Trial compares laparoscopic and open surgeries for pancreatic cancerSeptember 13, 2017
A randomized clinical trial has compared key-hole (laparoscopic) surgery and open surgery in pancreatic cancer patients undergoing pancreaticoduodenectomy, or the Whipple procedure.
The procedure is used to treat tumors located in the head of the pancreas and adjacent areas, where approximately 75% of pancreatic cancer tumors occur. In the 64-patient trial, which was carried out at GEM Hospital and Research Center, in India, showed overall complications and pathological outcomes did not differ, but laparoscopy offered reduced blood loss, decreased blood transfusions, fewer wound infections, and shorter hospital stays compared with open surgery.
"Major surgeries like cancer operations performed with a laparoscopic approach offer significant advantages to patients," said Prof. Chinnusamy Palanivelu, lead author of the British Journal of Surgery study.
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A new study finds that individuals struggling with obesity who are not candidates for weight-loss surgery can benefit substantially from non-surgical endoscopic sleeve gastroplasty, according to research presented at Digestive Disease Week® (DDW) 2017.
In the first study of its kind, a research team at a large, urban public safety net hospital found that outpatient laparoscopic appendectomy (surgical removal of the appendix) is safe for patients and results in shorter hospital stays and decreased health care costs, according to study results published as an 'article in press' on the Journal of the American College of Surgeons website ahead of print publication.
Researchers found similar rates of disease-free survival and no difference in overall survival among women who received a laparoscopic or abdominal total hysterectomy for stage I endometrial cancer, according to a study published by JAMA.
Patients with gastroesophageal reflux disease, known as GERD, who undergo laparoscopic anti-reflux operations compared with traditional 'open' operations suffer fewer postoperative complications, experience faster recovery, and incur lower health care costs, according to study results published online as an 'article in press' on the Journal of the American College of Surgeons website, ahead of print publication.
The Minimally Invasive Urology Institute at the Miriam Hospital is now performing a completely laparoscopic surgery for the treatment of bladder cancer.
With $1.9 million from the National Science Foundation, a University of Arizona-led team of engineers, surgeons and virtual reality experts is developing and pilot-testing a computer-assisted surgical training device that will teach medical students how to perform laparoscopic surgery better than any human trainer.
Laparascopic repair of ventral hernias has advanced and overcome many challenges during the past two decades, and patients who are obese, diabetic, and have a hernia no larger than 10 cm in width are best suited for this evolving minimally invasive approach.
Although laparoscopic radical cystectomy (LRC) and robotic assisted radical cystectomy (RARC) continue to grow in popularity and are successful in the treatment of bladder cancer, they are still considered experimental approaches.
While minimally invasive surgical techniques have made operations easier and recovery time faster, there is a downside: surgical residents today aren't acquiring certain operative skills, according to a new study appearing online on the Journal of the American College of Surgeons website in advance of print publication.
A new analysis indicates that death rates and the need for additional operations following laparoscopic surgery for gastro-oesophageal reflux disease are very low.
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