Mini-invasive surgery最新文献

Standardization and short-term outcomes of robot-assisted minimally invasive esophagectomy in the semi-prone position 半卧位机器人辅助微创食管切除术的标准化和短期疗效

Mini-invasive surgery Pub Date : 2024-06-11 DOI: 10.20517/2574-1225.2023.88

H. Kikuchi, E. Booka, R. Haneda, T. Murakami, T. Matsumoto, Y. Hiramatsu, H. Takeuchi

引用次数: 0

Intraoperative imaging techniques for robotic-assisted partial nephrectomy: where do we stand? 机器人辅助肾部分切除术的术中成像技术：现状如何？

Mini-invasive surgery Pub Date : 2024-03-21 DOI: 10.20517/2574-1225.2023.79

D. Fasanella

引用次数: 0

Artificial intelligence in capsule endoscopy: development status and future expectations 人工智能在胶囊内镜检查中的应用：发展现状与未来展望

Mini-invasive surgery Pub Date : 2024-03-18 DOI: 10.20517/2574-1225.2023.102

Ashwin A. George, Jin Lin Tan, J. Kovoor, Alvin Lee, Brandon Stretton, Aashray K. Gupta, Stephen Bacchi, Biju George, Rajvinder Singh

{"title":"Artificial intelligence in capsule endoscopy: development status and future expectations","authors":"Ashwin A. George, Jin Lin Tan, J. Kovoor, Alvin Lee, Brandon Stretton, Aashray K. Gupta, Stephen Bacchi, Biju George, Rajvinder Singh","doi":"10.20517/2574-1225.2023.102","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.102","url":null,"abstract":"In this review, we aim to illustrate the state-of-the-art artificial intelligence (AI) applications in the field of capsule endoscopy. AI has made significant strides in gastrointestinal imaging, particularly in capsule endoscopy - a non-invasive procedure for capturing gastrointestinal tract images. However, manual analysis of capsule endoscopy videos is labour-intensive and error-prone, prompting the development of automated computational algorithms and AI models. While currently serving as a supplementary observer, AI has the capacity to evolve into an autonomous, integrated reading system, potentially significantly reducing capsule reading time while surpassing human accuracy. We searched Embase, Pubmed, Medline, and Cochrane databases from inception to 06 Jul 2023 for studies investigating the use of AI for capsule endoscopy and screened retrieved records for eligibility. Quantitative and qualitative data were extracted and synthesised to identify current themes. In the search, 824 articles were collected, and 291 duplicates and 31 abstracts were deleted. After a double-screening process and full-text review, 106 publications were included in the review. Themes pertaining to AI for capsule endoscopy included active gastrointestinal bleeding, erosions and ulcers, vascular lesions and angiodysplasias, polyps and tumours, inflammatory bowel disease, coeliac disease, hookworms, bowel prep assessment, and multiple lesion detection. This review provides current insights into the impact of AI on capsule endoscopy as of 2023. AI holds the potential for faster and precise readings and the prospect of autonomous image analysis. However, careful consideration of diagnostic requirements and potential challenges is crucial. The untapped potential within vision transformer technology hints at further evolution and even greater patient benefit.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231986","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: 0

Usefulness of capsule endoscopy for small intestinal obstruction: a dual-center prospective observational study 胶囊内镜对小肠梗阻的实用性：一项双中心前瞻性观察研究

Mini-invasive surgery Pub Date : 2024-01-29 DOI: 10.20517/2574-1225.2023.67

Makoto Imai, R. Niikura, Atsuo Yamada, Hirobumi Suzuki, Ayako Nakada, Yuzo Mitsuno, Shinzo Yamamoto, Tomonori Aoki, Yoku Hayakawa, Takashi Kawai, Mitsuhiro Fujishiro

{"title":"Usefulness of capsule endoscopy for small intestinal obstruction: a dual-center prospective observational study","authors":"Makoto Imai, R. Niikura, Atsuo Yamada, Hirobumi Suzuki, Ayako Nakada, Yuzo Mitsuno, Shinzo Yamamoto, Tomonori Aoki, Yoku Hayakawa, Takashi Kawai, Mitsuhiro Fujishiro","doi":"10.20517/2574-1225.2023.67","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.67","url":null,"abstract":"Aim: To evaluate whether capsule endoscopy can identify causes of small intestinal obstruction and determine the appropriate patient population for capsule endoscopy.\u0000 Methods: In this prospective observational study, we performed a tag-less patency capsule endoscopy for patients with small intestinal obstruction. After confirming the patency of the small intestine, capsule endoscopy was performed using Pill Cam SB2. The study endpoint was recurrence of small intestinal obstruction within 1 year.\u0000 Results: Of the 31 study patients, 8 were excluded. The remaining 23 patients, including 13 with a history of surgery and 3 with band adhesions on contrast-enhanced CT, were analyzed. Subsequently, 18 of the 23 study patients underwent tag-less patency capsule endoscopy to evaluate the small intestinal patency. Capsule endoscopy revealed redness in six patients, erosions and ulcers in three patients, small intestinal diverticulum in one patient, and tumor in one patient. One patient with Meckel’s diverticulum and another with small intestinal ganglioneuroma underwent surgical resection. No recurrence of small intestinal obstruction was observed at 1 year.\u0000 Conclusion: This prospective observational study demonstrated that capsule endoscopy can determine the cause of small intestinal obstruction after the obstruction is relieved.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"26 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490264","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: 0

Single port partial nephrectomy: techniques and outcomes 单孔部分肾切除术:技术和结果

Mini-invasive surgery Pub Date : 2023-11-13 DOI: 10.20517/2574-1225.2023.62

Francesco Ditonno, Antonio Franco, Celeste Manfredi, Cosimo De Nunzio, Marco De Sio, Alessandro Antonelli, Riccardo Autorino

引用次数: 0

Format for safe introduction of robotic esophagectomy 安全引入机器人食管切除术的格式

Mini-invasive surgery Pub Date : 2023-10-23 DOI: 10.20517/2574-1225.2023.95

Maria Erodotou, Sjoerd M. Lagarde, Bas P.L. Wijnhoven, Pieter C. van der Sluis

{"title":"Format for safe introduction of robotic esophagectomy","authors":"Maria Erodotou, Sjoerd M. Lagarde, Bas P.L. Wijnhoven, Pieter C. van der Sluis","doi":"10.20517/2574-1225.2023.95","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.95","url":null,"abstract":"The aim of this study is to review the current literature on the learning curve for robotic-assisted minimally invasive esophagectomy (RAMIE) and explore strategies for introducing and implementing RAMIE. A literature search of electronic databases (Pubmed and Science Direct) was conducted using multiple combinations and synonyms of the keywords “esophageal cancer”, “robotic esophagectomy”, “RAMIE”, and “learning curve” up to March 31, 2023. In total, eighteen studies were included. Fourteen studies reported on surgeons with experience in minimally invasive surgery. Seven studies reported on surgeons with prior robotic experience for benign diseases or experience as observant or assistant in robotic surgery or experience on cadaveric robotic training. Four studies reported on a specific training pathway. The learning curve was mostly analyzed using the cumulative sum control chart (CUSUM). The most commonly used measured variables were the total operation time, the thoracic and abdominal console time, the lymph node yield, and vocal cord palsy rates. Τhe learning curve plateaus for the total operative time, the vocal cord palsy rates, and the lymph node yield varied between 20-80, 15-80, and 18-73 cases, respectively. At present, several centers are increasingly adopting RAMIE for esophageal cancer. Education about the learning curve of RAMIE is crucial for the training pathway in order to safely introduce RAMIE in centers without pre-existing robotic esophagectomy experience.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"33 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366248","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: 0

Liver parenchyma dissection in Totally robotic liver surgery - Results of the first 100 patients using the Robotic Harmonic curved shears- 全机器人肝脏手术中的肝实质清扫-前100例使用机器人谐波曲线剪的患者的结果

Mini-invasive surgery Pub Date : 2023-10-19 DOI: 10.20517/2574-1225.2023.44

Daisuke Fukumori, Christoph Tschuor, Luit Penninga, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen

{"title":"Liver parenchyma dissection in Totally robotic liver surgery - Results of the first 100 patients using the Robotic Harmonic curved shears-","authors":"Daisuke Fukumori, Christoph Tschuor, Luit Penninga, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen","doi":"10.20517/2574-1225.2023.44","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.44","url":null,"abstract":"Aim: Robotic liver surgery (RLS) is a feasible and safe procedure. However, limitations of the robotic instruments used for liver parenchyma dissection compared to laparoscopic and open approaches are major drawbacks of RLS. There is no established technique for liver parenchymal dissection in RLS. The aim of this study is to discuss the surgical outcomes of Totally RLS using Robotic Harmonic curve shears at the University Hospital of Copenhagen, Denmark. Methods: Between June 2019 and June 2022, RLS was performed with 100 patients. Patient variables and short-term outcomes were retrospectively analysed. Results: The mean patient age was 63.1 years; the median operating time was 246 min; and the median estimated blood loss was 100 mL. Thirty-two patients underwent subsegmentectomy, 18 mono-segmentectomies, 25 bi-segmentectomies, and 25 major hepatectomies. One patient (1.0%) required conversion to open surgery. Five patients experienced postoperative major complications (Clavien-Dindo classification ≥ IIIa) while no mortalities occurred. Median length of hospital stay was 3 days. There were no significant differences between minor and major hepatectomies in any of the factors. Conclusion: Based on our study of minor and major hepatectomies in Totally RLS, we conclude that the use of the Robotic Harmonic curve shear for liver parenchyma dissection is feasible and safe.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135778905","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: 0

A comparative review of minimally invasive approaches to esophagectomy: technical considerations, variations, and outcomes 微创食管切除术入路的比较回顾:技术考虑、变化和结果

Mini-invasive surgery Pub Date : 2023-10-14 DOI: 10.20517/2574-1225.2023.82

H. Akin Erol, Taryne A. Imai, Kenric M. Murayama

{"title":"A comparative review of minimally invasive approaches to esophagectomy: technical considerations, variations, and outcomes","authors":"H. Akin Erol, Taryne A. Imai, Kenric M. Murayama","doi":"10.20517/2574-1225.2023.82","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.82","url":null,"abstract":"Esophageal cancer continues to rise as a public health issue, and esophagectomy remains a mainstay therapy for the disease. Surgical approaches to esophagectomy have evolved over the past few decades with the advent of laparoscopic, thoracoscopic, and robotic technologies. The aim of this review is to identify original articles and perform a comprehensive literature search to provide updates on surgical approaches and technical considerations for esophagectomy. Articles describing the surgical technique specific to robotic-assisted minimally invasive esophagectomy (RAMIE) were reviewed and included. Technical considerations reviewed were comprised of patient positioning, optimal trocar placement, dissection, indocyanine green use, kocherization, pyloric interventions, anastomotic techniques, jejunostomy tube placement, and gastric ischemic conditioning, discussing relevant outcomes for each consideration and approach. Clinical outcomes were also evaluated by comparing RAMIE to open esophagectomy and minimally invasive esophagectomy. Outcomes reviewed included lymph node harvest, intra-operative blood loss, operative times, 30-day readmission, mortality, length of stay, pulmonary complications, recurrent laryngeal nerve injury, anastomotic leak, long-term survival, and disease-free survival.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803213","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: 0

A narrative review of the history and recent advances in minimally invasive pancreatic resection 微创胰腺切除术的历史和最新进展

Mini-invasive surgery Pub Date : 2023-09-19 DOI: 10.20517/2574-1225.2023.83

Alexander Shannon, Natalie M. Bath, Aslam Ejaz

{"title":"A narrative review of the history and recent advances in minimally invasive pancreatic resection","authors":"Alexander Shannon, Natalie M. Bath, Aslam Ejaz","doi":"10.20517/2574-1225.2023.83","DOIUrl":"https://doi.org/10.20517/2574-1225.2023.83","url":null,"abstract":"Pancreatic resections are complex operations that carry the potential for long-term and life-threatening complications. Over the past several decades, improved surgical techniques and perioperative care have decreased the morbidity and mortality associated with these operations. As laparoscopic and robotic-assisted surgery has been increasingly used in other specialties, the role of minimally invasive techniques in pancreatic surgery remains unclear. We aimed to review the evolution of pancreatic surgery and summarize current data comparing outcomes between open and minimally invasive pancreatic techniques. A comprehensive review was performed using MEDLINE/PubMed with the search dates of January 1, 2018 to February 28, 2023. In PubMed, the terms “pancreas”, “minimally invasive surgery”, and “robotic surgery” were searched. Minimally invasive distal pancreatectomy (DP) is associated with decreased length of hospital stay and intraoperative blood loss with similar morbidity and mortality when compared to open DP. While randomized data supports decreased length of stay for minimally invasive pancreaticoduodenectomy (PD), the LEOPARD 2 trial was terminated early due to increased mortality among patients undergoing laparoscopic PD. Minimally invasive DP appears safe and efficacious compared to open surgery, whereas additional ongoing randomized studies from experienced centers are needed to determine the role of minimally invasive surgery for PD.","PeriodicalId":486733,"journal":{"name":"Mini-invasive surgery","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060911","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: 0

The evolution of anastomotic techniques in robot-assisted Ivor Lewis esophagectomy 机器人辅助Ivor Lewis食管切除术吻合技术的发展

Mini-invasive surgery Pub Date : 2023-09-11 DOI: 10.20517/2574-1225.2023.48

Tania Triantafyllou, Bruno Sgromo

引用次数: 0