Journal of Minimal Access Surgery最新文献_第2页

Comment on: Laparoscopic transperitoneal adrenalectomy for adrenal tumours of 6 cm or greater: A single-centre experience. 点评：腹腔镜经腹膜肾上腺切除术治疗6厘米或更大的肾上腺肿瘤：单中心经验。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-05-09 DOI: 10.4103/jmas.jmas_129_25

Emre Hepsen

引用次数: 0

Single-port laparoscopic cholecystectomy with indocyanine green: A propensity score study. 吲哚菁绿单孔腹腔镜胆囊切除术：倾向评分研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-05-09 DOI: 10.4103/jmas.jmas_287_24

Feng Zhan, Lixia Yang, Yun Zhang, Yu Zhang, Kai Zhang, Chao Jiang

{"title":"Single-port laparoscopic cholecystectomy with indocyanine green: A propensity score study.","authors":"Feng Zhan, Lixia Yang, Yun Zhang, Yu Zhang, Kai Zhang, Chao Jiang","doi":"10.4103/jmas.jmas_287_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_287_24","url":null,"abstract":"Introduction: This study aims to compare the clinical efficacy of single-incision laparoscopic cholecystectomy (SILC) with indocyanine green (ICG) fluorescence imaging and traditional multi-port laparoscopic cholecystectomy (MPLC) in the treatment of benign gall bladder diseases.Patients and methods: A retrospective analysis was performed on the clinical data of 345 patients who underwent laparoscopic cholecystectomy from June 2023 to June 2024. Forty-two patients underwent SILC, and 303 underwent MPLC. After propensity score matching, 37 matched pairs were identified. Parameters compared included critical view of safety (CVS) exposure rate, bile duct injury rate, operative time, blood loss, post-operative hospitalisation, costs, pain visual analogue scale (VAS) scores, Global Aesthetic Improvement Scale questionnaire scores, complication rates and the learning curve evaluated by cumulative sum analysis (CUSUM).Results: No conversions or bile duct injuries occurred. The SILC group had shorter hospital stay (2.6 ± 0.7 days vs. 4.2 ± 0.9 days) and lower pain VAS scores at 48 h (1.1 ± 0.5 vs. 1.9 ± 0.4), but higher blood loss (19.4 ± 9.5 mL vs. 10.1 ± 4.2 mL) (P < 0.05). No significant differences were observed in CVS exposure, operative time, costs, pain scores at 24 h, complication rates or 30-day post-operative incisional satisfaction (P > 0.05). The CUSUM analysis showed the learning curve stabilised after 25 cases.Conclusions: ICG-assisted SILC demonstrates comparable safety and cost-effectiveness to MPLC, without increasing perioperative risks. With appropriate patient selection, it may be a viable option for broader implementation in primary healthcare settings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051406","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

Simple and cost-effective liver retraction technique for laparoscopic right adrenalectomy - An initial experience from a tertiary care centre. 腹腔镜右肾上腺切除术中简单且经济的肝回缩技术-三级护理中心的初步经验。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-05-09 DOI: 10.4103/jmas.jmas_49_25

Saarim Bari, Kushagra Gaurav, Akshay Anand, Abhinav Arun Sonkar

{"title":"Simple and cost-effective liver retraction technique for laparoscopic right adrenalectomy - An initial experience from a tertiary care centre.","authors":"Saarim Bari, Kushagra Gaurav, Akshay Anand, Abhinav Arun Sonkar","doi":"10.4103/jmas.jmas_49_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_49_25","url":null,"abstract":"Abstract: Liver retraction is a critical step for optimal surgical exposure and preventing liver injury during right laparoscopic adrenalectomy (LA), due to the complex relationship of the suprarenal gland with the inferior vena cava and liver. Current retraction methods require specialised instruments like Nathanson and robotic retractors, which are challenging to procure in developing countries due to limited funding and resources. To overcome these challenges, we propose a technique for liver retraction using locally available basic laparoscopic tools, making LA more feasible in resource-limited settings. The patient was laid in the reverse Trendelenburg position and then laterally rotated to the left. Port 1, port 2 and port 3 were placed in a triangular configuration with the camera lying in situ in port 2, while ports 1 and 3 serve as working ports. Port 4 was made in the epigastrium, and a Maryland forceps or laparoscopic needle holder was introduced beneath the right liver lobe, supporting the liver uniformly. This surgical technique is characterised by its simplicity, feasibility and cost-effectiveness. It ensures reliable liver retraction while providing ergonomic benefits for surgeons and upholding both surgical safety and operational efficiency.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004147","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

Mayer-Rokitansky-Kuster-Hauser syndrome with bilateral inguinal hernia of the adnexa - A rare coexisting anomaly. meyer - rokitansky - kuster - hauser综合征合并双侧腹股沟附件疝-一种罕见的共存异常。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-05-09 DOI: 10.4103/jmas.jmas_37_25

Srikar Yedlapalli, Vishnukant Pandey, Thirugnanasambandam Nelson, Kamal Kataria, Uttam Kumar Thakur, Anita Dhar, Reeta Mahey, Kanika Sachdeva

{"title":"Mayer-Rokitansky-Kuster-Hauser syndrome with bilateral inguinal hernia of the adnexa - A rare coexisting anomaly.","authors":"Srikar Yedlapalli, Vishnukant Pandey, Thirugnanasambandam Nelson, Kamal Kataria, Uttam Kumar Thakur, Anita Dhar, Reeta Mahey, Kanika Sachdeva","doi":"10.4103/jmas.jmas_37_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_37_25","url":null,"abstract":"Abstract: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital disorder characterised by the absence of the uterus and upper vagina. It typically presents in adolescent females with primary amenorrhoea despite normal secondary sexual characteristics and a 46 XX karyotype, with an incidence of 1 in 4500 female births. A 20-year-old married female presented with a chief complaint of bilateral inguinal swelling persisting for the past 5-6 months. She had primary amenorrhoea and was sexually active without dyspareunia or coital difficulties. A general examination was normal. Bilateral reducible inguinal hernias, measuring 4 cm × 5 cm (left) and 2 cm × 2 cm (right), with a positive cough impulse, were noted. Hormonal parameters were normal. Karyotyping showed a normal 46 XX in all cells. Magnetic resonance imaging revealed the absence of the uterus, with both ovaries present in the inguinal canals. Diagnostic laparoscopy confirmed the absence of the uterus, a wide left deep inguinal ring with herniating ovary and Müllerian structures, and an open right deep inguinal ring with a herniating ovary and Müllerian nodule. Hernia reduction followed by pre-peritoneal space dissection was performed. A 10 cm × 15 cm non-absorbable polypropylene mesh (Ethicon) was placed and fixed with tackers. The left round ligament was divided to prevent future recurrence of the hernia. Early diagnosis and management of such cases are essential to prevent complications like ovarian torsion. This case underscores the importance of recognising MRKH syndrome presentations for timely and effective treatment.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041421","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: 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