This paper analyses the impact in Catalonia of the grape Phylloxera plague in Europe (1865-90). A statistical model is used to analyse the economic resilience of 35 districts in Catalonia to this external ecological and economic shock, and to explain why districts in the provinces of Barcelona and Tarragona resumed growing wine grapes after the plague, in contrast to districts in Girona and Lleida provinces. The opportunity cost of labour, the demand pull of Barcelona's commercial growth, and the agro-climatic suitability of land for growing grapes are used to explain the differing capacities of districts to endure the Phylloxera plague in Catalonia.a ehr_271 39..61 JEL categories: N53, N54, Q17, Q54, Q56, R14, R40
Laparoscopy-assisted colectomy in patients underwent elective surgical resections for colon cancer showed advantages in rate of early complications in patients younger than 85 years of age and was found to be as safe and well tolerated as open surgery in patients over 85 years of age.
Aim
Here, we describe a step‐by‐step standardized technique for tailgut cyst resection using a single‐docking robotic approach.
Method
Each step of the technique is illustrated using a composite collection of four operative patient videos to demonstrate the advantages and feasibility of this technique. The robot platform utilised is Da Vinci Xi.
Results
Five female patients have undergone this operation in our unit. The size of tumours ranged from 12 to 45 mm. Median operating time was 100 min (range 90–150). Mean blood loss in all the patients was less than 50 ml. There were no major intraoperative complications. One patient had a postoperative presacral collection which required radiological drainage. Length of stay in all patients was one day.
Conclusions
This technique using a single‐docking robotic approach appears safe and feasible. The robotic approach results in improved dexterity and more accurate dissection, better retraction and excellent vision which improves the ease of operating in the pelvis. Therefore, this approach can be replicated for use in a wide variety of patients with tailgut cysts.
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