scholarly journals Successful Laparoscopy-Assisted Resection of the Descending Colon in a Patient with Multiple Large Renal Cysts and Stricture of the Colon due to Ischemic Colitis

2018 ◽  
Vol 12 (2) ◽  
pp. 540-545
Author(s):  
Hiromichi Maeda ◽  
Ken Okamoto ◽  
Tsutomu Namikawa ◽  
Mai Shiga ◽  
Kazune Fujisawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ischemic Colitis ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Renal Cysts ◽  
Postoperative Recovery ◽  
Left Colon ◽  
Serous Fluid ◽  
Postoperative Course ◽  
Descending Colon

Large pathological structures in the abdominal cavity curb the application of laparoscopic surgery. This case report describes a successful laparoscopy-assisted colectomy for benign colon disease in a patient with multiple large renal cysts. An 82-year-old man was referred to our department for treatment of stenosis of descending colon secondary to ischemic colitis. An abdominal computed tomography revealed multiple large renal cysts occupying a large proportion of the peritoneal cavity. To minimize the postoperative recovery period, laparoscopic surgery was planned despite the renal cysts. After inserting access ports, the walls of the several renal cysts were fenestrated with an electronic scalpel and the serous fluid was aspirated to enable continuation of the laparoscopic colectomy. The left colon was mobilized and extracted through an incision at the umbilicus, and the affected part of the colon was resected safely. The patient’s postoperative course was uneventful, and the present case suggests that laparoscopy-assisted colectomy can be performed safely even in patients with multiple large renal cysts.

scholarly journals Evaluation of the outcomes of right paralumbar fossa colostomy for type II colonic atresia in calves: a report of 24 cases

2019 ◽  
Vol 75 (02) ◽  
pp. 6213-2019
Author(s):  
MUHARREM EROL ◽  
HANIFI EROL ◽  
SEMIH ALTAN ◽  
NURI YAVRU
Keyword(s):  
Abdominal Cavity ◽  
Clinical Findings ◽  
Radiographic Examination ◽  
Type Ii ◽  
Ascending Colon ◽  
Postoperative Course ◽  
Colonic Atresia ◽  
Vertical Incision ◽  
Descending Colon ◽  
The Right

The aim of the present study was to evaluate the effectiveness of right fossa paralumbar colostomy on the survival rate of calves with atresia coli maintained under Anatolian farming conditions. The clinical diagnosis was confirmed by clinical findings, pain and contrast radiographic examination. In clinical and indirect radiographic examination, rectum and descending colon were seen as more constricted than usual. In surgery, the abdominal cavity was opened through a vertical incision from the right paralumbar fossa. The blind end of the ascending colon was fixed to the abdominal wall in order to create a stoma. The postoperative course of the calves was obtained from the owners of the calves during a period of four months. It was learned that only one calf survived and the others died because of diarrhea within the four month period. In conclusion, this study demonstrated that although right fossa paralumbar colostomy was successfully performed for type-II atresia coli, severe functional impairment and fluid imbalance due to the loss of an important fluid resorption resulted in the death of most calves that were kept under Anatolian farming conditions.

ROBOTICS IN NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY

2013 ◽  
Vol 13 (02) ◽  
pp. 1350044 ◽  
Author(s):  
YUE ZHOU ◽  
HONGLIANG REN ◽  
MAX Q.-H. MENG ◽  
ZION TSZ HO TSE ◽  
HAOYONG YU
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
System Development ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Skin Incision ◽  
Surgical Instruments ◽  
Natural Orifice ◽  
The Arts ◽  
Post Operative Pain

Natural orifice translumenal endoscopic surgery (NOTES) is the latest surgery paradigm in which the abdominal cavity is accessed via the body's natural orifice, e.g., vagina, mouth, etc. Compared with traditional laparoscopic surgery, NOTES completely eliminates the skin incision and therefore benefits the patients in several aspects such as less post-operative pain, shorter recovery period, fewer complications, etc. Due to the unique characteristics of NOTES, instruments for traditional laparoscopic surgery are not suitable for NOTES and hence novel hardware design is necessary for facilitating system development. This paper gives an overview of the state of the arts in the development of surgical instruments for NOTES, particularly with a focus on the promising robotic endoscopes.

scholarly journals Congestive ischemic colitis occurring after resection of left colon cancer: 4 case series

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Takatsugu Fujii ◽  
Shigeo Toda ◽  
Yuki Nishihara ◽  
Yusuke Maeda ◽  
Kosuke Hiramatsu ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Ischemic Colitis ◽  
Case Series ◽  
Left Colon ◽  
Left Colon Cancer

scholarly journals Ischemic Colitis of the Left Colon in a Diabetic Patient

2011 ◽  
Vol 5 (1) ◽  
pp. 239-245 ◽  
Author(s):  
Anastasios J. Karayiannakis ◽  
Helen Bolanaki ◽  
Georgios Kouklakis ◽  
Konstantinos Dimakis ◽  
Ilker Memet ◽  
...  
Keyword(s):  
Diabetic Patient ◽  
Ischemic Colitis ◽  
Left Colon

scholarly journals Left Paraduodenal Hernia Treated With Single-Incision Laparoscopic Surgery: Report of a Case

2021 ◽  
Vol 105 (1-3) ◽  
pp. 49-53
Author(s):  
Hideki Osawa ◽  
Junichi Nishimura ◽  
Yoshiyuki Motoki ◽  
Masaaki Miyo ◽  
Yozo Suzuki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Single Incision ◽  
Abdominal Cavity ◽  
Young Patients ◽  
Abrupt Onset ◽  
Radiographic Examination ◽  
Paraduodenal Hernia ◽  
Single Incision Laparoscopic Surgery ◽  
Minimal Invasion

Paraduodenal hernia is traditionally repaired via conventional laparotomy. Recently, several reports described the repair of paraduodenal hernia via laparoscopic surgery with multiple ports. Due to development of the technique and devices for laparoscopic surgery, single-incision laparoscopic surgery (SILS) has been applied to various operations, including cholecystectomy, appendectomy, and procedures for colorectal cancer. Here, we report treatment of a left paraduodenal hernia via SILS. A 23-year-old man presented with abrupt onset of abdominal pain, nausea, and vomiting. Computed tomography revealed a mass of intestinal loops enveloped by a thin capsule on the left of the abdominal cavity. Blood circulation in the jejunal loops was preserved, and no dilatation of the jejunum was observed. Physical and radiographic examination indicated the possibility of left paraduodenal hernia; we performed paraduodenal hernia repair using SILS. After we confirmed that there was no strangulation or gangrenous change in the bowel on laparoscopic examination, we reduced the incarcerated jejunum loops via an atraumatic method. The postoperative course was uneventful, and the patient was discharged 8 days after the operation. This disease affects relatively young patients, rendering this operation attractive from the viewpoint of cosmetic benefits and minimal invasion. Paraduodenal hernia repair via SILS is feasible, safe, and may constitute an alternative method for paraduodenal hernia without necrotic change.

scholarly journals Transanal Anastomosis Method and Prolapsing Technique in Totally Laparoscopic Low Anterior Resection for Lower Rectal Cancer

2021 ◽  
Vol 105 (1-3) ◽  
pp. 21-25
Author(s):  
Takuya Shiraishi ◽  
Naoki Tomizawa ◽  
Tatsumasa Andoh ◽  
Takuhisa Okada ◽  
Naoya Ozawa
Keyword(s):  
Laparoscopic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Abdominal Cavity ◽  
Intracorporeal Anastomosis ◽  
Lower Rectal Cancer ◽  
Abdominal Incision ◽  
Laparoscopic Low Anterior Resection ◽  
Double Stapling ◽  
Totally Laparoscopic

There are some reports of totally laparoscopic surgery performed by intracorporeal anastomosis without abdominal incision. However, intracorporeal anastomosis with prolapsing technique is difficult and complicated via laparoscopic surgery alone. We found it easier to achieve totally laparoscopic low anterior resection (LAR) by anastomosis anally. Our procedure was performed in 32 patients. After the prolapsed rectum with the tumor was transected, reconstruction was performed by using a double-stapling technique (DST) or a hand-sewn technique (HST). In the DST, the proximal colon was pulled outside transanally, and the anvil head was inserted into the colon and returned to the abdominal cavity. The anal-side rectum was closed using a linear stapling device, and DST was performed. The HST was modified from intersphincteric resection anastomosis. No patient experienced complications associated with this procedure. Cosmetic satisfaction was achieved. All patients obtained disease-free margins pathologically, and none experienced local recurrence. Intracorporeal anastomosis of totally laparoscopic low anterior resection is difficult via laparoscopic ports only. It can be simplified by operating with anastomosis via the anus.

scholarly journals Comparison of Short-Term Outcomes Between Robotic-Assisted and Laparoscopic Surgery in Colorectal Cancer

2018 ◽  
Vol 26 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Xiao-Long Zhu ◽  
Pei-Jing Yan ◽  
Liang Yao ◽  
Rong Liu ◽  
De-Wang Wu ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hospital Stay ◽  
Bowel Function ◽  
Postoperative Recovery ◽  
Postoperative Hospital Stay ◽  
Robot Assisted ◽  
Short Term ◽  
Robotic Colorectal Surgery

Aim. The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. Methods. The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination. A multivariable linear regression model was used to assess short-term outcomes between robot-assisted and laparoscopic surgery. Short-term outcomes included time to passage of flatus and postoperative hospital stay. Results. A total of 284 patients were included in the study. There were 104 patients in the robotic colorectal surgery (RCS) group and 180 in the laparoscopic colorectal surgery (LCS) group. The mean age was 60.5 ± 10.8 years, and 62.0% of the patients were male. We controlled for confounding factors, and then the multiple linear model regression indicated that the time to passage of flatus in the RCS group was 3.45 days shorter than the LCS group (coefficient = −3.45, 95% confidence interval [CI] = −5.19 to −1.71; P < .001). Additionally, the drainage of tube duration (coefficient = 0.59, 95% CI = 0.3 to 0.87; P < .001) and transfers to the intensive care unit (coefficient = 7.34, 95% CI = 3.17 to 11.5; P = .001) influenced the postoperative hospital stay. The total costs increased by 15501.48 CNY in the RCS group compared with the LCS group ( P = .008). Conclusions. The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of shorter postoperative recovery time of bowel function and shorter hospital stays.

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