for major hepatic procedures like right hepatectomy .We describe the technique of laparoscopic left hepatectomy by anterior approach performed by single surgeon using two hand technique.METHOD: […]
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon […]