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

Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography. 在内镜逆行胰胆管造影术中注入二氧化碳代替碘造影剂以显示胆总管。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-10-09 DOI: 10.4103/jmas.jmas_286_23

Cui Liu, Lingyun Tian, Xingyu Ze, Ting Yang, Luowei Wang, Zhaoshen Li

{"title":"Injection of carbon dioxide instead of iodinated contrast to display the common bile duct during endoscopic retrograde cholangiopancreatography.","authors":"Cui Liu, Lingyun Tian, Xingyu Ze, Ting Yang, Luowei Wang, Zhaoshen Li","doi":"10.4103/jmas.jmas_286_23","DOIUrl":"10.4103/jmas.jmas_286_23","url":null,"abstract":"Abstract: Common bile duct (CBD) stones are usually caused by biliary tract infection, biliary stricture, duodenal peripapillary diverticulum, Oddis sphincter dysfunction, and so on. Treatment is preferably with endoscopic retrograde cholangiopancreatography (ERCP), where an iodine-containing contrast agent is injected into the CBD to display the stone under fluoroscopy and then to confirm complete removal of the stone(s). We described a 65-year-old woman with CBD stones who had undergone cardiac pacemaker implantation and was allergic to iodinated contrast media. We performed ERCP + lithotomy + stent implantation under local anesthesia, with injection of carbon dioxide instead of iodinated contrast into the CBD, and successfully visualized the stones under fluoroscopy and then confirmed complete removal of them. The patient was generally in good condition without complications. Thus, we have demonstrated in this case report that carbon dioxide can be used as a safe, economical, and effective alternative to iodinated contrast agent during ERCP.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"83-85"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478409","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

Transvaginal natural orifice specimen extraction surgery for left-sided colorectal resection: A single-centre cohort study. 经阴道自然开口标本提取手术治疗左侧结直肠切除术：一项单中心队列研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.4103/jmas.jmas_108_24

Ruben Gregory Xavier, Tao-Wei Ke, William Tzu-Liang Chen

{"title":"Transvaginal natural orifice specimen extraction surgery for left-sided colorectal resection: A single-centre cohort study.","authors":"Ruben Gregory Xavier, Tao-Wei Ke, William Tzu-Liang Chen","doi":"10.4103/jmas.jmas_108_24","DOIUrl":"10.4103/jmas.jmas_108_24","url":null,"abstract":"Introduction: Transvaginal natural orifice specimen extraction surgery (NOSES) is an innovative and feasible approach for left-sided colorectal resections in females. This study aimed to report our experience with transvaginal NOSES for left-sided laparoscopic colorectal resections.Patients and methods: We analysed data for all patients with transvaginal extraction performed for left-sided laparoscopic colorectal resections between 2011 and 2021 at a tertiary teaching hospital in Taiwan.Results: The 18 post-menopausal patients were of a mean age of 69.2 ± 10.14 years. The lesions were located at the descending ( n = 5), sigmoid colon ( n = 12) and rectum ( n = 1). The operative time was 262.5 ± 83.91 min, and the blood loss was 34 ± 35.98 mL. All patients had an end-to-end anastomosis, and the anastomotic height was 15.06 ± 8.57 cm. Two patients received diversion stoma. The mean length of hospital stay was 5.1 days (standard deviation ± 2.42; range: 3-12 days). There were no cases of clinical infection. The pathology was malignancy ( n = 14, 77.8%), diverticulitis ( n = 2, 11.2%) and benign ( n = 2, 11.2%). In cancers, they were Stage I ( n = 1, 7.1%), IIa ( n = 1, 7.1%), IIIb ( n = 15, 78.7%) and IV ( n = 1, 7.1%). Malignant specimens ( n = 14) were mostly moderately differentiated ( n = 11, 78.6%), with two poorly differentiated (14.3%) and one well-differentiated (7.1%). The lymph nodes harvested were 16.1 ± 8.11. The widest dimension of the lesion was 3.43 cm ± 1.28 (range: 1.5-6) and the length of the specimen was 14.69 cm ± 5.01 (range: 8-27).Conclusion: Transvaginal NOSES is safe and feasible for left-sided colorectal resection. Factors to consider are the characteristics of the specimen, anal canal and vagina.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"51-59"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886279","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

Ileal perforation by a solidified root pulp - Minimally invasive surgery management. 凝固根髓造成的回肠穿孔--微创手术治疗。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-10-09 DOI: 10.4103/jmas.jmas_312_23

Anmol Galhotra, Deepa Kizhakke Veetil, Randeep Wadhawan, Arun Bhardwaj, Naveen Verma

引用次数: 0

A new method of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy: A retrospective analysis of 93 cases. 腹腔镜胰十二指肠切除术中的胰空肠吻合术新方法：93例病例的回顾性分析。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.4103/jmas.jmas_59_24

Junhan Li, Jianqiang Xiang, Jie Zhu, Mengnan Wang, Meng Lin, Haibiao Wang, Hong Li

{"title":"A new method of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy: A retrospective analysis of 93 cases.","authors":"Junhan Li, Jianqiang Xiang, Jie Zhu, Mengnan Wang, Meng Lin, Haibiao Wang, Hong Li","doi":"10.4103/jmas.jmas_59_24","DOIUrl":"10.4103/jmas.jmas_59_24","url":null,"abstract":"Introduction: Pancreaticojejunostomy have been studied and modified for more than a hundred years. We investigated a new method of pancreaticojejunostomy to explore its value in laparoscopic pancreaticoduodenectomy.Patients and methods: A retrospective analysis was conducted on the clinical data of 93 patients who underwent laparoscopic pancreaticoduodenectomy with 'Shunt-block combined' pancreaticojejunostomy at Ningbo Medical Center Lihuili Hospital from April 2017 to February 2023.Results: All patients successfully completed the surgery, with two cases requiring conversion to open surgery. The average operation time was 328.5 (180-532) min, the average intraoperative blood loss was 182.9 (50-1000) mL and the average laparoscopic pancreaticojejunostomy time was 29.6 (20-39) min. There were no cases of grade C pancreatic fistula postoperatively, 10 cases of grade B pancreatic fistula, 43 cases of biochemical fistula and 40 cases without detected pancreatic fistula.Conclusion: 'Shunt-block combined' pancreaticojejunostomy was a safe and effective method for pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"34-38"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494003","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

Is the double-ligation method safe and effective in laparoscopic paediatric inguinal hernia repair? A retrospective cohort study. 腹腔镜小儿腹股沟疝修补术中的双结扎法是否安全有效？一项回顾性队列研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-01-19 DOI: 10.4103/jmas.jmas_232_23

Jong Hyuk Yun, Myoung Won Son, Geum Jong Song, Moon-Soo Lee

{"title":"Is the double-ligation method safe and effective in laparoscopic paediatric inguinal hernia repair? A retrospective cohort study.","authors":"Jong Hyuk Yun, Myoung Won Son, Geum Jong Song, Moon-Soo Lee","doi":"10.4103/jmas.jmas_232_23","DOIUrl":"10.4103/jmas.jmas_232_23","url":null,"abstract":"Introduction: Laparoscopic paediatric hernia repair has since been performed more frequently. Recently, a double-ligation method was introduced to prevent recurrence in laparoscopic surgery. The objective of our study was to compare the postoperative outcomes of patients who underwent double and single ligations.Patients and methods: We performed a retrospective review of patients with inguinal hernia who underwent laparoscopic paediatric inguinal hernia repair from 2014 to 2018 at our institution. Patients were divided into two groups and underwent single ligation and double ligation.Results: Three hundred and six patients (single-ligation group: 142 and double-ligation group: 164) were included. Four patients experienced recurrence, and the recurrence rate was 1.29%. The recurrence rate was significantly higher in the single-ligation group. There were no statistically significant differences in the postoperative complications between the two groups.Conclusion: Double-ligation method in laparoscopic paediatric hernia repair was relatively safe and helpful.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"11-18"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492626","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

Stitch-induced caecal fecolith: An unusual long-term complication following laparoscopic appendicectomy. 缝线引起的盲肠粪结：腹腔镜阑尾切除术后一种不寻常的长期并发症。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2023-07-05 DOI: 10.4103/jmas.jmas_14_23

S Sree Subramaniyan, Sri Vengadesh Gopal

引用次数: 0

Enhanced view totally extraperitoneal approach: A better alternative to transabdominal preperitoneal approach for irreducible inguinoscrotal and giant inguinal hernias! 增强型全腹膜外入路：经腹腹膜前入路治疗不可复性腹股沟斜疝和巨大腹股沟疝的更好选择！

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2023-09-20 DOI: 10.4103/jmas.jmas_243_23

K Ganesh Shenoy

引用次数: 0

Conversion of 2-dimensional to 3-dimensional mesh for resource-limited centres in developing countries. 将发展中国家资源有限的中心的二维网格转换为三维网格。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.4103/jmas.jmas_52_24

Shaikh Nazrah, Shrivastava Rajesh

{"title":"Conversion of 2-dimensional to 3-dimensional mesh for resource-limited centres in developing countries.","authors":"Shaikh Nazrah, Shrivastava Rajesh","doi":"10.4103/jmas.jmas_52_24","DOIUrl":"10.4103/jmas.jmas_52_24","url":null,"abstract":"Background: In recent years, laparoscopic hernia repair, i.e. transabdominal pre-peritoneal and totally extraperitoneal repairs have been considered the method of choice, especially for recurrent hernias after open repair or bilateral inguinal hernias. However, they pose numerous challenges such as increased post-operative pain due to tacking or fixation of mesh, chronic pain syndrome due to entrapment of nerves and mesh migration or invagination. A 3-dimensional (3D) mesh was introduced to overcome the shortcomings of a 2-dimensional (2D) mesh which does not conform to inguinal anatomy. However, in a resource-limited country like India, the widespread use of a 3D mesh may not be possible owing to its high cost.Patients and methods: We included a total of 55 patients in our study who underwent laparoscopic extended totally extraperitoneal repair hernia repair for 1 year beginning from December 2021 to November 2022 with a follow-up of a minimum of 1 year till November 2023. In our study group ( n = 27), we used a novel technique of converting a 2D mesh to a 3D mesh, which was subsequently placed without fixation. In our control group ( n = 28), we used a standard polypropylene mesh with one-point suture fixation.Results and conclusions: All patients in our study showed satisfactory post-operative recovery. There was no significant difference in the post-operative pain (assessed by mean Visual Analogue Scores 1.24 ± 0.44 vs. 1.87 ± 0.56; P > 0.1) and the mean length of hospital stay in days (1.12 ± 0.33 vs. 1.16 ± 0.38; P > 0.1), respectively, in the study and control groups. None of our patients showed signs or symptoms of chronic pain or recurrence in our period of follow-up. Our technique of converting 2D to 3D mesh is a safe and feasible approach and maybe a potential alternative to a traditional 3D mesh in resource-limited settings.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"93-96"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886274","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

Robotic versus laparoscopic intersphincteric resection for patients with low rectal cancer: Short-term outcomes. 机器人与腹腔镜下低位直肠癌患者的括约肌间切除术：短期结果。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.4103/jmas.jmas_320_23

Wei Ge, Li-Hua Shao, Yu-Dong Qiu, Gang Chen

{"title":"Robotic versus laparoscopic intersphincteric resection for patients with low rectal cancer: Short-term outcomes.","authors":"Wei Ge, Li-Hua Shao, Yu-Dong Qiu, Gang Chen","doi":"10.4103/jmas.jmas_320_23","DOIUrl":"10.4103/jmas.jmas_320_23","url":null,"abstract":"Introduction: This study aimed to evaluate the short-term outcomes between laparoscopic intersphincteric resection (L-ISR) and robotic intersphincteric resection (R-ISR) for low rectal cancer.Patients and methods: We performed a retrospective clinical analysis between August 2018 and August 2021 at the Department Of General Surgery, the Affiliated Hospital of Nanjing University Medical School.Results: A total of 28 patients were recruited in this research. Among these patients, there were 12 patients who underwent L-ISR and assigned to L-ISR group, and the remaining 16 patients underwent R-ISR and assigned to R-ISR group. The time to start oral fluids, time to start soft diet and time to first motion in R-ISR group were earlier than those in L-ISR group ( P < 0.05). The hospital stay in R-ISR group was shorter than that in L-ISR group ( P < 0.05). However, the operation time of R-ISR was longer compared to L-ISR group ( P < 0.05). Most important of all, the Kelly score in R-ISR group was 5.1 ± 0.9, which was higher than that in L-ISR group ( P = 0.004).Conclusion: R-ISR is safe and feasible for patients with low rectal cancer. R-ISR is superior to L-ISR despite the operation time of R-ISR is longer. A randomised controlled trial will be performed to confirm the conclusion further.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"60-65"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886276","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

Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen. 全腹腔镜脾部分切除术和胃切除术治疗游走性脾囊肿。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-01 Epub Date: 2024-01-19 DOI: 10.4103/jmas.jmas_212_23

Taher Saifuddin Merchant, Hussain Kotawala

引用次数: 0