JSLS : Journal of the Society of Laparoendoscopic Surgeons最新文献

{"title":"Inferior-Medial Approach to Laparoscopic Splenic Vessel-Preserving Distal Pancreatectomy.","authors":"Kee Tae Park, Joo Dong Kim","doi":"10.4293/JSLS.2024.00028","DOIUrl":"https://doi.org/10.4293/JSLS.2024.00028","url":null,"abstract":"<p><strong>Background and objectives: </strong>Complete preservation of the splenic vessels is ideal during laparoscopic spleen-preserving distal pancreatectomy (LSPDP). However, this remains challenging and time-consuming because the vessels are often deeply embedded in the pancreatic parenchyma. Herein, we introduce our inferior-medial approach to laparoscopic splenic vessel-preserving distal pancreatectomy (lap-SVPDP) and evaluate its safety and feasibility.</p><p><strong>Methods: </strong>Forty-three patients underwent LSPDP performed by a single surgeon at our institution: 26 (60.5%) lap-SVPDPs with an inferior-medial approach and 17 with the laparoscopic Warshaw technique (lap-WT). We compared the outcomes of the 2 groups. No patient undergoing lap-SVPDP required conversion to laparotomy or lap-WT.</p><p><strong>Results: </strong>Most preoperative characteristics and postoperative outcomes did not differ between the 2 groups; neither the operation time nor the intraoperative blood loss differed despite the greater technical complexity of lap-SVPDP. The mean tumor size was greater in the lap-WT than the lap-SVPDP group (<i>P </i>=<i> </i>.001). The splenic vein patency rate of the lap-SVPDP group was not inferior to that of the open SVPDP group treated by the same surgeon.</p><p><strong>Conclusion: </strong>Inferior-medial approach lap-SVPDP could be a safe and feasible technique for lap-SVPDP; neither blood loss nor operation time is increased.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Stump Closure Methods in Laparoscopic Appendectomy: Hem-o-Lok Clip and Laparoscopic Titanium Clip.","authors":"Mehmet Uçar, Aziz Bulut","doi":"10.4293/JSLS.2024.00029","DOIUrl":"10.4293/JSLS.2024.00029","url":null,"abstract":"<p><strong>Background: </strong>Appendectomy for acute appendicitis is the most common acute abdominal surgery. Open and laparoscopic appendectomy surgeries are performed with different techniques. Laparoscopic appendectomy has become a widespread method due to its advantages. The aim of this study is to compare the complications, surgery time, hospitalization length, and cost-effectiveness of titanium clips and hem-o-lok clips for stump closure in laparoscopic appendectomy.</p><p><strong>Methods: </strong>This study included 187 patients who were operated on laparoscopically for acute appendicitis at our hospital between April 2019 and June 2022. The patients' follow-up for 30 days after surgery was evaluated. The data of 179 patients in whom titanium and hem-o-lok clips were inserted during an appendectomy were included in the study.</p><p><strong>Results: </strong>Between April 2019 and June 2022, 179 patients were included in the study retrospectively. When the correlation between complications and surgical methods was analyzed, 98.8% of the hem-o-lok clip group and 99% of the titanium clip group had no complications. No statistically significant difference was observed between complications and surgery type (<i>P</i> > .05). In the hem-o-lok and titanium clip groups, the operative time was 52.4 minutes and 53.1 minutes, and the hospitalization times were 1.7 days and 1.8 days, respectively.</p><p><strong>Conclusions: </strong>It is concluded that the use of titanium clips that completely close the root of the appendix is as safe, accessible, feasible, practical, and effective as the hem-o-lok clip method. It was observed to be used safely as an alternative to other appendix root closure methods.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial Disparities in Minimally Invasive Benign Hysterectomy.","authors":"Kamran Hessami, Marie-Claire Leaf, Jinxiao Liang, Adi Katz, Frank Chervenak, Abdelrahman AlAshqar, Mostafa A Borahay","doi":"10.4293/JSLS.2024.00018","DOIUrl":"10.4293/JSLS.2024.00018","url":null,"abstract":"<p><strong>Background and objectives: </strong>Racial and ethnic disparities in access to minimally invasive surgery (MIS) and the rate of surgical complications in minority groups remain profoundly underinvestigated. This meta-analysis aims to compare the rate of MIS utilization for benign hysterectomy as well as the surgical morbidity among racial and ethnic minority patients in the United States.</p><p><strong>Methods: </strong>Studies comparing utilization rate of MIS for benign hysterectomy among non-Hispanic white, Black, and Hispanic populations were considered eligible. The primary outcome was the rate of MIS according to race. The secondary outcome was surgical morbidity risk (Clavien-Dindo Classification) according to hysterectomy route and race. Random-effect model meta-analysis pooled unadjusted and adjusted odds ratios (ORs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Thirteen studies were eligible, with a total of 1,123,851 patients undergoing benign hysterectomy, of whom 817,209 were white, 187,488 Black, and 119,154 Hispanic. Black and Hispanic patients were less likely to undergo MIS compared to white patients (Black: OR 0.44 [95% CI 0.39-0.49] and Hispanic: OR 0.65 [95% CI 0.59-0.71]). After pooling adjusted estimates, the rate of MIS use remained significantly lower in nonwhite populations. Nonwhite patients were more likely to develop surgical complications after hysterectomy in either MIS (OR 1.32 [95% CI: 1.15-1.52]) or open hysterectomy (OR 1.56 [95% CI: 1.40-1.73]).</p><p><strong>Conclusion: </strong>Racial and ethnic disparities in MIS utilization for benign hysterectomy are strikingly apparent in the United States, with nonwhite patients often demonstrating lower access to MIS utilization and higher rates of surgical morbidity than white patients.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot Assisted Cholecystectomy Using the BORNS Simphoni System.","authors":"Vivek Bindal, Shailesh Gupta, Dhananjay Pandey, Shahiq Ahmed","doi":"10.4293/JSLS.2024.00016","DOIUrl":"10.4293/JSLS.2024.00016","url":null,"abstract":"<p><strong>Background and objective: </strong>Robotic cholecystectomy has technical advantages of 3D visualization, enhanced instrument maneuverability, and increased precision. Less chance of conversion to open and biliary spillage. This study explores the utilization of the BORNS Simphoni Robotic System for robotic cholecystectomy.</p><p><strong>Methods: </strong>The paper discusses the safety and efficacy of the system during a phase 1 clinical trial, focusing on key technical steps, outcomes, and comparisons with conventional laparoscopic cholecystectomy.</p><p><strong>Results: </strong>Results from the trial indicate successful completion of surgeries with no conversions to open procedures, minimal blood loss, and low postoperative pain.</p><p><strong>Discussion: </strong>The BORNS Simphoni system offers advanced features such as an open console design, articulating and nonarticulating instruments, and integrated ultrasonic energy sources. The study suggests the feasibility and effectiveness of robotic cholecystectomy using the BORNS Simphoni system. However, a larger sample size is needed to further evaluate and confirm these findings, as well as to assess the cost-effectiveness of this platform for broader adoption.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Vivo Measurements of Appendiceal Base - Implications on Pediatric Laparoscopic Appendectomy.","authors":"Sanimir Suljendic, Edin Husaric, Amir Halilbasic, Samir Delibegovic","doi":"10.4293/JSLS.2024.00033","DOIUrl":"10.4293/JSLS.2024.00033","url":null,"abstract":"<p><strong>Background and objectives: </strong>Securing the base of the appendix is the most critical part of laparoscopic appendectomy in children. Determining the average values of the appendix, will facilitate the creation of suitable instruments, and will also have an impact on research in imaging studies.</p><p><strong>Methods: </strong>One hundred and eight patients with the acute appendicitis were randomized into 2 groups: group I: children aged 2-10 years old, group II: children >10 years of age. Each group was further divided into 3 subgroups: phlegmonous, gangrenous and perforated forms of acute appendicitis. The external diameter of the appendiceal base, the middle part of the appendix, the tip and the length were determined. The measurements were made with the help of Vernier calipers, and expressed in millimeters.</p><p><strong>Results: </strong>In group I, the average size of the appendiceal base in the phlegmonous form was 5.68 ± 1.51 mm, in the gangrenous form 7.08 ± 1.82 mm, and in the perforated form 6.94 ± 2.43 mm. In group II, the average size of the appendiceal base in the phlegmonous form was 7.29 ± 2.75 mm, in the gangrenous form 7.24 ± 2.11 mm, and in the perforated form 9.31 ± 3.07 mm.</p><p><strong>Conclusion: </strong>Although most appendices can be removed by standard methods, the maximum sizes observed in this study reveal that standard endoloop or plastic and titanium clips cannot be used in the procedure and instead the more expensive stapler has to be utilized.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Enhanced Recovery after Surgery in the Perioperative Period for Elderly Patients with Lung Cancer.","authors":"Zhihai Wang, Miaomiao Lin, Geng Geng, Weiwei Wu, Yong Tao","doi":"10.4293/JSLS.2024.00037","DOIUrl":"10.4293/JSLS.2024.00037","url":null,"abstract":"<p><strong>Objective: </strong>To explore a model suitable for enhanced recovery after surgery (ERAS) for elderly patients with lung cancer in this region.</p><p><strong>Methods: </strong>A total of 200 elderly patients with lung cancer who were admitted to our department and received thoracoscopic surgery from January 1, 2020, to December 31, 2021, were enrolled as observation subjects and were randomly assigned to an ERAS group (100 cases) and a control group (100 cases). All patients were aware of and agreed to enter the study, and the protocols were approved by the hospital ethics committee (2021 Medical Ethics Review 26). The incidence of postoperative pulmonary complications, duration of postoperative chest tube, postoperative pain, and pulmonary function (including forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1)) on postoperative day 7 were compared between the 2 groups.</p><p><strong>Results: </strong>The incidence of postoperative pulmonary complications was significantly lower in the ERAS group (8.00%) than in the control group (18.00%). The incidence of postoperative atelectasis in the ERAS group (2%) was significantly lower than that in the control group (10%). The duration of postoperative chest tube in the ERAS group (2.57 ± 0.72 days) was significantly shorter than that in the control group (3.92 ± 1.54 days). The postoperative pain score of the ERAS group (2.14 ± 0.86) was significantly lower than that of the control group (3.78 ± 1.15). On postoperative day 7, both FVC and FEV1 in the ERAS group were significantly better than those in the control group. SPSS 20 was used for statistical analysis, and the <i>P</i> < .05 was considered clinically significant.</p><p><strong>Conclusion: </strong>The ERAS model established in our department can reduce the incidence of postoperative complications, relieve postoperative pain, and better protect the lung function of elderly patients with lung cancer. The model is worth promoting because it enhances recovery after surgery and reduces the family burden of patients.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally Invasive Surgery Deserts: Is There a Role for Robotic Assisted Surgery?","authors":"Brian Mitzman, Shaneeta Johnson, Maureen Lichtveld, Richard Culbertson, Zhi Ven Fong","doi":"10.4293/JSLS.2024.00039","DOIUrl":"10.4293/JSLS.2024.00039","url":null,"abstract":"<p><p>Despite evidence indicating patient and hospital benefits of minimally invasive surgery (MIS) over open surgery, there is still access barriers to MIS. Availability of training and associated learning curve, health literacy, and hospital characteristics (location, size) have been identified as the primary barriers to the adoption of MIS. Robotic assisted surgery could help to overcome some of these barriers and increase access to MIS through easier tele-mentoring and potential for remote access.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pain Desensitization Algorithm for Phenotyping and Treating Chronic Pelvic Pain.","authors":"Liane Silva Rafael Rogério, Maurice K Chung, Charles W Butrick, Stanley J Antolak, Danniel Rocha Bevilaqua, Sunna Kureishy, Mariana Eiras Cardoso Conforto","doi":"10.4293/JSLS.2024.00009","DOIUrl":"10.4293/JSLS.2024.00009","url":null,"abstract":"<p><strong>Background: </strong>Chronic pelvic pain remains challenging for physicians to manage due to central and peripheral sensitization and multiple pain generators including the bladder, pelvic floor, and pudendal nerve. Pain management providers have used nerve blocks for years for diagnosis and treatment. We developed a desensitization algorithm that provides a stepwise approach to improve patients pain scores.</p><p><strong>Methods: </strong>This is a prospective observational cohort study of 182 women aged 15-90 years old with chronic pelvic pain using an algorithm from 2016 to 2018. Treatment started with an Anesthetic Challenge Test of the bladder to guide us through a protocol of intravesical therapy and/or pudendal nerve blocks as a second step.</p><p><strong>Results: </strong>ACT POSITIVE patients, who received intravesical therapy: 84% had a Visual Analog Score pain improvement of at least 50%, 64% improved at least 80% (41% pain-free). Those desiring additional relief that received further Pudendal Blocks: 83% had final improvement of at least 50% (67% pain-free). ACT NEGATIVE patients received Pudendal Blocks with 80% of subjects achieving at least 50% relief, 65% improved at least 80% (35% pain-free). All final groups showed a statistically significance of <i>P</i> < .05% when compared to their initial pain scores.</p><p><strong>Conclusion: </strong>Management of women with chronic pelvic pain would ideally start with treating a specific diagnosis which, in most cases, is difficult to establish since the majority have more than one pain generator. Our algorithm simplified the approach and reduced the severity of pain scores prior to any further necessary surgical interventions.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status and Role of Artificial Intelligence in Anorectal Diseases and Pelvic Floor Disorders.","authors":"Maryam Aleissa, Tijani Osumah, Ernesto Drelichman, Vijay Mittal, Jasneet Bhullar","doi":"10.4293/JSLS.2024.00007","DOIUrl":"10.4293/JSLS.2024.00007","url":null,"abstract":"<p><strong>Background: </strong>Anorectal diseases and pelvic floor disorders are prevalent among the general population. Patients may present with overlapping symptoms, delaying diagnosis, and lowering quality of life. Treating physicians encounter numerous challenges attributed to the complex nature of pelvic anatomy, limitations of diagnostic techniques, and lack of available resources. This article is an overview of the current state of artificial intelligence (AI) in tackling the difficulties of managing benign anorectal disorders and pelvic floor disorders.</p><p><strong>Methods: </strong>A systematic literature review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched the PubMed database to identify all potentially relevant studies published from January 2000 to August 2023. Search queries were built using the following terms: AI, machine learning, deep learning, benign anorectal disease, pelvic floor disorder, fecal incontinence, obstructive defecation, anal fistula, rectal prolapse, and anorectal manometry. Malignant anorectal articles and abstracts were excluded. Data from selected articles were analyzed.</p><p><strong>Results: </strong>139 articles were found, 15 of which met our inclusion and exclusion criteria. The most common AI module was convolutional neural network. researchers were able to develop AI modules to optimize imaging studies for pelvis, fistula, and abscess anatomy, facilitated anorectal manometry interpretation, and improved high-definition anoscope use. None of the modules were validated in an external cohort.</p><p><strong>Conclusion: </strong>There is potential for AI to enhance the management of pelvic floor and benign anorectal diseases. Ongoing research necessitates the use of multidisciplinary approaches and collaboration between physicians and AI programmers to tackle pressing challenges.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing CRP levels in Laparoscopic and Robotic Total Hysterectomy.","authors":"Shohei Tanabe, Shi Yutoku, Kotaro Ichida","doi":"10.4293/JSLS.2024.00005","DOIUrl":"https://doi.org/10.4293/JSLS.2024.00005","url":null,"abstract":"<p><strong>Background and objectives: </strong>Patients with high postoperative C-reactive protein levels are known to have a high risk of complications such as intestinal injuries than those with low levels. However, the factors that influence postoperative C-reactive protein levels in patients without complications are unknown. In this study, we aimed to determine the factors affecting postoperative C-reactive protein levels in patients undergoing laparoscopic and robotic total hysterectomy.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of patients who had undergone laparoscopic or robotic total hysterectomy for uterine fibroids, adenomyosis, or cervical neoplasia.</p><p><strong>Results: </strong>The study was conducted between July 2016 and December 2022 at our hospital. In total, 185 patients underwent laparoscopic or robotic total hysterectomy during the relevant period. Of these, 180 patients were included, excluding 3 who underwent laparotomy, 1 who developed an abscess, and 1 who did not have a postoperative blood draw. The measured outcome was the C-reactive protein level on the first postoperative day. Patient age, body mass index, operative time, blood loss, and uterine weight were deemed the possible influencing factors. Multiple regression analysis was performed to evaluate the influence of these factors on the postoperative C-reactive protein values. Statistical significance was defined as a <i>P</i> value less than .05. The median value was 1.72 (interquartile range, 1.11-2.52). Body mass index and operative time were determined to be the most significant factors.</p><p><strong>Conclusion: </strong>Patients' body mass index and operative time were found to be associated with first postoperative day C-reactive protein levels in uncomplicated cases.</p>","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"28 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}