The Experts below are selected from a list of 14376 Experts worldwide ranked by ideXlab platform
Alessio Pigazzi - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic right Hemicolectomy short and long term outcomes of intracorporeal versus extracorporeal anastomosis
Surgical Endoscopy and Other Interventional Techniques, 2016Co-Authors: Mark H Hanna, Grace S Hwang, Michael J Phelan, Thanhlan Bui, Joseph C Carmichael, Steven Mills, Michael J Stamos, Alessio PigazziAbstract:Background The use of laparoscopy for right Hemicolectomy has gained popularity allowing the option of a totally laparoscopic intracorporeal anastomosis (IA) for intestinal reconstruction. This technique may alleviate some of the technical limitations that a surgeon faces with a laparoscopic-assisted extracorporeal anastomosis (EA).
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short and long term outcomes of intracorporeal versus extracorporeal ileocolic anastomosis in laparoscopic right Hemicolectomy for colon cancer
Surgical Endoscopy and Other Interventional Techniques, 2013Co-Authors: Kang Hong Lee, Yasir Akmal, Rebecca A Nelson, Alessio PigazziAbstract:Background We assessed the short- and long-term outcomes of intracorporeal ileocolic anastomosis (IA) in laparoscopic right Hemicolectomy for colon cancer compared with extracorporeal anastomosis (EA).
A J Shorthouse - One of the best experts on this subject based on the ideXlab platform.
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a randomised controlled trial of transverse skin crease vs vertical midline incision for right Hemicolectomy
Techniques in Coloproctology, 2004Co-Authors: S Brown, P J Goodfellow, I J Adam, A J ShorthouseAbstract:A transverse skin crease incision for right Hemicolectomy may result in more rapid recovery than traditional vertical midline incision. This hypothesis was tested with a prospective randomised trial. Patients from 2 centres undergoing right Hemicolectomy were randomised to received a midline or transverse incision. Incision lengths were sufficient to enable unrestricted resection of the right colon. Patients and carers were blinded to the incisions using strategically placed dressings. Analgesia and oral intake were controlled by the patient. Operative details and recovery parameters were compared. A total of 28 patients were randomised. Demographic data and tumour characteristics of the two treatment groups were similar. The transverse incision group had a slightly shorter median wound (10 cm vs. 11 cm, p<0.05). Operative time, analgesia requirements, recovery parameters (time to discharge, 6.5 vs. 6.5 days) and frequency of complications were otherwise comparable. A transverse skin crease incision for right Hemicolectomy results in a slightly smaller wound but no other advantages were demonstrated compared with a traditional vertical midline incision.
S Brown - One of the best experts on this subject based on the ideXlab platform.
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a randomised controlled trial of transverse skin crease vs vertical midline incision for right Hemicolectomy
Techniques in Coloproctology, 2004Co-Authors: S Brown, P J Goodfellow, I J Adam, A J ShorthouseAbstract:A transverse skin crease incision for right Hemicolectomy may result in more rapid recovery than traditional vertical midline incision. This hypothesis was tested with a prospective randomised trial. Patients from 2 centres undergoing right Hemicolectomy were randomised to received a midline or transverse incision. Incision lengths were sufficient to enable unrestricted resection of the right colon. Patients and carers were blinded to the incisions using strategically placed dressings. Analgesia and oral intake were controlled by the patient. Operative details and recovery parameters were compared. A total of 28 patients were randomised. Demographic data and tumour characteristics of the two treatment groups were similar. The transverse incision group had a slightly shorter median wound (10 cm vs. 11 cm, p<0.05). Operative time, analgesia requirements, recovery parameters (time to discharge, 6.5 vs. 6.5 days) and frequency of complications were otherwise comparable. A transverse skin crease incision for right Hemicolectomy results in a slightly smaller wound but no other advantages were demonstrated compared with a traditional vertical midline incision.
Paraskevas Paraskeva - One of the best experts on this subject based on the ideXlab platform.
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single incision laparoscopic surgery for right Hemicolectomy
Archives of Surgery, 2011Co-Authors: Andre Chow, Sanjay Purkayastha, Emmanouil Zacharakis, Paraskevas ParaskevaAbstract:Hypothesis Single-incision laparoscopic surgery (SILS) allows surgeons to perform laparoscopic procedures through a single umbilical incision, minimizing surgical trauma. Design We describe herein our methods of SILS right Hemicolectomy using a recent case as an example. Setting SILS appendectomy and cholecystectomy have been performed by our surgical team for longer than 1 year among more than 80 patients. Patient SILS right Hemicolectomy was performed in a 38-year-old woman with a history of B-cell lymphoma and ileocecal mass. Interventions The operation was performed using a SILS port and an extracorporeal stapled anastomosis. Main Outcome Measures Length of stay and postoperative pain and complications. Results SILS right Hemicolectomy took 175 minutes to perform. The patient was discharged on postoperative day 6; a chest infection after surgery had prolonged the length of stay. Conclusions SILS is an attractive method to further minimize surgical trauma and can be applied in more complex cases, such as colectomy. Large trials are needed to determine the benefits of this new technique.
S Mackenzie - One of the best experts on this subject based on the ideXlab platform.
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single incision laparoscopic right Hemicolectomy
British Journal of Surgery, 2010Co-Authors: Anil Keshava, Christopher J Young, S MackenzieAbstract:Background: The results of a prospective consecutive series of single-incision laparoscopic right Hemicolectomy procedures are presented. Methods: Right colonic resections were performed by a single-incision laparoscopic technique between February and December 2009. Surgical outcomes were recorded in a prospective database. Results: Twenty-two consecutive procedures were completed by single-incision laparoscopic colorectal surgical resection. All patients were alive at 30 days. The median length of hospital stay was 5 days. Morbidity was encountered in six patients. Pathological examination of the resected specimen showed adenocarcinoma in 13 patients, adenoma in five, carcinoid in two, Crohn's disease in one patient and an intussuscepting lipoma in one. Clearance from the pathology was greater than 5 cm in all cases and the median lymph node harvest in patients with cancer was 17 (range 10–30). Conclusion: Single-incision laparoscopic surgery is a possible approach to right colonic resection with potential for minimal access advantages. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.