Minimally Invasive Therapy & Allied Technologies最新文献_第8页

Robotic-assisted versus manual Uro Dyna-CT-guided puncture in an ex-vivo kidney phantom. 机器人辅助与手工Uro dyna - ct引导的离体肾幻影穿刺。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-04-01 Epub Date: 2023-12-04 DOI: 10.1080/13645706.2023.2289477

Britta Grüne, Ralph Burger, Dominik Bauer, Armin Schäfer, Andreas Rothfuss, Jan Stallkamp, Jens Rassweiler, Maximilian C Kriegmair, Marie-Claire Rassweiler-Seyfried

{"title":"Robotic-assisted versus manual Uro Dyna-CT-guided puncture in an ex-vivo kidney phantom.","authors":"Britta Grüne, Ralph Burger, Dominik Bauer, Armin Schäfer, Andreas Rothfuss, Jan Stallkamp, Jens Rassweiler, Maximilian C Kriegmair, Marie-Claire Rassweiler-Seyfried","doi":"10.1080/13645706.2023.2289477","DOIUrl":"10.1080/13645706.2023.2289477","url":null,"abstract":"Introduction and objectives: Challenging percutaneous renal punctures to gain access to the kidney requiring guidance by cross-sectional imaging. To test the feasibility of robotic-assisted CT-guided punctures (RP) and compare them with manual laser-guided punctures (MP) with Uro Dyna-CT (Siemens Healthcare Solutions, Erlangen, Germany).Material and methods: The silicon kidney phantom contained target lesions of three sizes. RP were performed using a robotic assistance system (guidoo, BEC GmbH, Pfullingen, Germany) with a robotic arm (LBR med R800, KUKA AG, Augsburg, Germany) and a navigation software with a cone-beam-CT Artis zeego (Siemens Healthcare GmbH, Erlangen, Germany). MP were performed using the syngo iGuide Uro-Dyna Artis Zee Ceiling CT (Siemens Healthcare Solutions). Three urologists with varying experience performed 20 punctures each. Success rate, puncture accuracy, puncture planning time (PPT), and needle placement time (NPT) were measured and compared with ANOVA and Chi-Square Test.Results: One hundred eighteen punctures with a success rate of 100% for RP and 78% for MP were included. Puncture accuracy was significantly higher for RP. PPT (RP: 238 ± 90s, MP: 104 ± 21s) and NPT (RP: 128 ± 40s, MP: 81 ± 18s) were significantly longer for RP. The outcome variables did not differ significantly with regard to levels of investigators' experience.Conclusion: The accuracy of RP was superior to that of MP. This study paves the way for first in-human application of this robotic puncture system.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"102-108"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478068","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

Editor Emeritus - Eiji Kanehira. 名誉编辑 - 金平英二'。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-04-01 Epub Date: 2024-03-13 DOI: 10.1080/13645706.2024.2329507

Alberto Arezzo

引用次数: 0

A novel electrode for reducing tissue thermal damage in radiofrequency-induced intestinal anastomosis. 在射频诱导肠吻合术中减少组织热损伤的新型电极。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-04-01 Epub Date: 2023-12-26 DOI: 10.1080/13645706.2023.2297774

Xupo Xing, Chengli Song

{"title":"A novel electrode for reducing tissue thermal damage in radiofrequency-induced intestinal anastomosis.","authors":"Xupo Xing, Chengli Song","doi":"10.1080/13645706.2023.2297774","DOIUrl":"10.1080/13645706.2023.2297774","url":null,"abstract":"Purpose: This study aimed to design a novel electrode for reducing tissue thermal damage in radiofrequency-induced intestinal anastomosis.Material and methods: We developed and compared two electrodes (Ring electrode, and Plum electrode with reduced section of the middle fusion area by nearly 80% arising from novel structural design) by performing ex-vivo experiments and finite element analysis.Results: In contrast to the Ring electrode group, slightly higher mean strength is acquired with the tensile force and burst pressure results increasing from 9.7 ± 1.47 N, 84.0 ± 5.99 mmHg to 11.1 ± 1.71 N, 89.4 ± 6.60 mmHg, respectively, as well as a significant reduction in tissue thermal damage for the Plum electrode group, with compression pressure of 20 kPa, RF energy of 120 W and welding duration of 8 s applied to the target regions to achieve anastomosis. Besides, the novel structural design of the Plum electrode can counteract the tension generated by intestinal peristalsis and enhance the biomechanical strength of the anastomotic area. The histological observation showed that the fusion area of the two-layer intestinal tissue is tightly connected with decreased thickness.Conclusion: The novel electrode (Plum electrode) could reduce tissue thermal damage in radiofrequency-induced intestinal anastomosis.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"80-89"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040240","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

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-03-04 DOI: 10.1080/13645706.2024.2323100

Pınar Yıldız, Esra Keles, Gazi Yıldız, Pınar Birol İlter, Rezzan Berna Temoçin, Celal Kaya, Emre Mat

引用次数: 0

Laparoscopic prostatectomy with complete urethral reconstruction for sexual active BPH patients. 性活跃性前列腺增生患者腹腔镜前列腺切除术加尿道重建。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2264390

Shushang Chen, Jin Chen, Jianping Zhang, Kuanyin Wang, Junjie Wei, Mingfang Weng, Lingfeng Zhu

{"title":"Laparoscopic prostatectomy with complete urethral reconstruction for sexual active BPH patients.","authors":"Shushang Chen, Jin Chen, Jianping Zhang, Kuanyin Wang, Junjie Wei, Mingfang Weng, Lingfeng Zhu","doi":"10.1080/13645706.2023.2264390","DOIUrl":"10.1080/13645706.2023.2264390","url":null,"abstract":"Objective: To describe our technique of transvesical laparoscopic simple prostatectomy (LSP) plus complete urethral reconstruction(CUR).Material and methods: From May 2019 to May 2021, 28 BPH patients with prostate volumes > 80 ml and the requirement to preserve the ejaculatory function (EF) received LSP plus CUR. Baseline demographics, pathology data, perioperative and postoperative complications, and functional outcomes were assessed. Data were analyzed with the Wilcoxon test.Results: The median prostate volume was 106 ml. All patients successfully underwent LSP with no intraoperative complications or conversions to open surgery. The median operative time was 146 min. A total of five Clavien-Dindo Grade1-2 postoperative complications were noted, including infection, prolonged urine leakage and cardiac arrhythmia. No patient reported postoperative urgent or stress urinary incontinence. Functional outcomes at one-year follow-up demonstrated significant improvement from baseline with median IPSS and Qmax (p both < 0.001). Compared with baseline, no significant difference was observed in IIEF and MSHQ-EjD-SF at 6 and 12 months postoperatively.Conclusions: Our data support transperitoneal-transvesical LSP plus CUR as a safe and effective surgical technique for treating BPH with large prostate adenoma, regardless of the volume of the median lobe, especially for patients requiring to preserve antegrade ejaculation.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"29-34"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398073","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 Heller-Dor myotomy in elderly achalasia patients: a single center experience with PSM analysis. 老年贲门失弛缓症患者的腹腔镜Heller-Dor肌切开术：PSM分析的单中心经验。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2261032

Giuseppe Palomba, Marianna Capuano, Francesca Pegoraro, Raffaele Basile, Marcella Pesce, Sara Rurgo, Eleonora Effice, Giovanni Sarnelli, Giovanni Domenico De Palma, Giovanni Aprea

{"title":"Laparoscopic Heller-Dor myotomy in elderly achalasia patients: a single center experience with PSM analysis.","authors":"Giuseppe Palomba, Marianna Capuano, Francesca Pegoraro, Raffaele Basile, Marcella Pesce, Sara Rurgo, Eleonora Effice, Giovanni Sarnelli, Giovanni Domenico De Palma, Giovanni Aprea","doi":"10.1080/13645706.2023.2261032","DOIUrl":"10.1080/13645706.2023.2261032","url":null,"abstract":"Introduction: Achalasia is a rare esophageal motility disorder of unknown etiology. With the ageing of the general population, treatment in elderly patients has become increasingly common; however, the gold standard treatment in this population remains unclear. The aim of this study was to evaluate the outcomes of laparoscopic Heller-Dor myotomy (LHM) in geriatric patients.Material and methods: In this study, consecutive achalasia patients undergoing LHM at the University Hospital 'Federico II' of Naples from November 2018 to November 2022 were prospectively enrolled. Patients were divided into two groups based on their age at intervention: elderly (≥70 years) and younger (<70 years). The two study groups were compared by minimizing the different distribution of covariates through a propensity score matching analysis (PSM).Results: In both populations, there was a significant improvement in terms of manometric parameters and symptoms after surgery. After applying one-on-one PSM, we obtained a total population of 48 achalasia patients divided into two groups (24 patients each). No significant differences were found in terms of demographic characteristics as well as preoperative and intraoperative variables between two groups. At 12 months from surgery, integrated relaxation pressure (IRP) was significantly lower in patients ≥ 70 years (p = 0.032), while younger patients scored significantly less at the post-operative Eckardt score (p = 0.047).Conclusions: Laparoscopic Heller-Dor myotomy is a safe and effective treatment even in elderly patients with rapid post-operative recovery, improvement of symptoms and manometric parameters.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"13-20"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41107040","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

Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review. 腹腔镜手术中传统和先进能量设备的效果：系统综述。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2274396

Melissa Abi Antoun, Andrea Etrusco, Vito Chiantera, Antonio Simone Laganà, Edwin Feghali, Aline Khazzaka, Guglielmo Stabile, Luigi Della Corte, Miriam Dellino, Zaki Sleiman

{"title":"Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review.","authors":"Melissa Abi Antoun, Andrea Etrusco, Vito Chiantera, Antonio Simone Laganà, Edwin Feghali, Aline Khazzaka, Guglielmo Stabile, Luigi Della Corte, Miriam Dellino, Zaki Sleiman","doi":"10.1080/13645706.2023.2274396","DOIUrl":"10.1080/13645706.2023.2274396","url":null,"abstract":"Introduction: Hemostasis is an important step in all surgical procedures. Mechanical methods of hemostasis have been gradually abandoned in favor of electrosurgery. The aim of this systematic review was to evaluate the effectiveness of electrosurgical instruments utilized in minimally invasive gynecological procedures.Material and methods: We performed a systematic review, including randomized controlled trials, prospective and retrospective studies, comparing the outcomes of different energy devices (EDs) used in laparoscopic gynecologic surgeries. We extracted data about blood loss (BL), mean operative time, post-operative pain, hospital stay and complications associated with each electrosurgical device.Results: We included 30 studies reporting comparative outcomes concerning conventional (bipolar and monopolar) and innovative EDs (Harmonic scalpel, LigaSure, Plasma kinetic gyrus, Thunderbeat, EnSeal, Marseal, Caiman and ALAN). New EDs were found to be more efficient in complex surgeries due to less intraoperative BL and shorter operative time. No significant decrease in hospital stay, post-operative pain or complications was found with the use of new energy instruments.Conclusions: Although new electrosurgical devices seem an appealing and safer option, there is still insufficient evidence for one vessel-sealing technology to be considered superior to another. Therefore, monopolar and conventional bipolar (CB) are still widely used in laparoscopic gynecology.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139074550","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

Gender equity in surgical instruments: ergonomics of ring-handled forceps. 手术器械中的性别平等：环柄钳子的人体工程学。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2261533

Emiko Kono, Sachiyo Nomura, Takashi Sakamoto, Kae Okoshi, Chie Tanaka, Ken Shirabe, Sang-Woong Lee, Yuko Kitagawa

{"title":"Gender equity in surgical instruments: ergonomics of ring-handled forceps.","authors":"Emiko Kono, Sachiyo Nomura, Takashi Sakamoto, Kae Okoshi, Chie Tanaka, Ken Shirabe, Sang-Woong Lee, Yuko Kitagawa","doi":"10.1080/13645706.2023.2261533","DOIUrl":"10.1080/13645706.2023.2261533","url":null,"abstract":"Introduction: Female surgeons have ergonomic issues with commercialized instruments tailored for male surgeons. The purpose of this study was to identify satisfaction levels and ergonomic problems of female surgeons while using laparoscopic forceps with ring-handles and suggest improvement measures.Material and methods: A questionnaire was sent to 19,405 members of the Japanese Society of Gastroenterological Surgery via email between 1 August 2022 and 30 September 2022. It included demographic information and specific questions regarding the use of laparoscopic forceps with ring- handles (ergonomic evaluation, influence of the negative aspects of laparoscopic forceps during surgery, physical discomfort in the hands and fingers, degree of satisfaction, and handle size).Results: Valid responses were received from 1,030 respondents (131 female and 899 male surgeons). The ergonomics of the laparoscopic forceps with ring-handles were rated lower by female surgeons in all ten categories (all p value < 0.05). They also reported a negative impact on surgical manipulation and discomfort to their hands and fingers.Conclusions: Female surgeons had a wide variety of ergonomic problems when using laparoscopic forceps with ring-handles, and showed lower levels of satisfaction. Developing a different model tailored to female surgeons with smaller hands and a weaker grip could be a viable solution.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"21-28"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146203","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

Perioperative proximal splenic artery embolization in cirrhotic patients with splenomegaly. 肝硬化脾肿大患者围手术期近端脾动脉栓塞治疗。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2275652

Hidenori Mitani, Keigo Chosa, Shota Kondo, Wataru Fukumoto, Kenji Kajiwara, Rika Yoshimatsu, Tomohiro Matsumoto, Takuji Yamagami, Kazuo Awai

{"title":"Perioperative proximal splenic artery embolization in cirrhotic patients with splenomegaly.","authors":"Hidenori Mitani, Keigo Chosa, Shota Kondo, Wataru Fukumoto, Kenji Kajiwara, Rika Yoshimatsu, Tomohiro Matsumoto, Takuji Yamagami, Kazuo Awai","doi":"10.1080/13645706.2023.2275652","DOIUrl":"10.1080/13645706.2023.2275652","url":null,"abstract":"Introduction: The purpose of this study was to determine the effect of proximal splenic artery embolization (SAE) in cirrhotic patients with splenomegaly who underwent surgical laparotomy.Material and methods: This retrospective observational study included 8 cirrhotic patients with splenomegaly. They underwent proximal SAE before- (n = 6) or after (n = 2) laparotomy. Vascular plugs or coils were placed in the proximal splenic artery. The diameter of the portal vein and the splenic volume were recorded. Clinical outcome assessments included platelet counts, the model for end-stage liver disease (MELD) score, and complications.Results: After embolization, the portal venous diameter was significantly smaller (pre: 13.6 ± 2.7 mm, post: 12.5 ± 2.3 mm, p = 0.023), the splenic volume was significantly decreased (pre: 463.2 ± 145.7 ml, post: 373.3 ± 108.5 ml, p = 0.008) and the platelet count was significantly higher (pre: 69.6 ± 30.8 × 103/μl, post: 86.8 ± 27.7 × 103/μl, p = 0.035). Before embolization, the median MELD score was 12; after embolization, it was 11 (p = 0.026). No patient developed post-treatment complications after embolization.Conclusions: The reduction of hypersplenism by perioperative proximal SAE may be safe and reduce the surgical risk in cirrhotic patients with splenomegaly.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"35-42"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424897","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

Study on early efficacy of UBED and PEID in the treatment of L5/S1 intervertebral disc herniation. UBED和PEID治疗L5/S1椎间盘突出症的早期疗效研究。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2278059

Xian He, Haidong Yin, Yantao Wang, Taibin Qiu, Kunhua Zeng, Juncheng Liu

{"title":"Study on early efficacy of UBED and PEID in the treatment of L5/S1 intervertebral disc herniation.","authors":"Xian He, Haidong Yin, Yantao Wang, Taibin Qiu, Kunhua Zeng, Juncheng Liu","doi":"10.1080/13645706.2023.2278059","DOIUrl":"10.1080/13645706.2023.2278059","url":null,"abstract":"Introduction: This study aimed to compare early efficacy of UBED and PEID in the treatment of L5/S1 IDH.Material and methods: Forty-two patients who underwent surgical treatment for L5/S1 IDH were divided into two groups: UBED and PEID. Operation time, complications, VAS/ODI score were recorded. MacNab evaluation was completed one and three months postoperatively.Results: All patients were successfully operated without infection, nerve injury, or huge hematoma in the spinal canal. There were no significant differences in operation time and hospitalization days between the two groups (p > 0.05). All patients were followed up after the operation and low back/leg pain was significantly reduced. VAS for low back pain, VAS for leg pain, ODI scores in both groups one and three months after the operation were significantly lower than pre-operation (p < 0.05). There were no significant differences between one and three months after the operation in both groups (p > 0.05). There were no significant differences in VAS for low back pain, leg pain, ODI score, and overall efficacy between the two groups one and three months post-operation (p > 0.05).Conclusion: UBED and PEID have very good early efficacy in treating L5/S1 IDH. Because UBED has a wider vision field and more flexible operation, it can be used as a useful complement to PEID.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"43-50"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72014698","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