Background: Conversion to open surgery occurred in 12-29% of the patients who underwent laparoscopic colorectal resection. This study aimed to evaluate the impact of conversion on the operative outcome and prognosis of patients who underwent laparoscopic resection for colorectal cancer.Methods: The prospectively collected data of 473 patients who underwent laparoscopic colectomy between May 2000 and […]
Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers. This study analyzes the effect of staples and staple height on tissue perfusion. Methods: Staple lines created on live porcine small bowel segments using laparoscopic surgical staplers were tested for perfusion using visible light spectroscopy to assess tissue oxygenation. Perfusion measurements […]
Introduction:Double balloon enteroscopy (DBE) is a relatively new endoscopic technique to diagnose and treat small bowel disease. While it is becoming widely used, there are relatively few data regarding potential complications. Methods: We reviewed all DBE cases at an academic medical center from 2006-2007. 39 DBEs were identified and three patients had severe complications (7.7%) […]
IntroductionPost-operative nausea and vomiting (PONV) represents a serious and vexing problem after bariatric surgery. We hypothesized that liberal administration of IV fluid administration may influence PONV. Methods50 patients were recruited from a bariatric surgery clinic in an academic hospital. Patients were randomized to two groups of intra-operative IV fluid administration: Group A received 15ml/kg while […]
Introduction:Thoracoscopic esophagectomy is emerging as an alternative to conventional open esophagectomy. It is perceived to have advantages of reduced surgical trauma and hence lesser postoperative morbidity. This paper presents outcome of patients undergoing thoracoscopic esophagectomy and compares it to patients undergoing open surgery in the same time period in the thoracic surgical service of Tata […]