Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Preoperative computed tomography-guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires.","authors":"Sheng-Zhi Fan, Yu-Yu Ma, Yan Sun, Hao Xu, Wei Chen","doi":"10.20452/wiitm.2024.17910","DOIUrl":"10.20452/wiitm.2024.17910","url":null,"abstract":"<p><strong>Introduction: </strong>Hook-wire (HW) localization is the most frequently employed approach for preoperative localization of pulmonary ground-glass nodules (GGNs); however, the relative outcomes of conventional and soft HW localization of GGNs remain poorly understood.</p><p><strong>Aim: </strong>This study sought to compare the safety and efficacy of preoperative computed tomography-guided conventional and soft HW localization of pulmonary GGNs.</p><p><strong>Materials and methods: </strong>Between January 2023 and June 2024, consecutive patients with pulmonary GGNs underwent conventional or soft HW localization prior to video-assisted thoracoscopic surgery. Safety and clinical efficacy of these 2 localization strategies were compared.</p><p><strong>Results: </strong>In total, 88 patients underwent conventional HW localization of 95 GGNs, and 82 patients underwent soft HW localization of 88 GGNs. Technical success rates for the conventional and soft HW groups were 96.8% and 100%, respectively (P = 0.25), and the duration of localization was similar in both groups (mean [SD], 10.1 [4.5] vs 10 [5.9] min; P = 0.97). Complications were significantly more common in the conventional HW group than in the soft HW group (48.9% vs 32.9%, respectively; P = 0.04). Visual analog scale scores in the conventional HW group were significantly higher than those observed in the soft HW group (mean [SD], 4.6 [0.6] vs 3.4 [0.6]; P = 0.001). The rates of technical success for limited resection procedures were similar in both groups (96.8% vs 100% in the conventional and soft HW groups, respectively; P >0.99).</p><p><strong>Conclusions: </strong>Conventional and soft HW strategies can both effectively facilitate preoperative pulmonary GGN localization, but the soft HW approach has a more favorable safety profile.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"470-475"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694256","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":"Learning curve and complications of unilateral biportal endoscopy-unilateral laminectomy bilateral decompression for lumbar spinal stenosis.","authors":"Jiashen Shao, Zihan Fan, Hai Meng, Qi Fei","doi":"10.20452/wiitm.2024.17905","DOIUrl":"10.20452/wiitm.2024.17905","url":null,"abstract":"<p><strong>Introduction: </strong>The unilateral biportal endoscopic (UBE) technique has been widely adopted for treat‑ ment of lumbar disc herniation and lumbar spinal stenosis. Understanding its learning curve, as well as the factors that influence perioperative complications, is crucial for mastering and effectively learning this technique.</p><p><strong>Aim: </strong>Our aim was to analyze the learning curve of UBE‑unilateral laminectomy bilateral decompression (ULBD) and risk factors associated with perioperative complications.</p><p><strong>Materials and methods: </strong>Consecutive patients who underwent UBE from June 2021 to December 2023 at the Department of Orthopedics, Beijing Friendship Hospital, were retrospectively analyzed. Baseline information, perioperative data, and preoperative and postoperative subjective scores were recorded for all patients. The learning curve and identified risk factors for complications were analyzed.</p><p><strong>Results: </strong>A total of 122 consecutive patients who underwent single‑segment UBE‑ULBD were included in this study. The surgical time curve fitting indicated that the surgeon nearly mastered the technique by the 38th case. Consequently, the cohort was divided into 2 distinct phases: a learning phase (cases 1-38) and a mastery phase (cases 39-122). Operative time, estimated blood loss, and drainage volume were higher in the learning phase group than in the mastery phase group, although hidden blood loss in the learning phase group was lower than in the mastery phase group. The visual analogue scale and Oswestry Disability Index scores at the last follow‑up showed significant improvement in both groups as compared with the preoperative period (P <0.05). Complication rate was 7.9% in the learning phase and 3.6% in the mastery phase. Univariate analysis showed that age, body mass index, alcohol consumption, and estimated blood loss were significantly associated with complication rate.</p><p><strong>Conclusions: </strong>UBE is an effective minimally‑invasive spinal endoscopic technique for treating lumbar spinal stenosis, offering short time to achieving surgical mastery and a low complication rate.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"489-497"},"PeriodicalIF":1.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694253","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":"Conventional and drug‑eluting bead transarterial chemoembolization in patients with inoperable intrahepatic cholangiocarcinoma: a meta‑analysis.","authors":"Su-Rong Pan, Xue-Wen Wo, Hong-Fang Zhu, Feng-Fei Xia","doi":"10.20452/wiitm.2024.17906","DOIUrl":"10.20452/wiitm.2024.17906","url":null,"abstract":"<p><strong>Introduction: </strong>In patients with inoperable intrahepatic cholangiocarcinoma (ICC), both conventional transarterial chemoembolization (cTACE) and drug‑eluting bead TACE (DEB‑TACE) can be employed as therapeutic interventions. However, the relative advantages of these strategies remain to be clarified.</p><p><strong>Aim: </strong>This meta‑analysis was performed to compare the safety and efficacy of DEB‑TACE and cTACE in the treatment of ICC.</p><p><strong>Materials and methods: </strong>A comprehensive search of the Cochrane Library, PubMed, and Wanfang databases was conducted to identify publications that were pertinent to the present meta‑analysis. The primary outcome of interest was the overall survival (OS) rate. Secondary outcomes were progression‑free survival (PFS), disease control rate (DCR), objective response rate (ORR), and adverse event (AE) rate. Heterogeneity was evaluated using the I 2 statistic, while publication bias was assessed with the Egger test.</p><p><strong>Results: </strong>A total of 6 articles involving 283 and 178 patients who received cTACE and DEB‑TACE treatment, respectively, were included in this study. DEB‑TACE was superior to cTACE in terms of DCR (<i>P</i> = 0.004), PFS (<i>P</i> <0.001), and OS (<i>P</i> = 0.004), despite comparable pooled ORRs. No intergroup differences were observed with respect to AE occurrence. The ORR, DCR, and OS end points showed significant heterogeneity (I2 = 79%, I² = 61%, and I² = 95%, respectively). Additionally, the OS end point was subject to substantial publication bias (Egger test, <i>P</i> = 0.002).</p><p><strong>Conclusions: </strong>DEB‑TACE was shown to be superior to cTACE with respect to efficacy, while the safety profile of these 2 interventions was similar. Consequently, DEB‑TACE offers additional value in the management of inoperable ICC.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"407-413"},"PeriodicalIF":1.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694238","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 cryoablation of kidney tumors after partial nephrectomy.","authors":"Wojciech Krajewski, Maciej Guziński, Wojciech Tomczak, Łukasz Nowak, Jan Łaszkiewicz, Joanna Chorbińska, Adam Chełmoński, Katarzyna Grunwald, Bartosz Małkiewicz, Tomasz Szydełko","doi":"10.20452/wiitm.2024.17904","DOIUrl":"10.20452/wiitm.2024.17904","url":null,"abstract":"<p><strong>Introduction: </strong>The widespread use of ultrasound and cross‑sectional imaging has led to a steady increase in the incidental discovery of renal masses. Most of them are treated with partial nephrectomy (PN), as recommended by the European Association of Urology guidelines. However, this approach carries a risk of local recurrence. In such a case, surgical reintervention can be more challenging and is often associated with worse prognosis. In this context, percutaneous ablative therapies are a promising alternative.</p><p><strong>Aim: </strong>This study presents our experience with using percutaneous cryoablation (PCA) to manage recurrences and new masses in previously operated kidneys.</p><p><strong>Materials and methods: </strong>We conducted a retrospective data analysis to evaluate patients treated with PCA for tumor recurrence or residual disease in the postresection bed, excluding those with de novo or recurrent tumors in the contralateral kidney.</p><p><strong>Results: </strong>A total of 23 individuals met the inclusion criteria. Of those, 14 initially underwent laparoscopic PN, and 9 were treated with open surgery. The median interval from the initial surgery to recurrence‑targeted PCA was 23 months (range, 7-228). The mean (SD) RENAL score on admission was 7.5 (1.9), and the median (interquartile range) tumor volume was 3 (1.6-4.5) ml. The median length of hospital stay was 23 hours (range, 6-55). There was no significant change in estimated glomerular filtration rate following cryoablation. All the recorded complications, except one, were grade I and resolved with hydration or treatment with nonsteroidal anti‑inflammatory drugs. No patient required dialysis in the perioperative period.</p><p><strong>Conclusions: </strong>Imaging‑guided PCA is a feasible and effective treatment option for patients with renal tumor recurrences after PN.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 4","pages":"483-488"},"PeriodicalIF":1.6,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694254","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":"Clinical efficacy of various resuscitation fluids in the management of sepsis in postoperative surgical and trauma patients: a systematic review and meta--analysis.","authors":"Yongjie Wang, Kewu Chen, Xiaolu Li, Jianing Guan","doi":"10.20452/wiitm.2024.17900","DOIUrl":"10.20452/wiitm.2024.17900","url":null,"abstract":"<p><strong>Introduction: </strong>Fluid resuscitation is the primary sepsis management strategy aimed at reducing mortality and achieving better treatment outcomes in critically hypotensive patients. Still, there are significant ambiguities regarding the most suitable fluid type that would ensure optimization of patient outcomes.</p><p><strong>Aim: </strong>The aim of this systematic review and meta-analysis was to assess the clinical effectiveness of different resuscitation fluids for sepsis management in critically hypotensive patients.</p><p><strong>Materials and methods: </strong>A systematic search of 4 electronic databases (PubMed, EMBASE, Scopus, and Cochrane Library) was conducted to identify relevant papers published in peer-reviewed journals since database inception until June 30, 2024. Odds ratios (ORs) with 95% CIs were calculated to evaluate the impact of individual resuscitation fluids on improvements in hemodynamic parameters and all-cause mortality. Heterogeneity was assessed using the Cochran Q, I² statistic, and the appropriate <i>P</i> value.</p><p><strong>Results: </strong>Our meta-analysis included 18 randomized controlled trials comparing the efficacy of different resuscitation fluids for sepsis management in 14 469 critically hypotensive patients. We found that Ringer's lactate solution was more effective than saline in reducing mortality (OR, 0.53; 95% CI, 0.41-0.7; χ²= 3.47; degree of freedom [df] = 6; Z = 4.6; I² = 0%; <i>P</i> <⁠0.001) and improving hemodynamic parameters (OR, 2.64; 95% CI, 2.45-2.86; χ² = 48.36; df = 6; Z = 24.84; I² = 18%; <i>P</i> <⁠0.001). However, saline was superior to albumin and hydroxyethyl starch in reaching these end points.</p><p><strong>Conclusion: </strong>We showed that in critically hypotensive septic patients, Ringer's lactate solution reduces all-cause mortality and improves hemodynamic parameters more effectively than saline, hydroxyethyl starch, and albumin solutions.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"275-288"},"PeriodicalIF":1.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558507","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":"Outcomes of laparoscopic transabdominal preperitoneal hernia repair in the elderly population: a retrospective cohort study.","authors":"Dawid Golik, Krzysztof Jędras, Przemysław Sroczyński, Grzegorz Dobkowski, Michał R Janik","doi":"10.20452/wiitm.2024.17899","DOIUrl":"10.20452/wiitm.2024.17899","url":null,"abstract":"<p><strong>Introduction: </strong>Hernia repair is a common procedure, especially among the elderly. In the face of rising life expectancy, adequate hernia management in older adults is crucial. Laparoscopic transabdominal preperitoneal patch plasty (TAPP) for hernia repair is minimally invasive, but poses challenges in the elderly due to a larger number of comorbidities.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the safety and efficacy of TAPP hernia repair in patients aged 70 years and older.</p><p><strong>Materials and methods: </strong>Our retrospective study reviewed data of patients who underwent elective unilateral TAPP repair for primary inguinal hernia between September 2021 and December 2023. The patients were divided by age: 70 and older (cases) and younger than 70 (controls). Primary outcomes included recurrence rate, surgical site infections (SSIs), operative time, and hospital stay. Data were analyzed with descriptive statistics and inferential tests.</p><p><strong>Results: </strong>The study included 201 patients (47 cases and 154 controls). The mean (SD) age was 75.74 (4.73) years for the cases and 53.47 (12.8) years for the controls. No recurrences were found in the elderly (cases) group, while the control group recorded a 3.92% recurrence rate (<i>P</i> = 0.34). SSIs affected 2.13% of the cases and 1.31% of the controls (<i>P</i> = 0.55). Operative times were similar (71.44 vs 71.96 min; <i>P</i> = 0.8)<i>.</i> Hospital stay was 3.11 days for the cases and 3.04 days for the controls (<i>P</i> = 0.14).</p><p><strong>Conclusions: </strong>Laparoscopic TAPP hernia repair is a safe and effective procedure in the elderly and its outcomes are comparable to those recorded in younger patients. Further studies are needed to validate these results.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"325-329"},"PeriodicalIF":1.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694233","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":"Effects of obesity on outcomes of laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective analysis.","authors":"Dawid Golik, Przemysław Sroczyński, Krzysztof Jędras, Grzegorz Dobkowski, Michał R Janik","doi":"10.20452/wiitm.2024.17896","DOIUrl":"10.20452/wiitm.2024.17896","url":null,"abstract":"<p><strong>Introduction: </strong>Inguinal hernia repair, particularly the transabdominal preperitoneal (TAPP) technique, is common worldwide. Obesity (body mass index [BMI] ≥30 kg/m²) can influence surgical outcomes, potentially resulting in longer operative time, higher complication rate, and prolonged hospital stay.</p><p><strong>Aim: </strong>This study aimed to evaluate the impact of obesity on surgical outcomes following laparoscopic TAPP inguinal hernia repair.</p><p><strong>Materials and methods: </strong>We retrospectively reviewed data from patients who underwent laparoscopic TAPP inguinal hernia repair between September 2021 and December 2023. We included patients aged 18 years or older who had elective unilateral TAPP repair for primary inguinal hernia. The patients were categorized based their BMI as obese (BMI ≥30 kg/m²) and nonobese (BMI <⁠30 kg/m²). Outcomes assessed included recurrence rate, surgical site infections (SSIs), operative time, and length of hospital stay.</p><p><strong>Results: </strong>We analyzed 201 patients of whom 30 (14.8%) were obese and 171 (85.2%) were nonobese. Recurrence rates were 6.67% in the obese and 2.35% in the nonobese patients (<i>P</i> = 0.222). No SSIs were observed in the obese patients, as compared with 1.76% in the nonobese individuals (<i>P</i> = 1). Mean (SD) operative time was 78.87 (31.88) minutes for the obese and 70.28 (27.25) minutes for the nonobese patients (<i>P</i> = 0.203). Mean (SD) hospital stay was 3.13 (0.35) days for the patients with and 3.05 (0.28) days for those without obesity (<i>P</i> = 0.086).</p><p><strong>Conclusions: </strong>There were no significant differences in recurrence rates, SSIs, operative time, or hospital stay between the obese and nonobese patients. Appropriate surgical expertise and perioperative management can result in comparable outcomes for both groups. Further research is recommended to understand the impact of obesity on hernia recurrence.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"342-346"},"PeriodicalIF":1.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694150","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":"Effects of dexmedetomidine combined with intravenous general anesthesia on hemodynamics and inflammatory factors in patients undergoing laparoscopic colorectal cancer surgery.","authors":"Chunling Liu, Yong Gui, Min Zeng, Zhidong Zhou","doi":"10.20452/wiitm.2024.17891","DOIUrl":"10.20452/wiitm.2024.17891","url":null,"abstract":"<p><strong>Introduction: </strong>Surgery is the principal treatment option for early colorectal cancer (CRC). Anesthesia plays a crucial role in any surgery as it allows for a painless procedure. Dexmedetomidine is a local anesthetic that reduces pain and discomfort during surgery.</p><p><strong>Aim: </strong>The aim of this study was to investigate the efficacy of application of dexmedetomidine combined with total intravenous anesthesia in laparoscopic CRC surgery, with particular focus on its effects on patient hemodynamics and inflammatory factors.</p><p><strong>Materials and methods: </strong>For the purposes of this study, 80 patients undergoing elective laparoscopic rectal cancer surgery were selected and subsequently divided into 2 groups: the experimental group (0.5 µg/kg dexmedetomidine infused at a constant speed for 20 minutes, followed by 0.4 µg/kg/h dexmedetomidine) and the control group (0.5 µg/kg sufentanil infused at a constant speed for 20 minutes, followed by 0.4 µg/kg/h sufentanil). Each group comprised 40 patients. Hemodynamic parameters were recorded 1 minute before pumping dexmedetomidine or sufentanil (S0), 1 minute after pneumoperitoneum position (S1), 1 hour after pneumoperitoneum (S2), and 1 minute after elimination of air from the patient's peritoneal cavity and position change (S3).</p><p><strong>Result: </strong>Systolic blood pressure (SBP) and diastolic blood pressure (DBP) at S1 and S2 in the experimental group were lower than in the control group (P <0.05). Heart rate (HR) and mean arterial pressure (MAP) at S1, S2, and S3 in the experimental group were lower, as compared with the control group (P <0.05). The levels of serum inflammatory factors (tumor necrosis factor α [TNF‑α], interleukin [IL]‑8, and IL‑6) and stress response indicators (plasma epinephrine, norepinephrine, and plasma cortisol) at S1, S2, and S3 in the experimental group were lower than in the control group (P <0.05). The expressions of TNF‑α, IL‑8, and IL‑6 in the experimental group negatively correlated with SBP and DBP (P <0.05), and with MAP and HR (P <0.001).</p><p><strong>Conclusion: </strong>Dexmedetomidine can effectively maintain hemodynamic stability and inhibit inflammatory and stress responses in patients undergoing laparoscopic CRC surgery, with its effect being superior to those of sufentanil.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"391-398"},"PeriodicalIF":1.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558509","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 the \"five‑in‑one\" mode on complications and compliance behaviors of patients with ureteral calculi after minimally invasive surgery.","authors":"Xixian Ou, Xuejing Wang","doi":"10.20452/wiitm.2024.17893","DOIUrl":"10.20452/wiitm.2024.17893","url":null,"abstract":"<p><strong>Introduction: </strong>As a clinically common urinary system disease, ureteral calculus mainly manifests as hematuria and colicky pain.</p><p><strong>Aim: </strong>We aimed to explore the influence of the \"five‑in‑one\" mode on complications and compliance behaviors of patients with ureteral calculi after minimally invasive surgery.</p><p><strong>Materials and methods: </strong>A total of 92 participants were enrolled from among the patients hospitalized for ureteral calculi and treated with minimally invasive surgery between April 2022 and April 2023. The patients were randomized into a control group (n = 46) and an experimental group (n = 46). The control group received rehabilitation guidance under routine nursing mode, while the experimental group was provided with the \"five‑in‑one\" nursing mode to strengthen communication in all aspects, in addition to synergistic therapy.</p><p><strong>Results: </strong>The self‑rating depression scale scores declined in both groups after treatment in comparison with those before treatment (<i>P</i> <0.05), and the postoperative score was significantly lower in the experimental group (<i>P</i> <0.05). The experimental group had also decreased Visual Analog Scale scores in all time periods (1, 3, and 7 d) after treatment (<i>P</i> <0.05), and significantly elevated total nursing satisfaction rate, as compared with that of the control group (97.82% vs 82.6%; <i>P</i> <0.05).</p><p><strong>Conclusions: </strong>The \"five‑in‑one\" mode can enhance patient confidence in rehabilitation and improve their quality of life and satisfaction with nursing.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"356-360"},"PeriodicalIF":1.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694156","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":"Usefulness of computed tomography-guided puncture biopsy coupled with rapid on‑site evaluation for diagnosis of pulmonary lesions: a systematic review and meta‑analysis.","authors":"Zhongbao Zhang, Rui Liu, JunLin Li, Kai Zhang, Yuan Li, Xiaoqin Zhang, Sanjay Rastogi","doi":"10.20452/wiitm.2024.17895","DOIUrl":"10.20452/wiitm.2024.17895","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate identification of lung lesions during lung biopsy (LB) surgery can be achieved with the use of computed tomography (CT) guidance. The rapid on‑site evaluation (ROSE) method allows for quick assessment of the features, cytomorphological traits, and appropriateness of the obtained tissue samples, and might further accelerate the diagnostic workup.</p><p><strong>Aim: </strong>We aimed to investigate the diagnostic value of CT‑guided aspiration biopsy combined with ROSE for assessment of pulmonary lesions.</p><p><strong>Materials and methods: </strong>A PubMed and Embase search was undertaken until October 2023 to find studies on lung lesion diagnosis utilizing CT‑guided needle biopsy and ROSE. The main method for assessing bias and relevance was the updated Quality Assessment of Diagnostic Accuracy Research 2 tool. The threshold effect and subgroup analysis were used to determine the source or heterogeneity. Sensitivity, specificity, diagnostic odds ratio (DOR), area under the summary receiver operating characteristics curve (SROC AUC), and the Q‑index were calculated. The Deek funnel plot was used to evaluate publication bias.</p><p><strong>Results: </strong>A total of 6 studies (n = 951) with mild heterogeneity were included in this meta‑analysis, yielding a pooled sensitivity, specificity, and DOR of 0.94 (95% CI, 0.91-0.96), 0.95 (95% CI, 0.9-0.98), and 159.05 (95% CI, 69.59-363.49), respectively. The SROC AUC, calculated using a random‑effects model, was 0.98. Subgroup analysis showed that study design (prospective vs retrospective) had an impact on sensitivity. Further analysis of 3 studies that established control groups showed that the ROSE group had by 12% (95% CI, 0.08-0.16; I² = 0) higher sampling adequacy and diagnostic accuracy than the non‑ROSE group, while there was no significant difference in the rate of complications.</p><p><strong>Conclusions: </strong>For assessment of pulmonary lesions, CT‑guided puncture biopsy combined with ROSE has high sensitivity, specificity, and diagnostic accuracy, and is a practical operational method that merits wide clinical application.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"299-307"},"PeriodicalIF":1.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694235","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}