ABSTRACT
Appendectomy was performed using a laparoscopic approach in 915 patients. The collected data show that the technique is as feasible, rapid, and safe as open surgery. Few wound infections, minimal pain, and rapid postoperative mobilization are the main arguments in favor of laparoscopic appendectomy. The most important potential benefit, a lower incidence of long-term complications such as adhesive intestinal obstruction, remains to be confirmed by prolonged follow-up of our patients.
Subject(s)
Appendectomy/methods , Laparoscopy , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
This case report illustrates the feasibility of bile duct revision and T-tube insertion by laparoscopic approach. The procedure largely employs the traditional action. Laparoscopy demands more skill, particularly regarding the suture of the common bile duct, but does not interfere its realisation.
Subject(s)
Cholecystectomy/instrumentation , Drainage/instrumentation , Gallstones/surgery , Laparoscopes , Adult , Cholangiography , Gallstones/diagnostic imaging , Humans , Male , Postoperative Complications/diagnostic imagingSubject(s)
Carcinoma/surgery , Intestinal Polyps/surgery , Microsurgery/instrumentation , Proctoscopes , Rectal Neoplasms/surgery , Aged , Anastomosis, Surgical/methods , Carcinoma/pathology , Female , Follow-Up Studies , Humans , Intestinal Polyps/pathology , Male , Neoplasm Staging , Postoperative Complications/etiology , Rectal Neoplasms/pathology , Rectum/pathology , Suture TechniquesABSTRACT
Using the "transanal endoscopic microsurgery" technique, 140 patients were treated at the Department of Surgery in Cologne and Mainz. Of the patients with adenomas, 68.2% had typical symptoms preoperatively. The postoperative hospital attendance was 8.7 days, with an average resection size of 14.4 cm2. The postoperative complication rate was 5%, and there were no deaths related to the technique. In a prospective controlled trial, 2.2% of the patients with adenomas treated endoscopically in Mainz showed recidivation, requiring reoperation. The follow-up rate was 100%. In 30 cases, microscopic examination revealed carcinoma. Radical reoperation in 8 pT1 tumours showed neither remaining tumour nor lymph node metastases. Twelve patients with pT1 carcinoma treated by local surgery alone were recurrence-free with an average follow-up period of 12.3 months. So far, there have been no late results.