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A Step-Wise Approach to Total Laparoscopic Gastrectomy with Jejunal Pouch Reconstruction: How and Why We Do It / Juan Camilo Correa Cote
Título : A Step-Wise Approach to Total Laparoscopic Gastrectomy with Jejunal Pouch Reconstruction: How and Why We Do It Tipo de documento : documento electrónico Autores : Juan Camilo Correa Cote, Fecha de publicación : 2016 Títulos uniformes : Journal of Gastrointestinal Surgery Idioma : Inglés (eng) Palabras clave : Laparoscopy gastrectomy jejunal pouch gastric cancer Resumen : Laparoscopic gastrectomy (LG) is a safe alternative compared to open gastrectomy for cancer. To increase the uptake of minimally invasive approaches and facilitate their analysis and improvement a stepwise approach is warranted. This study describes our technique and experiences total laparoscopic gastrectomy (TLG) with jejunal pouch reconstruction for gastric cancer. Technical modifications throughout the years were described. In patients with anastomotic leakage, the CT-scan and reoperation report were reviewed to identify the location and cause of the leak. A total of 47 patients who underwent laparoscopic total gastrectomy with extracorporeal jejunal pouch reconstruction and stapled circular esophagojejunostomy from May 2007 to August 2015 were prospectively analyzed. A stepwise approach of 10 steps was designed based on video and case analysis. Median operation time was 301 (148–454) minutes and median blood loss was 300 (30–900) milliliters. Anastomotic leakage occurred in six (12.8 %) patients; additionally, one (2.12 %) jejunal-pouch staple line leak was identified. An important modification in our technique was a purse-string suture around the anvil of the circular stapler to prevent esophageal mucosa to slip away. After this modification, the leakage rate was reduced to 7 % in the last 15 procedures. In conclusion, TLG with jejunal pouch reconstruction is a feasible procedure in a selected group of patients. Our stepwise approach and technique may help surgeons to introduce jejunal pouch reconstruction during laparoscopic gastrectomy in their center. Mención de responsabilidad : Hylke J F Brenkman, Juan Correa-Cote, Jelle P Ruurda, Richard van Hillegersberg Referencia : J Gastrointest Surg. 2016 Nov;20(11):1908-1915. DOI (Digital Object Identifier) : 10.1007/s11605-016-3235-7 PMID : 27561635 En línea : https://link.springer.com/article/10.1007%2Fs11605-016-3235-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3972 A Step-Wise Approach to Total Laparoscopic Gastrectomy with Jejunal Pouch Reconstruction: How and Why We Do It [documento electrónico] / Juan Camilo Correa Cote, . - 2016.
Obra : Journal of Gastrointestinal Surgery
Idioma : Inglés (eng)
Palabras clave : Laparoscopy gastrectomy jejunal pouch gastric cancer Resumen : Laparoscopic gastrectomy (LG) is a safe alternative compared to open gastrectomy for cancer. To increase the uptake of minimally invasive approaches and facilitate their analysis and improvement a stepwise approach is warranted. This study describes our technique and experiences total laparoscopic gastrectomy (TLG) with jejunal pouch reconstruction for gastric cancer. Technical modifications throughout the years were described. In patients with anastomotic leakage, the CT-scan and reoperation report were reviewed to identify the location and cause of the leak. A total of 47 patients who underwent laparoscopic total gastrectomy with extracorporeal jejunal pouch reconstruction and stapled circular esophagojejunostomy from May 2007 to August 2015 were prospectively analyzed. A stepwise approach of 10 steps was designed based on video and case analysis. Median operation time was 301 (148–454) minutes and median blood loss was 300 (30–900) milliliters. Anastomotic leakage occurred in six (12.8 %) patients; additionally, one (2.12 %) jejunal-pouch staple line leak was identified. An important modification in our technique was a purse-string suture around the anvil of the circular stapler to prevent esophageal mucosa to slip away. After this modification, the leakage rate was reduced to 7 % in the last 15 procedures. In conclusion, TLG with jejunal pouch reconstruction is a feasible procedure in a selected group of patients. Our stepwise approach and technique may help surgeons to introduce jejunal pouch reconstruction during laparoscopic gastrectomy in their center. Mención de responsabilidad : Hylke J F Brenkman, Juan Correa-Cote, Jelle P Ruurda, Richard van Hillegersberg Referencia : J Gastrointest Surg. 2016 Nov;20(11):1908-1915. DOI (Digital Object Identifier) : 10.1007/s11605-016-3235-7 PMID : 27561635 En línea : https://link.springer.com/article/10.1007%2Fs11605-016-3235-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3972 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000563 AC-2016-038 Archivo digital Producción Científica Artículos científicos Disponible Laparoscopic management of gastric gastrointestinal stromal tumors / Álvaro Enrique Sanabria Quiroga ; Juan Camilo Correa Cote
Título : Laparoscopic management of gastric gastrointestinal stromal tumors Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, ; Juan Camilo Correa Cote, Fecha de publicación : 2014 Títulos uniformes : World Journal of Gastrointestinal Endoscopy Idioma : Inglés (eng) Palabras clave : Gastrointestinal stromal tumors Laparoscopy Surgery Stomach Gastrectomy Resumen : Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach. Mención de responsabilidad : Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria Referencia : World J Gastrointest Endosc. Jul 2014;6(7):296-303. DOI (Digital Object Identifier) : 10.4253/wjge.v6.i7.296 Derechos de uso : CC BY-NC En línea : https://www.wjgnet.com/1948-5190/full/v6/i7/296.htm Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3820 Laparoscopic management of gastric gastrointestinal stromal tumors [documento electrónico] / Álvaro Enrique Sanabria Quiroga, ; Juan Camilo Correa Cote, . - 2014.
Obra : World Journal of Gastrointestinal Endoscopy
Idioma : Inglés (eng)
Palabras clave : Gastrointestinal stromal tumors Laparoscopy Surgery Stomach Gastrectomy Resumen : Gastrointestinal stromal tumors (GISTs) are the most frequent gastrointestinal tumors of mesodermal origin. Gastric GISTs represent approximately 70% of all gastrointestinal GISTs. The only curative option is surgical resection. Many surgical groups have shown good results with the laparoscopic approach. There have not been any randomized controlled trials comparing the open vs laparoscopic approach, and all recommendations have been based on observational studies. The experience obtained from gastric laparoscopic surgery during recent decades and the development of specific devices have allowed the treatment of most gastric GISTs through the laparoscopic approach. Mención de responsabilidad : Juan Correa-Cote, Carlos Morales-Uribe, Alvaro Sanabria Referencia : World J Gastrointest Endosc. Jul 2014;6(7):296-303. DOI (Digital Object Identifier) : 10.4253/wjge.v6.i7.296 Derechos de uso : CC BY-NC En línea : https://www.wjgnet.com/1948-5190/full/v6/i7/296.htm Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3820 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000395 AC-2014-061 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2014-061.pdfAdobe Acrobat PDF The evolution of laparoscopy in abdominal surgery: A meta-analysis of the effect on infectious outcomes / Álvaro Enrique Sanabria Quiroga
Título : The evolution of laparoscopy in abdominal surgery: A meta-analysis of the effect on infectious outcomes Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : Minimally Invasive Therapy & Allied Technologies Idioma : Inglés (eng) Palabras clave : Surgical wound infection laparoscopy meta-analysis abdominal abscess Resumen : Background: Laparoscopic surgery has been recommended as an effective strategy because of its advantages in decreasing abdominal surgical site infections (SSIs). The aim of this study was to assess the effect of laparoscopy on superficial and organ/space SSIs compared with open surgery in hollow-viscus procedures over time. Study design: Data on SSIs from randomized-controlled trials (RCTs) evaluating open versus laparoscopic abdominal surgeries were extracted from the Cochrane Database Reviews. Re-analysis of these data was performed to assess infections. Heterogeneity was also explored. A subgroup analysis was performed according to elective/emergency surgery status. Results: Data from 72 RCTs including 8218 patients were collected (4116 patients in the laparoscopic group and 4102 patients in the open group). For superficial SSI, the pooled RD was -4.4% (95% CI: -5.4% to -3.3%), which indicated a lower risk in the laparoscopic group. For organ/space SSI, the pooled RD was 0.5% (95% CI: -0.1% to 1%), which indicated similar rates between the groups. Changes in SSI frequency had occurred over time. Conclusion: Laparoscopic surgery significantly decreases the risk of superficial SSI but does not affect the risk of organ/space SSI. Experience with technique improves outcomes. Mención de responsabilidad : Alvaro Sanabria, Valentin Vega, Luis C Dominguez, Erick Espitia, Adriana Serna, Camilo Osorio Referencia : Minim Invasive Ther Allied Technol. 2014 Mar;23(2):74-86. DOI (Digital Object Identifier) : 10.3109/13645706.2013.854808 PMID : 24236695 En línea : https://www.tandfonline.com/doi/full/10.3109/13645706.2013.854808 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4570 The evolution of laparoscopy in abdominal surgery: A meta-analysis of the effect on infectious outcomes [documento electrónico] / Álvaro Enrique Sanabria Quiroga, . - 2014.
Obra : Minimally Invasive Therapy & Allied Technologies
Idioma : Inglés (eng)
Palabras clave : Surgical wound infection laparoscopy meta-analysis abdominal abscess Resumen : Background: Laparoscopic surgery has been recommended as an effective strategy because of its advantages in decreasing abdominal surgical site infections (SSIs). The aim of this study was to assess the effect of laparoscopy on superficial and organ/space SSIs compared with open surgery in hollow-viscus procedures over time. Study design: Data on SSIs from randomized-controlled trials (RCTs) evaluating open versus laparoscopic abdominal surgeries were extracted from the Cochrane Database Reviews. Re-analysis of these data was performed to assess infections. Heterogeneity was also explored. A subgroup analysis was performed according to elective/emergency surgery status. Results: Data from 72 RCTs including 8218 patients were collected (4116 patients in the laparoscopic group and 4102 patients in the open group). For superficial SSI, the pooled RD was -4.4% (95% CI: -5.4% to -3.3%), which indicated a lower risk in the laparoscopic group. For organ/space SSI, the pooled RD was 0.5% (95% CI: -0.1% to 1%), which indicated similar rates between the groups. Changes in SSI frequency had occurred over time. Conclusion: Laparoscopic surgery significantly decreases the risk of superficial SSI but does not affect the risk of organ/space SSI. Experience with technique improves outcomes. Mención de responsabilidad : Alvaro Sanabria, Valentin Vega, Luis C Dominguez, Erick Espitia, Adriana Serna, Camilo Osorio Referencia : Minim Invasive Ther Allied Technol. 2014 Mar;23(2):74-86. DOI (Digital Object Identifier) : 10.3109/13645706.2013.854808 PMID : 24236695 En línea : https://www.tandfonline.com/doi/full/10.3109/13645706.2013.854808 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4570 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001069 AC-2014-143 Archivo digital Producción Científica Artículos científicos Disponible