Surgical Endoscopy And Other Interventional Techniques最新文献

{"title":"Development of a procedure specific and skill based robotic-assisted surgical training program for residents: Delphi study identifying key steps and required skill levels for teaching the low-anterior resection.","authors":"Y F Yvonne Ananias, M Marije Zwakman, J P M Maarten Burbach, J Johan Lange, J P E N Jean-Pierre Pierie, E C J Esther Consten","doi":"10.1007/s00464-025-12072-x","DOIUrl":"https://doi.org/10.1007/s00464-025-12072-x","url":null,"abstract":"<p><strong>Introduction: </strong>The rapid expansion of robotic-assisted surgery (RAS) necessitates comprehensive training of residents. Historically, training programs focused on teaching essential technical skills, neglecting procedure-specific proctor courses. Establishing a step-by-step framework for procedural training promises a uniform, safe, and efficient teaching process. This study aims to identify the key steps and complexities crucial for teaching the robotic-assisted low-anterior resection (RA-LAR) effectively and thereby enhancing the national standardized RAS training program for surgical residents in the Netherlands.</p><p><strong>Methods: </strong>A list of operation phases and procedural key steps to perform the RA-LAR was compiled, together with a description of four skill levels. Using the Delphi method, experts rated the procedural key steps on a Likert scale and granted them one of four skill levels. The operation phases were queried through multiple-choice questions. Round one, two, and four consisted of online questionnaires; round three, an online meeting.</p><p><strong>Results: </strong>Consensus was achieved after four rounds. Of the 21 invited experts, 13 participated in the first round (62%) and 11 in the second round (52%). From these 11 experts, 9 (82%) completed the third and fourth rounds (100%). High internal consistency among experts was indicated in Delphi round one by Cronbach's alpha values of 0.94 for procedural key steps and 0.86 for skill levels. 11 operation phases, 27 procedural key steps, and corresponding skill levels were established for the RA-LAR.</p><p><strong>Conclusion: </strong>For the RA-LAR, national consensus was reached on the operation phases, procedural key steps, and their corresponding skill levels. A teaching framework is now ready for testing efficacy in training of surgical residents in robotic-assisted surgery.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel single-port robotic hepatectomy: initial clinical experience and outcomes.","authors":"Eun Jeong Jang, Kwan Woo Kim","doi":"10.1007/s00464-025-12221-2","DOIUrl":"https://doi.org/10.1007/s00464-025-12221-2","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to evaluate the feasibility, safety, and early outcomes of single-port (SP) robotic liver resection, including major and minor hepatectomies, using the da Vinci SP system in a low-to-intermediate-volume hepatobiliary center.</p><p><strong>Methods: </strong>Twenty patients underwent robotic SP surgery between April 2024 and May 2025. Among them, 14 underwent liver resections using the SP platform, including five major (right or left hepatectomy) and nine minor (wedge resection, monosegmentectomy, caudate lobectomy, or left lateral sectionectomy) procedures. Perioperative and short-term outcomes were retrospectively analyzed. Surgical techniques, including port placement and inflow control, were standardized. In selected cases, indocyanine green fluorescence imaging was performed for enhanced anatomical precision. No conversion to multiport or open surgery was required.</p><p><strong>Results: </strong>The median operative time was 201.1 min; the median hospital stay was 7.2 days. No major postoperative complications or readmissions were observed. One patient required a blood transfusion. All malignant cases achieved R0 resection; lymph node dissection was performed when indicated, and an average of 9.3 nodes was retrieved. Instrument articulation and visualization were optimized using the cobra mode, while floating port strategies were adopted based on the target location.</p><p><strong>Conclusion: </strong>SP robotic liver resection is technically feasible and safe for major and minor hepatectomies. The platform overcomes many ergonomic and visualization challenges of SP laparoscopy while maintaining oncological integrity. Despite limitations, including the lack of integrated energy devices and reduced working space, the SP system offers cosmetic, precision, and ergonomic advantages. Our findings support the early adoption of SP robotic liver surgery, even in moderate-volume institutions.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of de novo gastroesophageal reflux disease following sleeve gastrectomy versus sleeve gastrectomy with transit bipartition: a retrospective cohort study.","authors":"Jian Wang, Liangchen Ni, Tianci Li, Wanjie Wang, Wenchao Song, Fidele Kakule Kitaghenda, Jian Hong, Xiaocheng Zhu, Libin Yao","doi":"10.1007/s00464-025-12276-1","DOIUrl":"https://doi.org/10.1007/s00464-025-12276-1","url":null,"abstract":"<p><strong>Background: </strong>Sleeve gastrectomy (SG) is the most commonly performed bariatric procedure worldwide; however, concerns persist regarding the development of de novo gastroesophageal reflux disease (GERD) after surgery. Sleeve gastrectomy with transit bipartition (SG-TB) has emerged as a potential alternative, aiming to reduce GERD incidence while achieving superior weight loss outcomes. This study aimed to compare short-term outcomes of GERD, weight loss, and perioperative safety between SG and SG-TB.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted with 215 patients who underwent SG (n = 100) or SG-TB (n = 115) between January and December 2022. Eligible patients were aged 16-65 years with a body mass index (BMI) of ≥ 27.5 kg/m² (with type 2 diabetes) or ≥ 32.5 kg/m². GERD incidence was evaluated using the gastroesophageal reflux disease questionnaire (GERD-Q) and endoscopy 12 months after surgery. Weight loss was measured by percentage total weight loss (%TWL) and percentage excess weight loss (%EWL). Operative time, estimated blood loss, length of hospital stay, and 30-day postoperative complications were also compared.</p><p><strong>Results: </strong>At 12 months, the SG-TB group demonstrated superior weight loss (%EWL: 112.0 ± 38.2% vs. 97.2 ± 25.5%, p = 0.001; %TWL: 33.8 ± 7.4% vs. 31.1 ± 6.4%, p = 0.006). The incidence of GERD was significantly lower in the SG-TB group (7.0% vs. 29.0%, p < 0.001). Multivariate regression analysis identified SG as an independent risk factor for developing de novo GERD postoperatively (OR 4.536, 95% CI 1.787-11.519, p = 0.001). SG-TB was associated with longer operative time but showed comparable early postoperative safety to SG.</p><p><strong>Conclusions: </strong>SG-TB significantly reduced the risk of postoperative GERD and resulted in superior short-term weight loss compared to SG, without increasing perioperative complication rates. Further multicenter, long-term studies are needed to validate these findings.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of utilization trends, outcomes, and costs between open and minimally invasive esophagectomy.","authors":"Steven Tohmasi, Yifei Xu, Jingxia Liu, Nikki E Rossetti, Whitney S Brandt, Bryan F Meyers, Varun Puri, Benjamin D Kozower","doi":"10.1007/s00464-025-12244-9","DOIUrl":"https://doi.org/10.1007/s00464-025-12244-9","url":null,"abstract":"<p><strong>Background: </strong>Many surgeons have adopted minimally invasive esophagectomy (MIE) as an alternative to open esophagectomy (OE). However, limited population-level data exist comparing clinical outcomes and costs by surgical approach. This study evaluated contemporary utilization trends, outcomes, and costs between MIE and OE using real-world data.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of patients who underwent MIE or OE using data from the Healthcare Cost and Utilization Project Florida State Inpatient Database from 2016 to 2021. Utilization trends were analyzed using Cochran-Armitage tests. Multivariable regression models were utilized to evaluate the association of surgical approach with postoperative outcomes and hospitalization costs.</p><p><strong>Results: </strong>Of 2550 total patients, 1218 (47.8%) and 1332 (52.2%) underwent MIE and OE, respectively. Utilization of MIE increased significantly over time, as MIE grew from 43.4% of annual esophagectomy volume in 2016 to 57.7% by 2021 (trend P < 0.001). MIE patients had a higher prevalence of esophageal or esophagogastric junction cancer compared to OE patients (75.7% vs. 60.1%; P < 0.001), but exhibited a comparable overall comorbidity burden (e.g., 2-3 comorbidities: 44.1% vs. 43.5%; P = 0.061). MIE patients had significantly shorter hospital stays (median: 8 vs. 10 days, P < 0.001). MIE was associated with reduced risk-adjusted odds of postoperative complications (adjusted odds ratio 0.560, confidence interval 0.474-0.661, P < 0.001). Operating room costs were significantly higher with MIE compared to OE (median: $13,964 vs. $10,618, P < 0.001), whereas intensive care unit costs were lower (median: $2325 vs. $5706, P < 0.001). Index hospitalization (median: $41,795 vs. $40,289, P = 0.340) and 90-day costs (median: $46,509 vs. $45,408, P = 0.550) were comparable between groups. In subgroup analyses, in-hospital mortality was significantly lower with MIE at low-volume (< 20 esophagectomies annually) hospitals (2.5% vs. 5.3%, P = 0.010). However, this difference was not statistically significant at high-volume (≥ 20 esophagectomies annually) hospitals (2.9% vs. 5.0%, P = 0.072).</p><p><strong>Conclusion: </strong>MIE has had rapid growth in utilization. MIE appears to provide a viable, cost-effective alternative to OE, with fewer postoperative complications, shorter hospital stays, and comparable overall costs.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prolonged postoperative mechanical ventilation is associated with a decrease in anastomotic leak following esophagectomy.","authors":"Liang Zhang, Shulin Zhao, Taiming Zhang, Liang Chen, Chunshu Fang, Yingjian Wang, Tao Bao, Xianfeng Xie, Xu Chen, Wei Guo, Kunkun Li","doi":"10.1007/s00464-025-12261-8","DOIUrl":"https://doi.org/10.1007/s00464-025-12261-8","url":null,"abstract":"<p><strong>Background: </strong>Anastomotic leak (AL) is a severe complication after minimally invasive esophagectomy (MIE). Oxygen therapy is expected to reduce its incidence. However, when and how to conduct oxygen therapy and whether it reduces anastomotic leak incidence is unclear.</p><p><strong>Method: </strong>We retrospectively analyzed the oxygenation index (OI) of 75 patients with esophageal cancer after MIE in our hospital. Trends of OI changes were depicted. According to mechanical ventilation duration, patients were divided into Prolonged Postoperative Mechanical Ventilation (PPMV) (≥ 24 h) and Non-Prolonged Postoperative Mechanical Ventilation (NPMV) (< 24 h) groups. The effect of PPMV on OI was analyzed; the number of analyzable cases was expanded to 312, and 89 cases each of PPMV and NPMV were obtained by Propensity Score Matching (PSM). The incidences of AL and other complications were compared between the two groups.</p><p><strong>Results: </strong>OI significantly decreased on POD1 and 2. OI in AL group was higher on POD1 and showed a more dramatic decrease on POD 2. Patients in PPMV group had a moderate OI decrease on POD 2 and lower AL rate. Expanding cases to 312, AL rate in PPMV group was significantly lower than NPMV group (8.08% vs 23.47%, p = 0.001). After PSM, the difference in AL rate remained significant (7.88% vs 24.71%, p = 0.004). The pulmonary infection and pleural effusion incidence was lower in PPMV group.</p><p><strong>Conclusion: </strong>The sharp decline of OI on POD 2 may cause AL following MIE. Prolonging postoperative mechanical ventilation to 24 h may help moderate the decline in OI and potentially reduce the incidence of anastomotic leakage.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is endoscopic sleeve gastroplasty as safe as laparoscopic sleeve gastrectomy? A propensity-matched analysis.","authors":"Amir Ebadinejad, Sara Saeidishahri, Yin Wu, Dale Bond, Connie Santana, Edward Hannoush, Darren Tishler, Pavlos Papasavas","doi":"10.1007/s00464-025-12165-7","DOIUrl":"https://doi.org/10.1007/s00464-025-12165-7","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic sleeve gastroplasty (ESG) reduces gastric volume via endoscopic suturing, offering a less invasive alternative to laparoscopic sleeve gastrectomy (LSG). However, their comparative safety remains inadequately explored. This study evaluates 30-day postoperative outcomes between ESG and LSG using a national database.</p><p><strong>Methods: </strong>A retrospective analysis of the MBSAQIP database (2020-2023) was conducted comparing primary ESG and LSG procedures. Propensity score matching (1:4) was performed for 16 baseline variables, including demographics, BMI, ASA class, and comorbidities. Major complications were defined as significant postoperative adverse events, including reoperation, reintervention, unplanned ICU admission, intubation, or severe organ dysfunction. Outcomes were analyzed using t-test/rank-sum and Chi-square/Fisher's exact tests. Risk factors for major complications in ESG patients were identified using LASSO regression and multivariate logistic regression.</p><p><strong>Results: </strong>Among 207,984 patients, 1% underwent ESG and 99% LSG. ESG patients were older (45.0 vs. 41.8 years, p < 0.001), predominantly female (86% vs. 81%, p < 0.001), and had lower BMI (39.9 vs. 45.0 kg/m², p < 0.001). After matching (ESG: 2171; LSG: 7997), ESG was associated with longer operative times (81.3 vs. 56.1 min, p < 0.001), shorter hospital stays (0.2 vs. 1.2 days, p < 0.001), and higher 30-day readmission (3.0% vs. 1.7%, p = 0.001) and intervention rates (0.7% vs. 0.26%, p = 0.003). ESG had a significantly higher rate of major complications compared to LSG (2.1% vs. 1.4%, p = 0.019). Among five variables identified by LASSO (age, cardiovascular disease, COPD, sleep apnea, and therapeutic anticoagulation), only age (OR: 1.03; 95% CI: 1.00-1.06; p = 0.022) and cardiovascular disease (OR: 6.95; 95% CI: 2.47-19.61; p < 0.001) were associated with an increased risk of major complications in ESG patients.</p><p><strong>Conclusion: </strong>While both procedures showed low overall 30-day adverse event rates, ESG was associated with a higher rate of major complications, readmissions, and interventions. Careful patient selection for ESG is warranted, particularly for older patients and those with cardiovascular disease.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic surgery enhances patients' survival in rectal cancer: a propensity score-weighted multicenter cohort study.","authors":"Ryosuke Mizuno, Ryosuke Okamura, Atsushi Takayama, Kentaro Goto, Yoshiro Itatani, Susumu Inamoto, Takehito Yamamoto, Rei Mizuno, Ryo Takahashi, Nobu Oshima, Tetsuya Shiota, Masahiro Yamada, Ryo Matsusue, Tadayoshi Yamaura, Mami Yoshitomi, Teppei Murakami, Kae Okoshi, Yasunori Deguchi, Satoshi Nagayama, Keiji Nagata, Koya Hida, Koji Kawakami, Kazutaka Obama","doi":"10.1007/s00464-025-12278-z","DOIUrl":"https://doi.org/10.1007/s00464-025-12278-z","url":null,"abstract":"<p><strong>Background: </strong>Although robotic surgery for rectal cancer has demonstrated favorable short-term outcomes, its mid-term benefits remain unclear. Moreover, randomized controlled trials have not evaluated its effectiveness in real-world settings.</p><p><strong>Methods: </strong>This study included patients diagnosed with stage I-III middle or lower rectal adenocarcinoma who underwent minimally invasive surgery between 2018 and 2021 at 16 hospitals in Japan. The inverse probability of treatment weighting method based on propensity score was used to adjust for confounding factors. The primary outcome was the 3-year relapse-free survival (RFS).</p><p><strong>Results: </strong>Of the 1053 patients, 536 underwent robotic surgery and 517 underwent laparoscopic surgery. The mean operative time was longer in the robotic group (robotic: 435 min vs. laparoscopic: 366 min). No significant difference was observed in Clavien-Dindo Grade II or higher any complications (robotic: 28.4% vs. laparoscopic: 32.0%, risk ratio [RR] 0.89, 95% confidence interval [CI]: 0.72-1.09). The rate of pathological complete resection was significantly higher in the robotic group (robotic: 98.2% vs. laparoscopic: 95.3%, RR 1.03, 95% CI 1.00-1.06). The 3-year RFS was significantly better in the robotic group (robotic: 83.6% vs. laparoscopic: 78.2%, hazard ratio [HR] 0.72, 95% CI: 0.53-0.99), and the 3-year overall survival also showed a favorable trend in the robotic group (robotic: 94.4% vs. laparoscopic: 90.6%; HR 0.60, 95% CI 0.35-1.03). Subgroup analysis indicated that robotic surgery for rectal cancer may be more effective in male patients or those with T4 tumors.</p><p><strong>Conclusion: </strong>Robotic surgery for rectal cancer may be associated with a higher complete resection rate and improved 3-year RFS compared with conventional laparoscopic surgery in a real-world setting.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative analysis of the clinical efficacy of three minimally invasive surgical approaches for the treatment of simple renal cysts.","authors":"Hao Gu, Ke Gao, Bin Wu, Jianxin Ni, Bao Wang, Guojun Wu","doi":"10.1007/s00464-025-12235-w","DOIUrl":"https://doi.org/10.1007/s00464-025-12235-w","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy and safety of three minimally invasive surgical approaches-percutaneous aspiration and sclerotherapy (PNA), laparoscopic retroperitoneal decortication (LRD), and percutaneous nephroscopic decortication (PCNL)-in the treatment of simple renal cysts, and to explore the optimal surgical strategy.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 90 patients with simple renal cysts treated at our institution between December 2021 and December 2023. Patients were divided into three groups based on the surgical approach received: PNA group, LRD group, and PCNL group, with 30 patients in each. Baseline characteristics (sex, age, cyst location, and size) were collected and compared. Clinical outcomes, including operative time, hospital stay, postoperative drainage volume, time to drain removal, pain scores (VAS at 24 h), perioperative complications, stress markers (hemoglobin, C-reactive protein, procalcitonin, interleukin-6, creatinine), and cure rates, were analyzed among the groups.</p><p><strong>Results: </strong>There were no statistically significant differences in baseline characteristics among the three groups. The PNA group demonstrated significantly shorter operative time, hospital stay, earlier drain removal, and lower 24-h VAS scores compared with the PCNL and LRD groups (P < 0.05), indicating advantages in minimal invasiveness and rapid recovery. The LRD group achieved the highest cure rate (93.33%) with no recurrence. The PCNL group showed a favorable balance between efficacy and safety. The recurrence rate in the PNA group was 6.67%. Follow-up at 1, 3, 6, and 12 months showed progressive cyst reduction and resolution in all groups, with more stable outcomes observed in the LRD and PCNL groups. The incidence of postoperative complications differed significantly among the three groups (P = 0.046), with the lowest rate in the PNA group (3.33%) and slightly higher in the LRD group (6.67%). Postoperative stress marker changes were smallest in the PNA group, with statistically significant intergroup differences.</p><p><strong>Conclusion: </strong>All three minimally invasive approaches are safe and effective for the treatment of simple renal cysts. LRD offers the most definitive results with thorough cyst wall excision, making it suitable for larger or anatomically complex cysts. PCNL achieves a favorable balance between efficacy and minimally invasiveness and is appropriate for most posterior renal cysts. PNA is the least invasive, with the fastest recovery, and is more suitable for elderly patients or those with significant comorbidities. Surgical strategy should be individualized based on cyst characteristics and patient factors to optimize outcomes.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hernia and Abdominal Wall Surgery Fellowships: results of a 1-year pilot program : Pilot of hernia surgery fellowship.","authors":"Marcoandrea Giorgi, Imran J Anwar, Salvatore Docimo, Matthew I Goldblatt, Rana M Higgins, Ajita Prabhu, Archana Ramaswamy, Michael M Awad, Jacob A Greenberg","doi":"10.1007/s00464-025-12255-6","DOIUrl":"https://doi.org/10.1007/s00464-025-12255-6","url":null,"abstract":"<p><strong>Background: </strong>Hernias are among the most common maladies treated by surgeons worldwide. Over the past decades, the spectrum of hernia disease has become increasingly more complex. There is thus a role for the creation of Hernia and Abdominal Wall Surgery Fellowships to better prepare surgeons to perform complex hernia repair.</p><p><strong>Methods: </strong>The Fellowship Council (FC) engaged the American Hernia Society (AHS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to create a new designation for Hernia and Abdominal Wall Fellowships within the FC. Members of both organizations developed agreed upon case criteria for a program to receive this designation and received approval from the FC. During the 2023-2024 academic year, six fellowship programs volunteered to pilot the case criteria to assess whether they were achievable within their training program. All programs had a strong historic track record of hernia and abdominal wall surgery. From January 2024 onwards, their case logs were entered into a modified version of the existing case log system to account for the new criteria.</p><p><strong>Results: </strong>Over a 12-month period, eight fellows from six fellowship programs logged their cases in the modified case log system. 935 core procedures were logged with an average of 117 cases per fellow (range 68-173). The proportion of fellows meeting the minimum number of cases was variable depending on type of procedure. All fellows met requirements for inguinal hernia case numbers (n = 30). Due to the mid-year change in the case log definitions, no fellow met the minimum requirement of cases for 3-10 cm ventral hernia repairs (n = 30).</p><p><strong>Conclusions: </strong>In this 1-year pilot program, there was varied success with respect to fellows meeting the pre-defined procedures minimum. This is likely multifactorial owing to differences in hospital volume, practice patterns, mid-year change of the case log, and self-reporting of case numbers.</p>","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: SAGES guidelines for the use of intraoperative imaging of the common bile duct.","authors":"Sunjay K Kumar, Dena G Shehata, Lawrence N Cetrulo, Romeo Ignacio, Jeffrey Chiu, Brain R Davis, Marian McDonald, Matthew B Bloom, Subhashini Ayloo, Ali Kchaou, Georgios Orthopoulos, Philip H Pucher, Uretz Oliphant, Peter T Hallowell, Federico Serrot, David Overby, Eduardo Moreno-Paquentin, Bethany J Slater, Emily Miraflor","doi":"10.1007/s00464-025-12282-3","DOIUrl":"https://doi.org/10.1007/s00464-025-12282-3","url":null,"abstract":"","PeriodicalId":22174,"journal":{"name":"Surgical Endoscopy And Other Interventional Techniques","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}