Asian Journal of Endoscopic Surgery最新文献

{"title":"First pediatric pelvic surgery with the Senhance® robotic surgical system: A case series","authors":"Daiki Kato,&nbsp;Hiroo Uchida,&nbsp;Chiyoe Shirota,&nbsp;Takahisa Tainaka,&nbsp;Satoshi Makita,&nbsp;Hizuru Amano,&nbsp;Miwa Satomi,&nbsp;Akihiro Yasui,&nbsp;Yoichi Nakagawa,&nbsp;Takuya Maeda,&nbsp;Hiroki Ishii,&nbsp;Kazuki Ota,&nbsp;Naoki Nagata,&nbsp;Akinari Hinoki","doi":"10.1111/ases.13379","DOIUrl":"10.1111/ases.13379","url":null,"abstract":"<p>The Senhance® robotic system (Senhance [Asensus Surgical Inc., Naderhan, NC, USA]) is a new surgical assistive robot following the da Vinci Surgical System that has been demonstrated to be safe and efficacious. Herein, we report the first case series of pediatric pelvic surgery using Senhance. Two anorectoplasties and one rectal pull-through coloanal anastomosis for rectal stenosis were performed in three children (5–9 months, 7–9 kg) using a 10-mm three-dimensional (3D) 4K camera and 3 and 5 mm forceps operated with Senhance. None of the patients had intraoperative complications or a good postoperative course. Pediatric pelvic surgery with Senhance could be performed precisely and safely with a small body cavity. With its beautiful 3D images, motion of forceps with reduced tremor, and availability of 3-mm forceps, Senhance may be better suited for children compared with other models.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.13379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019143","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":"The urinary tract reconstruction in a robot-assisted surgery for rectal malignancy with combined prostate and seminal vesicle resection","authors":"Ryo Iguchi,&nbsp;Mitsuru Yokota,&nbsp;Kenji Kawada,&nbsp;Tomoki Ohnishi,&nbsp;Naoya Kani,&nbsp;Yuta Mine,&nbsp;Iori Matsuda,&nbsp;Yusuke Hama,&nbsp;Kyohei Sugiyama,&nbsp;Akito Terai,&nbsp;Koji Inoue","doi":"10.1111/ases.13375","DOIUrl":"10.1111/ases.13375","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In certain cases of rectal malignancy in which invasion is confined to the prostate and/or seminal vesicles, bladder-sparing surgery may be chosen instead of total pelvic exenteration. However, even if the bladder is preserved, postoperative urinary dysfunction and vesicourethral anastomotic leakage are concern.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Surgical Technique</h3>\u0000 \u0000 <p>We employ various techniques based on robot-assisted radical prostatectomy for reconstructing the urinary tract. These techniques include advanced reconstruction of vesicourethral support, total anatomical reconstruction, and a method called anterior reconstruction. In addition, suture fixation of bladder to the anterior abdominal wall, and re-approximation of bladder by peritoneal suture were done.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Reliable robot-assisted vesicourethral anastomosis and reinforcement of the anastomotic wall could potentially enhance the self-voiding rate and decrease the risk of anastomotic failure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001014","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":"Validity of laparoscopic surgery for lower gastrointestinal perforations","authors":"Kensuke Kudou,&nbsp;Ryoko Aoyama,&nbsp;Kento Ishihara,&nbsp;Tomohide Kawashita,&nbsp;Shuhei Kajiwara,&nbsp;Takashi Motomura,&nbsp;Takafumi Yukaya,&nbsp;Tomonori Nakanoko,&nbsp;Yosuke Kuroda,&nbsp;Masahiro Okamoto,&nbsp;Tadashi Koga,&nbsp;Yo-Ichi Yamashita,&nbsp;Eiji Oki,&nbsp;Tomoharu Yoshizumi","doi":"10.1111/ases.13373","DOIUrl":"10.1111/ases.13373","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aimed to clarify the validity of laparoscopic surgery for lower gastrointestinal perforation by comparing the clinical outcomes of laparoscopic and open emergency surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We reviewed the data of patients who underwent surgery for lower gastrointestinal perforation. Patients were categorized into two groups: the laparoscopic group who underwent laparoscopic surgery, and the open group who underwent laparotomy. Clinical and operative outcomes between the two groups were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 219 patients were included in the study. There were 66 and 153 patients with small bowel and colorectal perforations, respectively. The median operative time in the laparoscopic group was shorter than that in the open group (126 min vs. 146 min, <i>p</i> = .049). The mean amount of intraoperative blood loss was significantly lower in the laparoscopic group (50.4 mL vs. 400.1 mL, <i>p</i> &lt; .001). The incidence of postoperative complication was higher in the open group (20.0% vs. 66.5%, <i>p</i> &lt; .001), especially wound infection (0% vs. 26.3%, <i>p</i> = .002). Median hospital stays were 14 days and 24 days in the laparoscopic and open groups, respectively (<i>p</i> &lt; .001). In the laparoscopic group, hospital mortality was 0%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The laparoscopic approach for small bowel and colorectal perforation in an emergency setting is a safe procedure in carefully selected patients and may contribute to decreased intraoperative blood loss, shortened hospital stay, and decreased incidence of postoperative complications, especially wound infection.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.13373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001015","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":"Laparoscopically assisted diaphragmatic hernia repair with mesh and a myocutaneous flap after left ventricular assist device explantation: A case report","authors":"Kota Kawabata,&nbsp;Tsuyoshi Takahashi,&nbsp;Soichiro Funaki,&nbsp;Daisuke Maeda,&nbsp;Kiyokazu Nakajima,&nbsp;Yukinori Kurokawa,&nbsp;Kazuyoshi Yamamoto,&nbsp;Takuro Saito,&nbsp;Kota Momose,&nbsp;Kotaro Yamashita,&nbsp;Koji Tanaka,&nbsp;Tomoki Makino,&nbsp;Tateki Kubo,&nbsp;Yasushi Shintani,&nbsp;Hidetoshi Eguchi,&nbsp;Yuichiro Doki","doi":"10.1111/ases.13372","DOIUrl":"10.1111/ases.13372","url":null,"abstract":"<p>We report the case of a 32-year-old man who developed a giant diaphragmatic hernia following the removal of a left ventricular assist device 4 years prior due to improved cardiac function. Chest radiography revealed an intrathoracic prolapse of the gastrointestinal tract. The patient was diagnosed with a diaphragmatic hernia and a laparoscopy-assisted repair was performed. A 12 × 8 cm hernia was found intraoperatively on the left diaphragm, and a large portion of the gastrointestinal tract had prolapsed into the thoracic cavity. We attempted to repair the ventromedial defect using mesh; however, it was found to be insufficient. Therefore, we used a left rectus abdominis myocutaneous flap to fill the defect and sutured it to the mesh. A myocutaneous flap could be a useful strategy in cases where complete closure with mesh is difficult.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983607","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":"Laparoscopic right gastroepiploic artery-sparing distal gastric tube resection with lymph node dissection for gastric tube cancer after esophagectomy: A novel surgical approach (with video)","authors":"Hikaru Aoki,&nbsp;Hironori Kawada,&nbsp;Yusuke Hanabata,&nbsp;Akina Shinkura,&nbsp;Kaichiro Harada,&nbsp;Keigo Tachibana,&nbsp;Kento Awane,&nbsp;Keisuke Tanino,&nbsp;Ryuta Nishitai","doi":"10.1111/ases.13359","DOIUrl":"10.1111/ases.13359","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Total resection of the gastric tube with lymphadenectomy for advanced gastric tube cancer is highly invasive and associated with severe complications. Other surgical option, partial gastrectomy or wedge resection, is insufficient if lymph node metastasis is suspected. Therefore, a technique balancing invasiveness and curability is required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Surgical Technique</h3>\u0000 \u0000 <p>First, we laparoscopically peeled off adhesions of the gastric tube, gastric mesentery (including the right gastroepiploic artery/vein), pericardial membrane, and aorta, up to the planned resection line. Subsequently, we cut the infrapyloric and right gastric arteries at their roots and dissected No. 5 and No. 6 lymph nodes. We taped and spared the right gastroepiploic artery and vein and dissected the tissues including No. 4d lymph nodes. Finally, the gastric tube was cut using a linear stapler, and the remaining gastric tube was anastomosed to the jejunum with a circular stapler. The mean operative time for the three cases treated using this intervention was 729 min. The patients were discharged on postoperative day 8 or 9 without any complications. They all remained alive and recurrence-free.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This novel approach balances invasiveness and curability by leveraging the advantages of laparoscopy. The procedure was performed safely and reproducibly in three consecutive cases, providing another viable option for the treatment of gastric tube cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907978","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":"Low-grade appendiceal mucinous neoplasm penetrating sigmoid colon: A case report","authors":"Michio Okamoto,&nbsp;Ryosuke Okamura,&nbsp;Yoshiro Itatani,&nbsp;Yuki Aisu,&nbsp;Hiromitsu Kinoshita,&nbsp;Nobuaki Hoshino,&nbsp;Hisatsugu Maekawa,&nbsp;Takashi Sakamoto,&nbsp;Keiko Kasahara,&nbsp;Shintaro Okumura,&nbsp;Tatsuto Nishigori,&nbsp;Shigeo Hisamori,&nbsp;Shigeru Tsunoda,&nbsp;Koya Hida,&nbsp;Mitsuhiro Nikaido,&nbsp;Yukiko Hiramatsu,&nbsp;Yuki Teramoto,&nbsp;Satoshi Nagayama,&nbsp;Kazutaka Obama","doi":"10.1111/ases.13368","DOIUrl":"10.1111/ases.13368","url":null,"abstract":"<p>Low-grade appendiceal mucinous neoplasm (LAMN) is principally characterized by low-grade cytology without evidence of invasion to other organs. We report a LAMN surgical case whose appendiceal tumor penetrated the sigmoid colon wall. An 87-year-old man was referred for endoscopic resection (ER) of a colon polyp. Despite four ERs over 5 years, the polyp recurred at the same site. Laparoscopic surgery revealed a dilated appendix firmly attached to the sigmoid colon. We performed en bloc resection of both the sigmoid colon and appendix without tumor exposure. The histopathological evaluation showed that the LAMN had penetrated the sigmoid colon wall, forming two polyps on the colonic mucosa. In cases where the appendiceal-colonic fistula is suspected, en bloc resection of the appendix and colon wall should be considered.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890452","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":"Usefulness of Deloyers procedure with minimally invasive coloproctectomy in an elderly patient with synchronous colorectal cancer: A case report","authors":"Gaku Inaguma,&nbsp;Junichiro Hiro,&nbsp;Koki Otsuka,&nbsp;Koji Masumori,&nbsp;Yosuke Kobayashi,&nbsp;Yongchol Chong,&nbsp;Yusuke Omura,&nbsp;Yutaka Hattori,&nbsp;Kazuki Tsujimura,&nbsp;Ichiro Uyama,&nbsp;Koichi Suda","doi":"10.1111/ases.13366","DOIUrl":"10.1111/ases.13366","url":null,"abstract":"<p>Subtotal colectomy is often performed on patients with synchronous colorectal cancer. However, compared with colorectal anastomosis, ileorectal anastomosis with subtotal colectomy is more likely to result in bowel dysfunction. The Deloyers procedure is useful in preserving bowel function in a patient with synchronous colorectal cancer. An 87-year-old man presented with bloody stool. Colonoscopy showed masses in the cecum, transverse colon, rectosigmoid, and rectum above the peritoneal reflection. Computed tomography scan revealed no evidence of regional lymph node swelling and distant metastasis. Therefore, robot-assisted low anterior resection, laparoscopic extended left hemicolectomy, laparoscopic cecal resection, and diverting ileostomy were performed. The patient was discharged from the hospital without complications. There was no recurrence, and the patient did not have complaints such as urgency, fecal incontinence, and excretory dysfunction. Hence, minimally invasive coloproctectomy using the Deloyers procedure can be safe and useful in preserving postoperative bowel function in elderly patients.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876350","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":"Practice guidelines on endoscopic surgery for qualified surgeons by the endoscopic surgical skill qualification system: Hernia","authors":"Tetsushi Hayakawa,&nbsp;Nozomi Ueno,&nbsp;Toru Eguchi,&nbsp;Yo Kawarada,&nbsp;Yuji Shigemitsu,&nbsp;Gen Shimada,&nbsp;Katsuhito Suwa,&nbsp;Motohito Nakagawa,&nbsp;Takehiro Hachisuka,&nbsp;Shunsuke Hayakawa,&nbsp;Kaisuke Yamamoto,&nbsp;Takahide Yokoyama,&nbsp;Norihito Wada,&nbsp;Hidetoshi Wada,&nbsp;Hiroo Takehara,&nbsp;Itsuro Nagae,&nbsp;Yoshiki Morotomi,&nbsp;Hitoshi Idani,&nbsp;Fumito Saijo,&nbsp;Tetsuhiro Tsuruma,&nbsp;Kanyu Nakano,&nbsp;Taizo Kimura,&nbsp;Sumio Matsumoto","doi":"10.1111/ases.13363","DOIUrl":"10.1111/ases.13363","url":null,"abstract":"","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861248","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":"Practice guidelines on endoscopic surgery for qualified surgeons by the endoscopic surgical skill qualification system: Large intestine","authors":"Hiroya Kuroyanagi,&nbsp;Koya Hida,&nbsp;Yoshiyuki Ishii,&nbsp;Seiichiro Yamamoto,&nbsp;Suguru Hasegawa,&nbsp;Kenichi Takahashi,&nbsp;Yoshihisa Saida,&nbsp;Masafumi Inomata,&nbsp;Masafumi Nakamura,&nbsp;Yoshiharu Sakai","doi":"10.1111/ases.13364","DOIUrl":"10.1111/ases.13364","url":null,"abstract":"","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856829","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":"Modified cranial approach to right-sided colon cancer in a patient with intestinal nonrotation: A case report","authors":"Satoko Monma,&nbsp;Ken-ichi Doi,&nbsp;Naoki Sakuyama,&nbsp;Yuka Ahiko,&nbsp;Haruna Onoyama,&nbsp;Susumu Aikou,&nbsp;Dai Shida","doi":"10.1111/ases.13357","DOIUrl":"10.1111/ases.13357","url":null,"abstract":"<p>Managing colon cancer with intestinal nonrotation, a type of congenital intestinal malrotation, is challenging due to the presence of anatomical abnormalities and severe adhesions. When patients have nonrotation, it is markedly more difficult to determine which vessels correspond to the colic vessels and ileal vessels until all vascular branching patterns become evident. The optimal approach for right-sided colon cancer with intestinal nonrotation has yet to be established. In the present case of ascending colon cancer with intestinal nonrotation, we performed laparoscopic right hemicolectomy with D3 dissection using a modified cranial approach. This approach involves tracing, without resecting, branches from the superior mesenteric vein and superior mesenteric artery in a cranial-to-caudal manner until the ileocolic artery and ileocolic vein, which course toward the cecum, are identified, followed by the dissection of the colic vessels and lymph nodes in a caudal-to-cranial fashion.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"17 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.13357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789377","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}