BACKGOUND: Esophageal squamous cell cancer located in the lower third of the esophagus often indicates surgery with left transthoracic approach. Surgery with left thoracotomy is less invasive than right thoracotomy, but thoracotomy itself is associated with morbidity and delayed recovery in cancer patients who are typically older and malnourished and often have pulmonary or cardiovascular […]
Introduction : Laparoscopic distal gastrectomy for early gastric carcinoma has been accepted widely because of its minimal invasiveness. However laparoscopic total gastrectomy is not still familiar depending on difficulty of esophagojejunomy. When performing open total gastrectomy, esopagojejunostomy with a circular stapling device has been generalized as a substitute for hand-suture. On the other hand, there […]
[INTRODUCTION] It is seriously important for living donations to make safer and to reduce operating stress. Laparoscopic surgery is though to be a useful operating procedure for solving these problems. We performed first case of living donor (LD) simultaneous pancreas and kidney transplantation (SPKTx) in Japan in 2004, and until now, we have done 13 […]
BackgroundThe short-term results of the Sigma-trial, comparing laparoscopic (LSR) versus open (OSR) elective sigmoid resection for diverticular disease, showed a 15.4% reduction in major complication rates, less pain, and shorter hospitalization at the cost of a longer operating time. Present data complements these results with six months follow-up. MethodsThis was a prospective, multi-center, double-blind, parallel-arm, […]
Introduction: It has been known that ultrasonically activated devices (USAD) cause tissue planes to separate ahead of the blade tip and described as “distal drilling” phenomenon of the device seen during surgeries. “Cavitational bubbles” generated under transient fluctuation of pressure within tissues have been thought to account for this phenomenon. Meanwhile, collapse of cavitation bubbles […]