World Journal of Laparoscopic Surgery

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2015 | May-August | Volume 8 | Issue 2

EDITORIAL

Editorial

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjols-8-2-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Kaundinya Kiran Bharatam

Laparoscopic Nissen-Rossetti Fundoplication: Possibility toward Day Care Antireflux Surgeries

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:4] [Pages No:35 - 38]

   DOI: 10.5005/jp-journals-10033-1243  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bharatam KK. Laparoscopic Nissen- Rossetti Fundoplication: Possibility toward Day Care Antireflux Surgeries. World J Lap Surg 2015;8(2):35-38.

RESEARCH ARTICLE

Balamurali Krishna Kotakala

Veress Needle for Port-site Closure

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:4] [Pages No:39 - 42]

   DOI: 10.5005/jp-journals-10033-1244  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kotakala BK, Mishra RK. Veress Needle for Port-site Closure. World J Lap Surg 2015;8(2):39-42.

REVIEW ARTICLE

Abdullah Badawi

Anastomotic Leak in Laparoscopic Colorectal Surgery: Risk Factors and Prevention

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:5] [Pages No:43 - 47]

   DOI: 10.5005/jp-journals-10033-1245  |  Open Access |  How to cite  | 

Abstract

Background

Anastomotic leakage (AL) is a common complication and still is a significant problem following laparoscopic colorectal surgery. Risk factors and prevention for AL are not well-defined.

Methods

A systematic search of electronic databases. Cohort, case-control studies and randomized controlled trials that examined clinical risk factors and prevention for AL were included.

Conclusions

In conclusion, tumor location. ≤6 cm from the anal verge, tumor size > 5 cm, preservation of the left colic artery, male gender, severe malnutrition, body mass index (BMI). ≥25, preoperative Neoadjuvant therapy and steroid therapy, American Society of Anesthesiologists (ASAs) score. ≥3, tobacco abuse, operating time. ≥180 minutes, precompression before stapler firing and multiple firing of the stapler are associated with increase the risk of developing AL. On the other hand, Improve nutritional status, control comorbidities, stop smoking at least 2 weeks before surgery and preoperative use of mechanical bowel preparation, assessment and subsequent adaptation of operative technique without multiple firings of stapler or precompression before stapler firings and the use of transanal tube postoperatively, showed decrease in the al rate following laparoscopic colorectal procedures.

How to cite this article

Badawi A. Anastomotic Leak in Laparoscopic Colorectal Surgery: Risk Factors and Prevention. World J Lap Surg 2015;8(2):43-47.

REVIEW ARTICLE

Sasidhar Reddy

Laparoscopic Liver Resection: Current Status and Techniques

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:4] [Pages No:48 - 51]

   DOI: 10.5005/jp-journals-10033-1246  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Reddy S. Laparoscopic Liver Resection: Current Status and Techniques. World J Lap Surg 2015;8(2):48-51.

REVIEW ARTICLE

Vaibhav A Dunghav

A Comparison of Combined Laparoscopic Uterine Artery Ligation and Myomectomy vs Laparoscopic Myomectomy in Treatment of Symptomatic Myoma

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:5] [Pages No:52 - 56]

   DOI: 10.5005/jp-journals-10033-1247  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dunghav VA. A Comparison of Combined Laparoscopic Uterine Artery Ligation and Myomectomy vs Laparoscopic Myomectomy in Treatment of Symptomatic Myoma. World J Lap Surg 2015;8(2):52-56.

RESEARCH ARTICLE

Khaled Al-yaqout, Abdulaziz Alghurair, Hussain Al-Tarrah

The Future of Suprapubic Single-incision Laparoscopic Appendectomy

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:5] [Pages No:57 - 61]

   DOI: 10.5005/jp-journals-10033-1248  |  Open Access |  How to cite  | 

Abstract

Background

Suprapubic single-incision laparoscopic appendectomy (SSILA) has recently been studied by different authors, the targeted benefits were better cosmesis, less infection and possibly less hernia formation.

Aim

To evaluate the feasibility and benefits of SSILA by reviewing the most recent data published to date, and identifying the pros and cons of its use against an umbilical incision.

Materials and methods

A systematic electronic search based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement was conducted, articles from 2010 to 2015 were reviewed. Only Adult population was included in the study. Pre-, intra- and postoperative variables were included in our study, such as operative duration, wound infection, cosmetic outcome and pain.

Results

Four studies were included and round up a total of 129 patients. Incision size varied from 1.5 to 2.5 cm, procedure was completed in all studied candidates, mean operative time was 52.9 minutes, no intraoperative complications were recorded, wound infection occurred in 0.015% of cases, mean hospital stay 1 to 4.7 days, pain and cosmetic outcome were difficult to interpret due to the way, their evaluation was conducted. Suprapubic single-incision laparoscopic appendectomy appears to give a better operative view, follow-up duration 1 to 80 weeks. Most studies suffered from bias in all aspects.

Conclusion

Finding a different access site in acute appendicitis may decrease the rate of port-site complications, and hence the morbidity associated with it. The suprapubic incision is an appealing alternative, with lack of strong evidence to support it. The available evidence supports its use, but randomized controlled trials have to be conducted to determine its fait.

How to cite this article

Al-Yaqout K, Alghurair A, Al-Tarrah H. The Future of Suprapubic Single-incision Laparoscopic Appendectomy. World J Lap Surg 2015;8(2):57-61.

RESEARCH ARTICLE

Njem Josiah Miner

A Comparative Study of Single Incision vs Conventional Four Incision Laparoscopic Cholecystectomy: A Single Center Experience

[Year:2015] [Month:May-August] [Volume:8] [Number:2] [Pages:6] [Pages No:62 - 67]

   DOI: 10.5005/jp-journals-10033-1249  |  Open Access |  How to cite  | 

Abstract

Materials and methods

One hundred and twenty-one patients had laparoscopic cholecystectomy at the institute of minimal access, metabolic and bariatric surgery, Sir Ganga Ram Hospital, New Delhi, between January 2013 and October 2014. A total of 61 (50.4%) had conventional four port laparoscopic cholecystectomy (4PLC), while 60 (49.6%) had SILC. Indications for the operation were similar for the two groups. Excluded were patients who were operated for malignant gallbladder disease, patients with mirizzi syndrome, patients with gallbladder perforation and patients who were in American Society of Anesthesiologists (ASA) 1V and V.

Primary end points

Analgesic requirements, Complications and hospital visits, Length of hospital stay.

Results

The average length of hospital stay including in-patient and out-patient surgeries was 23.93 ± 9.8, range 4 to 48 hours for those who had SILC and 30.07 ± 16, range 8 to 72 hours for patients who underwent 4PLC. Patients in both groups had either paracetamol or a nonsteroidal anti-inflammatory drug (NSAID) as postoperative analgesic. Only one (1.7%) patient who had SILC required an NSAID for postoperative analgesia, while 59 (98.3%) had postoperative pain relieve using only paracetamol. Four (6.6%) of patients who had 4PLC required an NSAID for postoperative analgesia, while 57 (93.4%) had only paracetamol for postoperative analgesia.

Conclusion

Single incision laparoscopic cholecystectomy appears to offer prospects for shorter hospital stay and early return to work compared to conventional 4PCL. Patients undergoing either SILC or 4PLC appear to have similar analgesic requirement. Extrapolating this to pain difference between the two surgical techniques, however, requires caution. Single incision laparoscopic cholecystectomy as a surgical technique is, however, feasible and promising for treatment of symptomatic cholelithiasis.

How to cite this article

Miner NJ, Mishra RK. A Comparative Study of Single Incision vs Conventional Four Incision Laparoscopic Cholecystectomy: A Single Center Experience. World J Lap Surg 2015;8(2):62-67.

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