Journal of Minimal Access Surgery最新文献

Feasıbılıty and safety of vıdeo-assısted thoracıc surgery after neoadjuvant chemoımmunotherapy ın non-small cell lung cancer: A sıngle-centre experıence. chemoımmunotherapy ın非小细胞肺癌新辅助治疗后vıdeo-assısted thoracıc手术的安全性：A sıngle-centre experıence。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_93_25

Çagatay Çetinkaya, Serkan Keskin, Mehmet Akif Öztürk, Esra Kaytan Saglam, Mustafa Yaman, Bedrettin Yildizeli, Hasan Fevzi Batirel

{"title":"Feasıbılıty and safety of vıdeo-assısted thoracıc surgery after neoadjuvant chemoımmunotherapy ın non-small cell lung cancer: A sıngle-centre experıence.","authors":"Çagatay Çetinkaya, Serkan Keskin, Mehmet Akif Öztürk, Esra Kaytan Saglam, Mustafa Yaman, Bedrettin Yildizeli, Hasan Fevzi Batirel","doi":"10.4103/jmas.jmas_93_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_93_25","url":null,"abstract":"Introduction: Neoadjuvant chemoimmunotherapy has emerged as a promising strategy in the multimodal treatment of locally advanced non-small cell lung cancer (NSCLC). However, concerns remain regarding its impact on surgical complexity and the feasibility of video-assisted thoracic surgery (VATS) in this setting.Patients and methods: Between April 2021 and August 2024, 17 patients who received neoadjuvant chemoimmunotherapy (PD-1 inhibitor plus chemotherapy) underwent lung resection. A significant proportion of cases (58.8%) were managed through VATS (primarily biportal approach), with no conversions to open surgery. The remaining patients underwent thoracotomy or Dartavelle incision due to anatomical complexity.Results: The mean operative time was 135 ± 25 min for VATS and 172.9 ± 30 min for open surgery (P = 0.068). While hospital stay was similar between VATS (5.9 days) and open surgery (6.4 days) (P = 0.449), ıntensive care unit stay was significantly shorter in the VATS group (0.5 vs. 1.3 days, P = 0.007). Significant tumour downstaging was observed in 88.2% of patients, with four achieving complete pathological response and three demonstrating a major pathological response (P < 0.05). Post-operative complications were observed in 41.2% of patients, but no 90-day mortality occurred.Conclusion: VATS appears to be a feasible and safe approach for selected NSCLC patients after neoadjuvant chemoimmunotherapy, demonstrating favourable short-term outcomes. These findings contribute to the growing evidence supporting minimally invasive surgery as a viable option in complex, locally advanced cases following immunotherapy.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253356","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

Effect of 4-point transversus abdominal plane block on diaphragm thickness in patients undergoing laparoscopic cholecystectomy. 4点腹横面阻滞对腹腔镜胆囊切除术患者膈膜厚度的影响。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_151_25

Nuran Akinci Ekinci, Mehmet Akif Yazar, Yasin Tire, Esma Karaarslan, Betül Kozanhan, Yusuf Mutluay

{"title":"Effect of 4-point transversus abdominal plane block on diaphragm thickness in patients undergoing laparoscopic cholecystectomy.","authors":"Nuran Akinci Ekinci, Mehmet Akif Yazar, Yasin Tire, Esma Karaarslan, Betül Kozanhan, Yusuf Mutluay","doi":"10.4103/jmas.jmas_151_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_151_25","url":null,"abstract":"Introduction: This study investigates the effect of a 4-point transversus abdominis plane (TAP) block on diaphragm thickness (DT) and post-operative recovery following laparoscopic cholecystectomy (LC). This study aims to evaluate whether the 4-point TAP block preserves DT closer to baseline values and enhances post-operative pain control and recovery quality.Patients and methods: This prospective randomised controlled trial was conducted at a tertiary care hospital. A total of 86 American Society of Anesthesiologists I-II patients aged 18-65 years undergoing elective LC were randomly assigned into two groups. Group B received a 4-point TAP block postoperatively, whereas Group C received no interventional analgesia. In Group B, 10 mL of 0.25% bupivacaine was administered bilaterally under ultrasound guidance to the upper abdominal (Th6-Th9) and typical TAP (T10-T12) regions. DT, the primary outcome, was measured by ultrasonography preoperatively and at 5 and 30 min post-extubation. Secondary outcomes included Visual Analogue Scale pain scores and Quality of Recovery-15 (QoR-15) scores. Statistical analysis was performed using SPSS v22.0. The Shapiro-Wilk test, Chi-square, independent samples t-test, Mann-Whitney U-test and repeated-measures ANOVA were used. P < 0.05 was considered statistically significant. Based on power analysis, 86 patients were sufficient.Results: Group B demonstrated significantly better preservation of inspiratory DT, lower post-operative pain scores and higher QoR-15 scores compared to Group C (P < 0.05).Conclusions: The 4-point TAP block improves DT preservation and enhances post-operative pain control and recovery following LC. Further large-scale studies are warranted to support these findings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253308","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

Effectiveness of intraperitoneal instillation of normal saline in reducing shoulder tip pain following laparoscopic cholecystectomy - A randomised controlled trial from North India. 腹腔镜胆囊切除术后腹腔内灌注生理盐水减轻肩尖疼痛的有效性——一项来自北印度的随机对照试验。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_171_25

Anshul Kumar, Rajesh Kumar Bansiwal, Agrawal Kavita Khemchand, Mandeep Singh, Sanjeev Palta, Rajeev Sharma

{"title":"Effectiveness of intraperitoneal instillation of normal saline in reducing shoulder tip pain following laparoscopic cholecystectomy - A randomised controlled trial from North India.","authors":"Anshul Kumar, Rajesh Kumar Bansiwal, Agrawal Kavita Khemchand, Mandeep Singh, Sanjeev Palta, Rajeev Sharma","doi":"10.4103/jmas.jmas_171_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_171_25","url":null,"abstract":"Introduction: Shoulder tip pain (STP) is a post-operative complication seen in up to 60% of patients after LC. It occurs because of diaphragmatic irritation from residual carbon dioxide from pneumoperitoneum. This study evaluated the effect of intraperitoneal normal saline irrigation in relieving STP.Patients and methods: This randomised trial was conducted at Department of General Surgery, Government Medical College and Hospital, Chandigarh of North India between August 2024 and February 2025. A total of 158 patients underwent randomisation, and after exclusion, 63 participants were enrolled in Group A (intervention) and Group B (control). The Visual Analogue Scale (VAS) scores were measured at 6th, 12th, 24th and 48th h.Results: The mean age of the patients in Group A was 42.57 ± 13.93 years and in Group B was 42.15 ± 15.15 years (P = 0.75). A female predominance was noted in both groups. The mean duration of surgery was slightly higher in Group A (36.19 ± 11.82 min) compared to Group B (33.28 ± 10.56 min) (P = 0.860). The primary outcome was STP, evaluated using the VAS. At 6 h, mean VAS score was 1.31 in Group A versus 2.96 in Group B (P = 0.000); at 12 h, 1.09 versus 2.84 (P = 0.000); at 24 h, 0.53 versus 1.73 (P = 0.0004) and at 48 h, 0.12 versus 0.76 (P = 0.0006), highlighting the effectiveness of the intervention in reducing post-operative STP.Conclusion: This study demonstrates that intraperitoneal normal saline instillation is an effective and safe intervention for reducing STP after laparoscopic cholecystectomy.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253390","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

Critical appraisal of 'comparison of laparoscopic versus open oesophagogastric devascularisation with splenectomy in portal hypertension: A meta-analysis'. 对“腹腔镜下与开放式食管胃断流术脾切除术治疗门静脉高压症的比较：荟萃分析”的批判性评价。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_307_25

N Karthik, Mahendra Lodha, M Swathi

引用次数: 0

Unveiling the hidden ring: A case report of unique presentation of internal hernia. 揭开隐藏的环：内疝独特表现1例报告。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_263_25

Abhay M Philip, S Saravana Kumar, Pradeep Joshua Christopher, Ramesh Natarajan, Bharath Cumar, Parthasarathi Ramakrishnan, Palanivelu Chinnusamy

{"title":"Unveiling the hidden ring: A case report of unique presentation of internal hernia.","authors":"Abhay M Philip, S Saravana Kumar, Pradeep Joshua Christopher, Ramesh Natarajan, Bharath Cumar, Parthasarathi Ramakrishnan, Palanivelu Chinnusamy","doi":"10.4103/jmas.jmas_263_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_263_25","url":null,"abstract":"Abstract: Internal hernias are a rare cause of small-bowel obstruction (SBO), particularly in patients without prior abdominal surgery. This case report describes a 70-year-old male presenting with acute intestinal obstruction in a virgin abdomen. Initial imaging suggested SBO but failed to identify a clear transition point. Diagnostic laparoscopy revealed a rare internal hernia caused by a ring formed by the inflamed epiploic appendages of the sigmoid colon. The entrapped bowel was successfully released, and histopathological examination confirmed epiploic appendagitis. This case highlights the diagnostic challenges of SBO due to internal hernias and underscores the importance of surgical exploration in unclear cases. Early identification and intervention are crucial to prevent complications such as bowel ischaemia. This report contributes to the limited literature on epiploic appendage-induced internal hernias, emphasising the need for multidisciplinary collaboration in managing rare abdominal pathologies.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253331","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

Implementing laparoscopic enhanced-view totally extraperitoneal technique for ventral hernias in Korea: Real world feasibility and surgical outcomes. 在韩国实施腹腔镜增强视野完全腹膜外技术治疗腹疝：现实世界的可行性和手术结果。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-10-08 DOI: 10.4103/jmas.jmas_265_25

In Kyu Park, Song Soo Yang, Dong Jin Park

{"title":"Implementing laparoscopic enhanced-view totally extraperitoneal technique for ventral hernias in Korea: Real world feasibility and surgical outcomes.","authors":"In Kyu Park, Song Soo Yang, Dong Jin Park","doi":"10.4103/jmas.jmas_265_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_265_25","url":null,"abstract":"Introduction: The enhanced-view totally extraperitoneal (eTEP) technique has emerged as a promising minimally invasive option for ventral hernia repair. Despite the global uptake, data from East Asian populations remain limited. This study presents the first Korean experience with laparoscopic eTEP, underscoring its real-world feasibility, safety and technical versatility.Patients and methods: We retrospectively analysed 39 patients who underwent eTEP repair for primary or incisional ventral hernias at a Korean tertiary centre between October 2018 and December 2023. Port placement strategies - conventional multi-port, reduced-port, single-port and hybrid approaches - were tailored to hernia characteristics. Patient demographics, operative details and short-term outcomes were evaluated.Results: Of the 39 patients, 32 (82.1%) were initially approached laparoscopically and seven (17.9%) underwent preplanned hybrid repair. Transversus abdominis release was conducted in seven patients. The mean operative time was 186 ± 35.9 min, and the mean hospital stay was 7.05 ± 4.10 days. The overall postoperative complication rate was 20.4%, including a 5.1% recurrence rate and 10.2% wound complications. No surgical site infections were observed. Five conversions to open surgery occurred in the early learning phase. Diverse port placement techniques improve access and ergonomics, particularly in complex cases.Conclusion: Our initial experience in Korea supports the feasibility and safety of laparoscopic eTEP for ventral hernia repair. The technique's adaptability to various hernia types and compatibility with the Korean healthcare environment indicate a strong potential for broader adoption. These findings may help guide implementation in similar surgical settings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253364","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

Quality of life following laparoscopic vs. open ventral hernia repair: A prospective comparative cohort study. 腹腔镜与开放式腹疝修补术后的生活质量：一项前瞻性比较队列研究。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-09-18 DOI: 10.4103/jmas.jmas_251_24

Lawa Kumar Mandal, Pawan Sapkota Upadhya, Prajjwol Luitel, Sujan Paudel, Bikash Kumar Shah, Ishwor Thapaliya, Suresh Prasad Sah, Rakesh Kumar Gupta, Shailesh Adhikary

{"title":"Quality of life following laparoscopic vs. open ventral hernia repair: A prospective comparative cohort study.","authors":"Lawa Kumar Mandal, Pawan Sapkota Upadhya, Prajjwol Luitel, Sujan Paudel, Bikash Kumar Shah, Ishwor Thapaliya, Suresh Prasad Sah, Rakesh Kumar Gupta, Shailesh Adhikary","doi":"10.4103/jmas.jmas_251_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_251_24","url":null,"abstract":"Introduction: Recently, there has been a growing emphasis on assessing the functional outcomes of hernia repair, particularly focusing on the quality of life (QOL). The aim of this study was to assess and compare the QOL amongst Nepalese patients undergoing laparoscopic ventral hernia repair (LVHR) and open ventral hernia repair (OVHR) during the initial 3 months following surgery.Patients and methods: This was a hospital-based prospective study where 70 patients were divided into two groups: 35 underwent LVHR and 35 underwent OVHR. QOL was assessed using the Carolina's Comfort Scale at 2 weeks, 1 month and 3 months following surgery, which evaluated post-operative pain, sensation of mesh and limitations in the movement across eight positions.Results: The study groups had comparable demographics, comorbidities and disease characteristics. Patients undergoing LVHR experienced significantly longer mean operative times. Wound infection and the use of drains were notably higher in OVHR. Mesh sensation was not significantly different between the two groups during the follow-up. Post-operative pain was more in OVHR compared to LVHR during bending over and exercising positions, at 2 weeks and a month post-surgery. Movement limitation was more in the OVHR group, especially during bending over positions, compared to the LVHR group.Conclusion: This study highlights the laparoscopic repair of ventral hernias as an effective alternative to open techniques, reducing early post-operative pain.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082212","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

Simultaneous umbilical, Spigelian and bilateral inguinal hernias with partial urinary bladder herniation: A rare radiological presentation. 脐、棘、双侧腹股沟疝合并部分膀胱疝：罕见的影像学表现。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-09-18 DOI: 10.4103/jmas.jmas_289_25

Fatemeh Azizi, Emrah Karatay, Abdulkadir Eren

{"title":"Simultaneous umbilical, Spigelian and bilateral inguinal hernias with partial urinary bladder herniation: A rare radiological presentation.","authors":"Fatemeh Azizi, Emrah Karatay, Abdulkadir Eren","doi":"10.4103/jmas.jmas_289_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_289_25","url":null,"abstract":"Abstract: Spigelian hernia is a rare type of ventral abdominal wall hernia, and urinary bladder herniation into the inguinal canal is an uncommon complication typically seen in elderly males. The simultaneous occurrence of multiple abdominal wall hernias with bladder involvement is exceedingly rare and diagnostically challenging. We present the case of a 62-year-old male who underwent abdominal computed tomography (CT) due to chronic lower abdominal discomfort and right groin swelling. Imaging revealed a small midline umbilical hernia, a right-sided Spigelian hernia, bilateral inguinal hernias and partial urinary bladder herniation into the right inguinal canal. All hernias were clearly visualised on contrast-enhanced CT with multiplanar reconstructions. While individual hernias are common, the coexistence of four different types - particularly with bladder involvement - has not been previously reported in the radiological literature. Accurate CT imaging was instrumental in detecting the defects and guiding referral for surgical management. This case highlights the importance of comprehensive cross-sectional imaging in elderly patients with nonspecific abdominal or groin symptoms. This rare case underscores the diagnostic value of CT in identifying multiple synchronous abdominal wall hernias and emphasises the need to consider urinary bladder herniation in the differential diagnosis, especially in older male patients.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082210","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 common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography. 腹腔镜胆总管探查治疗内镜逆行胆管造影失败后难治的胆总管结石。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-09-18 DOI: 10.4103/jmas.jmas_23_25

Sanjay Gupta, Aaina Aggarwal, Ishan Bansal, Ashok K Attri

{"title":"Laparoscopic common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography.","authors":"Sanjay Gupta, Aaina Aggarwal, Ishan Bansal, Ashok K Attri","doi":"10.4103/jmas.jmas_23_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_23_25","url":null,"abstract":"Introduction: This retrospective cohort study evaluated the efficacy of laparoscopic common bile duct exploration (LCBDE) for managing difficult common bile duct stones (CBDSs) in patients with failed endoscopic retrograde cholangiopancreatography (ERCP).Patients and methods: Forty-two patients underwent LCBDE between 2019 and 2024, after unsuccessful ERCP. The causes of ERCP failure include cannulation failure, large stones, impacted stones and multiple stones. The surgical technique involved a standard 4-port laparoscopic cholecystectomy with an additional port for manipulation of the Fogarty catheter or choledochoscope. Stones were extracted by milking the CBD, using a Fogarty balloon catheter or with the aid of a choledochoscope. The choledochotomy was closed primarily or over the stent using interrupted or continuous sutures.Results: The mean CBD diameter was 14.8 mm (range: 12-33 mm), with 31 patients having single stones and 11 having multiple stones. Two patients were suspected to have CBD strictures. CBD clearance was achieved in 38 (90.5%) patients. In four patients, the procedure was converted to open because of an impacted stone. Post-operative complications included bile leak (n = 2) and residual stones (n = 2). It was also observed that primary closure of the choledochotomy without drainage does not affect the outcome.Conclusion: This study demonstrated that LCBDE is a safe and effective minimally invasive option for managing difficult CBDS when ERCP fails.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082256","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

Percutaneous transhepatic embolisation of multisegmental bile leak using a combined Histoacryl-Lipiodol mixture. 组织丙烯-脂醇混合剂经皮肝栓塞治疗多节段胆汁渗漏。

IF 1.1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-09-18 DOI: 10.4103/jmas.jmas_281_25

Behiç Akyüz

引用次数: 0