Academic literature on the topic 'Laparoscopic surgery (LS)'

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Journal articles on the topic "Laparoscopic surgery (LS)"

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Khan, Zakir Ahmad, Ajmal Khan, Muhammad Bilawal Khan, Kamran Khan, Muhammad Waqas Khan, and Karishma Rehman. "Laparoscopic Vs Open Surgery for Colorectal Cancer: Comparing Short-Term Results." Pakistan Journal of Medical and Health Sciences 16, no. 10 (October 30, 2022): 816–18. http://dx.doi.org/10.53350/pjmhs221610816.

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Background: In developed countries, colorectal cancer continues to rank as the third-most prevalent cancer to be reported and the third-most popular reason for cancer mortality in both genders. Objective: The purpose of the retrospective research was to compare the operational parameters and short-term oncological effects of laparoscopic surgery (LS) with traditional open surgery (OS) in colorectal cancer patients in our hospital. Methods: In this study, 148 patients who underwent CRC surgery between January 2020 and January 2022 at the Medical Teaching Institute (MTI) Peshawar, Pakistan's Khyber Teaching Hospital and Hayatabad Medical Complex Hospital were included. 64 people who had all had LS were included in the study. On the other hand, 84 people who had had OS were randomly selected from groups of people who were of the same gender and age. Result: In the group undergoing OS, the median of dissected lymph nodes was 22.8 (9–35) and 3 (0–14), whereas, in the group undergoing laparoscopy, the median number was 21.56 (8–32) and 6.2 (0–9). For 13 (15.47%) patients undergone through and 9 patients (14.06%) undergone through laparoscopy, blood transfusions were necessary. Although the LS group's procedure took longer than the OS group, their time in the ICU, time to start feeding and duration of stay at the hospital were all shorter. Practical implication Importance Laparoscopic surgery has not been proven to be more effective than open surgery for patients with low rectal cancer. Conclusion: LS provides the benefits of a shorter hospital stay and fewer problems and delivers relatively adequate lymph node dissection. Keywords: laparoscopic surgery, open surgery, colorectal cancer, oncological outcomes, developing countries
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Siniscalchi, Antonio, Giorgio Ercolani, Giulia Tarozzi, Lorenzo Gamberini, Lucia Cipolat, Antonio D. Pinna, and Stefano Faenza. "Laparoscopic versus Open Liver Resection: Differences in Intraoperative and Early Postoperative Outcome among Cirrhotic Patients with Hepatocellular Carcinoma—A Retrospective Observational Study." HPB Surgery 2014 (December 4, 2014): 1–7. http://dx.doi.org/10.1155/2014/871251.

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Introduction. Laparoscopic liver resection is considered risky in cirrhotic patients, even if minor surgical trauma of laparoscopy could be useful to prevent deterioration of a compromised liver function. This study aimed to identify the differences in terms of perioperative complications and early outcome in cirrhotic patients undergoing minor hepatic resection for hepatocellular carcinoma with open or laparoscopic technique. Methods. In this retrospective study, 156 cirrhotic patients undergoing liver resection for hepatocellular carcinoma were divided into two groups according to type of surgical approach: laparoscopy (LS group: 23 patients) or laparotomy (LT group: 133 patients). Perioperative data, mortality, and length of hospital stay were recorded. Results. Groups were matched for type of resection, median number of nodules, and median diameter of largest lesions. Groups were also homogeneous for preoperative liver and renal function tests. Intraoperative haemoglobin decrease and transfusions of red blood cells and fresh frozen plasma were significantly lower in LS group. MELD score lasted stable after laparoscopic resection, while it increased in laparotomic group. Postoperative liver and renal failure and mortality were all lower in LS group. Conclusions. Lower morbidity and mortality, maintenance of liver function, and shorter hospital stay suggest the safety and benefit of laparoscopic approach.
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Levi Sandri, Giovanni Battista. "Welcome to the Laparoscopic Surgery!" Laparoscopic Surgery 1 (2017): 1. http://dx.doi.org/10.21037/ls.2017.09.01.

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Pesi, Benedetta, Francesco Guerra, and Andrea Coratti. "Robotic versus laparoscopic surgery of the liver." Laparoscopic Surgery 1 (2017): 2. http://dx.doi.org/10.21037/ls.2017.12.02.

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An, Sanghyun, and Youngwan Kim. "Laparoscopic surgery for colorectal cancer in emergencies." Laparoscopic Surgery 3 (December 2019): 48. http://dx.doi.org/10.21037/ls.2019.10.01.

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Lasheen, Omar, Mohamed Yehia, Ayman Salah, Sameh Mikhail, and Ahmed Hassan. "Towards cost saving in surgery without compromising safety: stapleless laparoscopic splenectomy in a developing country—a prospective cohort study." BMJ Open Quality 12, no. 1 (January 2023): e002068. http://dx.doi.org/10.1136/bmjoq-2022-002068.

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BackgroundMinimally invasive surgery has been steadily growing in popularity. Control of splenic hilar vessels is the most delicate step during laparoscopic splenectomy (LS). In the earlier eras of LS, hilar vessels were controlled using clips and/or ligation. Laparoscopic staples were later introduced and have arguably led to an increase in popularity of LS. They do not abolish potential complications of splenectomy and theoretically represent an added operative cost.In this study, we aimed to assess the safety and efficacy of stapleless LS (using knots, haemostatic devices and clips) compared with the now more conventional stapled LS.MethodsA pilot randomised prospective study was conducted in a university hospital between September 2018 and April 2020. It included 40 patients randomly assigned to two equal groups: (1) 20 patients: stapleless LS and (2) 20 patients: LS using laparoscopic staples.We compared operative time, intra and postoperative complications and postoperative recovery.ResultsThere was no statistically significant difference between both groups across all comparative outcomes.ConclusionBoth techniques are comparable in terms of safety and operative time. In terms of cost efficiency, we recommend more comprehensive analyses of hospital costs.
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Haloun, Tomáš, Radko Rajmon, Dalibor Řehák, Helena Hartlová, Zuzana Ptáčková, Jaroslav Marek, Petra Folková, Petr Slavík, and Jan Šterc. "Comparison of laparotomic omentopexy vs. laparoscopic abomasopexy treatments of left displaced abomasum in dairy cows under field conditions: biochemical analysis." Acta Veterinaria Brno 89, no. 3 (2020): 209–16. http://dx.doi.org/10.2754/avb202089030209.

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The objective of this retrospective study was to compare the effects of the two methods (laparoscopic or laparotomic) of LDA (left displaced abomasum) correction under field conditions by means of survival rate and biochemical profile evaluation. Holstein cows from one farm with LDA over a 20-month period were included in the study. Cows underwent laparoscopic abomasopexy (Janowitz’s method, LS) or a laparotomic right flank omentopexy (Dirksen’s method, LT). Blood samples for biochemical analysis were taken just prior to surgery (D1) and on days 10 (D10) and 30 (D30) following surgery. Blood profiles of healthy cows identified from the farm’s routine transition cow monitoring program were used as control (C). Aiming to minimize disruptive effects of quite a long period of data collection, the cows’ biochemical profile was evaluated in three orthogonal comparisons: LS cows vs. control group, LT cows vs. control group, and LS cows vs. LT cows. The rate of animal survival was similar for both methods (loss of about 11% until 30 days after treatment). Most of the blood parameters from LS and LT groups were comparable in all three sampling terms indicating continual organism recovery. At D10 the difference of higher cholesterol concentration and lower haptoglobin concentration were favourable for the LS group (P < 0.05). Total protein, calcium, magnesium and albumin showed more positive dynamics in the LS group too. This proves previous laboratory and clinical indices of expediency of LDA laparoscopy treatment under field conditions.
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Fujioka, Shuichi, Kazuhiko Yoshida, Tomoyoshi Okamoto, and Katsuhiko Yanaga. "Stapleless Laparoscopic Splenectomy Using Harmonic Scalpel by 2-Step Sealing." International Surgery 98, no. 4 (October 1, 2013): 385–87. http://dx.doi.org/10.9738/intsurg-d-13-00035.1.

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Abstract Laparoscopic splenectomy (LS) has been accepted as a safe and effective procedure as compared with open splenectomy. Recently, there have been a few reports on the LigaSure vessel sealing system as an alternative hemostasis to clip ligation. Here we report the experience of LS using an alternative energy device, Harmonic Scalpel laparoscopic coagulating shears (LCS). Preliminary experience of LS with LCS for a patient with idiopathic thrombocytopenic purpura (ITP) is reported. Generally, two-step sealing with LCS was used for vessels of the splenic pedicle approximately 5 mm in diameter without using the Endo-GIA stapler. Operative time was 93 minutes, and blood loss was 40 mL. The patient was discharged on the third postoperative day with no intraoperative or postoperative complications. The LS with LCS was performed safely using two-step sealing. Further experience is necessary to verify the safety of this procedure.
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Qu, Yikun, Jian Xu, Chengbin Jiao, Zhuoxin Cheng, and Shiyan Ren. "Long-Term Outcomes of Laparoscopic Splenectomy Versus Open Splenectomy for Idiopathic Thrombocytopenic Purpura." International Surgery 99, no. 3 (May 1, 2014): 286–90. http://dx.doi.org/10.9738/intsurg-d-13-00175.1.

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Abstract The long-term outcomes of laparoscopic splenectomy (LS) versus open splenectomy (OS) in patients with idiopathic thrombocytopenic purpura (ITP) are not known. A retrospective analysis of 73 patients who underwent splenectomy (32 LS and 41 OS) for refractory ITP between April 2003 and June 2012 was conducted. LS was associated with shorter hospital stay (P = 0.01), less blood loss and blood transfusion during surgery, quicker resumption of oral diet (P &lt; 0.0001), and earlier drain removal (P &lt; 0.01). Conversion to OS was required in 4 patients (12.5%). Operation time was significantly longer in LS (P &lt; 0.0001). Deep venous thrombosis (DVT) was observed in 1 patient after LS and in 4 patients after OS (P = 0.52). One patient died from intraperitoneal bleeding after OS, another patient developed pulmonary embolism. Median follow-up of 36 months was performed in LS group (29 of 32, 91%) and of 46 months in OS group (35 of 41, 85%), 25 patients (86%) in LS group and 32 (91%) in OS group reached sustained complete response (P = 0.792). Kaplan-Meier analysis showed that there was no significant difference in the relapse-free survival rate between the groups (P = 0.777). In conclusion, the long-term outcome of laparoscopic splenectomy is not different from that of open splenectomy for patients with ITP.
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Ratti, Francesca, Andrea Casadei Gardini, Federica Cipriani, Guido Fiorentini, Federica Pedica, Valentina Burgio, Stefano Cascinu, and Luca Aldrighetti. "Laparoscopic Surgery for Intrahepatic Cholangiocarcinoma: A Focus on Oncological Outcomes." Journal of Clinical Medicine 10, no. 13 (June 26, 2021): 2828. http://dx.doi.org/10.3390/jcm10132828.

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Background: The aim of the present study was to analyze the long-term outcomes of laparoscopic and open surgery for intrahepatic cholangiocarcinoma (iCCA) in a series, collected in a tertiary referral center with a high annual volume of laparoscopic activity. Methods: Between January 2004 and June 2020, 446 liver resections (LR) were performed for iCCA: of these, 179 were performed by laparoscopic surgery (LS) and 267 with the open approach. The two groups were matched through a 1:1 propensity score using covariates representative of patient and disease characteristics. The study and control groups were compared, with specific attention given to oncological outcomes (rate of R0, depth of resection margins, overall and disease-free survival, rate, and site of recurrence). Results: The number of retrieved nodes, rate, and depth of negative resection margins were comparable between the two groups. The interval time between surgery and subsequent adjuvant treatments was significantly shorter in LS patients. No differences were shown even in the comparison between the LS and the open group in terms of median disease-free and overall survival. Moreover, the disease recurrence rate was comparable between the LS and the open groups (45.2% versus 56.7%), and the recurrence pattern was similar. Conclusions: The minimally invasive approach for iCCA was once again confirmed to be associated with advantages in terms of intraoperative and short-term outcomes, but was also proven to be oncologically non-inferior to the open counterpart. In the present study, overall and disease-free survival were found to be similar between the two approaches.
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Book chapters on the topic "Laparoscopic surgery (LS)"

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Meng, Lingwei, Sirui Chen, Bo Liao, Chunlin Li, and Bing Peng. "Laparoscopic Splenectomy (LS)." In Laparoscopic Surgery of the Spleen, 59–71. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-1216-9_5.

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