E-ISSN 2587-0610
Laparoscopic Endoscopic Surgical Science (LESS) - Laparosc Endosc Surg Sci : 12 (3)
Volume: 12  Issue: 3 - 2005
REVIEW
1.Free Paper Abstracts

Pages 113 - 130
Abstract | Full Text PDF

2.Poster Abstracts
- -
Pages 131 - 144
Poster Bildiri Özetleri

CASE REPORT
3.Laparoscopic phenestration in a patient with liver cyst: report of a case and review of literature
Miraç Ilker Pala, Mustafa Kerem, Emin Ersoy, Tevfik Tolga Şahin
Pages 145 - 149
63 year old female patient was evaluated in Gazi University Medical School Department of internal Medicine by the complaints consisting abdominal distention, dull abdominal pain and early satiety. During her diagnostic work up in abdominal ultrasound; a cystic lesion in liver at segmwnt 6 was observed and thus the patient was cosulted by our department and was admit­ted to our hospital. Her laboratory findings were normal and abdominal computed tomography revealed the lesion to a simple cyst of the liver. Therefore, percutaneous drainage of the cyst was performed and the cystic fluid was analyzed to be a transuda. During her follow up after a period of convalescence the symptoms alleviated for which a control abdominal ultrasound was performed and revealed the recurrence of the cyst. For this reason were planned a laparo­scopic phenestration in order to definetely drain the cyts. The postoperative period was unevent­fula and the patieint was discharged on the postoperative first day. After the operation the patient showed no signs and findings of recurrence in her 3rd month of follow up. In conclu­sion with incraesing experience in laparoscopic teqniques laparoscopic phenestration of the liver cysts is a safe and effective method. Furthermore it can be the method of choice in selective cases due to reduced morbidity, mortalitiy and hospital stay.
63 year old female patient was evaluated in Gazi University Medical School Department of internal Medicine by the complaints consisting abdominal distention, dull abdominal pain and early satiety. During her diagnostic work up in abdominal ultrasound; a cystic lesion in liver at segmwnt 6 was observed and thus the patient was cosulted by our department and was admit­ted to our hospital. Her laboratory findings were normal and abdominal computed tomography revealed the lesion to a simple cyst of the liver. Therefore, percutaneous drainage of the cyst was performed and the cystic fluid was analyzed to be a transuda. During her follow up after a period of convalescence the symptoms alleviated for which a control abdominal ultrasound was performed and revealed the recurrence of the cyst. For this reason were planned a laparo­scopic phenestration in order to definetely drain the cyts. The postoperative period was unevent­fula and the patieint was discharged on the postoperative first day. After the operation the patient showed no signs and findings of recurrence in her 3rd month of follow up. In conclu­sion with incraesing experience in laparoscopic teqniques laparoscopic phenestration of the liver cysts is a safe and effective method. Furthermore it can be the method of choice in selective cases due to reduced morbidity, mortalitiy and hospital stay.

4.Thoracoscopic and laparoscopic total esophagectomy for distal esophagus cancer: a case report
Beyza Özçınar, Vahit Özmen, Oktar Asoğlu, Abdullah Iğci, Mahmut Müslümanoğlu, Mustafa Keçer
Pages 150 - 157
After laparoscopic cholecystectomy gained wide acceptance for surgical treat­ment of gallbladder disease in the end of 1980s, laparoscopic and thoracoscopic procedures have been used for other intra-abdominal and intra-thoracic benign or malignant diseases.In May 2005, at Istanbul University, Istanbul Medical Faculty, Department of Surgery, Service C, we have performed a successful thoracoscopic and laparoscopic esophagectomy with esophagogastrostomy to 53 years old man. The patient had a complication of right pulmonary atelectasis and pneumonia in P0D#7 which were treated by antibiotics and conservative meas­urements. He was discharged from the hospital in postoperative day 12 in a healthy situation. Early results of the studies have demonstrated that thoracoscopic mobilization and para-sophageal lymph node dissection of the esophagus together with laparoscopic creation of gastric tube and celiac lymph node dissection are technically safe and associated with low morbidity and mortality rate. These procedures may be an alternative to open transthoracic esophagectomy and transhiatal esophagectomy in relatively early esophageal cancer or patients with partial or complete remission after primary chemoradiation therapy.
After laparoscopic cholecystectomy gained wide acceptance for surgical treat­ment of gallbladder disease in the end of 1980s, laparoscopic and thoracoscopic procedures have been used for other intra-abdominal and intra-thoracic benign or malignant diseases.In May 2005, at Istanbul University, Istanbul Medical Faculty, Department of Surgery, Service C, we have performed a successful thoracoscopic and laparoscopic esophagectomy with esophagogastrostomy to 53 years old man. The patient had a complication of right pulmonary atelectasis and pneumonia in P0D#7 which were treated by antibiotics and conservative meas­urements. He was discharged from the hospital in postoperative day 12 in a healthy situation. Early results of the studies have demonstrated that thoracoscopic mobilization and para-sophageal lymph node dissection of the esophagus together with laparoscopic creation of gastric tube and celiac lymph node dissection are technically safe and associated with low morbidity and mortality rate. These procedures may be an alternative to open transthoracic esophagectomy and transhiatal esophagectomy in relatively early esophageal cancer or patients with partial or complete remission after primary chemoradiation therapy.

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