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Open access

Piotr Papaj, Sławomir Kozieł, Przemysław Śleziński, Katarzyna Dobija-Kubica and Józef Wróbel

, Shibasaki H, Oshiro T et al.: Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: a report of short-term outcomes. Surg Endosc 2011;25: 1395-1401. 10.1007/s00464-010-1402-6 5. Ahn SH, Lee JH, Park DJ et al.: Comparative study of clinical outcomes between laparoscopy-assisted proximal gastrectomy (LAPG) and laparoscopyassisted totalgastrectomy (LATG) for proximal gastric cancer. Gastric Cancer 2012; Epub ahead of print 6. Kitano S, Shiraishi N, Fujii K et al.: A randomized controlled trial comparing open vs

Open access

Anubhav Khajuria, Mujeeb ur Rehman Fazili, Riaz Ahmad Shah, Maajid Hassan Bhat, Firdous Ahmad Khan, Syed Hilal Yaqoob, Niyaz Ahmad Naykoo and Nazir Ahmad Ganai

References 1. Shin, S.T., Jang, S.K., Yang, H.S., Lee, O,K., Shim, Y.H., Choi, W.II., Lee, D.S., Lee, G.S., Cho, J.K., Lee, Y.W. (2008). Laparoscopy vs. laparotomy for embryo transfer to produce transgenic goats (Capra hircus). J. Vet. Sci. 9, 103-107. PMid:18296894 PMCid:PMC2839104 2. Dovenski T., Trojacanec P., Petkov V., Popovska- Percinic F., Kocoski Lj. Grizelj J. (2012). Laparoscopy-promising tool for improvement of reproductive efficiency of small

Open access

P. Holak, Z. Adamiak, M. Jałyński and M. Chyczewski

Laparoscopy-guided prostate biopsy in dogs - a study of 13 cases

This paper describes laparoscopy-guided prostate biopsy experiments in 13 dogs. Biopsy material was evaluated histopathologically to diagnose causes of prostatic gland enlargement. Laparoscopic biopsy was performed in male dogs diagnosed with prostatic gland enlargement, based on clinical symptoms and results of rectal examinations.

Open access

Andrzej L. Komorowski, David Dominguez Usero, Jose Ramon Martin‑Hidalgo Rodil and Roman Topór-Mądry


It has recently been shown that micropauses during long surgical procedures can be beneficial for surgeons’ precision and fatigue.

The aim of the study was to evaluate the impact of micropauses on surgical precision measured by a simple smartphone application.

Material and methods. Two surgeons performed 40 simple laparoscopic procedures (appendectomy and cholecystectomy) with or without micropauses. After the operation the precision of surgical movements was measured by a simple smartphone application in which the number of successful trials and their mean time were used as a precision surrogate.

Results. Mean number of successful trials was significantly higher for appendectomy than for cholecystectomy (5.59 vs 4; p = 0.032). There was a difference between participating surgeons both in terms of number of successful trials (5.80 vs 3.55; p = 0.01) and a mean time of all successful trials (10.03 vs 6.28; p = 0.001). No other statistically significant differences were identified.

Conclusion. Micropauses had no influence on surgical precision as evaluated after short laparoscopy procedures. The only differences were surgeon-dependent and intervention-dependent.

Open access

Marcin Strzałka, Maciej Matyja, Maciej Matłok, Marcin Migaczewski, Piotr Budzyński and Andrzej Budzyński

References 1. Strzałka M, Bobrzyński A: Laparoscopy in the treatment of acute abdominal diseases. Wideochir Inne Tech Malo Inwazyjne 2008; 3: 1-9. 2. Strzałka M, Budzyński A, Bobrzyński A i wsp.: Analiza częstości i przyczyn konwersji w chirurgii małoinwazyjnej. Pol Przegl Chir 2009; 81(12): 648-54. 3. Elazary R, Khalaileh A, Zamir G et al.: Singletrocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments: a bridge to NOTES or the final form? Surg Endosc 2009

Open access

Vladimir Milosavljevic, Nikola Grubor, Boris Tadic, Djordje Knezevic, Andja M Cirkovic, Vesna Milicic, Masa Znidarsic and Slavko Matic

survey. Ann Surg 240(2): 205-213. 16. Kojouri, K., et al. (2004). Splenectomy for adult patients with idiopathic thrombocytopenic purpura: a systematic review to assess long-term platelet count responses, prediction of response, and surgical complications. Blood 104(9): 2623-2634. 17. Park, A., et al. (1999). Laparoscopic vs open splenectomy. Arch Surg 134(11): 1263-1269. 18. Matharoo, G. S., et al. (2014). Trends in splenectomy: where does laparoscopy stand? JSLS 18(4). 19. Winslow, E. R. and L. M. Brunt (2003). Perioperative outcomes of

Open access

Katarzyna Borycka-Kiciak, Naser Dib, Łukasz Janaszek, Łukasz Sołtysiak, Barbara Bukowicka and Wiesław Tarnowski

bowel disease. Surg Endosc 2010; 24: 2796-2802. 16. Talamini MA, Moesinger RC, Kaufman H et al.: Laparoscopically assisted bowel resection for Crohn’s disease. Digestive Disease Week 1997. Abstract Book. 17. Riss S, Bittermann C, Schwameis K et al.: Determinants for postoperative complications after laparoscopic intestinal resection for Crohn’s disease. Surg Endosc 2012; 26(4): 933-38. 18. Pinto RA , Shawki S, Narita K et al.: Laparoscopy for recurrent Crohn’s disease: how do the results compare with the

Open access

Maciej Matyja, Marcin Strzałka, Anna Zychowicz, Damian Kołodziej, Kazimierz Rembiasz and Andrzej Budzyń

: Laparoscopic cholecystectomy with single incision laparoscopic surgery. Pol Merkur Lek 2009; 27(161): 372-74. 17. Kobiela J, Stefaniak T, Laski D et al.: NOTES. Study on patients’ perspective. Wideochir Inne Tech Mało Inwazyjne 2013; 8(3): 232-7. doi: 10.5114/ wiitm. 2011.34212. Epub 2013 Mar 26. 18. Seo IY, Lee JW, Rim JS: Laparoendoscopic single-site radical nephrectomy: a comparison with conventional laparoscopy. J Endourol 2011; 25(3): 465-69. 19. Ferrara V, Giannubilo W, Azizi B et al.: SILS extraperitoneal radical

Open access

Dimitar K. Penchev, Plamen G. Ivanov and Ventzislav M. Mutafchiyski


Background: Rectal cancer located in distal third still remains a technical challenge for surgeons. Transanal total mesorectal excision with laparoscopic assistance is quite new surgical approach for rectal cancer treatment that seems to solve some of the associated technical issues. The aim of the study was to present our experience in laparoscopy-assisted transanal total mesorectal excision.

Materials and methods: After obtaining approval from the local Ethics Committee, a single centre prospective double-arm comparative non-randomized trial was initiated. With recruiting still in progress at present, between 27.02.2017 and 01.10.2017 four laparoscopy-assisted transanal total mesorectal excision procedures and two laparoscopic total mesorectal excisions were performed in the department of Endoscopic Endocrine Surgery and Coloproctolgy at the Military Medical Academy in Sofia.

Results: There is no conversion in both groups. No postoperative mortality 30 days after surgery. The quality of total mesorectal excision was satisfactory in all patients estimated by the Quirque classification. There was no distal or proximal tumor involvement of surgical margins. In one of the cases, we reported positive circumferential resection margin. We had two cases with postoperative morbidity.

Conclusion: Transanal total mesorectal excision with laparoscopic assistance is quite new minimally invasive surgical approach for rectal cancer treatment. Avoiding the procedure-related complications during the learning curve is essential before applying the method to every patient. Multicenter randomized control trial is needed so that we could answer the questions raised in this study.

Open access

H. Matyjasik, Z. Adamiak, W. Pesta and Y. Zhalniarovich

) Surgery of the bladder and uretra. In: Fossum TW, Hedlund CS, Hulse DA, Jahnson AL, Seim HB, Willard MD, Carrol GL (2nd ed) Small animal surgery. St Luis, Mosby, pp 572-609. Grauer GF, Twedt DC, Mero KN ( 1983 ) Evaluation of laparoscopy for obtaining renal biopsy specimens from dogs and cats. J Am Vet Med Assoc 183: 677-679. Hewitt SA, Brisson BA, Sinclair MD, Foster RA, Swayne SL ( 2004 ) Evaluation of laparoscopic-assisted placement of jejunostomy feeding tubes in dogs. J Am Vet Med Assoc 225: 65