Surgical Laparoscopy, Endoscopy & Percutaneous Techniques最新文献

{"title":"Laparoscopic Cholecystectomy In Situs Inversus Totalis (SIT): A Case Series - Modified French Technique Provides Optimum Outcomes.","authors":"Kalpesh Jani, Anushri Parikh, Madhavan Iyengar, Monil N Shah","doi":"10.1097/SLE.0000000000001433","DOIUrl":"10.1097/SLE.0000000000001433","url":null,"abstract":"<p><strong>Background: </strong>Situs inversus totalis (SIT) is a rare congenital condition characterized by the mirror-image reversal of thoracic and abdominal organs. Its incidence is between 0.04% and 0.30%. Patients with SIT presenting with cholelithiasis pose diagnostic and technical challenges, particularly during laparoscopic cholecystectomy (LC), due to reversed anatomic landmarks and difficulties in orientation.</p><p><strong>Methods: </strong>We conducted a retrospective review of 12 patients with SIT who underwent LC between September 2006 and April 2023 at our tertiary center. Preoperative evaluation included hematology, liver function tests, ultrasonography, cardiac, and pulmonary assessments. Surgeries were performed under general anesthesia using a modified French technique in mirror-image configuration. A harmonic scalpel (ultracision) was used for dissection in all cases.</p><p><strong>Results: </strong>Out of 5375 LCs performed during the study period, 12 were in patients with SIT (prevalence: 0.22%). All procedures were completed laparoscopically without conversion. One case required port site modification for optimal clip application. Two patients underwent gallbladder decompression, and one developed postoperative ileus, which resolved conservatively. No intraoperative complications, bile duct injuries, or mortalities were observed.</p><p><strong>Conclusion: </strong>Laparoscopic cholecystectomy in SIT patients is safe and feasible when performed by experienced surgeons. Modifications in surgical technique and port placement are essential to accommodate the reversed anatomy. Preoperative planning and intraoperative vigilance are key to minimizing complications and achieving outcomes comparable to anatomically normal patients.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985754","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":"Single-port Robotic Cholecystectomy (SPRC) Using the da Vinci Xi System With Straight Instruments: A Practical and Feasible Alternative to SP System or Single-site Platform.","authors":"Yi-Jie Wang, Heng-Yu Tung, Yu-Ying Chen, Tzu-Chi Wang, Zhi-Jie Hong, Kuo-Feng Hsu","doi":"10.1097/SLE.0000000000001428","DOIUrl":"10.1097/SLE.0000000000001428","url":null,"abstract":"<p><strong>Background: </strong>Single-incision laparoscopic cholecystectomy (SILC) offers excellent cosmetic results but is technically challenging. Robotic systems can overcome these limitations, and although the da Vinci Xi is designed for multiport surgery, it can be adapted for single-port procedures. This study reports our experience performing single-port robotic cholecystectomy (SPRC) with straight instruments, emphasizing technical optimization and perioperative outcomes.</p><p><strong>Methods: </strong>SPRC was performed using an optimized umbilical port configuration and docking technique. Surgical steps were standardized to ensure stable traction and precise dissection, with a crossover method applied in difficult cases to improve exposure (see Supplemental Videos 1, Supplemental Digital Content 1, http://links.lww.com/SLE/A507 , and 2, Supplemental Digital Content 2, http://links.lww.com/SLE/A508 ). Eleven patients underwent SPRC, and demographic, operative, and perioperative data were analyzed.</p><p><strong>Results: </strong>All procedures were completed without conversion to open or multiport surgery. The mean operative time was 116.7 ± 22.2 minutes, with minimal blood loss (13.8 ± 7.5 mL). No intraoperative complications or gallbladder perforations occurred, and only one patient required temporary drainage for minor oozing. Postoperative VAS scores averaged 3.1 ± 1.0 on day 0 and 1.6 ± 0.5 on day 1, with a mean hospital stay of 2.2 ± 1.1 days. No readmissions or port-site complications were observed.</p><p><strong>Conclusions: </strong>SPRC with the da Vinci Xi system using straight instruments is feasible and safe. Optimized port placement and instrument coordination yield outcomes comparable to those reported for the SP system or single-site platform, providing an accessible alternative for centers without these platforms.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805179","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":"Construct Validity of the Avian Model for Neonatal Laparoscopic Surgery Training.","authors":"Gallien Parata, Peter Zimmermann, Oliver Sanchez, Gaston De Bernardis, Jacques Birraux, Amulya Saxena, Enrico Brönnimann","doi":"10.1097/SLE.0000000000001407","DOIUrl":"10.1097/SLE.0000000000001407","url":null,"abstract":"<p><strong>Purpose: </strong>To validate the construct validity of the avian model, a cost-effective and realistic simulator using chicken cadavers for neonatal laparoscopic surgery training.</p><p><strong>Methods: </strong>Thirteen participants with varying experience levels (novices, residents, and seniors) performed laparoscopic suturing tasks on the avian model during a pediatric MIS course in Geneva. Performance was evaluated using a modified OSATS framework (specific and general scores).</p><p><strong>Results: </strong>The avian model significantly distinguished between skill levels: specific ( P =0.024) and general ( P =0.016) scores improved with experience. Execution time decreased accordingly ( P =0.019). Interobserver agreement was high (κ=0.87, κ=0.84). Seniors outperformed novices and residents in all metrics.</p><p><strong>Conclusion: </strong>The avian model demonstrates strong construct validity and is effective in differentiating surgical skill levels. It offers a reliable, reproducible platform for pediatric laparoscopic training.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490206","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":"Rethinking Post-Bariatric Care: Anorectal Morbidity Following Sleeve Gastrectomy and Roux-en-Y Gastric Bypass.","authors":"Olgun Erdem, Aylin Acar, Tolga Canbak, Fatih Başak, İlyas Kudaş, Hüsna Tosun, Kemal Tekesin, Abdullah Şişik","doi":"10.1097/SLE.0000000000001435","DOIUrl":"10.1097/SLE.0000000000001435","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is a prevalent and effective treatment for morbid obesity, yet its potential long-term effects on anorectal health remain an under-investigated aspect of post-operative care. This study aimed to meticulously evaluate the incidence and the degree of severity of two common anorectal conditions, anal fissures and hemorrhoids, in a substantial cohort of patients following either sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB), two frequently performed bariatric procedures. Understanding these potential post-surgical morbidities is crucial for a comprehensive approach to patient management.</p><p><strong>Methods: </strong>A retrospective cohort study at a large tertiary referral center (2015-2023) included 280 patients (200 SG, 80 RYGB). Detailed pre- and post-operative data on anorectal conditions, bowel habits, and surgical outcomes were extracted from electronic records and statistically analyzed.</p><p><strong>Results: </strong>The overall incidence of new-onset anorectal disorders (defined as the development of at least one of the conditions) was significantly higher in the RYGB group (47.5%) compared to the SG group (32.5%) ( P <0.001). Specifically, the incidence of new-onset hemorrhoids (36.5% vs. 23.5%, P =0.02) and anal fissures (29.0% vs. 16.0%, P =0.01) occurred more frequently in the RYGB group. The mean severity scores were also higher (Goligher score: 2.6±0.8 vs. 2.1±0.7, P = 0.01; fissure severity: 2.9±1.0 vs. 2.3±0.9, P = 0.02). Post-operative constipation and diarrhea were associated with higher risk, and RYGB was an independent predictor. Multivariate analysis, adjusting for age, sex, and baseline BMI, confirmed RYGB (OR 1.7, 95% CI 1.1-2.5, P =0.01) and post-operative constipation (OR 2.0, 95% CI 1.3-3.0, P =0.001) as independent predictors of new-onset anorectal disorders.</p><p><strong>Conclusions: </strong>Our findings highlight that not all bariatric procedures carry the same risk for anorectal complications, and RYGB specifically warrants closer attention. These findings underscore the clinical importance of incorporating proactive assessment and management of anorectal health, including bowel habit regulation and symptom monitoring, into the routine post-operative care of bariatric surgery patients to optimize their overall well-being.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012439","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":"Barbed Sutures at the Hiatus: What's the Evidence?","authors":"Benjamin Clapp, Priya Patel, Jorge Urbina","doi":"10.1097/SLE.0000000000001436","DOIUrl":"10.1097/SLE.0000000000001436","url":null,"abstract":"<p><strong>Background: </strong>Barbed sutures enable knotless, continuous cruroplasty and are increasingly used in hiatal and paraesophageal hernia repairs. Despite widespread adoption, outcome data specific to the hiatus are limited and diaphragmatic application remains off-label.</p><p><strong>Methods: </strong>A systematic search of PubMed and MEDLINE (inception-August 2025) identified adult hiatal/paraesophageal hernia repairs using barbed sutures. Data on operative approach, mesh use, operative time, recurrence, and perioperative outcomes were extracted. The FDA MAUDE database (2010 to 2025) was reviewed for device-related events.</p><p><strong>Results: </strong>Five studies (n=741) met the inclusion criteria. In laparoscopic comparisons, barbed sutures shortened per-stitch closure time compared with interrupted silk, although total closure time was not significantly different. In pooled analysis of 4 comparative studies, the weighted mean difference in operative time was +12.8 minutes (95% CI: -4.3 to 29.8; P =0.14; I ²=40%). Individual series demonstrated variable findings: operative time increased with mesh reinforcement but not when mesh was avoided ( P =0.45). One study reported that barbed cruroplasty with biosynthetic mesh reinforcement significantly reduced ≥1-year anatomic recurrence (24.7% vs. 44.9%; risk difference -20.3%, 95% CI: -33.7 to -7.0) and symptomatic recurrence (17.2% vs. 42.2%, P =0.003) compared with barbed suture-only repair. Postmarket surveillance analysis of the FDA MAUDE database (2010 to 2025) identified only 2 hiatal-specific adverse events associated with barbed sutures, although underreporting is likely.</p><p><strong>Conclusions: </strong>Barbed sutures for cruroplasty appear time-efficient and may lower recurrence when combined with mesh in larger hernias. However, current evidence is sparse, heterogeneous, and based largely on retrospective series. Given the off-label nature of diaphragmatic use, prospective studies with standardized recurrence definitions are needed to clarify safety and long-term efficacy.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959331","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":"Superiority of Pancreatic Duct Stent-Assisted Biliary Cannulation for Difficult Biliary Cannulation During Endoscopic Retrograde Cholangiopancreatography After Unintentional Pancreatic Duct Access.","authors":"Qian-Yi Li, Wen-Fei Yao, Yang Qi, Yu-Quan Wu, Wei Yao, Lei Kong, Rui-Yun Xu, Sheng Chen, Neng-Ping Li","doi":"10.1097/SLE.0000000000001440","DOIUrl":"10.1097/SLE.0000000000001440","url":null,"abstract":"<p><strong>Background: </strong>A retrospective analysis was conducted on consecutive patients who underwent endoscopic retrograde cholangiopancreatography (ERCP). This study aimed to evaluate the efficacy and safety of different techniques in difficult biliary cannulation cases after unintentional pancreatic duct access.</p><p><strong>Methods: </strong>The patients were divided into 4 groups according to the cannulation method: the double guidewire (DGW) group, the transpancreatic sphincterotomy (TPS) group, the transpancreatic sphincterotomy combined with a pancreatic duct stent (TPS-PDS) group, and the precut over a pancreatic duct stent (PPDS) group. The baseline characteristics, biliary cannulation success rate, and postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) incidence were compared and analyzed among these groups.</p><p><strong>Results: </strong>A total of 228 cases were enrolled, and there were no significant statistical differences among the groups in terms of the type of baseline characteristic. The final success rates for biliary cannulation ranged from 88.60% to 97.10%, and the incidence of PEP ranged from 0% to 27.50% among the 4 groups ( P =0.147 and 0.005, respectively). The incidence of severe PEP was significantly higher in the TPS group compared with the other groups ( P <0.001). Among the 156 cases that received pancreatic duct stent placement, the stents spontaneously migrated in 109 cases within 3 months. Furthermore, stents with trimmed wings had significantly higher migration rates when compared with stents without trimmed wings (88.50% vs. 22.70%, P <0.001).</p><p><strong>Conclusions: </strong>For cases with difficult biliary cannulation after unintentional pancreatic duct access, TPS-PDS and PPDS are superior to DGW and TPS. Pancreatic duct stents with a trimmed front side wing would spontaneously migrate at a significantly higher rate.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic Therapy Versus Percutaneous Drainage for Postoperative Intra-abdominal Abscess Measuring 2 to 4 cm After Laparoscopic Appendectomy: Does the Size Matter?","authors":"Juan J Baz Gallego, María A Casas, Jorge N Rodríguez Piñero, José Barros Sosa, Francisco Schlottmann","doi":"10.1097/SLE.0000000000001423","DOIUrl":"10.1097/SLE.0000000000001423","url":null,"abstract":"<p><strong>Background: </strong>Postoperative intra-abdominal abscess (IAA) is the most feared complication after laparoscopic appendectomy (LA). The management of IAA measuring 2 to 4 cm remains controversial. We aimed to compare the effectiveness of antibiotic treatment versus percutaneous drainage for the treatment of IAA measuring 2 to 4 cm following LA.</p><p><strong>Methods: </strong>A consecutive series of patients with post-appendectomy IAA measuring 2 to 4 cm from January 2006 to April 2024 was included for analysis. The patient cohort was divided into 2 groups according to the treatment modality: antibiotic therapy alone (ATB) versus computed tomography-guided percutaneous drainage (PERC). The primary outcome was to compare the success rate between groups. Secondary endpoints included overall and major complications, length of stay (LOS), readmissions, and mortality.</p><p><strong>Results: </strong>During the study period, 2700 LA were performed, and 123 (4.5%) patients developed an IAA. Of these, 47 (38%) measured 2 to 4 cm: 25 (53%) received antibiotics only (ATB), and 22 (47%) underwent percutaneous drainage (PERC). The success rates were comparable between groups (ATB: 92% vs. PERC: 95.4%, P=0.6). Patients who failed conservative management in both groups underwent laparoscopic lavage without further complications. No readmissions, morbidity or mortality were observed. The mean LOS was longer in the PERC group (ATB: 2.0 vs. PERC: 3.5 d, P=0.03).</p><p><strong>Conclusions: </strong>Antibiotic therapy and percutaneous drainage are both highly effective for treating IAA measuring 2 to 4 cm following LA. Given the less invasive nature of antibiotic therapy with shorter length of stay, it should be considered the initial treatment of choice.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":"36 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114322","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":"Hand-assisted Laparoscopic Surgery (HALS) as an Alternative to Laparoscopic Converted to Open Surgery (LCOS) in Proctectomy Patients.","authors":"Stephanie S Hyon, Jana K Elsawwah, Rahul Narang, Patricia B Stopper, Rolando H Rolandelli, Zoltan H Nemeth","doi":"10.1097/SLE.0000000000001416","DOIUrl":"10.1097/SLE.0000000000001416","url":null,"abstract":"<p><strong>Background: </strong>Hand-assisted laparoscopy is an operative approach that combines the benefits of both open and laparoscopic surgery. Despite this method, many surgeons choose to perform standard laparoscopic surgery (SLS) without the use of a hand assist. Operative challenges encountered during SLS may necessitate an unplanned laparoscopic converted to open surgery (LCOS), which may increase the risk of adverse patient outcomes. Alternatively, prior studies show that hand-assisted laparoscopic surgery (HALS) may be associated with a lower risk of postoperative morbidity. In this study, we compared preoperative factors and postoperative outcomes between HALS and LCOS in patients undergoing a proctectomy.</p><p><strong>Methods: </strong>The 2022 American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Targeted Proctectomy Database was utilized to analyze patients undergoing proctectomy procedures. From this, 211 patients who underwent an LCOS (LCOS Cohort) and 801 patients who underwent a HALS (HALS Cohort) were identified and compared.</p><p><strong>Results: </strong>Patients with more comorbidities were more likely to undergo an LCOS. LCOS patients experienced higher rates of postoperative complications, including blood transfusion (20.85% vs. 5.99%; P <0.001), postoperative renal insufficiency (17.06% vs. 7.12%; P <0.001), and mortality (1.90% vs. 0.37%; P =0.018). Multivariate logistic regression confirmed that undergoing an LCOS was independently associated with increased odds of postoperative renal insufficiency (OR=2.63; P <0.001) and the need for blood transfusion (OR=4.05; P <0.001).</p><p><strong>Conclusion: </strong>We believe this is the first large national database study comparing HALS and LCOS approaches for proctectomies. Multivariate logistic regression confirmed that HALS was associated with better postoperative outcomes compared with LCOS. In complex cases, starting with the HALS approach may be more advantageous than the SLS method. Furthermore, hand assistance should be considered before converting to open surgery in challenging laparoscopic cases.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490148","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":"Is Glisson's Capsule Injury During Laparoscopic Cholecystectomy Responsible for Postoperative Right Shoulder Tip Pain: An Observational Cross-sectional Study.","authors":"Ijan Dhamala, Navin Kumar, Prasoon Saxena, Palak Garg, Ashish Mishra, Nayana S Kumar, Farhanul Huda, Somprakas Basu","doi":"10.1097/SLE.0000000000001418","DOIUrl":"10.1097/SLE.0000000000001418","url":null,"abstract":"<p><strong>Background: </strong>The common postoperative complications of laparoscopic cholecystectomy (LC) are port site infection, biliary leak, hemorrhage, and pain at the surgical site, as well as at the shoulder tip. The aim of the study was to identify whether the Glisson's capsule (GC) injury during LC responsible for postoperative right shoulder tip pain (RSTP).</p><p><strong>Material and methods: </strong>This prospective observational cross-sectional study was conducted over 18 months. We enrolled patients aged ≥18 years who underwent LC. Demographic data, preoperative investigations, and intraoperative video recordings were used to evaluate factors for postoperative RSTP.</p><p><strong>Results: </strong>The study included 215 patients with a mean age of 42.65 years. Forty-one participants (19.1%) were male, and 174 (80.9%) were female. Our study showed that the incidence of RSTP after LC was 41.9%. Of 90 patients who had RSTP, 81 (90%) had GC injury. Among the 125 patients without RSTP, 97 (77.6%) also had Glisson's capsule injury. The difference in the presence of Glisson's capsule injury between patients with and without RSTP was statistically significant ( P =0.017).</p><p><strong>Conclusion: </strong>Our study demonstrated an association between GC injury and post-LC RSTP.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534698","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":"Robotic Versus Laparoscopic Gastrectomy for Remnant Gastric Cancer: A Single-Center Retrospective Cohort Study.","authors":"Junya Kitadani, Keiji Hayata, Taro Goda, Shinta Tominaga, Naoki Fukuda, Tomoki Nakai, Shotaro Nagano, Manabu Kawai","doi":"10.1097/SLE.0000000000001419","DOIUrl":"10.1097/SLE.0000000000001419","url":null,"abstract":"<p><strong>Background: </strong>This retrospective study compares the short-term safety and feasibility-related clinical outcomes of robotic gastrectomy (RG) for remnant gastric cancer (RGC) (including various types of initial reconstruction) with those of laparoscopic gastrectomy (LG).</p><p><strong>Methods: </strong>Forty-five patients underwent minimally invasive gastrectomy for RGC at our hospital between June 2012 and December 2024. LG was performed for 33 patients, and RG was performed for 12 patients.</p><p><strong>Results: </strong>The median operation time was significantly longer in the RG group than in the LG group (346 min vs. 295 min, P =0.020). The RG group had significantly less blood loss than the LG group (27 mL vs. 100 mL, P =0.005). The median number of harvested lymph nodes was comparable between the two groups. Conversion to an alternative surgical approach occurred in three cases in the LG group, and not at all in the RG group. The overall incidence of postoperative complications (Clavien-Dindo grade ≥II) was comparable between the LG and RG groups (27.3% vs. 25.0%). The median postoperative hospital stay was similar between them. The median interval from the initial gastrectomy to surgery for RGC was significantly longer in the Billroth-II group than in the Billroth-I group (50 y vs. 10 y, P <0.001).</p><p><strong>Conclusion: </strong>Robotic gastrectomy could be applied for various types of RGC without conversion to another approach. Robotic gastrectomy for RGC was considered a safe and feasible approach.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534672","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}