Minimally Invasive Therapy & Allied Technologies最新文献

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The effect of peritoneal flap fixation with curling technique on postoperative lymphocele formation in robot-assisted radical prostatectomy. 用卷曲技术固定腹膜瓣对机器人辅助前列腺癌根治术术后淋巴结形成的影响
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-11-15 DOI: 10.1080/13645706.2024.2429069
Ali Serdar Gozen, Samet Senel, Antonios Koudonas, Fabrizio Dal Moro, Jens Rassweiler
{"title":"The effect of peritoneal flap fixation with curling technique on postoperative lymphocele formation in robot-assisted radical prostatectomy.","authors":"Ali Serdar Gozen, Samet Senel, Antonios Koudonas, Fabrizio Dal Moro, Jens Rassweiler","doi":"10.1080/13645706.2024.2429069","DOIUrl":"10.1080/13645706.2024.2429069","url":null,"abstract":"<p><strong>Background: </strong>In robot-assisted radical prostatectomy (RARP), the peritoneal edges isolate the extended pelvic lymph node dissection bed from the peritoneal cavity. We studied the effect of peritoneal re-configuration through peritoneal flap fixation (PFF) with curling technique on lymphocele development.</p><p><strong>Method: </strong>We included 2087 patients who underwent RARP between 2010 and 2022. Two hundred and thirty patients whose operation was performed using the PFF with curling technique were matched in a 1:1 ratio with non-PFF patients based on age, body mass index, initial prostate-specific antigen, and number of removed lymph nodes. Demographic, clinical, intraoperative and postoperative characteristics were collected. Complications were classified using the Clavien-Dindo system and the presence of lymphocele was documented.</p><p><strong>Results: </strong>The two groups were similar in respect to matching parameters. Fifteen (6.5%) patients in the non-PFF group and two (0.9%) patients in the PFF group suffered from symptomatic lymphocele with symptoms such as abdominal pain, fever, lower extremity and/or genital oedema (<i>p</i> = 0.001). Asymptomatic lymphocele was diagnosed by ultrasonography in 19 (8.3%) patients in the non-PFF group and eight (3.5%) patients in the PFF group (<i>p</i> = 0.029).</p><p><strong>Conclusion: </strong>The results of our study support this concept by providing solid indications of the clinical benefits and safety of PFF with the curling technique.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622364","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 : 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":"https://doi.org/10.1080/13645706.2024.2418410","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Material and methods: </strong>Between January 2016 and August 2021, 17 patients underwent concomitant aortic valve replacement and right coronary artery bypass grafting by right anterior thoracotomy.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Combined aortic valve replacement and right coronary artery bypass grafting through right anterior thoracotomy is reliable and reproducible in selected patients.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2024-11-08","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
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 : 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":"https://doi.org/10.1080/13645706.2024.2423250","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2024-11-05","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
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 : 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":"https://doi.org/10.1080/13645706.2024.2422830","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The use of NBI hysteroscopy in treating symptomatic PCSD resulted in shorter menstrual bleeding days and longer symptomatic remission compared to conventional WL hysteroscopy.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","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
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 : 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":"<i>Unus Pro omnibus, omnes Pro uno</i>: 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":"https://doi.org/10.1080/13645706.2024.2418380","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2024-10-23","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
AI-KODA score application for cleanliness assessment in video capsule endoscopy frames. AI-KODA 评分应用于视频胶囊内窥镜检查框架的清洁度评估。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI: 10.1080/13645706.2024.2390879
Palak Handa, Nidhi Goel, Sreedevi Indu, Deepak Gunjan
{"title":"AI-KODA score application for cleanliness assessment in video capsule endoscopy frames.","authors":"Palak Handa, Nidhi Goel, Sreedevi Indu, Deepak Gunjan","doi":"10.1080/13645706.2024.2390879","DOIUrl":"10.1080/13645706.2024.2390879","url":null,"abstract":"<p><strong>Background: </strong>Currently, there is no automated method for assessing cleanliness in video capsule endoscopy (VCE). Our objectives were to automate the process of evaluating and collecting medical scores of VCE frames according to the existing KOrea-CanaDA (KODA) scoring system by developing an easy-to-use mobile application called artificial intelligence-KODA (AI-KODA) score, as well as to determine the inter-rater and intra-rater reliability of the KODA score among three readers for prospective AI applications, and check the efficacy of the application.</p><p><strong>Method: </strong>From the 28 patient capsule videos considered, 1539 sequential frames were selected at five-minute intervals, and 634 random frames were selected at random intervals during small bowel transit. The frames were processed and shifted to AI-KODA. Three readers (gastroenterology fellows), who had been trained in reading VCE, rated 2173 frames in duplicate four weeks apart after completing the training module on AI-KODA. The scores were saved automatically in real time. Reliability was assessed for each video using estimate of intra-class correlation coefficients (ICCs). Then, the AI dataset was developed using the frames and their respective scores, and it was subjected to automatic classification of the scores <i>via</i> the random forest and the k-nearest neighbors classifiers.</p><p><strong>Results: </strong>For sequential frames, ICCs for inter-rater variability were 'excellent' to 'good' among the three readers, while ICCs for intra-rater variability were 'good' to 'moderate'. For random frames, ICCs for inter-rater and intra-rater variability were 'excellent' among the three readers. The overall accuracy achieved was up to 61% for the random forest classifier and 62.38% for the k-nearest neighbors classifier.</p><p><strong>Conclusions: </strong>AI-KODA automates the process of scoring VCE frames based on the existing KODA score. It saves time in cleanliness assessment and is user-friendly for research and clinical use. Comprehensive benchmarking of the AI dataset is in process.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"311-320"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976082","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
From 3D to 2D-4K laparoscopic sacral colpopexy: are we addicted to technology? 从 3D 到 2D-4K 腹腔镜骶骨阴道成形术:我们对技术上瘾了吗?
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-04-22 DOI: 10.1080/13645706.2024.2343855
Andrea Morciano, Giuseppe Marzo, Michele Carlo Schiavi, Marzio Angelo Zullo, Matteo Frigerio, Andrea Tinelli, Mauro Cervigni, Giovanni Scambia
{"title":"From 3D to 2D-4K laparoscopic sacral colpopexy: are we addicted to technology?","authors":"Andrea Morciano, Giuseppe Marzo, Michele Carlo Schiavi, Marzio Angelo Zullo, Matteo Frigerio, Andrea Tinelli, Mauro Cervigni, Giovanni Scambia","doi":"10.1080/13645706.2024.2343855","DOIUrl":"10.1080/13645706.2024.2343855","url":null,"abstract":"<p><strong>Objective: </strong>A study analyzing perioperative outcomes related to a sudden switch from 3D to 2D-4K technology for laparoscopic sacral colpopexy by expert pelvic surgeons: are we addicted to technology?</p><p><strong>Material and methods: </strong>After a sudden transition from 3D to 2D-4K laparoscopic technology, a total of 115 consecutive pelvic prolapse patients who underwent sacral colpopexy from June 2020 to September 2021 were retrospectively assessed from our database. Perioperative parameters, operative times (OT), and intraoperative difficulty scales were assessed. One-year follow-ups were analyzed for the study. Primary endpoints were OT; secondary endpoint was the evaluation of complications linked to this procedure.</p><p><strong>Results: </strong>We found statistical differences in OT and intraoperative difficulty scales between medians of the last 3D procedures and the first ten 2D-4K surgeries, without differences between operators. Only after more than 20 surgeries, we observed no significant differences between 3D and 2D-4K sacral colpopexy. We observed no statistical differences in terms of anatomic failure, PGI-I, and intra-postoperative complications.</p><p><strong>Conclusion: </strong>The transition of urogynecology from an exclusive vaginal approach to 2D-3D-4K laparoscopy significantly increased the level of technology necessary for surgical treatment of prolapse. This could, as a result, lead to pelvic surgeons becoming increasingly dependent on technology.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"295-301"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866665","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
Systematic use of intraureteral indocyanine green: a game changer in endometriosis surgery. A proof-of-concept study. 系统性使用输尿管内吲哚菁绿:子宫内膜异位症手术的变革者。概念验证研究。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.1080/13645706.2024.2386658
Gabriele Centini, Irene Colombi, Alberto Cannoni, Nassir Habib, Matteo Giorgi, Alessandro Ginetti, Lucia Lazzeri, Francesco Fedele, Errico Zupi, Francesco Giuseppe Martire
{"title":"Systematic use of intraureteral indocyanine green: a game changer in endometriosis surgery. A proof-of-concept study.","authors":"Gabriele Centini, Irene Colombi, Alberto Cannoni, Nassir Habib, Matteo Giorgi, Alessandro Ginetti, Lucia Lazzeri, Francesco Fedele, Errico Zupi, Francesco Giuseppe Martire","doi":"10.1080/13645706.2024.2386658","DOIUrl":"10.1080/13645706.2024.2386658","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis of the distal segment of the uterosacral ligament may lead to a displaced ureter in the surgical field and must be identified before safe disease excision can be carried out. The aim of this study is to investigate the benefit of the systematic use of preoperative intraureteral indocyanine green (ICG) fluorescence injection in patients undergoing endometriosis surgery.</p><p><strong>Method: </strong>In this proof-of-concept, monocentric, observational, cohort study data were prospectively collected and retrospectively analyzed. Patients underwent laparoscopic surgery for deep infiltrating endometriosis with suspected ureteral involvement between January 2022 and December 2023. Using the propensity score matching (PSM) in a 1:1 matching ratio, patients who underwent preoperative ICG injection were compared with those who did not in terms of ureterolysis length and duration, and operative time.</p><p><strong>Results: </strong>The mean length of ureterolysis was shorter in the ICG group compared to the non-ICG group (<i>p</i> < 0.001). The ICG group also had shorter ureterolysis duration (<i>p</i> < 0.001) and operative time (<i>p</i> = 0.02). No complications were reported at mean 6.8-month follow-up visit.</p><p><strong>Conclusions: </strong>The systematic use of intraureteral ICG prior to uterosacral ligaments endometriosis surgery may be safe and could assist in reducing the length of ureterolysis and operative time. Larger prospective studies are needed to confirm our findings.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"287-294"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902297","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
Laparoscopic and robotic surgery for colorectal cancer in older patients: a systematic review and meta-analysis. 针对老年患者结直肠癌的腹腔镜和机器人手术:系统综述和荟萃分析。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-06-30 DOI: 10.1080/13645706.2024.2360094
Carlo Alberto Ammirati, Roberto Passera, Elsa Beltrami, Chiara Peluso, Nader Francis, Alberto Arezzo
{"title":"Laparoscopic and robotic surgery for colorectal cancer in older patients: a systematic review and meta-analysis.","authors":"Carlo Alberto Ammirati, Roberto Passera, Elsa Beltrami, Chiara Peluso, Nader Francis, Alberto Arezzo","doi":"10.1080/13645706.2024.2360094","DOIUrl":"10.1080/13645706.2024.2360094","url":null,"abstract":"<p><strong>Introduction: </strong>As life expectancy has been increasing, older patients are becoming more central to the healthcare system, leading to more intensive care use and longer hospital stays. Nevertheless, advancements in minimally invasive surgical techniques offer safe and effective options for older patients with colorectal diseases. This study aims to provide comprehensive evidence on the role of minimally invasive surgery in treating colorectal diseases in older patients.</p><p><strong>Material and methods: </strong>All articles directly compared the minimally invasive approach with open surgery in patients aged ≥65 years. The present metanalysis took 30-day complications as primary outcomes. Length of hospital stay, readmission, and 30-day mortality were also assessed, as secondary outcomes. Further subgroup analyses were carried out based on surgery setting, lesion features, and location.</p><p><strong>Results: </strong>After searching the main databases, 84 articles were included. Evaluation of 30-day complications rate, length of hospital stay, and 30-day mortality significantly favored minimally invasive approaches. The outcome readmission did not show any significant difference.</p><p><strong>Conclusions: </strong>The current metanalysis demonstrates clear advantages of minimally invasive techniques over open surgery in colorectal procedures for older patients, particularly in reducing complications, mortality, and hospitalization. This suggests that prioritizing these techniques, based on available expertise and facilities, could improve outcomes and quality of care for older patients undergoing colorectal surgery.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"253-269"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141469374","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
Evaluation of the benefit of indocyanine green as an educational and practical tool for ureteral identification in laparoscopic pelvic surgery: a cross-sectional study. 评估吲哚菁绿作为腹腔镜盆腔手术输尿管识别的教育和实用工具的益处:一项横断面研究。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-07-12 DOI: 10.1080/13645706.2024.2376837
Aya Ramadan, Andrea Etrusco, Antonio D'Amato, Antonio Simone Laganà, Vito Chiantera, Christelle Zgheib, Hassan Shoucair, Warda Alakrah, Georges Yared, Zaki Sleiman
{"title":"Evaluation of the benefit of indocyanine green as an educational and practical tool for ureteral identification in laparoscopic pelvic surgery: a cross-sectional study.","authors":"Aya Ramadan, Andrea Etrusco, Antonio D'Amato, Antonio Simone Laganà, Vito Chiantera, Christelle Zgheib, Hassan Shoucair, Warda Alakrah, Georges Yared, Zaki Sleiman","doi":"10.1080/13645706.2024.2376837","DOIUrl":"10.1080/13645706.2024.2376837","url":null,"abstract":"<p><strong>Background: </strong>Indocyanine green (ICG) is a visible near-infrared fluorescent dye. Several studies have reported its benefit in identifying important anatomical structures, tissue vascularization, and sentinel lymph nodes in the case of tumors. Studies have shown that ICG is critical and safe in gynecologic surgeries. However, research on how ICG dye can help surgeons in laparoscopic surgeries correctly identify the course of the ureter has yet to be further investigated.</p><p><strong>Method: </strong>This cross-sectional study enrolled 62 gynecology attending and resident surgeons who were asked to identify the course of the ureter on images of laparoscopic surgeries. The results were then compared with images in which ICG dye highlighted the course of the ureter. The purpose of this study was to detect the ability of surgical assistants and residents to adequately identify the course of the ureter in laparoscopic pelvic surgeries.</p><p><strong>Results: </strong>No statistically significant differences were found in terms of year of residency, years of experience, number of laparoscopic procedures attended, and correct identification of ureter course. ICG proved useful in identifying the correct ureteral trajectory.</p><p><strong>Conclusions: </strong>ICG can be a valuable tool to improve the correct identification of ureters and improve surgical outcomes.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"302-310"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141600570","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}
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