Minimally Invasive Surgery最新文献_第7页

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults 成人先天性膈疝的腹腔镜修补术

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-15 DOI: 10.1155/2016/9032380

S. Saroj, Satendra Kumar, Yusuf Afaque, A. Bhartia, V. Bhartia

{"title":"Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults","authors":"S. Saroj, Satendra Kumar, Yusuf Afaque, A. Bhartia, V. Bhartia","doi":"10.1155/2016/9032380","DOIUrl":"https://doi.org/10.1155/2016/9032380","url":null,"abstract":"Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment. Materials and Methods. A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Total n = 13 (M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years. Conclusion. The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9032380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64594789","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}

引用次数: 22

Complications, Not Minimally Invasive Surgical Technique, Are Associated with Increased Cost after Esophagectomy 并发症，非微创手术技术，与食管切除术后费用增加有关

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-12-08 DOI: 10.1155/2016/7690632

S. J. Fu, V. Ho, J. Ginsberg, Y. Perry, C. Delaney, P. Linden, C. Towe

{"title":"Complications, Not Minimally Invasive Surgical Technique, Are Associated with Increased Cost after Esophagectomy","authors":"S. J. Fu, V. Ho, J. Ginsberg, Y. Perry, C. Delaney, P. Linden, C. Towe","doi":"10.1155/2016/7690632","DOIUrl":"https://doi.org/10.1155/2016/7690632","url":null,"abstract":"Background. Minimally invasive esophagectomy (MIE) techniques offer similar oncological and surgical outcomes to open methods. The effects of MIE on hospital costs are not well documented. Methods. We reviewed the electronic records of patients who underwent esophagectomy at a single academic institution between January 2012 and December 2014. Esophagectomy techniques were grouped into open, hybrid, MIE, and transhiatal (THE) esophagectomy. Univariate and multivariate analyses were performed to assess the impact of surgery on total hospital cost after esophagectomy. Results. 80 patients were identified: 11 THE, 11 open, 41 hybrid, and 17 MIE. Median total cost of the hospitalization was $31,375 and was similar between surgical technique groups. MIE was associated with higher intraoperative costs, but not total hospital cost. Multivariable analysis revealed that the presence of a complication, increased age, American Society of Anesthesiologists class IV (ASA4), and preoperative coronary artery disease (CAD) were associated with significantly increased cost. Conclusions. Despite the association of MIE with higher operation costs, the total hospital cost was not different between surgical technique groups. Postoperative complications and severe preoperative comorbidities are significant drivers of hospital cost associated with esophagectomy. Surgeons should choose technique based on clinical factors, rather than cost implications.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/7690632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64533250","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}

引用次数: 17

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery 单切口腹腔镜入路在肝胰切除手术中的作用

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-11-07 DOI: 10.1155/2016/1454026

N. Chatzizacharias, K. Dajani, J. Koong, A. Jah

{"title":"The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery","authors":"N. Chatzizacharias, K. Dajani, J. Koong, A. Jah","doi":"10.1155/2016/1454026","DOIUrl":"https://doi.org/10.1155/2016/1454026","url":null,"abstract":"Introduction. Single incision laparoscopic surgery (SILS) has gained increasing support over the last few years. The aim of this narrative review is to analyse the published evidence on the use and potential benefits of SILS in hepatic and pancreatic resectional surgery for benign and malignant pathology. Methods. Pubmed and Embase databases were searched using the search terms “single incision laparoscopic”, “single port laparoscopic”, “liver surgery”, and “pancreas surgery”. Results. Twenty relevant manuscripts for liver and 9 for pancreatic SILS resections were identified. With regard to liver surgery, despite the lack of comparative studies with other minimal invasive techniques, outcomes have been acceptable when certain limitations are taken into account. For pancreatic resections, when compared to the conventional laparoscopic approach, SILS produced comparable results with regard to intra- and postoperative parameters, including length of hospitalisation and complications. Similarly, the results were comparable to robotic pancreatectomies, with the exception of the longer operative time reported with the robotic approach. Discussion. Despite the limitations, the published evidence supports that SILS is safe and feasible for liver and pancreatic resections when performed by experienced teams in the tertiary setting. However, no substantial benefit has been identified yet, especially compared to other minimal invasive techniques.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1454026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64224736","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}

引用次数: 9

Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience 机器人辅助子宫肌瘤切除术治疗大子宫肌瘤:单中心经验

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-02-29 DOI: 10.1155/2016/4905292

V. Gunnala, R. Setton, N. Pereira, J. Huang

{"title":"Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience","authors":"V. Gunnala, R. Setton, N. Pereira, J. Huang","doi":"10.1155/2016/4905292","DOIUrl":"https://doi.org/10.1155/2016/4905292","url":null,"abstract":"Objective. To determine if robot-assisted myomectomy (RAM) is feasible for women with large uterine myomas. Methods. Retrospective review of one gynecologic surgeon's RAM cases between May 2010 and July 2013. Large uterine myomas, defined as the largest myoma ≥9 cm by preoperative magnetic resonance imaging, was age- and time-matched to controls with the largest myoma <9 cm. Primary surgical outcomes compared were operative time and estimated blood loss (EBL). Results. 207 patients were included: 66 (32%) patients were in the ≥9 cm group, while 141 (68%) patients were in the <9 cm group. There was a statistically significant increase in the operative time (130 min versus 92 min) and EBL (100 mL versus 25 mL) for the ≥9 cm group compared to the <9 cm group. Ten (4.8%) patients had the largest myoma measuring ≥15 cm, and 11 (5.3%) patients had a specimen weight >900 gm, of which no major adverse outcomes were observed. All patients in the study cohort were discharged on the same day after surgery. Conclusion. RAM is a feasible surgical approach for patients with myomas ≥9 cm. Patients with large myomas undergoing RAM are also candidates for same-day discharge after surgery.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4905292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64403906","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}

引用次数: 14

A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques 两种不同体内打结技术学习曲线的比较研究

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-02-28 DOI: 10.1155/2016/3059434

Manuneethimaran Thiyagarajan, Chandru Ravindrakumar

{"title":"A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques","authors":"Manuneethimaran Thiyagarajan, Chandru Ravindrakumar","doi":"10.1155/2016/3059434","DOIUrl":"https://doi.org/10.1155/2016/3059434","url":null,"abstract":"Objectives. In our study we are aiming to analyse the learning curves in our surgical trainees by using two standard methods of intracorporeal knot tying. Material and Method. Two randomized groups of trainees are trained with two different intracorporeal knot tying techniques (loop and winding) by single surgeon for eight sessions. In each session participants were allowed to make as many numbers of knots in thirty minutes. The duration for each set of knots and the number of knots for each session were calculated. At the end each session, participants were asked about their frustration level, difficulty in making knot, and dexterity. Results. In winding method the number of knots tied was increasing significantly in each session with less frustration and less difficulty level. Discussion. The suturing and knotting skill improved in every session in both groups. But group B (winding method) trainees made significantly higher number of knots and they took less time for each set of knots than group A (loop method). Although both knotting methods are standard methods, the learning curve is better in loop method. Conclusion. The winding method of knotting is simpler and easier to perform, especially for the surgeons who have limited laparoscopic experience.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"267 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/3059434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64316557","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}

引用次数: 10

Comparing Single and Dual Console Systems in the Robotic Surgical Training of Graduating OB/GYN Residents in the United States 比较单、双控制台系统在美国即将毕业的妇产科住院医师机器人手术训练中的应用

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-02-03 DOI: 10.1155/2016/5190152

Emad Mikhail, J. Salemi, S. Hart, A. Imudia

{"title":"Comparing Single and Dual Console Systems in the Robotic Surgical Training of Graduating OB/GYN Residents in the United States","authors":"Emad Mikhail, J. Salemi, S. Hart, A. Imudia","doi":"10.1155/2016/5190152","DOIUrl":"https://doi.org/10.1155/2016/5190152","url":null,"abstract":"Objective. To assess the impact of a single versus dual console robotic system on the perceptions of program directors (PD) and residents (RES) towards robotic surgical training among graduating obstetrics and gynecology residents. Design. An anonymous survey was developed using Qualtrics, a web-based survey development and administration system, and sent to obstetrics and gynecology program directors and graduating residents. Participants. 39 program directors and 32 graduating residents (PGY4). Results. According to residents perception, dual console is utilized in about 70% of the respondents' programs. Dual console system programs were more likely to provide a robotics training certificate compared to single console programs (43.5% versus 0%, p = 0.03). A greater proportion of residents graduating from a dual console program perform more than 20 robotic-assisted total laparoscopic hysterectomies, 30% versus 0% (p = 0.15). Conclusions. Utilization of dual console system increased the likelihood of obtaining robotic training certification without significantly increasing the case volume of robotic-assisted total laparoscopic hysterectomy.","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/5190152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64417173","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}

引用次数: 12

Prediction of Muscle Fatigue during Minimally Invasive Surgery Using Recurrence Quantification Analysis. 应用复发量化分析预测微创手术中肌肉疲劳。

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-01-01 Epub Date: 2016-05-24 DOI: 10.1155/2016/5624630

Ali Keshavarz Panahi, Sohyung Cho

{"title":"Prediction of Muscle Fatigue during Minimally Invasive Surgery Using Recurrence Quantification Analysis.","authors":"Ali Keshavarz Panahi, Sohyung Cho","doi":"10.1155/2016/5624630","DOIUrl":"https://doi.org/10.1155/2016/5624630","url":null,"abstract":"Due to its inherent complexity such as limited work volume and degree of freedom, minimally invasive surgery (MIS) is ergonomically challenging to surgeons compared to traditional open surgery. Specifically, MIS can expose performing surgeons to excessive ergonomic risks including muscle fatigue that may lead to critical errors in surgical procedures. Therefore, detecting the vulnerable muscles and time-to-fatigue during MIS is of great importance in order to prevent these errors. The main goal of this study is to propose and test a novel measure that can be efficiently used to detect muscle fatigue. In this study, surface electromyography was used to record muscle activations of five subjects while they performed fifteen various laparoscopic operations. The muscle activation data was then reconstructed using recurrence quantification analysis (RQA) to detect possible signs of muscle fatigue on eight muscle groups (bicep, triceps, deltoid, and trapezius). The results showed that RQA detects the fatigue sign on bilateral trapezius at 47.5 minutes (average) and bilateral deltoid at 57.5 minutes after the start of operations. No sign of fatigue was detected for bicep and triceps muscles of any subject. According to the results, the proposed novel measure can be efficiently used to detect muscle fatigue and eventually improve the quality of MIS procedures with reducing errors that may result from overlooked muscle fatigue. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 ","pages":"5624630"},"PeriodicalIF":1.8,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/5624630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34650258","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: 17

Association between Fellowship Training, Surgical Volume, and Laparoscopic Suturing Techniques among Members of the American Association of Gynecologic Laparoscopists. 美国妇科腹腔镜医师协会会员的研究员培训、手术量和腹腔镜缝合技术之间的关系。

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-01-01 Epub Date: 2016-01-18 DOI: 10.1155/2016/5459147

Emad Mikhail, Lauren Scott, Branko Miladinovic, Anthony N Imudia, Stuart Hart

{"title":"Association between Fellowship Training, Surgical Volume, and Laparoscopic Suturing Techniques among Members of the American Association of Gynecologic Laparoscopists.","authors":"Emad Mikhail, Lauren Scott, Branko Miladinovic, Anthony N Imudia, Stuart Hart","doi":"10.1155/2016/5459147","DOIUrl":"10.1155/2016/5459147","url":null,"abstract":"Study Objective. To compare surgical volume and techniques including laparoscopic suturing among members of the American Association of Gynecologic Laparoscopists (AAGL) according to fellowship training status. Design. A web-based survey was designed using Qualtrics and sent to AAGL members. Results. Minimally invasive gynecologic surgery (FMIGS) trained surgeons were more likely to perform more than 8 major conventional laparoscopic cases per month (63% versus 38%, P < 0.001, OR [95% CI] = 2.78 [1.54-5.06]) and were more likely to perform laparoscopic suturing during these cases (32% versus 16%, P < 0.004, OR [95% CI] = 2.44 [1.25-4.71]). The non-fellowship trained (NFT) surgeons in private practice were less likely to perform over 8 conventional laparoscopic cases (34% versus 51%, P = 0.03, OR [95% CI] = 0.50 [0.25-0.99]) and laparoscopic suturing during these cases (13% versus 27%, P = 0.01, OR [95% CI] = 0.39 [0.17-0.92]) compared to NFT surgeons in academic practice. Conclusion. The surgical volume and utilization of laparoscopic suturing of FMIGS trained surgeons are significantly increased compared to NFT surgeons. Academic practice setting had a positive impact on surgical volume of NFT surgeons but not on FMIGS trained surgeons. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 1","pages":"5459147"},"PeriodicalIF":1.8,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64428160","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

Analysis of a Standardized Technique for Laparoscopic Cuff Closure following 1924 Total Laparoscopic Hysterectomies. 1924例全腹腔镜子宫切除术后腹腔镜袖带闭合的标准化技术分析。

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-01-01 Epub Date: 2016-08-04 DOI: 10.1155/2016/1372685

Katherine A O'Hanlan, Pamela L Emeney, Alfred Peters, Margaret S Sten, Stacey P McCutcheon, Danielle M Struck, Joseph K Hoang

{"title":"Analysis of a Standardized Technique for Laparoscopic Cuff Closure following 1924 Total Laparoscopic Hysterectomies.","authors":"Katherine A O'Hanlan, Pamela L Emeney, Alfred Peters, Margaret S Sten, Stacey P McCutcheon, Danielle M Struck, Joseph K Hoang","doi":"10.1155/2016/1372685","DOIUrl":"https://doi.org/10.1155/2016/1372685","url":null,"abstract":"Objective. To review the vaginal cuff complications from a large series of total laparoscopic hysterectomies in which the laparoscopic culdotomy closure was highly standardized. Methods. Retrospective cohort study (Canadian Task Force Classification II-3) of consecutive total and radical laparoscopic hysterectomy patients with all culdotomy closures performed laparoscopically was conducted using three guidelines: placement of all sutures 5 mm deep from the vaginal edge with a 5 mm interval, incorporation of the uterosacral ligaments with the pubocervical fascia at each angle, and, whenever possible, suturing the bladder peritoneum over the vaginal cuff edge utilizing two suture types of comparable tensile strength. Four outcomes are reviewed: dehiscence, bleeding, infection, and adhesions. Results. Of 1924 patients undergoing total laparoscopic hysterectomy, 44 patients (2.29%) experienced a vaginal cuff complication, with 19 (0.99%) requiring reoperation. Five patients (0.26%) had dehiscence after sexual penetration on days 30-83, with 3 requiring reoperation. Thirteen patients (0.68%) developed bleeding, with 9 (0.47%) requiring reoperation. Twenty-three (1.20%) patients developed infections, with 4 (0.21%) requiring reoperation. Three patients (0.16%) developed obstructive small bowel adhesions to the cuff requiring laparoscopic lysis. Conclusion. A running 5 mm deep × 5 mm apart culdotomy closure that incorporates the uterosacral ligaments with the pubocervical fascia, with reperitonealization when possible, appears to be associated with few postoperative vaginal cuff complications. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 ","pages":"1372685"},"PeriodicalIF":1.8,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1372685","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34405106","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: 13

Redo Surgery after Failed Open VBG: Laparoscopic Minigastric Bypass versus Laparoscopic Roux en Y Gastric Bypass-Which Is Better? 打开VBG失败后重做手术:腹腔镜小胃旁路与腹腔镜Roux en Y胃旁路-哪个更好?

IF 1.8

Minimally Invasive Surgery Pub Date : 2016-01-01 Epub Date: 2016-05-29 DOI: 10.1155/2016/8737519

Tamer M S Salama, Karim Sabry

{"title":"Redo Surgery after Failed Open VBG: Laparoscopic Minigastric Bypass versus Laparoscopic Roux en Y Gastric Bypass-Which Is Better?","authors":"Tamer M S Salama, Karim Sabry","doi":"10.1155/2016/8737519","DOIUrl":"https://doi.org/10.1155/2016/8737519","url":null,"abstract":"Background. Long-term studies have reported that the rate of conversion surgeries after open VBG ranged from 49.7 to 56%. This study is aiming to compare between LMGB and LRYGB as conversion surgeries after failed open VBG with respect to indications and operative and postoperative outcomes. Methods. Sixty patients (48 females and 12 males) presenting with failed VBG, with an average BMI of 39.7 kg/m(2) ranging between 26.5 kg/m(2) and 53 kg/m(2), and a mean age of 38.7 ranging between 24 and 51 years were enrolled in this study. Operative and postoperative data was recorded up to one year after the operation. Results. MGB is a simple procedure that is associated with short operative time and low rate of complications. However, MGB may not be applicable in all cases with failed VBG and therefore RYGB may be needed in such cases. Conclusion. LMGB is a safe and feasible revisional bariatric surgery after failed VBG and can achieve early good weight loss results similar to that of LRYGP. However, the decision to convert to lap RYGB or MGB should be taken intraoperatively depending mainly on the actual intraoperative pouch length. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2016 ","pages":"8737519"},"PeriodicalIF":1.8,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8737519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34585620","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: 17