Introduction: Laparoscopic Surgery has rapidly increased for treatment of gastric cancer in the world. Laparoscopic assisted distal gastrectomy (LADG) has been the standard procedure in case of early gastric cancer. Our impression is obesity can be one of the factors to increase of operating time and blood loss.Methods: Between October 2007 and May 2009, 48 […]
Background and Purpose: Although the technical feasibility of laparoscopic approach to perforated duodenal ulcer is well established, this procedure has not been widely performed because of several limitations. This retrospective study was performed to clarify the feasibility, safety, and minimal invasiveness of a minilaparotomy for perforated duodenal ulcer. Patients and Methods: We retrospectively analyzed data […]
Introduction: Laparoscopic incisional hernia repair (LIHR) is a relatively common procedure yet requires advanced laparoscopic skills. There is no reliable or valid measure of performance during this procedure. The aim of this study was to develop a procedure-specific objective rating scale to assess performance of LIHR, and to evaluate its reliability and validity. Methods: The […]
Background and Purpose: Laparoscopic right hemicolectomy has been widely accepted for locally advanced cancer of the right colon. Three–dimensional computed tomography was reported to be useful to obtain sufficient information regarding arterial and venous distributions for the right colon preoperatively. However, its routine use in clinical practice has several limitations. This study was performed to […]
Background and Purpose: Single incision laparoscopic surgery (SILS) has been introduced to colonic cancer. One of the benefits of SILS is better cosmesis compared with other surgical approaches. We have previously performed resection of T1N0 or Tis colon cancer via circumferential periumbilical incision (CPI), which seems to be an alternative to SILS. The long-term oncological […]