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

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

Can near-infrared imaging distinguish a gelatin-based matrix granuloma from a malignancy in a kidney? 近红外成像能区分明胶基质肉芽肿和肾脏恶性肿瘤吗？

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2272968

Burak Koseoglu, Ali Yasin Ozercan, Aysel Colak, Serdar Basboga, Altug Tuncel

引用次数: 0

Comparison of RLP and PCNL for large pelvis calculi with CKD. 比较 RLP 和 PCNL 对患有慢性肾脏病的大型盆腔结石的治疗效果。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-02-01 Epub Date: 2024-02-02 DOI: 10.1080/13645706.2023.2286241

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

{"title":"Comparison of RLP and PCNL for large pelvis calculi with CKD.","authors":"Shushang Chen, Jin Chen, Jianping Zhang, Kuanyin Wang, Junjie Wei, Mingfang Weng, Lingfeng Zhu","doi":"10.1080/13645706.2023.2286241","DOIUrl":"10.1080/13645706.2023.2286241","url":null,"abstract":"Objectives: To compare the effect and safety of retroperitoneal laparoscopic pyelolithotomy (RLP) and percutaneous nephrolithotomy (PCNL) for large pelvis calculi with chronic kidney disease (CKD).Material and methods: Between June 2017 and July 2021, 62 patients with CKD and large renal pelvis calculi (>4 cm2) were treated with RLP. Another 62 patients receiving PCNL served as controls. The perioperative parameters were compared. All patients were followed up for at least 6 months with the stone-free rate and the recovery of renal function evaluated.Results: Significantly longer operation time (101.47 ± 9.25 vs 62.55 ± 7.54 min), less drop in hemoglobin level (0.90 ± 0.38 vs 2.13 ± 0.80 g/dl), staged operations (0% vs 12.9%), postoperative fever (3.23% vs 16.13%) and delayed bowel movement (3.23% vs 14.52), and shorter hospitalization time (3.90 ± 1.66 vs 4.72 ± 1.80 days) were observed in the RLP group (p < 0.05). The stone-free rates were 100% in the RLP group and 88.7% in the PCNL group at the 3-months follow-up (p < 0.05). The serum creatinine level was significantly lower in the RLP group at 24 h (2.81 ± 1.18 vs 3.00 ± 1.15 mg/dl) and 1 week (2.08 ± 1.13 vs 2.34 ± 1.01 mg/dl) postoperatively (p < 0.05).Conclusions: Although associated with a longer operation time, RLP is a safer and more efficient surgical option for CKD patients with large pelvic stones than PCNL.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"51-57"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040241","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 discrete linkage-type electrode for radiofrequency-induced intestinal anastomosis 用于射频诱导肠吻合术的新型离散连接型电极

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-01-14 DOI: 10.1080/13645706.2023.2291439

Zhongxin Hu, Lin Mao, Xuyan Liu, Xupo Xing, Linying Zhang, Quan Zhou, Chengli Song

引用次数: 0

Novices’ learning curve in single-port surgery using three surgical training programs 新手通过三种外科培训计划学习单孔手术的曲线

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-18 DOI: 10.1080/13645706.2023.2293917

Damaris Areli García-Cabra, Salvador Montoya-Alvarez, Ricardo Manuel Ordorica-Flores, Luis Ochoa-Toledo, Daniel Lorias-Espinoza, Fernando Pérez-Escamirosa

引用次数: 0

Hysteroscopy and weight loss in treatment of endometrial cancer: case report and literature review 治疗子宫内膜癌的宫腔镜检查和减肥：病例报告和文献综述

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-18 DOI: 10.1080/13645706.2023.2294993

Alessandra Gallo, Rossella D’alisa, Attilio Di Spiezio Sardo, Serena Guerra, Giovanna Berardi, Salvatore Giovanni Vitale, Mario Palumbo, Pasquale Cretella, Stefano Angioni, Giuseppe Bifulco, Mario Musella

引用次数: 0

Clinical application of novel integrated suctioning semi-rigid ureteroscopic lithotripsy. 新型集成抽吸式半刚性输尿管镜碎石术的临床应用。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-06-27 DOI: 10.1080/13645706.2023.2225599

Qiliang Zhai, Jianqiang Zhang, Qiang Wei, Min Zeng, Leming Song, Yifan Zhang, Maierhaba Maheremu, Mayao Luo, Zhuofan Xu, Difu Fan

{"title":"Clinical application of novel integrated suctioning semi-rigid ureteroscopic lithotripsy.","authors":"Qiliang Zhai, Jianqiang Zhang, Qiang Wei, Min Zeng, Leming Song, Yifan Zhang, Maierhaba Maheremu, Mayao Luo, Zhuofan Xu, Difu Fan","doi":"10.1080/13645706.2023.2225599","DOIUrl":"10.1080/13645706.2023.2225599","url":null,"abstract":"Introduction: Urinary calculi are frequently encountered in urology. Traditionally, the lack of a perfect water injection and drainage system means the observation field is affected during ureteroscopy. Here, we explored the effect and clinical value of a new integrated suctioning semi-rigid ureteroscopic lithotripsy (URSL) for treating ureteral calculi.Material and methods: A total of 180 patients were successfully enrolled in this study (60 in each group). Group A included patients who underwent a traditional semi-rigid URSL, group B included patients who underwent a suctioning semi-rigid URSL with a sheath being connected to a vacuum device, and group C included patients who underwent a new type of suctioning integrated rigid URSL with a novel designed ureteroscope.Results: In total, 164 cases of URSL were completed in one stage. Compared with group A, group C had a higher stone-clearance rate at 30 days postoperatively, shorter operation time, and fewer hospitalization days (p < .05); compared with group B, group C had a higher one-stage operation success rate, shorter operation time, and fewer hospitalization days (p < .05).Conclusions: Comparatively, the new suctioning integrated semi-rigid URSL is advantageous for treating upper urinary calculi, considering the reduced operation time, length of hospital stay, and low invasiveness.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"314-322"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9689862","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