Minimally Invasive Therapy & Allied Technologies最新文献_第9页

Utility and safety of robot-assisted radical cystectomy in older patients with bladder cancer. 老年膀胱癌患者接受机器人辅助根治性膀胱切除术的实用性和安全性。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-22 DOI: 10.1080/13645706.2023.2249986

Naotaka Kumada, Keita Nakane, Toyohiro Yamada, Risa Tomioka-Inagawa, Fumiya Sugino, Sanae Namiki, Makoto Kawase, Kota Kawase, Shinichi Takeuchi, Chie Nakai, Daiki Kato, Manabu Takai, Koji Iinuma, Yuki Tobisawa, Takuya Koie

{"title":"Utility and safety of robot-assisted radical cystectomy in older patients with bladder cancer.","authors":"Naotaka Kumada, Keita Nakane, Toyohiro Yamada, Risa Tomioka-Inagawa, Fumiya Sugino, Sanae Namiki, Makoto Kawase, Kota Kawase, Shinichi Takeuchi, Chie Nakai, Daiki Kato, Manabu Takai, Koji Iinuma, Yuki Tobisawa, Takuya Koie","doi":"10.1080/13645706.2023.2249986","DOIUrl":"10.1080/13645706.2023.2249986","url":null,"abstract":"Introduction: This study aimed to investigate the efficacy and safety of robot-assisted radical cystectomy (RARC) in older patients with bladder cancer (BCa).Material and methods: We reviewed the clinical and pathological records of 110 patients with BCa who underwent RARC at Gifu University Hospital between February 2019 and January 2023. Older patients were defined as those with BCa aged ≥ 75 years. The enrolled patients were divided into two groups: those aged < 75 years (Group I) and those aged ≥ 75 years (Group II). Oncological outcomes, including overall survival (OS) and recurrence-free survival (RFS), were the primary endpoints of the study; the secondary endpoints were the surgical and pathological outcomes.Results: A shorter console time, less blood loss, and reduced time to postoperative fluid and food intake in Group II may be attributed to the fact that more patients opted for ureterocutaneostomy in Group II than in Group I. In all patients, the three-year OS and RFS rates were 84.7% and 88.5%, respectively. There were no significant differences in OS or RFS between the two groups. (p = .403, p = .963, respectively).Conclusions: RARC appears to be a safe and useful treatment option for older patients with BCa.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"307-313"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10407253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 校正

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-12-18 DOI: 10.1080/13645706.2023.2271348

引用次数: 0

Diode laser use in hysteroscopic surgery: current status and future perspectives. 二极管激光在宫腔镜手术中的应用：现状与未来展望。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-16 DOI: 10.1080/13645706.2023.2247483

Salvatore Giovanni Vitale, Mislav Mikuš, Maria Chiara De Angelis, Jose Carugno, Gaetano Riemma, Lucija Franušić, Anis Cerovac, Maurizio Nicola D'alterio, Luigi Nappi, Stefano Angioni

{"title":"Diode laser use in hysteroscopic surgery: current status and future perspectives.","authors":"Salvatore Giovanni Vitale, Mislav Mikuš, Maria Chiara De Angelis, Jose Carugno, Gaetano Riemma, Lucija Franušić, Anis Cerovac, Maurizio Nicola D'alterio, Luigi Nappi, Stefano Angioni","doi":"10.1080/13645706.2023.2247483","DOIUrl":"10.1080/13645706.2023.2247483","url":null,"abstract":"Recent advances in surgical technology and innovative techniques have revolutionized surgical gynecology, including transcervical hysteroscopic procedures. Surgical lasers (Nd-Yag, Argon, diode, and CO2 lasers) have been promoted to remove a variety of gynecological pathologies. For hysteroscopic surgery, the diode laser represents the most versatile and feasible innovation, with simultaneous cut and coagulate action, providing improved hemostasis compared with CO2 laser. The newest diode laser devices exhibit increased power and a dual wavelength, to work precisely with reduced thermal dispersion and minimal damage to surrounding tissues. Their efficacy and safety have been validated both in the hospitals as well as in the office setting. Updated evidence reports that several hysteroscopic procedures, including endometrial polypectomies, myomectomies and metroplasties can be successfully performed with a diode laser. Therefore, this review aimed to give a deeper understanding of the role of laser energy in gynecology and subsequently in hysteroscopy in order to safely incorporate this technology into clinical practice.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"275-284"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004071","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

Office intrauterine morcellation for retained products of conception. 针对受孕产物滞留的宫腔内人工流产术。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-07-26 DOI: 10.1080/13645706.2023.2227694

Gianluca Raffaello Damiani, Daniele Di Gennaro, Antonella Vimercati, Ettore Cicinelli, Anna Myriam Perrone, Pierandrea De Iaco, Antonio Malvasi, Maria Gaetani, Eliano Cascardi, Gerardo Cazzato, Miriam Dellino, Antonio Pellegrino, Amerigo Vitagliano

{"title":"Office intrauterine morcellation for retained products of conception.","authors":"Gianluca Raffaello Damiani, Daniele Di Gennaro, Antonella Vimercati, Ettore Cicinelli, Anna Myriam Perrone, Pierandrea De Iaco, Antonio Malvasi, Maria Gaetani, Eliano Cascardi, Gerardo Cazzato, Miriam Dellino, Antonio Pellegrino, Amerigo Vitagliano","doi":"10.1080/13645706.2023.2227694","DOIUrl":"10.1080/13645706.2023.2227694","url":null,"abstract":"Objective: Proposing hysteroscopic morcellation (HM) as a surgical-therapeutic approach in the treatment of retained products of conception (RPOC) to prevent intrauterine adhesions (IUAs).Design: Prospective analysis.Setting: A teaching and university hospital.Patients: Women with RPOC.Interventions: Office -HM with 'Truclear 5 C'.Material and methods: Twenty-two consecutive patients presenting with trophoblastic residue retention after miscarriage and interruption of pregnancy or placenta remnants after cesarean section or delivery were enrolled. These women underwent office-HM with 'Truclear 5 C'. Primary outcomes were median time and rate of hospitalization. The quality of the specimen was also analyzed. A hysteroscopic second look for IUAs was performed.Results: Mean procedure time was six minutes (SD ± 5). Tissue samples had a mean collection size 2.5 cm3+0.9. 38% of the samples had spotting or abnormal vaginal discharge. Dilatation of the cervical canal was not performed in any case. Second-look hysteroscopy did not show any de novo IUAs in any of the enrolled patients.Conclusions: In the hysteroscopic treatment of RPOC, HM is a valid choice in an office setting without the use of cervical dilatation. Removal of RPOC was uneventful in all cases, simple and carried out faster without any adverse outcomes.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"323-328"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229181","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: 1

Clinical observation of laparoscopic seromuscular dissection in the treatment of gastric stromal tumors. 腹腔镜血清肌层剥离术治疗胃间质瘤的临床观察。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-07-15 DOI: 10.1080/13645706.2023.2228402

Baohang Fan, Keli Zhong, Zhao Chen

{"title":"Clinical observation of laparoscopic seromuscular dissection in the treatment of gastric stromal tumors.","authors":"Baohang Fan, Keli Zhong, Zhao Chen","doi":"10.1080/13645706.2023.2228402","DOIUrl":"10.1080/13645706.2023.2228402","url":null,"abstract":"Objective: To investigate the safety and oncological prognosis of laparoscopic seromuscular dissection (LSD) in the treatment of gastric stromal tumors.Material and methods: From June 2016 to July 2022, 67 patients with gastric stromal tumors underwent laparoscopic seromuscular dissection (LSD), and 58 patients underwent non-LSD surgery during the same period (52 patients underwent laparoscopic gastric wedge resection (LWR), two patients underwent proximal gastrectomy, three patients underwent total gastrectomy, one patient underwent distal gastrectomy and partial hepatectomy). Gastric stromal tumor patients were compared to compare the surgical results, tumor relapse rate, and survival rate of the two groups.Results: The results of the two groups were compared. For gastric stromal tumors, especially gastric stromal tumors located at 'difficult sites', LSD can reduce the amount of bleeding and the number of cutting staplers used during the operation, reduce the incidence of postoperative complications, shorten the postoperative hospitalization time, reduce the hospitalization cost and improve the quality of life of patients without increasing the operation time.Conclusion: Laparoscopic seromuscular dissection for gastric stromal tumors is safe and technically feasible in the hands of experienced laparoscopic surgeons.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"329-334"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9776071","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

Robotic inguinal hernia repair with the new Hugo RAS^TM system: first worldwide case series report. 使用新型 Hugo RASTM 系统进行机器人腹股沟疝修补术：全球首例系列报告。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-21 DOI: 10.1080/13645706.2023.2248243

Yoav Mintz, Alon J Pikarsky, Ronit Brodie, Ram Elazary, Brigitte Helou, Gad Marom

{"title":"Robotic inguinal hernia repair with the new Hugo RASTM system: first worldwide case series report.","authors":"Yoav Mintz, Alon J Pikarsky, Ronit Brodie, Ram Elazary, Brigitte Helou, Gad Marom","doi":"10.1080/13645706.2023.2248243","DOIUrl":"10.1080/13645706.2023.2248243","url":null,"abstract":"Introduction: Robotic-assisted surgery has been a part of surgical procedures for more than two decades. Recently new robotic platforms with a different design entered the market. The modular design with independent arms enables increased flexibility of arm docking to increase the range of motion and instrument maneuverability. We herein present the first case series of robotic inguinal hernia repair using the Hugo RAS system (Medtronic, Minneapolis, MN, USA).Material and methods: Thirteen inguinal hernia repairs were performed on ten patients. A description of the Hugo RAS system as well as the new concept of modular design is presented along with the description of the operation setup.Results: Mean docking time was 9.5 min and mean console time was 50.3 min and 74.7 min for unilateral and bilateral inguinal hernia repair, respectively. No intraoperative or postoperative complications occurred. There was one conversion to laparoscopic surgery due to a technical issue with the robot. Conclusions: The modular design of independent arms seems to enhance maneuverability of the instruments and contribute to fewer arm collisions. Further clinical data and experience with this new surgical system are necessary to understand if this new design has advantages over the standard robotic platforms.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"300-306"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10407309","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

Totally endoscopic pulmonary valve replacement. 全内窥镜肺动脉瓣置换术。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-12-18 DOI: 10.1080/13645706.2023.2250422

Takeshi Wada, Ryotaro Nagashima, Kenya Kizu, Tetsushi Takayama, Shinji Miyamoto, Hidenori Sako

引用次数: 0

Is intraoperative ultrasonography necessary in laparoscopic partial nephrectomy for exophytic tumours? 腹腔镜肾部分切除术中超声检查是否有必要治疗系外肿瘤？

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-01 DOI: 10.1080/13645706.2023.2233611

Samet Senel, Antonios Koudonas, Javid Ahmadzada, Jens Rassweiler, Ali Serdar Gözen

{"title":"Is intraoperative ultrasonography necessary in laparoscopic partial nephrectomy for exophytic tumours?","authors":"Samet Senel, Antonios Koudonas, Javid Ahmadzada, Jens Rassweiler, Ali Serdar Gözen","doi":"10.1080/13645706.2023.2233611","DOIUrl":"10.1080/13645706.2023.2233611","url":null,"abstract":"Introduction: The value of IOUS has been proven especially for endophytic kidney tumours, but has not been assessed critically for exophytic kidney tumours. We aimed to evaluate the value of IOUS for exophytic kidney tumours.Material and methods: The data of LPN cases were collected prospectively between 2000 and 2022. Thirty-two of 535 patients who underwent laparoscopic retroperitoneal partial nephrectomy without IOUS were matched with the IOUS applied cases according to tumour size, tumour localization and PADUA score.Results: There were no differences between the two groups in terms of the matching parameters. The average warm ischemia time was 14 min for the IOUS group (range 9-32 min) and 20 min for the non-IOUS group (range 7-52 min) (p = 0.01). Also, the average cutting time was shorter in the IOUS group (6 min vs 9 min) (p = 0.046). There was no difference between the two groups in terms of suturing times (8 min vs 8.5 min) (p = 0.66). The average tumour size was 3.5 cm and pathologically-proven residual tumour was detected in one patient in each group.Conclusion: The use of IOUS in laparoscopic retroperitoneal partial nephrectomy for exophytic kidney tumours may shorten the warm ischemia time by reducing the cutting time.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"341-344"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914214","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 convolutional neural network for bleeding detection in capsule endoscopy using real clinical data. 利用真实临床数据检测胶囊内镜出血的卷积神经网络。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-28 DOI: 10.1080/13645706.2023.2250445

Dorothee Turck, Thomas Dratsch, Lorenz Schröder, Florian Lorenz, Johanna Dinter, Martin Bürger, Lars Schiffmann, Philipp Kasper, Gabriel Allo, Tobias Goeser, Seung-Hun Chon, Dirk Nierhoff

{"title":"A convolutional neural network for bleeding detection in capsule endoscopy using real clinical data.","authors":"Dorothee Turck, Thomas Dratsch, Lorenz Schröder, Florian Lorenz, Johanna Dinter, Martin Bürger, Lars Schiffmann, Philipp Kasper, Gabriel Allo, Tobias Goeser, Seung-Hun Chon, Dirk Nierhoff","doi":"10.1080/13645706.2023.2250445","DOIUrl":"10.1080/13645706.2023.2250445","url":null,"abstract":"Background: The goal of the present study was to develop a convolutional neural network for the detection of bleedings in capsule endoscopy videos using realistic clinical data from one single-centre.Methods: Capsule endoscopy videos from all 133 patients (79 male, 54 female; meanage = 53.73 years, SDage = 26.13) who underwent capsule endoscopy at our institution between January 2014 and August 2018 were screened for pathology. All videos were screened for pathology by two independent capsule experts and confirmed findings were checked again by a third capsule expert. From these videos, 125 pathological findings (individual episodes of bleeding spanning a total of 5696 images) and 103 non-pathological findings (sections of normal mucosal tissue without pathologies spanning a total of 7420 images) were used to develop and validate a neural network (Inception V3) using transfer learning.Results: The overall accuracy of the model for the detection of bleedings was 90.6% [95%CI: 89.4%-91.7%], with a sensitivity of 89.4% [95%CI: 87.6%-91.2%] and a specificity of 91.7% [95%CI: 90.1%-93.2%].Conclusion: Our results show that neural networks can detect bleedings in capsule endoscopy videos under realistic, clinical conditions with an accuracy of 90.6%, potentially reducing reading time per capsule and helping to improve diagnostic accuracy.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"335-340"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165636","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

EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis. EUS引导下的胃肠造口术治疗胃出口梗阻：一项综合荟萃分析。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-06-13 DOI: 10.1080/13645706.2023.2221336

Jia-Su Li, Kun Lin, Jian Tang, Feng Liu, Jun Fang

{"title":"EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis.","authors":"Jia-Su Li, Kun Lin, Jian Tang, Feng Liu, Jun Fang","doi":"10.1080/13645706.2023.2221336","DOIUrl":"10.1080/13645706.2023.2221336","url":null,"abstract":"Objective: A comprehensive meta-analysis was performed to evaluate the efficacy and safety of endoscopic ultrasound-guided gastroenterostomy (EUS-GE) for benign and malignant gastric outlet obstruction (GOO).Material and methods: PubMed, Embase, Web of Science and Cochrane Library were searched to identify relevant studies. The primary outcomes evaluated technical success, clinical success, and adverse events (AEs).Results: Twenty‑six studies with 1493 patients were included in this meta-analysis. The pooled rates of technical success, clinical success, and overall AEs of EUS-GE were 94.0%, 89.9%, and 13.1%, respectively. Eight studies were included in the subgroup meta-analysis for comparative evaluation of EUS-GE and surgical gastroenterostomy (SGE), while seven studies were for EUS-GE and enteral stenting (ES). Compared with SGE, the pooled odds ratios (ORs) of technical success, clinical success, and overall AEs of EUS-GE were 0.17 (p = .003), 1.42 (p = .40), and 0.15 (p < .00001), respectively. When compared with ES, the above corresponding pooled ORs were 0.55 (p = .11), 2.64 (p < .0001), and 0.41 (p = .01), respectively.Conclusion: Although it is technically challenging, this largest meta-analysis indicates that EUS‑GE has comparable and high technical and clinical success rates and hence a very effective minimally invasive procedure for GOO.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"285-299"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621029","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