9 results

Giant esophageal epiphrenic diverticulum: presentation and treatment

Marcelo Protásio dos Santos, Denise Akerman, Caio Pasquali Dias dos Santos, Paulo Vicente dos Santos Filho, Marcos Claudio Radtke, Fernando Bray Beraldo, [...]

DOI: 10.1590/S1679-45082017RC3954

ABSTRACT Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication.

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Carla Ferreira Kikuchi Fernandes, José Maria Cordeiro Ruano, Lea Mina Kati, Alberto Sinhiti Noguti, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori

DOI: 10.1590/s1679-45082016ao3752

ABSTRACTObjectiveTo evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center.Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs.Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and […]

Development of laparoscopic skills in Medical students naive to surgical training

Worens Luiz Pereira Cavalini, Christiano Marlo Paggi Claus, Daniellson Dimbarre, Antonio Moris Cury Filho, Eduardo Aimoré Bonin, Marcelo de Paula Loureiro, [...]

DOI: 10.1590/S1679-45082014AO3237

ObjectiveTo assess the acquisition of basic laparoscopic skills of Medical students trained on a surgical simulator.MethodsFirst- and second-year Medical students participated on a laparoscopic training program on simulators. None of the students had previous classes of surgical technique, exposure to surgical practice nor training prior to the enrollment in to the study. Students´ time were collected before and after the 150-minute training. Skill acquisition was measured comparing time and scores of students and senior instructors of laparoscopic surgeryResults Sixty-eight students […]

Left colectomy with intracoporeal anastomosis: technical aspects

Sérgio Eduardo Alonso Araujo, Victor Edmond Seid, Sidney Klajner, Alexandre Bruno Bertoncini

DOI: 10.1590/s1679-45082014md3030

Oncologic laparoscopic colectomy represents a fully validated surgical approach to the management of colorectal cancer. However, laparoscopic surgery for distal transverse and descending colon lesions remains a challenging procedure. A total laparoscopic approach to the left colectomy is an interesting option for critically ill patients although reports in the literature on this subject are scarce and its approach still not standardized because of its selective nature for indication. There are several advantages associated with conduction of totally laparoscopic approach to […]

Midgut volvulus after laparoscopic appendectomy

Maurício Macedo, Manoel Carlos Prieto Velhote

DOI: 10.1590/S1679-45082012000100022

The authors report a case of a 13-year old child who was submitted to a laparoscopic appendectomy and developed, during the postoperative period, an intestinal obstruction caused by small bowel volvulus in the absence of a congenital malrotation.

Hemorrhagic adrenal cyst

Elsa Cristina Fontes Pires da Silva, Francisco Viamontez, Vasco Sabino Silva, Artur Andrade, Gonçalo Júlio Neto, Constança de Palma Gomes, [...]

DOI: 10.1590/S1679-45082012000100020

The authors present a case of a hemorrhagic adrenal cyst, one of the tumors known in literature as incidentalomas, emphasizing the clinical characteristics, since adrenal cysts or pseudocysts are generally rare and observed by chance during imaging procedures. Traditionally they are classified as pseudocysts, endothelial, epithelial or parasitic cysts. Laparoscopic adrenalectomy has been considered the treatment of choice for benign, functioning or non-functioning adrenal lesions. Small cystic adrenal tumors can be managed conservatively by laparoscopic decortication or marsupialization, but larger […]

Splenogonadal fusion and testicular cancer: case report and review of the literature

Roberto Iglesias Lopes, Mabel Tatty de Medeiros, Marco Antônio Arap, Marcello Cocuzza, Miguel Srougi, Jorge Hallak

DOI: 10.1590/S1679-45082012000100019

A 36 year-old man after tests for assessing male infertility was diagnosed with primary infertility, bilateral cryptorchidism, non-obstructive azoospermia and discontinuous splenogonadal fusion. Carcinoma in situ was found in his left testicle, which was intra-abdominal and associated with splenogonadal fusion. To our knowledge, this is the fourth case of splenogonadal fusion associated with testicular cancer reported. One should always bear in mind the possibility of this association for the left cryptorchid testicle.

Laparoscopic hepatectomy: indications and results from 18 resectable cases

Sergio Renato Pais-Costa, Sergio Luiz Melo Araujo, Olímpia Alves Teixeira Lima, Alexandre Chartuni Pereira Teixeira

DOI: 10.1590/s1679-45082011ao1983

ABSTRACTObjective:To evaluate the early and late results from laparoscopic hepatectomy procedures at a tertiary hospital in Brasília (DF), Brazil.Methods:The authors report on a series of 18 patients (11 women) who underwent laparoscopic hepatectomy performed by a single surgical team at Santa Lúcia Hospital, in Brasília, between June 2007 and December 2010. Age ranged from 21 to 71 years (median = 43 years). There were eleven women and seven men. Nine patients had benign diseases and nine had malignant lesions. The […]

Comparison between laparoscopic and subcostal mini-incision for live donor nephrectomy

Hideki Kanashiro, Roberto Iglesias Lopes, Fernando Akira Saito, Anuar Ibrahim Mitre, Francisco Tibor Denes, José Luis Chambô, [...]

DOI: 10.1590/S1679-45082010AO1671

ABSTRACT Objectives: The aim of this study was to compare the results of laparoscopic donor nephrectomy with open donor nephrectomy. Methods: A non-randomized prospective analysis was conducted of living donor kidney transplantations (118 open donor nephrectomies; 57 laparoscopic donor nephrectomies) between January 2005 and December 2007 in the Kidney Transplantation Unit of Hospital das Clínicas of Faculdade de Medicina of the Universidade de São Paulo. Results: Mean donor operative time, mean donor hospital stay, mean postoperative creatinine values, and rates […]