Advances in surgical approaches to Crohn’s disease: minimally invasive surgery and biologic therapy

2009 ◽  
Vol 5 (4) ◽  
pp. 463-470 ◽  
Author(s):  
Stefan D Holubar ◽  
Bruce G Wolff
Keyword(s):  
Crohn’S Disease ◽  
Minimally Invasive Surgery ◽  
Crohn's Disease ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Biologic Therapy ◽  
Surgical Approaches

Possibilities of minimally invasive surgery in patients with Crohn’s disease and ulcerative colitis

2017 ◽  
Vol 71 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Lumír Kunovský ◽  
Filip Marek ◽  
Zdeněk Kala ◽  
Jiří Dolina ◽  
Petr Moravčík ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Crohn’S Disease ◽  
Minimally Invasive Surgery ◽  
Crohn's Disease ◽  
Minimally Invasive ◽  
Invasive Surgery

Minimally invasive surgery for ileo-colic Crohn's disease

2002 ◽  
Vol 4 (2) ◽  
pp. 127-131 ◽  
Author(s):  
R. W. Motson ◽  
S. S. Kadirkamanathan ◽  
N. Gallegos
Keyword(s):  
Crohn’S Disease ◽  
Minimally Invasive Surgery ◽  
Crohn's Disease ◽  
Minimally Invasive ◽  
Invasive Surgery

scholarly journals Method of forming a pancreatogastric anastomosis after pancreatoduodenal resection

2021 ◽  
Vol 26 (4) ◽  
pp. 97-104
Author(s):  
V. Ya. Lishchishin ◽  
A. G. Barishev ◽  
A. N. Petrovsky ◽  
A. N. Lishchenko ◽  
A. Y. Popov ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Open Surgery ◽  
Surgical Approaches ◽  
Open Approach ◽  
Malignant Tumours ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Pancreatic Fistulas

Aim. To evaluate the reproducibility and safety of the developed pancreatogastric anastomosis with various surgical approaches during pancreatoduodenectomy.Materials and methods. The experience of surgical treatment of 47 patients with malignant tumours of the periampullary zone, who underwent pancreatoduodenectomy, was considered. The proposed variant of anastomose was performed to 14 (29.8%) patients: in 7 cases with a minimally invasive approach to perform pancreatoduodenectomy; and in 7 cases with an open approach. To compare retrospectively 33 (70.2%) patients who underwent pancreatogastric anastomosis according to the Bassi technique: 9 – with minimally invasive surgery, 24 – with open surgery. The frequency of pancreatic fistulas, the number of repeated interferences, and hospital mortality were taken into account.Results. A significant advantage of the new method of forming an anastomosis in the duration of the operation was noted in comparison with the Bassi technique. There were no statistically significant differences in blood loss while various types of anastomoses (p > 0.05). When using the proposed technique, the formation of pancreatic fistulas was not revealed. The development of pancreatic fistula was observed in 4 (16.7%) patients after open surgery and in 7 (77.8%) patients after minimally invasive Bassi anastomose formation. Reoperations were performed after open surgery in 3 (12.5%) cases and in 4 (44.4%) cases of minimally invasive surgery according to the Bassi technique. There were 2 (22.2%) deaths in the minimally invasive group.Conclusion. The proposed pancreatogastric anastomosis is applicable in clinical practice. This method allows to create relatively fast and less challenging anastomosis, including with a minimally invasive approach. The use of this technique makes it possible to reduce mortality and postoperative complications in patients with a “complex” pancreas.

scholarly journals Population perception of surgical approach in minimally invasive surgery

2015 ◽  
Vol 9 (1-2) ◽  
pp. 1 ◽  
Author(s):  
Shogo Inoue ◽  
Mitsuru Kajiwara ◽  
Jun Teishima ◽  
Akio Matsubara
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Surgical Approach ◽  
Young Female ◽  
Surgical Approaches ◽  
Paramedical Staff ◽  
The Impact

Introduction: The aim of this study was to better understand the impact that public opinion might have on surgical approaches in urologic minimally invasive surgery (MIS).Methods: We collected surveys from 400 participants, including the general population (n = 220) and paramedical staff (n = 180). Participants were anonymous. The survey included 16 questions on the characteristics and preference for the surgical approach if a urologic MIS were performed on them.Results: The responders preferred the transumbilical approach (57.0%) to the subcostal approach (43.0%). In particular, the preference for a transumbilical approach was significantly higher in females (65.1% vs. 49.3%, p = 0.0014). Similarly, when participants were divided into two groups (<50 years and >50 years), the preference for the transumbilical approach was significantly higher in the younger group (60.8% vs. 48.0%, p = 0.0187). Logistic regression analysis revealed that preference for this approach was about 2 times more likely to rise in the females (p = 0.032).Conclusions: Preference for the transumbilical approach was significantly higher young female respondents. This patient subset most values the cosmetic benefits of transumbilical approach in urologic MIS.

scholarly journals Minimally Invasive Surgery in Gynecologic Oncology

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Kristina M. Mori ◽  
Nikki L. Neubauer
Keyword(s):  
Ovarian Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Gynecologic Oncology ◽  
Laparoscopic Hysterectomy ◽  
Modern Medicine ◽  
Pelvic Lymphadenectomy ◽  
Surgical Approaches ◽  
Operative Laparoscopy

Minimally invasive surgery has been utilized in the field of obstetrics and gynecology as far back as the 1940s when culdoscopy was first introduced as a visualization tool. Gynecologists then began to employ minimally invasive surgery for adhesiolysis and obtaining biopsies but then expanded its use to include procedures such as tubal sterilization (Clyman (1963), L. E. Smale and M. L. Smale (1973), Thompson and Wheeless (1971), Peterson and Behrman (1971)). With advances in instrumentation, the first laparoscopic hysterectomy was successfully performed in 1989 by Reich et al. At the same time, minimally invasive surgery in gynecologic oncology was being developed alongside its benign counterpart. In the 1975s, Rosenoff et al. reported using peritoneoscopy for pretreatment evaluation in ovarian cancer, and Spinelli et al. reported on using laparoscopy for the staging of ovarian cancer. In 1993, Nichols used operative laparoscopy to perform pelvic lymphadenectomy in cervical cancer patients. The initial goals of minimally invasive surgery, not dissimilar to those of modern medicine, were to decrease the morbidity and mortality associated with surgery and therefore improve patient outcomes and patient satisfaction. This review will summarize the history and use of minimally invasive surgery in gynecologic oncology and also highlight new minimally invasive surgical approaches currently in development.

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