Hand-Assisted Staging Laparoscopy for Suspected Malignancies of the Pancreas

Walle, P. Van De; Blomme, Y.; Outryve, Luc Van

doi:10.1080/00015458.2002.11679290

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…(Table 3). [73][74][75][76] Cuschieri 66 and Gagner and Gentileschi 72 have described good results in pancreatic surgery; distal pancreatic resection is one of the best indications for HALS.…”

Section: Pancreatic Surgerymentioning

confidence: 99%

Hand-Assisted Laparoscopic Surgery

Targarona

Gracia²,

Rodrı́guez³

et al. 2003

Arch Surg

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Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open or laparoscopic surgery. However, most information is fragmented and comes from specific or selective indications. To assess the current situation of HALS, a general overview of the fields of application, results, and quality of the evidence of these results is necessary. Data Sources: Current English-language literature review. Study Selection: Case reports, series, and opinion articles on HALS. Data Extraction and Synthesis: Evaluation of the type of study and results. Most of the articles are short case series. Only a few comparative or randomized comparative trials on HALS for splenectomy and colectomy have been published. Conclusions: Hand-assisted laparoscopic surgery seems to be a promising technique that has been applied with success in a wide range of digestive tract-related surgical procedures. The main role is to help in difficult cases before conversion is necessary or for training unskilled surgeons, and not as an alternative to pure laparoscopic surgery. However, not enough evidence-based data are available to know exactly the final outcome of this technique in general surgery. Prospective randomized trials with established open or laparoscopic procedures are lacking, and these trials are needed to support the final role of HALS.

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Section: Pancreatic Surgerymentioning

confidence: 99%

Hand-Assisted Laparoscopic Surgery

Targarona

Gracia²,

Rodrı́guez³

et al. 2003

Arch Surg

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“…Yaşlanma sürecinde fizyolojik rezervin azalması ve komorbid hastalıklara bağlı olarak cerrahi girişimin neden olduğu hem psikolojik hem fizyolojik stres; otonom, endokrin ve metabolik sistemlerde disfonksiyona yol açmaktadır (23,25). Yaşlı KOAH hastaları cerrahi girişimler için yüksek riskli grup olarak sınıflandırılmalıdır (23,26). Yaşlı hastalara perioperatif dönemde daha genç hastalara göre özel multidisipliner yaklaşımla bakım gerekmektedir (23,26).…”

Section: Akciğer Hacim Küçültücü Cerrahi Uygulanan Yaşlı Hastaya Orem öZ Bakımunclassified

Akciğer Hacim Küçültücü Cerrahi Uygulanan Yaşlı Hastaya Orem Öz Bakım Eksikliği Kuramı’na Göre Hemşirelik Bakımı

KAYSERİLİOĞLU

YAZICI

Koçaşlı

et al. 2021

Geriatrik Bilimler Dergisi

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Profound changes occur in biopsychosocial areas with aging. Changes experienced in the late period increase the surgical morbidity rates. Orem's Self-Care Deficit Nursing Theory is one of the appropriate theories for nursing care in geriatric patients undergoing Lung Volume Reduction Surgery. The study data were collected by obtaining the institution's permission and informed consent from the patient. Lung volume reduction surgery was performed on a 71-year-old male patient. The patient was followed up in the Surgical Intensive Care Unit until the third postoperative day and in the chest diseases service afterward. According to Orem's Self-Care Deficit Nursing Theory, data about universal, developmental, and health deviation self-care needs were collected from the patient's admission to the service. Using the North American Nursing Diagnosis Association (NANDA) and Nursing Outcomes Classification (NOC), both self-care capacities were evaluated, and the nursing process was managed. As a result of the evaluation of the data; 'Ineffective Respiratory Pattern', 'Risk of Fluid Volume Imbalance', 'Nutrition Less Than Body Needs', 'Activity Intolerance', 'Acute Pain' in the field of universal self-care needs; 'Managing the Treatment Regimen Ineffective' in the field of developmental self-care needs; 'Lack of Knowledge' in the field of health deviation selfcare needs were evaluated by doing practices with these nursing diagnoses. It was determined that nursing care applied to improve the self-care capacity of geriatric patients who had lung volume reduction surgery increases the quality of care and the self-care capacity of individuals.

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“…Since direct manual palpation is not possible in laparoscopic surgery, the surgeon has to rely on visual feedback from the endoscopic camera and kinaesthetic feedback from instrument-tissue interaction [3,4]. The quality of this feedback information is, however, reduced due to impeding effects of the laparoscopic setting on visual and kinaesthetic feedback [5][6][7][8]. The diminished feedback information can lead to iatrogenic tissue injuries [9,10] or unsuccessful grasping [3] due to imprecise exertion of force.…”

Section: Introductionmentioning

confidence: 99%

“…The diminished feedback information can lead to iatrogenic tissue injuries [9,10] or unsuccessful grasping [3] due to imprecise exertion of force. This reportedly impedes the identification of anatomical structures such as blood vessels, biliary anatomy or ureters [4][5][6] as well as the assessment of pathological findings [7,8]. These deficits may have negative impact on the safety and long-term effect of a surgical procedure [9].…”

Section: Introductionmentioning

confidence: 99%