Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to severity of injury and patient’s hemodynamics. We present case an 11-year-old male with accidental pellet gunshot wound right upper abdomen that resulted a grade III liver laceration damage anterior wall. patient underwent laparoscopic cholecystectomy drain placement. Postoperative rad...

BACKGROUND The oncologic feasibility of laparoscopic surgery for the cure of colorectal cancer is under debate. The effect of laparoscopic colorectal cancer resection on hepatic tumor spread has not yet been clarified. HYPOTHESIS Laparoscopic surgery affects cell-mediated immune response and hepatic tumor spread dependent on intraperitoneal insufflation. METHODS Thirty WAG/Rij rats were ran...

PURPOSE To assess clinical factors, histopathologic diagnoses, operative time and differences in complication rates between women undergoing laparoscopy or laparotomy to diagnose and treat an adnexal mass and their association with laparoscopy failure. METHODS In this prospective study, 210 women were invited to participate and 133 of them were included. Eighty-eight women underwent laparotom...

background: leiomyomata is the most frequent gynecological neoplasm. one of the major complications of myomectomy is intrauterine adhesion (synechiae). objective: to evaluate and compare the rate and severity of synechiae formation after myomectomy by laparotomy and laparoscopy. materials and methods: in this non-randomized interventional trial, hysteroscopy was performed in all married fertile...

in this paper, we discuss the present situation of laparoscopy in gynecology. there is no doubt that hospital stay, postoperative pain and convalescence are less when it is possible to treat gynecologic disease via laparoscopy. however, for reaching the final conclusion about the other effects of this kind of surgery, e.g., adhesion formation after operation, pregnancy rate, etc., a series of p...

Resumen.OBJETIVO: El envejecimiento de la población actual es un hecho evidente y el tratamiento quirúrgico de estos pacientes es una situación que nos encontramos en nuestro ejercicio habitual. En este sentido, las dudas que nos puede surgir en realizar esta técnica en enfermos con importante comorbilidad parece despejarse, ya que incluso en pacientes con patología respiratoria o cardiológica ...

STUDY OBJECTIVE To compare robotic-assisted laparoscopy with conventional laparoscopy for treatment of advanced stage endometriosis insofar as operative time, estimated blood loss, complication rate, and length of hospital stay. STUDY DESIGN Retrospective cohort study (Canadian Task Force classification II2). All procedures were performed by one surgeon between January 2004 and July 2012. Dat...

BACKGROUND Staging laparoscopy can detect radiographically occult peritoneal metastases and prevent futile laparotomy in patients with gastric adenocarcinoma. We sought to assess the use of staging laparoscopy for gastric adenocarcinoma in a cohort of older patients and to compare outcomes after laparoscopy alone with nontherapeutic laparotomy. STUDY DESIGN Using Surveillance, Epidemiology an...