The many benefits of laparoscopy, including smaller incision, reduced length of hospital stay and more rapid return to normal function, have seen its popularity grow in recent years. With concurrent improvements in non-surgical cancer management the importance of accurate staging is becoming increasingly important. There are two main applications of laparoscopic surgery in managing hepato-pancr...

OBJECTIVE To analyze clinical results and financial costs of salpingo-oophorectomy performed by laparoscopy versus laparotomy. STUDY DESIGN Comparison of laparoscopic salpingo-oophorectomy with procedures performed by laparotomy. SETTING St. Vincent's Hospital and Fallon Clinic in Worcester, Massachusetts. PATIENTS Twenty women in both groups. INTERVENTIONS Salpingo-oophorectomies perfo...

surgical cases compared to robot-assisted laparoscopic surgery. Sixty-nine percent (n = 33) of fellows indicated that robot-assisted laparoscopy allows them to perform more challenging surgical cases compared to conventional laparoscopy. Fifty six percent (n = 27) of fellows agreed that the cost associated with robotassisted laparoscopy is the greatest disadvantage of using robot-assisted lapar...

BACKGROUND/AIMS We examined the effects according to the extent of surgical wound mimicking laparoscopy or laparotomy on ovarian cancer growth in an orthotopic mouse model. MATERIALS AND METHODS To mimic surgery effects, we performed laparoscopy or laparotomy on athymic nude mice under isoflurane inhalation at four days after tumor cell injection. For the laparoscopy model, we performed pneum...

BACKGROUND How should the stable patient with penetrating abdominal or lower chest trauma be evaluated? Evolving trends have recently included the use of diagnostic laparoscopy. In September 1995 we instituted a protocol of diagnostic laparoscopy to identify those patients who could safely avoid surgical intervention. DESIGN Prospective case series. MATERIALS AND METHODS Hemodynamically sta...

INTRODUCTION Laparoscopy, as a minimally invasive diagnostic and therapeutic tool in blunt abdominal trauma (BAT), is not commonly used and has been shown to be controversial. The aim of this study is to assess the role of laparoscopy in the diagnosis and therapy of BAT. METHODS A systematic review and a comprehensive literature search was performed at the U.S. National Library of Medicine si...

OBJECTIVES To compare the results, complications, and hospital charges associated with laparoscopy versus laparotomy in second-look operations for epithelial ovarian cancer. METHODS We conducted a retrospective chart review of 109 patients with invasive epithelial ovarian cancer who underwent a second-look operation between July 1, 1992, and June 30, 1995. RESULTS Thirty-one patients (28.4%...

INTRODUCTION Laparoscopy has become the gold standard for many surgical cases in the developed world. It however, remains a rarity in developing countries for several reasons, a major one being cost. This study aimed to determine the knowledge and attitude of patients attending Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana toward laparoscopic surgery and their willingness to pay for it...