Mini-invasive Surgery最新文献

{"title":"Indocyanine green and near-infrared fluorescence imaging in minimally invasive gastric cancer surgery: a narrative review","authors":"Suguru Yamauchi, Zehui Wu, H. Orita, C. Fedor, Yutaro Yoshimoto, Akira Kubota, Kenki Tsuda, Yukinori Yube, S. Kaji, Aman Xu, S. Mine, T. Fukunaga","doi":"10.20517/2574-1225.2023.05","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.05","url":null,"abstract":"Background: The popularity of minimally invasive surgery for gastric cancer has been on the rise due to its advantages in faster recovery and improved outcomes. However, the lack of tactile sensation poses challenges for tumor identification and anatomical recognition. Indocyanine green (ICG) with near-infrared (NIR) fluorescence imaging has emerged as a potential solution to address these challenges. This review summarizes the current status, limitations, and future prospects of ICG and NIR fluorescence imaging in minimally invasive surgery for gastric cancer. Search strategy: This narrative review searched the PubMed database for relevant articles related to ICG and NIR fluorescence imaging in minimally invasive gastric cancer surgery, published through 2023. The search criteria comprised “indocyanine green”, “ICG”, “near-infrared fluorescence imaging”, “gastric cancer”, “gastrectomy”, and “minimally invasive surgery”. Findings: ICG with NIR fluorescence imaging offers three main applications in gastric cancer surgery. Firstly, it aids in real-time intraoperative tumor identification when injected locally around the tumor, surpassing traditional tattooing techniques. Secondly, ICG facilitates lymph node mapping, particularly in identifying sentinel lymph nodes, which could reduce unnecessary lymphadenectomy. Thirdly, ICG angiography enables the assessment of blood perfusion during reconstructive surgery, evaluating anastomosis sites and potentially reducing anastomotic leakage risk. Conclusions: ICG and NIR fluorescence imaging have shown promising advancements in enhancing the precision and safety of minimally invasive gastric cancer surgery. However, standardized analysis methods and further prospective studies are needed to fully establish their clinical significance. Overall, ICG and NIR fluorescence imaging hold potential as valuable tools to improve patient outcomes in minimally invasive gastric cancer surgery.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114669926","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":"Comparison of the modified Blumgart mattress vs. interrupted suture pancreaticojejunostomy in minimally invasive pancreaticoduodenectomy","authors":"S. Choi, K. Kuchta, P. Paterakos, A. Rojas, Syed Abbas Mehdi, M. Talamonti, M. Hogg","doi":"10.20517/2574-1225.2023.47","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.47","url":null,"abstract":"Aim: The modified Blumgart mattress (BM) and conventional interrupted suture (IS) methods are currently the most widely adopted pancreaticojejunostomy (PJ) techniques utilized during minimally invasive pancreaticoduodenectomy (MIPD). This study aimed to evaluate the postoperative outcomes between the two PJ techniques using robotic and laparoscopic approaches. \u0000 Methods: This was a retrospective study involving patients who underwent robotic or laparoscopic pancreaticoduodenectomy (PD) performed by two surgeons from two institutions. Surgical outcomes of the patients were compared according to the PJ techniques of robotic BM (Rob-BM), robotic IS (Rob-IS), and laparoscopic IS (Lap-IS), which were further analyzed among patients who had a soft pancreas and small pancreatic duct, while those with pancreatic ductal adenocarcinoma were excluded from the study. \u0000 Results: A total of 230 patients underwent MIPD with 63 Rob-BM, 48 Rob-IS, and 119 Lap-IS for PJ. Within the study population, clinically relevant-postoperative pancreatic fistula (CR-POPF) rates were comparable between Rob-BM and Rob-IS (6.3% vs. 10.4%, P = 0.283) and between Rob-IS and Lap-IS (10.4% vs. 7.6%, P = 0.661). Comparing patients with soft pancreas and small pancreatic duct, CR-POPF rates were not statistically different among the groups [16.0% (Rob-BM) vs. 10.5% (Rob-IS), P = 0.055, and 10.5% (Rob-IS) vs. 10.1% (Lap-IS), P = 0.543]. In the multivariable analysis for risk factors of POPF, soft pancreatic textures and periampullary pathology other than pancreatic cancer were found to be risk factors. \u0000 Conclusion: POPF rates after MIPD were not different according to the PJ methods of BM and IS when performed by skilled surgeons.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115191352","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":"Mechanism of metabolic surgery for the treatment of Type 2 Diabetes Mellitus (T2DM)","authors":"David J Leishman, S. Ikramuddin, T. Naitoh","doi":"10.20517/2574-1225.2023.29","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.29","url":null,"abstract":"After metabolic surgery, patients with type 2 diabetes (T2DM) typically experience a rapid improvement in glycemic control before any significant weight loss occurs. Furthermore, a significant proportion of patients are able to achieve long-term T2DM remission and improvement in β-cell function. While historically believed to be related to weight loss and caloric restriction, multiple weight loss independent mechanisms have been identified to contribute to the long-term glycemic effects induced by metabolic surgery. There are changes in bile acid metabolism, the gut microbiome, incretins, and other gut hormones after surgery that are implicated. It is also becoming increasingly evident that adipose tissue, specifically visceral adipose tissue, is implicated in the pathogenesis of insulin resistance (IR) and T2DM through inflammatory changes involving the host immune system. Therefore, metabolic surgery may exert its effects by reducing the inflammatory response through reduction of adipose. While these mechanisms may seem discrete, there is a significant cross-talk between all these factors that contributes to the regulation of glucose homeostasis. Together, this leads to reduced gluconeogenesis, improved glucose tissue uptake, reduced IR, and improved β-cell function after metabolic surgery.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116680783","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":"Are we following guidelines in inguinal hernia repair? An evaluation of practice patterns in the abdominal core health quality collaborative","authors":"A. Oyola, Seth T Beeson, C. Edgerton, W. Hope","doi":"10.20517/2574-1225.2023.26","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.26","url":null,"abstract":"Aim : The HerniaSurge Group established inguinal hernia repair guidelines to reduce recurrence and chronic pain. We evaluated whether the surgeons of the Abdominal Core Health Quality Collaborative (ACHQC) follow these guidelines and identify areas for improvement. \u0000 Methods : A retrospective evaluation of data from the ACHQC database between 2013-2021 using 18,641 eligible subjects undergoing elective and emergent hernia repair with 30-day follow-up. Compliance with a given guideline was defined as following the recommendation in 70% of cases. \u0000 Results : Twelve of 19 questions with available data met recommendations based on our above criteria. Eight recommendations with strong evidence and four recommendations with weak evidence were met. The recommendations not met were using the Shouldice technique for any non-mesh open inguinal herniorrhaphy, using local anesthesia for open repair of reducible inguinal hernias, using lightweight mesh, and avoiding the use of prophylactic antibiotics in laparoscopic herniorrhaphy. \u0000 Conclusion : Despite varied techniques for inguinal hernia repair, surgeons of the ACHQC follow the majority of the recently published guidelines on the subject. While further research is needed to strengthen the existing guidelines, a standardized approach will facilitate this effort while aiming to reduce negative patient outcomes.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132048770","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":"Cyclic pulse loads pave the road to the GRIP concept in abdominal wall reconstruction","authors":"C. Lesch, Y. Ludwig, Fabio Kugel, K. Uhr, M. Vollmer, R. Nessel, F. Kallinowski","doi":"10.20517/2574-1225.2023.31","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.31","url":null,"abstract":"Aim : Durable reconstruction of the abdominal wall needs to be assessed in a lifelike experimental setting and consider the reconstructed abdominal wall as a coherent compound. Our aim was to evaluate broader possibilities in preclinical testing and to deepen the understanding of the biomechanical influences. \u0000 Methods : We developed a test bench that allows studying a compound under cyclic, repetitive loads. Pulse loads transmit energy to the abdominal wall repeatedly. The amount of energy is related to the load characteristics. We used porcine bellies with a round central (5 cm) defect. They were bridged in a sublay position with Cicat Dynamesh®. Further defects, located in an additional incision, were sutured in a standardized small-bite technique. We varied the number of loads, the maximum peak pressure, the pressure plateau length, and the impact area size. \u0000 Results : Increasing the peak pressure by 30 mmHg lowers the durability by about 20 %. Prolonging the plateau phase led to a significant durability decrease. During the first 100 dynamic intermittent strain (DIS) impacts, the major tissue deformation and the majority of failures occur. Beyond the 425th DIS impact, about 10 % more failures occur. Increasing elongation and deformation of the tissue raise the likelihood of failure. \u0000 Conclusion : If the compound does not establish a strain-stable condition during the period of plastic deformation, failure occurs. The outcome does not only depend on the reconstruction technique but also on the external influences acting on the abdominal wall compound. Considering the biomechanical reality is important for open and minimally invasive abdominal wall reconstruction.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121284077","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":"Therapeutic EUS","authors":"S. Cho, D. Oh, D. Seo","doi":"10.20517/2574-1225.2021.11","DOIUrl":"https://doi.org/10.20517/2574-1225.2021.11","url":null,"abstract":"Currently, the standard treatment for pancreatic neoplasms is surgical resection. However, pancreatic surgical resection is associated with high morbidity and mortality. Patients unfit for surgery are undergoing regular cross- sectional imaging surveillance. Controversy surrounds the optimal surveillance of patients with pancreatic neoplasms, underlying the need for minimally invasive treatment modalities as an alternative to surgical treatment. To date, endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) is an emerging minimally invasive therapeutic alternative to surgical resection for various pancreatic neoplasms. We review evaluations of EUS-RFA for various pancreatic neoplasms to better understand its effectiveness and safety.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125105320","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":"Retroperitoneoscopic single-site 3D adrenalectomy for left adrenal renal cell carcinoma metastasis 20 years after left laparotomic radical nephrectomy","authors":"R. Naspro, G. Croce, F. Pellucchi, M. Roscigno, A. Rossini, S. Cassibba, L. Lerner, L. D. Pozzo","doi":"10.20517/2574-1225.2021.77","DOIUrl":"https://doi.org/10.20517/2574-1225.2021.77","url":null,"abstract":"The aim of the paper is to demonstrate the practicability of retroperitoneoscopic single-site 3D left adrenalectomy after previous homolateral laparotomic renal surgery. We present a case report of a 70-year-old male who underwent radical nephrectomy in 1999. Twenty years after radical nephrectomy, the patient underwent a computed tomography scan for B-cell lymphoma follow-up, which revealed a 30 mm left adrenal mass suspicious for a delayed renal-cell carcinoma metastasis. After multidisciplinary discussion, surgery was chosen as first option. To minimize surgical morbidity as much as possible, a 3D laparoscopic single-site retroperitoneal approach was chosen. The patient had no peri- or intra-operative complications and was discharged on Postoperative Day 3. The final histological report revealed an adrenal clear cell renal-cell carcinoma metastasis. This experience shows that single-site retroperitoneal laparoscopic adrenalectomy is possible in patients who underwent previous abdominal cancer surgery and is an option to consider when determining optimal approaches for adrenal surgery.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123365750","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":"Total extraperitoneal hernia repair and its associated pitfalls","authors":"N. Alam, A. Sheen","doi":"10.20517/2574-1225.2021.65","DOIUrl":"https://doi.org/10.20517/2574-1225.2021.65","url":null,"abstract":"Minimally invasive surgery over the last three decades has provided a credible alternative for the treatment of inguinal hernias. One of the main techniques involved utilises the creation of an extraperitoneal space, thereby avoiding the need to enter the abdominal cavity. The totally extraperitoneal (TEP) inguinal hernia repair is described as well as the common and more serious complications that are possible. TEP has a proven track record of expertise for the surgical treatment of inguinal hernias, but has a steeper learning curve, with more serious complications such as vascular and bladder injuries, which are explored in more detail. The key to managing any such serious complications is early recognition. Rectus sheath hematomas secondary to inferior epigastric artery injury usually require only conservative measures such as close observation with the requirement for any embolization of any arterial bleed a rare event. Bladder injuries if recognized at the time of surgery require immediate repair, with late presentation inevitably needing more invasive intervention for a potentially septic patient. TEP remains an excellent repair with caveats of serious complications which are rare at < 0.5% however, they must be discussed and be part of the consent process prior to any repair taking place.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121131851","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":"Predictors of re-intervention after greenlight laser photoselective vaporization of the prostate: multicenter long/mid-term follow-up experience","authors":"D. Campobasso, M. Marchioni, C. Nunzio, P. Destefanis, G. Fasolis, F. Varvello, S. Voce, G. Reale, T. Cai, G. Malossini, R. Oriti, A. Tuccio, L. Ruggera, A. Tubaro, F. Greco, A. Laganá, C. Dadone, P. Gontero, G. Rienzo, L. Pucci, M. Carrino, Francesco Montefiore, S. Rabito, S. Germani, R. Miano, L. Schips, A. Frattini, G. Ferrari, L. Cindolo","doi":"10.20517/2574-1225.2021.92","DOIUrl":"https://doi.org/10.20517/2574-1225.2021.92","url":null,"abstract":"Aim: Greenlight photoselective vaporization of the prostate (PVP) is considered a safe alternative to transurethral resection of the prostate (TURP) in men with lower urinary tract symptoms (LUTS) and a prostate volume of 3080 mL for the comparable shortand mid-term results. Long-term re-treatment rate is still being debated. Methods: We retrospectively reviewed greenlight PVP procedures in a multi-institutional database from September 2011 to December 2019 collecting data on patients requiring re-intervention with a follow-up period of at least 12 months. Results: Among 867 patients with a median follow-up period of 32.5 months (interquartile range: 20.0-49.0 months), 35 patients (4%) required re-intervention. Patients requiring re-intervention had a prostate volume ≥ 100 mL in 28.6% of cases (P = 0.002). Preoperative urethral stricture and incidence of early complications were more frequent in the re-treatment group (P = 0.027 and P = 0.006). In the re-treatment group, 22 patients required an endoscopic intervention for bladder neck or prostatic fossa contracture (2.5% of the study population). The remaining 13 patients in the re-treatment group underwent TURP or PVP for LUTS relapse (1.5%). In the univariate and multivariate logistic regression models, only prostate volume ≥ 100 mL (P = 0.003 and P = 0.010), preoperative urethral stricture (P = 0.013 and P = 0.036), and occurrence of early complications (P = 0.008 and P = 0.024) correlated with re-intervention. Conclusion: Greenlight PVP has good functional long/mid-term results. The presence of preoperative urethral stricture and the occurrence of early complications correlate with the risk of late re-treatment. In patients with prostate ≥ 100 mL, the enucleation technique may be superior to vaporization in terms of lower long-term risk of re-intervention for LUTS relapse.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115075816","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":"Hair loss in sleeve gastrectomy subjects: effects of designed supplements for nutritional deficiencies","authors":"Milad Kheirvari, Taha Anbara","doi":"10.20517/2574-1225.2021.66","DOIUrl":"https://doi.org/10.20517/2574-1225.2021.66","url":null,"abstract":"Aim: Hair loss is a common complication after bariatric surgery that is related to nutritional deficiencies. The aim of this study was to evaluate the prevalence of micronutrient deficiencies preoperative and postoperative and their relationship with hair loss 12 months after bariatric surgery (BS) in those younger and older than 45 years of age, with or without a prescription for supplements. Methods: In this prospective study, performed between 2018 and 2020 on patients undergoing laparoscopic sleeve gastrectomy (LSG) (not generally BS) in our hospital, the patients were categorized into two main groups of with or without a prescription for supplements. In addition, each main group was divided into age subgroups. Then, complete clinical and biological nutritional assessments were performed in these four subgroups, before and after surgery. Hair loss related to nutritional deficiencies were systematically recorded at 12 months after LSG. Results: In total, 1224 patients undergoing LSG were enrolled into the study. Nutritional deficits in some variables were even tripled after LSG in both the younger and older groups without a prescription for supplements. In the group with a prescription for supplements, nutritional deficiencies declined postoperatively. The postoperative deficits in the group without a prescription for supplements were frequently in iron (41.83% for younger group; 44.44% for older group) and zinc (42.15% for younger group; 43.79% for older group). In the group with a prescription for supplements, hair loss was less common than in the group without a prescription for supplements postoperatively. Page 2 of Kheirvari et al. Mini-invasive Surg 2021;5:40 https://dx.doi.org/10.20517/2574-1225.2021.66 8 Conclusion: Preoperative monitoring of the combination of several nutritional deficits could be used to identify patients at risk and prevent the onset of deficiencies and their consequences after BS. Identification and correction of micronutrient deficiencies were essential for treating hair loss.","PeriodicalId":388753,"journal":{"name":"Mini-invasive Surgery","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115635441","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}