Journal of minimally invasive gynecology最新文献

{"title":"Author's Reply to: \"Letter to the Editor Regarding Factors Associated with Placing High Value on the Uterus Among Women with Benign Gynecologic Conditions\".","authors":"Ashley Huynh, Olivia H Chang","doi":"10.1016/j.jmig.2026.05.001","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.05.001","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Anatomy to Function: Will Artificial Intelligence Bridge the Gap?","authors":"U P Dior, M Healey","doi":"10.1016/j.jmig.2026.05.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.05.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk, prevalence and survival outcomes of ovarian cancer in women with endometriosis: the ENDOCANCER systematic review and meta-analysis.","authors":"Ilaria Piacenti, Veronica Tius, Benedetta Gomba, Stefano Restaino, Martina Arcieri, Silvia Zermano, Anna Biasioli, Federica Perelli, Diego Raimondo, Lucia Lazzeri, Alberto Mattei, Errico Zupi, Renato Seracchioli, Giuseppe Vizzielli","doi":"10.1016/j.jmig.2026.04.021","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.021","url":null,"abstract":"<p><strong>Objective: </strong>Endometriosis is linked to an increased risk of epithelial ovarian cancer (EOC), especially clear cell and endometrioid subtypes. The extent and prognostic significance of this link are still not fully understood. This systematic review and meta-analysis compiles existing evidence on ovarian cancer risk, histotype distribution, and survival outcomes in women with endometriosis.</p><p><strong>Data sources: </strong>Systematic search up to August 2025 METHODS OF STUDY SELECTION: A systematic search of PubMed and Google Scholar was performed up to August 2025. Studies reporting ovarian cancer risk estimates or survival outcomes in endometriosis-associated ovarian cancer (EAOC) were included. Random-effects models generated pooled odds ratios (OR), hazard ratios (HR), and standardized incidence ratios (SIR). Risk analyses included >500,000 women; survival analyses >10,000.</p><p><strong>Tabulation, integration, and results: </strong>Sixty-seven studies met inclusion criteria. Endometriosis increased ovarian cancer risk (OR 1.82, HR 3.03, SIR 1.62). EAOC patients were younger, more often premenopausal, and more frequently diagnosed with early-stage (OR 0.29) and low-grade tumors (OR 1.71). Clear cell and endometrioid histotypes predominated. Overall survival was significantly better in EAOC (HR 0.48); recurrence and mortality were lower, while platinum resistance was similar.</p><p><strong>Conclusion: </strong>Endometriosis confers an increased relative but still low absolute risk of ovarian cancer. EAOC exhibits distinct clinicopathologic features and improved survival compared with non-EAOC. These findings support personalized counseling and emphasize the need for phenotype-based risk stratification and molecular markers of malignancy transformation.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Decision-Making in a Torsed Pediatric Ovarian Teratoma.","authors":"Christina M Kraus, Katherine E Debiec, Christopher M Sande, Lissa X Yu","doi":"10.1016/j.jmig.2026.05.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.05.003","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-Year Changes in Health-Related Quality of Life After Laparoscopic Hysterectomy: A Registry-Based Cohort Study.","authors":"Silje Eilertsen Denstad, Ingrid Volløyhaug, Marit Lieng, Øyvind Salvesen, Risa Anna Margaretha Lonnee-Hoffmann","doi":"10.1016/j.jmig.2026.03.036","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.03.036","url":null,"abstract":"<p><strong>Study objective: </strong>To evaluate changes in health-related quality of life (HRQoL) three years after laparoscopic hysterectomy (LH) for benign, prophylactic, and malignant indications, and to identify baseline factors associated with these changes.</p><p><strong>Design: </strong>Registry-based observational cohort study with longitudinal patient-reported outcomes.</p><p><strong>Setting and participants: </strong>Women undergoing LH at five Norwegian hospitals between 2019 and 2020.</p><p><strong>Interventions: </strong>LH for benign, prophylactic, or malignant indications.</p><p><strong>Measurements: </strong>HRQoL was assessed preoperatively and at three years using the RAND-36 across eight domains (0-100; higher scores indicating better health).</p><p><strong>Main results: </strong>Of 939 eligible women, 575 (61%) responded at three years. Indications were benign disease (n=445, 77.4%), prophylactic surgery (n=71, 12.3%), and malignancy (n=59, 10.3%). Women with benign conditions showed significant improvements in bodily pain (mean difference (MD): 12.1, 95% confidence interval (CI): 9.3, 14.9) and physical role limitations (MD: 10.9, CI: 6.3, 15.5) (both p ≤ 0.001), with consistent effects across subgroups. Prophylactic surgery showed no significant changes. Malignant indications had mixed outcomes: physical functioning declined (MD: 9.5, CI -14.9, -4.1, p ≤ 0.001), while mental health improved (MD: 7.2, CI: 1.8, 12.5, p = 0.009). Among benign cases, higher baseline HRQoL predicted less improvement (regression coefficient β = -8.0 to -4.6, p < 0.001).</p><p><strong>Conclusion: </strong>Three years after LH, changes in HRQoL outcomes varied by indication. Women with benign conditions showed significant improvements, while prophylactic surgery showed no significant change and malignant indications yielded mixed effects. Baseline HRQoL was the strongest predictor of long-term change, highlighting its importance in preoperative counseling.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the Gap Between Artificial Intelligence and Clinical Readiness in Endometriosis Diagnosis: A Systematic Review.","authors":"Ms Martina Haber, Professor Matthew Montebello, Mr Gian Paul Gauci, Professor Francis Zarb, Dr Karen Borg Grima","doi":"10.1016/j.jmig.2026.04.016","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.016","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate the methodological quality and diagnostic performance of artificial intelligence (AI) applications, specifically machine learning (ML) and deep learning (DL), in the diagnosis of endometriosis through imaging and clinical symptomology.</p><p><strong>Data sources: </strong>A systematic search was conducted across seven databases for studies published between 2015 and 2025.</p><p><strong>Method of study selection: </strong>Inclusion criteria focused on primary research utilizing AI for endometriosis diagnosis via MRI, ultrasound, or patient-reported symptoms. Methodological quality was appraised using the QUADAS-2 tool. Study selection adhered to a double-blinded protocol to minimize selection bias. Clinical and methodological conflicts were addressed by a Professor of Radiography, while technical AI complexities were adjudicated by a Professor of Artificial Intelligence.</p><p><strong>Tabulations, integration and results: </strong>AI models demonstrated high technical efficacy, with imaging-based algorithms achieving diagnostic accuracies up to 94.32% (MRI) and AUCs of 0.90 (Ultrasound). Symptom-based models reported accuracies reaching 95.95%, utilizing classifiers such as Random Forest and XGBoost. However, quality appraisal revealed significant clinical heterogeneity and systemic vulnerabilities. Spectrum bias was prevalent, as most models were trained on advanced-stage cohorts, limiting applicability for early-stage detection. Furthermore, symptom-based models often relied on self-reported data from social media, introducing significant selection and verification bias.</p><p><strong>Conclusion: </strong>While AI demonstrates high potential for automating endometriosis detection, current literature is constrained by retrospective designs and narrow patient selection. To move from experimental prototypes to clinical screening tools, future research must prioritize prospective validation in undifferentiated populations using a combination of diagnostic reference methods.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding \"Safety and Feasibility of Rapid Transition to Universal Same-Day Discharge After Minimally Invasive Hysterectomy: A Retrospective Before-and-After Study\".","authors":"Min Yin, Xingling Zhang","doi":"10.1016/j.jmig.2026.04.020","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.020","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Understanding the Value of the Uterus: A Nationwide Cross-sectional Survey on Women's Preferences with Benign Gynecological Conditions\".","authors":"Tinghui Xu, Yinying Chai, Shengliang Qiu","doi":"10.1016/j.jmig.2026.04.019","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.019","url":null,"abstract":"<p><p>548 Binwen Road, Hangzhou 310053, China.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic excision of fibro-endometriotic nodule involving the genitofemoral nerve after deep endometriosis surgery.","authors":"Stefano Ferla, Mohamed Mabrouk, Renato Seracchioli, Diego Raimondo","doi":"10.1016/j.jmig.2026.04.018","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.018","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding\"Lateral distribution of endometriotic lesions: the anatomical recesses hypothesis. A systematic review and meta-analysis\".","authors":"Lifan Qian, Yinying Chai, Shengyou Lin, Yibo He","doi":"10.1016/j.jmig.2026.03.041","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.03.041","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}