Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube.","authors":"Xin-Chun Guo, Qiang Lu, Yu-Fei Fu, Xin Lu","doi":"10.20452/wiitm.2025.17956","DOIUrl":"10.20452/wiitm.2025.17956","url":null,"abstract":"<p><strong>Introduction: </strong>Stents and decompression tubes (DTs) are both commonly utilized for preoperative decompression in patients with left-sided obstructive colorectal cancer (OCRC). However, the comparative effectiveness and oncological safety of these 2 approaches remain uncertain.</p><p><strong>Aim: </strong>The aim of this study was to compare clinical performance and long-term oncological outcomes of preoperative stent and DT insertion in patients with left-sided OCRC.</p><p><strong>Materials and methods: </strong>The study included 87 consecutive patients, diagnosed with left-sided OCRC between January 2022 and December 2024. All patients underwent preoperative decompression using either a stent or a DT. Clinical decompression efficacy, surgical outcomes, and oncological parameters were compared between the groups.</p><p><strong>Results: </strong>Among the 87 patients enrolled, 45 received a stent and 42, a DT. Technical success rates were similar between the groups (stent, 95.6% vs DT, 97.6%; P >0.99), as were clinical success rates (stent, 88.9% vs DT, 90.5%; P >0.99). Perforation occurred in 3 patients (6.7%) in the stent group and 1 participant (2.4%) in the DT group (P = 0.62). Primary anastomosis was achieved in 84.4% of the stent patients and 81% of the DT patients (P = 0.67). Median disease-free survival was 32 (21-43) months in the stent group and 34 (25-43) months in the DT group (P = 0.35), while median overall survival was 38 (29-47) and 39 (34-44) months, respectively (P = 0.53), with no apparent differences between the groups.</p><p><strong>Conclusions: </strong>Both stent and DT insertion are safe and effective strategies for preoperative left-sided OCRC management. No significant differences in either short-term clinical outcomes or long-term oncological results were observed between the 2 methods.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"172-176"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818001","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":"Safe and effective antireflux surgery in lung transplant recipients: preliminary results.","authors":"Maciej Wiewiora, Marek Ochman, Maciej Urlik, Katarzyna Hajduk, Aleksandra Gil, Konrad Karcz, Tomasz Hrapkowicz","doi":"10.20452/wiitm.2025.17963","DOIUrl":"10.20452/wiitm.2025.17963","url":null,"abstract":"<p><strong>Introduction: </strong>Obliterative bronchiolitis, the clinical manifestation of bronchiolitis obliterans syndrome (BOS), is a major complication of lung transplantation and one of the primary causes of chronic lung allograft dysfunction leading to poor survival outcomes.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the safety and outcomes of antireflux surgery in lung transplant recipients (LTRs) with BOS and associated gastroesophageal reflux disease (GERD).</p><p><strong>Materials and methods: </strong>This single-center study included 8 consecutive patients at a median (interquartile range [IQR]) age of 29 (25-46) years who underwent bilateral lung transplantation and subsequent antireflux surgery due to BOS. The decision to proceed with laparoscopic surgery was based on a diagnosis of GERD associated with a decline in pulmonary function, confirmed on bronchoscopy indicative of BOS. Follow-up lasted for 12 months.</p><p><strong>Results: </strong>Median (IQR) time since transplantation was 27 (15-55.5) months. Significant improvements in spirometric parameters were observed at 3 and 12 months postoperatively, as compared with baseline, including forced expiratory volume in 1 second (FEV₁; <i>P</i> = 0.02), FEV₁% predicted (<i>P</i> = 0.02), forced vital capacity (FVC; <i>P</i> = 0.003), and FVC% predicted (<i>P</i> = 0.02). There were no differences in spirometric parameters between 3 and 12 months postoperatively. No surgical complications were observed within 30 days after surgery or during follow-up. Two patients developed pulmonary complications, and 1 patient with a history of kidney transplantation experienced renal complications. There were no postoperative deaths. Median (IQR) hospital stay was 12 (3-29) days.</p><p><strong>Conclusions: </strong>The study suggests that antireflux surgery in LTRs is a safe and effective approach for GERD management, while improving lung function with minimal adverse effects.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"184-189"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818002","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":"Impact of different perioperative dexmedetomidine administration regimens on postoperative sleep quality in gastrointestinal tumor resection: a randomized controlled trial.","authors":"Chengying Ji, Xiaodong Su, Chaohui Gao, Qijing Liu, Ying Liu, Qian Fu, Boxiong Gao, Jiayi Xie, Bokang Yang, Jinxiang Xie, Huping Song, Yatao Liu","doi":"10.20452/wiitm.2025.17966","DOIUrl":"10.20452/wiitm.2025.17966","url":null,"abstract":"<p><strong>Introduction: </strong>Perioperative sleep disorders constitute a recognized risk factor for multiple postoperative complications. Although dexmedetomidine (DEX) has been clinically employed to enhance perioperative sleep quality, its optimal administration protocol for postoperative sleep improvement remains undetermined.</p><p><strong>Aim: </strong>The aim of this study was to comparatively evaluate the therapeutic effect of distinct perioperative DEX administration strategies on postoperative sleep quality in patients undergoing elective gastrointestinal tumor resection via laparoscopy.</p><p><strong>Materials and methods: </strong>A total of 48 patients undergoing laparoscopic gastrointestinal resection between September 2024 and January 2025 were enrolled and randomly allocated to the intraoperative continuous DEX infusion group (group I; n = 24) and the group with DEX added to postoperative intravenous analgesia (group P; n = 24) using a double-blind method. Sleep quality was assessed using the Numerical Rating Scale during the first 3 postoperative days. A comparative analysis of intergroup differences in postoperative sleep quality was performed.</p><p><strong>Results: </strong>Out of the 48 randomized participants, 47 were included in the analysis, as 1 patient from group P withdrew informed consent postoperatively. Baseline data were balanced between the 2 groups. In comparison with group I, on postoperative day 1, group P exhibited considerably higher sleep quality scores (<i>P</i> = 0.045), lower blood glucose levels at skin suture completion (<i>P</i> <⁠0.001), higher intraoperative norepinephrine doses (<i>P</i> <⁠0.001), and reduced intraoperative blood loss (<i>P</i> = 0.03). Multivariable linear regression identified group assignment (<i>P</i> = 0.03) and sex (<i>P</i> = 0.02) as significant predictors of sleep quality on postoperative day 1.</p><p><strong>Conclusions: </strong>As compared with intraoperative continuous DEX infusion, addition of DEX to postoperative analgesia in laparoscopic gastrointestinal tumor surgery has better outcomes with regard to sleep quality on postoperative day 1. These findings suggest potential advantages of postoperative DEX administration in perioperative management.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"157-164"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817981","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":"The impact of probiotics on glycemic control during the first 3 months after sleeve gastrectomy: a prospective placebo‑controlled study.","authors":"Dominika Mysiorska, Natalia Mazek, Julia Młyńska, Ewelina Sosnowska-Turek, Paweł Lech, Natalia Dowgiałło-Gornowicz","doi":"10.20452/wiitm.2025.17968","DOIUrl":"10.20452/wiitm.2025.17968","url":null,"abstract":"<p><strong>Introduction: </strong>Sleeve gastrectomy (SG) is a safe metabolic and bariatric surgery but it often leads to postoperative gastrointestinal issues, such as constipation and bloating. The use of probiotics after SG seems to alleviate these symptoms.</p><p><strong>Aim: </strong>The aim of this study was to assess the impact of probiotic supplementation on macro- and micronutrient levels, specifically glycated hemoglobin (HbA1c), 3 months after SG. The secondary objective was to analyze the effect of probiotics on gastrointestinal symptoms.</p><p><strong>Materials and methods: </strong>This was a prospective, placebo-controlled study which included patients undergoing SG at a single center in Poland. Before the surgery, the patients did not note gastrointestinal diseases or symptoms. They were randomly assigned to the probiotics group (PG) or the control group (CG). Gastrointestinal symptoms and laboratory test results were assessed before surgery and 3 months postoperatively.</p><p><strong>Results: </strong>A total of 24 patients were included in the study, of which 11 were assigned to the PG and 13, to the CG. Three months after surgery, the patients in the PG had slightly lower levels of HbA_1c than the CG participants (<i>P</i> = 0.01). The patients in the PG reported less constipation, better feeling of bowel movement completeness, and greater ease of defecation (<i>P</i> = 0.03; <i>P</i> = 0.01; <i>P</i> = 0.01, respectively) No differences in weight loss were found between the groups.</p><p><strong>Conclusions: </strong>Probiotics may lower HbA1c levels, effectively reduce constipation, contribute to a better feeling of bowel movement, and facilitate defecation after SG.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"190-195"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818006","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":"Allogeneic fibroblasts vs conventional debridement after successful endovascular interventions for treating chronic ulcers induced by peripheral artery disease.","authors":"Azat Chinaliyev, Azat Chinaliyev, Bazylbek Zhakiyev, Didar Khassenov, Gulnara Sakhipova, Natalya Zagorulya, Gaukhar Kuanyshbayeva, Nurlan Zhampeissov, Damir Biktashev, Murat Jakanov, Ainur Donayeva, Ibrahim A Abdelazim","doi":"10.20452/wiitm.2025.17959","DOIUrl":"10.20452/wiitm.2025.17959","url":null,"abstract":"<p><strong>Introduction: </strong>Fibroblasts are stromal and connective tissue cells that play crucial roles in the intracellular matrix and granulation tissue synthesis during tissue proliferation. They are also responsible for epithelialization and healing of skin lesions.</p><p><strong>Aim: </strong>Our aim was to compare the use of allogeneic fibroblasts with conventional debridement after successful endovascular interventions (EVIs) for the treatment of chronic ulcers induced by peripheral artery disease (PAD).</p><p><strong>Materials and methods: </strong>A total of 116 participants with chronic ulcers due to PAD were randomly assigned, after successful EVI, to receive either allogeneic fibroblasts (study group; n = 58) or conventional debridement (control group; n = 58) for treatment of the ulcers. The participant data were collected over 1 year of follow-up to compare the effectiveness of both methods.</p><p><strong>Results: </strong>The mean (SD) duration of initial and complete healing of chronic ulcers after successful EVI was shorter in the allogeneic fibroblast group (2.59 [0.53] and 5.04 [0.58] months, respectively) than in the controls (3.56 [0.44] and 5.8 [0.35] months, respectively; <i>P</i> <⁠0.001 for all). A correlation analysis showed a moderately significant correlation between the healing of chronic ulcers (both initial and complete) after successful EVI and the use of allogeneic fibroblasts.</p><p><strong>Conclusions: </strong>Allogeneic fibroblasts are an effective and noninvasive option for the treatment of chronic PAD-induced ulcers after successful EVI. The duration of initial and complete healing was significantly shorter in the allogeneic fibroblast group than in the conventional debridement group.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"226-234"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818036","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":"Influence of computed tomography-based pelvimetric parameters and surgical approaches on surgical difficulty in mid‑low rectal cancer.","authors":"Jie Wang, Dengyang Fang, Ruiqi Li, Yifan Cheng, Shuai Zhao, Jiajie Zhou, Zhen Tian, Chenkai Zhang, Yayan Fu, Yong Wang, Jun Ren, Daorong Wang","doi":"10.20452/wiitm.2025.","DOIUrl":"10.20452/wiitm.2025.","url":null,"abstract":"<p><strong>Introduction: </strong>Despite a lack of a well-defined concept of 'pelvic difficulties', pelvimetric parameters significantly influence surgical difficulty and outcomes in mid-low rectal cancer (MLRC).</p><p><strong>Aim: </strong>The objective of this study was to explore the influence of pelvimetric parameters and surgical approaches on the difficulty of surgical procedures in MLRC.</p><p><strong>Materials and methods: </strong>A retrospective analysis was performed at the Northern Jiangsu People's Hospital, including patients with a diagnosis of MLRC who underwent total mesorectal excision between January 2016 and June 2023. We analyzed the pelvimetric parameters and perioperative data.</p><p><strong>Results: </strong>The study cohort comprised a total of 1138 individuals. Based on the surgical difficulty score, 374 patients were assigned to the difficult surgery (DS) group, and 764, to the non-difficult surgery group. Patients in the DS group were stratified into 2 groups based on the surgical approach: the robot-assisted laparoscopic surgery (RLS) group with 78 patients, and the conventional laparoscopic surgery group, including 296 patients. Multivariable analysis results showed that age, sex, pelvic inlet anteroposterior diameters (PIAPD), pubic symphysis height, pelvic depth, and angle A were independent influencing factors for DS.</p><p><strong>Conclusions: </strong>Age, sex, PIAPD, pubic symphysis height, pelvic depth, and angle A were independent factors influencing DS in MLRC. In the DS group patients, RLS had certain advantages.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"165-172"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817983","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":"Safety of indocyanine green use in bariatric and metabolic surgery.","authors":"Mateusz Wityk, Maciej Bobowicz, Natalia Dowgiałło-Gornowicz","doi":"10.20452/wiitm.2025.17964","DOIUrl":"10.20452/wiitm.2025.17964","url":null,"abstract":"<p><strong>Introduction: </strong>Intraoperative indocyanine green (ICG) is increasingly used in surgery. In metabolic and bariatric surgery, it allows visualization of the tissues and blood supply to anastomoses in real time.</p><p><strong>Aim: </strong>The objective of this prospective cohort study was to evaluate the safety and efficacy of ICG usage in metabolic and bariatric surgery.</p><p><strong>Materials and methods: </strong>The study was conducted from July 2022 to December 2023. A total of 171 metabolic and bariatric procedures with ICG perfusion tests were performed, comprising 93 sleeve gastrectomies, 17 one-anastomosis gastric bypasses, 51 Roux-en-Y gastric bypasses, 7 primary single anastomosis duodeno-ileal bypasses with sleeve gastrectomies, and 3 redo surgeries.</p><p><strong>Results: </strong>Out of 171 patients included in the study, 143 (83.6%) were women. Mean (SD) age of the participants was 41.8 (9.7) years, and mean (SD) body mass index was 44.6 (6.3) kg/m². Mean (SD) operation time was 92.9 (47.7) minutes, and mean (SD) length of hospital stay was 2.1 (0.8) days. Surgical complications occurred in 4 patients (2.3%). No local or general adverse symptoms or complications, including allergic reactions, were observed after intravenous administration of ICG. The patients' allergies did not influence adverse events related to the administration of the dye.</p><p><strong>Conclusions: </strong>The use of intraoperative ICG in metabolic and bariatric surgery is safe, and adverse events and dye-related complications are very rare.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"215-219"},"PeriodicalIF":1.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818003","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":"Slit mesh technique in laparoscopic inguinal hernia repair: a retrospective analysis.","authors":"Ozan M Aydin, Yasin Kara, Serhan Yilmaz, Erkan Somuncu, Osman Sibic","doi":"10.20452/wiitm.2025.17958","DOIUrl":"10.20452/wiitm.2025.17958","url":null,"abstract":"<p><strong>Introduction: </strong>Slit mesh (SM) is a technical modification used in laparoscopic total extraperitoneal (TEP) inguinal hernia (IH) repair. It aims to reduce recurrence by improving mesh anchoring and preventing cranial migration. However, its clinical effectiveness remains controversial.</p><p><strong>Aim: </strong>The aim of this study was to compare clinical outcomes of SM and nonslit mesh (NSM) techniques in laparoscopic TEP IH repair.</p><p><strong>Materials and methods: </strong>This retrospective study included 155 patients who underwent standardized TEP repair between June 2022 and February 2023. The patients were divided into 2 groups: SM (n = 80) and NSM (n = 75). Demographics, hernia characteristics, operative time, recurrence, complications, and postoperative pain were evaluated. Pain was assessed using the visual analogue scale (VAS) on postoperative day 1 (VAS1D), at 1 month (VAS1M), and 3 months (VAS3M).</p><p><strong>Results: </strong>No significant differences were found in baseline characteristics. Median (interquaritle range [IQR]) operation time was longer in the SM group (46.5 [40-55] vs 38 [30-45] min; P <⁠0.001). Recurrence was observed in 6 SM and 3 NSM patients (odss ratio, 1.95; 95% CI, 0.47-8.08; P = 0.497). Median (IQR) VAS scores were: 4 (2-6) for VAS1D; 0 (0-1) for VAS1M; 0 (0-0) for VAS3M, with no significant differences. Complication and chronic postoperative inguinal pain rates were similar.</p><p><strong>Conclusions: </strong>Although the SM technique was designed to improve outcomes, our findings show no it has no notable advantage over the NSM technique in reducing recurrence or postoperative pain. Moreover, the prolonged operation time associated with the SM method may represent a clinical drawback. Further research with larger cohorts and longer follow-up is needed to better clarify the potential risks and benefits of SM apporoach.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"177-183"},"PeriodicalIF":1.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818004","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":"Impact of video -based incentive on patient willingness to read the informed consent form with comprehension before minimally-invasive surgery: a randomized controlled trial.","authors":"Weronika Kisielewska, Michał Kościołek, Kryspin Mitura, Laura Kacprzak, Małgorzata Pajer, Krystian Kisielewski, Bernard Mitura, Weronika Kowalczyk","doi":"10.20452/wiitm.2025.17957","DOIUrl":"10.20452/wiitm.2025.17957","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of the informed consent (IC) form is to enable patients to make a conscious choice based on complete and comprehensible information about a planned surgical procedure, its risks, benefits, and alternative treatment methods. Obtaining information about other therapeutic options is particularly important in the case of laparoscopic surgeries which are becoming increasingly popular. Unfortunately, as the literature indicates, most patients do not read the IC form.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the impact of video material on encouraging patients to thoroughly read the IC form.</p><p><strong>Materials and methods: </strong>This parallel design study comprised 102 patients referred for elective laparoscopic surgical procedures. The participants were randomized in a 1:1 ratio. The block randomization consisted of alternating, weekly assignment of patients to the intervention (video) group and the control group. Anxiety levels were evaluated using a translated version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS).</p><p><strong>Results: </strong>The patients in the video group were more likely to read the entire IC form (83.67%) than those in the control group (33.96%; P = 0.003). However, according to the APAIS scale, reading the IC form had no impact on the level of anxiety (P = 0.72) and information demand (P = 0.9). The most frequently given reason for not reading the IC form was its excessive length (32.61% of the responses).</p><p><strong>Conclusions: </strong>Video materials demonstrate a remarkable potential in enhancing the awareness of the IC process importance and should be increasingly implemented into everyday medical practice.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"144-151"},"PeriodicalIF":1.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817982","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":"Multicenter comparative analysis of preoperative and postoperative outcomes after holmium laser enucleation of the prostate based on the prostate volume.","authors":"Samer Al-Rawashdah, Malik Ayyad, Khalil Abu Zahra, Saddam Al Demour, Mohammad Al-Zubi, Omar Ayaad","doi":"10.20452/wiitm.2025.17955","DOIUrl":"10.20452/wiitm.2025.17955","url":null,"abstract":"<p><strong>Introduction: </strong>Holmium laser enucleation of the prostate (HoLEP) is considered the best treatment for benign prostatic hyperplasia (BPH). This procedure offers effective symptom relief across varying prostate sizes.</p><p><strong>Aim: </strong>This study aimed to evaluate preoperative and postoperative outcomes of HoLEP in patients with different prostate volumes in a multicenter comparative analysis conducted in Jordan.</p><p><strong>Materials and methods: </strong>A cohort study was conducted in 3 private clinics in Amman, Jordan. It included 77 patients who were divided into 2 groups according to prostate volume: smaller than or equal to 40 ml (n = 37) and larger than 40 ml (n = 40). The data collected preoperatively and at 3 months postoperatively included urinary symptoms, quality of life (QoL) scores, and functional parameters. Statistical analyses included paired <i>t</i> tests and independent <i>t</i> tests.</p><p><strong>Results: </strong>Both groups exhibited improvements in relation to initial values, as assessed after the procedure using the International Prostate Symptom Score (≤40 ml, 16 vs 7.6; >40 ml, 14.9 vs 4.6; <i>P</i> <⁠0.001). Their QoL scores also improved (≤40 ml, 3.2 vs 1.5; >40 ml, 3 vs 1.3; <i>P</i> <⁠0.001). The maximum urinary flow rate increased in both groups (≤40 ml, 8.2 ml/s vs 14 ml/s; >40 ml, 8.6 ml/s vs 13.6 ml/s; <i>P</i> <⁠0.001), with similar improvements in postvoid residual urine volume. Larger prostates required longer enucleation times (≤40 ml, 19.8 min; >40 ml, 39.3 min; <i>P</i> = 0.04) with more tissue removal (≤40 ml, 4.7 g; >40 ml, 17 g; <i>P</i> <⁠0.001).</p><p><strong>Conclusions: </strong>HoLEP effectively improved various measured parameters, including urinary symptoms, QoL, and functional outcomes in patients with BPH across all prostate sizes. Larger prostates required procedures of increased complexity.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"220-225"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817985","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}