add directory ♦ health care jobs ♦ physician jobs
Today's News:
Surgical Endoscopy
Feasibility of laparoscopic techniques as the surgical approach of choice for primary colorectal cancer
Sun, 16 Nov 2008 11:19:47 -0000
Abstract Background Since the Clinical Outcomes of Surgical Therapy (COST) trial data were reported in May 2004, the laparoscopic technique for primary colorectal cancer has been increasingly used and become the approach of choice at our center. This study aimed to evaluate our laparoscopic experience of 570 consecutive patients between October 2000 and December 2006, and assess the feasibility of this technique as the surgical approach of choice for primary colorectal cancer. Methods The study times were divided into three periods based on the COST trial report and the time when the laparoscopic technique was accepted as the surgical approach of choice at our center (period I: October 2000 to May 2004, II: June 2004 to December 2005, III: January to December 2006). Data regarding clinicopathological, surgical, and perioperative outcomes were collated from registry and compared between periods. Results The use of laparoscopic surgery increased from 2.4% in period I, to 19.2% in period II, to 66.1% in period III. Over the periods, the proportion of rectal cancer and right colon cancer increased (p < 0.001), T- and N-stage became more advanced (p < 0.001, p = 0.011 respectively), and operative time decreased (p < 0.001). The overall open conversion and morbidity rates were 3.5% and 9.8%, respectively, and these did not differ between periods. Conclusion It was possible to apply laparoscopic approach in two-thirds of primary colorectal cancer patients. The short-term favorable outcomes support the feasibility of laparoscopic technique as surgical approach of choice for colon cancer. Laparoscopic resection for rectal cancer may require a randomized clinical trial prior to gain similar acceptance. Content Type Journal ArticleDOI 10.1007/s00464-008-9814-2Authors Seok-Byung Lim, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaHyo Seong Choi, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaSeung-Yong Jeong, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaJae-Gahb Park, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 Korea Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 Journal Volume Volume 22 Journal Issue Volume 22, Number 12 / December, 2008
Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility
Fri, 31 Oct 2008 07:22:05 -0000
Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility Content Type Journal ArticleCategory EditorialDOI 10.1007/s00464-008-0213-5Authors Brij B. Agarwal, Dr. Agarwal’s Surgery & Yoga F81 & 82, Street no. 4, Virender Nagar New Delhi 110058 India Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Laparoscopic surgery for the curative treatment of rectal cancer: results of a Chinese three-center case–control study
Thu, 23 Oct 2008 06:07:59 -0000
Abstract Background This study aimed to assess the efficacy and safety of laparoscopic resection (LR) for rectal cancer. Methods A case-control study involving three Chinese medical centers was conducted. Rectal cancer patients undergoing LR were compared with open resection (OR) cases simultaneously from January 2004 to December 2005. Data were collected, and basic characteristics, conversion rate, recovery, complications, adjuvant therapy, and recurrence rate were compared. Analysis was by intention to treat. Results A total of 335 rectal cancer procedures (115 LR and 220 OR) met the inclusion criteria. The patients’ basic characteristics were similar in the two groups (p > 0.05). Total mesorectal excision was performed for 85.59% of the patients (201/235), who received anal sphincter preservation. Compared with OR, LR had a shorter incision length, less blood loss, and less need for transfusion, but the operation time was longer (p < 0.05). No significant differences were observed between the two groups in positive rates of longitudinal resection margins, numbers of harvested lymph nodes, complication rates during operation and postoperation, and perioperative reoperation and morbidity rates (p > 0.05). Postoperative parenteral narcotics were used less in LR than in OR (47.8% vs 62.7%; χ2 = 6.867; p = 0.009). The median time until first flatus; resumption of diet, defecation, micturition, and ambulation; and discharge were reduced in LR (p < 0.05). Conversion from LR to OR was required by 11.3% of the patients (13/115). The intraoperative complication rate was 30.8% for the patients who underwent conversion. The operation time and postoperative complication rate were the same as for LR alone (p > 0.05). The local recurrence rate was 3.7% for the LR group and 4.9% for the OR group (χ 2 = 0.209; p = 0.647) during the 20-month median follow-up period. Conclusions The findings showed that LR for rectal cancer was safe and effective, resulting in faster recovery and a similar complication rate compared with OR. Conversion did not alter the patients’ outcomes. Content Type Journal ArticleDOI 10.1007/s00464-008-9990-0Authors Ke-Feng Ding, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaRong Chen, Wenzhou Medical College Department of Anus and Large Intestine, Second Affiliated Hospital Wenzhou 325027 ChinaJian-Li Zhang, Qingdao University Department of General Surgery, Affiliated Hospital Qingdao 266003 ChinaJun Li, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaYong-Qiang Xu, Wenzhou Medical College Department of Anus and Large Intestine, Second Affiliated Hospital Wenzhou 325027 ChinaLiang Lv, Qingdao University Department of General Surgery, Affiliated Hospital Qingdao 266003 ChinaXiao-Chen Wang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaLi-Feng Sun, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaJian-Wei Wang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaShu Zheng, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaSu-Zhan Zhang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 China Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Transbronchial needle aspiration under direct endobronchial ultrasound guidance of PET-positive isolated mediastinal adenopathy in patients with previous malignancy
Thu, 23 Oct 2008 06:07:59 -0000
Abstract Background The diagnostic accuracy of endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of isolated mediastinal lymphadenopathy in patients with previous malignancy is not well defined. Positron emission tomography scanning has been proven to be a significant advance, but false-positive results are common. The purpose of this prospective and controlled study was to assess the yield of endobronchial ultrasound-guided transbronchial needle aspiration to reveal mediastinal lymph node metastases in patients with previous malignancy and possible mediastinal involvement on computed tomography and positron emission tomography. Methods Seventy-three lymph nodes were tested by transbronchial needle aspiration on 48 consecutive patients, each patient underwent to mediastinoscopy or thoracoscopy immediately after needle aspiration for histological confirmation. A cytological sampling adequate for diagnosis was obtained in 45 patients (93.7%); the three cases of inadequate sampling resulted as negative for cancer. Results The endobronchial ultrasound guided transbronchial needle aspiration gives a sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of 97.4%, 100%, 100%, 87.5%, and 97.7% respectively. Disease prevalence was 84.4%. All the endoscopic procedures were well tolerated and no immediate complications were recorded. Conclusions Transbronchial needle aspiration under endobronchial ultrasound guidance is a valuable technique for cytological diagnosis of isolated mediastinal lymphadenopathy in patients with history of malignancy. Tissue sampling by invasive surgical procedures (mediastinoscopy or thoracoscopy) remains mandatory in case of inadequate or negative transbronchial needle aspiration cytology. Content Type Journal ArticleDOI 10.1007/s00464-008-0180-xAuthors Mario Nosotti, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyDavide Tosi, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyAlessandro Palleschi, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyStefano Ferrero, University of Milan Division of Pathology, Department of Medicine, Surgery and Dentistry A.O. San Paolo Milan ItalyLorenzo Rosso, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan Italy Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
News and Notices
Thu, 16 Oct 2008 09:58:03 -0000
News and Notices Content Type Journal ArticleCategory News and noticesDOI 10.1007/s00464-008-0191-7 Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995–2006
Thu, 16 Oct 2008 09:58:03 -0000
Abstract Background Tracheobronchial foreign body (TFB) removal in adult patients using the combined technique of flexible bronchoscopy (FBSC) through the endotracheal tube as well as using the simple FBSC has not often been described. This study reports our experience with FBSC for removal of TFBs and describes diagnosis, techniques of removal, and types of TFBs. Methods We retrospectively examined bronchoscopic records of adult patients performed between 1995 and 2006 and collection of foreign bodies in Clinical Department for Respiratory Diseases, University Hospital Split, Croatia. Results TFBs were found in 86 (0.33%) out of 26,124 patients who were submitted to bronchoscopy. The majority of the patients (90%) had some risk factor for aspiration, among which stroke (30%) was the most frequent. Patients with different neurologic and neuromuscular diseases together accounted for 58% of all patients with TFB aspiration. Medical history was suggestive of foreign body aspiration in 38.4% of the patients, while chest X-ray was indicative in 7% of the patients. TFBs were most often found in the right bronchial tree (75.6%). The most common TFBs were animal and fish bones (39.5%). In 90.7% of the patients they were successfully removed under FBSC, whereas in 8.1% of the patients a TFB was extracted with flexible bronchoscope through endotracheal tube. Surgery was needed in only one case. Conclusions Although foreign bodies in the tracheobronchial tree are rare in adults, the clinician must be aware of their likelihood. Foreign body aspiration should be considered especially in the etiology of recurrent lung diseases and in the presence of risk factors for aspiration, in particular with different neurologic and neuromuscular diseases. They can be successfully and safely removed in the majority of patients under local anesthesia by using FBSC. In cases when repeated procedure is needed, endotracheal tube is recommended. Content Type Journal ArticleDOI 10.1007/s00464-008-0181-9Authors Kornelija Mise, University Hospital Split Clinical Department for Respiratory Diseases Spinciceva 1 21 000 Split CroatiaAnamarija Jurcev Savicevic, Public Health Institute of Split and Dalmatia County Vukovarska 46 21 000 Split CroatiaNeven Pavlov, University Hospital Split Pediatric Clinic, Department for Respiratory Diseases Spinciceva 1 21 000 Split CroatiaStipan Jankovic, University Hospital Split Clinical Department for Radiology Spinciceva 1 21 000 Split Croatia Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques - Current Table Of Contents
Are Surgisis Biomeshes Effective in Reducing Recurrences After Laparoscopic Repair of Large Hiatal Hernias?
Page: 433DOI: 10.1097/SLE.0b013e3181802ca7Authors: Fumagalli, Uberto MD *; Bona, Stefano MD *; Caputo, Maria MD *; Elmore, Ugo MD *; Battafarano, Francesco MD *; Pestalozza, Alessandra MD +; Rosati, Riccardo MD, FACS *
Effects of Pneumoperitoneum and Positioning on Respiratory Mechanics in Chronic Obstructive Pulmonary Disease Patients During Nissen Fundoplication.
Page: 437DOI: 10.1097/SLE.0b013e31817f9878Authors: Salihoglu, Ziya MD; Demiroluk, Sener MD; Baca, Bilgi MD; Ayan, Fadl MD [latin dotless i]; Kara, Halil MD
Endoscopic Treatment of Bleeding Gastric Varices Using Large Amount of N-Butyl-2-Cyanoacrylate Under Fluoroscopic Guidance.
Page: 441DOI: 10.1097/SLE.0b013e31817b8f0cAuthors: Linhares, Marcelo Moura MD, PhD *; Matone, Jacques MD *; Matos, Delcio MD, PhD *; Sakamoto, Flavio Issao MD +; Caetano, Elesiario Marques Jr MD *; Sato, Nelson Yokishito MD *; Filho, Benedito Herani MD, PhD *; Aramayo, Ana Leticia MD *; Goldenberg, Alberto MD, PhD *; Lopes-Filho, Gaspar De Jesus MD, PhD *
Treatment of Recurrent Bile Duct Stricture After Primary Reconstruction for Laparoscopic Cholecystectomy-induced Injury.
Page: 445DOI: 10.1097/SLE.0b013e31817a7e47Authors: Hwang, Shin MD; Lee, Sung-Gyu MD; Lee, Young-Joo MD; Ahn, Chul-Soo MD; Kim, Ki-Hun MD; Moon, Deok-Bog MD; Ha, Tae-Yong MD
Editorial Commentary.
Page: 449DOI: 10.1097/SLE.0b013e31817a7e5fAuthors: Lillemoe, Keith D. MD, FACS
Laparoscopic Enterolithotomy for Gallstone Ileus.
Page: 450DOI: 10.1097/SLE.0b013e318180570fAuthors: Owera, Anas MD, MRCS; Low, Jee MB ChB, FRCS; Ammori, Basil J. MB ChB, FRCS, MD
Subscribe to Endoscopic RSS feed 
Feasibility of laparoscopic techniques as the surgical approach of choice for primary colorectal cancer
Sun, 16 Nov 2008 11:19:47 -0000
Abstract Background Since the Clinical Outcomes of Surgical Therapy (COST) trial data were reported in May 2004, the laparoscopic technique for primary colorectal cancer has been increasingly used and become the approach of choice at our center. This study aimed to evaluate our laparoscopic experience of 570 consecutive patients between October 2000 and December 2006, and assess the feasibility of this technique as the surgical approach of choice for primary colorectal cancer. Methods The study times were divided into three periods based on the COST trial report and the time when the laparoscopic technique was accepted as the surgical approach of choice at our center (period I: October 2000 to May 2004, II: June 2004 to December 2005, III: January to December 2006). Data regarding clinicopathological, surgical, and perioperative outcomes were collated from registry and compared between periods. Results The use of laparoscopic surgery increased from 2.4% in period I, to 19.2% in period II, to 66.1% in period III. Over the periods, the proportion of rectal cancer and right colon cancer increased (p < 0.001), T- and N-stage became more advanced (p < 0.001, p = 0.011 respectively), and operative time decreased (p < 0.001). The overall open conversion and morbidity rates were 3.5% and 9.8%, respectively, and these did not differ between periods. Conclusion It was possible to apply laparoscopic approach in two-thirds of primary colorectal cancer patients. The short-term favorable outcomes support the feasibility of laparoscopic technique as surgical approach of choice for colon cancer. Laparoscopic resection for rectal cancer may require a randomized clinical trial prior to gain similar acceptance. Content Type Journal ArticleDOI 10.1007/s00464-008-9814-2Authors Seok-Byung Lim, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaHyo Seong Choi, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaSeung-Yong Jeong, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 KoreaJae-Gahb Park, Research Institute & Hospital, National Cancer Center Center for Colorectal Cancer 809 Madu1-dong, Ilsan-gu, Goyang-si Gyeonggi-do 410-769 Korea Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 Journal Volume Volume 22 Journal Issue Volume 22, Number 12 / December, 2008
Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility
Fri, 31 Oct 2008 07:22:05 -0000
Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility Content Type Journal ArticleCategory EditorialDOI 10.1007/s00464-008-0213-5Authors Brij B. Agarwal, Dr. Agarwal’s Surgery & Yoga F81 & 82, Street no. 4, Virender Nagar New Delhi 110058 India Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Laparoscopic surgery for the curative treatment of rectal cancer: results of a Chinese three-center case–control study
Thu, 23 Oct 2008 06:07:59 -0000
Abstract Background This study aimed to assess the efficacy and safety of laparoscopic resection (LR) for rectal cancer. Methods A case-control study involving three Chinese medical centers was conducted. Rectal cancer patients undergoing LR were compared with open resection (OR) cases simultaneously from January 2004 to December 2005. Data were collected, and basic characteristics, conversion rate, recovery, complications, adjuvant therapy, and recurrence rate were compared. Analysis was by intention to treat. Results A total of 335 rectal cancer procedures (115 LR and 220 OR) met the inclusion criteria. The patients’ basic characteristics were similar in the two groups (p > 0.05). Total mesorectal excision was performed for 85.59% of the patients (201/235), who received anal sphincter preservation. Compared with OR, LR had a shorter incision length, less blood loss, and less need for transfusion, but the operation time was longer (p < 0.05). No significant differences were observed between the two groups in positive rates of longitudinal resection margins, numbers of harvested lymph nodes, complication rates during operation and postoperation, and perioperative reoperation and morbidity rates (p > 0.05). Postoperative parenteral narcotics were used less in LR than in OR (47.8% vs 62.7%; χ2 = 6.867; p = 0.009). The median time until first flatus; resumption of diet, defecation, micturition, and ambulation; and discharge were reduced in LR (p < 0.05). Conversion from LR to OR was required by 11.3% of the patients (13/115). The intraoperative complication rate was 30.8% for the patients who underwent conversion. The operation time and postoperative complication rate were the same as for LR alone (p > 0.05). The local recurrence rate was 3.7% for the LR group and 4.9% for the OR group (χ 2 = 0.209; p = 0.647) during the 20-month median follow-up period. Conclusions The findings showed that LR for rectal cancer was safe and effective, resulting in faster recovery and a similar complication rate compared with OR. Conversion did not alter the patients’ outcomes. Content Type Journal ArticleDOI 10.1007/s00464-008-9990-0Authors Ke-Feng Ding, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaRong Chen, Wenzhou Medical College Department of Anus and Large Intestine, Second Affiliated Hospital Wenzhou 325027 ChinaJian-Li Zhang, Qingdao University Department of General Surgery, Affiliated Hospital Qingdao 266003 ChinaJun Li, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaYong-Qiang Xu, Wenzhou Medical College Department of Anus and Large Intestine, Second Affiliated Hospital Wenzhou 325027 ChinaLiang Lv, Qingdao University Department of General Surgery, Affiliated Hospital Qingdao 266003 ChinaXiao-Chen Wang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaLi-Feng Sun, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaJian-Wei Wang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaShu Zheng, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 ChinaSu-Zhan Zhang, Zhejiang University College of Medicine Department of Surgical Oncology, Second Affiliated Hospital, The Key Laboratory of Cancer Prevention and Intervention 88 Jiefang Road Hangzhou 310009 China Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Transbronchial needle aspiration under direct endobronchial ultrasound guidance of PET-positive isolated mediastinal adenopathy in patients with previous malignancy
Thu, 23 Oct 2008 06:07:59 -0000
Abstract Background The diagnostic accuracy of endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of isolated mediastinal lymphadenopathy in patients with previous malignancy is not well defined. Positron emission tomography scanning has been proven to be a significant advance, but false-positive results are common. The purpose of this prospective and controlled study was to assess the yield of endobronchial ultrasound-guided transbronchial needle aspiration to reveal mediastinal lymph node metastases in patients with previous malignancy and possible mediastinal involvement on computed tomography and positron emission tomography. Methods Seventy-three lymph nodes were tested by transbronchial needle aspiration on 48 consecutive patients, each patient underwent to mediastinoscopy or thoracoscopy immediately after needle aspiration for histological confirmation. A cytological sampling adequate for diagnosis was obtained in 45 patients (93.7%); the three cases of inadequate sampling resulted as negative for cancer. Results The endobronchial ultrasound guided transbronchial needle aspiration gives a sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of 97.4%, 100%, 100%, 87.5%, and 97.7% respectively. Disease prevalence was 84.4%. All the endoscopic procedures were well tolerated and no immediate complications were recorded. Conclusions Transbronchial needle aspiration under endobronchial ultrasound guidance is a valuable technique for cytological diagnosis of isolated mediastinal lymphadenopathy in patients with history of malignancy. Tissue sampling by invasive surgical procedures (mediastinoscopy or thoracoscopy) remains mandatory in case of inadequate or negative transbronchial needle aspiration cytology. Content Type Journal ArticleDOI 10.1007/s00464-008-0180-xAuthors Mario Nosotti, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyDavide Tosi, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyAlessandro Palleschi, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan ItalyStefano Ferrero, University of Milan Division of Pathology, Department of Medicine, Surgery and Dentistry A.O. San Paolo Milan ItalyLorenzo Rosso, Fondazione Ospedale Maggiore Policlinico Thoracic Surgery and Lung Transplant Unit Mangiagalli e Regina Elena Milan Italy Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
News and Notices
Thu, 16 Oct 2008 09:58:03 -0000
News and Notices Content Type Journal ArticleCategory News and noticesDOI 10.1007/s00464-008-0191-7 Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995–2006
Thu, 16 Oct 2008 09:58:03 -0000
Abstract Background Tracheobronchial foreign body (TFB) removal in adult patients using the combined technique of flexible bronchoscopy (FBSC) through the endotracheal tube as well as using the simple FBSC has not often been described. This study reports our experience with FBSC for removal of TFBs and describes diagnosis, techniques of removal, and types of TFBs. Methods We retrospectively examined bronchoscopic records of adult patients performed between 1995 and 2006 and collection of foreign bodies in Clinical Department for Respiratory Diseases, University Hospital Split, Croatia. Results TFBs were found in 86 (0.33%) out of 26,124 patients who were submitted to bronchoscopy. The majority of the patients (90%) had some risk factor for aspiration, among which stroke (30%) was the most frequent. Patients with different neurologic and neuromuscular diseases together accounted for 58% of all patients with TFB aspiration. Medical history was suggestive of foreign body aspiration in 38.4% of the patients, while chest X-ray was indicative in 7% of the patients. TFBs were most often found in the right bronchial tree (75.6%). The most common TFBs were animal and fish bones (39.5%). In 90.7% of the patients they were successfully removed under FBSC, whereas in 8.1% of the patients a TFB was extracted with flexible bronchoscope through endotracheal tube. Surgery was needed in only one case. Conclusions Although foreign bodies in the tracheobronchial tree are rare in adults, the clinician must be aware of their likelihood. Foreign body aspiration should be considered especially in the etiology of recurrent lung diseases and in the presence of risk factors for aspiration, in particular with different neurologic and neuromuscular diseases. They can be successfully and safely removed in the majority of patients under local anesthesia by using FBSC. In cases when repeated procedure is needed, endotracheal tube is recommended. Content Type Journal ArticleDOI 10.1007/s00464-008-0181-9Authors Kornelija Mise, University Hospital Split Clinical Department for Respiratory Diseases Spinciceva 1 21 000 Split CroatiaAnamarija Jurcev Savicevic, Public Health Institute of Split and Dalmatia County Vukovarska 46 21 000 Split CroatiaNeven Pavlov, University Hospital Split Pediatric Clinic, Department for Respiratory Diseases Spinciceva 1 21 000 Split CroatiaStipan Jankovic, University Hospital Split Clinical Department for Radiology Spinciceva 1 21 000 Split Croatia Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques - Current Table Of Contents
Are Surgisis Biomeshes Effective in Reducing Recurrences After Laparoscopic Repair of Large Hiatal Hernias?
Page: 433DOI: 10.1097/SLE.0b013e3181802ca7Authors: Fumagalli, Uberto MD *; Bona, Stefano MD *; Caputo, Maria MD *; Elmore, Ugo MD *; Battafarano, Francesco MD *; Pestalozza, Alessandra MD +; Rosati, Riccardo MD, FACS *
Effects of Pneumoperitoneum and Positioning on Respiratory Mechanics in Chronic Obstructive Pulmonary Disease Patients During Nissen Fundoplication.
Page: 437DOI: 10.1097/SLE.0b013e31817f9878Authors: Salihoglu, Ziya MD; Demiroluk, Sener MD; Baca, Bilgi MD; Ayan, Fadl MD [latin dotless i]; Kara, Halil MD
Endoscopic Treatment of Bleeding Gastric Varices Using Large Amount of N-Butyl-2-Cyanoacrylate Under Fluoroscopic Guidance.
Page: 441DOI: 10.1097/SLE.0b013e31817b8f0cAuthors: Linhares, Marcelo Moura MD, PhD *; Matone, Jacques MD *; Matos, Delcio MD, PhD *; Sakamoto, Flavio Issao MD +; Caetano, Elesiario Marques Jr MD *; Sato, Nelson Yokishito MD *; Filho, Benedito Herani MD, PhD *; Aramayo, Ana Leticia MD *; Goldenberg, Alberto MD, PhD *; Lopes-Filho, Gaspar De Jesus MD, PhD *
Treatment of Recurrent Bile Duct Stricture After Primary Reconstruction for Laparoscopic Cholecystectomy-induced Injury.
Page: 445DOI: 10.1097/SLE.0b013e31817a7e47Authors: Hwang, Shin MD; Lee, Sung-Gyu MD; Lee, Young-Joo MD; Ahn, Chul-Soo MD; Kim, Ki-Hun MD; Moon, Deok-Bog MD; Ha, Tae-Yong MD
Editorial Commentary.
Page: 449DOI: 10.1097/SLE.0b013e31817a7e5fAuthors: Lillemoe, Keith D. MD, FACS
Laparoscopic Enterolithotomy for Gallstone Ileus.
Page: 450DOI: 10.1097/SLE.0b013e318180570fAuthors: Owera, Anas MD, MRCS; Low, Jee MB ChB, FRCS; Ammori, Basil J. MB ChB, FRCS, MD
Sites:
Carpal Tunnel Syndrome: The Southern California Orthopedic Institute (SCOI) - serving the Los Angeles and San Fernando Valley California in orthopedic surgery, sports medicine, knee and shoulder surgery, joint replacement, MRI, and physical rehabilitation.Duke US Surgical Endosurgery Center: The Center was established for the purpose of improving endosurgical education, advancing endosurgery through research and technical developments, and assessing the appropriate applications of endosurgical techniques.
Endius: endoscopic spinal surgery - Endius Incorporated
Gastrointestinal Endoscopy: Explains how the stomach and intestines can be examined using endoscopes, without surgery.
Laparoscopic Surgery: RSAPC1.com provides information about a broad spectrum of procedures including minimally invasive surgery, colo-rectal , breast and hernia surgery with special interest in advanced laparoscopic procedures including surgical weight loss, esophagus, stomach, liver, gallbladder, colon small intestin...
Laparoscopy Hospital: Laparoscopy Hospital is super specialized institute for laparoscopic treatment training and research
MicroSpine - Minimally Invasive Spinal Surgery Specialists: Endoscopic Laser Spine Surgery
Neurosurgeon and Pain Management Specialist: Dr. Ramsis F. Ghaly is a Neurosurgeon who is uniquely specialized in the latest endoscopic surgical techniques. Dr. Ghaly also specializes in Pain Management by using techniques that alleviate refractory pain sufferers. He also specializes in Anesthesiology and Intensive Care Management.
Plastic Surgery Performed Using Endoscopes: Provides explanations of various procedures (browlifts, facelifts) that can be performed endoscopically. Compares conventional and endoscopic procedures.
San Diego Shoulder Arthroscopy: An on-line library of tips, techniques, and procedures.
Society of American Gastrointestinal Endoscopic Surgeons: The leading professional society and CME meeting, representing more than 5000 board certified surgeons who use endoscopy and laparoscopy as an integral part of their treatment of patients
The Belgian Group for Endoscopic Surgery: An association of endoscopic surgeons in Belgium.
TMJ (Temporomandibular Joint) Disorders: The temporomandibular joint, anatomy, disorders, surgery. Includes a brief discussion of TMJ arthroscopy.
University of Massachusetts EndoSurgery Center: Laparoscopic surgical techniques, online courses and educational resources for minimally invasive and hand-assisted laparoscopic surgery. Watch videos and learn the essentials of laparoscopy, including cholecystectomy, hernia repair, Nissen and Toupet fundoplication for GERD.
This directory is based on the Open Directory and may have been modified