186 research outputs found
Huscher, Cloud County
No full textDionysis Theres, “Huscher, Cloud County,” Chapman Center Research Collections, https://ccrsresearchcollections.omeka.net/items/show/84.The author uses geographical concepts and relates them to the rise and fall of Huscher, Kansas. He utilizes historic documents, genealogical data, census records, and historic maps to reconstruct the history of the town
Details of Laparoscopic Anatomy for a Radical Extrafascial Duodenopancreatectomy
No full text[No abstract available
Single-Access Laparoscopic "Lavage" for Purulent Diverticulitis in a 96-Year-Old Patient: How to Reduce Surgical Trauma and Standardize Surgical Technique
No full textIntroduction. Recently, laparoscopic lavage emerged as an effective alternative for patients with perforated diverticulitis with purulent peritonitis. Case Report. A 96-year-old woman, diagnosed with Hinchey 3 diverticulitis after a computed tomography scan, was operated on with a single-access "lavage" to reduce surgical trauma and to avoid stoma. Methods. The procedure was performed under general anesthesia. Tracheal intubation, nasogastric tube, and urethral catheterization were mandatory. The patient was in a modified Lloyd-Davis position, with the table tilted in Trendelenburg position, left side up. Surgeons were on the right side. Instrumentation. The procedure was performed using a surgical technique similar to standard laparoscopy with traditional laparoscopic instruments. Surgical Steps. The surgical procedure involved single-incision laparoscopic surgery (Covidien, Mansfield, MA) insertion, small bowel dissection, abscess opening, and peritoneal washing. Results. The procedure was completed in 75 minutes with an estimated blood loss of 120 mL. The patient was kept in the intensive care unit for 1 day. She was on postoperative analgesia for 2 days and was discharged from the hospital on postoperative day 5. The patient was able to drink on day 1 and eat on day 3 after flatus
Videolaparoscopic total or subtotal gastrectomy with extended lymph node dissection for gastric cancer: analysis on 44 cases.
No full textAbstract BACKGROUND: Laparoscopic surgery has been used in the treatment of early gastric cancer with low mortality and morbidity and improvement in patient's quality of life. The purpose of the current study was to determine if these advantages persist after radical laparoscopic treatment of more advanced gastric cancer. METHODS: A retrospective review of 44 patients after laparoscopic surgery for gastric cancer was performed. RESULTS: Tumor stage was IA in 8 patients, IB in 12, II in 9, IIIA in 6, IIIB in 1, and IV in 8. Eight total and 36 subtotal R0 gastrectomies were performed (12 D(1) and 32 D(2)). The mean number of dissected lymph nodes was 38.1 +/- 21.5. Conversion rate was 7%. Operative mortality and morbidity were 7% and 12%, respectively. Three-year survival was 75%. CONCLUSIONS: Laparoscopic radical total or subtotal gastrectomy with extended lymphadenectomy for gastric cancer is a feasible, safe, and oncologically effective procedure
Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: 5-year results of a randomized prospective trial.
No full textAbstract OBJECTIVE: The aim of this study was to compare technical feasibility and both early and 5-year clinical outcomes of laparoscopic-assisted and open radical subtotal gastrectomy for distal gastric cancer. SUMMARY BACKGROUND DATA: The role of laparoscopic surgery in the treatment of gastric cancer has not yet been defined, and many doubts remain about the ability to satisfy all the oncologic criteria met during conventional, open surgery. METHODS: This study was designed as a prospective, randomized clinical trial with a total of 59 patients. Twenty-nine (49.1%) patients were randomized to undergo open subtotal gastrectomy (OG), while 30 (50.9%) patients were randomized to the laparoscopic group (LG). Demographics, ASA status, pTNM stage, histologic type of the tumor, number of resected lymph nodes, postoperative complications, and 5-year overall and disease-free survival rates were studied to assess outcome differences between the groups. RESULTS: The demographics, preoperative data, and characteristics of the tumor were similar. The mean number of resected lymph nodes was 33.4 +/- 17.4 in the OG group and 30.0 +/- 14.9 in the LG (P = not significant). Operative mortality rates were 6.7% (2 patients) in the OG and 3.3% (1 patient) in the LG (P = not significant); morbidity rates were 27.6% and 26.7%, respectively (P = not significant). Five-year overall and disease-free survival rates were 55.7% and 54.8% and 58.9% and 57.3% in the OG and the LG, respectively (P = not significant). CONCLUSIONS: Laparoscopic radical subtotal gastrectomy for distal gastric cancer is a feasible and safe oncologic procedure with short- and long-term results similar to those obtained with an open approach. Additional benefits for the LG were reduced blood loss, shorter time to resumption of oral intake, and earlier discharge from hospital
Early recurrence of adenocarcinoma of the colon after laparoscopic colectomy
No full textLaparoscopic and video-assisted colonic resection is under evaluation to determine its effectiveness, cost, morbidity and complication rate, and control of neoplastic disease. The risk of tumour seeding at cannula sites has been reported after the incidental finding of carcinoma of the gallbladder at laparoscopic cholecystectomy for gallstones. Direct contact between cancer cells and the abdominal wall has been suggested as the cause of such recurrence. Delivery of the specimen by means of a plastic bag to avoid this contact has been recommended to prevent cancer seeding. Notwithstanding these precautions, a case of isolated parietal recurrence of carcinoma of the right colon after laparoscopic right colectomy has been observed
Image-Guided Robotic Radiosurgery (CyberKnife) for Pancreatic Insulinoma: Is Laparoscopy Becoming Old?
No full textInsulinomas constitute about 25% of endocrine pancreatic tumors. Laparoscopic surgery is the treatment of choice. However, pancreas-related complications rate is very high, even in experienced hands, ranging up to 37%. Alternative procedures such as embolization with trisacryl have not been accepted by the surgical community. Image-guided robotic radiosurgery or stereotactic radiosurgery (CyberKnife) is a minimally invasive procedure delivering large doses of ionizing radiation to a well-defined target. CyberKnife radiosurgery is successfully used in brain cancer, lung cancer, prostate cancer, liver metastases, kidney cancer, and pancreatic cancer. The authors present the first case to their knowledge of a benign functioning insulinoma successfully treated by a CyberKnife technique with a 3-year follow-up
LAPAROSCOPIC VERSUS OPEN SUBTOTAL GASTRECTOMY FOR DISTAL GASTRIC CANCER. FIVE-YEAR RESULTS OF A RANDOMIZED RETROSPECTIVE TRIAL: COMMENTARY
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