Publications by authors named "Leonardo E Garcia"
Article Synopsis
- Myasthenia gravis (MG) is an autoimmune disorder causing muscle weakness due to disrupted acetylcholine receptors, complicating management during surgeries.
- A 66-year-old male with severe MG and health complications underwent successful open sigmoid colectomy using epidural anesthesia instead of traditional methods.
- The case suggests that neuraxial anesthesia could be a safer alternative for high-risk patients during colorectal surgeries, avoiding neuromuscular agents and intubation.
The incidence of early-onset colorectal cancer has been rising over the last two decades. Tumors in young patients have distinct features compared to older patients. They predominantly arise in the distal colon and rectum and have poor histological features.
View Article and Find Full Text PDFPurpose Of Review: This review aims to clarify the current role of minimally invasive surgery in the treatment of rectal cancer, highlighting short- and long-term outcomes from the latest trials and studies.
Recent Findings: Data from previous trials has been conflicting, with some failing to demonstrate non-inferiority of laparoscopic surgical resection of rectal cancer compared to an open approach and others demonstrating similar clinical outcomes. Robot-assisted surgery was thought to be a promising solution to the challenges faced by laparoscopic surgery, and even though the only randomized controlled trial to date comparing these two techniques did not show superiority of robot-assisted surgery over laparoscopy, more recent retrospective data suggests a statistically significant higher negative circumferential resection margin rate, decreased frequency of conversion to open, and less sexual and urinary complications.
Article Synopsis
- The use of living-donor kidney allografts with multiple arteries is increasing to expand donor options, but this usually involves more complex vascular surgery.
- Researchers analyzed 210 living-donor kidney transplants to compare outcomes between those with a single artery and multiple arteries.
- They found no significant difference in postoperative complications or overall clinical outcomes between the two groups, suggesting that living-donor kidneys with multiple arteries can be safely used without increasing complications.
Arterial reconstruction with donor iliac vessels during kidney transplantation in a patient with severe atherosclerosis.
J Vasc Surg Cases Innov Tech
December 2019
Atherosclerosis is common in patients with end-stage renal disease. Severe calcification of the iliac vessels is expected in the growing pool of kidney transplant candidates. Thus, transplant surgeons must constantly develop alternative operative strategies to deal with the technical challenges that this condition confers.
View Article and Find Full Text PDFIntroduction: The extension of donor eligibility criteria represents one of the possible ways to increase the organ shortage, thus decreasing the waiting time for kidney transplantation. Expectedly, this strategy is associated with a growing number of more technically demanding living donor nephrectomy procedures requiring careful assessment, and sound surgical experience in order to avoid intraoperative complications.
Case Presentation: After a thorough evaluation through preoperative imaging, we performed a hand-assisted left laparoscopic living donor nephrectomy in a 56 year-old overweight patient with history of prior abdominal surgery, harboring a left-sided inferior vena cava (IVC).