Laparoscopic Endoscopic and Robotic Surgery最新文献

{"title":"Extended-view totally extraperitoneal approach for midline primary and incisional ventral hernia repair: Initial results and experience from a single institution in Vietnam","authors":"Van Phu La ,&nbsp;Vinh Phuc La ,&nbsp;Hai Duong Tong ,&nbsp;Minh Dien Tran ,&nbsp;Tuan Tu Duong ,&nbsp;Vimal Kumar Vasudeavan ,&nbsp;Hadinata Prana ,&nbsp;Anh Vu Doan","doi":"10.1016/j.lers.2025.07.002","DOIUrl":"10.1016/j.lers.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>Abdominal wall hernias, particularly midline primary and incisional types, represent a common and challenging surgical condition. The extended-view totally extraperitoneal (e-TEP) technique has recently been adapted for ventral hernia repair, offering potential advantages over other approaches. This study aimed to evaluate the initial outcomes and institutional experience of the e-TEP technique for midline primary and incisional ventral hernia repair at a tertiary center in Vietnam.</div></div><div><h3>Methods</h3><div>This prospective descriptive study was conducted on 65 patients with midline primary or incisional ventral hernias who underwent e-TEP repair between June 2022 and August 2024. All procedures were performed by two experienced surgeons at the Department of General Surgery, Can Tho General Hospital, Vietnam. Follow-up continued until February 2025. Data were collected and analyzed on demographics, clinical characteristics, surgical details, postoperative outcomes, and recurrence.</div></div><div><h3>Results</h3><div>A total of 65 patients, with a mean age of 57.9 ± 12.6 years, a mean BMI of 25.0 ± 3.3 kg/m², and 47 (72.3%) female, were included. The types of hernias included primary hernias in 63.1% (41 patients) and incisional hernias in 36.9% (24 patients). Among the incisional hernias, 3 cases were recurrences. The median defect area was 9 cm² (range, 1–50 cm²). A 15 cm × 15 cm mesh was used in nearly all cases (98.5%). The mean operating time was 131.9 ± 51.8 min, with no conversions to open repair or other procedures, and no intraoperative complications were observed. Nine patients (13%) experienced postoperative complications, with seroma being the most common (5 cases). Two patients sustained intestinal injuries that required reoperation, one developed a wound infection and one reported postoperative skin paresthesia. The mean visual analogue scale pain scores at postoperative 24 hours, 48 hours, and at discharge were 4.3 ± 1.3, 3.0 ± 1.5, and 1.0 ± 0.4, respectively. The mean postoperative hospital stay was 4.52 ± 2.24 d. Only one case of recurrence (1.5%) was observed, and no patient reported chronic pain during the mean follow-up period of 14.5 ± 7.6 m.</div></div><div><h3>Conclusion</h3><div>The e-TEP technique for midline primary and incisional ventral hernia repair is a feasible and safe option when performed by experienced surgeons. It offers a low rate of complications, short hospital stay, and minimal recurrence rates. This technique can be considered a viable alternative for the management of midline ventral hernias, with promising short-term outcomes.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 146-152"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cost–efficiency of preoperative phenazopyridine use in ureteral jet visualization at time of cystoscopy following minimally invasive hysterectomy","authors":"Caitlin H. Waters ,&nbsp;Maame Yaa Brako ,&nbsp;Heidi Preis ,&nbsp;Lokesh Patil ,&nbsp;Nicole Massad ,&nbsp;Jennifer Blaber ,&nbsp;Sara Kim ,&nbsp;Xun Lian","doi":"10.1016/j.lers.2025.07.001","DOIUrl":"10.1016/j.lers.2025.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the impact of planned preoperative phenazopyridine administration on operative times and costs compared with as-needed intravenous agent use during routine cystoscopy following minimally invasive hysterectomy for benign indications.</div></div><div><h3>Method</h3><div>This prospective cohort study examined patients who underwent laparoscopic or robotic-assisted total or supracervical hysterectomy for benign indications between January 27, 2023 and March 11, 2024, with one of our minimally invasive gynecologic surgeons at Stony Brook University Hospital. Patients were assigned to the non-phenazopyridine group or the phenazopyridine group. The time needed to visualize the ureteral jets during cystoscopy and the total surgery duration were recorded. A cost analysis was then performed.</div></div><div><h3>Results</h3><div>In total, 106 patients were included, with 53 patients in each group. Compared with the non-phenazopyridine group, the phenazopyridine group had significantly shorter times from the start of cystoscopy to visualization of the first ureteral jet (31 s vs. 42 s, <em>p</em> &lt; 0.05). However, there were no significant differences observed for visualization of the second jet, total jet time, or surgery duration. Two patients in the non-phenazopyridine group required the administration of intravenous agents intraoperatively. Routine phenazopyridine was found to be more cost-efficient when medication costs and operative times were examined.</div></div><div><h3>Conclusion</h3><div>Routine phenazopyridine use does not significantly shorten overall cystoscopy times, but it is the more cost-efficient option given increased rates of costly intravenous medication use in the non-phenazopyridine group.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 128-133"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Surgery-by-wire’: A new cross-domain perspective on robotic control","authors":"Atanu Pal","doi":"10.1016/j.lers.2025.05.002","DOIUrl":"10.1016/j.lers.2025.05.002","url":null,"abstract":"<div><div>As robotic surgery provides clinical benefits and increases on a global scale, it also signifies the transition from direct manual control of surgical instruments to digital connectivity and teleoperation. The digital coupling between human control inputs and surgical motion replaces the previous physical link. Robotic surgery is therefore in effect ‘surgery-by-wire’, the term capturing the engineering phenomenon that has also occurred in the ‘fly-by-wire’ of aviation and ‘drive-by-wire’ of cars. This paper reviews the fundamental commonality across domains. Intrinsic to ‘by-wire’ control is digital processing, which generates the control signal to the effector. This processing enables a progressive spectrum of motion modulation, from precision and stability of motion, through assistance and envelope protection, to automation. Precision now manifests in all three domains. In modern aircraft and cars, higher-order assistance is commonplace, such as flight envelope protection, with analogous support in driving, as well as significant automation. In robotic surgery, such assistance and automation have not yet entered wider clinical practice, with concepts such as envelope protection requiring further definition. The digital interface combined with telecommunication has also enabled teleoperation in all domains. Therefore, motion ‘by-wire’ has enhanced performance across industries. A cross-domain perspective will be increasingly useful to facilitate technology transfer and catalyse progress in robotic surgery. As the pan-industry digital transformation evolves, important principles can be derived for application in robotic surgery.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 123-127"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted biopsy of the infratemporal fossa","authors":"Konrad Tolksdorf ,&nbsp;Frank-Stephan Hohberger ,&nbsp;Stefan Schultze-Mosgau ,&nbsp;Christian Senft ,&nbsp;Falko Schwarz","doi":"10.1016/j.lers.2025.02.004","DOIUrl":"10.1016/j.lers.2025.02.004","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 153-155"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining traditional laparoscopic box practice with video gaming: A randomized control trial","authors":"Simon Byrns,&nbsp;Yun Wu,&nbsp;Bin Zheng","doi":"10.1016/j.lers.2025.04.002","DOIUrl":"10.1016/j.lers.2025.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>While there is consensus regarding a positive effect of video gaming on dexterity, little is known regarding how much traditional laparoscopic practice can or should be substituted with video gaming. This study was designed to assess the effects of varying the amount of traditional practice in a lap box trainer and video gaming on performance in two fundamentals of laparoscopic surgery core tasks.</div></div><div><h3>Methods</h3><div>Undergraduate and medical students were recruited and randomized into one of four groups: a control group, a lap box group, a video game group, and a combined group with 50% of the time allocated to each modality. Performance in the peg transfer and precision cutting tasks was assessed both prior to and following the 6 training sessions.</div></div><div><h3>Results</h3><div>Peg transfer performance significantly improved in the lap box group (168.4 ± 70.6 s vs. 332.9 ± 178.2 s, <em>p</em> &lt; 0.001), video game group (176.7 ± 53.3 s vs. 300.0 ± 101.2 s, <em>p</em> &lt; 0.001) and combined group (214.2 ± 86.9 s vs. 406.8 ± 239.5 s, <em>p</em> = 0.002) after training. Similar improvements were also observed in precision cutting performance in the lap box group (413.1 ± 138.4 s vs. 614.3 ± 211.4 s, <em>p</em> = 0.002), video game group (434.1 ± 150.8 s vs. 609.2 ± 233.2 s, <em>p</em> = 0.007) and combined group (469.2 ± 185.3 s vs. 663.8 ± 296.3 s, <em>p</em> = 0.020). When analyzing improvements in performance across three different training groups compared with the control group, we found that both the lap box group (<em>p</em> &lt; 0.001) and the combined group (<em>p</em> &lt; 0.001) showed better improvement in both tasks, and the video game group had significantly better outcomes in the precision cutting task (<em>p</em> = 0.003).</div></div><div><h3>Conclusion</h3><div>Traditional lap box training remains the most effective method for improving the performance of simulated laparoscopic surgery. Video games can be encouraged to enhance skills retention and supplement simulated practice outside of a formal training curriculum.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 134-139"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fundamentals of digital surgery","authors":"Bin Zheng ,&nbsp;Xiujun Cai","doi":"10.1016/j.lers.2025.02.005","DOIUrl":"10.1016/j.lers.2025.02.005","url":null,"abstract":"<div><div>Unlike earlier innovations that focused on manipulation and task precision, the latest surgical advancements emphasize data visualization and the acceleration of surgeons’ decision-making. Before entering the operating room, digital tools help surgeons develop patient-specific approaches, outline procedural steps, and prepare strategies for managing potential crises. During the operation, relevant data appear at the right moment to assist decision-making and guide performance in formats tailored to the surgeon’s physical and cognitive state, all without causing distractions. In the future operating room, performance data from surgeons will be gathered, integrated, and analyzed to interpret surgeons’ behavior and confidence. Advanced techniques, including artificial intelligence, can be employed to automatically detect moments of performance difficulty or cognitive overload. As a result, digital surgery provides timely, context-specific assistance to surgeons in high-stakes situations. Key components of digital surgery are highlighted in this narrative review.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 3","pages":"Pages 115-122"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new approach to laparoscopic skill assessment: Motion smoothness and bimanual coordination","authors":"Farzad Aghazadeh ,&nbsp;Bin Zheng","doi":"10.1016/j.lers.2025.03.002","DOIUrl":"10.1016/j.lers.2025.03.002","url":null,"abstract":"<div><h3>Objective</h3><div>Reliable and objective methods for assessing surgical skill are essential for improving surgical skills and clinical outcomes. While conventional methods rely on subjective evaluations, motion analysis can offer a quantitative alternative. This study aims to use motion tracking data to analyze the motion smoothness and bimanual coordination of various surgical skill levels during laparoscopic surgery.</div></div><div><h3>Methods</h3><div>The participants were recruited and grouped into an expert group, an intermediate group, and a novice group on the basis of their experience with laparoscopic surgery. They completed peg transfer, bimanual peg transfer, and rubber band translocation tasks. Motion smoothness was assessed via logarithmic dimensionless tooltip motion jerk, and the dynamic time warping metric of tooltips velocities was employed to assess bimanual coordination.</div></div><div><h3>Results</h3><div>Seventeen participants, with four experts, five intermediates, and eight novices, were included. Compared with novices, the experts exhibited smoother motion in both the dominant hand (peg transfer: 16.30 vs. 18.05, <em>p</em> = 0.004; bimanual peg transfer: 15.21 vs. 17.45, <em>p</em> = 0.004; rubber band translocation: 14.32 vs. 15.87, <em>p</em> = 0.004) and non-dominant hand (peg transfer: 16.32 vs. 18.22, <em>p</em> = 0.004; bimanual peg transfer: 15.32 vs. 17.52, <em>p</em> = 0.004; rubber band translocation: 14.33 vs. 15.77, <em>p</em> = 0.004), and superior bimanual coordination (peg transfer: 8.77 m/s vs. 13.28 m/s, <em>p</em> = 0.004; bimanual peg transfer: 6.29 m/s vs. 11.13 m/s, <em>p</em> = 0.004; rubber band translocation: 4.50 m/s vs. 7.13 m/s, <em>p</em> = 0.004) across all tasks. They also outperformed intermediates in motion smoothness in the non-dominant hand and bimanual coordination in the peg transfer (16.32 vs. 17.35, <em>p</em> = 0.016; 8.77 m/s vs. 11.89 m/s, <em>p</em> = 0.016) and bimanual peg transfer (15.32 vs. 16.22, <em>p</em> = 0.016; 6.29 m/s vs. 8.63 m/s, <em>p</em> = 0.032) tasks. Similarly, intermediates demonstrated smoother motion in the non-dominant hand (peg transfer: 17.35 vs. 18.22, <em>p</em> = 0.002; bimanual peg transfer: 16.22 vs. 17.52, <em>p</em> = 0.002) and dominant hand (bimanual peg transfer: 16.06 vs. 17.45, <em>p</em> = 0.011), and better bimanual coordination (peg transfer: 11.89 m/s vs. 13.28 m/s, <em>p</em> = 0.002; bimanual peg transfer: 8.63 m/s vs. 11.13 m/s, <em>p</em> = 0.002) than novices did in these tasks.</div></div><div><h3>Conclusion</h3><div>This study revealed that motion smoothness and bimanual coordination are capable of facilitating surgical skill differentiation across various skill levels. These findings underscore the utility of motion metrics for objective surgical skill assessment, potentially reducing the subjectivity, bias, and associated costs of conventional assessment approaches.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 90-95"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous bilateral robotic-assisted partial nephrectomy using a dual stepwise transperitoneal and retroperitoneal approaches: A case report","authors":"Francesco Dinale ,&nbsp;Annalisa Patera ,&nbsp;Tommaso Bocchialini ,&nbsp;Giulia Di Marco ,&nbsp;Giulio Guarino ,&nbsp;Michele Slawitz ,&nbsp;Francesco Ziglioli ,&nbsp;Davide Campobasso ,&nbsp;Umberto Vittorio Maestroni","doi":"10.1016/j.lers.2025.02.002","DOIUrl":"10.1016/j.lers.2025.02.002","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 102-105"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic lumbar sympathectomy in the treatment of Buerger disease: A rare case report","authors":"Juliana ,&nbsp;Yosis Yohannes Motulo ,&nbsp;Dhihintia Jiwangga ,&nbsp;Henry Sintoro ,&nbsp;Paul L. Tahalele","doi":"10.1016/j.lers.2024.12.004","DOIUrl":"10.1016/j.lers.2024.12.004","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 106-109"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical review of robotic distal pancreatectomy","authors":"Naeun Hwang ,&nbsp;Sam Reddish ,&nbsp;Jonathan Koea ,&nbsp;Sanket Srinivasa","doi":"10.1016/j.lers.2025.02.001","DOIUrl":"10.1016/j.lers.2025.02.001","url":null,"abstract":"<div><div>Robotic distal pancreatectomy (RDP) is being increasingly used in centres with access to the robot and offers technological improvements over conventional laparoscopy. Some studies have also shown superior outcomes compared with laparoscopic and open approaches. However, robotic technology is not widely available currently. This review aims to compare RDP with open and laparoscopic distal pancreatectomy, covering the basics of the RDP technique and highlighting the current nuances of the evidence pertaining to RDP with respect to clinical effectiveness and cost‒benefit analysis.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 80-83"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}