Minimally Invasive Surgery最新文献_第9页

The Role of VATS in Lung Cancer Surgery: Current Status and Prospects for Development. VATS在肺癌手术中的作用:现状及发展前景。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-07-29 DOI: 10.1155/2015/938430

Dariusz Dziedzic, Tadeusz Orlowski

引用次数: 33

Early Experience in Da Vinci Robot-Assisted Partial Nephrectomy: An Australian Single Centre Series. 达芬奇机器人辅助部分肾切除术的早期经验:澳大利亚单中心系列。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-06-08 DOI: 10.1155/2015/671267

Francis Ting, Richard Savdie, Sam Chopra, Carlo Yuen, Phillip Brenner

{"title":"Early Experience in Da Vinci Robot-Assisted Partial Nephrectomy: An Australian Single Centre Series.","authors":"Francis Ting, Richard Savdie, Sam Chopra, Carlo Yuen, Phillip Brenner","doi":"10.1155/2015/671267","DOIUrl":"https://doi.org/10.1155/2015/671267","url":null,"abstract":"Introduction and Objectives. To demonstrate the safety and efficacy of the robot-assisted partial nephrectomy (RAPN) technique in an Australian setting. Methods. Between November 2010 and July 2014, a total of 76 patients underwent 77 RAPN procedures using the Da Vinci Surgical System© at our institution. 58 of these procedures were performed primarily by the senior author (PB) and are described in this case series. Results. Median operative time was 4 hours (range 1.5-6) and median warm ischaemic time (WIT) was 8 minutes (range 0-30) including 11 cases with zero ischaemic time. All surgical margins were clear with the exception of one patient who had egress of intravascular microscopic tumour outside the capsule to the point of the resection margin. Complications were identified in 9 patients (15.8%). Major complications included conversion to open surgery due to significant venous bleeding (n = 1), reperfusion injury (n = 1), gluteal compartment syndrome (n = 1), DVT/PE (n = 1), and readmission for haematuria (n = 1). Conclusion. This series demonstrates the safety and efficacy of the RAPN technique in an Australian setting when performed by experienced laparoscopic surgeons in a dedicated high volume robotic centre. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/671267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34282466","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: 2

Clinical Effectiveness of Modified Laparoscopic Fimbrioplasty for the Treatment of Minimal Endometriosis and Unexplained Infertility. 改良腹腔镜下纤原成形术治疗微小子宫内膜异位症和不明原因不孕症的临床疗效。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-05-06 DOI: 10.1155/2015/730513

Sarah E Franjoine, Mohamed A Bedaiwy, Faten F AbdelHafez, Cuiyu Geng, James H Liu

{"title":"Clinical Effectiveness of Modified Laparoscopic Fimbrioplasty for the Treatment of Minimal Endometriosis and Unexplained Infertility.","authors":"Sarah E Franjoine, Mohamed A Bedaiwy, Faten F AbdelHafez, Cuiyu Geng, James H Liu","doi":"10.1155/2015/730513","DOIUrl":"https://doi.org/10.1155/2015/730513","url":null,"abstract":"Objective. To study the reproductive outcomes of modified laparoscopic fimbrioplasty (MLF), a surgical technique designed to increase the working surface area of the fimbriated end of the fallopian tube. We postulated that an improvement in fimbrial function through MLF will improve reproductive outcomes. Design. Retrospective cohort study. Setting. Academic tertiary-care medical center. Patients. Women with minimal endometriosis or unexplained infertility, who underwent MLF during diagnostic laparoscopy (n = 50) or diagnostic laparoscopy alone (n = 87). Intervention. MLF involved gentle, circumferential dilatation of the fimbria and lysis of fimbrial adhesions bridging the fimbrial folds. Main Outcome Measures. The primary outcome was pregnancy rate and the secondary outcome was time to pregnancy. Results. The pregnancy rate for the MLF group was 40.0%, compared to 28.7% for the control group. The average time to pregnancy for the MLF group was 13 weeks, compared to 18 weeks for the control group. The pregnancy rate in the MLF group was significantly higher for patients ≤35 ys (51.5% versus 28.8%), but not for those >35 ys (17.6% versus 28.6%). Conclusion. MLF was associated with a significant increase in pregnancy rate for patients ≤35 ys. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/730513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33379677","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: 4

Tactile Electrosurgical Ablation: A Technique for the Treatment of Intractable Heavy and Prolonged Menstrual Bleeding. 触觉电刀消融:一种治疗难治性月经大出血的技术。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-07-30 DOI: 10.1155/2015/895062

Ali M El Saman, Faten F AbdelHafez, Kamal M Zahran, Hazem Saad, Mohamed Khalaf, Mostafa Hussein, Ibrahim M A Hassanin, Saba M Shugaa Al Deen

{"title":"Tactile Electrosurgical Ablation: A Technique for the Treatment of Intractable Heavy and Prolonged Menstrual Bleeding.","authors":"Ali M El Saman, Faten F AbdelHafez, Kamal M Zahran, Hazem Saad, Mohamed Khalaf, Mostafa Hussein, Ibrahim M A Hassanin, Saba M Shugaa Al Deen","doi":"10.1155/2015/895062","DOIUrl":"10.1155/2015/895062","url":null,"abstract":"Objective. To study the efficacy and safety of tactile electrosurgical ablation (TEA) in stopping a persistent attack of abnormal uterine bleeding not responding to medical and hormonal therapy. Methods. This is a case series of 19 cases with intractable abnormal uterine bleeding, who underwent TEA at the Women's Health Center of Assiut University. The outcomes measured were; patient's acceptability, operative time, complications, menstrual outcomes, and reintervention. Results. None of the 19 counseled cases refused the TEA procedure which took 6-10 minutes without intraoperative complications. The procedure was successful in the immediate cessation of bleeding in 18 out of 19 cases. During the 24-month follow-up period, 9 cases developed amenorrhea, 5 had scanty menstrual bleeding, 3 were regularly menstruating, 1 case underwent repeat TEA ablation, and one underwent a hysterectomy. Conclusions. TEA represents a safe, inexpensive, and successful method for management of uterine bleeding emergencies with additional long-term beneficial effects. However, more studies with more cases and longer follow-up periods are warranted. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/895062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34111161","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

How Predictable Is the Operative Time of Laparoscopic Surgery for Ovarian Endometrioma? 卵巢子宫内膜异位瘤腹腔镜手术的手术时间可预测性如何?

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-08-31 DOI: 10.1155/2015/702631

Pietro Gambadauro, Vincenzo Campo, Sebastiano Campo

{"title":"How Predictable Is the Operative Time of Laparoscopic Surgery for Ovarian Endometrioma?","authors":"Pietro Gambadauro, Vincenzo Campo, Sebastiano Campo","doi":"10.1155/2015/702631","DOIUrl":"https://doi.org/10.1155/2015/702631","url":null,"abstract":"Endometriosis is a tricky albeit common disease whose management largely relies on laparoscopy. We have studied the operative times of laparoscopic endometrioma surgery in order to assess their predictability and possible predictors. One hundred forty-eight laparoscopies were included, with a median operative time of 70 minutes (mean 75.14; 95% CI: 70.03-80.24). Half of the cases had a duration within 15-20 minutes above or below the median (IQR: 55-93.75), but the whole dataset ranged from 20 to 180 minutes, and the standard deviation was relatively large (31.4). Surgical times were significantly related to technical (number and size of the cysts) and nontechnical factors (age, parity, dysmenorrhea, and family history). At multiple logistic regression, after adjusting for number and size of the cysts, surgical times below the first quartile were associated with older age (>30 years old: aOR: 3.590; 95% CI: 1.417-9.091) and parity (≥1 delivery: aOR: 3.409; 95% CI: 1.343-8.651). Longer times, above the third quartile, were instead predicted by a familial anamnesis of endometriosis (aOR: 3.639; 95% CI: 1.246-10.627). Our findings indicate highly variable surgical times, which are predicted by unexpected nontechnical factors. This is consistent with the complexity of endometriosis and its treatment. Productivity and efficiency in endometriosis surgery should focus on the quality of healthcare outcomes rather than on the time spent in the operating theatres. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/702631","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34113220","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: 4

Corrigendum to "Transvaginal Appendectomy: A Systematic Review". “经阴道阑尾切除术:系统回顾”的更正。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-06-28 DOI: 10.1155/2015/527140

Cuneyt Kayaalp, Kerem Tolan, Mehmet Ali Yagci

引用次数: 2

Stability Outcomes following Computer-Assisted ACL Reconstruction. 计算机辅助ACL重建后的稳定性结果。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-03-26 DOI: 10.1155/2015/638635

Melissa A Christino, Bryan G Vopat, Alexander Mayer, Andrew P Matson, Steven E Reinert, Robert M Shalvoy

{"title":"Stability Outcomes following Computer-Assisted ACL Reconstruction.","authors":"Melissa A Christino, Bryan G Vopat, Alexander Mayer, Andrew P Matson, Steven E Reinert, Robert M Shalvoy","doi":"10.1155/2015/638635","DOIUrl":"https://doi.org/10.1155/2015/638635","url":null,"abstract":"Purpose. The purpose of this study was to determine whether intraoperative prereconstruction stability measurements and/or patient characteristics were associated with final knee stability after computer-assisted ACL reconstruction. Methods. This was a retrospective review of all patients who underwent computer-assisted single-bundle ACL reconstruction by a single surgeon. Prereconstruction intraoperative stability measurements were correlated with patient characteristics and postreconstruction stability measurements. 143 patients were included (87 male and 56 female). Average age was 29.8 years (SD ± 11.8). Results. Females were found to have significantly more pre- and postreconstruction internal rotation than males (P < 0.001 and P = 0.001, resp.). Patients with additional intra-articular injuries demonstrated more prereconstruction anterior instability than patients with isolated ACL tears (P < 0.001). After reconstruction, these patients also had higher residual anterior translation (P = 0.01). Among all patients with ACL reconstructions, the percent of correction of anterior translation was found to be significantly higher than the percent of correction for internal or external rotation (P < 0.001). Conclusion. Anterior translation was corrected the most using a single-bundle ACL reconstruction. Females had higher pre- and postoperative internal rotation. Patients with additional injuries had greater original anterior translation and less operative correction of anterior translation compared to patients with isolated ACL tears. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/638635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33227536","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: 3

Retrograde Intrarenal Surgery in Patients Who Previously Underwent Open Renal Stone Surgery. 既往行开放性肾结石手术患者的逆行肾内手术。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-08-18 DOI: 10.1155/2015/198765

Erdal Alkan, Ali Saribacak, Ahmet Oguz Ozkanli, Mehmet Murad Başar, Oguz Acar, Mevlana Derya Balbay

{"title":"Retrograde Intrarenal Surgery in Patients Who Previously Underwent Open Renal Stone Surgery.","authors":"Erdal Alkan, Ali Saribacak, Ahmet Oguz Ozkanli, Mehmet Murad Başar, Oguz Acar, Mevlana Derya Balbay","doi":"10.1155/2015/198765","DOIUrl":"https://doi.org/10.1155/2015/198765","url":null,"abstract":"Purpose. To ascertain whether retrograde intrarenal surgery (RIRS) is as effective in patients treated previously with open renal stone surgery (ORSS) on the same kidney as in patients with no previous ORSS. Methods. There were 32 patients with renal stones who had previous ORSS and were treated with RIRS in the study group (Group 1). A total of 38 patients with renal stones who had no previous ORSS and were treated with RIRS were selected as the control group (Group 2). Recorded data regarding preoperative characteristics of the patients, stone properties, surgical parameters, outcomes, SFRs (no fragments or small fragments <4 mm), and complications between groups were compared. Results. Mean age, mean BMI, mean hospital stay, and mean operative time were not statistically different between groups. Mean stone size (10.1 ± 5.6 versus 10.3 ± 4.2; p = 0.551) and mean stone burden (25.4 ± 14.7 versus 23.5 ± 9.9; p = 0.504) were also similar between groups. After the second procedures, SFRs were 100% and 95% in groups 1 and 2, respectively (p = 0.496). No major perioperative complications were seen. Conclusion. RIRS can be safely and effectively performed with acceptable complication rates in patients treated previously with ORSS as in patients with no previous ORSS. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/198765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34164127","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: 8

Two ports laparoscopic inguinal hernia repair in children. 儿童双孔腹腔镜腹股沟疝修补术。

IF 1.8

Minimally Invasive Surgery Pub Date : 2015-01-01 Epub Date: 2015-02-16 DOI: 10.1155/2015/821680

Medhat M Ibrahim

{"title":"Two ports laparoscopic inguinal hernia repair in children.","authors":"Medhat M Ibrahim","doi":"10.1155/2015/821680","DOIUrl":"https://doi.org/10.1155/2015/821680","url":null,"abstract":"Introduction. Several laparoscopic treatment techniques were designed for improving the outcome over the last decade. The various techniques differ in their approach to the inguinal internal ring, suturing and knotting techniques, number of ports used in the procedures, and mode of dissection of the hernia sac. Patients and Surgical Technique. 90 children were subjected to surgery and they undergone two-port laparoscopic repair of inguinal hernia in children. Technique feasibility in relation to other modalities of repair was the aim of this work. 90 children including 75 males and 15 females underwent surgery. Hernia in 55 cases was right-sided and in 15 left-sided. Two patients had recurrent hernia following open hernia repair. 70 (77.7%) cases were suffering unilateral hernia and 20 (22.2%) patients had bilateral hernia. Out of the 20 cases 5 cases were diagnosed by laparoscope (25%). The patients' median age was 18 months. The mean operative time for unilateral repairs was 15 to 20 minutes and bilateral was 21 to 30 minutes. There was no conversion. The complications were as follows: one case was recurrent right inguinal hernia and the second was stitch sinus. Discussion. The results confirm the safety and efficacy of two ports laparoscopic hernia repair in congenital inguinal hernia in relation to other modalities of treatment. ","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/821680","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33142103","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: 9

Erratum to “Minimally Invasive Treatment of the Thoracic Spine Disease: Completely Percutaneous and Hybrid Approaches” “胸椎疾病的微创治疗:完全经皮和混合入路”的勘误

IF 1.8

Minimally Invasive Surgery Pub Date : 2014-04-06 DOI: 10.1155/2014/163231

F. Tamburrelli, L. Scaramuzzo, M. Genitiempo, L. Proietti

引用次数: 0