Journal of Minimal Access Surgery最新文献_第6页

Robotic sleeve gastrectomy in a woman with class V obesity, cirrhosis and portal hypertension: A step forward. 机器人袖式胃切除术治疗V级肥胖、肝硬化和门脉高压患者：向前迈进了一步。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-03-05 DOI: 10.4103/jmas.jmas_297_24

Lokesh Agarwal, Vaibhav Kumar Varshney, B Selvakumar, Subhash Chandra Soni, Peeyush Varshney, Ayushi Agarwal

{"title":"Robotic sleeve gastrectomy in a woman with class V obesity, cirrhosis and portal hypertension: A step forward.","authors":"Lokesh Agarwal, Vaibhav Kumar Varshney, B Selvakumar, Subhash Chandra Soni, Peeyush Varshney, Ayushi Agarwal","doi":"10.4103/jmas.jmas_297_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_297_24","url":null,"abstract":"Abstract: The increasing prevalence of obesity has made managing metabolic-dysfunction-associated steatotic liver disease and metabolic-dysfunction-associated steatohepatitis (MASH) with cirrhosis a significant challenge. This report details the case of a 53-year-old woman with class-V obesity (body mass index: 63.9 kg/m2) and MASH-associated decompensated cirrhosis with portal hypertension who underwent robotic sleeve gastrectomy (SG) after preoperative optimisation. Initial management involved stabilisation of variceal bleeding, a very-low-calorie diet, beta-blockers and continuous positive airway pressure, leading to improved liver function and Child-Turcotte-Pugh class improvement from B to A. The robotic SG, performed with meticulous intraoperative techniques to minimise bleeding and good post-operative care, resulted in favourable outcomes, including significant weight loss (44.8% total body weight loss) and improved liver parameters at 18-months. This case highlights the feasibility of metabolic and bariatric surgery in carefully selected cirrhotic patients following comprehensive optimisation and multidisciplinary care.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568632","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

Single-port robot-assisted retroperitoneal partial nephrectomy: First European case series. 单孔机器人辅助腹膜后部分肾切除术：首个欧洲病例系列。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-03-05 DOI: 10.4103/jmas.jmas_345_24

Carlos Altez-Fernandez, Dario Vázquez-Martul

{"title":"Single-port robot-assisted retroperitoneal partial nephrectomy: First European case series.","authors":"Carlos Altez-Fernandez, Dario Vázquez-Martul","doi":"10.4103/jmas.jmas_345_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_345_24","url":null,"abstract":"Introduction: Single port robotic assisted retroperitoneal partial nephrectomy (SPRA-PN) represents a novel minimally invasive approach in urology. This study aims to present the first European case series of SPRA-PN, describing the initial experience, patient outcomes and potential benefits of this technique.Patients and methods: This prospective study included patients scheduled for retroperitoneoscopic surgery between 22nd February 2022 and 6th June 2023. All procedures were performed using the da Vinci Xi® surgical system with a single-port access technique. Patient demographics, operative details, complications and post-operative outcomes were recorded. Cosmetic satisfaction was assessed using the Patient Scar Assessment Questionnaire.Results: Ten patients underwent SPRA-PN. Technical success was achieved in all cases, with no conversions to open surgery or additional ports required. The mean console time was 84.2 min, and the mean ischaemia time was 19.5 min. Post-operative pain remained low, with a mean visual analogue scale (VAS) of 2.5 at 48 h post-surgery. Positive margins were found in one case. Cosmetic satisfaction was reported to be high among patients.Conclusion: This initial case series demonstrates the feasibility and potential benefits of SPRA-PN using the da Vinci Xi platform in Europe. Further research is warranted to evaluate long-term outcomes and the widespread applicability of SPRA-PN.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568634","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

A rare complication after transabdominal preperitoneal hernia repair: Acute appendicitis. 经腹腹膜前疝修补术后罕见的并发症：急性阑尾炎。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-03-05 DOI: 10.4103/jmas.jmas_343_24

Ozan Caliskan, Mehmet Taner Unlu, Nurcihan Aygun, Mehmet Uludag

引用次数: 0

Hiatal sling liver retraction technique in bariatric and upper gastrointestinal surgeries - Our 15 year experience with 1874 surgeries. 在肥胖和上消化道手术中的裂孔悬吊式肝回缩技术-我们15年的1874例手术经验。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-02-04 DOI: 10.4103/jmas.jmas_97_24

Muvva Sri Harsha, Raj Palaniappan, Nikhilesh Krishna

{"title":"Hiatal sling liver retraction technique in bariatric and upper gastrointestinal surgeries - Our 15 year experience with 1874 surgeries.","authors":"Muvva Sri Harsha, Raj Palaniappan, Nikhilesh Krishna","doi":"10.4103/jmas.jmas_97_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_97_24","url":null,"abstract":"Introduction: Liver retraction is an important aspect when performing minimal access surgeries, especially bariatric and upper gastrointestinal (GI) surgeries. Various liver retraction methods are available and have been tried. Here, we present our experience with our indigenous hiatal sling technique for liver retraction and compare it with Nathanson liver retractor which is a popular and commonly used liver retraction method.Patients and methods: This is a retrospective observational study of 1874 patients who underwent bariatric and upper GI surgeries over the last 15 years since September 2009. A secondary study was conducted amongst the two groups of patients who underwent upper GI and bariatric surgeries using hiatal sling technique and Nathanson retractor system for liver retraction between January 2023 and October 2023. End points measured were time taken, conversions and complication along with liver function tests (LFTs) such as aspartate aminotransferase (AST) and alanine transaminase measured between the two groups pre- and postoperatively day 0, day 1, day 3 and day 7.Results: In our series of 1874 patients, hiatal sling liver traction was possible without any difficulties in all except 2 patients with no associated liver injury and with adequate exposure. In the comparative study, patients in the hiatal sling group (Group B) had significantly lesser elevation in LFTs as compared to the patients in the Nathanson liver retraction group (Group A), with no adverse events in both the groups.Conclusion: Hiatal sling technique for liver retraction is an effective technique which provides adequate exposure of the hiatus and causes lesser liver insult compared to rigid liver retraction system like Nathanson liver retraction system. Hiatal sling does not interfere with surgeons' field causing less errors during surgery and thus making it more ergonomic friendly.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123026","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 resection of a duplicated gall bladder: A case report and literature review. 腹腔镜下重复胆囊切除术1例报告及文献复习。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-02-04 DOI: 10.4103/jmas.jmas_185_24

Hai-Tao Zhou, Jian-Feng Chu, Jian-Chun Zhou

{"title":"Laparoscopic resection of a duplicated gall bladder: A case report and literature review.","authors":"Hai-Tao Zhou, Jian-Feng Chu, Jian-Chun Zhou","doi":"10.4103/jmas.jmas_185_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_185_24","url":null,"abstract":"Abstract: A duplicated gall bladder is a rare congenital biliary anomaly, with an incidence rate estimated between 1 in 4000-1 in 5000. It may present with no apparent symptoms or can manifest as biliary colic or symptoms related to pancreatitis. The Harlaftis classification system is widely used for categorising duplicated gall bladders: type I is the split primordial gallbladder, which includes the septated, V-shaped and Y-shaped varieties; type II is the accessory gall bladder type, encompassing the H-shaped or tubular and trabecular types and type III is the triplicated gall bladder type. Prophylactic surgical treatment is not recommended for asymptomatic duplicated gall bladders. However, for symptomatic cases, surgical resection remains the treatment of choice, and intraoperative cholangiography can help reduce the risk of bile duct injury. This article reports a case of a 59-year-old female patient in whom a duplicated gall bladder anomaly was not detected preoperatively but was found intraoperatively. The patient successfully underwent laparoscopic cholecystectomy, and the post-operative pathological examination confirmed the diagnosis of duplicated gall bladder anomaly.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123131","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

Prospective analysis of 246 fires of da Vinci SureForm SmartFire stapler in colorectal cancer: First Indian study. 达芬奇SureForm SmartFire订书机在结直肠癌治疗中的246例前瞻性分析：首次印度研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-02-04 DOI: 10.4103/jmas.jmas_151_24

S P Somashekhar, Elroy Saldanha, Rohit Kumar, Kush Shah, Akhil Dahiya, K R Ashwin

{"title":"Prospective analysis of 246 fires of da Vinci SureForm SmartFire stapler in colorectal cancer: First Indian study.","authors":"S P Somashekhar, Elroy Saldanha, Rohit Kumar, Kush Shah, Akhil Dahiya, K R Ashwin","doi":"10.4103/jmas.jmas_151_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_151_24","url":null,"abstract":"Introduction: One of the critical steps involved is the distal transection of the rectum in rectal cancer surgeries. Multiple staple firings have been proven to increase the rate of anastomotic leakage. In this study, we intended to learn the effectiveness of the robotic SureForm SmartFire (SS) stapling system and its application in robotic sigmoid colon and rectal procedures performed at our institution.Patients and methods: Prospective study of patients who underwent surgeries for sigmoid/rectal cancer at our centre was considered. During the surgery, SS staplers were used, and its internal data log with regard to reload selection by the colour, reloads, clamp attempts and staple fires was considered along with intra- and post-operative outcomes.Results: 246 firings were done in 147 cases with mean body mass index of 26.3 ± 4.3 kg/m2; mean blood loss was 53.6 ± 21.8 ml. None of our patients had stapler-related complications, and the mean length of stay was 7.18 ± 1.5 days. Average reloads used in robotic-low anterior resection (LAR) were 1.73 with the fire attempts beyond lap angle occurring only in robotic-assisted LAR (RA-LAR)/abdominoperineal resection in 87 fires (41%) with 120 instances of controlled and sequential pauses occurred in 246 fires once fire pedal was activated.Conclusion: Apart from oncological nodal and margin clearance in the carcinoma rectum surgery, obtaining adequate distal margin, sphincter preserving approach and distal transection of the rectum forms one of the key steps in the low anterior resection. Robotic SS staplers have 120° angulation in both axes with EndoWrist technology that has better manoeuvrability within the confines of the pelvis.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123598","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

Impact of thoracoscopic segmental lung resection versus wedge on early post-operative recovery and short-term prognosis in elderly patients with early non-small cell lung cancer: A retrospective non-randomised controlled cohort study. 胸腔镜肺节段切除对老年早期非小细胞肺癌患者术后早期恢复和短期预后的影响：一项回顾性非随机对照队列研究。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-02-04 DOI: 10.4103/jmas.jmas_249_24

Xiaoyun Song, Hongwei Li, Haibo Zhou, Wei Zeng, Weijing Feng, Chen Chen, Xue Ban, Xianglong Kong, Zhidong Liu

{"title":"Impact of thoracoscopic segmental lung resection versus wedge on early post-operative recovery and short-term prognosis in elderly patients with early non-small cell lung cancer: A retrospective non-randomised controlled cohort study.","authors":"Xiaoyun Song, Hongwei Li, Haibo Zhou, Wei Zeng, Weijing Feng, Chen Chen, Xue Ban, Xianglong Kong, Zhidong Liu","doi":"10.4103/jmas.jmas_249_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_249_24","url":null,"abstract":"Introduction: The post-operative rehabilitation and prognostic indexes of thoracoscopic segmental resection and wedge resection in the treatment of early-stage non-small cell lung cancer (NSCLC) were retrospectively analysed. The objective of this study was to provide a theoretical basis for the treatment of early-stage NSCLC in the elderly.Patients and methods: One hundred and twenty elderly patients diagnosed with early-stage NSCLC in our hospital from January 2018 to December 2021 were selected as study subjects. The patients were divided into the thoracoscopic segmental lung resection group and the thoracoscopic wedge resection group. Various clinical data were compared between the two groups of patients.Results: In the thoracoscopic wedge resection group, operation time, anaesthesia time, intraoperative blood loss, post-operative chest tube volume, chest tube indwelling time and hospital stay were significantly higher compared to the thoracoscopic segmental lung resection group. Patients undergoing segmental resection also had higher Visual Analogue Scale scores and serum indices. In addition, the mini-mental state examination scores were lower in the segmental resection group compared to the wedge resection group.Conclusions: Thoracoscopic segmental resection and thoracoscopic wedge resection were both safe and feasible for the treatment of NSCLC. However, thoracoscopic segmental resection had the advantage of effectively reducing the amount of intraoperative bleeding, shortening the operation time and having less impact on lung function and physical function. This was conducive to the patient's faster recovery after surgery.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123130","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

Single-docking robot-assisted radical antegrade modular pancreatosplenectomy with partial left nephrectomy in a patient with synchronous pancreatic neuroendocrine neoplasm and clear cell renal cell carcinoma. 单对接机器人辅助根治性顺行模块化胰脾切除术联合左肾部分切除术治疗同步胰腺神经内分泌肿瘤和透明细胞肾细胞癌1例。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-14 DOI: 10.4103/jmas.jmas_169_24

Miha Petric, Manca Bregar, Jan Grosek, Aleš Tomažic, Simon Hawlina

引用次数: 0

Innovative technique of corking the lumen of an intraoperatively decompressed turgid gall bladder with surgical gauze to prevent gall bladder stone/bile spillage during a laparoscopic cholecystectomy. 在腹腔镜胆囊切除术中，用纱布封堵术中减压的胆囊腔，防止胆囊结石/胆汁外溢的创新技术。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-14 DOI: 10.4103/jmas.jmas_123_23

A S Ejas Khan, Aashish Shah, J Roopesh Khanna, Tejaswini M Pawar

引用次数: 0

Utilising uniportal video-assisted thoracoscopic surgery for pericardial window: A 12-year single-centre experience in the diagnosis and treatment of pericardial effusion. 利用单门胸腔镜手术治疗心包窗：12年单中心诊断和治疗心包积液的经验。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2025-01-08 DOI: 10.4103/jmas.jmas_243_24

Mehmet Agar, Ilham Gulcek, Muhammed Kalkan, Hakki Ulutas, Muhammet Reha Celik

{"title":"Utilising uniportal video-assisted thoracoscopic surgery for pericardial window: A 12-year single-centre experience in the diagnosis and treatment of pericardial effusion.","authors":"Mehmet Agar, Ilham Gulcek, Muhammed Kalkan, Hakki Ulutas, Muhammet Reha Celik","doi":"10.4103/jmas.jmas_243_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_243_24","url":null,"abstract":"Introduction: Uniportal video-assisted thoracoscopic surgery (Uni-VATS) is an effective minimally invasive technique for pericardial drainage, biopsy and window creation in cases of pericardial effusion (PE).Patients and methods: This retrospective study evaluated 73 patients with PE who underwent pericardial window procedures between 2012 and 2024. Intraoperative and post-operative data related to Uni-VATS were assessed.Results: The mean age of the patients was 53.79 ± 17.79 years (10-82 years), with 34 (46.6%) females and 39 (53.4%) males. The mean volume of pericardial fluid drained after window creation was 446.23 ± 199.81 cc (75-1100 cc). The mean operation time was 42.87 ± 12.79 min, and chest drain removal occurred after an average of 1.8 ± 1.2 days. The mean duration until discharge or referral to the follow-up clinic was 5.98 ± 2.14 days. In addition to the pericardial window procedure, pleural biopsy was performed in 12 patients, mediastinal mass biopsy in eight patients and wedge resection for parenchymal nodules in six patients. Microbiologic and virologic cultures of the fluids were negative in all cases. Among the 41 patients with benign cytology, pericardial biopsy results indicated tuberculosis in four patients (5.4%), amyloidosis in one patient (1.3%) and chronic or subacute nonspecific pericarditis in the remaining patients.Conclusion: Uni-VATS is a novel and safe technique that may be the preferred choice for pericardial window due to its diagnostic and therapeutic efficacy, ability to perform simultaneous procedures, favourable impact on operation duration/hospital stay, low complication rates and superiority compared to traditional methods.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957184","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