Base of Tongue Reduction: Endoscopic Approach vs. Transoral Robotic Surgical Approach

CSurgeries ◽  
2020 ◽  
Author(s):  
Julian Martinez ◽  
Mica Glaun ◽  
Julian Martinez ◽  
Deepak Mehta ◽  
Umamaheswar Duvvuri
Keyword(s):  
Surgical Approach ◽  
Endoscopic Approach ◽  
Base Of Tongue ◽  
Tongue Reduction

Treatment of Esophagojejunal Anastomosis Leakage: A Systematic Review from the Last Two Decades

2015 ◽  
Vol 81 (5) ◽  
pp. 450-453 ◽  
Author(s):  
Paolo Aurello ◽  
Paolo Magistri ◽  
Francesco D'Angelo ◽  
Stefano Valabrega ◽  
Dario Sirimarco ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Surgical Approach ◽  
Endoscopic Approach ◽  
Cochrane Library ◽  
Conservative Approach ◽  
Therapeutic Approaches ◽  
Esophagojejunal Anastomosis ◽  
Anastomosis Leakage ◽  
Reported Data ◽  
Overall Mortality

Esophagojejunal anastomosis leakage is one of the major complications after total gastrectomy for gastric cancer and is an independent predictor of survival. Our aim is to systematically review the literature and discuss the reported therapeutic approaches to identify the best therapeutic approach. Pubmed, EMbase, Cochrane Library, CILEA Archive, BMJ Clinical Evidence, and Up ToDate databases were screened limiting the research to articles written in English from January 1992 through December 2013. This way a total of 474 manuscripts were retrieved for furthermore evaluation. Eleven manuscripts were considered eligible and the study is focused on those works. We analyzed a total of 3,893 patients and 114 cases of esophagojejunal anastomosis leakage. Different treatments were grouped into three main categories: conservative approach (66 cases), endoscopic approach (21 cases), and surgical approach (27 cases). The overall mortality rate is 26.32 per cent and surgical approach showed the higher rate. According to the reported data, a complete resolution of the leakage can be achieved in an interval ranging from 7 to 28 days in the group treated conservatively. Conservative approach should always be considered as the treatment of choice. Reoperation may be necessary in case of wide dehiscence or when other treatments fail; therefore, the high mortality rate related to this procedure is due to the comorbidities of patients undergoing relaparotomy. Finally, endoscopic approach with endoclips seems promising but needs furthermore studies.

scholarly journals Endoscopic Transcolonic Catheter-Free Pelvic Abscess Drainage

2008 ◽  
Vol 22 (12) ◽  
pp. 983-986 ◽  
Author(s):  
Halil Alis ◽  
Aliye Soylu ◽  
Kemal Dolay ◽  
Ersan Aygun
Keyword(s):  
Endoscopic Surgery ◽  
Surgical Approach ◽  
Percutaneous Drainage ◽  
Pelvic Abscess ◽  
Endoscopic Approach ◽  
Abdominal Abscess ◽  
Natural Orifice ◽  
Abscess Drainage ◽  
Wide Channel ◽  
Novel Therapeutic

Natural orifice transluminal endoscopic surgery is a novel therapeutic method in development that uses different routes of surgical approach. The use of various methods, instruments and accessories during this procedure are currently being investigated. A case of appendicitis-related intra-abdominal abscess that was resolved by a transcolonic endoscopic approach using a wide-channel colonoscope with the help of precut and standard sphincterotome without radiological percutaneous drainage is presented.

scholarly journals Surgical Approach to Frontal and Ethmoid Sinus Osteomas: The Experience of 2 Metropolitan Italian Hospitals

2021 ◽  
pp. 014556132110168
Author(s):  
Antonio Minni ◽  
Luca Roncoroni ◽  
Fabrizio Cialente ◽  
Federica Zoccali ◽  
Andrea Colizza ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Surgical Approach ◽  
Cerebrospinal Fluid Leak ◽  
Ethmoid Sinus ◽  
Endoscopic Approach ◽  
Open Approach ◽  
The Mean ◽  
Ethmoid Sinuses ◽  
Fluid Leak

Objectives: The aim of this study was to report the surgical management experience of patients with osteomas of the frontal and ethmoid sinuses performed in 2 metropolitan Italian hospitals between 2012 and 2019. Methods: A retrospective chart review of cases of frontal and ethmoid osteomas from the Ca’ Granda Niguarda Hospital of Milan and the Policlinico Umberto I University Hospital of Rome was performed. All patients underwent preoperative computed tomography and, when orbital or intracranial extension was suspected, magnetic resonance imaging. Surgical treatment was performed according to Chiu classification. Results: A total of 38 cases of frontal and ethmoid sinus osteomas were included in the study; 22 patients were men and 16 were women. The mean age at diagnosis was 49 years. Seven (18.4%) patients were treated using an open approach; 3 (7.9%) patients underwent open and endoscopic approach; the remaining 28 (73.7%) patients were treated with endoscopic approach. Seven (18.4%) patients had a cerebrospinal fluid leak intraoperatively and were treated with the placement of tissue graft through the defect. The mean follow-up time was 18 months; no recurrence was observed at 12-month follow-up. Conclusion: Osteomas of the frontal and ethmoid sinuses can be treated using different techniques, mostly endoscopically. The choice of surgical approach (endoscopic vs open) depends on the location and size of the osteoma, anatomical size, characteristic of the sinus, surgeon’s experience, and available existing technical facilities. Cerebrospinal fluid leak is a possible complication of surgery.

Endoscopic management of paranasal sinus mucocoeles

1998 ◽  
Vol 112 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Valerie J. Lund
Keyword(s):  
Young Adults ◽  
Surgical Approach ◽  
Paranasal Sinuses ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Concomitant Disease ◽  
The Past ◽  
Children And Young Adults ◽  
Endoscopic Group

AbstractMucocoeles of the paranasal sinuses are relatively uncommon and in the past have been generally treated by an external surgical approach. Forty-eight mucocoeles in the frontal, fronto-ethmoidal and sphenoidal sinuses have been treated during the last five years, 20 by an entirely endonasal endoscopic approach and 28 by a combination of an external procedure and an endoscopic approach. There were no recurrences in the endoscopic group, with a mean follow-up of 34 months whilst three recurrences occurred in the combined external and endoscopic group which had a mean follow-up of 44 months. This may reflect the complexity and severity of concomitant disease. If a wide marsupialization can be achieved by an entirely endoscopic approach there are a number of advantages, notably a lack of facial scarring in children and young adults.

Oncologic and functional results after transhyoid surgical approach for cancer of the base of tongue

Head & Neck ◽  
2010 ◽  
Vol 33 (8) ◽  
pp. 1079-1084 ◽  
Author(s):  
Juan P. Rodrigo ◽  
Juan Pablo Díaz-Molina ◽  
Carla Moreno ◽  
Carlos Suárez
Keyword(s):  
Surgical Approach ◽  
Functional Results ◽  
Base Of Tongue

scholarly journals Cavernous Sinus: endonasal endoscopic approach for pituitary tumors

2019 ◽  
Vol 29 (3) ◽  
pp. 492-494
Author(s):  
Jorge Cerda ◽  
Pablo Carmona Rammsy ◽  
Manuel Paredes Schwerter ◽  
Felipe Sfeir Votero ◽  
María Fernanda Sepúlveda Avilés
Keyword(s):  
Cavernous Sinus ◽  
Surgical Approach ◽  
Clinical Remission ◽  
Complementary Therapies ◽  
Cranial Nerves ◽  
Vascular Complications ◽  
Pituitary Tumors ◽  
Endoscopic Approach ◽  
Surgical Approaches ◽  
Patient Series

Objective: To show the experience of the Hospital de Puerto Montt on endonasal endoscopic approach (EEA) to the cavernous sinus(CS) Methods: A patient series with pituitary tumors who required surgical approach to the cavernous sinus between 2017 and2018 at the Hospital de Puerto Montt, Chile. Results: Thirteen patients, between 30 and 60-year-old, 9 women and 4 men. All thecases presented pituitary tumors, four were functioning adenomas. Imagenological evaluation was made using the Knosp scale. Inall cases the chosen approach was transpterygoid. There were no vascular complications, neither cranial nerves nor cerebrospinalfluid leaks. Resection was complete in 6/13 patients and clinical remission in 3 of 5 functioning cases. Discussion: Tumor extensionto the cavernous sinus is a situation that usually limits the intent of resection of a pituitary tumor, and also orient complimentarytreatment. Knowledge of the anatomy of the sellar and cavernous regions allow surgical approaches with less complications and highergrade of resection. Conclusion: The endonasal endoscopic approach to the cavernous sinus is possible in some patients. Staging ofthe disease, resectability and indication of complementary therapies must be performed after careful multidisciplinary evaluation.

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