Surgical Innovation最新文献_第6页

Virtual Colonoscopy: Retrospective Comparison of the Findings in Supine and Prone Positions. 虚拟结肠镜检查：仰卧位和俯卧位的回顾性比较。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1177/15533506251325349

Mehmet Gürdal Demirci, Yasir Musa Kesgin

{"title":"Virtual Colonoscopy: Retrospective Comparison of the Findings in Supine and Prone Positions.","authors":"Mehmet Gürdal Demirci, Yasir Musa Kesgin","doi":"10.1177/15533506251325349","DOIUrl":"10.1177/15533506251325349","url":null,"abstract":"BackgroundEarly detection of colorectal cancer (CRC) is significantly associated with reduced morbidity and mortality. Virtual colonoscopy (VC) is a minimally invasive, safe and well-tolerated alternative procedure to traditional colonoscopy. Therefore, we aimed to evaluate the findings of VC particularly in supine and prone positions as well as to contribute to the practical challenges of procedure.MethodsTotal number of 20 patients who underwent VC were included in this retrospective study. After proper bowel cleansing was achieved, intestinal dilatation was performed by injecting air into the rectum. Two different shots were performed in the supine and prone positions. Additionally, intestinal diameters were measured from the cecum to the rectum at their widest point via 2-dimensional coronal reformat.ResultsPolyps were detected in 3 patients which were confirmed by optical colonoscopy. The mean cecum diameter was detected as the largest diameter in the supine and prone examinations. In both supine and prone examinations, the distal descending colon was the most challenging site. Additionally, the mean descending colon diameter calculated in the prone position (40.9 ± 6.4 mm) was found to be statistically larger than descending colon diameter calculated in the supine position (36.1 ± 5.3 mm) (P = 0.001).ConclusionsOur findings clearly demonstrated that combination of prone and supine scanning provides clear field of vision on narrow parts of the colon which improves accurate estimation for polyp detection. Furthermore, VC appears to be more comfortable, safe, fast, and cost-efffective procedure for CRC screening with advantages of low radiation exposure, extracolonic findings and lack of sedation requirements.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"242-248"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543574","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

Learning Curve for Robotic Inguinal Hernia Repair With da Vinci Single-Port Robotic System. 用达芬奇单端口机器人系统修复腹股沟疝的学习曲线。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-01-26 DOI: 10.1177/15533506251314605

Francesco Celotto, Niccolò Ramacciotti, Giacomo Danieli, Federico Pinto, Gaya Spolverato, Luca Morelli, Francesco Maria Bianco

{"title":"Learning Curve for Robotic Inguinal Hernia Repair With da Vinci Single-Port Robotic System.","authors":"Francesco Celotto, Niccolò Ramacciotti, Giacomo Danieli, Federico Pinto, Gaya Spolverato, Luca Morelli, Francesco Maria Bianco","doi":"10.1177/15533506251314605","DOIUrl":"10.1177/15533506251314605","url":null,"abstract":"BackgroundTransabdominal pre-peritoneal inguinal hernia repair using the da Vinci Single-Port robot (SP-TAPP) is currently performed in few centers. We aimed to define the learning curve for SP-TAPP by analyzing operative times.MethodsThe operative times of 122 SP-TAPP performed between 2019 and 2024 were retrospectively analyzed. The following phases were analyzed: docking time (DT); pre-robot time (PRT, from skin incision to side cart placement); flap closure time (FCT); console time (CT), and overall time (OT). Cumulative sum analysis (CUSUM) was used to analyze learning curves. Surgical and 30-day outcome were analyzed.ResultsThe DT has remained constant over time (P > 0.9). PRT was divided into 3 phases with n1 = 5, n2 = 95 and n3 = 4, in which there was a progressive decrease in time (14.8 vs 11.9 vs 6.8 min; P = 0.08). In FCT and CT, 3 phases were identified in which times remained stable (P > 0.9 and P = 0.7). CUSUM analysis of OT identified 3 phases consisting of n1 = 13, n2 = 100 and n3 = 9 in which there was a progressive decrease in times (82 vs 72 vs 62 min; P = 0.3). Analysis of complications and early surgical outcomes did not differ except for estimated blood loss, although this was a clinically insignificant finding.ConclusionsThe learning curve for SP-TAPP is rapid and it shows how the technical skills are transferable between the multiport platform and the da Vinci Single Port robotic system for an experienced surgeon. An improvement is evident in PRT and OT, also compared to multiport systems, showing a potential for the platform to increase surgical activity.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"253-261"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047952","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

Yttrium-90 Radioembolization for Intrahepatic Cholangiocarcinoma: Non-University Tertiary Care Center Experience. 钇-90放射栓塞治疗肝内胆管癌：非大学三级护理中心经验。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-01-30 DOI: 10.1177/15533506251317283

Sahar Darian, Juan S Malo, Joseph S Lim, Joseph F Buell, Houssam Osman, Travis Van Meter, D Rohan Jeyarajah

{"title":"Yttrium-90 Radioembolization for Intrahepatic Cholangiocarcinoma: Non-University Tertiary Care Center Experience.","authors":"Sahar Darian, Juan S Malo, Joseph S Lim, Joseph F Buell, Houssam Osman, Travis Van Meter, D Rohan Jeyarajah","doi":"10.1177/15533506251317283","DOIUrl":"10.1177/15533506251317283","url":null,"abstract":"BackgroundIntrahepatic cholangiocarcinoma (ICC) presents a significant clinical challenge due to its high fatality rate and limited surgical candidacy. With only 30-40% of patients eligible for surgery upon diagnosis, alternative therapies are imperative. This study assesses the efficacy of Yttrium-90 (Y-90) radioembolization for unresectable ICC patients in a non-university tertiary care center (NUTCC).MethodsA retrospective analysis of 15 unresectable ICC patients treated with Y-90 radioembolization was conducted. Tumor response, survival, and adverse events were evaluated using RECIST criteria.Results60% of patients exhibited partial response, and 20% showed stable disease, with notable tumor size reduction and a median survival of 14 months. Minimal adverse effects were observed, indicating Y-90's favorable safety profile.ConclusionY-90 radioembolization shows potential in reducing tumor burden and enhancing survival rates with minimal adverse effects for unresectable ICC. Larger prospective studies are needed to confirm its efficacy and define its role in ICC treatment protocols.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"229-234"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067591","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

Evaluating Outcomes of Same Day Discharge After Minimally Invasive Colectomy: A Nationwide Analysis. 评估微创结肠切除术后当日出院的结果：一项全国性分析。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.1177/15533506241313242

Wardah Rafaqat, Abiha Abdullah, May Abiad, Matthew McEvoy, Shannon McChensey, Hanjoo Lee, Baryalay Khan, Alexander T Hawkins, Aimal Khan

{"title":"Evaluating Outcomes of Same Day Discharge After Minimally Invasive Colectomy: A Nationwide Analysis.","authors":"Wardah Rafaqat, Abiha Abdullah, May Abiad, Matthew McEvoy, Shannon McChensey, Hanjoo Lee, Baryalay Khan, Alexander T Hawkins, Aimal Khan","doi":"10.1177/15533506241313242","DOIUrl":"10.1177/15533506241313242","url":null,"abstract":"BackgroundAdvances in Enhanced Recovery After Colectomy protocols have enabled same day discharge (SDD) in some patients. Current literature is limited to single institutions limiting generalizability. We employed a nationally-representative dataset to compare outcomes between SDD patients and patients with a short-term hospital stay (discharged on postoperative day 1 or 2).MethodsWe conducted a retrospective study using the American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) Targeted Colectomy Participant User Files (2017-2021). We included patients ≥18 years who underwent elective minimally invasive colectomy. We excluded patients with severe comorbid conditions or in-hospital complications. We performed a 1:1 propensity-match adjusting for patient, diagnosis, and procedure- type characteristics. Our primary outcome was 30-day readmission and secondary outcome was post-discharge complications.ResultsWe identified 22,482 patients, 740 (3.3%) of which were SDD patients. A higher proportion of patients with SDD underwent right colectomy (76.4% vs36.4%, P < 0.001) and carried a diagnosis of a benign neoplasm (53.0% vs18.1%, P < 0.001). After propensity matching there was no significant difference in the rate of 30-day readmission between the 2 groups (3.4% vs4.7%; P = 0.23). Additionally, there was no significant difference in rates of anastomotic leak (0.7% vs0.8%; P = 0.58) or colonic ileus (1.4% vs1.8%; P = 0.58). Post-discharge bleeding complications were higher in SDD patients (0.5% vs0%; P = 0.045).ConclusionsSDD following minimally invasive colectomy is not associated with higher readmission, anastomotic leak, or SSI when compared to patients discharged on postoperative day 1/2. SDD after minimally invasive colectomy may be considered for patients without severe comorbid conditions.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"235-241"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365996","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

LigaSure in Breast Surgery: A Paradigm Shift With Unresolved Questions. 乳房手术中的结扎：一个未解决问题的范式转变。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI: 10.1177/15533506251321209

Muheem Khan

引用次数: 0

Corrigendum to "ThermoBlock® Endovenous RF Ablation is Effective and Safe in Great Saphenous Vein Reflux Treatment". 对 "ThermoBlock® 静脉内射频消融术治疗大隐静脉回流有效且安全 "的更正。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2024-10-02 DOI: 10.1177/15533506241282529

引用次数: 0

Improved Gynecomastia Surgery: Power-Assisted Liposuction With Stab-Flatten Technique Without Resection. 改良的男性乳房发育手术：不切除刺压技术的动力辅助吸脂术。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1177/15533506241307270

Bingwen Yan, Dongyue Hao, Liming Sun, Zhengqiang Cang, Bofu Xiao, Yongjun Chen, Haixia Qiao, Ying Ma, Baoqiang Song, Chaohua Liu

{"title":"Improved Gynecomastia Surgery: Power-Assisted Liposuction With Stab-Flatten Technique Without Resection.","authors":"Bingwen Yan, Dongyue Hao, Liming Sun, Zhengqiang Cang, Bofu Xiao, Yongjun Chen, Haixia Qiao, Ying Ma, Baoqiang Song, Chaohua Liu","doi":"10.1177/15533506241307270","DOIUrl":"10.1177/15533506241307270","url":null,"abstract":"BackgroundGynecomastia, the enlargement of male breast tissue, significantly impacts both physical and psychological health. Surgical intervention is often necessary, utilizing various techniques to reduce glandular and fatty tissue. This paper introduces an innovative surgical method combining power-assisted liposuction with the stab-flatten technique to enhance precision and cosmetic results. We present our clinical experience and evaluate its effectiveness in gynecomastia treatment.MethodsFrom June 2021 to January 2023, 128 gynecomastia patients underwent power-assisted liposuction and the stab-flatten method via a single axillary incision. We collected demographic and clinical data, including surgery duration, complications, and patient satisfaction regarding physical appearance, mental state, and social interactions. The BODY-Q questionnaire was used preoperatively and 3 months postoperatively for assessment.ResultsThe study included 128 male patients, treating 252 breasts, with an average age of 35 years and a mean BMI of 27.7 kg/m2. Most procedures were bilateral (96.9%), with an average fat removal of 224.5 mL and a surgery duration of 147 minutes. The complication rate was low at 2.0%, with bruises in 5 breasts. The average hospital stay was 2 days. Significant improvements were noted in BODY-Q scores for appearance satisfaction and health-related quality of life, with increased appearance satisfaction and reduced appearance-related distress.ConclusionSince June 2021, the combined use of power-assisted liposuction and the stab-flatten technique has been effective in managing gynecomastia. This synergistic approach not only achieves aesthetically pleasing outcomes but also minimizes the surgical risks associated with traditional methods.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"118-126"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801597","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 Nomogram for Predicting Perirenal Hematoma After Percutaneous Nephrolithotomy. 预测经皮肾镜取石术后肾周血肿的Nomogram。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1177/15533506241313173

Chi Feng, Jun-Tao Tan, Qi-Hua Jiang, Zhi-Hua Li, Bei Mo

{"title":"A Nomogram for Predicting Perirenal Hematoma After Percutaneous Nephrolithotomy.","authors":"Chi Feng, Jun-Tao Tan, Qi-Hua Jiang, Zhi-Hua Li, Bei Mo","doi":"10.1177/15533506241313173","DOIUrl":"10.1177/15533506241313173","url":null,"abstract":"BackgroudPerirenal hematoma (PRH) is a notable complication following percutaneous nephrolithotomy (PCNL) with significant implications for patient outcomes. This study aimed to develop a nomogram predictive model for PRH after PCNL.MethodsRetrospective data from patients who underwent PCNL were analyzed. Patient demographics, stone characteristics, and operative details were assessed for their association with PRH using univariate and multivariate analyses. A nomogram was constructed based on identified predictors.ResultsAmong 1047 patients, 6.2% developed PRH. Factors significantly associated with PRH included age, urine culture, stone surface area, operative time and estimate blood loss. These factors were incorporated into the nomogram, providing a user-friendly tool for preoperative risk assessment of PRH following PCNL.ConclusionWe developed a nomogram predictive model for PRH after PCNL, facilitating individualized risk assessment and preventive strategies. Implementation of this nomogram may enhance patient safety and optimize surgical outcomes in PCNL procedures. Further validation studies are warranted to assess its generalizability and accuracy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"109-117"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955577","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

Use of a Novel Steerable Tip Suction Cannula in Large and Giant Pituitary Adenomas: A Cadaveric Feasibility Study. 一种新型可操纵尖端吸引管在大、巨型垂体腺瘤中的应用：尸体可行性研究。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1177/15533506251313861

Mustafa Selim Sahin, Cafer Ikbal Gulsever, Metehan Ozturk, Duygu Dolen, Ilyas Dolas, Latif Saglam, Osman Coskun, Ozcan Gayretli, Pulat Akin Sabanci

{"title":"Use of a Novel Steerable Tip Suction Cannula in Large and Giant Pituitary Adenomas: A Cadaveric Feasibility Study.","authors":"Mustafa Selim Sahin, Cafer Ikbal Gulsever, Metehan Ozturk, Duygu Dolen, Ilyas Dolas, Latif Saglam, Osman Coskun, Ozcan Gayretli, Pulat Akin Sabanci","doi":"10.1177/15533506251313861","DOIUrl":"10.1177/15533506251313861","url":null,"abstract":"ObjectiveThe endoscopic transsphenoidal approach is commonly used for sellar and suprasellar pathologies. However, reaching above the diaphragma sella, especially for posterosuperior and retrocavernous orientation, still poses some challenges. We designed and developed a steerable tip suction cannula (STSC) that has distinct leverage for endoscopic resection of such pathologies.MethodsThe entire suction cannula is made of stainless steel. The instrument consists of a handle, vacuum tube, suction tip bed, suction tip, finger knuckle, wire path, countersunk headpin, and isolated steel wire. The working principle of the product is to enable the surgeon to move the aspiration tip in the desired direction by steering the finger knuckle. Five cadaveric specimens fixed with the saturated salt solution were used to evaluate the instrument and obtain measurements.ResultsIn the straight position, the STSC aspirated 2.67% slower than the control aspirator tip and 13.24% faster than that at 30° angulation. Based on the CT measurements, the mean angulation of the instrument from the frontobasal axis was 38.3°. The mean distance from the frontobasal axis was 1.3 cm. The average angulation of the tip of the instrument in the cranium was 25.5°.ConclusionThe designed STSC might effectively resect large to giant pituitary adenomas, especially those with supradiaphragmatic extension. Its suction capability is comparable to that of conventional suction tubes.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"149-154"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955583","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 Comparison Between Combined Ultrasonic and Bipolar Shears to Other Energy-Based Devices in Otolaryngology: A Systematic Review and Meta-Analysis. 联合超声和双极剪切器与其他能量型耳鼻喉科设备的比较：系统综述和荟萃分析。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-03 DOI: 10.1177/15533506241313171

Kenny Do, Kurtis Young, Eric Kawana, Jo-Lawrence Bigcas

{"title":"A Comparison Between Combined Ultrasonic and Bipolar Shears to Other Energy-Based Devices in Otolaryngology: A Systematic Review and Meta-Analysis.","authors":"Kenny Do, Kurtis Young, Eric Kawana, Jo-Lawrence Bigcas","doi":"10.1177/15533506241313171","DOIUrl":"10.1177/15533506241313171","url":null,"abstract":"ObjectiveThe Thunderbeat (TB) is a new surgical device that combines ultrasonic and bipolar energy. The objective of this study is to examine how the combined ultrasonic and bipolar shears affect surgical outcomes when compared to other methods.Data Sources and Review MethodsUsing the PRISMA guidelines, the researchers used broad search terms in PubMed, Embase, and Web of Science, which produced a total of 2823 initial results, with years ranging from 1955 to June 2024. After applying inclusion and exclusion criteria, 8 final studies were included in this systematic review and meta-analysis.ResultsThis meta-analysis analyzes energy-based devices used on patients into 2 major groups: (1) thyroidectomy group and (2) neck dissection group. The researchers found that the use of the TB in thyroidectomies reduces operative time when compared to the Harmonic scalpel (HS) and Ligasure (LS). The pooled mean difference in thyroidectomy operation time for the TB vs HS was -5.77 min (95% CI: -11.07 to -.48, P-value: .03) and for the TB vs LS was -4.41 min (95% CI: -8.86 to .04, P-value: .05). We also found reduced operative time with the use of the TB vs standard electrocautery for neck dissection, where the mean difference was -39.76 min (95% CI: -63.00 to -16.51, P-value: .00). No significant differences were seen in blood loss or postoperative complications when comparing TB to other methods.ConclusionThis meta-analysis demonstrated that TB can be equivalent to other energy-based devices and shows potential advantages over traditional electrocautery.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"165-179"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928005","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