Ureteral fibroepithelial polyp accompanied by intussusception is a rare occurrence. Currently, most ureteral polyps could be removed readily by ureteroscopy. Nevertheless, endoscopic resection can be difficult in pati...Ureteral fibroepithelial polyp accompanied by intussusception is a rare occurrence. Currently, most ureteral polyps could be removed readily by ureteroscopy. Nevertheless, endoscopic resection can be difficult in patient with a large polyp, especially accompanied by an intussusception. We described our experience and laparoscopic technique for treatment of a symptomatic 63-year-old woman who presented with a pedunculated, 9-cm-long, left lower ureteral, fibroepithelial polyp accompanied by a 2-cm-long intussusception.展开更多
Objective To analyze the complications of laparoscopic cholecystectomy (LC) and their affecting factors and investigate their prevention and treatment. Methods The clinical data of 18 726 patients treated with LC betw...Objective To analyze the complications of laparoscopic cholecystectomy (LC) and their affecting factors and investigate their prevention and treatment. Methods The clinical data of 18 726 patients treated with LC between March 1992 to January 2001 in our hospital were retrospectively analyzed. Results The complications were common bile duct injury in 28 cases (0. 15%), bile leakage in 62 (0. 33% ), introabdominal hemorrhage in 6 (0.03) and postoperative introabdominal abscess in 4 (0. 02). The causes for these complications were improper choice of indications and surgeon’s back of knowledge and experience in identifying the abnormality of bile duct anatomy. Conclusion The major complications of LC are bile duct leakage and injury. The injury can be avoided through careful performance of LC. Immediate discovery and proper treatment will result in good outcome.7 refs.1 fig,2 tabs.展开更多
Objective To investigate the feasibility and clinical value of laparoscopic surgery in treating patients with gastroesophageal reflux disease. Methods From September 2001 to August 2009,372 patients with gastroesophag...Objective To investigate the feasibility and clinical value of laparoscopic surgery in treating patients with gastroesophageal reflux disease. Methods From September 2001 to August 2009,372 patients with gastroesophageal reflux disease undertwent laparoscopic fundoplication,including 146 cases of Nissen fundoplication,展开更多
Each year endometrial cancer is diagnosed in approximately 11.700 women in Germany. Operation is the therapy of choice in the primary treatment of patients with endometrial cancer. The traditional abdominal approach, ...Each year endometrial cancer is diagnosed in approximately 11.700 women in Germany. Operation is the therapy of choice in the primary treatment of patients with endometrial cancer. The traditional abdominal approach, vaginal, laparoscopic and robotic-assisted methods are available for the surgical treatment of EC today. This article compares and evaluates these different treatment options. With rising incidence of obesity, number of patients with endometrial cancer will also increase. However, operations in obese patients are more challenging. Laparotomy as standard therapy in endometrial cancer patients stage I and II should be replaced by laparoscopic approaches. Laparoscopy is oncologically adequate to open procedures and offers many advantages to patients. Robotic surgery in the treatment of endometrial cancer is still under evaluation. Most controversial points of treatment today are indication and extention of lymphadenectomy in different stages. In advanced tumor stages, optimal debulking should be performed in order to improve effectiveness of adjuvant chemotherapeutic and/or radiation therapy.展开更多
The laparoscopic technique is clinically effective in treating hepatocellularcarcinoma (HCC) with portal hypertension (PHT). However, existing studies lacksystematic arrangement and induction. Here, we review the late...The laparoscopic technique is clinically effective in treating hepatocellularcarcinoma (HCC) with portal hypertension (PHT). However, existing studies lacksystematic arrangement and induction. Here, we review the latest researchadvancement in laparoscopic technique for treatment of HCC with PHT, based onpublished literature and our single-institution experience. Our single-centerexperience reveals no statistical difference in both short- and long-term prognosisof HCC patients after laparoscopic liver resection (LLR), regardless of whetherthey suffer from PHT, which is consistent with previous studies on the use of LLRfor HCC with PHT. Retrieval outcomes indicate existence of short- and long-termprognostic superiority, following laparoscopic treatment, relative to nonlaparoscopictreatment. Besides that, LLR offers long-term prognostic advantagecompared to laparoscopic radiofrequency ablation. In addition, we review theprevious literature and propose corresponding perspectives on the therapy ofhypersplenism, the utilization of Pringle maneuver, and the adoption ofanatomical hepatectomy during radical laparoscopic treatment. HCC with PHT isnot the "forbidden zone" of radical laparoscopic treatment. However, patients’preoperative liver function should be adequately estimated.展开更多
Sentinel lymph node (SLN) navigation surgery is accepted as a standard treatment procedure for malignant melanoma and breast cancer. However, the benefit of reduced lymphadenectomy based on SLN examination remains unc...Sentinel lymph node (SLN) navigation surgery is accepted as a standard treatment procedure for malignant melanoma and breast cancer. However, the benefit of reduced lymphadenectomy based on SLN examination remains unclear in cases of gastric cancer. Here, we review previous studies to determine whether SLN navigation surgery is beneficial for gastric cancer patients. Recently, a large-scale prospective study from the Japanese Society of Sentinel Node Navigation Surgery reported that the endoscopic dual tracer method, using a dye and radioisotope for SLN biopsy, was safe and effective when applied to cases of superficial and relatively small gastric cancers. SLN mapping with SLN basin dissection was preferred for early gastric cancer since it is minimally invasive. However, previous studies reported that limited gastrectomy and lymphadenectomy may not improve the patient’s postoperative quality of life (QOL). As a result, the benefit of SLN navigation surgery for gastric cancer patients, in terms of their QOL, is limited. Thus, endoscopic and laparoscopic limited gastrectomy combined with SLN navigation surgery has the potential to become the standard minimally invasive surgery in early gastric cancer.展开更多
The most common presentation of congenital absence ofthe vagina is known as Mayer-Rokitansky-Kuster-Hauser（MRKH） syndrome.Several procedures, invasiveand noninvasive, have been used for the creation of aneovagina. A...The most common presentation of congenital absence ofthe vagina is known as Mayer-Rokitansky-Kuster-Hauser（MRKH） syndrome.Several procedures, invasiveand noninvasive, have been used for the creation of aneovagina. A technique frequently used for this purposein China over the last 20 years is rectosigmoidcolpopoiesis. Here we report a successful rectosigmoidcolpopoiesis done laparoscopically in a patient withMRKH syndrome.展开更多
文摘Ureteral fibroepithelial polyp accompanied by intussusception is a rare occurrence. Currently, most ureteral polyps could be removed readily by ureteroscopy. Nevertheless, endoscopic resection can be difficult in patient with a large polyp, especially accompanied by an intussusception. We described our experience and laparoscopic technique for treatment of a symptomatic 63-year-old woman who presented with a pedunculated, 9-cm-long, left lower ureteral, fibroepithelial polyp accompanied by a 2-cm-long intussusception.
文摘Objective To analyze the complications of laparoscopic cholecystectomy (LC) and their affecting factors and investigate their prevention and treatment. Methods The clinical data of 18 726 patients treated with LC between March 1992 to January 2001 in our hospital were retrospectively analyzed. Results The complications were common bile duct injury in 28 cases (0. 15%), bile leakage in 62 (0. 33% ), introabdominal hemorrhage in 6 (0.03) and postoperative introabdominal abscess in 4 (0. 02). The causes for these complications were improper choice of indications and surgeon’s back of knowledge and experience in identifying the abnormality of bile duct anatomy. Conclusion The major complications of LC are bile duct leakage and injury. The injury can be avoided through careful performance of LC. Immediate discovery and proper treatment will result in good outcome.7 refs.1 fig,2 tabs.
文摘Objective To investigate the feasibility and clinical value of laparoscopic surgery in treating patients with gastroesophageal reflux disease. Methods From September 2001 to August 2009,372 patients with gastroesophageal reflux disease undertwent laparoscopic fundoplication,including 146 cases of Nissen fundoplication,
文摘Each year endometrial cancer is diagnosed in approximately 11.700 women in Germany. Operation is the therapy of choice in the primary treatment of patients with endometrial cancer. The traditional abdominal approach, vaginal, laparoscopic and robotic-assisted methods are available for the surgical treatment of EC today. This article compares and evaluates these different treatment options. With rising incidence of obesity, number of patients with endometrial cancer will also increase. However, operations in obese patients are more challenging. Laparotomy as standard therapy in endometrial cancer patients stage I and II should be replaced by laparoscopic approaches. Laparoscopy is oncologically adequate to open procedures and offers many advantages to patients. Robotic surgery in the treatment of endometrial cancer is still under evaluation. Most controversial points of treatment today are indication and extention of lymphadenectomy in different stages. In advanced tumor stages, optimal debulking should be performed in order to improve effectiveness of adjuvant chemotherapeutic and/or radiation therapy.
文摘The laparoscopic technique is clinically effective in treating hepatocellularcarcinoma (HCC) with portal hypertension (PHT). However, existing studies lacksystematic arrangement and induction. Here, we review the latest researchadvancement in laparoscopic technique for treatment of HCC with PHT, based onpublished literature and our single-institution experience. Our single-centerexperience reveals no statistical difference in both short- and long-term prognosisof HCC patients after laparoscopic liver resection (LLR), regardless of whetherthey suffer from PHT, which is consistent with previous studies on the use of LLRfor HCC with PHT. Retrieval outcomes indicate existence of short- and long-termprognostic superiority, following laparoscopic treatment, relative to nonlaparoscopictreatment. Besides that, LLR offers long-term prognostic advantagecompared to laparoscopic radiofrequency ablation. In addition, we review theprevious literature and propose corresponding perspectives on the therapy ofhypersplenism, the utilization of Pringle maneuver, and the adoption ofanatomical hepatectomy during radical laparoscopic treatment. HCC with PHT isnot the "forbidden zone" of radical laparoscopic treatment. However, patients’preoperative liver function should be adequately estimated.
文摘Sentinel lymph node (SLN) navigation surgery is accepted as a standard treatment procedure for malignant melanoma and breast cancer. However, the benefit of reduced lymphadenectomy based on SLN examination remains unclear in cases of gastric cancer. Here, we review previous studies to determine whether SLN navigation surgery is beneficial for gastric cancer patients. Recently, a large-scale prospective study from the Japanese Society of Sentinel Node Navigation Surgery reported that the endoscopic dual tracer method, using a dye and radioisotope for SLN biopsy, was safe and effective when applied to cases of superficial and relatively small gastric cancers. SLN mapping with SLN basin dissection was preferred for early gastric cancer since it is minimally invasive. However, previous studies reported that limited gastrectomy and lymphadenectomy may not improve the patient’s postoperative quality of life (QOL). As a result, the benefit of SLN navigation surgery for gastric cancer patients, in terms of their QOL, is limited. Thus, endoscopic and laparoscopic limited gastrectomy combined with SLN navigation surgery has the potential to become the standard minimally invasive surgery in early gastric cancer.
文摘The most common presentation of congenital absence ofthe vagina is known as Mayer-Rokitansky-Kuster-Hauser（MRKH） syndrome.Several procedures, invasiveand noninvasive, have been used for the creation of aneovagina. A technique frequently used for this purposein China over the last 20 years is rectosigmoidcolpopoiesis. Here we report a successful rectosigmoidcolpopoiesis done laparoscopically in a patient withMRKH syndrome.
