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Statements

Subject Item
n2:RIV%2F67985904%3A_____%2F12%3A00390677%21RIV13-AV0-67985904
rdf:type
skos:Concept n9:Vysledek
dcterms:description
Introduction: A safe closure technique of transluminal access is essential for the widespread application of natural orifice transluminal endoscopic surgery (NOTES).Aim: To evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure). Material and methods: An experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariectomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gastrotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination. Results: In the %22loop-and-clip%22 closure group, the correct placement of an endoloop and clips was achieved in all animals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the %22clips%22 group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1(14.3%) case of peritonitis were found. Conclusions: A single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips. Introduction: A safe closure technique of transluminal access is essential for the widespread application of natural orifice transluminal endoscopic surgery (NOTES).Aim: To evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure). Material and methods: An experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariectomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gastrotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination. Results: In the %22loop-and-clip%22 closure group, the correct placement of an endoloop and clips was achieved in all animals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the %22clips%22 group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1(14.3%) case of peritonitis were found. Conclusions: A single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips.
dcterms:title
Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment
skos:prefLabel
Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment
skos:notation
RIV/67985904:_____/12:00390677!RIV13-AV0-67985904
n9:predkladatel
n10:ico%3A67985904
n3:aktivita
n12:Z n12:P n12:I
n3:aktivity
I, P(NS9994), Z(AV0Z50450515)
n3:cisloPeriodika
4
n3:dodaniDat
n15:2013
n3:domaciTvurceVysledku
n17:5434505 n17:4536096
n3:druhVysledku
n13:J
n3:duvernostUdaju
n11:S
n3:entitaPredkladatele
n19:predkladatel
n3:idSjednocenehoVysledku
168129
n3:idVysledku
RIV/67985904:_____/12:00390677
n3:jazykVysledku
n20:eng
n3:klicovaSlova
natural orifice transluminal endoscopic surgery; gastric closure; clips; endoloop
n3:klicoveSlovo
n14:gastric%20closure n14:endoloop n14:natural%20orifice%20transluminal%20endoscopic%20surgery n14:clips
n3:kodStatuVydavatele
PL - Polská republika
n3:kontrolniKodProRIV
[85677DE361FA]
n3:nazevZdroje
Wideochirurgia i Inne Techniki Malo Inwazyjne
n3:obor
n5:FJ
n3:pocetDomacichTvurcuVysledku
2
n3:pocetTvurcuVysledku
8
n3:projekt
n6:NS9994
n3:rokUplatneniVysledku
n15:2012
n3:svazekPeriodika
7
n3:tvurceVysledku
Ryska, O. Martinek, J. Filípková, T. Ryska, M. Motlík, Jan Juhásová, Jana Zavoral, M. Doležel, R.
n3:wos
000312928400002
n3:zamer
n8:AV0Z50450515
s:issn
1895-4588
s:numberOfPages
7
n16:doi
10.5114/wiitm.2011.28870