INTRODUCTION: Laparoscopic extended right hemicolectomy with D3 lymphadenectomy for colon cancer located at hepatic flexure or within 10 cm distal to hepatic flexure was a technically demanding approach. Intraoperative vascular injury (IVI) is common based on our clinical practice. The aim of this study was to investigate incidence of IVIs, the anatomic characteristics of injured vessels and the risk factors of the IVIs during this procedure.
METHODS: This retrospective study enrolled 96 consec
Background:
An inadequate closure of the appendiceal stump can lead to intra-abdominal surgical site infections. There are various techniques for the closure of base of appendix while performing a laparoscopic appendectomy like endoloops, knotting, clips and staplers.
OBJECTIVE:
The goal of this study was to compare the complications and cost of extracorporeal knot-tying suture with metallic endoclips in appendiceal stump closure during laparoscopic appendicectomy.
METHODOLOGY:
This study w
Colonoscopy is a surveillance tool for prevention and early detection of colon cancer. It is a low risk procedure, but nevertheless all procedures have an inherent complication rate. One of the major adverse event with an incidence of 0.2% is colonoscopic perforation. I report 4 cases of symptomatic colonoscopic perforations that were successfully managed with laparoscopy, without a complication
First patient had HIV and a lateral perforation of the descending colon. 2 layers of interrupted int
Introduction
In recent years, the use of microlaparoscopic procedures (trocar incisions less than 3mm) has been gaining popularity. It is thought that the smaller incision will lead to decreased postoperative pain, better cosmetic results, decreased hospital length of stay (HLOS). We examined our experience with microlaparoscopy with two common procedures: cholecystectomy and Heller myotomy.
Methods
Following Institutional Review Board (IRB) approval, a retrospective chart review of all
Introduction: Benefits of peritoneal dialysis (PD) over hemodialysis (HD) have been widely established and include greater patient autonomy and quality of life, preservation of residual renal function, and slight survival advantage. Catheter dysfunction is a common reason for transfer to HD and occurs up to 38% and 14% of the time after open and laparoscopic insertion respectively. Common causes are: compartmentalization from adhesions, omental entrapment, and catheter tip migration. In an attem