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Biomedical subjects

J D Corbitt

Publications and source records attributed to J D Corbitt.

7 recordsLinked to original sources

Preliminary experience with laparoscopic-guided colectomy.

Laparoscopic-assisted colonic resection was attempted in 18 patients: 12 patients had surgery for ascending colon lesions, three underwent attempted left-sided colectomies, and three patients had low anterior resection. Three early patients required conversion to open laparotomy when the pathologic lesion could not be identified under laparoscopic guidance. In patients undergoing laparoscopic surgery, postoperative pain was markedly reduced. Oral intake was begun between the first and third postoperative days, and average hospital stay was 4 days. No operative morbidity or mortality occurred in this small group of patients.

Aged

Laparoscopic herniorrhaphy.

Laparoscopic herniorrhaphy is compared with conventional herniorrhaphy in 20 patients, who underwent laparoscopic herniorrhaphy utilizing a Mersilene plug and patch graft, and high ligation of the neck of the sac with an Endo-GIA. Patients were pain-free and returned to normal activity the first postoperative day. There was one recurrent direct inguinal hernia in an indirect repair. Laparoscopic herniorrhaphy appears to be a safe, effective way to repair indirect inguinal hernias and certain direct inguinal hernias. There is a marked reduction of pain and rapid return to normal activity. The disadvantage of this procedure is the lack of long-term follow-up.

Activities of Daily Living

Laparoscopic cholecystectomy: laser versus electrosurgery.

Laparoscopic cholecystectomy has been reported to be a safe and effective way to remove a diseased gallbladder with essentially no morbidity or mortality (1,2). This procedure was first introduced in Europe using electrosurgery, and later introduced in the United States using the laser (1). No clinical trial compares the laser to the standard electrosurgery method. In a review, as well as an ongoing study, morbidity, mortality, intraoperative procedures, indications, and cost effectiveness are considered in these two groups. Three hundred cases were reviewed with 150 patients in each group. There were no deaths or significant complications in either group. In the laser group, bleeding seemed slightly more excessive during removal of the gallbladder from the liver bed and required more time to control. The electrosurgery group required slightly less operative time and was less costly. The postoperative recovery time was the same in each group.

Activities of Daily Living

Laparoscopic cholecystectomy with operative cholangiogram.

Intraoperative cholangiography was successfully performed in 98% of 300 consecutive laparoscopic cholecystectomies, including 290 chronic, 44 acute, 33 fibrotic, 16 gangrenous, and 17 hydropsed cases. Unsuspected common duct stones were identified in 16 patients (4%). The presence of two surgeons and the ability of routine cholangiography to clarify the biliary anatomy produced excellent results with no injuries to the common duct in this series.

Adolescent