Minimally Invasive Therapy & Allied Technologies最新文献_第3页

Three-dimensional semiquantitative evaluation of reactive emphysema in magnesium implant models. 镁植入模型反应性气肿的三维半定量评估。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-11-05 DOI: 10.1080/13645706.2024.2423250

Yoshinori Hayashi, Kazuki Odagiri, Yuji Ishii, Keiichi Yamamoto, Tsuyoshi Takahashi, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Kazuyoshi Yamamoto, Tomoki Makino, Yukinori Kurokawa, Hidetoshi Eguchi, Yuichiro Doki, Kiyokazu Nakajima

{"title":"Three-dimensional semiquantitative evaluation of reactive emphysema in magnesium implant models.","authors":"Yoshinori Hayashi, Kazuki Odagiri, Yuji Ishii, Keiichi Yamamoto, Tsuyoshi Takahashi, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Kazuyoshi Yamamoto, Tomoki Makino, Yukinori Kurokawa, Hidetoshi Eguchi, Yuichiro Doki, Kiyokazu Nakajima","doi":"10.1080/13645706.2024.2423250","DOIUrl":"10.1080/13645706.2024.2423250","url":null,"abstract":"Background: Magnesium alloys have great potentials as bioabsorbable implants, whereas the difficulty in evaluating hydrogen gas produced in the degradation process has hindered their research and development. In this study, we investigated the possibility of industrial microfocus X-ray computed tomography (micro-CT) for the precise evaluation of subcutaneous emphysematous changes in a rabbit implantation model.Methods: Magnesium plates with/without porous venting were implanted under skin defects on the backs of rabbits. The graft sites were examined by industrial micro-CT after sacrificing. The captured images were reconstructed three-dimensionally for volumetric analyses. The tissues of the graft site were also examined in the traditional histological investigation.Results: We were able to image and numerate the shape and volume of subcutaneous emphysema using industrial micro-CT. The volume of emphysema was suppressed by pores punched in samples, and this trend increased as the number of pores increased. In the traditional histological examination, inflammatory changes were observed, but the emphysema could not be measured quantitatively.Conclusions: Industrial micro-CT imaging makes it possible to visualize and evaluate magnesium-induced subcutaneous emphysema in animal experiment. This cross-border technology has the potential to be widely applied to other life science fields.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"136-143"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Right mini-thoracotomy for concomitant aortic valve replacement and right coronary artery bypass graft. 同时进行主动脉瓣置换术和右冠状动脉旁路移植术的右侧小开胸术。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-11-08 DOI: 10.1080/13645706.2024.2418410

Chloé Bernard, Olivier Bouchot, Ghislain Malapert, Saed Jazayeri, Pierre Alain Bahr, Aline Jazayeri, Marie Catherine Morgant

{"title":"Right mini-thoracotomy for concomitant aortic valve replacement and right coronary artery bypass graft.","authors":"Chloé Bernard, Olivier Bouchot, Ghislain Malapert, Saed Jazayeri, Pierre Alain Bahr, Aline Jazayeri, Marie Catherine Morgant","doi":"10.1080/13645706.2024.2418410","DOIUrl":"10.1080/13645706.2024.2418410","url":null,"abstract":"Background: Full sternotomy is the standard approach for combined surgery. Evidence of the minimally invasive approach's advantages for aortic and mitral valve surgery has been reported. Our aim was to report our experience with minithoracotomy for elective patients presenting with aortic valve stenosis associated with right coronary artery disease.Material and methods: Between January 2016 and August 2021, 17 patients underwent concomitant aortic valve replacement and right coronary artery bypass grafting by right anterior thoracotomy.Results: The mean age was 73.3 years and the mean EuroSCORE 2 was 2.07 ± 1.24. Mean cardiopulmonary bypass and aortic cross-clamp times were 148 ± 29 min and 111 ± 20 min. Thirteen patients (76.0%) had femoral cannulation. Nine saphenous veins (53%), seven right internal thoracic arteries (41%), and one radial artery (6%) were used as a graft. Twelve patients benefited from ultrasonic flow measurements to control the graft. The mean flow rate was 47 ± 39 ml/min, and the mean pulsatility index was 2.4 ± 1.2. The mean postoperative transvalvular gradient was 10.9 ± 4 mmHg. Two patients presented with Grade 1 aortic insufficiency (12%). There was no 30-day mortality.Conclusions: Combined aortic valve replacement and right coronary artery bypass grafting through right anterior thoracotomy is reliable and reproducible in selected patients.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"119-126"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic cardiac mucosal ligation: a novel minimally invasive procedure for gastroesophageal reflux disease. 内镜下心脏粘膜结扎术：治疗胃食管反流病的新型微创手术。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-11-15 DOI: 10.1080/13645706.2024.2417415

Yi Liu, Keshu Shan, Yonghong Xia, Lei Xu

{"title":"Endoscopic cardiac mucosal ligation: a novel minimally invasive procedure for gastroesophageal reflux disease.","authors":"Yi Liu, Keshu Shan, Yonghong Xia, Lei Xu","doi":"10.1080/13645706.2024.2417415","DOIUrl":"10.1080/13645706.2024.2417415","url":null,"abstract":"Background: Our objective in this study was to evaluate the short-term clinical efficacy and safety of endoscopic cardiac mucosal ligation, a novel endoscopic procedure, in the treatment of gastroesophageal reflux disease (GERD).Methods: Patients diagnosed with refractory GERD or recurrent patients due to drug withdrawal admitted to our hospital were recruited in this clinical trial. All GERD patients were treated with endoscopic cardiac mucosal ligation. Postoperatively, all patients received subsequent follow-ups for approximately four months to evaluate the efficacy and safety of this endoscopic procedure.Results: A total of 13 GERD patients were enrolled. Endoscopic cardiac mucosal ligation was successfully performed in all cases. Postoperatively, relevant symptoms were significantly alleviated in 10 patients (76.9%). The average Gastroesophageal Reflux Disease Questionnaire (GERD-Q) score in all participants significantly decreased from preoperative 10.0 ± 3.5 to postoperative 7.8 ± 2.9 (p = .022). The average GERD symptom questionnaire score was 27.0 ± 12.0 prior to surgery, which significantly decreased to 18.3 ± 7.5 postoperatively (p = .032). No severe postoperative complications were observed during subsequent follow-ups.Conclusions: Endoscopic cardiac mucosal ligation might be a novel effective and safe endoscopic procedure for GERD.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"107-113"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating the impact of gaming and spatial cognition on laparoscopic surgical skills. 研究游戏和空间认知对腹腔镜手术技能的影响。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-07-21 DOI: 10.1080/13645706.2024.2376064

Minoru Hattori, Hiroyuki Egi, Naoko Hasunuma

{"title":"Investigating the impact of gaming and spatial cognition on laparoscopic surgical skills.","authors":"Minoru Hattori, Hiroyuki Egi, Naoko Hasunuma","doi":"10.1080/13645706.2024.2376064","DOIUrl":"10.1080/13645706.2024.2376064","url":null,"abstract":"Background: The purpose of this study was to examine the association between video gaming experience, spatial cognition, and laparoscopic surgical skills in a cohort of 50 medical students.Method: Participants were assessed for video gaming experience, spatial cognition, and laparoscopic skills. The number of hours played per week was also recorded. Structural equation modeling was used to determine the relationship between these variables.Results: Our findings revealed that video gaming experience and spatial cognition exerted a positive influence on laparoscopic skills. Interestingly, students who excessively indulged in video games without concomitant improvements in spatial cognition experienced a negative impact on their laparoscopic skills.Conclusions: These findings underscore the potential of video gaming as a tool for improving surgical skills, but also highlight the potential downsides of excessive gaming. The positive correlation between gaming and surgical skills suggests that video games could be integrated into surgical education. Future research should focus on identifying specific video games that effectively promote visuospatial skills as well as determining the optimal balance between gaming and traditional surgical training.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"89-95"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 修正。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-12-18 DOI: 10.1080/13645706.2024.2443726

引用次数: 0

Endoscopic ultrasound-guided bite-on-bite biopsy and endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of gastric tumors with negative malignant endoscopy biopsies: a retrospective cohort study. 内镜超声引导下咬合活检和内镜超声引导下细针穿刺在诊断恶性内镜活检阴性的胃肿瘤中的应用：一项回顾性队列研究。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-07-24 DOI: 10.1080/13645706.2024.2381103

Liang Min, Yan Jin, Jiefei Chen, Hongyi Zhu, Chengbai Liang, Liang Lv, Yongjun Wang, Deliang Liu, Yuqian Zhou, Yi Chu, Yuyong Tan

{"title":"Endoscopic ultrasound-guided bite-on-bite biopsy and endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of gastric tumors with negative malignant endoscopy biopsies: a retrospective cohort study.","authors":"Liang Min, Yan Jin, Jiefei Chen, Hongyi Zhu, Chengbai Liang, Liang Lv, Yongjun Wang, Deliang Liu, Yuqian Zhou, Yi Chu, Yuyong Tan","doi":"10.1080/13645706.2024.2381103","DOIUrl":"10.1080/13645706.2024.2381103","url":null,"abstract":"Background: Specific types of gastric tumors, including gastric linitis plastica and lymphoma, may cause extensive deep-layer infiltration, impeding an accurate diagnosis with endoscopic biopsy. This study aims to evaluate the efficacy of endoscopic ultrasound (EUS)-guided bite-on-bite biopsy and EUS-guided fine-needle aspiration (EUS-FNA) in diagnosing gastric malignancies with negative endoscopic biopsies.Methods: We retrospectively analyzed suspicious malignant gastric lesion cases in our hospital from October 2017 to August 2023. Clinical manifestations, radiographical examinations, endoscopic examinations, histopathological results, and therapeutic strategies were recorded and analyzed.Results: Forty malignant gastric tumor cases with negative endoscopic biopsies were incorporated into our study. EUS-guided bite-on-bite biopsy was performed in 16 cases exclusively, whereas 17 patients received EUS-FNA exclusively, and seven patients underwent both simultaneously. Among the 23 patients who received the EUS-guided bite-on-bite biopsy, 22 (95.7%) were diagnosed with malignancies. Among the 24 patients who received EUS-FNA, a total of 19 cases with malignancies (79.2%) were confirmed by EUS-FNA (p = 0.11): 13 gastric adenocarcinomas, five metastatic malignancies, and one malignant stromal tumor. No adverse events were observed in any of the cases.Conclusions: EUS-guided bite-on-bite biopsy and EUS-FNA possess their advantages and disadvantages. EUS-guided bite-on-bite biopsy could serve as a reliable diagnostic method for shallow lesions with negative malignant endoscopic biopsies.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"96-106"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unus Pro omnibus, omnes Pro uno: a commentary on the eternal dilemma of endometrial cancer screening in postmenopausal asymptomatic women. Is it time to team up? Unus Pro omnibus, omnes Pro uno：绝经后无症状妇女子宫内膜癌筛查的永恒困境评述。是时候联手了吗？

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-10-23 DOI: 10.1080/13645706.2024.2418380

Salvatore Giovanni Vitale, John Preston Parry, Gilda Sicilia, Luis Alonso Pacheco, Maria Chiara De Angelis, Bülent Urman, Gaetano Riemma, Péter Török, Jose Carugno, Tirso Perez-Medina, Stefano Angioni, Sergio Haimovich

{"title":"Unus Pro omnibus, omnes Pro uno: a commentary on the eternal dilemma of endometrial cancer screening in postmenopausal asymptomatic women. Is it time to team up?","authors":"Salvatore Giovanni Vitale, John Preston Parry, Gilda Sicilia, Luis Alonso Pacheco, Maria Chiara De Angelis, Bülent Urman, Gaetano Riemma, Péter Török, Jose Carugno, Tirso Perez-Medina, Stefano Angioni, Sergio Haimovich","doi":"10.1080/13645706.2024.2418380","DOIUrl":"10.1080/13645706.2024.2418380","url":null,"abstract":"Introduction: The diagnostic workflow for endometrial carcinoma in postmenopausal asymptomatic women remains an ongoing dilemma. Whereas an ultrasonographic endometrial thickness greater than 4.0 or 5.0 mm is adequate for warranting further investigations in women with postmenopausal vaginal bleeding, there is still no unanimous consensus on what the ideal endometrial thickness cut-off should be, justifying additional inspection through endometrial sampling when bleeding is absent.Methods: A comprehensive overview of the most recent literature to summarize the clinical pathway necessary for the diagnostic assessment of a postmenopausal asymptomatic woman with increased ultrasonographic endometrial thickness.Results: An endometrial thickness cut-off between 3.0 and 5.9 mm seems to show the lowest specificity while also reducing the chances of missing malignancy. If endometrial thickness can be a valid starting point, a careful evaluation of the other ultrasonographic endometrial features and a thorough scrutiny of patients' risk factors are pivotal to standardizing the diagnostic process while avoiding overtreatment. Although preventing unnecessary procedures is crucial, stratifying the risk and proceeding with further investigations (preferably through outpatient or office hysteroscopically-guided targeted biopsies) should be the goal.Conclusions: Closer collaboration between different fields of medicine (ultrasonography, hysteroscopy, and oncology) is strongly encouraged to facilitate early diagnosis of asymptomatic postmenopausal women at risk of developing endometrial malignancy.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"114-118"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Narrow-band imaging offers a shorter menstrual bleeding time and a longer remission for hysteroscopic surgery in symptomatic post-cesarean scar diverticulum compared to white light. 与白光相比，窄带成像可缩短月经出血时间，并延长症状性剖宫产后疤痕憩室宫腔镜手术的缓解时间。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-11-01 DOI: 10.1080/13645706.2024.2422830

Jiezhuang Huang, Shuang Liang, Ting Huang, Ziqian Wang, Zhifu Zhi

{"title":"Narrow-band imaging offers a shorter menstrual bleeding time and a longer remission for hysteroscopic surgery in symptomatic post-cesarean scar diverticulum compared to white light.","authors":"Jiezhuang Huang, Shuang Liang, Ting Huang, Ziqian Wang, Zhifu Zhi","doi":"10.1080/13645706.2024.2422830","DOIUrl":"10.1080/13645706.2024.2422830","url":null,"abstract":"Background: Narrow-band imaging (NBI) is a novel endoscopic imaging technology that improves the visibility of capillaries. The aim of this study was to evaluate the efficacy of NBI hysteroscopic excision in symptomatic post-cesarean scar diverticulum (PCSD) patients compared to conventional white light (WL) hysteroscopy.Method: A total of 73 patients with symptomatic PCSD between January 2014 and December 2018 were enrolled. The enrolled patients were stratified into NBI and WL groups according to whether they received NBI or WL hysteroscopy. Postoperative menstrual patterns at one, six, and 12 months after the operation were collected and compared between the NBI and WL groups.Results: A total of 32 patients underwent NBI hysteroscopy (NBI group), while 41 patients received WL hysteroscopy (WL group). The symptom-free remission rates in the NBI group were significantly higher than in the WL group at six months and 12 months post-hysteroscopy. At the final follow-up, the menstrual bleeding duration in the NBI group was significantly shorter than in the WL group.Conclusion: The use of NBI hysteroscopy in treating symptomatic PCSD resulted in shorter menstrual bleeding days and longer symptomatic remission compared to conventional WL hysteroscopy.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"127-135"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of simulated intra-abdominal movement on basic laparoscopic skills development: a feasibility study. 模拟腹内运动对基本腹腔镜技能发展的影响：可行性研究。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-03-22 DOI: 10.1080/13645706.2025.2481394

Jan-Willem Klok, Masie Rahimi, Sem Hardon, Roelf Postema, Jaap Bonjer, Freek Daams, Jenny Dankelman, Tim Horeman

{"title":"The impact of simulated intra-abdominal movement on basic laparoscopic skills development: a feasibility study.","authors":"Jan-Willem Klok, Masie Rahimi, Sem Hardon, Roelf Postema, Jaap Bonjer, Freek Daams, Jenny Dankelman, Tim Horeman","doi":"10.1080/13645706.2025.2481394","DOIUrl":"https://doi.org/10.1080/13645706.2025.2481394","url":null,"abstract":"Background: Laparoscopic surgery requires a complex set of motor skills. Currently, basic laparoscopic skills training is performed in a static environment, while intraoperatively, abdominal tissue is often moving. The aim of this study was to develop a dynamic training platform and evaluate its impact on laparoscopic skills acquisition in a box trainer.Methods: The Dynamic Laparoscopic Platform (DyLaP) includes a moving base which has been intergrated with the Lapron box trainer and the ForceSense objective measurement system. Dynamic training was evaluated in a comparative study where novices were divided into a static and dynamic training group, performing six training trials of a peg transfer task with the DyLaP. Afterwards, both groups performed a dynamic exam task. Task manipulation (force) and instrument efficiency (path length and time) were measured.Results: Participants (n = 12) exhibited a significant difference (p < 0.05) in time, path length, and maximum force between the static and dynamic groups in the first trial. Learning curves were most prevalent in the dynamic group.Conclusions: The DyLaP can be used to provide a challenging and realistic training environment. From the comparative peg transfer study, it can be concluded that dynamic training significantly affects laparoscopic skill acquisition. More research is needed to evaluate dynamic training effects in force-based training tasks.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A novel robotic technique for creating the retrosternal route in gastric conduit reconstruction. 一种新型机器人技术在胃导管重建中创建胸骨后路径。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-03-13 DOI: 10.1080/13645706.2025.2475122

Toshikatsu Tsuji, Noriyuki Inaki, Kenta Doden, Saki Hayashi, Hiroto Saito, Takahisa Yamaguchi, Daisuke Yamamoto, Koichi Okamoto, Hideki Moriyama, Jun Kinoshita

{"title":"A novel robotic technique for creating the retrosternal route in gastric conduit reconstruction.","authors":"Toshikatsu Tsuji, Noriyuki Inaki, Kenta Doden, Saki Hayashi, Hiroto Saito, Takahisa Yamaguchi, Daisuke Yamamoto, Koichi Okamoto, Hideki Moriyama, Jun Kinoshita","doi":"10.1080/13645706.2025.2475122","DOIUrl":"https://doi.org/10.1080/13645706.2025.2475122","url":null,"abstract":"Background: The optimal reconstruction route after esophagectomy remains controversial. The retrosternal route has the advantage of a lower risk of fatal complications. However, the blind maneuver to create a retrosternal route may cause bleeding and pleural injury. Herein, we report a novel robotic technique for creating a retrosternal route.Methods: This study included 43 consecutive patients with esophageal cancer who underwent robot-assisted minimally invasive esophagectomy with robotic retrosternal route reconstruction between April 2021 and December 2023. Clinicopathological findings and perioperative outcomes, including the time required to create the retrosternal route, were retrospectively analyzed. The creation times were also compared among surgeons.Results: The median age and body mass index of the patients were 68 years (range: 46-80) and 21.4 kg/m2 (range: 16.6-30.2 kg/m2), respectively. Twenty-six patients (60%) received neoadjuvant chemotherapy. The median time to create the retrosternal route was nine minutes (range, 5-14 min). No cases showed pleural injury or postoperative hemorrhage associated with this procedure. There was no significant difference in the time taken to create the retrosternal route between the four surgeons (p = 0.434).Conclusions: Robotic creation of a retrosternal route for gastric conduit reconstruction is simple, easy to learn, and results in a safe and feasible procedure.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0