Inside look at laparoscopic colectomy.

Laparoscopic colectomy has developed into a viable alternative to colon surgery. This paper presents an overview of the development and current status of laparoscopic surgery of the colon with a brief review of the evidence of efficacy of laparoscopic surgery in cancer management. The experience with laparoscopic surgery of the colon at a tertiary hospital in Puerto Rico is discussed with review of 142 consecutive cases treated for diverticulosis, cancer or polyps performed from 2005-2010.

Comparison between open and laparoscopic appendectomy in non-complicated appendicitis.

Background/objective: An extensive web search failed to provide studies from Puerto Rico regarding whether open (OA) or laparoscopic appendectomy (LA) should be performed for non-complicated appendicitis. Our goal is to compare these techniques in terms of time at operating room (OR), length of surgery, hospital stay, pain medication requirements, in-hospital complications and readmissions.

Methods: 126 patients (64 OA; 62 LA) with non-complicated appendicitis were studied retrospectively.

Experience with hand assisted laparoscopic surgery of the colon.

Background: Hand assisted laparoscopic colectomy (HALS) has been shown to have the advantages of laparoscopic colectomy in terms of pain, recovery and length of hospital stay. Studies have shown similar outcomes in laparoscopic colectomy as in open surgery. There is a learning curve to HALS, the operative time is longer, and it is more difficult than open surgery and requires specialized equipment.

N,N-dimethyl-thioamphetamine and methyl-thioamphetamine, two non-neurotoxic substrates of 5-HT transporters, have scant in vitro efficacy for the induction of transporter-mediated 5-HT release and currents.

We studied two non-neurotoxic amphetamine derivatives (methyl-thioamphetamine, MTA and N,N-dimethylMTA, DMMTA) interacting with serotonin (5-HT) transporters (SERTs) with affinities comparable to that of p-Cl-amphetamine (pCA). The rank order for their maximal effects in inducing both [(3)H]5-HT release from rat brain synaptosomes or hSERT-expressing HEK-293 cells, and currents in hSERT-expressing oocytes, was pCA >> MTA > or = DMMTA. A correlation between drug-induced release and currents is also strengthened by the similar bell shape of the dose-response curves.

Acute morphine administration increases extracellular DA levels in the rat lateral septum by decreasing the GABAergic inhibitory tone in the ventral tegmental area.

We studied the effect of an acute systemic administration of morphine and of a local intra-ventral tegmental area (VTA) infusion of the same drug on extracellular levels of dopamine (DA) in the lateral septum (LS) by in vivo microdialysis in anesthetized rats. The extracellular levels of 5-hydroxytryptamine (5-HT) were also measured in all dialysate samples. The acute systemic administration of morphine dose-dependently increased extracellular levels of DA but not of 5-HT in the LS, in the absence or presence of fluoxetine.