Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Long‑term outcomes of adjustable gastric banding: a 15‑year prospective randomized trial comparing 2 band types in 103 patients.","authors":"Žygimantas Juodeikis, Gintautas Brimas","doi":"10.20452/wiitm.2024.17918","DOIUrl":"10.20452/wiitm.2024.17918","url":null,"abstract":"<p><strong>Introduction: </strong>As the use of gastric bands diminishes in bariatric and metabolic surgery, we present the results of a 15-year randomized controlled trial comparing 2 distinct adjustable gastric bands.</p><p><strong>Aim: </strong>The aim of this study was to compare long-term outcomes of bariatric surgery performed using 2 different adjustable gastric band types over a 15-year period.</p><p><strong>Materials and methods: </strong>Between January 1, 2009, and January 31, 2010, a total of 103 patients with obesity underwent randomization to receive treatment with either a Swedish adjustable gastric band (SAGB; n = 49) or a MiniMizer Extra adjustable gastric band (n = 54). Weight loss outcomes, comorbidity resolution, long-term complications, and quality of life measures were assessed at 1, 5, and 15 years postoperatively.</p><p><strong>Results: </strong>Baseline characteristics were similar between the groups, with a mean (SD) patient age of 45.9 (11.7) years and a mean (SD) preoperative body mass index of 47.5 (7.3) kg/m² . Of the 103 patients, 55 (53.3%) completed the 15-year follow-up. After 15 years, the mean total body weight loss was 25.6% in the SAGB group and 20.6% in the MiniMizer Extra group, with no significant difference. Complications occurred in 19 patients (18.4%), including 5 band erosions, 4 port-related issues, 3 cases of band slippage, and 3 instances of band intolerance. Nine bands were removed, and 3 patients underwent conversion to gastric bypass.</p><p><strong>Conclusions: </strong>SAGB and MiniMizer Extra bands demonstrated comparable outcomes at both the 5- and 15-year follow-up with respect to weight loss, resolution of comorbidities, morbidity, and quality of life. However, most of the improvements in comorbidities observed at the 5-year follow-up significantly declined after 15 years.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"421-426"},"PeriodicalIF":1.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694164","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}

{"title":"Comparison of computed tomography-guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique.","authors":"Qun-Qun Zhu, Li Zhang, Fengfei Xia, Yi-Bing Shi, Lei Zhu, Xian-Xian Liang","doi":"10.20452/wiitm.2024.17917","DOIUrl":"10.20452/wiitm.2024.17917","url":null,"abstract":"<p><strong>Introduction: </strong>Computed tomography (CT)-guided core needle biopsy (CNB) is a common method for diagnosing pulmonary nodules (PNs). It is often performed using the coaxial technique (CAT) to streamline the process.</p><p><strong>Aim: </strong>This study aimed to compare the safety and diagnostic performance of CT-guided CNB with and without CAT for diagnosing PNs.</p><p><strong>Materials and methods: </strong>This retrospective analysis included patients undergoing CT-guided CNB for a diagnosis of PNs between January 2017 and December 2019. The study population was divided according to the use of CAT for the biopsy. Procedure-related data, diagnostic accuracy and yield, and complication rates were compared between the 2 groups.</p><p><strong>Results: </strong>During the study period, a total of 111 and 108 patients underwent CT-guided CNB with and without CAT, respectively. As compared with the non-CAT group, the CAT group showed a lower mean needle pathway number (<i>P</i> <⁠0.001), a higher mean sample number (<i>P</i> <⁠0.001), and shorter procedural duration (<i>P </i><⁠0.001). Diagnostic accuracy was similar between the 2 groups (98.3% vs 96.3%, respectively, for CAT vs non-CAT; <i>P</i> = 0.6), though the CAT group demonstrated a higher diagnostic yield than the non-CAT group (81.4% vs 68.5%; <i>P</i> = 0.03). Pneumothorax and pulmonary hemorrhage rates did not differ between the 2 groups (<i>P</i> = 0.09 and <i>P</i> = 0.16, respectively).</p><p><strong>Conclusions: </strong>CT-guided CNB with CAT demonstrated greater procedural efficiency, with fewer needle pathways, shorter operative duration, and improved diagnostic yield, as compared with procedures performed without CAT.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"476-482"},"PeriodicalIF":1.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694226","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}

{"title":"Novel robot-assisted minimally invasive surgical technique for the treatment of esophageal cancer.","authors":"Michał Wiłkojć, Wojciech Migal, Agnieszka Majewska, Anna Różańska-Walędziak","doi":"10.20452/wiitm.2024.17916","DOIUrl":"10.20452/wiitm.2024.17916","url":null,"abstract":"<p><p>A new trend toward the application robot-assisted minimally invasive esophagectomy (RAMIE) has started to develop in the field of gastrointestinal tract surgery. As compared with the current gold standard, minimally invasive esophagectomy, RAMIE facilitates more thorough upper mediastinal lymphadenectomy and reduces the risk of vessel damage. This study aimed to evaluate the technical feasibility and safety of RAMIE in patients with esophageal cancer based on the first 2 RAMIE procedures carried out in Poland. Both robotic procedures were successful, without the need for conversion to open surgery. There was no case of incomplete lesion removal or postoperative complications, indicating that RAMIE is a feasible and safe treatment option for patients with esophageal cancer and results in good postoperative recovery.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"506-510"},"PeriodicalIF":1.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694165","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}

{"title":"Percutaneous transluminal angioplasty with stenting for the treatment of lower limb arteriosclerosis obliterans.","authors":"Chengxiang Zhang, Shiyuan Chen","doi":"10.20452/wiitm.2024.17915","DOIUrl":"10.20452/wiitm.2024.17915","url":null,"abstract":"<p><strong>Introduction: </strong>With the advancement of minimally invasive techniques, percutaneous transluminal angioplasty with stenting (PTAS) has emerged as a significant treatment approach for lower limb arteriosclerosis obliterans (ASO).</p><p><strong>Aim: </strong>The aim of this study was to evaluate the clinical efficacy of PTAS in patients with lower limb ASO.</p><p><strong>Materials and methods: </strong>A total of 96 ASO patients admitted to our hospital between January 2021 and December 2022 were included in this study. They were divided into 2 groups according to the treatment method: the observation group (n = 48) received PTAS treatment, while the control group (n = 48) underwent percutaneous transluminal angioplasty (PTA). Treatment efficacy was evaluated 30 dayspostsurgery. Pre- and postoperative measurements included the ankle-brachial index (ABI), claudication distance, and quality of life scores derived from the 36-Item Short Form Health Survey (SF-36).Postoperative complications and the rate of target lesion revascularization (TLR) were also recorded.</p><p><strong>Results: </strong>In the observation group, 29 patients experienced marked improvement and 17 were effectively treated, yielding the total effectiveness rate of 95.83%, which was higher than in the control group (83.33%; P = 0.045). Both groups showed significant improvement in ABI, claudication distance, and SF-36 scores after treatment, with the observation group presenting significantly better results than the control group. There was no difference in the total incidence of complications between the 2 groups (P = 0.24), however, the TLR occurrence rate was lower in the observation group (P = 0.04).</p><p><strong>Conclusions: </strong>This study highlights the significant benefits of PTAS in the treatment of ASO, including improved overall effectiveness, enhanced functional indicators, and reduced rate of TLR, thus providing strong evidence for clinicians when selecting treatment methods for patients with lower limb ASO.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"465-469"},"PeriodicalIF":1.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694255","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}

{"title":"Efficacy of total transanal laparoscopic pull‑through and pure transanal endorectal pull‑through in the treatment of common‑type Hirschsprung disease.","authors":"Guizhen Huang, Wenqian Huang, Chi Sun, Meng Li, Chaosheng He, Yi Su, Weili Xu, Suolin Li","doi":"10.20452/wiitm.2024.17914","DOIUrl":"10.20452/wiitm.2024.17914","url":null,"abstract":"<p><strong>Introduction: </strong>Hirschsprung disease (HD) is a birth defect in which some of the intestinal nerve cells (ganglion cells) do not form completely. Improvements in laparoscopic skills among pediatric surgeons, along with technological advancements, have led to the widespread use of the natural orifice transluminal endoscopic surgery (NOTES) technique; however, reports on long-term outcomes and high-quality follow-up data on anorectal manometry in patients treated with this approach are scarce.</p><p><strong>Aim: </strong>We aimed to compare the short-term and long-term efficacy of 2 surgical approaches to the treatment of common-type HD: total transanal laparoscopic pull-through (TTLP, which falls under the category of NOTES), and pure transanal endorectal pull-through (PTEP; not classified as NOTES) in order to provide a reference for clinical strategy selection.</p><p><strong>Materials and methods: </strong>We retrospectively evaluated clinical data and follow-up results of 60 children with common-type HD who underwent TTLP or PTEP. The patients were divided into 2 equal-size groups according to the treatment method. Perioperative parameters were recorded, and regular follow-up was conducted by designated staff for over 10 years. The frequency and type of postoperative short- and long-term complications, pre- and postoperative anorectal manometry data, and daily bowel movement frequencies were recorded. The postoperative defecation function and quality of life scores were assessed and compared.</p><p><strong>Results: </strong>The mean (SD) age of patients undergoing surgery was 16.75 (12.82) months in the TTLP group and 18.92 (11.55) months in the PTEP group. The incidence of perioperative and long-term complications did not differ between the groups. One month postsurgery, the TTLP group showed lower values of anorectal manometry indicators, as compared with the PTEP group. At 1 to 10 years postsurgery, except for lower anal resting pressure values in the TTLP patients, there was no significant difference in the anorectal manometry indicators between the groups. Both early and late postoperative defecation frequencies were similar between the 2 types of surgeries. Within the first 6 months postsurgery, the defecation function scores were higher in the TTLP group than in the PTEP group; however, after 1 year, there were no significant differences in these scores between the groups. The quality of life scores of the 2 groups showed no difference in the first 1 to 2 years of the surgery. However, the mean quality of life scores evaluated from 2 to 10 years postsurgery were higher in the TTLP group than in the PTEP group.</p><p><strong>Conclusions: </strong>TTLP for common-type HD not only contributes to early postoperative recovery, but also enhances the long-term quality of life, as compared with PTEP.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"498-505"},"PeriodicalIF":1.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694153","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}

{"title":"Bariatric surgery in Poland, 2023: growth, trends, and impact of the KOS‑BAR program.","authors":"Michał R Janik, Przemysław Sroczyński, Piotr Major","doi":"10.20452/wiitm.2024.17913","DOIUrl":"10.20452/wiitm.2024.17913","url":null,"abstract":"<p><strong>Introduction: </strong>Bariatric surgery is an effective treatment for obesity and metabolic disorders. In Poland, the growing prevalence of obesity has led to an increase in the demand for these procedures. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most frequently performed surgeries, while newer techniques, such as single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), single-anastomosis sleeve ileal bypass (SASI), and Nissen sleeve gastrectomy (N-SG) are emerging. The Comprehensive Specialist Care in Bariatrics (KOS-BAR) program, introduced in 2021, aims to standardize bariatric care in Poland.</p><p><strong>Aim: </strong>This study evaluates the state of bariatric surgery in Poland in 2023, focusing on procedure volumes, regional variations, and the role of KOS-BAR centers.</p><p><strong>Materials and methods: </strong>A nationwide survey was conducted among bariatric surgery centers affiliated with the Metabolic and Bariatric Surgery Chapter of the Association of Polish Surgeons. Data on the number and types of surgeries performed in 2023 were collected and compared with previous reports to analyze trends.</p><p><strong>Results: </strong>A total of 54 centers, including 18 KOS-BAR centers, participated in the survey, reporting a total of 9102 procedures performed in 2023. SG accounted for 82% of surgeries, followed by RYGB (9.7%) and one anastomosis gastric bypass (3.9%). Newer procedures, such as N-SG (0.4%), SASI (0.8%), and SADI-S (0.2%) were less frequently performed. Over a half of all surgeries (59.3%) were performed in KOS-BAR centers. Significant regional variations in procedure volumes were observed.</p><p><strong>Conclusions: </strong>Bariatric surgery in Poland has seen substantial growth, with SG as the dominant procedure. However, regional disparities in access to care and the limited adoption of newer techniques persist. Expanding services to underserved regions and establishing a national registry are crucial for improving patient care and outcomes.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"454-459"},"PeriodicalIF":1.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694222","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}

{"title":"Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center.","authors":"Mateusz Wityk, Maciej Bobowicz, Mateusz Pryt, Natalia Dowgiałło-Gornowicz","doi":"10.20452/wiitm.2024.17912","DOIUrl":"10.20452/wiitm.2024.17912","url":null,"abstract":"<p><strong>Introduction: </strong>The obesity epidemic has led to an increased prevalence of related conditions, such as type 2 diabetes (T2D) and hypertension. While laparoscopic sleeve gastrectomy is the most common metabolic bariatric surgery, up to 50% of patients may require revisional procedures due to weight regain or comorbidity recurrence. Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is emerging as an effective treatment option with promising short-term outcomes.</p><p><strong>Aim: </strong>This study aimed to present the outcomes of patients who underwent SADI-S or revisional SADI.</p><p><strong>Materials and methods: </strong>This retrospective, single-center cohort study included 12 patients who underwent SADI-S or SADI between February 2023 and March 2024. The patients were assessed for percentage of total weight loss (%TWL), remission of T2D and hypertension, length of hospital stay, operative time, and complications. All outcomes were reported according to the American Society for Metabolic and Bariatric Surgery standards.</p><p><strong>Results: </strong>A total of 9 patients underwent primary SADI-S and 3 underwent revisional SADI. The mean (SD) %TWL was 27.9% (4.3%) at 6 months and 31.1% (5.9%) at 12 months after SADI and 21.2% (15.2%) and 14% (7.5%), respectively, after SADI-S. The mean (SD) preoperative body mass index was 42 (5.5) kg/m2 in the primary SADI-S group and 42.4 (9.3) kg/m2 in the revisional SADI group, and the mean (SD) follow-up was 10.1 (3.4) months. Full remission of T2D and hypertension was achieved in all patients within 6 months of surgery. There were no major complications, except for 1 case of intraoperative conversion to one-anastomosis gastric bypass.</p><p><strong>Conclusions: </strong>SADI-S is associated with significant weight loss and comorbidity resolution with a low complication rate, though larger studies are needed for further validation of these results.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"460-464"},"PeriodicalIF":1.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694251","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}

{"title":"Adoption of the Polish Bariatric and Metabolic Surgery Care Standards: a nationwide survey.","authors":"Mateusz J Świerz, Karolina Majdak, Andrzej Budzyński, Wiesław Tarnowski, Piotr Major, Małgorzata M Bala","doi":"10.20452/wiitm.2024.17911","DOIUrl":"10.20452/wiitm.2024.17911","url":null,"abstract":"<p><strong>Introduction: </strong>Metabolic and bariatric surgery (MBS) is the most effective treatment for severe obesity, providing substantial weight loss and improvement in obesity-related comorbidities. In 2020, the MBS Chapter of the Association of Polish Surgeons issued the Bariatric and Metabolic Surgery Care Standards to guide patient management.</p><p><strong>Aim: </strong>The aim of the study was to asses implementation of the standards in Polish surgical departments and identify factors associated with better compliance.</p><p><strong>Materials and methods: </strong>An online survey was distributed between August and December 2022 to 46 Polish surgical departments performing MBS. The survey included 62 questions covering general center characteristics, and pre-, peri-, and postoperative care. Descriptive statistics summarized the center characteristics and linear regression models analyzed the factors influencing compliance.</p><p><strong>Results: </strong>Thirty-six centers completed the survey, with a mean (SD) compliance score of 86.8% (9%) (29.5 of 34 criteria), and individual scores ranging from 70.6% to 100%. As many as 66.7% of the centers answered at least 80% of the questions. The areas with compliance below 80% included availability of adapted radiology facilities, constant availability of emergency radiology diagnostics, screening for metabolic markers, assessment of obstructive sleep apnea risk, obtaining patient declaration of abstaining from smoking, providing dates for at least 1 dietary consultation upon discharge, requiring at least 2 consultations with an experienced dietician, and employing a surgeon with bariatric certificate of excellence. Significant predictors of better compliance included the number of surgeons performing MBS and participation in the KOS-BAR program (a program of complex specialist care over patient undergoing bariatric surgery).</p><p><strong>Conclusions: </strong>The Bariatric and Metabolic Surgery Care Standards are moderately well adopted by Polish surgical departments, with improvements needed in specific areas. Unifying the standards may enhance patient outcomes.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"442-453"},"PeriodicalIF":1.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694236","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}

{"title":"Can laparoscopic common bile duct exploration be performed without any drainage? A propensity score-matched study.","authors":"Chufa Zheng, Weifeng Wang, Qiquan Peng, Yunheng Peng, Xiaozhong Wang","doi":"10.20452/wiitm.2024.17909","DOIUrl":"10.20452/wiitm.2024.17909","url":null,"abstract":"<p><strong>Introduction: </strong>Although laparoscopic common bile duct exploration (LCBDE) is considered a safe and effective method for treating choledocholithiasis, the absence of any biliary or abdominal drainage during surgery remains controversial.</p><p><strong>Aim: </strong>This paper aims to investigate the feasibility and safety of LCBDE without drainage, particularly abdominal drainage.</p><p><strong>Materials and methods: </strong>This retrospective analysis included 499 patients who underwent LCBDE with primary closure of the common bile duct and without any kind of biliary drainage during surgery. In 322 individuals, the surgery involved routine abdominal drainage (drainage group), whereas in 177 cases, no abdominal drainage was performed (nondrainage group). Baseline characteristics of the 2 groups were compared, followed by propensity score matching (PSM) to balance confounding factors. We compared effect indicators and complication rates between both groups.</p><p><strong>Results: </strong>After PSM, each group included 124 patients. There were no significant differences between the 2 groups in terms of overall and individual complication rates, except for a lower incidence of hyperamylasemia in the nondrainage group. The surgery time, duration of postoperative antibiotic use, and the total and postoperative length of hospital stay was significantly shorter in the nondrainage group. Similarly, the total hospitalization cost and postoperative usage of analgesics and antispasmodics were also considerably lower in the nondrainage group.</p><p><strong>Conclusions: </strong>Nondrainage LCBDE is associated with shorter recovery time and better patient outcomes, as compared with procedures involving abdominal drainage. In suitable cases, this approach is completely safe and feasible.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"427-435"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694237","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}

{"title":"Intervention effect of ventilator‑assisted emergency endoscopy in the treatment of cirrhosis‑associated esophagogastric variceal bleeding.","authors":"Xiu-Lian Wu, Yanmei Gu, Wenhui Wang, Jiayuan Wei, Xiaoqing Sun, Wenyue Hu, Wenhui He","doi":"10.20452/wiitm.2024.17908","DOIUrl":"10.20452/wiitm.2024.17908","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency endoscopy has proven remarkably effective in the treatment of gastrotestinal bleeding. However, its efficacy has not been extensively evaluated specifically in patients with cirrhosis‑associated esophagogastric variceal bleeding (EGVB). The patients may experience stress and anxiety before being subjected to the procedure.</p><p><strong>Aim: </strong>This study aimed to investigate the effect of ventilator‑assisted emergency endoscopy in the treatment of cirrhosis‑associated EGVB.</p><p><strong>Materials and methods: </strong>A total of 63 patients with cirrhosis‑associated EGVB were enrolled in the study and divided into 2 groups using the random number table method. The control group (n = 31) received conventional emergency endoscopic hemostasis, while the observational group (n = 32) underwent ventilator‑assisted emergency endoscopic hemostasis. The hemostatic success rate, post‑treatment rebleeding rate, postoperative complication rate, length of stay in the intensive care unit (ICU), cost of hospitalization, and the patients' feeling of comfort (eg, fever and anxiety) were assessed in both groups.</p><p><strong>Results: </strong>There were no significant differences in the hemostatic success rate, rebleeding rate, mortality, length of stay in the ICU, or cost of hospitalization between the groups. The symptoms and feelings of anxiety and pain in the observational group were significantly less intense than in the control group. However, there was no significant difference in the frequency of postoperative fever between the groups.</p><p><strong>Conclusions: </strong>In the emergency endoscopic treatment of patients with cirrhosis‑associated EGVB, using a ventilator ensures a smooth airway, keeps patients sedated throughout the procedure, and enhances their overall comfort. Ventilator‑assisted emergency endoscopy helps alleviate postoperative pain and reduces anxiety.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"436-441"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694252","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}