Programmed intermittent boluses vs continuous epidural infusion in labor using an adrenaline containing solution: A randomized trial.

Background: Traditionally, epidural analgesia has been maintained using a continuous infusion (CEI) with the addition of patient-controlled boluses (PCEA). In recent years, programmed intermittent boluses (PIEB) has emerged as an alternative showing better efficacy in randomized studies. In this study, the aim was to test PIEB + PCEA vs CEI + PCEA using an epidural solution containing adrenaline.

Laparoscopic resection of exocrine carcinoma in central and distal pancreas results in a high rate of radical resections and long postoperative survival.

Background: The role of laparoscopic resection in patients with pancreatic cancer remains to be clarified, because previous reports have not clearly defined oncologic outcomes. The objective of the present study was to investigate this question with the rate of R0 resection and long-term survival as endpoints.

Methods: This retrospective observational study included prospectively collected data from 40 patients operated laparoscopically with curative intent for exocrine pancreatic malignancies identified among 250 consecutive patients undergoing laparoscopic pancreatic operations since 1997.

Comparative evaluation of laparoscopic liver resection for posterosuperior and anterolateral segments.

Background: Totally laparoscopic liver resection of lesions located in the posterosuperior segments is reported to be technically challenging. This study aimed to define whether these technical difficulties affect the surgical outcome.

Methods: A total of 220 patients underwent laparoscopic liver resection during 244 procedures from August 1998 to December 2010.

Effect of TachoSil patch in prevention of postoperative pancreatic fistula.

Background: Postoperative pancreatic fistula (POPF) is a severe complication after pancreatic resections. The aim was to assess if application of TachoSil® patch could reduce incidence of postoperative fistulas after laparoscopic distal pancreatic resections.

Methods: This is a retrospective study of prospectively collected data after enucleations and distal pancreatic resections.

Impact of body mass index on outcomes of laparoscopic adrenal surgery.

Objective: The aim of this article is to define the relationship between body mass index (BMI) and outcomes of laparoscopic adrenalectomy.

Method: A total of 172 patients were eligible for inclusion in the study. The patients were divided into 3 groups: group I, normal weight; group II, overweight; and group III, obesity.

Laparoscopic resection of colorectal liver metastases: surgical and long-term oncologic outcome.

Objective: To analyze the immediate and long-term outcome after laparoscopic resection of colorectal liver metastases and difference between observed and predicted [Fong's and Basingstoke Predictive Index (BPI) scores] survivals.

Background: : Laparoscopic liver resection has been reported safe and feasible and improves postoperative course. The oncologic outcomes after resection of colorectal metastases are poorly reported.

Laparoscopic liver resection for malignant and benign lesions: ten-year Norwegian single-center experience.

Background: The introduction of laparoscopic liver resection has been challenging because new and safe surgical techniques have had to be developed, and skepticism remains about the use of laparoscopy for malignant neoplasms. We present herein a large-volume single-center experience with laparoscopic liver resection.

Design: Retrospective study.

Should we use laparoscopic adrenalectomy for metastases? Scandinavian multicenter study.

Introduction: Laparoscopic adrenalectomy for metastases is considered controversial. Multicenter retrospective study was performed to gain new knowledge in this issue.

Materials And Methods: From January 1997 till November 2008, 41 adrenalectomies were performed during follow-up of the patients operated for malignant tumors.

Laparoscopic adrenalectomy: Norwegian single-center experience of 242 procedures.

Background: The last 15 years have been characterized by a rapid expansion of minimally invasive surgery as treatment for adrenal diseases. During these years, both indications and surgical techniques have shown improvements. This study analyzed an 11-year single-center experience with laparoscopic adrenalectomy.

Laparoscopic resection of an intraductal papillary mucinous carcinoma in ectopic pancreatic tissue.

Intraductal papillary mucinous neoplasia (IPMN) is a comparatively recently recognized pancreatic neoplasm with considerable malignant potential. Surgical removal is the only therapy known to provide a cure, but the extent of surgery required is still a matter of discussion. Ectopic pancreatic tissue can occur in a variety of other locations within the gastrointestinal tract and is also known to harbor pathologic conditions that affect normally located pancreatic tissue.

[Acute abdominal pain as cause of hospitalisation].

Background: Our aim was to investigate the extent, management and use of resources in patients admitted for acute abdominal pain.

Material And Methods: A prospective analysis of patients admitted as emergencies with acute abdominal pain of less than seven days duration was performed during two 3-month periods in 2000 and 2001.

Results: 483 patients, 262 women and 221 men with median age 50 years were registered.

Laparoscopic liver resection: experience of 53 procedures at a single center.

Background/purpose: The short-term outcome following laparoscopic liver resection at a single center is presented.

Methods: Fifty-three procedures were carried out in 47 patients, between August 1998 and April 2004 (6 patients were resected on two occasions). A previous laparotomy and/or hepatectomy had been done in 83% and 26% of the procedures, respectively.

Is the learning curve for laparoscopic fundoplication determined by the teacher or the pupil?

Background: For all surgical procedures, a surgeons' learning curve can be anticipated during which complication rates are increased. The aims of this study were to evaluate individual learning curves for a group of surgeons performing laparoscopic fundoplication and to evaluate if the Procedicus MIST-simulator (Mentice Inc., Göteborg, Sweden) accurately predicts surgical performance.