Between 1975 and 1986, 96 adult patients were operated upon for gastro-esophageal reflux using the abdominal approach to Nissen's operation, eight of these patients having undergone previous surgery to treat reflux. Diagnosis in 44 patients was stage III esophagitis, and in 16, symptomatic peptic stenosis. Mortality was 0.9% (1 case) and morbidity 14%. Morbidity was not increased in previously operated patients. Based on these results and a literature review, different technical factors are discussed that could reduce morbidity of Nissen's operation.

Adolescent↗

PubMedDate not supplied

[Cystic hemolymphangioma of the adrenal gland].

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Adrenal Gland Neoplasms↗

PubMedDate not supplied

[Intramural cyst of the esophagus. Apropos of a surgical case].

Surgical excision of a benign cyst of esophagus was justified by the presence of dysphagia, totally relieved by the operation. Esophageal cysts are exceptional findings, their histology often resembling that of bronchogenic cysts as in the case reported.

Adult↗

PubMedDate not supplied

VATS: part of MIS, or still different?

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Humans↗

PubMedDate not supplied

Thoracic surgery: the irreversible evolution toward endoscopic surgery.

Endoscopic techniques have established themselves as an important means for reducing the traumatic impact of thoracic surgery on the patient. They considerably lighten postoperative pain and are cosmetically much more pleasing. Procedures such as lung biopsy, pericardial window, treatment of spontaneous pneumothorax, mediastinal benign tumour excision and sympathectomy have become routine, other such as oesophagectomy require further evaluation. Advanced procedures such as lobectomy and pneumonectomy require further clinical and technological development prior to a conclusive assessment.

Humans↗

PubMedDate not supplied

Localization techniques for the thoracoscopic resection of pulmonary nodules.

The recent progress made in endoscopic surgery has increased the number of thoracoscopic procedures, especially in the field of pulmonary nodules resection. The main problem related to these newly developed surgical procedures is the difficulty in locating the target nodule. We describe the techniques we currently use to facilitate the localization of pulmonary nodules. These techniques include preoperative methylene blue injection and insertion of a hookwire into the lung nodule, but also intraoperative palpation (digital and instrumental) and ultrasonography.

Endoscopes↗

PubMedDate not supplied

Instrumentation for video-assisted thoracic surgery.

Thoracoscopic surgery requires dedicated instrumentation which, in some way, differs from the usual laparoscopic instrumentation. Optics and instruments must be adapted to the anatomical features of the thorax. We describe the currently available reusable and disposable instruments as well as optical systems for video-assisted thoracic surgery. Future lines of development are given.

Endoscopes↗