Laparoscopic Endoscopic and Robotic Surgery最新文献

{"title":"Use of indocyanine green fluorescence for triple gallbladder cholecystectomy: A case report","authors":"Caterina Froiio, Laura Torselli, Luca Bottero, Nirvana Maroni, Dario Palmisano, Pasquale Chiacchio, Cristian Giuseppe Monaco, Laura Palvarini, Giovanni Pompili, Andrea Pisani Ceretti","doi":"10.1016/j.lers.2024.09.002","DOIUrl":"10.1016/j.lers.2024.09.002","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 4","pages":"Pages 186-189"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Helicobacter pylori infection may result in poor gastric cleanliness in magnetically controlled capsule gastroscopy examination: A single-center retrospective study","authors":"Jingjing Xia,&nbsp;Jie Fang,&nbsp;Liying Chen,&nbsp;Yange Meng,&nbsp;Lin Su","doi":"10.1016/j.lers.2024.09.001","DOIUrl":"10.1016/j.lers.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>Magnetically controlled capsule gastroscopy (MCCG) is an effective method for screening gastric diseases; however, its performance may be affected by gastric cleanliness. We aimed to explore the correlation between <em>Helicobacter pylori</em> infection and the degree of gastric cleanliness in the MCCG.</div></div><div><h3>Methods</h3><div>This retrospective study enrolled 297 participants from October 2020 to April 2024 at Sir Run Run Shaw Hospital, Zhejiang University School of Medicine. Participant characteristics, MCCG examination results, and (13) C-urea breath test (C13-UBT) results were collected. The gastric cleanliness in MCCG examinations was assessed using a gastric cleanliness score. Binary logistic regression was used to analyze the relationships among participant characteristics, <em>H. pylori</em> infection, and gastric cleanliness. Chi-square tests and Fisher's exact tests were used to analyze the relationships among gastric lesions, <em>H. pylori</em> infection, and gastric cleanliness.</div></div><div><h3>Results</h3><div>Among the participants, 24.2% had <em>H. pylori</em> infection, and 17.5% had poor gastric cleanliness. Hypertension (odds ratio [OR]: 2.63; 95% confidence interval [CI]: 1.36–5.09; <em>p</em> = 0.004) was associated with a greater likelihood of <em>H. pylori</em> infection. <em>H. pylori</em> infection (OR: 3.76; 95% CI: 1.99–7.09; <em>p</em> &lt; 0.001) was an independent risk factor for poor gastric cleanliness in the MCCG. A significant disparity was noted in the prevalence of focal erosions (<em>p</em> &lt; 0.001), gastric ulcers (<em>p</em> = 0.001), and positive gastric lesions (<em>p</em> = 0.027) between the 2 groups with and without <em>H. pylori</em> infection. The proportion of positive gastric lesions was not significantly different between the good gastric cleanliness group and the poor gastric cleanliness group (25.7% vs. 21.2%; <em>p</em> = 0.490).</div></div><div><h3>Conclusion</h3><div>The findings of this study revealed that <em>H. pylori</em> infection was associated with hypertension. <em>H. pylori</em> infection may lead to poor gastric cleanliness. Institutions are advised to perform C13-UBT before MCCG, and participants should be informed of the risk of poor gastric cleanliness if the results are positive. The decision to perform <em>H. pylori</em> eradication before MCCG should take into account patient willingness and the benefit-to-risk ratio.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 4","pages":"Pages 147-154"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managerial perspectives of scaling up robotic-assisted surgery in healthcare systems: A systematic literature review","authors":"","doi":"10.1016/j.lers.2024.05.002","DOIUrl":"10.1016/j.lers.2024.05.002","url":null,"abstract":"<div><h3>Objectives</h3><p>Robotic-assisted surgery (RAS) is a minimally invasive technique practiced in multiple specialties. Standard training is essential for the acquisition of RAS skills. The cost of RAS is considered to be high, which makes it a burden for institutes and unaffordable for patients. This systematic literature review (SLR) focused on the various RAS training methods applied in different surgical specialties, as well as the cost elements of RAS, and was to summarize the opportunities and challenges associated with scaling up RAS.</p></div><div><h3>Methods</h3><p>An SLR was carried out based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses reporting guidelines. The PubMed, EBSCO, and Scopus databases were searched for reports from January 2018 through January 2024. Full-text reviews and research articles in the English language from Asia-Pacific countries were included. Articles that outlined training and costs associated with RAS were chosen.</p></div><div><h3>Results</h3><p>The most common training system is the da Vinci system. The simulation technique, which includes dry-lab, wet-lab, and virtual reality training, was found to be a common and important practice. The cost of RAS encompasses the installation and maintenance costs of the robotic system, the operation theatre rent, personnel cost, surgical instrument and material cost, and other miscellaneous charges. The synthesis of SLR revealed the challenges and opportunities regarding RAS training and cost.</p></div><div><h3>Conclusions</h3><p>The results of this SLR will help stakeholders such as decision-makers, influencers, and end users of RAS to understand the significance of training and cost in scaling up RAS from a managerial perspective. For any healthcare innovation to reach a vast population, cost-effectiveness and standard training are crucial.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 113-122"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000306/pdfft?md5=ed19109b4ad16ebff3b6acd65fdd5a67&pid=1-s2.0-S2468900924000306-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic surgery in living liver donors and liver recipients","authors":"Konstantin Semash","doi":"10.1016/j.lers.2024.06.003","DOIUrl":"10.1016/j.lers.2024.06.003","url":null,"abstract":"<div><p>There have been nearly 60 years since Thomas Starzl’s first liver transplant. During this period, advancements in medical technology have progressively enabled the adoption of new methods for transplantation. Among these innovations, robotic surgery has emerged in recent decades and is gradually being integrated into transplant medicine. Robotic hepatectomy and liver implantation represent significant advancements in the field of transplant surgery. The precision and minimally invasive nature of robotic surgery offer substantial benefits for both living donors and recipients. In living donors, robotic hepatectomy reduces postoperative pain, minimizes scarring, and accelerates recovery. For liver recipients, robotic liver implantation enhances surgical accuracy, leading to better graft positioning and vascular anastomosis. Robotic systems provide more precise and maneuverable control of instruments, allowing surgeons to perform complex procedures with greater accuracy and reduced risk to patients. This review encompasses publications on minimally invasive donor liver surgery, with a specific focus on robotic liver resection in transplantation, and aims to summarize current knowledge and the development status of robotic surgery in liver transplantation, focusing on liver resection in donors and graft implantation in recipients.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 123-127"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000458/pdfft?md5=f22cdb06606e6c4d13aa6e111b4b17f1&pid=1-s2.0-S2468900924000458-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new abdominal drainage tube fixation method for 3-port laparoscopic cholecystectomy improves patients’ postoperative quality of life","authors":"","doi":"10.1016/j.lers.2024.04.004","DOIUrl":"10.1016/j.lers.2024.04.004","url":null,"abstract":"<div><h3>Objective</h3><p>Laparoscopic surgery has become a routine general surgery with many advantages, such as alleviating abdominal pain. However, postoperative pain caused by abdominal drainage tubes has attracted little attention from medical staff. The aim of this study was to explore the influence of a new abdominal drainage tube fixation method for 3-port laparoscopic cholecystectomy (LC) on patients’ postoperative quality of life.</p></div><div><h3>Methods</h3><p>Patients who underwent 3-port LC with abdominal drainage tubes in the Department of Hepatobiliary Surgery of Linyi People’s Hospital from March 1, 2023 to October 31, 2023 due to gallstones with chronic cholecystitis were selected for this study. The patients were randomly divided into an experimental group and a control group. In the experimental group, the new abdominal drainage tube fixation method was used, while in the control group, the traditional method was used. Afterward, the quality of life of patient in terms of pain, activity, recovery time, and mental health status was evaluated. The exudate around the patient’s drainage tube was collected for bacterial culture and analysis.</p></div><div><h3>Results</h3><p>A total of 139 patients were randomly divided into an experimental group (70 patients) and a control group (69 patients). The patients’ baseline characteristics were not significantly different. The patients in the experimental group had better outcomes in quality of life, with higher pain scores (24.03 ± 2.37 vs. 15.48 ± 2.29, <em>p</em> &lt; 0.001) and activity scores (20.57 ± 1.78 vs. 14.13 ± 1.43, <em>p</em> &lt; 0.001), and a shorter postoperative recovery time (2.36 ± 0.68 d vs. 2.96 ± 1.34 d, <em>p</em> &lt; 0.001). The same results were shown in linear regression analysis scores of the 2 groups. The positive rate of bacterial culture in the exudate around the patient’s drainage tube in the experimental group was significantly lower than that in the control group (12.9% vs. 43.5%, <em>p</em> &lt; 0.001); and furthermore, the positive rate of conditional pathogenic bacteria was even lower (7.1% vs. 33.3%, <em>p</em> &lt; 0.001) in the experimental group than in the control group.</p></div><div><h3>Conclusion</h3><p>This new abdominal drainage tube fixation method can effectively promote patient rehabilitation and improve the quality of life for patient following 3-port LC with abdominal drainage tubes.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 107-112"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000264/pdfft?md5=21128b25e039a87bee4d573c4a758f36&pid=1-s2.0-S2468900924000264-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastric leiomyoma presenting as an endophytic growth of cardia of the stomach: A case report","authors":"","doi":"10.1016/j.lers.2024.03.003","DOIUrl":"10.1016/j.lers.2024.03.003","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 132-135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000227/pdfft?md5=88441fdc21caa825c1d87d089feedd36&pid=1-s2.0-S2468900924000227-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive management of parapharyngeal space tumors: Introducing a decision-making algorithm and radiologic tool","authors":"","doi":"10.1016/j.lers.2024.06.001","DOIUrl":"10.1016/j.lers.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>Traditionally tumors of the parapharyngeal space (PPS) are resected through transcervical approaches. More recent approaches include endoscopic approaches or transoral robotic surgery (TORS) without directions on when to use which approach. Our objective was to find objective parameters to choose the most suitable approach.</p></div><div><h3>Methods</h3><p>It is a retrospective study containing 6 patients from May 2019 to May 2021 with tumors of the PPS treated in the Department of Otolaryngology and Head-Neck Surgery at the Hospital of Lucerne, Switzerland.</p></div><div><h3>Results</h3><p>The data was analysed in average 53 months after surgery. Tumor resection was completed with TORS in 3 patients and endoscopically in 3 patients. Mean operation time was 114 min. No major complications occurred. No evidence of tumor was found in magnetic resonance imaging studies postoperatively in all patients.</p></div><div><h3>Conclusion</h3><p>We conclude that a resection via TORS or endoscopic technique is safe and effective. Furthermore, we postulate that the further a tumor is located in the upper lateral area of the PPS, an approach via TORS is less possible.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 97-101"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000434/pdfft?md5=734927f574d1874fc4e1fcef6b962bbf&pid=1-s2.0-S2468900924000434-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing clinical proficiency through laparoscopic training using Japanese origami","authors":"Shunsuke Furukawa ,&nbsp;Masatsugu Hiraki ,&nbsp;Naoya Kimura ,&nbsp;Ryota Sakurai ,&nbsp;Ryo Kohata ,&nbsp;Naohiko Kohya ,&nbsp;Masashi Sakai ,&nbsp;Akashi Ikubo ,&nbsp;Ryuichiro Samejima","doi":"10.1016/j.lers.2024.07.001","DOIUrl":"10.1016/j.lers.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the clinical efficacy of laparoscopic training using origami, a traditional Japanese papercraft, using laparoscopic forceps to create origami cranes.</p></div><div><h3>Methods</h3><p>In this retrospective study, 4 surgeons were randomly divided into 2 groups: The training group, consisting of surgeons 1 and 2, and the non-training group, consisting of surgeons 3 and 4. Over the course of a one-year study period, the training group regularly underwent laparoscopic surgery training with a dry box, wherein they folded a total of 1000 origami cranes using laparoscopic instruments. The non-training group periodically underwent common laparoscopic surgery training of techniques such as suturing and ligation. Each surgeon regularly performed the transabdominal preperitoneal approach for inguinal hernias. Each training was conducted concurrently with the surgeries. The procedure time (peritoneum detachment, mesh placement, and closure of the peritoneum), total operation time (time from peritoneum detachment to closure of the peritoneum), and surgical outcomes were examined.</p></div><div><h3>Results</h3><p>The training group showed greater improvement in the total operation time and more stable performance than the non-training group. Additionally, the time taken for peritoneum detachment was significantly shorter in the training group.</p></div><div><h3>Conclusion</h3><p>Laparoscopic training using origami has the potential to enhance laparoscopic surgical skills and improve surgical outcomes.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 102-106"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000471/pdfft?md5=60b2f17aa70d7a2162efe773f11d968d&pid=1-s2.0-S2468900924000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case of abdominal whirl sign with small bowel obstruction and free gas successfully managed by conservative management instead of laparoscopic surgery","authors":"Giuleta Jamsari,&nbsp;James Wei Tatt Toh","doi":"10.1016/j.lers.2024.03.001","DOIUrl":"10.1016/j.lers.2024.03.001","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 128-131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000203/pdfft?md5=965932ce5dccedf29b2388862fe3624a&pid=1-s2.0-S2468900924000203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A live birth resulting from a fourth cesarean scar pregnancy after combined hysteroscopic and laparoscopic uterine repair: A case report and literature review","authors":"","doi":"10.1016/j.lers.2024.04.002","DOIUrl":"10.1016/j.lers.2024.04.002","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"7 3","pages":"Pages 136-139"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900924000240/pdfft?md5=fa678e6630ad190a6bc58261ec4ce7dd&pid=1-s2.0-S2468900924000240-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}