JSLS : Journal of the Society of Laparoendoscopic Surgeons最新文献_第9页

Laparoscopic Living Donor Nephrectomy: A Single Center Comparison of Three Different Techniques. 腹腔镜活体供肾切除术:三种不同技术的单中心比较。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00088

Christopher Carnabatu, Danielle Tatum, Anil Paramesh, Hoonbae Jeon, Mary Killackey, Adarsh Vijay

{"title":"Laparoscopic Living Donor Nephrectomy: A Single Center Comparison of Three Different Techniques.","authors":"Christopher Carnabatu, Danielle Tatum, Anil Paramesh, Hoonbae Jeon, Mary Killackey, Adarsh Vijay","doi":"10.4293/JSLS.2022.00088","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00088","url":null,"abstract":"Background and objectives: In this study, we compare three different surgical approaches at a single institution. Pure laparoscopic donor nephrectomy with Pfannenstiel incision (PLDN) was compared with hand-assisted laparoscopic donor nephrectomy via midline hand port (HALDNM) and hand-assisted laparoscopic donor nephrectomy via left iliac hand port (HALDNL).Methods: This study included all laparoscopic left donor nephrectomies performed at our institution between January 1, 2020 and December 31, 2021. Donor characteristics including age, sex, body mass index, number of renal arteries, duration of surgical procedure, warm ischemia time (WIT), and length of hospital stay were compared. Cosmetic scores were calculated by totaling the length of all incisions placed. Postoperative complications within 90 days were compared.Results: During the study period 71 laparoscopic donor nephrectomies were performed of which 26 were HALDNM, 24 were HALDNL, and 21 were PLDN. Donor characteristics were similar in all three groups. Total operative time was significantly lower in HALDNM (181 minutes) than PLDN (233 minutes) and HALDNL (242 minutes) (p < 0.001). The WIT was comparable in all three groups: HALDNL (7.2 minutes), PLDN (4.1 minutes), and HALDM (4.9 minutes) (p = 0.913). Median cosmetic score was significantly better in the PLDN group (8.2 cm) when compared to HALDNM (11.1 cm) and HALDNL (9.9 cm) (p < 0.001).Conclusion: Our results show that all three technical modifications of laparoscopic donor nephrectomy are safe and feasible with good postoperative outcomes. HALDNM has the added benefit of decreased operative time while PLDN has a cosmetic advantage.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/75/e2022.00088.PMC10009877.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9145279","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}

引用次数: 2

Forward We Go! 前进吧!

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00073

Farr R Nezhat, Michael Kavic, Ceana H Nezhat, Camran Nezhat

引用次数: 0

Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery. 阴道自然孔腔内窥镜手术革命:妇科微创手术的下一个前沿。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00082

Veronica T Lerner, Grover May, Cheryl B Iglesia

引用次数: 3

Ultrapreservation in Robotic Assisted Radical Prostatectomy Provides Early Continence Recovery. 超保留机器人辅助根治性前列腺切除术提供早期失禁恢复。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00077

Eyup Veli Kucuk, Resul Sobay, Ahmet Tahra

{"title":"Ultrapreservation in Robotic Assisted Radical Prostatectomy Provides Early Continence Recovery.","authors":"Eyup Veli Kucuk, Resul Sobay, Ahmet Tahra","doi":"10.4293/JSLS.2022.00077","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00077","url":null,"abstract":"Background and objectives: We aimed to evaluate oncological and functional results of the ultrapreservation anterior-sparing technique in patients with localized prostate cancer.Methods: In this single-center study, patients with low to intermediate risk prostate cancer, who were treated with the ultrapreservation anterior-sparing technique, were included retrospectively. The oncological and functional outcomes were recorded. After the functional and pathological evaluation in the first month, patients' prostate-specific antigen levels were followed, as well as continence and potency status bimonthly for one year. Continence is defined as no leakage and zero pads for security. Patients' potency was evaluated using the Sexual Health Inventory for Men, with ≥ 17 considered potent.Results: A total of 118 patients were included in the study. The pathological stage was pT2 in 78% (n = 92) of patients, with pT3 in 22% (n = 26). Surgical margin positivity occurred in 13.5% (n = 16) of patients. No complications were observed intraoperatively. Continence rates were 25.4% after catheter removal, rising to 88.9% in the first month, 91.5% in the third, 93.2% in the fifth, and 95.7% a year later. Thirty-five (40%) of 86 potent patients were potent in the first postoperative month, 48 patients (55.8%) were potent in the third month, and 58 patients (67.4%) were potent in the twelfth. The total complication rate was 8.4%, with no major complications observed.Conclusion: The ultrapreservation anterior-sparing technique for patients with prostate cancer shows safe, acceptable functional and oncological results in short-term follow-up. However, long-term comparative studies with a larger number of patients are needed.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/4f/e2022.00077.PMC10065757.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235982","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}

引用次数: 0

Simple Instrument Modification to Aid in Laparoscopic Gastric Wraps for Posterior Fundoplications. 简单的器械改良辅助腹腔镜胃包术治疗后底塌陷。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00090

Mark W Jones

引用次数: 0

Development and Efficacy of Gasless Reduced-Port Laparoscopic Surgery for Gynecological Diseases. 无气腹腹腔镜手术治疗妇科疾病的进展及疗效。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00083

Hiroe Ito, Yasufumi Oishi, Yotaro Takaesu, Keiichi Isaka

{"title":"Development and Efficacy of Gasless Reduced-Port Laparoscopic Surgery for Gynecological Diseases.","authors":"Hiroe Ito, Yasufumi Oishi, Yotaro Takaesu, Keiichi Isaka","doi":"10.4293/JSLS.2022.00083","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00083","url":null,"abstract":"Objective: To evaluate the efficacy of gasless reduced-port laparoscopic surgery (GRP-LS) using a subcutaneous abdominal wall lifting method for gynecological diseases.Methods: This study included gasless laparoscopic surgeries performed at our hospital between September 1, 1993 and December 31, 2016. The new GRP-LS technique was compared with the conventional gasless three-port laparoscopic surgery (G3P-LS), based on patient background, operative results in patients treated for laparoscopic myomectomy (LM), laparoscopic ovarian cystectomy (LC), and laparoscopic salpingectomy (LT). Surgeons of the two techniques were categorized by the number of surgeries they had performed, and the number of surgeons and surgeries for each technique were compared.Results: GRP-LS was used in 2,338 cases and G3P-LS in 2,473 cases. GRP-LS was used in 980 LM cases, 804 LC cases, 240 LT cases, and 314 cases for other conditions. The operative time required for GRP-LS was significantly less for LM, LC, LT, and the procedure also had less blood loss for LM and LC than G3P-LS. G3P-LS required a transition to open surgery in 0.69% of cases, whereas GRP-LS showed a very low rate of 0.09%. Sixty-seven of the 78 GRP-LS surgeons (85.9%) had performed fewer than 50 GRP-LSs, and these surgeons performed about half of all surgeries. Eighty-three of the 93 GRP-LS surgeons (89.2%) had performed fewer than 50 G3P-LSs, and these surgeons performed 38.9% of all surgeries.Conclusions: GRP-LS is an effective surgery with few complications and less cosmetic damage and can be easily introduced to novice or inexperienced laparoscopic surgeons.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/a5/e2022.00083.PMC10065756.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235981","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}

引用次数: 0

Immediate Dialysis After Simultaneous Laparoscopic Peritoneal Dialysis Catheter Placement and Laparoscopic Inguinal Hernia Repair. 腹腔镜腹膜透析置管及腹腔镜腹股沟疝修补术后立即透析。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-01-01 DOI: 10.4293/JSLS.2022.00087

Abdullah Aldohayan, Sulaiman Alshammari, Ahmed Binjaloud, Hamad Alsubaie, Najla Aldohayan, Saad Alobaili, Talal Alfaadhel, Saud Alghamdi, Ahmed Thallaj, Ahmed Alhumud

{"title":"Immediate Dialysis After Simultaneous Laparoscopic Peritoneal Dialysis Catheter Placement and Laparoscopic Inguinal Hernia Repair.","authors":"Abdullah Aldohayan, Sulaiman Alshammari, Ahmed Binjaloud, Hamad Alsubaie, Najla Aldohayan, Saad Alobaili, Talal Alfaadhel, Saud Alghamdi, Ahmed Thallaj, Ahmed Alhumud","doi":"10.4293/JSLS.2022.00087","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00087","url":null,"abstract":"Background and objectives: Peritoneal dialysis (PD) is an accepted renal replacement therapy for end-stage renal disease (ESRD). Managing inguinal hernia in patients with PD is not standardized. Thus, this study reported the outcomes of simultaneous laparoscopic peritoneal dialysis catheter (PDC) placement and transabdominal preperitoneal (TAPP) repair of inguinal hernia.Methods: Thirteen patients with chronic renal disease and inguinal hernia attending a tertiary hospital between May 1, 2016 and June 30, 2021 were evaluated for laparoscopic PDC placement. Concurrent laparoscopic inguinal herniorrhaphy and laparoscopic PDC placement were performed. Dialysate fluid was measured intraoperatively to the level below the incised peritoneum by 1 inch. The inflow and outflow was smooth without leakage. The amount was increased gradually in the two weeks after regular PD was obtained.Results: Laparoscopic PDC was inserted for 13 patients. Ten patients had unilateral hernia and two had bilateral inguinal hernia. Associated paraumbilical hernia was discovered in two patients. The median follow-up was 30 months. The measured safe amount of dialysate fluid intraoperatively was 400 - 600 mL. There was no death, intraoperative complication, or dialysate leakage. Three PDCs were removed owing to noncompliance. No hernia recurrence was observed.Conclusion: Simultaneous laparoscopic PDC placement and laparoscopic repair of inguinal hernia with immediate dialysis is a safe and feasible surgical technique. Utilizing minimally invasive surgery affords PDC placement and inguinal hernia repair simultaneously.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/18/e2022.00087.PMC10009876.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9287260","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}

引用次数: 0

Comparison of Hybrid Versus Synthetic Mesh in Robotic Rives-Stoppa Ventral Hernia Repair. 混合网片与合成网片在机器人腹疝修补术中的比较。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2022-10-01 DOI: 10.4293/JSLS.2022.00071

Omar Yusef Kudsi, Georges Kaoukabani, Naseem Bou-Ayash, Fahri Gokcal

{"title":"Comparison of Hybrid Versus Synthetic Mesh in Robotic Rives-Stoppa Ventral Hernia Repair.","authors":"Omar Yusef Kudsi, Georges Kaoukabani, Naseem Bou-Ayash, Fahri Gokcal","doi":"10.4293/JSLS.2022.00071","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00071","url":null,"abstract":"Background and objectives: To estimate the average treatment effect on the treated (ATT) and to assess the clinical outcomes in two different types of mesh in robotic Rives-Stoppa (rRS) ventral hernia repair (VHR).Methods: A retrospective analysis of a robotic VHR database between February 1, 2013 and May 31, 2022. Patients who underwent a rRS VHR were included in this study and separated into two groups depending on the mesh used: SynecorTM Preperitoneal Biomaterial (SynecorTM Pre) and Bard™ Soft. Through propensity score and inverse-probability-treatment-weighting, the ATT was estimated for two scenarios; the first with the treated target having used the SynecorTM Pre, the second having used the Bard™ Soft mesh. Adjusted linear regression models, including lingering imbalanced variables, were used for both the primary outcome of the Comprehensive Complication Index (CCI®), and the secondary outcome of the hospital cost.Results: A total of 186 patients who underwent rRS were separated into the two groups (SynecorTM Pre mesh, n = 85; Bard™ Soft mesh, n = 101). Adjusted linear regression models for the CCI showed no statistical difference between both groups (p > 0.05), whereas ATT on hospital cost was significantly higher (p < 0.001) in the SynecorTM Pre group in both scenarios [(95% confidence interval) = 3882 (2352, 5413) and -5185 (-8213, -2157), respectively].Conclusion: Both mesh materials provided excellent outcomes with no difference in complications or recurrence rates. However, hospital cost was found to be higher in the hybrid mesh group. Long-term follow-up is needed to fully assess the performance of both mesh types in rRS.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"26 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/cc/e2022.00071.PMC9840217.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599939","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}

引用次数: 0

Median Arcuate Ligament Syndrome is Effectively Relieved with Minimally Invasive Surgery. 微创手术有效缓解正中弓状韧带综合征。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2022-10-01 DOI: 10.4293/JSLS.2022.00067

Megan Birkhold, Ali Khalifeh, Khanjan Nagarsheth, Stephen M Kavic

{"title":"Median Arcuate Ligament Syndrome is Effectively Relieved with Minimally Invasive Surgery.","authors":"Megan Birkhold, Ali Khalifeh, Khanjan Nagarsheth, Stephen M Kavic","doi":"10.4293/JSLS.2022.00067","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00067","url":null,"abstract":"Objective: Median arcuate ligament (MAL) syndrome is a constellation of symptoms related to compression of the celiac artery trunk. Minimally invasive release of the ligament has been shown to improve these symptoms. This study describes one institution's experience with this procedure and reports on outcomes of minimally invasive release and patient quality of life.Methods: We performed a retrospective chart review of all patients who underwent minimally invasive release of the MAL at our institution. Patients were mailed a survey consisting of the 36-Item Short Form and Visick questionnaires. If surveys were not returned after one month, patients were called and asked to complete them over the phone. Demographic and pre- and postoperative data were collected and analyzed.Results: Eleven patients underwent a laparoscopic MAL release from January 1, 2015 to January 31, 2020. Most patients, 73%, reported epigastric pain as their primary symptom for a median of 18 months. All cases were successfully completed laparoscopically, with only one intraoperative complication. Mean hospital length of stay was 1.4 d. At the time of survey completion, the mean weight change was 2.3 kg. Additional interventions for resolution of symptoms and celiac artery stenosis were required for two patients. Surveys were completed by eight patients. A mean Visick score of 1.8 showed resolution or improved symptoms for all patients. SF-36 scores were highest for physical functioning, emotional well-being, and social functioning health areas.Conclusions: Minimally invasive release of the MAL is a safe and effective surgery for patients suffering from MALS. Symptoms improved after adequate release of the ligament, with minimal morbidity and additional postoperative procedures needed.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"26 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/aa/e2022.00067.PMC9840215.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599936","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}

引用次数: 0

Outcomes after a Uterine-Sparing Approach to Essure Contraceptive Device Removal. 保留子宫的方法确保节育器取出后的结果。

IF 1.5 4区医学

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2022-10-01 DOI: 10.4293/JSLS.2022.00072

Moona Arabkhazaeli, Genevieve Umeh, Vruti Virani, Kari Plewniak

{"title":"Outcomes after a Uterine-Sparing Approach to Essure Contraceptive Device Removal.","authors":"Moona Arabkhazaeli, Genevieve Umeh, Vruti Virani, Kari Plewniak","doi":"10.4293/JSLS.2022.00072","DOIUrl":"https://doi.org/10.4293/JSLS.2022.00072","url":null,"abstract":"Background and objective: To analyze long-term effectiveness of a conservative, uterine-sparing approach to laparoscopic Essure removal. Specific outcomes of interest include patient satisfaction, symptom resolution, and subsequent surgical intervention.Methods: A retrospective case series and follow-up survey. Patients who underwent laparoscopic Essure removal without concomitant hysterectomy between January 1, 2016 and December 31, 2019 were identified. Greater than 18 months after removal participants completed a survey assessing outcomes.Results: Twenty-nine patients underwent conservative Essure removal and there were 19 survey respondents. Among survey respondents, the mean length of time from Essure placement to removal was 56.7 months (range 5 - 117), and the mean length of time from removal to survey administration was 48.3 months (range 23 - 63). The most frequently reported symptoms were pain (100%), bleeding (52.6%), headache (42.1%), and dyspareunia (42.1%). Methods for removal included laparoscopic salpingectomy (58.6%), a combined hysteroscopic and laparoscopic approach (34.4%), and cornuectomy (6.9%). Regarding symptom improvement after Essure removal, 47.4% of patients reported total improvement, 36.8% reported almost total improvement, 5.3% reported some improvement, and 10.5% reported no improvement. Most patients (89.5%) reported satisfaction with their surgical results, and only two patients required subsequent surgical intervention for symptom management.Conclusions: Most patients in our cohort reported total or almost total improvement in symptoms almost two years after Essure removal, with low rates of reintervention. A uterine-sparing approach to Essure removal, using laparoscopic and hysteroscopic modalities, may be a feasible and effective approach to addressing Essure-attributed symptoms.","PeriodicalId":17679,"journal":{"name":"JSLS : Journal of the Society of Laparoendoscopic Surgeons","volume":"26 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726173/pdf/e2022.00072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10460750","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}

引用次数: 0