Condition Examples Unstable coronary syndromes Unstable or severe angina (CCS class III or IV)a Recent MIb Decompensated heart failure (NYHA functional class IV, worsening or new-onset HF) Significant arrhythmias High-grade…
Fig. 30.1 Crohn’s disease of the terminal ileum The short-term benefits of MI surgery have been shown in randomized controlled trials and meta-analyses, although most trials had a limited sample…
Fig. 2.1 Outer port/cannula of a 10 mm dilating/non-cutting trocar All modern trocars generally include a gas-tight valve, which allows for removal and introduction of instruments without the loss of…
Cardiovascular ↑Plasma blood volume (40–50 %) ↑SV ↑CO (50 %) ↓SVR ↓BP, ↑HR Pulmonary ↔TLC ↓FRC ↑IC ↑MV Hematology ↑RBC volume ↓Hcta ↑Hypercoagulable state Gastrointestinal ↓Gastric emptying ↓GEJ tone …
Fig. 27.1 Port placement alternatives for emergent colorectal surgery Indications Colorectal Perforation Acute Colonoscopic Perforation Laparoscopic intervention can be a suitable approach for both acute and delayed colonoscopic perforations. The…
Fig. 36.1 (a) Laparoscopic view of a colovesical fistula. (b) Hand-assisted laparoscopic techniques allow for takedown of the fistula and demonstration of the abscess cavity Equipment The equipment available for…
OS (references) LAS (references) Equivalent (references) Shorter procedure time [1, 5, 8, 14–16, 18, 49, 51, 53, 55–58] – – Lower conversion rate – – – Decreased length of…
Author deSouza Tyler Park Complications 21 % vs. 20 % 22 % vs. 22 % NA OR duration (minutes) 118 vs. 158 NA 130 vs. 196 LOS (days) 5 vs….
ASA grade Status Absolute mortality (%) 1 Normal healthy patient 0.1 2 Mild systemic disease or patient over 80 years old 0.2 3 Systemic disease that causes definite functional limitation…
Fig. 5.1 The patient is positioned on the operating table in the supine position with both arms tucked at the side. Tape is used around the chest and the legs…
