Journal of Minimal Access Surgery最新文献

Comment on: Is the self-adhesive mesh a solution for chronic postoperative inguinal pain after TAPP: A single centre preliminary experience? 评论：自粘补片是TAPP术后慢性腹股沟疼痛的解决方案吗：单中心初步经验？

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_246_24

Christopher Robert Smith, Guillaume B R C Lafaurie, Amir H Razvi

引用次数: 0

Strategy of reduced port gastrostomy as a safe procedure for paediatric patients. 小口胃造口术作为儿科患者安全手术的策略。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_218_24

Yousuke Gohda, Hiroo Uchida, Takahisa Tainaka, Wataru Sumida, Chiyoe Shirota, Satoshi Makita, Miwa Satomi, Akihiro Yasui, Daiki Kato, Takuya Maeda, Hiroki Ishii, Kazuki Ota, Yaohui Guo, Jiahui Liu, Akinari Hinoki

{"title":"Strategy of reduced port gastrostomy as a safe procedure for paediatric patients.","authors":"Yousuke Gohda, Hiroo Uchida, Takahisa Tainaka, Wataru Sumida, Chiyoe Shirota, Satoshi Makita, Miwa Satomi, Akihiro Yasui, Daiki Kato, Takuya Maeda, Hiroki Ishii, Kazuki Ota, Yaohui Guo, Jiahui Liu, Akinari Hinoki","doi":"10.4103/jmas.jmas_218_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_218_24","url":null,"abstract":"Background: Laparoscopic gastrostomy has improved surgical and cosmetic outcomes. Our approach involves a strategy of reduced port surgery, wherein only the umbilicus and tube insertion site were incised, with an additional port inserted if manipulation is difficult. This study aimed to investigate the outcomes of our reduced port gastrostomy strategy.Patients and methods: The paediatric patients who underwent gastrostomy at our institution from July 2013 to March 2023 were reviewed retrospectively. Surgical outcomes were compared between patients who underwent reduced port gastrostomy and those who underwent multiport gastrostomy with or without fundoplication.Results: Of the 78 patients who underwent gastrostomy, 25 and 39 patients who underwent reduced port gastrostomy and multiport gastrostomy with or without fundoplication, respectively, were included. Five patients who underwent reduced port gastrostomy required an additional port. The operative time during gastrostomy was shorter in the multiport gastrostomy group (21.3 min vs. 17.2 min, P = 0.00). One splenic injury in the reduced port gastrostomy group and one split of the stomach in the multiport gastrostomy group occurred and were completely repaired intraoperatively. No patient required reoperation within 30 days after gastrostomy. Post-operative complications, such as infection with pus (1 vs. 2, P = 1.00), external leakage requiring nutritional management change or tube replacement (2 vs. 2, P = 0.64) and tube dislodgement (1 vs. 0, P = 0.39), were similar between the two groups.Conclusions: The strategy of reduced port gastrostomy was safe and cosmetically favourable compared with multiport gastrostomy.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the application value of the modified Billroth-II with Braun anastomosis in laparoscopic distal gastric cancer radical surgery. 评价改良Billroth-II - Braun吻合术在腹腔镜胃癌远端根治术中的应用价值。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_306_23

Yubing Zhong, Yi Qian, Tao Wang

{"title":"Evaluating the application value of the modified Billroth-II with Braun anastomosis in laparoscopic distal gastric cancer radical surgery.","authors":"Yubing Zhong, Yi Qian, Tao Wang","doi":"10.4103/jmas.jmas_306_23","DOIUrl":"https://doi.org/10.4103/jmas.jmas_306_23","url":null,"abstract":"Introduction: This retrospective study aims to compare the feasibility and efficacy of the modified Billroth-II with Braun (B-II Braun) reconstruction with the Roux-en-Y (R-Y) reconstruction following laparoscopic distal gastrectomy.Patients and methods: Between January 2020 and December 2022, 213 patients underwent total laparoscopic distal gastrectomy (TLDG). Of these, 125 patients underwent B-II Braun reconstruction and 8 underwent R-Y reconstruction. Patient data were prospectively collected and retrospectively analysed.Results: The modified B-II Braun reconstruction required shorter operative times compared to the R-Y approach (151.60 ± 12.50 vs. 182.50 ± 10.60; P = 0.0037), including anastomosis time (32.46 ± 1.55 vs. 48.80 ± 2.84; P = 0.016). At a 6-month short-term follow-up, endoscopic examination in the B-II Braun group revealed 27 cases of bile reflux and 15 cases (10.3%) of Grade 2 gastritis, with no cases of Grade 2 food residue. However, there was no statistically significant difference between the two groups in terms of food residue remaining in the residual stomach at 6 months (P = 0.29), gastritis at 6 months (P = 0.126) or bile reflux at 6 months (P = 0.209).Conclusion: For gastric cancer patients, TLDG with modified B-II Braun reconstruction is technically feasible. It offers an acceptable post-operative complication profile, shortens operative time, facilitates early post-operative recovery and effectively prevents bile reflux into the remnant stomach.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of laparoscopic inguinal hernia repair using tail-anchor mesh fixation method: A retrospective study. 腹腔镜腹股沟疝尾锚网固定修复效果的回顾性研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_214_24

Li-Cheng Wang, Xian-Ping Zhou

{"title":"Outcomes of laparoscopic inguinal hernia repair using tail-anchor mesh fixation method: A retrospective study.","authors":"Li-Cheng Wang, Xian-Ping Zhou","doi":"10.4103/jmas.jmas_214_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_214_24","url":null,"abstract":"Background: Laparoscopic inguinal hernia repair (LIHR) has become increasingly popular, but recurrence remains a concern. This study introduces a novel tail-anchor mesh (TAM) fixation method for LIHR and evaluates the safety, feasibility and clinical outcomes of this technique in patients undergoing LIHR.Patients and methods: Between June 2018 and June 2020, 412 patients with inguinal hernias were included in the study. LIHR with the TAM method was performed in 210 patients (Group A), whereas 202 patients underwent LIHR with conventional mesh fixation (Group B). Statistical analysis was used to compare clinical data between the two groups.Results: The recurrence rate and incidence of seroma were significantly lower in Group A (0.48% and 1.90%, respectively) than in Group B (3.96% and 9.41%, respectively) (P < 0.05). There were no significant differences between the groups in terms of demographic indicators, intraoperative blood loss, operation time, hospital stay or patient costs (all P > 0.05). Follow-ups at 24 and 53 months after discharge revealed no cases of wound infection, chronic pain or testicular atrophy in either group.Conclusions: The TAM fixation method is a safe, feasible and reproducible technique for LIHR and offers superior outcomes compared with conventional mesh fixation, particularly in reducing recurrence and seroma formation.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Residual cystic duct: An independent risk factor for post-cholecystectomy syndrome, with 287 cases. 胆囊管残留：胆囊切除术后综合征的独立危险因素，287例。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_364_23

Guo-Hui Shao, Zhi-Hong Zhang, Yu-Jie Jiang, Bo Tang, Dong Wei, Jia-Miao Li, Xian-Min Huang, Jia-Hui Chen, Jia-Yun Ge, Ren-Chao Zou

{"title":"Residual cystic duct: An independent risk factor for post-cholecystectomy syndrome, with 287 cases.","authors":"Guo-Hui Shao, Zhi-Hong Zhang, Yu-Jie Jiang, Bo Tang, Dong Wei, Jia-Miao Li, Xian-Min Huang, Jia-Hui Chen, Jia-Yun Ge, Ren-Chao Zou","doi":"10.4103/jmas.jmas_364_23","DOIUrl":"https://doi.org/10.4103/jmas.jmas_364_23","url":null,"abstract":"Introduction: The objective is to investigate the relationship between post-operative cystic syndrome (PCS) and post-operative residual cystic duct.Patients and methods: A retrospective analysis was performed on 287 patients diagnosed with cholecystolithiasis complicated with cystic inflammation who were admitted to the Second Affiliated Hospital of Kunming Medical University from August 2017 to September 2021. Residual cystic ducts >10 mm were included in the residual cystic duct group, and 5-10 mm were included in the non-residual cystic duct group. The two groups were compared for differences in cholecystitis, cholecystolithiasis, low confluence common bile duct, cystic duct dilation, duodenal papillary diverticulum, common bile duct calculus and ampullitis, and then, univariate and multivariate analyses were performed. Moreover, the characteristics of PCS cases in the residual cystic duct group and the non-residual cystic duct group and the differences in VAS pain index and duration of pain at different time points in post-operative follow-up.Results: The incidence of PCS was 21.73% in the residual cystic duct group and 9.23% in the non-residual cystic duct group (P = 0.004). Overall, logistic multivariate analysis of 287 patients showed that cystic duct residue (OR = 2.308, 95% CI = 1.160-4.595, P = 0.017) was an independent risk factor for PCS.Conclusion: Residual cystic duct (residual length of cystic duct >10 mm) is an independent risk factor for PCS. Compared with PCS without residual cystic duct, jaundice and abdominal pain are more serious and have no tendency to relieve. The probability of reoperation is high, which is worthy of attention in clinical diagnosis and treatment.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic nephrectomy in crossed-fused inferior ectopic kidneys - Defusing complexities: A case series. 腹腔镜下异位交叉融合肾切除术-融合复杂性：一个病例系列。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_14_24

Zain Tamboli, Alok Srivastava, Ishwar Ram Dhayal, Sanjeet Singh

引用次数: 0

Difficult gall bladder? 'Divide and rule'! 胆囊困难？“分而治之”！

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_320_24

Vinay Kumar Kapoor

引用次数: 0

Emergency laparoscopic cholecystectomy for gall bladder volvulus presenting as acute abdomen in an octogenarian: A case report. 急诊腹腔镜胆囊切除术胆囊扭转表现为急腹症在八十多岁：一个病例报告。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_136_24

Pinky M Thapar, Satoskar Savni, Nikhil Kamath, Muktachand Rokade, Gandhi Foram, Dehankar Akash, Rohit Ganduboina

{"title":"Emergency laparoscopic cholecystectomy for gall bladder volvulus presenting as acute abdomen in an octogenarian: A case report.","authors":"Pinky M Thapar, Satoskar Savni, Nikhil Kamath, Muktachand Rokade, Gandhi Foram, Dehankar Akash, Rohit Ganduboina","doi":"10.4103/jmas.jmas_136_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_136_24","url":null,"abstract":"Abstract: Gall bladder volvulus (GBV) is a rare surgical emergency characterised by torsion of the gall bladder on its mesentery, leading to potentially life-threatening consequences. The presentation of this condition often resembles that of typical calculous cholecystitis, requiringW a high level of clinical suspicion to diagnose and treat it promptly. It is essential to comprehend the clinical subtleties of GBV due to its infrequency and difficulties in diagnosis to prevent serious consequences. We present the case of an 86-year-old frail woman who presented to the emergency department with sudden-onset vomiting and acute abdominal pain. Imaging revealed a distended gall bladder with massive wall thickening and biliary tree dilation, suggestive of biliary obstruction due to gall bladder torsion. Emergent laparoscopic cholecystectomy was performed, revealing a torsed gall bladder with gangrene and intramural haemorrhage. Post-operative management included antibiotics, and the patient experienced an uneventful recovery. This case emphasises the need to consider GBV as a differential diagnosis for elderly patients experiencing acute abdominal symptoms. Advanced imaging modalities, such as magnetic resonance imaging, play an important role in detecting GBV preoperatively and aiding treatment planning. Surgical intervention remains the cornerstone of GBV treatment, necessitating precise surgical techniques to avoid complications. The rarity of GBV and its similarity to acute cholecystitis makes it difficult to diagnose. This case emphasises the significance of maintaining a high index of suspicion for GBV, especially in frail elderly patients.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: Impact of low-pressure pneumoperitoneum and deep neuromuscular blockade on surgeon satisfaction and patient outcomes in laparoscopic cholecystectomy patients: A prospective randomised controlled study. 评论：低压气腹和深层神经肌肉阻断对腹腔镜胆囊切除术患者外科医生满意度和患者预后的影响：一项前瞻性随机对照研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-08 DOI: 10.4103/jmas.jmas_318_24

Christopher Robert Smith, Midhat Siddiqui

引用次数: 0

Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial. 腹腔镜完全腹膜外腹股沟疝修补术中的伸缩式剥离与气囊式剥离：前瞻性随机对照试验。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-10 DOI: 10.4103/jmas.jmas_373_23

Rajanna Varun, Oseen Hajilal Shaikh, Prakash Sagar, Chellappa Vijayakumar, Gopal Balasubramanian, Uday Shamrao Kumbhar

{"title":"Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial.","authors":"Rajanna Varun, Oseen Hajilal Shaikh, Prakash Sagar, Chellappa Vijayakumar, Gopal Balasubramanian, Uday Shamrao Kumbhar","doi":"10.4103/jmas.jmas_373_23","DOIUrl":"10.4103/jmas.jmas_373_23","url":null,"abstract":"Background: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are very few studies that compare these two techniques. This study aims to assess the impact and comprehensively compare the TD and balloon dissection (BD) methods in patients undergoing laparoscopic TEP inguinal hernia repair.Patients and methods: This was a single-centre, double-blinded, prospective, randomised, controlled trial comparing BD and TD for the creation of the preperitoneal space. The primary end point was to compare the post-operative pain score, intraoperative complications and surgical site occurrence between the two groups. The secondary end point was to assess the impact of the dissection technique on operative time for the creation of extraperitoneal space during laparoscopic TEP inguinal hernia repair.Results: A total of 46 patients were included in the study (23 in each group). Baseline parameters were comparable between the groups. The total operative time between the groups (120 min vs. 160 min; P < 0.005) was statistically significant. The incidence of the peritoneal breach was statistically less in the BD group (43% vs. 13%; P < 0.005). Other short-term and long-term complications were less in the BD group but not statistically significant.Conclusions: BD in TEP inguinal hernia repair reduces the operative time and peritoneal breach. When compared to TD in terms of operative time, routine use of BD can be proposed. It will be beneficial in the early part of the learning curve.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"133-140"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0