Journal of Minimal Access Surgery最新文献_第9页

Laparoscopic deroofing of a recurrent giant simple hepatic cyst in a geriatric female: Case report. 一名老年女性复发性巨大单纯性肝囊肿的腹腔镜切除术：病例报告。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-01-09 DOI: 10.4103/jmas.jmas_135_23

Sumanta Dey, Sougata Nandy, Sreetama Roy, Debarchan Ghosh, Abhishek Guhathakurta

引用次数: 0

A novel minimally invasive approach for hepatic hydatid cyst - Percutaneous aspiration injection reaspiration using 5-mm laparoscopic trocar. 一种微创治疗肝包虫囊肿的新方法——采用5毫米腹腔镜套管针经皮穿刺注射呼吸。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2026-04-13 DOI: 10.4103/jmas.jmas_149_23

Priya Ahire, Parth Bhavesh Gada, Avinash Gutte, Anvitha Manoj

引用次数: 0

Abdominal wall failure. 腹壁损伤

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-10-09 DOI: 10.4103/jmas.jmas_150_24

Ekta Sharma, Shirish Goyal, Sanjay Gupta, Robin Kaushik, Ashok K Attri

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 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub 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":"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":"288-296"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493080/pdf/","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":"OA","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 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub 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":"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":"274-282"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493066/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of upper transabdominal plane block on diaphragm thickness in adult patients after laparoscopic cholecystectomy operation. 经腹上平面阻滞对腹腔镜胆囊切除手术后成年患者膈肌厚度的影响

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-03-28 DOI: 10.4103/jmas.jmas_401_23

Sami Uyar, Yasin Tire, Betul Kozanhan

{"title":"The effect of upper transabdominal plane block on diaphragm thickness in adult patients after laparoscopic cholecystectomy operation.","authors":"Sami Uyar, Yasin Tire, Betul Kozanhan","doi":"10.4103/jmas.jmas_401_23","DOIUrl":"10.4103/jmas.jmas_401_23","url":null,"abstract":"Introduction: In this prospective and observational study, our objective was to examine the impact of subcostal transversus abdominis plane (SubTAP) block, along with intravenous analgesia techniques, on diaphragm thickness and post-operative pain following laparoscopic cholecystectomy.Patients and methods: This study examined laparoscopic cholecystectomy patients aged 18-60 years with an American Society of Anesthesiologist score of 1-2. This study divided patients into Group 1 for SubTAP block and Group 2 for intravenous analgesia. This study had 67 patients, at least 30 from each group. Thus, diaphragm thicknesses and Visual Analogue Scale (VAS) values were compared between regional anaesthesia and intravenous analgesia groups.Results: Pre-operative data showed no statistically significant changes between the groups, although post-extubation inspiratory thickness was closer to baseline in Group 1 patients who received regional block. The groups had different outcomes after extubation and at the post-operative 30 th min ( P = 0.028 and P = 0.001, respectively). There was also a significant difference in post-operative oxygen saturation and VAS scores ( P = 0.001). Our receiver operating characteristic analysis determined that the threshold values for VAS parameters of 2 or 3 were 0.28 cm in inspiration, 0.18 cm in expiration and 1.29 as i/e ratio. Significant discomfort was defined as diaphragm parameter values below these limits.Conclusions: We found that the earlier return of diaphragmatic functions to baseline was associated with diaphragm thickness. According to the measurements made in the post-operative care unit, the regional block group effectively prevented the loss of diaphragm function.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"242-248"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The advantages and intraoperative management of the laparoscopic approach in perforated appendicitis. 腹腔镜方法治疗穿孔性阑尾炎的优势和术中管理。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-05-10 DOI: 10.4103/jmas.jmas_241_23

Yildiray Daduk, Ahmet Seker, Alper Sozutek

{"title":"The advantages and intraoperative management of the laparoscopic approach in perforated appendicitis.","authors":"Yildiray Daduk, Ahmet Seker, Alper Sozutek","doi":"10.4103/jmas.jmas_241_23","DOIUrl":"10.4103/jmas.jmas_241_23","url":null,"abstract":"Introduction: Gangrene/perforated appendicitis entails high rates of morbidity and mortality. The purpose of this study is to discuss the reliability, surgical management and post-operative complications of laparoscopic interventions in the treatment of perforated appendicitis.Patients and methods: One hundred and ten patients (50 men and 60 women) diagnosed with perforated appendicitis based on history, physical examinations, laboratory and computed tomography findings between January 2016 and May 2022 were analysed retrospectively. Preoperative laboratory and radiological findings, surgical methods and post-operative complications were evaluated.Results: Abdominal pain defence and rebound were present in all patients. In terms of radiological findings, intra-abdominal free fluid was present in all patients and abscess in 42. Post-operative abdominal surgical site infection developed in six patients. No intra-abdominal abscess or incisional hernia was observed during follow-ups.Conclusion: As a diagnostic tool, permitting better visualisation of the abdominal cavity, entailing fewer post-operative complications and obviating the need for large incisions, laparoscopy can represent the approach of choice in the treatment of perforated appendicitis.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"237-241"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indigenously modified endoluminal vacuum-assisted closure therapy for post-operative gastrointestinal transmural defects: Case series and review of literature. 自体改良腔内真空辅助封闭治疗术后胃肠道跨壁缺损：病例系列及文献回顾。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-11-29 DOI: 10.4103/jmas.jmas_133_24

Vishakha Kalikar, Kiran Basavraju, Meghraj Ingle, Roy Patankar

引用次数: 0

A case series analysis of spigelian hernia: A diagnostic dilemma and its successful laparoscopic repair. 斯皮格疝病例系列分析：诊断难题及其成功的腹腔镜修补术。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-07-30 DOI: 10.4103/jmas.jmas_103_24

Aditya Sharma, Vivek Srivastava, Brij Bhushan Singh, Mumtaz Ahmad Ansari

引用次数: 0

Evaluation of the analgesic efficacy of a low dose of intrathecal morphine in laparoscopic abdominal surgery: A randomised control trial. 腹腔镜腹部手术中低剂量鞘内吗啡的镇痛效果评价：一项随机对照试验。

IF 1.2 4区医学

Journal of Minimal Access Surgery Pub Date : 2026-07-01 Epub Date: 2024-11-29 DOI: 10.4103/jmas.jmas_141_24

Lakshmi Kumar, Ramya Anantharaman, Dimple Elina Thomas, Anjaly S Nair, Anandajith P Kartha, Karthik Kumar

{"title":"Evaluation of the analgesic efficacy of a low dose of intrathecal morphine in laparoscopic abdominal surgery: A randomised control trial.","authors":"Lakshmi Kumar, Ramya Anantharaman, Dimple Elina Thomas, Anjaly S Nair, Anandajith P Kartha, Karthik Kumar","doi":"10.4103/jmas.jmas_141_24","DOIUrl":"10.4103/jmas.jmas_141_24","url":null,"abstract":"Introduction: Intrathecal opioid is an analgesic option in laparoscopic surgery. We assessed primarily the intraoperative opioid requirement amongst patients receiving intrathecal morphine (ITM) (Group M) versus standard care (Group C) for abdominal surgery. The secondary outcomes were intraoperative haemodynamic changes, extubation on table and pain scores in the intensive care unit (ICU) at 6 th hourly intervals for 24 h postoperatively.Patients and methods: Patients undergoing laparoscopic abdominal surgery were randomised into Group M ( n = 30) that received ITM at 2 μg/kg while Group C ( n = 30) was control. A rise in mean arterial pressure > 20% from baseline was treated sequentially with 0.3 mg /kg propofol and 0.5 μg/kg fentanyl intravenously (IV). Pain management in the ICU included paracetamol 1G IV 8 th hourly for all patients, while nefopam 20 mg and fentanyl 0.5 μg/kg IV were the second and third tiers of pain management.Results: Intraoperatively, 10 patients in Group M versus 26 in Group C needed additional fentanyl ( P < 0.001) and 15 versus 26 patients needed additional propofol ( P = 0.0024). Pain scores were superior in Group M at all time points in the ICU and at ambulation and during incentive spirometry. Thirteen patients in Group C versus 3 in Group M needed nefopam at the time of shifting to the ICU ( P = 0.004) and 10 patients versus 1 at 8 h in the ICU ( P = 0.003) while pain management at 16 h and 24 h was comparable.Conclusion: Pre-operative ITM at 2 μg/kg reduces intraoperative opioid requirement and improves analgesia 24 h postoperatively amongst patients undergoing major laparoscopic abdominal surgery without delay in extubation or changes in haemodynamics.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"261-267"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0