{"title":"Preoperative localization for pulmonary nodules: a meta-analysis of coil and liquid materials.","authors":"Zhen-Hua Sun, Hui Cheng, Jie Su, Qing-Lan Sun","doi":"10.1080/13645706.2024.2337073","DOIUrl":"10.1080/13645706.2024.2337073","url":null,"abstract":"<p><strong>Purpose: </strong>This study was designed to conduct pooled comparisons of the relative clinical efficacy and safety of computed tomography (CT)-guided localization for pulmonary nodules (PNs) using either coil- or liquid material-based approaches.</p><p><strong>Material and methods: </strong>Relevant articles published as of July 2023 were identified in the Web of Science, PubMed, and Wanfang databases, and pooled analyses of relevant endpoints were then conducted.</p><p><strong>Results: </strong>Six articles that enrolled 287 patients (341 PNs) and 247 patients (301 PNs) that had respectively undergone CT-guided localization procedures using coil- and liquid material-based approaches prior to video-assisted thoracic surgery (VATS) were included in this meta-analysis. The liquid material group exhibited a significantly higher pooled successful localization rate as compared to the coil group (<i>p</i> = 0.01), together with significantly lower pooled total complication rates (<i>p</i> = 0.0008) and pneumothorax rates (<i>p</i> = 0.01). Both groups exhibited similar rates of pulmonary hemorrhage (<i>p</i> = 0.44) and successful wedge resection (<i>p</i> = 0.26). Liquid-based localization was also associated with significant reductions in pooled localization and VATS procedure durations (<i>p</i> = 0.004 and 0.007).</p><p><strong>Conclusions: </strong>These data are consistent with CT-guided localization procedures performed using liquid materials being safer and more efficacious than coil-based localization in patients with PNs prior to VATS resection.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"270-277"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864288","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}
{"title":"Comparison of splenic embolization and splenectomy for traumatic splenic rupture: a meta-analysis.","authors":"Feng-Fei Xia, Quan-Kui Li, Yi Zhang","doi":"10.1080/13645706.2024.2372308","DOIUrl":"10.1080/13645706.2024.2372308","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to assess the safety and clinical efficacy of percutaneous splenic embolization (PSE) and splenectomy as approaches to treating cases of traumatic splenic rupture (TSR).</p><p><strong>Material and methods: </strong>Eligible articles published throughout August 2023 were identified. Endpoints compared between PSE and splenectomy patient groups included operative time, intraoperative hemorrhage, duration of hospitalization, postoperative complication rates, and measures of immune function.</p><p><strong>Results: </strong>Thirteen studies, involving 474 and 520 patients in the PSE and splenectomy groups respectively, were incorporated into this meta-analysis. As compared to the splenectomy group, individuals treated <i>via</i> PSE exhibited a significant reduction in pooled operative time (<i>p</i> < 0.00001) and hospitalization duration (<i>p</i> < 0.00001), with corresponding reductions in rates of intraoperative hemorrhage (<i>p</i> < 0.00001), total complications (<i>p</i> < 0.0001), incisional infection (<i>p</i> < 0.0001), ileus (<i>p</i> = 0.0004), and abdominal infection (<i>p</i> = 0.02). The immune status of these PSE group patients was also improved, as evidenced by significantly higher pooled CD4<sup>+</sup> (30 days), CD4<sup>+</sup>/CD8<sup>+</sup> (30 days), and CD3<sup>+</sup> (30 days) values (<i>p</i> < 0.0001, 0.0001, and 0.0001, respectively).</p><p><strong>Conclusions: </strong>Compared to splenectomy, PSE-based TSR treatment can significantly reduce operative time, rate of postoperative complications, and incidence of intraoperative hemorrhage, while improving post-procedural immune functionality.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"278-286"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458000","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}
Carlo Alberto Ammirati,Alberto Arezzo,Clara Gaetani,Giulio Antonio Strazzarino,Riccardo Faletti,Laura Bergamasco,Francesca Barisone,Paolo Fonio,Mario Morino
{"title":"Can we apply the concept of sentinel lymph node in rectal cancer surgery?","authors":"Carlo Alberto Ammirati,Alberto Arezzo,Clara Gaetani,Giulio Antonio Strazzarino,Riccardo Faletti,Laura Bergamasco,Francesca Barisone,Paolo Fonio,Mario Morino","doi":"10.1080/13645706.2024.2404046","DOIUrl":"https://doi.org/10.1080/13645706.2024.2404046","url":null,"abstract":"INTRODUCTIONColorectal cancer remains one of the most common causes of cancer-related mortality worldwide, and lymph node staging is crucial in the diagnostic and therapeutic process. Sentinel lymph nodes are the first involved in this process, but their validity in colorectal surgery has not yet been established. Following the emergence of new imaging instrumentation, some authors have attempted to propose different techniques for lymph node identification. However, a clear pattern of mesorectal lymph node distribution relative to the primary lesion site has yet to be defined.MATERIAL AND METHODSOur analysis retrospectively reviewed suspicious mesorectal pathological lymph nodes on pre-operative magnetic resonance imaging (MRI) of rectal cancer patients, in order to assess the distribution patterns of possible tumour-related rectal lymph nodes. Mesorectal space was subdivided into quadrants and levels, and morphological features and distances from the lymph node to the primary rectal tumour were recorded.RESULTSTwo hundred and fifty-five mesorectal lymph nodes distributed among 60 patients were collected. Results show that in 92.1% of cases, nodes were distributed in the same mesorectal quadrant as the rectal primary tumour, and in 88.5% of cases, they were found at the same level as the rectal primary tumour.CONCLUSIONSAlthough a clear node distribution pattern was not established, these results may suggest at least a lymphatic drainage preference lane, worthy of further investigation.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":"18 1","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260836","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}
{"title":"Comparison of endoscopic resection therapies for rectal neuroendocrine tumors.","authors":"Meijiao Lu, Hongxia Cui, Mingjie Qian, Yating Shen, Jianhong Zhu","doi":"10.1080/13645706.2024.2330580","DOIUrl":"10.1080/13645706.2024.2330580","url":null,"abstract":"<p><strong>Aims: </strong>This study was to evaluate and compare the efficacy and safety of endoscopic mucosal resection (EMR), clip-and-snare assisted endoscopic mucosal resection (CS-EMR), and endoscopic submucosal dissection (ESD) for the endoscopic resection of rectal NETs.</p><p><strong>Material and methods: </strong>A retrospective analysis was performed on 47 patients with rectal NETs who underwent endoscopic treatment in The Second Affiliated Hospital of Soochow University. Manifestations of clinic pathological characteristics, complications, procedure time and hospitalization costs were studied.</p><p><strong>Results: </strong>The complete resection rates with CS-EMR and ESD were significantly higher than those with EMR (CS-EMR vs. EMR, <i>p</i> = 0.038; ESD vs. EMR, <i>p</i> = 0.04), but no significant difference was found between the CS-EMR and ESD groups (<i>p</i> = 0.383). The lateral margin was less distant in the CS-EMR group than in the ESD group and there was no difference with regard to vertical margin (lateral margin distance, 1500 ± 3125 vs.3000 ± 3000 μm; vertical margin distance, 400 ± 275 vs.500 ± 500 μm). Compared to ESD, CS-EMR required less operation time (<i>p</i> < 0.01) and money (<i>p</i> < 0.01) and reduced the length of hospital stays (<i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>The CS-EMR technique is more effective and efficient than EMR for small rectal NETs. In addition, CS-EMR reduces procedure time, duration of post-procedure hospitalization and decreases patients' cost compared to ESD while ensuring sufficient vertical margin distances.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"207-214"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865060","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}
{"title":"Application of a laparoscopic device for cell-derived sheet transplantation on the liver in a porcine model.","authors":"Keisuke Toya, Yoshito Tomimaru, Shogo Kobayashi, Kiyokazu Nakajima, Akima Harada, Kazuki Sasaki, Yoshifumi Iwagami, Daisaku Yamada, Takehiro Noda, Hidenori Takahashi, Koichi Hayakawa, Isamu Matsuda, Takahiro Naka, Shigeru Miyagawa, Yuichiro Doki, Hidetoshi Eguchi","doi":"10.1080/13645706.2024.2328610","DOIUrl":"10.1080/13645706.2024.2328610","url":null,"abstract":"<p><strong>Background: </strong>Cell-derived sheets are of global interest for regenerative therapy. Transplanting a sheet for abdominal organs requires a device for laparoscopic delivery to minimize invasiveness. Here, using a porcine model, we aimed to confirm the feasibility of a device developed to deliver sheets to the thoracic cavity in a laparoscopic transplantation procedure.</p><p><strong>Material and methods: </strong>We used the device to transplant human skeletal myoblast cell sheets onto the liver and measured extra-corporeal, intra-abdominal, and total procedure times for sheet transplantation. Tissues, including the liver and the sheet, were collected two days after transplantation and analyzed histologically.</p><p><strong>Results: </strong>In all experiments (<i>n</i> = 27), all sheets were successfully placed at target locations. The mean (± standard deviation) extra-corporeal, intra-abdominal, and total procedure times were 44 ± 29, 33 ± 12, and 77 ± 36 s, respectively. We found no difference between the two surgeons in procedure times. Histological analyses showed no liver damage with the transplantation and that sheets were transplanted closely onto the liver tissue without gaps.</p><p><strong>Conclusion: </strong>We confirmed the feasibility of a simple universal device to transplant cell-derived sheets <i>via</i> laparoscopic surgery. This device could support a minimally invasive procedure for sheet transplantation.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"245-251"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864602","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}
Dongzi Peng, Xingcen Chen, Yuyong Tan, Liang Lv, Hongyi Zhu, Rong Li, Deliang Liu
{"title":"Safety and efficacy of ESD for laterally spreading tumors with hemorrhoids close to the dentate line.","authors":"Dongzi Peng, Xingcen Chen, Yuyong Tan, Liang Lv, Hongyi Zhu, Rong Li, Deliang Liu","doi":"10.1080/13645706.2024.2320380","DOIUrl":"10.1080/13645706.2024.2320380","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic submucosal dissection (ESD) is a curative treatment for laterally spreading tumors (LSTs). However, the outcomes of ESD for LSTs with hemorrhoids remain largely unknown. Our study aimed to evaluate the usefulness of ESD in managing LSTs with hemorrhoids.</p><p><strong>Material and methods: </strong>We retrospectively collected 418 consecutive LST patients treated with ESD between 2011 and 2023. A retrospective comparative analysis was conducted.</p><p><strong>Results: </strong>There were 85 patients included in the hemorrhoids group and 333 patients included in the other group. The en-bloc resection rate, R0 resection rate, and curative resection rate were comparable in these two groups (<i>p</i> > 0.05). The LSTs with hemorrhoids have a significantly higher intraoperative bleeding rate during ESD when compared to the other group (12.9% <i>vs.</i> 5.4%, <i>p</i> = 0.028). Rates of intraoperative perforation and anal pain in the hemorrhoid group were significantly higher than those in the no-hemorrhoid group (2.4% <i>vs.</i> 0%, <i>p</i> = 0.041; 9.4% vs.0.6%, <i>p</i> < 0.001; respectively). Moreover, most of the related manifestations caused by hemorrhoids were relieved to various degrees after ESD.</p><p><strong>Conclusions: </strong>ESD is a safe and effective treatment strategy for LSTs with hemorrhoids. A multi-center and prospective study should be conducted in the future to validate our results.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"215-223"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119967","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}
Marco Maria Lirici, Giovanni Dapri, Cristiano G S Huescher, John Marks
{"title":"Laparoscopic right colectomy: correct technique based on key anatomical principles.","authors":"Marco Maria Lirici, Giovanni Dapri, Cristiano G S Huescher, John Marks","doi":"10.1080/13645706.2024.2332880","DOIUrl":"10.1080/13645706.2024.2332880","url":null,"abstract":"<p><p>Since the early1990s, laparoscopic right colon resections have been the most performed advanced laparoscopic procedures just after laparoscopic left colectomies and sigmoid resections. Indications for laparoscopic right colectomies are either benign or malignant diseases. Despite its many indications, a laparoscopic right or extended right colectomy is mostly performed for cancer of the caecum, the ascending colon, the hepatic flexure or the proximal transverse colon. Worldwide, colorectal cancer is the third most diagnosed cancer: an estimated 1,880,725 people were diagnosed with colorectal cancer in 2020, out of which 1,148,515 were colon cancer cases and 40% were located in the right colon. These figures make an oncologic sound surgery for right colon cancer of the utmost relevance. More recently, complete mesocolic excision has been advocated as the optimal choice in term of radicality, especially in node-positive patients with right colon cancer. Laparoscopic standard right colectomy and extended right colectomy with or without CME should be performed according to defined principles based on a close knowledge of key anatomical landmarks. This knowledge will allow to trace anatomical structures and drive instruments along the correct surgical planes and has its foundations in teachings from surgeons and scientists of past and present time.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"187-199"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865033","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}
{"title":"Innovative device for surgical wound irrigation: a preclinical testing and pilot clinical validation study.","authors":"Yoshinori Hayashi, Takehiro Noda, Yasutaka Samizo, Kenji Fujimoto, Eiji Uemoto, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Kazuyoshi Yamamoto, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Shogo Kobayashi, Hidetoshi Eguchi, Yuichiro Doki, Kiyokazu Nakajima","doi":"10.1080/13645706.2024.2317196","DOIUrl":"10.1080/13645706.2024.2317196","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical site infection (SSI) poses a substantial postoperative challenge, affecting patient recovery and healthcare costs. While surgical wound irrigation is pivotal in SSI reduction, consensus on the optimal method remains elusive. We developed a novel device for surgical wound irrigation and conducted preclinical and clinical evaluations to evaluate its efficacy and safety.</p><p><strong>Methods: </strong>Two preclinical experiments using swine were performed. In the washability test, two contaminated wound model were established, and the cleansing rate between the device and the conventional method were compared. In the contamination test, the irrigation procedure with a fluorescent solution assessed the surrounding contamination of drapes. Subsequently, a clinical trial involving patients undergoing abdominal surgery was conducted.</p><p><strong>Results: </strong>The washability test demonstrated significantly higher cleansing rates with the device method (86.4% and 82.5%) compared to the conventional method (65.2% and 65.1%) in two contamination models. The contamination test revealed a smaller contaminated region with the device method than the conventional method. In the clinical trial involving 17 abdominal surgery cases, no superficial SSIs or adverse events related to device use were observed.</p><p><strong>Conclusions: </strong>Our newly developed device exhibits potential for achieving more effective and safe SSI control compared to conventional wound irrigation.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"200-206"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900214","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}
{"title":"Effect of iodized oil embolization on temperature change during cryoablation for renal cell carcinoma.","authors":"Nai-Wen Chang, Chien-An Liu, Jia-An Hong, Shu-Huei Shen","doi":"10.1080/13645706.2024.2326019","DOIUrl":"10.1080/13645706.2024.2326019","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to evaluate the effect of transcatheter arterial embolization (TAE) with iodized oil (Lipiodol) on temperature change during cryoablation (CA) for renal cell carcinoma (RCC).</p><p><strong>Material and methods: </strong>We retrospectively reviewed patients receiving CA for RCC from February 2020 to July 2021, including those who received Lipiodol TAE prior to CA (TAE group) and those who underwent only CA with comparable clinical and tumor characteristics (non-TAE group). Clinical data and tumor characteristics of both groups were recorded. The temperature readings of each cryoprobe at every 15 s and 'time to -100 °C' were compared between the groups.</p><p><strong>Results: </strong>A total of 17 patients with 18 RCCs were recruited (seven in the TAE group and 11 in the non-TAE group). The 'time to -100 °C' was significantly longer in the TAE group than in the non-TAE group (64.5 ± 24.3 s vs. 48.8 ± 9.7 s, <i>p</i> = 0.018). Positive correlation between 'time to -100 °C' and tumor maximal diameter, RENAL nephrometry and PADUA score were observed in the non-TAE group, while no corresponding correlation was found in the TAE group.</p><p><strong>Conclusions: </strong>Pre-embolization with iodized oil influences the temporal temperature changes during cryoablation by disrupting the positive correlation between the time to reach the target temperature and tumor characteristics.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"237-244"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140140457","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}