RESUMEN
AIM: To assess the feasibility of percutaneous pulmonary radiofrequency ablation (RFA) executed by a single surgeon. MATERIALS AND METHODS: Between 2007 and 2010, 15 procedures were performed in 11 patients during 13 sessions. Sex, age, pulmonary localisation and tumor diameter are discussed. Metastatic lesions as well as pulmonary primitive malignancies were treated. For metastatic lesions, the primitive tumor was considered as completely treated. Surgery was refused because of impaired pulmonary function or due to patient's refusal. All interventions were carried out by a single thoracic surgeon under CT-guidance in the department of radiology. RESULTS: RFA was completed in all patients without perprocedural complications. There was no significant perioperative morbidity. Pneumothorax was the most frequent complication but none of the patients needed thoracic drainage. Hospital stay decreased progressively since the start of this series. Follow-up was complete. Most lesions were stable or diminishing in size. CONCLUSION: These early results show that pulmonary RFA is a safe and feasible technique in the hands of the surgeon. Longer follow-up and larger series will be welcome to confirm the results and position of this procedure which might become an important tool for the surgeon and not only for radiologists.
Asunto(s)
Ablación por Catéter/instrumentación , Neoplasias Pulmonares/cirugía , Anciano , Anciano de 80 o más Años , Anestesia General , Ablación por Catéter/efectos adversos , Sedación Consciente , Estudios de Factibilidad , Femenino , Humanos , Tiempo de Internación , Neoplasias Pulmonares/mortalidad , Neoplasias Pulmonares/secundario , Masculino , Persona de Mediana Edad , Neumotórax/etiología , Estudios Prospectivos , Radiografía Intervencional , Tomografía Computarizada por Rayos XRESUMEN
INTRODUCTION: A review of our experience with CAS in a non-academic hospital is presented. MATERIALS AND METHODS: A consecutive series of 18 CAS-interventions between 2003 and 2005 is studied retrospectively. Indication, medical history, preoperative carotid imaging, operative technique and results were studied for each patient. RESULTS: CAS was used 12 times in men and six (33.3%) times in women between 2003 and 2005. Five (27.8%) symptomatic stenoses, 12 (66.6%) asymptomatic stenoses and one (5.6%) arterio-venous fistula were treated. One permanent postoperative ipsilateral ischaemic neurologic deficit occurred (5.6%). The mean duration of hospital stay was 4.9 days (range : 2-9 days). CONCLUSIONS: Our study shows that CAS is feasible in non-academic hospital settings, with acceptable early results. Participating in larger studies should confirm our results.
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Estenosis Carotídea/cirugía , Stents , Adulto , Anciano , Anciano de 80 o más Años , Fístula Arteriovenosa/cirugía , Femenino , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Since a few years, vascular surgeons are becoming interested in laparoscopic vascular techniques. After initial experience with the hand-assisted laparoscopic technique, we now adopt the totally laparoscopic approach for aortoiliac surgery. Our first case with this second technique is presented.
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Implantación de Prótesis Vascular/métodos , Laparoscopía/métodos , Síndrome de Leriche/cirugía , Humanos , Masculino , Persona de Mediana EdadRESUMEN
INTRODUCTION: Since a few years vascular surgeons are developing laparoscopic vascular techniques. We report our preliminary results in this area, using the hand-assisted technique. MATERIALS AND METHODS: Twenty-five patients were operated between February and December 2001 using the HandPort-system. Indications were occlusive aortoiliac disease or infrarenal aortoiliac aneurysmal disease. RESULTS: Mean operating time was 180'; mean aortic clamping time was 37'; mean blood loss was 521 mL. Mean laparotomy length was 7.9 cm. A conversion to a larger laparotomy was necessary in two patients. Mean hospital stay was seven days. Operative mortality was 4% (one postoperative death). CONCLUSIONS: Hand-assisted laparoscopic aortoiliac surgery is feasible in community hospital settings.
Asunto(s)
Aorta , Aneurisma de la Aorta Abdominal/cirugía , Arteriopatías Oclusivas/cirugía , Arteria Ilíaca , Procedimientos Quirúrgicos Vasculares/métodos , Adulto , Anciano , Anciano de 80 o más Años , Bélgica , Estudios de Factibilidad , Femenino , Humanos , Laparoscopía/métodos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Resultado del TratamientoRESUMEN
PURPOSE: The aim of this study was to assess the opinion of the surgical patient concerning written information before laparoscopic operations. MATERIAL AND METHODS: A prospective and consecutive series of 100 patients was studied. Information sheets concerning the planned laparoscopic operation were distributed at preoperative consultation. A short and clear questionnaire regarding this information was answered upon hospitalization. RESULTS: The majority of the 87 patients, who had read the information, were very pleased to be informed about the techniques (91%) and the risks (97%), although a significant group was worried by the explanations of the risks (41%). None of the patients cancelled the planned operation. None of the patients had become less confident in the surgeon. Most of the patients (95%) found this system of informed consent necessary. CONCLUSIONS: Surgeons should no longer be reluctant to distribute standardized information sheets, as a majority of patients find this system of information necessary.