M. K. W. Li

Hand-assisted laparoscopic versus total laparoscopic right colectomy: a randomized controlled trial

Aim  Laparoscopic colectomy for colorectal cancer is associated with definite short‐term benefits, and is increasingly practised worldwide. The limitations of a pure laparoscopic approach include a relative lack of tactile feedback and long procedural time. Hand‐assisted laparoscopic surgery was introduced in an attempt to facilitate operation by improving the tactile sensation. To date, there is no consensus as to which approach is better. Herein we conducted a randomized controlled trial comparing hand‐assisted laparoscopic colectomy (HALC) with total laparoscopic colectomy (TLC) in the management of right‐sided colonic cancer.

The outcome of laparoscopic colorectal resection in T4 cancer.

Aim  Laparoscopic surgery for locally advanced tumours with extramural involvement is still controversial. It is believed that laparoscopic excision of T4 cancers is technically difficult and may result in prolonged operative time, increased conversion rate, added postoperative morbidity, and suboptimal oncological clearance.

Hybrid NOTES colectomy for right-sided colonic tumors

Given the limitation of surgical access and instrumentation, pure NOTES technique currently appears challenging for colorectal surgery. As such, we would like to determine the technical feasibility and clinical results of hybrid NOTES right hemicolectomy with transrectal extraction of specimen.

Managing concomitant gallbladder stones and common bile duct stones in the laparoscopic era: a systematic review.

Background: There is still no consensus on the ideal management of common bile duct (CBD) stones. This article aims to review the management of concomitant gallbladder stones and CBD stones in the laparoscopic era.

Laparoscopic versus open repair for strangulated groin hernias: 188 cases over 4 years.

Currently transabdominal pre‐peritoneal and totally extraperitoneal repairs are the two standard laparoscopic approaches for groin hernia repair. However, they are still largely reserved for uncomplicated elective cases. To determine whether laparoscopic groin hernia repair can achieve similar results for acute strangulated hernias as laparoscopic cholecystectomy for acute cholecystitis, we analyzed and compared the results of emergency laparoscopic surgery and open repair for strangulated groin hernias performed by our team over the past 4 years.

Laparoscopic sphincter-preserving total mesorectal excision: 10-year report

Aim  Total mesorectal excision (TME) is currently the gold standard for resection of mid or low rectal cancer and is associated with a low local recurrence rate. However, few studies have reported the long‐term oncological outcome following use of a laparoscopic approach. The aim of this study was to evaluate the long‐term oncological outcome after laparoscopic sphincter‐preserving TME with a median follow up of about 4 years.

Single-incision transabdominal preperitoneal and totally extraperitoneal repair for inguinal hernia: Early experience from a single center in Asia

Introduction: Laparoscopic inguinal hernia repair is currently one of the most commonly performed minimally invasive surgical procedures. In recent years, single‐incision operations have been developed to further reduce the invasiveness of the surgery. Herein, we report our early experience with single‐incision laparoscopic inguinal hernia repair in Asia, with both the transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) approaches.

A case report of small bowel perforation at colonoscopy.

The most dreaded complication of a colonoscopy is colonic perforation. Perforation of the small bowel following colonoscopy is extremely rare, especially if the procedure was performed without any therapeutic intervention. Herein we report a case of jejunal perforation following a routine surveillance colonoscopy. A literature review focusing on the proposed mechanism of perforation is included.