Laparoscopic Endoscopic and Robotic Surgery最新文献

{"title":"The digital horizon in colorectal cancer surgery: A narrative review","authors":"Atanu Pal","doi":"10.1016/j.lers.2025.02.003","DOIUrl":"10.1016/j.lers.2025.02.003","url":null,"abstract":"<div><div>Digital surgery is being increasingly used in phraseology and clinical application, driven by the advancing tide of technology. Its scope in treating patients with colorectal cancer is reviewed. A search was performed to include a breadth of digital technologies, including virtual reality (VR), augmented reality (AR), artificial intelligence (AI), mobile health, and simulation. Many digital roles were identified in the 60 studies included. These were clinician-facing or patient-facing throughout the patient’s journey (screening, preoperative, intraoperative, postoperative) and involved the broader team (trainees, oncology, pathology). Colorectal cancer screening was improved via the use of digital technology, including virtual health assistants. Preoperative patient-facing VR enhances consent and reduces perioperative anxiety. For surgeons, enhanced awareness of vascular and visceral anatomy relative to the tumour helped with surgical planning, with the emerging concepts of ‘virtual colectomy’ and ‘digital clone’. Pathologically, AI more accurately predicts lymph node metastasis following endoscopic polyp cancer excision, thus reducing over-treatment with surgery, and assesses the response to neoadjuvant treatment to guide selective surgery. Intraoperatively, AI facilitates real-time detection of anatomical landmarks, including autonomic nerves, ureters, and areolar tissue, to indicate the dissection plane. These intraoperative studies lacked a control group and outcome reporting (intraoperative, clinical, oncological, or functional), highlighting that this technology requires further development and study. There is a paucity of evidence regarding AR, such as intraoperative holographic overlay. Postoperative patient-facing digital technology can promote enhanced recovery, improve physical activity, and reduce sick-role maladaptation. For clinicians, AI can predict the short-term (complications) and long-term (survival) patient prognosis. VR could play an increasing role in training, with some evidence from validated virtual curricula. In summary, digital surgery has potential applications throughout the patient journey and along the virtuality continuum, showing advantages over conventional approaches in the preoperative and postoperative phases. Intraoperative, AI and AR methods have not yet been shown to have clinically significant advantages. As its scope grows, there are emerging implications for training, regulation, and ethics.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 67-72"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123657","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":"Laparoscopic totally extraperitoneal groin hernia repair using a self-gripping mesh: A 5-year outcome and our techniques","authors":"Sopon Lerdsirisopon ,&nbsp;Suphakarn Techapongsatorn ,&nbsp;Amarit Tansawet ,&nbsp;Wisit Kasetsermwiriya ,&nbsp;Issaree Laopeamthong","doi":"10.1016/j.lers.2024.12.005","DOIUrl":"10.1016/j.lers.2024.12.005","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 110-113"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123663","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":"Contemporary major abdominal surgical management of Crohn’s disease in the era of biologics and minimally invasive surgery","authors":"Joseph Do Woong Choi ,&nbsp;Talia Shepherd ,&nbsp;Amy Cao ,&nbsp;Nimalan Pathma-Nathan ,&nbsp;Toufic El-Khoury ,&nbsp;James Wei Tatt Toh","doi":"10.1016/j.lers.2025.03.001","DOIUrl":"10.1016/j.lers.2025.03.001","url":null,"abstract":"<div><div>Surgery for ileocolic and colonic Crohn’s disease (CD) remains challenging. Over the past decade, there have been significant advances in surgical techniques, and the timing of surgery for CD patients has been debated. With advances in biological agents, the rate of surgery has significantly decreased, but early ileocolic resection has been advocated. Recently, there has been significant interest in the role of the mesentery in the pathogenesis of CD, with Kono-S mesenteric exclusion anastomosis and extended mesenteric excision advocated by various groups to minimise CD recurrence. There have also been controversies regarding the utility of ileal pouch anal anastomosis after total proctocolectomy. Compared with open surgery, most CD surgeries are now minimally invasive, with increasing evidence for improving short-term outcomes with conventional laparoscopic techniques. The evidence for robotic-assisted surgery in patients with CD is limited at present.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 73-79"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123658","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":"Peri- and postoperative complications of laparoscopic tubal ligation versus salpingectomy for permanent contraception: An ACS-NSQIP analysis","authors":"Vaishnavi J. Patel ,&nbsp;Devki Patel ,&nbsp;Kimberly Toumazos ,&nbsp;Young Son ,&nbsp;Komal Sharma ,&nbsp;Virgil Kevin DeMario ,&nbsp;Shelby Boock ,&nbsp;Grace Lara ,&nbsp;Alexandra McQuillen ,&nbsp;Brianna Clark","doi":"10.1016/j.lers.2025.04.001","DOIUrl":"10.1016/j.lers.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Salpingectomy and tubal ligation are commonly performed for permanent contraception in women. Salpingectomy has been suggested to reduce the risk of ovarian cancer, but its comparative operative and perioperative risks have not been well established. The objective of this study is to compare the peri- and postoperative complications of laparoscopic tubal ligation with those of salpingectomy for permanent contraception.</div></div><div><h3>Methods</h3><div>A retrospective review of 49,445 patients who underwent laparoscopic salpingectomy or tubal ligation for permanent contraception between 2017 and 2021 was conducted using data from the American College of Surgeons National Surgical Quality Improvement Program database. Statistical analysis involved <em>t</em> test, chi-square test, and logistic regression analysis with the use of the random forest algorithm. The primary outcomes were perioperative and postoperative complications.</div></div><div><h3>Results</h3><div>Of the total cohort, 45,307 (91.6%) underwent laparoscopic salpingectomy, and 4138 (8.4%) received laparoscopic tubal ligation. There were significant differences between the salpingectomy and tubal ligation groups with respect to several demographic characteristics, including age, BMI, minority status, and variations in past medical history. These demographic characteristics were controlled for in the multivariate regression analysis. Salpingectomy had a higher rate of operative and postoperative complications than did tubal ligation (OR = 1.78, 95% CI: 1.46–2.20, <em>p</em> &lt; 0.001). Salpingectomy was associated with a greater risk of longer operation time (OR = 2.03, 95% CI: 2.02–2.04, <em>p</em> &lt; 0.001), longer hospital stay (OR = 5.26, 95% CI: 4.57–6.09, <em>p</em> &lt; 0.001), increased readmission (OR = 3.15, 95% CI: 1.92–5.65, <em>p</em> &lt; 0.001), and increased unplanned reoperation (OR = 2.42, 95% CI: 1.32–5.12, <em>p</em> = 0.010). In addition, the occurrence rates of organ space surgical site infection (OR = 2.68, 95% CI: 1.21–7.59, <em>p</em> = 0.032) and sepsis (OR = 3.93, 95% CI: 1.48–16.02, <em>p</em> = 0.020) were significantly greater in the salpingectomy group than in the tubal ligation group.</div></div><div><h3>Conclusions</h3><div>Laparoscopic tubal ligation and salpingectomy are both safe and effective procedures for permanent contraception; however, salpingectomy is more likely to be associated with peri- and postoperative complications. These findings may help guide clinical decision-making when selecting the optimal permanent contraception method for women.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 84-89"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123660","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":"Cognition and experience of surgical incisions in patients undergoing laparoscopic surgery with enhanced recovery after surgery protocol: A qualitative study","authors":"Hongxia Xu ,&nbsp;Yihong Xu ,&nbsp;Gongjie Shi ,&nbsp;Jiaqi Lu ,&nbsp;Liping Zhu ,&nbsp;Guibing He ,&nbsp;Xiao Liang","doi":"10.1016/j.lers.2025.03.003","DOIUrl":"10.1016/j.lers.2025.03.003","url":null,"abstract":"<div><h3>Objective</h3><div>Enhanced recovery after surgery (ERAS) protocols have revolutionized postoperative care by integrating minimally invasive techniques and patient-centered strategies to reduce physical and psychological trauma. However, the cognitive and experiential dimensions of surgical incisions under ERAS remain underexplored, particularly in non-Western populations. This study aims to explore patients’ perceptions and preferences regarding laparoscopic incisions under ERAS, providing evidence to optimize incision planning and perioperative education.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted at the Department of Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, between November 2022 and February 2023. The participants were adults (≥18 years) who underwent elective laparoscopic abdominal surgery under ERAS, excluding those with cognitive impairments, language barriers, or emergency procedures. Semi-structured interviews, covering physical function, social function, emotional function, self and others’ acceptance, and confidence in the nature and treatment of the disease, were audio-recorded and transcribed verbatim and guided by a thematic framework co-developed by surgeons, nurses, and psychologists. The data were analyzed via the framework method to identify themes related to incision experiences.</div></div><div><h3>Results</h3><div>This qualitative study included 16 participants, 8 (50%) females and 6 (37.5%) cancer patients, with a mean age of 41.5 ± 12.2 years. Qualitative analysis revealed that the participants experienced minimal psychological distress and great emphasis on pain management and expressed specific concerns regarding the location, size, and cosmetic appearance of the incision. They also voiced high expectations for preventing incision complications and sought information regarding postoperative care. There was notable variation in preferences regarding the choice of incision site before surgery. Participants with cancer focused on disease cure rather than aesthetics.</div></div><div><h3>Conclusion</h3><div>Personalized preoperative discussions, incision site selection, and postoperative education are critical for increasing patient satisfaction. Laparoscopic incisions under ERAS minimally impact psychological well-being, but location-specific discomfort and aesthetic preferences require attention.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 2","pages":"Pages 96-101"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123662","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":"From runways to robots: A renaissance of the analogy","authors":"Atanu Pal","doi":"10.1016/j.lers.2024.12.001","DOIUrl":"10.1016/j.lers.2024.12.001","url":null,"abstract":"<div><div>The increasing use of robotic surgery has seen a wave of technology ripple through global healthcare. Similar changes occurred in aviation several decades ago. New robot types have increased access for both patients and surgeons. The modern robotic curriculum therefore needs to train surgeons of varying experience, gaining access to several robot types, and based in centres around the world. Drawing on this analogy with aviation helps to derive principles for curriculum design, and considers human–machine interface, non-technical skills, team training, and simulation. The components of the curriculum could be core (cross-platform), platform-specific, specialty-specific, and platform-transitional. Analogous concepts also emerge, including type rating, control as surgery-by-wire, spatio-haptic envelope, and virtual operations. The fourth industrial revolution sets anticipation for progress.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511690","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":"Laparoscopic donor hepatectomy: Are there obstacles on the path to global widespread?","authors":"Konstantin Semash,&nbsp;Timur Dzhanbekov","doi":"10.1016/j.lers.2024.12.002","DOIUrl":"10.1016/j.lers.2024.12.002","url":null,"abstract":"<div><div>Laparoscopic liver resection in living donors is a relatively novel surgical approach that has the potential to enhance donor safety and facilitate faster recovery. Following an initial development period during which donor safety was not effectively validated, the minimally invasive approach now yields better outcomes, provided that these procedures are performed by experienced surgeons. The key factors include donor selection criteria, the clinical infrastructure, and the learning curve for surgeons. This review outlines the current status of the development of laparoscopic liver resection in living donors and discusses the obstacles to the advancement of this surgical technique.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 13-22"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511692","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":"Successful adoption of a surgical robot at a robot-naive hospital in Portugal: How we did it","authors":"Jorge Carvalho ,&nbsp;Rita Veloso ,&nbsp;Anya Lissina ,&nbsp;Juliane Hafermann ,&nbsp;Avelino Fraga","doi":"10.1016/j.lers.2024.09.005","DOIUrl":"10.1016/j.lers.2024.09.005","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 61-64"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511717","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":"Totally-robotic Roux-en-Y duodenal bypass for obstructing annular pancreas: A case report","authors":"Alison S. Baskin ,&nbsp;Ruby D. Lopez-Flores ,&nbsp;Shareef Syed ,&nbsp;Ian Soriano","doi":"10.1016/j.lers.2024.12.003","DOIUrl":"10.1016/j.lers.2024.12.003","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 58-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511716","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":"Exploring a novel approach to assessing surgical team collaboration: Evidence of brain activity synchronization","authors":"Shuyi (Kiana) Wang,&nbsp;Ghazal Hashemi,&nbsp;Yao Zhang,&nbsp;Bin Zheng","doi":"10.1016/j.lers.2024.10.001","DOIUrl":"10.1016/j.lers.2024.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>Interpersonal brain synchronization (IBS) has emerged as a significant concept in understanding collaborative team dynamics, with functional near-infrared spectroscopy (fNIRS) proving to be a vital tool in its assessment. This review aims to collate and analyze the literature on the application of fNIRS in various team settings, emphasizing its potential utility in surgical environments.</div></div><div><h3>Methods</h3><div>A thorough search and screening process across multiple databases resulted in 17 studies being reviewed, with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks. This review examined the tasks employed, participant demographics, organizational structures of teams, methodologies for IBS measurement, and correlations between brain synchronization and behavioral measurements.</div></div><div><h3>Results</h3><div>fNIRS emerged as a non-invasive, cost-effective, and portable tool, predominantly used to assess IBS in pair-based tasks with a variety of participant demographics. Wavelet transform coherence was the primary method used for measuring synchronization, particularly in the prefrontal brain region. A consistent correlation was found between increased brain synchronization and enhanced team performance, underscoring the potential of fNIRS in understanding and optimizing team dynamics.</div></div><div><h3>Conclusion</h3><div>This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation, providing invaluable insights for potential applications in surgical settings. While acknowledging the limitations in the current literature, the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance. The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics, contributing to improved patient outcomes and safety.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511691","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}