Asian Journal of Endoscopic Surgery最新文献

{"title":"Reevaluating the Therapeutic Role of Pelvic Lymph Node Dissection in Robot-Assisted Radical Prostatectomy","authors":"Ryosuke Yamase,&nbsp;Satoshi Yamamoto,&nbsp;Koki Watanabe,&nbsp;Atsushi Inoue,&nbsp;Kazuyoshi Nakamura,&nbsp;Maki Nagata","doi":"10.1111/ases.70061","DOIUrl":"https://doi.org/10.1111/ases.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Extended pelvic lymph node dissection (PLND) is recommended for intermediate- and high-risk prostate cancer according to D'Amico risk classification, and there is evidence supporting its diagnostic value in staging. However, its therapeutic benefit remains unproven. We, therefore, aimed to evaluate the therapeutic significance of PLND in patients undergoing robot-assisted radical prostatectomy (RARP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed 329 patients with intermediate- or high-risk prostate cancer (per D'Amico risk classification) who underwent RARP at two centers. Patients were divided into two groups: those who did not undergo lymph node dissection (no-PLND group) and those who underwent an extended PLND (extended-PLND group). After excluding patients who received neoadjuvant hormone therapy, 313 cases remained for analysis. Propensity score matching was performed to balance baseline characteristics, yielding 85 matched pairs. We compared prostate-specific antigen progression-free survival (PSA-PFS) and overall survival (OS) between the matched groups. Perioperative outcomes (complications, console time, and blood loss) were also compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Kaplan–Meier analysis showed no significant differences in PSA-PFS (<i>p</i> = 0.163) or OS (<i>p</i> = 0.323) between the extended-PLND and no-PLND groups after matching. Similarly, when stratified by risk category, PSA-PFS did not differ significantly between the two groups for either intermediate-risk or high-risk patients. Perioperative blood loss was similar between groups, but the no-PLND group had a significantly lower overall complication rate (5.1% vs. 30.4%, <i>p</i> &lt; 0.001) and shorter median console time (160.2 vs. 230.5 min, <i>p</i> &lt; 0.001) than the extended-PLND group. Notably, no Grade 3–4 complications (Clavien–Dindo) occurred in the no-PLND group, compared to 11 cases in the extended-PLND group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In intermediate- and high-risk prostate cancer, performing an extended PLND during RARP did not improve biochemical recurrence-free or OS, suggesting minimal therapeutic benefit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831074","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":"A Case of Laparoscopic Surgery for Pancreaticoduodenal Artery Aneurysm Caused by Median Arcuate Ligament Syndrome","authors":"Fumitaka Nakayama,&nbsp;Koji Osumi,&nbsp;Shodai Mizuno,&nbsp;Takashi Takenoya,&nbsp;Ippei Oto,&nbsp;Tetsuya Nakamura,&nbsp;Katsunori Tanaka,&nbsp;Kazuhito Nagasaki,&nbsp;Noriaki Kameyama","doi":"10.1111/ases.70060","DOIUrl":"https://doi.org/10.1111/ases.70060","url":null,"abstract":"<div>\u0000 \u0000 <p>Pancreaticoduodenal artery (PDA) aneurysms are rare visceral aneurysms often associated with median arcuate ligament syndrome (MALS) due to compensatory high blood flow. Although endovascular treatment is the preferred approach, challenges such as contrast agent allergies and proximity to the superior mesenteric artery (SMA) may render such treatment unsuitable. Herein, we present a case of a 50-year-old female with a PDA aneurysm caused by MALS. Endovascular treatment was contraindicated because of contrast allergies and anatomical considerations. Laparoscopic surgery was performed to resect both the PDA aneurysm and the median arcuate ligament (MAL), marking the first reported case to use this approach. The procedure was successful, with no complications, and the patient was discharged on the fourth postoperative day. This case highlights the potential of laparoscopic surgery as a minimally invasive alternative for managing PDA aneurysms in complex clinical scenarios.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826838","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":"Minimum Invasive Surgery for Appendiceal Intussusception Caused by Isolated Endometriosis; Surgical Technique for an Unreturned Case","authors":"Shigeyuki Kosaka,&nbsp;Takahisa Hirokawa,&nbsp;Hirotaka Miyai,&nbsp;Minoru Yamamoto,&nbsp;Kenji Kobayashi,&nbsp;Moritsugu Tanaka,&nbsp;Masahiro Kimura","doi":"10.1111/ases.70059","DOIUrl":"https://doi.org/10.1111/ases.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Appendiceal intussusception is extremely rare, occurring in 0.01% of cases of appendicitis. Endometriosis-related intussusception is the most common in adults. Most reported cases require extensive surgery, such as ileocecal resection or right hemicolectomy. This case presents a minimally invasive surgical approach, involving partial cecal resection for an unreturned case.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Surgical Technique</h3>\u0000 \u0000 <p>A 47-year-old female presented with upper abdominal pain lasting 2 weeks. Examination revealed tenderness in the right lower quadrant. Imaging confirmed appendiceal intussusception with cecal involvement. Attempts at endoscopic reduction failed, necessitating laparoscopic intervention. The appendix was inaccessible laparoscopically and required extracorporeal manipulation. Due to fixation, intussusception was irreparable. A partial cecal resection with appendectomy was performed. The patient had an uneventful recovery and was discharged on postoperative day two. Histology confirmed endometriosis at the appendiceal tip.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This case of endometriosis-induced Type V appendiceal intussusception involved complete inversion of the cecum. Unlike most cases that result in extensive resections, our approach demonstrated the feasibility of less invasive surgery. Endometriosis, although an uncommon cause of intussusception, should be considered in differential diagnoses, and CA125 may be a useful diagnostic marker. This case highlights that minimally invasive techniques, including appendectomy with partial cecal resection, should be prioritized in nonreducible cases without malignancy. Individualized, less invasive interventions offer significant benefits for patient recovery and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826839","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":"Transabdominal Preperitoneal Hernia Repair in Peritoneal Dialysis Patients","authors":"Kentaro Chikaraishi,&nbsp;Ippei Hironaka,&nbsp;Hideki Kanai,&nbsp;Tetsuya Kobayashi,&nbsp;Yoshiaki Tanabe","doi":"10.1111/ases.70058","DOIUrl":"https://doi.org/10.1111/ases.70058","url":null,"abstract":"<div>\u0000 \u0000 <p>Patients undergoing peritoneal dialysis (PD) are at a higher risk of developing inguinal hernias. While the open inguinal hernia repair has traditionally been the preferred surgical approach, there are no established guidelines for the selection of surgical techniques. Between October 2018 and October 2022, transabdominal preperitoneal hernia repair (TAPP) was performed in four PD patients. The median age was 80.5 years (range: 67–88 years), and all patients were male. Two cases involved bilateral inguinal hernias, all of which were lateral inguinal hernias. The median operative time was 80.5 min (range: 56–141 min). No intraoperative or postoperative complications occurred. PD was resumed on Postoperative day 6 (range: 2–7 days), and no cases exhibited dialysate leakage, infections, and recurrence. TAPP was safely performed in PD patients.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818505","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":"Robot-Assisted Radical Nephroureterectomy in a Patient With Horseshoe Kidney: A Case Report","authors":"Ryo Shiode,&nbsp;Ryuta Watanabe,&nbsp;Toshio Kakuda,&nbsp;Daiichiro Suzuki,&nbsp;Shota Nobumori,&nbsp;Naoya Sugihara,&nbsp;Maki Yamakawa,&nbsp;Kaori Saiki,&nbsp;Reina Kono,&nbsp;Terutaka Noda,&nbsp;Kenichi Nishimura,&nbsp;Tetsuya Fukumoto,&nbsp;Noriyoshi Miura,&nbsp;Yuki Miyauchi,&nbsp;Tadahiko Kikugawa,&nbsp;Takashi Saika","doi":"10.1111/ases.70054","DOIUrl":"https://doi.org/10.1111/ases.70054","url":null,"abstract":"<div>\u0000 \u0000 <p>Renal pelvic carcinoma in a horseshoe kidney is rare, and reports on robotic surgery for this condition are limited. We present a case of a 64-year-old male diagnosed with right renal pelvic carcinoma in a horseshoe kidney. The patient underwent robot-assisted radical nephroureterectomy using the da Vinci Xi surgical system, with preoperative anatomical visualization enhanced by 3D imaging software (SYNAPSE VINCENT). The total operative time was 6 h and 31 min, with a blood loss of 185 mL. The procedure was completed without complications. Histopathological examination revealed invasive urothelial carcinoma (pT3, high-grade carcinoma with carcinoma in situ), with negative surgical margins. In conclusion, robot-assisted radical nephroureterectomy is a feasible and safe approach for managing renal pelvic carcinoma in a horseshoe kidney. Preoperative 3D imaging enhances anatomical understanding, potentially improving surgical outcomes.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818506","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":"Robot-Assisted Laparoscopic Repair for Recurrence After Robot-Assisted Laparoscopic Sacrocolpopexy: A Case Report","authors":"Hiroki Onoue,&nbsp;Kazuyuki Murakami,&nbsp;Chie Sato,&nbsp;Yoshitaka Kaido,&nbsp;Takayuki Nagasawa,&nbsp;Masahiro Kagabu,&nbsp;Tsukasa Baba","doi":"10.1111/ases.70057","DOIUrl":"https://doi.org/10.1111/ases.70057","url":null,"abstract":"<div>\u0000 \u0000 <p>A 71-year-old woman with POP-Q stage IV uterine prolapse with cystocele underwent robot-assisted sacrocolpopexy (RSC) using the hinotori Surgical System. During the initial surgery, bleeding from the median sacral vein led to suboptimal mesh fixation at the sacral promontory. Within 1 month post-surgery, the patient experienced recurrence of prolapse symptoms. Examination revealed descent of the uterine cervix to nearly the pre-operative state. Robot-assisted repair surgery was performed, which confirmed detachment of the mesh from the sacral fixation site. The repair involved excising the upper mesh edge, extending it with new mesh, and securing it to the L5–S1 anterior longitudinal ligament. The patient showed no recurrence at the 5-month follow-up. This case emphasizes the need for proper mesh fixation in RSC and demonstrates the feasibility of using robot-assisted surgery to manage early recurrence. Surgeons should be vigilant about potential early recurrence and prepared to offer timely corrective interventions.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809554","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":"Is Exploratory Laparoscopy the Optimal Surgical Strategy for Small Bowel Obstruction? A Single-Center Retrospective Cohort Study With Propensity Score-Matched Analysis","authors":"Shotaro Furukawa,&nbsp;Kentaro Kato,&nbsp;Yuta Susa,&nbsp;Takumi Yamabuki,&nbsp;Minoru Takada,&nbsp;Yoshihiro Kinoshita,&nbsp;Yoshiyasu Anbo,&nbsp;Fumitaka Nakamura,&nbsp;Satoshi Hirano","doi":"10.1111/ases.70056","DOIUrl":"https://doi.org/10.1111/ases.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>No consensus exists on the optimal surgical strategy for small bowel obstruction (SBO). Therefore, we assessed the feasibility of laparoscopic surgery (LS) for SBO by comparing LS and open surgery (OS) outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed 303 patients who underwent surgery for SBO. The characteristics of 233 patients who underwent exploratory LS, including 43 who underwent open conversion surgery (OCS) and 70 who underwent OS, were propensity score-matched to compare surgical outcomes. Risk factors and a predictive model for OCS were also investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After matching, patients who underwent LS had smaller hemorrhage volumes, fewer severe postoperative complications, and shorter postoperative hospital stays than those who underwent OS. Furthermore, the recurrence rates were comparable. The surgical outcomes of patients who underwent OCS were generally inferior to those of patients who completed LS and were almost equivalent to those of patients who underwent OS. A history of abdominal surgery, serum albumin level ≤ 3.8 g/dL, platelet count ≤ 15 × 10⁴/μL, and neutrophil-to-lymphocyte ratio ≥ 6.7 were identified as independent risk factors for OCS. The OCS risk was significantly higher when the predictive model for conversion to OS was derived from risk factors scoring ≥ 10.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, LS for SBO yields better outcomes than OS. Even in patients with a high predicted risk of conversion to OS, exploratory laparoscopy should be the primary surgical procedure for treating SBO.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787101","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":"A Case of Intramural Esophageal Bronchogenic Cyst","authors":"Mototsugu Watanabe,&nbsp;Noriaki Shiraha,&nbsp;Toshio Shiotani","doi":"10.1111/ases.70055","DOIUrl":"https://doi.org/10.1111/ases.70055","url":null,"abstract":"<div>\u0000 \u0000 <p>A bronchogenic cyst is a congenital malformation with a rare esophageal origin. Occasionally, it is discovered incidentally, and excision is the only treatment. A 43-year-old patient was referred to our hospital for treatment of a cystic tumor in the left posterior mediastinum. We suspected the tumor was a bronchogenic cyst by imaging findings; therefore, we performed video-assisted thoracoscopic resection. The patient was discharged 9 days postoperatively. The tumor origin was found to be the esophageal wall. This report presents a rare case in which the esophageal wall was the origin of the bronchogenic cyst.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749609","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":"The Efficacy of a Silicone Plate for the Prevention of Re-Adhesions in Asherman Syndrome: A Case Study","authors":"Yuya Makino,&nbsp;Kaoru Tejima,&nbsp;Yuko Ikemoto,&nbsp;Saki Nagai,&nbsp;Juichiro Saito","doi":"10.1111/ases.70053","DOIUrl":"https://doi.org/10.1111/ases.70053","url":null,"abstract":"<div>\u0000 \u0000 <p>This study highlights the effectiveness of using silicone plates to manage intrauterine adhesions (IUAs) in an enlarged uterine cavity caused by multiple fibroids. A 42-year-old woman developed Asherman syndrome following fibroid resection surgery, and despite initial attempts to prevent recurrence with an intrauterine device (IUD), IUAs reappeared. After successful hysteroscopic adhesiolysis, a customized silicone plate was introduced, preventing further IUAs for 1 month. The patient was then deemed suitable for fertility treatment. This case underscores the importance of innovative approaches in complex Asherman syndrome, particularly when standard treatments fail. Silicone plates prove useful for addressing enlarged or deformed uterine cavities caused by fibroids, expanding existing strategies for managing post-hysteroscopic complications.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749613","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":"Endoscopic Sleeve Gastroplasty Versus Laparoscopic Sleeve Gastrectomy: A Comparison in Effectiveness and Safety Profile","authors":"Razan Dankar,&nbsp;Toni Habib,&nbsp;Mira Tfaily,&nbsp;Dina Makkouk,&nbsp;Salim Barakat,&nbsp;Bruno Habib,&nbsp;Chris Kaspar,&nbsp;Ali Khalil","doi":"10.1111/ases.70050","DOIUrl":"https://doi.org/10.1111/ases.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Current treatment options for obesity typically involve a combination of lifestyle changes, medications, and bariatric surgeries. This study aimed to assess the safety profile of the endoscopic sleeve gastroplasty (ESG), which is a novel non-invasive approach, as compared to laparoscopic sleeve gastrectomy (LSG) and to correlate their weight loss effectiveness and complication risk in Lebanese patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects and Methods</h3>\u0000 \u0000 <p>This is a retrospective study, including 70 patients who underwent ESG at Fouad Khoury Hospital and 70 patients who underwent LSG at Trad Hospital, between September 2021 and March 2023. Data collection targeted the patients' medical records and included their demographic characteristics (age, sex, weight, height, BMI), comorbidities, and post-procedural information. Weight and BMI (pre-op, 6-months post-op, and 1-year post-op) were collected. Total body weight loss was calculated, and analysis was performed using SPSS version 25.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients who underwent ESG were distributed between 43 (61.4%) females and 27 (38.6%) males, with an average age of 38.07 ± 10.78 years. Patients who underwent LSG were distributed between 42 (60%) females and 28 (40%) males, with an average age of 33.99 ± 10.55 years. Both ESG and LSG resulted in significant weight loss, but LSG achieved greater total body weight loss at 6 and 12 months. ESG was associated with significantly shorter hospital stays (9.14 h vs. 27.77 h, <i>p</i> &lt; 0.001) and fewer adverse events (8.5% vs. 17.1%, <i>p</i> = 0.111). New-onset GERD was more frequent after LSG (20% vs. 4.3%, <i>p</i> = 0.004).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ESG offers a less invasive approach with a potentially more favorable short-term safety profile and faster recovery, while LSG yields greater total body weight loss. ESG may be a suitable alternative for patients with a higher BMI. Further research is needed to assess long-term outcomes and cost-effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741142","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}