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Journal Article 5

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laparoscopy 4

CSP 1

Mayer-Rokitansky-Kuster-Hauser syndrome 1

choledochoscopy 1

cholelithiasis 1

duodenoscopy 1

hysteroscopy 1

laparotomy 1

microsurgery 1

minimally invasive treatment 1

modified laparoscopy 1

natural orifice transluminal endoscopic surgery (NOTES) 1

sigmoid transplantation vaginoagenesis 1

tubal anastomosis 1

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Analysis on treatment effects of 72 cases cesarean scar pregnancy by hysteroscopy and laparoscopy

Li Changdong,Feng Ying,Chen Suwen,Nie Dongyun,Li Jian and Zhang Weiyuan

Strategic Study of CAE 2014, Volume 16, Issue 5,   Pages 20-23

Abstract: selective uterine artery embolization or methotrexate treatment was carried out，then further hysteroscopy，laparoscopytreated with laparoscopic monitoring CSP lesion resection under hysteroscopy，30 cases were treated with laparoscopyUltrasound or laparoscopy by hysteroscopy monitored CSP lesion resection is an effective treatment for

Keywords： CSP     hysteroscopy     laparoscopy    

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Fertility outcome analysis after modified laparoscopic microsurgical tubal anastomosis

Jihui Ai, Pei Zhang, Lei Jin, Yufeng Li, Jing Yue, Ding Ma, Hanwang Zhang

Frontiers of Medicine 2011, Volume 5, Issue 3,   Pages 310-314 doi: 10.1007/s11684-011-0152-8

Abstract:

Modified laparoscopic microsurgical tubal anastomosis is an alternative for microsurgical anastomosis via laparotomy to reverse sterilization in women with renewed child wish. The current study aims to evaluate the fertility outcome after modified laparoscopic microsurgical tubal anastomosis. A retrospective study was performed. Fifty-eight women who underwent modified laparoscopic microsurgical tubal anastomosis were monitored to investigate the fertility outcome and characteristics of this new technology. Of the 58 patients, the cumulative pregnancy rate (PR) in the 42 patients with follow-up data was 23.8% (10/42), 57.1% (24/42), 66.7% (28/42), and 73.8% (31/42) within 6, 12, 24, and 36 months after surgery, respectively. The intrauterine PR was 69.0% (29/42). Two patients (4.8%) had ectopic pregnancies that occurred within 24 months of surgery; three cases ended in spontaneous abortion. The delivery rate was 83.9% (26/31). The length of operating time was 1.2±0.3 h, with a range of 1.0–2.5 h (60–145 min), and the mean time was approximately 75 min. The blood loss was relatively small, between 10 and 50 ml with an average amount of 22 ml. Thus, the modified laparoscopic tubal anastomosis is a highly successful procedure and a viable alternative to open abdominal microsurgical approaches. Compared with the traditional laparoscopic tubal sterilization reversal, this modified approach has three advantages: (1) less invasive approach via a trocar reduction; (2) remodeling of tube is better performing tied together after 3–4 sutures; and (3) faster operating time.

Keywords： modified laparoscopy     tubal anastomosis     microsurgery    

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Current progress on natural orifice transluminal endoscopic surgery (NOTES)

Junqing Wang, Lu Zhang, Weize Wu

Frontiers of Medicine 2012, Volume 6, Issue 2,   Pages 187-194 doi: 10.1007/s11684-012-0198-2

Abstract:

Natural orifice transluminal endoscopic surgery (NOTES) has received considerable interest in recent years as a novel surgical technique. Here, we aim to review the current progress on NOTES, particularly focusing on the advantages and complications related to NOTES, the recent advances of surgical approaches, new instruments for closure of the natural orifice incision, and the newly developed platform for NOTES. Finally, we make a prediction of the conceivable applications of NOTES on human subjects.

Keywords： natural orifice transluminal endoscopic surgery (NOTES)     laparotomy     laparoscopy    

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Strategies of minimally invasive treatment for intrahepatic and extrahepatic bile duct stones

Zongming Zhang, Zhuo Liu, Limin Liu, Mengmeng Song, Chong Zhang, Hongwei Yu, Baijiang Wan, Mingwen Zhu, Zixu Liu, Hai Deng, Haiming Yuan, Haiyan Yang, Wenping Wei, Yue Zhao

Frontiers of Medicine 2017, Volume 11, Issue 4,   Pages 576-589 doi: 10.1007/s11684-017-0536-5

Abstract:

Cholelithiasis is a kind of common and multiple diseases. In recent years, traditional laparotomy has been challenged by a minimally invasive surgery. Through literature review, the therapeutic method, effect, and complications of minimally invasive treatment of intrahepatic and extrahepatic bile duct stones by combining our practical experience were summarized as follows. (1) For intrahepatic bile duct stones, the operation may be selected by laparoscopic liver resection, laparoscopic common bile duct exploration (LCBDE), or percutaneous transhepatic cholangioscopy. (2) For concomitant gallstones and common bile duct stones, the surgical approach can be selected as follows: laparoscopic cholecystectomy (LC) combined with endoscopic sphincterotomy (EST) or endoscopic papillary balloon dilatation, LC plus laparoscopic transcystic common bile duct exploration, LC plus LCBDE, and T-tube drainage or primary suture. (3) For concomitant intrahepatic and extrahepatic bile duct stones, laparoscopic liver resection, choledochoscopy through the hepatic duct orifice on the hepatectomy cross section, LCBDE, EST, and percutaneous transhepatic cholangioscopic lithotripsy could be used. According to the abovementioned principle, the minimally invasive treatment approach combined with the surgical technique and equipment condition will be significant in improving the therapeutic effect and avoiding the postoperative complications or hidden dangers of intrahepatic and extrahepatic bile duct stones.

Keywords： laparoscopy     choledochoscopy     duodenoscopy     cholelithiasis     minimally invasive treatment    

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Laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome

Yi SHEN MD , Guobin WANG MD , Zhoufang XIONG MD , Kaixiong TAO MD , Zehua WANG MD ,

Frontiers of Medicine 2009, Volume 3, Issue 3,   Pages 347-351 doi: 10.1007/s11684-009-0059-9

Abstract: The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHs) were explored. The records of 11 MRKHs patients who underwent laparoscopic sigmoid vaginoplasty from 2003 to 2005 were reviewed, and long-term results were evaluated by follow-up. The mean operating time was 234min (range, 130―300min), the mean hospital stay was 9.4 days (range, 7―15 days), and the mean hemoglobin drop was 1.91g/dL (range, 1.6―3.2g/dL). A functional neovagina was created measuring 11 to 14cm in length and two fingers in breadth in all patients. No introitus stenosis was observed. No intra-operative or postoperative bowel complication occurred. At the 3rd postoperative month, the first intercourse began. One patient was lost to follow-up. One had no intercourse and was required to wear vaginal mold occasionally. None of the other nine women (100%) complained of local irritation or dyspareunia. They were satisfied with their sexual life. The cosmetic results were excellent. The laparoscopic sigmoid vaginoplasty realizes to make a functional neovagina. The main advantage is its minimal invasiveness. It is an ideal procedure for MRKHs patients.

Keywords： Mayer-Rokitansky-Kuster-Hauser syndrome     laparoscopy     sigmoid transplantation vaginoagenesis    

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Title Author Date Type Operation

Analysis on treatment effects of 72 cases cesarean scar pregnancy by hysteroscopy and laparoscopy

Li Changdong,Feng Ying,Chen Suwen,Nie Dongyun,Li Jian and Zhang Weiyuan

Journal Article

Fertility outcome analysis after modified laparoscopic microsurgical tubal anastomosis

Jihui Ai, Pei Zhang, Lei Jin, Yufeng Li, Jing Yue, Ding Ma, Hanwang Zhang

Journal Article

Current progress on natural orifice transluminal endoscopic surgery (NOTES)

Junqing Wang, Lu Zhang, Weize Wu

Journal Article

Strategies of minimally invasive treatment for intrahepatic and extrahepatic bile duct stones

Zongming Zhang, Zhuo Liu, Limin Liu, Mengmeng Song, Chong Zhang, Hongwei Yu, Baijiang Wan, Mingwen Zhu, Zixu Liu, Hai Deng, Haiming Yuan, Haiyan Yang, Wenping Wei, Yue Zhao

Journal Article

Laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome

Yi SHEN MD , Guobin WANG MD , Zhoufang XIONG MD , Kaixiong TAO MD , Zehua WANG MD ,

Journal Article