Minimally Invasive Surgery最新文献_第6页

Spinal Biologics in Minimally Invasive Lumbar Surgery. 微创腰椎手术中的脊柱生物制剂。

IF 1.8

Minimally Invasive Surgery Pub Date : 2018-04-05 eCollection Date: 2018-01-01 DOI: 10.1155/2018/5230350

Kevin Y Chang, Wellington K Hsu

引用次数: 18

3D Printing Applications in Minimally Invasive Spine Surgery. 3D打印在微创脊柱手术中的应用。

IF 1.8

Minimally Invasive Surgery Pub Date : 2018-04-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4760769

Megan R Hsu, Meraaj S Haleem, Wellington Hsu

引用次数: 18

Microvascular Anastomosis Training in Neurosurgery: A Review. 神经外科微血管吻合训练综述。

IF 1.8

Minimally Invasive Surgery Pub Date : 2018-03-28 eCollection Date: 2018-01-01 DOI: 10.1155/2018/6130286

Vadim A Byvaltsev, Serik K Akshulakov, Roman A Polkin, Sergey V Ochkal, Ivan A Stepanov, Yerbol T Makhambetov, Talgat T Kerimbayev, Michael Staren, Evgenii Belykh, Mark C Preul

{"title":"Microvascular Anastomosis Training in Neurosurgery: A Review.","authors":"Vadim A Byvaltsev, Serik K Akshulakov, Roman A Polkin, Sergey V Ochkal, Ivan A Stepanov, Yerbol T Makhambetov, Talgat T Kerimbayev, Michael Staren, Evgenii Belykh, Mark C Preul","doi":"10.1155/2018/6130286","DOIUrl":"10.1155/2018/6130286","url":null,"abstract":"Cerebrovascular diseases are among the most widespread diseases in the world, which largely determine the structure of morbidity and mortality rates. Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. Training in microvascular surgery became even more difficult with less case exposure and growth of the use of endovascular techniques. In this text we will briefly discuss the history of microvascular surgery, review current literature on simulation models with the emphasis on their merits and shortcomings, and describe the views and opinions on the future of the microvascular training in neurosurgery. In \"dry\" microsurgical training, various models created from artificial materials that simulate biological tissues are used. The next stage in training more experienced surgeons is to work with nonliving tissue models. Microvascular training using live models is considered to be the most relevant due to presence of the blood flow. Training on laboratory animals has high indicators of face and constructive validity. One of the future directions in the development of microsurgical techniques is the use of robotic systems. Robotic systems may play a role in teaching future generations of microsurgeons. Modern technologies allow access to highly accurate learning environments that are extremely similar to real environment. Additionally, assessment of microsurgical skills should become a fundamental part of the current evaluation of competence within a microneurosurgical training program. Such an assessment tool could be utilized to ensure a constant level of surgical competence within the recertification process. It is important that this evaluation be based on validated models.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2018 ","pages":"6130286"},"PeriodicalIF":1.8,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6130286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36127277","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}

引用次数: 29

The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery. 微创技术在脊柱侧弯矫正手术中的作用。

IF 1.8

Minimally Invasive Surgery Pub Date : 2018-01-24 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4185840

Michael B Cloney, Jack A Goergen, Angela M Bohnen, Zachary A Smith, Tyler Koski, Nader Dahdaleh

{"title":"The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery.","authors":"Michael B Cloney, Jack A Goergen, Angela M Bohnen, Zachary A Smith, Tyler Koski, Nader Dahdaleh","doi":"10.1155/2018/4185840","DOIUrl":"10.1155/2018/4185840","url":null,"abstract":"Objective: Recently, minimally invasive surgery (MIS) has been included among the treatment modalities for scoliosis. However, literature comparing MIS to open surgery for scoliosis correction is limited. The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach.Methods: We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015.Results: MIS patients had lower number of levels fused (p < 0.0001), shorter surgeries (p = 0.0023), and shorter overall lengths of stay (p < 0.0001), were less likely to be admitted to the ICU (p < 0.0001), and had shorter ICU stays (p = 0.0015). On multivariable regression, number of levels fused predicted selection for MIS procedure (p = 0.004), and multiple other variables showed trends toward significance. Age predicted ICU admission and VTE. BMI predicted any VTE, and DVT specifically. Comorbid disease burden predicted readmission, need for transfusion, and ICU admission. Number of levels fused predicted prolonged surgery, need for transfusion, and ICU admission.Conclusions: Patients undergoing MIS correction had shorter surgeries, shorter lengths of stay, and shorter and fewer ICU stays, but there was a significant selection effect. Accounting for other variables, MIS did not independently predict any of the outcomes.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2018 ","pages":"4185840"},"PeriodicalIF":1.8,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35981715","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}

引用次数: 0

Teach and Playback Training Device for Minimally Invasive Surgery. 微创手术教学回放训练装置。

IF 1.8

Minimally Invasive Surgery Pub Date : 2018-01-10 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4815761

Sriram Garudeswaran, Sohyung Cho, Ikechukwu Ohu, Ali K Panahi

{"title":"Teach and Playback Training Device for Minimally Invasive Surgery.","authors":"Sriram Garudeswaran, Sohyung Cho, Ikechukwu Ohu, Ali K Panahi","doi":"10.1155/2018/4815761","DOIUrl":"https://doi.org/10.1155/2018/4815761","url":null,"abstract":"Recent technological progress offers the opportunity to significantly transform conventional open surgical procedures in ways that allow minimally invasive surgery (MIS) to be accomplished by specific operative instruments' entry into the body through key-sized holes rather than large incisions. Although MIS offers an opportunity for less trauma and quicker recovery, thereby reducing length of hospital stay and attendant costs, the complex nature of this procedure makes it difficult to master, not least because of the limited work area and constricted degree of freedom. Accordingly, this research seeks to design a Teach and Playback device that can aid surgical training by key-framing and then reproducing surgical motions. The result is an inexpensive and portable Teach and Playback laparoscopic training device that can record a trainer's surgical motions and then play them back for trainees. Indeed, such a device could provide a training platform for surgical residents generally and would also be susceptible of many other applications for other robot-assisted tasks that might require complex motion training and control.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2018 ","pages":"4815761"},"PeriodicalIF":1.8,"publicationDate":"2018-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4815761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35926600","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}

引用次数: 7

Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery. 机械感受器触诊在胃肠外科中的应用。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-12-31 DOI: 10.1155/2017/6481856

Rozaliia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Sergey G Shapovalyants, Igor L Andreytsev, Mikhail E Sokolov, Vladimir E Podolskii

{"title":"Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery.","authors":"Rozaliia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Sergey G Shapovalyants, Igor L Andreytsev, Mikhail E Sokolov, Vladimir E Podolskii","doi":"10.1155/2017/6481856","DOIUrl":"https://doi.org/10.1155/2017/6481856","url":null,"abstract":"Background and aims: Small gastric or colorectal tumours can be visually undetectable during laparoscopic surgeries, and available methods still do not provide a 100% localisation rate. Thus, new methods for further improvements in tumour localisation are highly desirable. In this study, we evaluated the usage of the Medical Tactile Endosurgical Complex (MTEC) in gastrointestinal surgery for localisation of tumours. The MTEC provides the possibility of instrumental mechanoreceptoric palpation, which serves as an analogue of conventional manual palpation.Methods: Ninety-six elective surgeries were performed, including 48 open surgeries, 43 laparoscopies, and 5 robot-assisted surgeries. The 20 mm version of the MTEC tactile mechanoreceptor was used in open surgeries, and the 10 mm version in laparoscopic and robot-assisted surgeries.Results: The mean time of instrumental mechanoreceptoric palpation was 3 minutes 12 seconds for open surgeries, which constituted the early stage of the learning curve, and 3 minutes 34 seconds for laparoscopic surgeries. No side effects or postoperative complications related to instrumental mechanoreceptoric palpation were observed, and this procedure provided data sufficient for tumour localisation in more than 95% of cases.Conclusion: Instrumental mechanoreceptoric palpation performed using MTEC is a simple, safe, and reliable method for tumour localisation in gastrointestinal laparoscopic surgery.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2017 ","pages":"6481856"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6481856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849381","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}

引用次数: 7

Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study. 与传统经胸食管切除术相比，机器人辅助混合食管切除术的住院时间更短:一项回顾性研究。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-12-06 DOI: 10.1155/2017/6907896

Hans C Rolff, Rikard B Ambrus, Mohammed Belmouhand, Michael P Achiam, Marianne Wegmann, Mette Siemsen, Steen C Kofoed, Lars B Svendsen

{"title":"Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study.","authors":"Hans C Rolff, Rikard B Ambrus, Mohammed Belmouhand, Michael P Achiam, Marianne Wegmann, Mette Siemsen, Steen C Kofoed, Lars B Svendsen","doi":"10.1155/2017/6907896","DOIUrl":"https://doi.org/10.1155/2017/6907896","url":null,"abstract":"Aim: To compare the peri- and postoperative data between a hybrid minimally invasive esophagectomy (HMIE) and the conventional Ivor Lewis esophagectomy.Methods: Retrospective comparison of perioperative characteristics, postoperative complications, and survival between HMIE and Ivor Lewis esophagectomy.Results: 216 patients were included, with 160 procedures performed with the conventional and 56 with the HMIE approach. Lower perioperative blood loss was found in the HMIE group (600 ml versus 200 ml, p < 0.001). Also, a higher median number of lymph nodes were harvested in the HMIE group (median 28) than in the conventional group (median 23) (p = 0.002). The median length of stay was longer in the conventional group compared to the HMIE group (11.5 days versus 10.0 days, p = 0.03). Patients in the HMIE group experienced fewer grade 2 or higher complications than the conventional group (39% versus 57%, p = 0.03). The rate of all pulmonary (51% versus 43%, p = 0.32) and severe pulmonary complications (38% versus 18%, p = 0.23) was not statistically different between the groups.Conclusions: The HMIE was associated with lower intraoperative blood loss, a higher lymph node harvest, and a shorter hospital stay. However, the inborn limitations with the retrospective design stress a need for prospective randomized studies. Registration number is DRKS00013023.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2017 ","pages":"6907896"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6907896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35762441","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}

引用次数: 14

Technical Details of Laparoscopic Sleeve Gastrectomy Leading to Lowered Leak Rate: Discussion of 1070 Consecutive Cases. 腹腔镜下套管胃切除术降低漏胃率的技术细节——附1070例病例分析。

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-07-06 DOI: 10.1155/2017/4367059

David L Warner, Kent C Sasse

{"title":"Technical Details of Laparoscopic Sleeve Gastrectomy Leading to Lowered Leak Rate: Discussion of 1070 Consecutive Cases.","authors":"David L Warner, Kent C Sasse","doi":"10.1155/2017/4367059","DOIUrl":"https://doi.org/10.1155/2017/4367059","url":null,"abstract":"Introduction: Laparoscopic sleeve gastrectomy is a widely utilized and effective surgical procedure for dramatic weight loss in obese patients. Leak at the sleeve staple line is the most serious complication of this procedure, occurring in 1-3% of cases. Techniques to minimize the risk of sleeve gastrectomy leaks have been published although no universally agreed upon set of techniques exists. This report describes a single-surgeon experience with an approach to sleeve leak prevention resulting in a progressive decrease in leak rate over 5 years.Methods: 1070 consecutive sleeve gastrectomy cases between 2012 and 2016 were reviewed retrospectively. Patient characteristics, sleeve leaks, and percent body weight loss at 6 months were reported for each year. Conceptual and technical changes aimed towards leak reduction are presented.Results: With the implementation of the described techniques of the sleeve gastrectomy, the rate of sleeve leaks fell from 4% in 2012 to 0% in 2015 and 2016 without a significant change in weight loss, as depicted by 6-month change in body weight and percent excess BMI lost.Conclusion: In this single-surgeon experience, sleeve gastrectomy leak rate has fallen to 0% since the implementation of specific technical modifications in the procedure.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2017 ","pages":"4367059"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4367059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35370970","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}

引用次数: 15

Routine Cysticotomy and Flushing of the Cystic Duct in Patients with Low Risk of Common Duct Stones: Can It Be Beneficial? 常规膀胱切除术和胆总管冲洗对低风险的胆总管结石患者有益吗?

IF 1.8

Minimally Invasive Surgery Pub Date : 2017-01-01 Epub Date: 2017-07-11 DOI: 10.1155/2017/9814389

Piera Leon, Fabiola Giudici, Antonio Sciuto, Francesco Corcione

{"title":"Routine Cysticotomy and Flushing of the Cystic Duct in Patients with Low Risk of Common Duct Stones: Can It Be Beneficial?","authors":"Piera Leon, Fabiola Giudici, Antonio Sciuto, Francesco Corcione","doi":"10.1155/2017/9814389","DOIUrl":"https://doi.org/10.1155/2017/9814389","url":null,"abstract":"Background: Gallstone disease affects 15-20% of the general population and up to 20% of these patients present common bile duct stones.Aim: This observational study reports our experience on routine cysticotomy and flushing of the cystic duct in patients with low risk of common duct stones.Materials and methods: We analyzed 731 patients who underwent laparoscopic cholecystectomy between September 2013 and September 2015.Results: Patients were preoperatively stratified on the clinical risk; those presenting with low preoperative risk of common bile duct stones were referred to undergo laparoscopic cholecystectomy and routine cysticotomy with bile duct flushing. Patients presenting thick bile sludge, solid debrides, and/or increased tension of bile outflow underwent unplanned cholangiography. No intraoperative complications or conversion to open technique occurred. Average follow-up time was 22,8 months (range 12 to 37). Rate of retained ductal stones accounted for 0,3%.Conclusions: Routine cysticotomy and bile flushing in our experience is a valid, simple, and not time consuming manoeuvre that can help decompressing and flushing CBD. Moreover, it is a valid tool for extending selective IOC approach in a focused manner. Further evaluations have to be conducted to evaluate risks and effectiveness of this manoeuvre.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2017 ","pages":"9814389"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9814389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35298149","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}

引用次数: 0

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient TULAA:一种用于儿科患者的微创阑尾切除术技术

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-18 DOI: 10.1155/2016/6132741

G. Perin, M. Scarpa

引用次数: 5