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  • Laparoscopic cholecystectomy  (2)
  • Ileal conduit  (1)
  • Transparietohepatic cholangiography  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Common bile duct stones after laparoscopic cholecystectomy and its treatment (1994)
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 1182-1185 
    Details
    ISSN: 1432-2218
    Keywords: Laparoscopic cholecystectomy ; Common bile duct stones ; Intravenous cholangiography ; Intraoperative cholangiography ; ERCP ; Transparietohepatic cholangiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In the present work we recount our experience in handling common bile duct stones (CBDS) in our first 100 cases of laparoscopic cholecystectomy. In the first 50 cases our diagnostic procedures involved the use of ultrasound exploration and intravenous cholangiotomography 48 h before laparoscopic surgery. We found three cases of residual CBDS. One of the cases was treated by means of ERCP. The other two cases were resolved by carrying out a transparietohepatic cholangiography after the ERCP procedure failed. After this experience, we changed our strategy, introducing the intraoperative cholangiography in the cases with an unclear diagnosis. With this new approach, no residual CBDS occurred in the following 50 cases. These findings demonstrate the following: (1) In our hands, intravenous cholangiography is not more effective than ultrasound exploration in resolving dubious cases. (2) These dubious cases are more effectively diagnosed by means of selective intraoperative cholangiography. (3) When CBDS is treated by transparietohepatic cholangiography it proves to be less uncomfortable for the patient than ERCP and, as we found, even more efficient in removing the stones, although our experience is based on only two cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00591046
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    The evolution of postoperative ileus after laparoscopic cholecystectomy (1993)
    Springer
    Surgical endoscopy and other interventional techniques 7 (1993), S. 416-419 
    Details
    ISSN: 1432-2218
    Keywords: Postoperative ileus ; Laparoscopic cholecystectomy ; Sympathetic blockade
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Our study is prompted by the arrival of laparoscopic cholecystectomy in connection with the evolution of postoperative ileus (PI) and by its avoidance of the intraabdominal handling implied in conventional cholecystectomy. With this aim a prospective, controlled, randomized, and blind clinical trial was designed using 100 patients divided into five groups (n=20): I, conventional cholecystectomy (CC); II, CC + injection of 20 ml bupivacaine 0.5% into the mesentery root; III, CC + 7.5 mg propanolol i.v. and 0.5 mg neostigmine s.c., postoperatively until the first defecation; IV, II + III; and V, laparoscopic cholecystectomy. The shortest period of PI was observed in group V. This period increases notably in group IV (53 h), group II (72 h), and group III (84 h) relative to the control group with (89 h). This reduction in PI time runs parallel with an improvement in the patient's general state of well-being. We concluded that after laparoscopic cholecystectomy PI is nonexistent. Furthermore, this study confirms the correlation between the avoidance of intraabdominal manipulation and the evolution of postoperative ileus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00311733
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Laparoscopic ileal-loop conduit (1994)
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 114-115 
    Details
    ISSN: 1432-2218
    Keywords: Laparoscopy ; Bladder cancer ; Bricker operation ; Ileal conduit ; Minimally invasive surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe our experience with a laparoscopic ileal-loop conduit technique for an elderly high-risk patient with bladder cancer. Four ports were used. The ileal segment was sectioned and isolated, ileal continuity was restored, and the ureter was implanted into the ileal segment conduit, extracorporeally. Conduit stoma was formed in one port. Operating time: 4 h. Recovery uneventful. The patient was discharged on the sixth postoperative day and is symptom-free at present and under radiotherapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00316621
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    Paper (German National Licenses)
    Fulltext
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