ABSTRACT
An experimental study was conducted in an animal model to test the feasibility of laparoscopic splenectomy. Twelve pigs were operated on. The splenectomy was feasible in 10 cases. However, a splenic injury occurred in five cases and the average blood loss was 80 ccm. We concluded that laparoscopy is feasible in an experimental model but is not a safe and easy procedure. Clinical applications should probably be limited to selected cases.
Subject(s)
Laparoscopy , Splenectomy/methods , Animals , Intraoperative Complications , Laparoscopes , Laparoscopy/adverse effects , Laparoscopy/methods , Ligation/instrumentation , Spleen/injuries , Splenectomy/adverse effects , Splenectomy/instrumentation , Splenic Artery/surgery , Splenic Vein/surgery , Stomach/injuries , Surgical Staplers , Swine , Time FactorsABSTRACT
In order to reduce the respiratory morbidity of thoracotomy in esophageal surgery, several methods have been used, such as blunt dissection and endoscopic dissection through mediastinoscopy. It seems that the latter reduces drastically the morbidity but does not allow full visualization of the esophageal wall, a disadvantage in some circumstances. We describe a thoracoscopic dissection of the esophagus which gives a large and magnified view of the pleural cavity, of the mediastinum, and of the esophagus.
Subject(s)
Esophagectomy/methods , Thoracoscopy , Animals , Swine , Thoracotomy , Vagotomy, Truncal/methodsABSTRACT
An experimental study of thoracoscopic surgery on the esophagus was conducted in 11 animals. Complete dissection of the esophagus was carried out in the ten last cases. Other procedures performed included mode picking, truncal vagotomies, and myotomies. The thoracoscopic esophageal surgery might allow to decrease the morbidity of thoracotomy. Its interest, compared with other methods of dissection without thoracotomy, has to be evaluated.
