General Surgical Laparoscopic Procedures for the “Nonlaparologist”

Richard T. Schlinkert, Michael G. Sarr, John H. Donohue, Geoffrey B. Thompson

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

To assess our initial experience with a variety of laparoscopic procedures that can be performed by general surgeons with the basic skills used for laparoscopic cholecystectomy and without advanced laparoscopic expertise. We retrospectively reviewed a 36-month experience (1991 through 1994) at our institution with a consecutive series of patients who underwent basic laparoscopic surgical procedures but specifically excluding cholecystectomy, appendectomy, herniorrhaphy, and colectomy. Procedures performed laparoscopically included gastrostomy, jejunostomy, small bowel resection, intra-abdominal and retroperitoneal biopsy, staging of intra-abdominal malignant lesions, and adhesiolysis for relief of small bowel obstruction. During the 3-year study period, 106 patients underwent 107 procedures, 89 of which were successful. Four patients had substantial complications, two of whom underwent surgical repair. A spectrum of procedures may be safely performed with the skills learned from laparoscopic cholecystectomy and without the need for advanced laparoscopic skills such as intracorporeal suturing or tying of knots.

Original languageEnglish (US)
Pages (from-to)1142-1147
Number of pages6
JournalMayo Clinic proceedings
Volume70
Issue number12
DOIs
StatePublished - Jan 1 1995

Keywords

  • PEG
  • percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Medicine(all)

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    Schlinkert, R. T., Sarr, M. G., Donohue, J. H., & Thompson, G. B. (1995). General Surgical Laparoscopic Procedures for the “Nonlaparologist”. Mayo Clinic proceedings, 70(12), 1142-1147. https://doi.org/10.4065/70.12.1142