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Objective: To explore the safety, efficacy and feasibility of 3D laparoscopic subtotal thyroidectomy via a breast approach.
Methods: The clinical data of 30 patients undergoing 3D laparoscopic subtotal thyroidectomy via a breast approach were analyzed in comparison with 30 patients receiving traditional laparoscopic subtotal thyroidectomy during the period from September, 2013 to December, 2013. The operation time, blood loss, postoperative drainage, postoperative hospital stay, and total hospitalization expenses were compared between the two groups.
Results: The operation time in the 3D group was significantly shorter than that in the 2D group (45∓26.3 vs 62∓24.8 min, t=0.53, P<0.05). The intraoperative blood loss, postoperative drainage, postoperative hospital stay and total hospitalization expenses did not show significant differences between the two groups.
Conclusions: 3D laparoscopic subtotal thyroidectomy via a breast approach is safe and effective and shortens the operation time, and can be used as a routine operation for subtotal thyroidectomy.
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Asian J Endosc Surg
September 2025
Department of Hematology and Oncology, Shizuoka Children's Hospital, Shizuoka, Japan.
Introduction: Total splenectomy in children increases the risk of overwhelming post-splenectomy infection (OPSI). Laparoscopic subtotal splenectomy (LSS) is a technique to preserve splenic function while managing disease burden in pediatric hematologic disorders.
Materials And Surgical Technique: Three children aged 4 to 9 years with juvenile myelomonocytic leukemia (JMML) or hereditary spherocytosis underwent LSS.
Background: Subtotal and abandoned cholecystectomies are on the rise due to the increase of laparoscopic cholecystectomies performed in the emergency setting. Persistent biliary symptoms postoperatively may necessitate a completion cholecystectomy (CC) which is a technically challenging procedure. The literature describing outcomes of minimally invasive CC is scarce and consisting of small studies only.
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August 2025
Hepato-Pancreato-Biliary Section, Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina.
Background: Subtotal cholecystectomy (SC) is a bailout strategy for difficult gallbladders in which standard dissection may pose high risk of bile duct injury (BDI). However, concerns remain about postoperative complications.
Methods: This retrospective, observational study included 347 patients who underwent SC between February 2015 and September 2023 at a high-volume hepatobiliary center.
Surg Case Rep
August 2025
Department of General Surgery, Haining People's Hospital, Haining, Jiaxing, Zhejiang, China.
Introduction: For this case, when the preoperative diagnosis indicated malignant tumor with metastasis, intraoperative frozen section examination was performed to adjust the surgical plan accordingly. This approach helped avoid overtreatment, minimizing the patient's pain and surgical trauma. This case holds educational significance.
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August 2025
Division of Acute Care Surgery, Loma Linda University Health, 11175 Coleman Pavilion, CP 21111, Loma Linda, CA, 92350, USA.
Background: Robotic cholecystectomy (RCHOLE) is being used more frequently for elective patients. We aimed to compare clinical outcomes, specifically conversion to open/subtotal cholecystectomy, for RCHOLE and laparoscopic cholecystectomy (LCHOLE).
Methods: Our study received a Non-Human Subjects Research Determination.