Sealing of the cystic and appendix arteries with monopolar electrocautery during laparoscopic combined cholecystectomy and appendectomy.

Abstract:

:The best method to ligate the arteries during laparoscopic cholecystectomy or appendectomy remains controversy. The aim of this study is to introduce a new approach during laparoscopic combined cholecystectomy and appendectomy using a monopolar electrocautery to seal the cystic and appendix arteries. We retrospectively reviewed data from 57 patients who underwent laparoscopic combined cholecystectomy and appendectomy between December 2006 and June 2016. Each laparoscopic combined cholecystectomy and appendectomy was performed by coagulating and sealing the cystic and appendix arteries. Absorbable clip or coils were then used to ligate the proximal of cystic duct and the stump of appendix. The other side of the cystic duct and appendix which subsequently were to be removed from abdomen were used titanium clips or silk ligature. Of the 57 patients, 3 patients (5.3%) were converted to open surgery due to severe abdominal adhesions or gallbladder perforation. The mean operative time was 56 minutes (range, 40-80 minutes). Mean blood loss was 12 mL (range, 5-120 mL), and the mean postoperative hospital stay was 3.0 days (range, 2-5 days). No postoperative bleeding, biliary leakage, infection, or mortality occurred. Monopolar electrocautery to seal the cystic and appendix arteries is a safe, effective, and economical surgical procedure during laparoscopic combined cholecystectomy and appendectomy. Further randomized controlled clinical trials are required to validate our findings.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Liu GB,Mao YY,Yang CP,Cao JL

doi

10.1097/MD.0000000000010206

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

e0206

issue

13

eissn

0025-7974

issn

1536-5964

pii

00005792-201803300-00033

journal_volume

97

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Bisphenol A and hormone-associated cancers: current progress and perspectives.

    abstract::Bisphenol A (BPA), a carbon-based synthetic compound, exhibits hormone-like properties and is present ubiquitously in the environment and in human tissues due to its widespread use and biological accumulation. BPA can mimic estrogen to interact with estrogen receptors α and β, leading to changes in cell proliferation,...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000211

    authors: Gao H,Yang BJ,Li N,Feng LM,Shi XY,Zhao WH,Liu SJ

    更新日期:2015-01-01 00:00:00

  • Utility of Red Cell Distribution Width as a Prognostic Factor in Young Breast Cancer Patients.

    abstract::The prognosis of breast cancer occurs in young women is usually poor. Red cell distribution width (RDW), 1 of many routinely examined parameters, has recently been proposed as a prognostic marker in solid tumors. The aim of our study was to assess the predictive value of RDW for survival in young women with breast can...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003430

    authors: Huang DP,Ma RM,Xiang YQ

    更新日期:2016-04-01 00:00:00

  • Enterohepatic Helicobacter Species as a Potential Causative Factor in Inflammatory Bowel Disease: A Meta-Analysis.

    abstract::The Helicobacter species in the gut microbiota comprise Helicobacter pylori (H pylori) and enterohepatic Helicobacter species (EHS), which can colonize the intestinal mucosa. However, it is unclear whether EHS are associated with inflammatory bowel disease (IBD). Therefore, we conducted this meta-analysis to examine t...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001773

    authors: Yu Q,Zhang S,Li L,Xiong L,Chao K,Zhong B,Li Y,Wang H,Chen M

    更新日期:2015-11-01 00:00:00

  • The myocardial protective effect of monosodium phosphate cardioplegia in cardiopulmonary bypass in infants with an atrial septal defect.

    abstract::This study aimed to investigate the myocardial protective effect of liquid sodium phosphocreatine cardiac arrest in extracorporeal circulation surgery treating infants with atrial septal defects.Eighty-four infants with atrial septal defects who required extracorporeal circulation surgery treatment at our hospital fro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020934

    authors: Yang F,Wang J,Zhai B

    更新日期:2020-07-10 00:00:00

  • Acupoint embedding therapy improves nonalcoholic fatty liver disease with abnormal transaminase: A PRISMA-compliant systematic review and meta-analysis.

    abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD) with abnormal transaminase were main targeted disorder in clinical intervention. Acupuncture embedding has been used as a modified acupuncture therapy in current management, while no comprehensive summarization has been established. Hence, we conducted a systematic r...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018775

    authors: Dai L,Ooi VV,Zhou W,Ji G

    更新日期:2020-01-01 00:00:00

  • The prevalence and genotype distribution of human papillomaviruses among women in Taizhou, China.

    abstract::Human papillomavirus (HPV) infection is the leading cause of cervical cancer and precancerous lesions. Knowledge regarding the prevalence and genotype distribution of HPV in women is important to establish strategies for cervical cancer screening and HPV vaccination. This study aimed to evaluate the characteristics of...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017293

    authors: Jin R,Qian H,Zhang Y,Yuan D,Bao J,Zhou H,Chen M,Huang J,Yu H

    更新日期:2019-09-01 00:00:00

  • Ultrasound image analysis using deep learning algorithm for the diagnosis of thyroid nodules.

    abstract::Fine needle aspiration (FNA) is the procedure of choice for evaluating thyroid nodules. It is indicated for nodules >2 cm, even in cases of very low suspicion of malignancy. FNA has associated risks and expenses. In this study, we developed an image analysis model using a deep learning algorithm and evaluated if the a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015133

    authors: Song J,Chai YJ,Masuoka H,Park SW,Kim SJ,Choi JY,Kong HJ,Lee KE,Lee J,Kwak N,Yi KH,Miyauchi A

    更新日期:2019-04-01 00:00:00

  • Increased TRPV1 and PAR2 mRNA expression levels are associated only with the esophageal reflux symptoms, but not with the extraesophageal reflux symptoms.

    abstract::Transient receptor potential vanilloid-1 (TRPV1) receptor and proteinase-activated receptor 2 (PAR2) have been implicated in the mechanism of acid-induced inflammation in gastroesophageal reflux disease (GERD). We aimed to evaluate TRPV1 and PAR2 mRNA expression levels in the GERD patients and their relationship with ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004387

    authors: Kim JJ,Kim N,Choi YJ,Kim JS,Jung HC

    更新日期:2016-08-01 00:00:00

  • Economic and health impacts of infectious diseases in China: A protocol for systematic review and meta analysis.

    abstract:BACKGROUND:A worldwide concern has been raised that novel infectious diseases may outbreak rapidly with a limited response time due to globalization. Severe Acute Respiratory Syndrome, influenza A, Avian Influenza Virus, and Corona Virus Disease 2019 are acute respiratory diseases that have been affected by the movemen...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021249

    authors: Li M,Fan D,Wang X

    更新日期:2020-07-24 00:00:00

  • Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems.

    abstract::International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Database (NCD) in Japan w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002194

    authors: Anazawa T,Paruch JL,Miyata H,Gotoh M,Ko CY,Cohen ME,Hirahara N,Zhou L,Konno H,Wakabayashi G,Sugihara K,Mori M

    更新日期:2015-12-01 00:00:00

  • Sensitivity and Specificity of a Novel Approach to Confirm the Depth of the Endotracheal Tube: A Pilot Study.

    abstract::This study aimed to explore the sensitivity and specificity an approach to confirm the depth of the endotracheal tube. It was a prospective, diagnostic study (Registration number: chiCTR-TRC-14005170) conducted in the Department of Anesthesiology of West China Hospital. A total of 100 patients underwent general anesth...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001460

    authors: Li Y,Xie Y,Hu B,Wang J,Song H,Wei X

    更新日期:2015-08-01 00:00:00

  • IL-35-producing B cells in gastric cancer patients.

    abstract::A significant characteristic of advanced gastric cancer (GC) is immune suppression, which can promote the progression of GC. Interleukin 35 (IL-35) is an immune-suppressing cytokine, and it is generally recognized that this cytokine is secreted by regulatory T (Treg) cells. Recently, studies have found that IL-35 can ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010710

    authors: Wang K,Liu J,Li J

    更新日期:2018-05-01 00:00:00

  • A first case report of pulmonary hyalinizing granuloma associated with immunoglobulin A nephropathy.

    abstract:RATIONALE:Pulmonary hyalinizing granuloma (PHG) is a rare benign disease that has been shown to be associated with the deposition of immune complexes in the lung parenchyma caused by infection or autoimmune diseases. There have been no reports of PHG in association with immunoglobulin A nephropathy (IgAN). PATIENT CON...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009088

    authors: Ahn JH,Kim JS,Choi JH,Chung JH

    更新日期:2017-12-01 00:00:00

  • Plate fixation versus intramedullary nail or Knowles pin fixation for displaced midshaft clavicle fractures: A meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Plate fixation and intramedullary nail/Knowles pin fixation methods are commonly used to treat displaced midshaft clavicle fractures. However, the differences between these 2 methods are unclear. OBJECTIVE:This meta-analysis aimed to compare plate fixation and intramedullary nail/Knowles pin fixation for di...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022284

    authors: Li L,Yang X,Xing F,Jiang J,Tang X

    更新日期:2020-09-25 00:00:00

  • Brain abscess. A study of 45 consecutive cases.

    abstract::Clinical features, findings of diagnostic studies, results of therapy, and prognostic factors were analyzed in 45 patients with brain abscesses. The number of patients diagnosed yearly has increased since CT scanning became available, but despite the enhanced sensitivity, the time from either onset of symptoms or hosp...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:

    authors: Chun CH,Johnson JD,Hofstetter M,Raff MJ

    更新日期:1986-11-01 00:00:00

  • Effect of hypertension on outcomes of high-risk patients after BCG-treated bladder cancer: a single-institution long follow-up cohort study.

    abstract::Immunotherapy with Bacillus Calmette-Guérin (BCG) is the most efficacious treatment for high-risk bladder cancer (BC) (Ta/T1 or carcinoma in situ) to reduce the risk of recurrence. Our aim was to evaluate whether hypertension and diabetes influence the outcome of patients with noninvasive BC treated with BCG instillat...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000589

    authors: Dal Moro F,Bovo A,Crestani A,Vettor R,Gardiman MP,Zattoni F

    更新日期:2015-03-01 00:00:00

  • Prediction of the mid-tracheal level using surface anatomical landmarks in adults: Clinical implication of endotracheal tube insertion depth.

    abstract::Endotracheal tube (ETT) should be placed at the optimal level to avoid single lung ventilation or accidental extubation. This study was performed to estimate the mid-tracheal level by using surface anatomical landmarks in adult patients.Neck computed tomography images of 329 adult patients between the ages of 16 and 7...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006319

    authors: Jang YE,Kim EH,Song IK,Lee JH,Ryu HG,Kim HS,Kim JT

    更新日期:2017-03-01 00:00:00

  • ECMO support in cardiac intervention of severe pulmonary stenosis: A case report.

    abstract:RATIONALE:Patients of critical pulmonary artery stenosis would face severe hypoxemia, cardiac failure as well as massive hemorrhage during percutaneous balloon dilation and pulmonary arterial stent implantation. Here, we present a case in which the elective use of extracorporeal membrane oxygenation (ECMO) support succ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015754

    authors: Yu X,Zhou RH

    更新日期:2019-05-01 00:00:00

  • What Do Stroke Patients Look for in Game-Based Rehabilitation: A Survey Study.

    abstract::Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003032

    authors: Hung YX,Huang PC,Chen KT,Chu WC

    更新日期:2016-03-01 00:00:00

  • Whether innate immune together with genetic factor are involved in leukemic arthritis?: A case report and review of the literature.

    abstract::We report a case of leukemic arthritis (LA) of monocytic differentiation, which presented with spondyloarthritis-like symptoms and a positive human leukocyte antigen-B27, and discuss its potential mechanisms.The patient was admitted because of pain in her right knee and lower back for 18 months. Magnetic resonance ima...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000009919

    authors: Xu D,Xu G,Lin J

    更新日期:2018-02-01 00:00:00

  • Primary epiploic appendagitis as an unusual cause of acute abdominal pain in a middle-aged male: A case report.

    abstract:RATIONALE:Primary epiploic appendagitis (PEA) is a rare cause of acute abdomen caused by spontaneous torsion or venous thrombosis of epiploic appendices, it commonly manifests with acute lower quadrant pain, thus may mimic acute diverticulitis, appendicitis, or mesenteric infarction. PATIENT CONCERNS:In this case repo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016846

    authors: Yang L,Jia M,Han P

    更新日期:2019-08-01 00:00:00

  • Anticancer effect of Saussurea lappa extract via dual control of apoptosis and autophagy in prostate cancer cells.

    abstract::To demonstrate the mechanisms of the curative effect of Saussurea lappa ethanol extract (SLE) against prostate cancer, we evaluated the effect of SLE on the induction of apoptosis and autophagy and investigated whether SLE-induced autophagy exerts a pro-survival or pro-apoptotic effect in lymph node carcinoma of the p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007606

    authors: Tian X,Song HS,Cho YM,Park B,Song YJ,Jang S,Kang SC

    更新日期:2017-07-01 00:00:00

  • Are spiritual interventions beneficial to patients with cancer?: A meta-analysis of randomized controlled trials following PRISMA.

    abstract:BACKGROUND:In addition to the physical burden, the quality of life and survival in patients with cancer may also be reduced because of psychological distress, such as spiritual crisis, anxiety, and depression. Many studies have verified that spirituality could reduce anxiety and depression and improve quality of life a...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000011948

    authors: Xing L,Guo X,Bai L,Qian J,Chen J

    更新日期:2018-08-01 00:00:00

  • Prognostic value of pretreatment lymphocyte-to-monocyte ratio in patients with urologic tumors: A PRISMA-compliant meta-analysis.

    abstract:BACKGROUND:The prognostic value of pretreatment lymphocyte to monocyte ratio (LMR) in patients with urologic tumors remains controversial. Therefore, we herein conducted a meta-analysis to systematically assess the prognostic value of LMR in patients with urologic tumors. METHODS:We comprehensively searched PubMed, EM...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000014091

    authors: Li J,Cheng Y,Ji Z

    更新日期:2019-01-01 00:00:00

  • Comparison of Short-Course Radiotherapy Versus Long-Course Radiotherapy for Treatment of Metastatic Spinal Cord Compression: A Systematic Review and Meta-Analysis.

    abstract::In this study, we evaluate the efficacy of short-course radiotherapy (SCRT) versus long-course radiotherapy (LCRT) in the treatment of metastatic spinal cord compression (MSCC).PubMed, EMBASE, and Web of Science were searched up to April 2015. Relevant data were extracted based on inclusion and exclusion criteria. Met...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001843

    authors: Qu S,Meng HL,Liang ZG,Zhu XD,Li L,Chen LX,Zhou ZR

    更新日期:2015-10-01 00:00:00

  • Prognostic value of serum zinc levels in patients with acute HC/zinc chloride smoke inhalation.

    abstract::Hexachloroethane (HC)/zinc chloride (ZnCl, smoke bomb) exposure in the military setting results in lung injury which is uncommon and has been rarely described in previous studies. The aim of this study is to investigate the correlation between the serum zinc in patients with HC/ZnCl smoke inhalation lung injury and di...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008156

    authors: Xie F,Zhang X,Xie L

    更新日期:2017-09-01 00:00:00

  • Bacteremic and nonbacteremic pneumococcal pneumonia. A prospective study.

    abstract::We prospectively identified cases of pneumococcal pneumonia and used stringent criteria to stratify them into bacteremic and nonbacteremic cases. Although patients were distributed among racial groups in proportion to all patients seen at this medical center, the proportion of African-Americans with bacteremic disease...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-200007000-00002

    authors: Musher DM,Alexandraki I,Graviss EA,Yanbeiy N,Eid A,Inderias LA,Phan HM,Solomon E

    更新日期:2000-07-01 00:00:00

  • Usefulness of three-dimensional spherical index to assess different types of left ventricular remodeling: A meta-analysis.

    abstract:BACKGROUND:Left ventricular (LV) remodeling after myocardial injury, volume or pressure overload is characterized by a change in LV shape from an ellipse to more of a sphere. The usefulness of 3-dimensional (3D) sphericity index (SpI) for accurate evaluation of LV remodeling remains uncertain despite extensive research...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000007968

    authors: Zeng D,Chen H,Jiang CL,Wu J

    更新日期:2017-09-01 00:00:00

  • Burnout level and job satisfaction in Chinese pediatrics residents: A web-based cross-sectional study.

    abstract::To study the prevalence of burnout and job satisfaction in Chinese pediatrics residents.Prospective participants were invited via a WeChat group to participate from October 1, 2018 to January 31, 2019. The Maslach Burnout Inventory-Human Services Survey was used to measure physician burnout, and the Minnesota Satisfac...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019249

    authors: Ji L,Xiaowei Z,Ling K,Yao F,Qingkun S,Jun Z

    更新日期:2020-02-01 00:00:00

  • The pancreatic juice length in the stent tube as the predicting factor of clinical relevant postoperative pancreatic fistula after pancreaticoduodenectomy.

    abstract::Several risk factors for pancreatic fistula had been widely reported, but there was no research focusing on the exocrine output of remnant gland.During the study period of January 2015 to September 2016, 82 patients accepted pancreaticoduodenectomy (PD, end-to-end dunking pancreaticojejunostomy with internal stent tub...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008451

    authors: Wang H,Xiu D,Tao M

    更新日期:2017-11-01 00:00:00