A newly designed single dissector useful for laparoscopic cholecystectomy

Kitano, Seigo; Iso, Y.; Moriyama, Masaaki; Sugimachi, Keizō

doi:10.1007/bf02309089

Cited by 71 publications

(78 citation statements)

References 4 publications

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“…LDG was performed by a standard technique with a carbon dioxide pneumoperitoneum of 10 mmHg and five trocars, as described previously 7,9 . Laparoscopic ligation and division of the major vessels was performed and the stomach was fully mobilized.…”

Section: Methodsmentioning

confidence: 99%

“…Laparoscopically assisted distal gastrectomy (LDG) has been widely adopted since it was first reported in 1994 7 and is being used increasingly 8 . LDG has been associated with less pain, quicker return of gastrointestinal function, better pulmonary function, decreased stress response, a shorter hospital stay and better postoperative quality of life than open distal gastrectomy (ODG) 9 -13 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopically assisted distal gastrectomy for early gastric cancer in the elderly

Yasuda

Sonoda

Shiroshita

et al. 2004

British Journal of Surgery

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopically assisted distal gastrectomy for early gastric cancer in the elderly

Yasuda

Sonoda

Shiroshita

et al. 2004

British Journal of Surgery

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“…3 Briefly, carbon dioxide (CO 2 ) was used for peritoneal insufflation, and the abdominal pressure was maintained at between 8 and 10 mmHg. A Hasson-type trocar was inserted at the subumbilical region for the video laparoscopy.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic cholecystectomy in patients undergoing anticoagulant therapy

Yoshida¹,

Kitano²,

Matsumoto³

et al. 1998

Surg Today

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We recently performed a laparoscopic cholecystectomy on three patients receiving preoperative oral anticoagulant therapy. The patients requiring anticoagulants for pre-existing cardiac conditions have the following risks at surgery: thromboembolism, hemorrhage, endocarditis, and cardiopulmonary dysfunction. In patients receiving anticoagulant therapy, one must thus maintain a balanced international normalized ratio of the prothrombin time to prevent thromboembolism or hemorrhage. Warfarin sodium was discontinued preoperatively in all patients. Heparin sodium was individualized according to each patient's risk of thromboembolism. As a result, these patients all underwent a laparoscopic cholecystectomy without complications. Attention was paid to achieve hemostasis in the operative field and the trocar inserted sites during the procedure. The administration of warfarin sodium was resumed on the first postoperative day in all patients. Restarting warfarin sodium early also helps to simplify postoperative management. A broad spectrum of antibiotic therapy was also used to reduce the risk of endocarditis. Each patient's cardiopulmonary function was carefully monitored. The minimal invasion experienced during a laparoscopic cholecystectomy may thus facilitate the management of gallstones in patients receiving systemic anticoagulation treatment based on the findings of this limited series.

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“…The laparoscopic gastrectomies have been done mostly by one surgeon (S.K. ), who is familiar with both laparoscopic surgery and gastric cancer surgery [13,14,15,16,17,18], and the operation time was no different for the procedures performed on the first half of the patients than for those done on the last half (240 vs 251 min) [1]. Thus, when it is performed by a skilled and experienced surgeon, laparoscopic-assisted Billroth I gastrectomy does not take any more time than conventional open gastrectomy.…”

Section: Discussionmentioning

confidence: 99%