1
40
6
-
Text
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URL Address
<a href="http://doi.org/10.1089/lap.1998.8.231" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/lap.1998.8.231</a>
Pages
231–235
Issue
4
Volume
8
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Gallbladder duplication and laparoscopic management.
Publisher
An entity responsible for making the resource available
Journal of laparoendoscopic & advanced surgical techniques. Part A
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
1998-08
Subject
The topic of the resource
*Laparoscopy; Adult; Cholangiopancreatography; Cholecystography; Endoscopic Retrograde; Female; Gallbladder/*abnormalities; Humans
Creator
An entity primarily responsible for making the resource
Horattas M C
Description
An account of the resource
Gallbladder duplication can present a significant challenge to the laparoscopic surgeon, primarily due to difficulties with diagnosis and recognition. Previous reports of attempted laparoscopic cholecystectomy in patients with gallbladder duplication resulted in incomplete or staged multiple procedures. The case report of a 35-year-old woman with successful laparoscopic management of symptomatic gallbladder duplication is described, emphasizing several important considerations. Preoperatively when evaluating radiologic studies a high index of suspicion is necessary in interpreting atypical findings. To further evaluate these abnormalities, liberal use of preoperative ERCP is helpful, and specific endoscopic techniques may be necessary as well. Intraoperatively, the findings may be confusing, and cholangiography can help clarify ductular anomalies, especially if the gallbladder duplication is contained within a common serosal coat. Missing a second gallbladder can result in persistent symptoms postoperatively necessitating further surgery. Laparoscopic cholecystectomy in the management of gallbladder duplication can be safely done and an awareness is necessary to avoid complications or multiple procedures.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1089/lap.1998.8.231" target="_blank" rel="noreferrer noopener">10.1089/lap.1998.8.231</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Laparoscopy
1998
Adult
Cholangiopancreatography
Cholecystography
Endoscopic Retrograde
Female
Gallbladder/*abnormalities
Horattas M C
Humans
Journal of laparoendoscopic & advanced surgical techniques. Part A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1007/s00464-001-8289-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00464-001-8289-1</a>
Pages
1464–1467
Issue
9
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Increased transperitoneal bacterial translocation in laparoscopic surgery.
Publisher
An entity responsible for making the resource available
Surgical endoscopy
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-09
Subject
The topic of the resource
*Bacterial Translocation; *Laparoscopy; Animal; Animals; Artificial/*adverse effects/methods; Carbon Dioxide/administration & dosage; Escherichia coli Infections/*microbiology; Escherichia coli/isolation & purification/physiology; Gases; Helium/administration & dosage; Insufflation/adverse effects; Male; Models; Peritonitis/*microbiology; Pneumoperitoneum; Pressure; Rats; Sprague-Dawley
Creator
An entity primarily responsible for making the resource
Horattas M C; Haller N; Ricchiuti D
Description
An account of the resource
BACKGROUND: The indications for laparoscopic surgery have expanded to include diseases possibly associated with peritonitis such as appendicitis, perforated peptic ulcers, and diverticulitis. The safety of carbon dioxide (CO2) pneumoperitoneum in the presence of peritonitis has not been proved. Our previous investigations demonstrated increased bacteremia associated with CO2 insufflation. In effort to clarify the relative effects of intraabdominal pressure and type of gas, this study was designed to measure bacterial translocation with different gases at different pressures of pneumoperitoneum. METHODS: For this study, 110 rats were given intraperitoneal bacterial innoculations with Escherichia coli and equally divided into five groups of 20 animals each. The study groups included a control group with no pneumoperitoneum administered (n = 30), insufflation at a commonly used pressure of 14 mmHg with helium (n = 20) and CO2 (n = 20), and low insufflation at 3 mmHg with helium (n = 20) and CO2 (n = 20) in an effort to minimize influences related to pressure. Blood cultures were checked at 15-min intervals for the first 45 min, then hourly thereafter for a total of 165 min after peritoneal inoculation with 2 x 10(7) E. coli. RESULTS: There is increased risk of bacterial translocation in comparing groups that underwent pneumoperitoneum with those that did not in the rat peritonitis model. Furthermore, these findings are dependent on the presence or absence of gas, but not necessarily on the type of gas used for insufflation. In the low-pressure groups of both gases (helium and CO2), bacterial translocation was significantly increased, as compared with the control group. Low pressure also was associated with increased bacterial translocation, as compared with high pressure, but beyond 30 min of insufflation, no significant differences were apparent. CONCLUSIONS: The risk of bacterial translocation in the E. coli rat peritonitis model is increased with insufflation using CO2 or helium, and this effect is more significant at lower pressures (3 mmHg) than at higher pressures (14 mmHg). However, no clinically applicable conclusions regarding the relative effects from type of gas or insufflation pressures could be confirmed.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s00464-001-8289-1" target="_blank" rel="noreferrer noopener">10.1007/s00464-001-8289-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Bacterial Translocation
*Laparoscopy
2003
Animal
Animals
Artificial/*adverse effects/methods
Carbon Dioxide/administration & dosage
Escherichia coli Infections/*microbiology
Escherichia coli/isolation & purification/physiology
Gases
Haller N
Helium/administration & dosage
Horattas M C
Insufflation/adverse effects
Male
Models
Peritonitis/*microbiology
Pneumoperitoneum
Pressure
Rats
Ricchiuti D
Sprague-Dawley
Surgical endoscopy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
37–45
Issue
1
Volume
12
Dublin Core
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Title
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NOTES: issues and technical details with introduction of NOTES into a small general surgery residency program.
Publisher
An entity responsible for making the resource available
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-03
Subject
The topic of the resource
Humans; Feasibility Studies; *Internship and Residency; Endoscopy; Clinical Competence; General Surgery/*education; *Laparoscopy; Catheterization; Anastomosis; Surgical/methods; Gastrointestinal/*methods
Creator
An entity primarily responsible for making the resource
Kavic Michael S; Mirza Brian; Horne Walter; Moskowitz Jesse B
Description
An account of the resource
BACKGROUND AND OBJECTIVES: Natural orifice translumenal endoscopic surgery (NOTES) is a development of recent origin. In 2004, Kalloo et al first described NOTES investigation in an animal model. Since then, several investigators have pursued NOTES study in animal survival and nonsurvival models. Our objectives for this project included studying NOTES intervention in a laboratory environment using large animal (swine) models and learning to do so in a safe, controlled manner. Ultimately, we intend to introduce NOTES methodology into our surgical residency training program. The expertise of an experienced laparoscopic surgeon, fellowship-trained laparoendoscopic surgeon, and veterinarian along with a senior surgical resident was utilized to bring the input of several disciplines to this study. The Institutional Animal Care and Use Committee (IACUC) of Northeastern Ohio Universities College of Medicine and Pharmacy (NEOUCOM/COP) approved this study. METHODS: A series of 5 laboratory sessions using mixed breed farm swine varying in weight from 37 kg to 43.1 kg was planned for the initial phase of NOTES introduction into our residency program. Animals were not kept alive in this investigation. All animals were anesthetized using a standard swine protocol and euthanized following guidelines issued by the American Veterinary Medical Association Panel on Euthanasia. Equipment included a Fujinon EVE endoscope 0.8 cm in diameter with a suction/irrigation channel and one working channel. Initially, a US Endoscopy gastric overtube, 19.5 mm OD and 50 cm in length, was used to facilitate passage of the endoscope. However, this device was found to have insufficient length. Subsequently, commercially available 5/8" diameter clear plastic tubing, 70 cm to 80 cm in length, was adapted for use as an overtube. Standard endoscopic instruments included Boston Scientific biopsy forceps, needle-knife, papillotome, endoscopic clip applier, and Valley Lab electrosurgical unit. A Karl Storz laparoscope and tower were used for laparoscopic observation of NOTES maneuvers. Necropsy was performed to determine specific details of surgical intervention. RESULTS: NOTES intervention is feasible in an animal model. Insight into the potential of NOTES was obtained in this investigation. CONCLUSIONS: NOTES investigation in a controlled, laboratory setting using an animal model proved to have value for our program. A steep learning curve was encountered despite the availability of an investigator familiar with elementary NOTES procedures. The authors strongly suggest investigators adopt the ASGE/SAGES working group recommendations for a multidisciplinary team possessing advanced therapeutic endoscopic and advanced laparoscopic skills to study NOTES before human investigation. Animal laboratory facilities to perform research and training should be available to the multidisciplinary team for exploration of NOTES techniques and procedures. Institutional Review Board (IRB) approval must be obtained before introduction of NOTES procedures in human patients.
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Internship and Residency
*Laparoscopy
2008
Anastomosis
Catheterization
Clinical Competence
Endoscopy
Feasibility Studies
Gastrointestinal/*methods
General Surgery/*education
Horne Walter
Humans
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Kavic Michael S
Mirza Brian
Moskowitz Jesse B
Surgical/methods
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1007/s00464-006-9097-4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00464-006-9097-4</a>
Pages
777–781
Issue
5
Volume
21
Dublin Core
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Title
A name given to the resource
Appendicitis in the elderly: a change in the laparoscopic era.
Publisher
An entity responsible for making the resource available
Surgical endoscopy
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-05
Subject
The topic of the resource
*Laparoscopy; 80 and over; Aged; Appendectomy/*methods; Appendicitis/diagnostic imaging/mortality/*surgery; Female; Humans; Length of Stay; Male; Middle Aged; Minimally Invasive Surgical Procedures; Retrospective Studies; Tomography; Treatment Outcome; X-Ray Computed
Creator
An entity primarily responsible for making the resource
Paranjape C; Dalia S; Pan J; Horattas M
Description
An account of the resource
BACKGROUND: Appendicitis in elderly patients is associated with significant morbidity and mortality. Early and correct diagnosis together with minimally invasive surgery can lead to more favorable outcomes than occurred in the prelaparoscopic era. METHODS: A retrospective review of 116 elderly patients (age \textgreater 60) from 1999 to 2004 is compared with the authors' previously published studies from 1978 to 1988 (n = 96) and from 1988 to 1998 (n = 113), respectively. RESULTS: In our current series (1999-2004), more cases were managed laparoscopically (n = 68) than with open surgery (n = 48). Perforated appendicitis cases resulted in significantly longer hospital stays, more complications, and longer operating time than nonperforated cases. The laparoscopic cases had significantly shorter lengths of hospital stay and fewer complications than open cases, and comparable operating times. As compared with our previous studies from 1978 to 1988) and from 1988 to 1998, the current series (1999-2004) consists of patients presenting with fewer classical symptoms. Computed tomography (CT) scanning was more accurate in the current study and more routinely used. The patients in the current series had more correct preoperative diagnoses. Perforated appendicitis was encountered less frequently and associated with fewer complications. The 4% mortality rate in the previous two series decreased to less than 1% in this series. CONCLUSION: Minimally invasive surgery combined with increased use and accuracy of preoperative CT scans has changed the clinical management of acute appendicitis in elderly patients, leading to decreased lengths of stay, decreased mortality, and more favorable outcomes.
Identifier
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<a href="http://doi.org/10.1007/s00464-006-9097-4" target="_blank" rel="noreferrer noopener">10.1007/s00464-006-9097-4</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Laparoscopy
2007
80 and over
Aged
Appendectomy/*methods
Appendicitis/diagnostic imaging/mortality/*surgery
Dalia S
Female
Horattas M
Humans
Length of Stay
Male
Middle Aged
Minimally Invasive Surgical Procedures
Pan J
Paranjape C
Retrospective Studies
Surgical endoscopy
Tomography
Treatment Outcome
X-Ray Computed
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1089/end.2005.19.1000" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/end.2005.19.1000</a>
Pages
1000–2; discussion 1002–1005
Issue
8
Volume
19
Dublin Core
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Title
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A simple cost-effective design for construction of a laparoscopic trainer.
Publisher
An entity responsible for making the resource available
Journal of endourology
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-10
Subject
The topic of the resource
*Laparoscopy; Equipment Design/economics; Humans; Urology/*education
Creator
An entity primarily responsible for making the resource
Ricchiuti Daniel; Ralat Dane Arends; Evancho-Chapman Michelle; Wyneski Holly; Cerone Jeffrey; Wegryn John D
Description
An account of the resource
BACKGROUND AND PURPOSE: Laparoscopic trainers have been shown to be effective tools for transitioning residents in surgical fields into live laparoscopic techniques. There have been few reports of homemade trainers, but each of these reports provides only scant detail about their construction, making production a novel task to those interested in employing this equipment. Virtual-reality trainers are gaining popularity and are exceptional modalities in the re-creation of laparoscopic surgery. In their present state, however, such trainers are very costly, making them unattainable by most urology residency programs. Numerous commercial non-virtual trainers are also available; however, these trainers are often cost-prohibitive or overly simplistic. METHODS AND RESULTS: We describe a detailed design template for creation of a laparoscopic trainer based on modifications of previous designs. This trainer can be made easily at a cost of approximately US$275.00 and may be used in conjunction with existing laparoscopic equipment. The methods described herein can be followed by any local machinist to create this trainer. CONCLUSION: The relatively low total cost, ready material availability, and ease of construction make this trainer an appropriate option for the training of residents in laparoscopic procedures.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1089/end.2005.19.1000" target="_blank" rel="noreferrer noopener">10.1089/end.2005.19.1000</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Laparoscopy
2005
Cerone Jeffrey
Equipment Design/economics
Evancho-Chapman Michelle
Humans
Journal of endourology
Ralat Dane Arends
Ricchiuti Daniel
Urology/*education
Wegryn John D
Wyneski Holly
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1089/lps.1995.5.123" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/lps.1995.5.123</a>
Pages
123–125
Issue
2
Volume
5
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Morgagni hernia: incidental repair during laparoscopic cholecystectomy.
Publisher
An entity responsible for making the resource available
Journal of laparoendoscopic surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-04
Subject
The topic of the resource
*Laparoscopy; Cholecystectomy; Cholelithiasis/*complications/surgery; Diaphragmatic/complications/*surgery; Female; Hernia; Humans; Laparoscopic; Middle Aged
Creator
An entity primarily responsible for making the resource
Smith J; Ghani A
Description
An account of the resource
Anterior diaphragmatic hernias are a relatively rare finding. They can occur on either side of the body. We diagnosed and treated a Morgagni hernia during laparoscopic cholecystectomy.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1089/lps.1995.5.123" target="_blank" rel="noreferrer noopener">10.1089/lps.1995.5.123</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Laparoscopy
1995
Cholecystectomy
Cholelithiasis/*complications/surgery
Diaphragmatic/complications/*surgery
Female
Ghani A
Hernia
Humans
Journal of laparoendoscopic surgery
Laparoscopic
Middle Aged
Smith J