Abstract：
AIM:To determine the complications and incidence of the first and second access-related vascular injuries induced by videolaparoscopic cholecistectomy. METHODS:We retrospectively reviewed vascular injuries in 200 consecutive patients who underwent videolaparoscopic cholecistectomy from 2003 to 2005. One hundred and one patients with placement of radial expanding trocars were assigned into group A and 99 patients with placement of pyramidal tipped trocars into group B. All the patients were submitted to open access according to Hasson for the first trocar. RESULTS:Bleeding did not occur at the intraoperative cannula-site in group A. However, it occurred at the intraoperative cannula-site of 7 patients (7.1%) in group B, with a statistically significant difference (P < 0.01). No mortality was registered. More vascular lesions were found in group B. CONCLUSION:The advantage of Hasson technique is that peritoneal cavity access is gained under direct vision, preventing most severe injuries. The open technique with radial expanding trocars is recommended for secure access to the abdominal cavity in videolaparoscopy. Great care should be taken to avoid major complications and understanding the abdominal wall anatomy is important for reducing bleeding during or after s placement of trocars.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Geraci G,Sciume C,Pisello F,Li Volsi F,Facella T,Modica Gdoi
10.3748/wjg.v12.i44.7165subject
Has Abstractpub_date
2006-11-28 00:00:00pages
7165-7issue
44eissn
1007-9327issn
2219-2840journal_volume
12pub_type
杂志文章abstract：:Alcoholism and cirrhosis, which are two of the most serious health problems worldwide, have a broad spectrum of clinical outcomes. Both diseases are influenced by genetic susceptibility and cultural traits that differ globally but are specific for each population. In contrast to other regions around the world, Mexican...
journal_title：World journal of gastroenterology
pub_type： 杂志文章,评审
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journal_title：World journal of gastroenterology
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doi：10.3748/wjg.v16.i25.3153
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doi：10.3748/wjg.v11.i5.676
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abstract：AIM:To investigate the association between babA2 gene and peptic ulcer disease (PUD) and gastric cancer (GC) in Helicobacter pylori-infected populations. METHODS:We evaluated the relationship between babA2 and clinical outcomes (PUD and GC) using a meta-analysis. A literature search was performed using the PubMed and ...
journal_title：World journal of gastroenterology
pub_type： 杂志文章,meta分析,评审
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更新日期：2013-07-14 00:00:00
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更新日期：2008-02-28 00:00:00
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journal_title：World journal of gastroenterology
pub_type： 杂志文章,随机对照试验
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
doi：10.3748/wjg.v16.i45.5773
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pub_type： 社论,评审
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journal_title：World journal of gastroenterology
pub_type： 杂志文章
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journal_title：World journal of gastroenterology
pub_type： 杂志文章
doi：10.3748/wjg.v22.i19.4781
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pub_type： 杂志文章,评审
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更新日期：2014-02-21 00:00:00
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journal_title：World journal of gastroenterology
pub_type： 杂志文章,已发布勘误
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更新日期：2018-10-21 00:00:00
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journal_title：World journal of gastroenterology
pub_type： 社论,评审
doi：10.3748/wjg.14.3781
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journal_title：World journal of gastroenterology
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