By Shuodong Wu, Ying Fan, Yu Tian
This atlas provides an in depth choice of single-incision laparoscopic operations as a rule surgical procedure played from 2008 to 2013 in Shengjing clinic of China clinical collage. 2000 operations are pronounced in it. all of the figures in it have been amassed utilizing genuine time recordings of the operations with the intention to be fairly attention-grabbing to the readers. In every one particular surgical procedure, authors offer its key surgical steps, issues and administration and contraindication. This atlas is meant for medical surgeons who can evolve those operations quickly after studying approximately them. sufferers also will reap the benefits of this publication as a result of the blend of minimum invasiveness and beauty impression of single-incision laparoscopic surgery.
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Additional info for Atlas of Single-Incision Laparoscopic Operations in General Surgery
The incidence is 17 % at the early stage and can decrease to 4 % after a period of training. Postoperative mucous layer edema may play an important part. If Nissen procedure makes a tight gastric fundus wrap, which may induce an esophageal stenosis, Toupet procedure is alternative. If the dysphagia is not released after 3–4 weeks postoperatively, balloon dilation is an advantage approach with the advantage of non-reoperation. 6 Postoperative Stenosis Does Not Alleviate Most dysphagia can be alleviated postoperatively, but some will be not.
Dor fundoplication was created the same as conventional laparoscopic multiple-incision procedure. The sutures were tied using the intracorporeal technique (Fig. 13a–p). a b c d e f Fig. 13 24 2 g h i j k l Fig. 2 Laparoscopic Heller Myotomy and Dor Fundoplication 25 m n o p Fig. 13 (continued) 26 2 6. Placement of the suction drainage. After adequate flushing of the operative field, a closed suction drain was placed into the surgical field through the umbilical incision (Fig. 14a, b). 7 Tips and Tricks 1.
Abdominal Exploration. 3. Mobilization of the body of stomach and localization of the lesion. 4. Partial gastrectomy. a c Fig. 6 Gastrointestinal Surgery Surgical Techniques 1. Establishment of Pneumoperitoneum and Placement of Trocars. 2. Abdominal Exploration. First of all, a thorough exploration of the abdominal and pelvic cavity was performed to rule out the presence of ascites or nodules in the liver. The characteristics of the lesion of the stomach including its location, morphology, and relationship with surrounding organs such as the pancreas, gallbladder, bile duct or portal vein were determined (Fig.