{"title":"Technical variability and safety of sleeve gastrectomy: a nationwide survey of bariatric centers in Poland.","authors":"Przemysław Sroczyńsk, Piotr Major, Michał R Janik","doi":"10.20452/wiitm.2025.17954","DOIUrl":"10.20452/wiitm.2025.17954","url":null,"abstract":"<p><strong>Introduction: </strong>Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure in Poland. While considered technically straightforward, significant variation exists in the operative technique, which may affect safety outcomes.</p><p><strong>Aim: </strong>This study aimed to analyze the technical aspects and complication rates of SG across Polish bariatric centers in 2023.</p><p><strong>Materials and methods: </strong>This is a secondary analysis of a nationwide survey conducted among bariatric centers affiliated with the Metabolic and Bariatric Surgery Chapter of the Association of Polish Surgeons. As many as 54 centers participated, reporting detailed data on SG technique and outcomes. The centers were stratified by annual SG volume using a 50-procedure threshold, corresponding to the suggested learning curve.</p><p><strong>Results: </strong>A total of 7450 SG procedures were reported. Calibration bougies of 36 French were used by 70% of the centers. Staple line reinforcement was routinely performed in 72.5% of the centers, with oversewing and clipping as the most common methods. Leak tests were performed by 84.3% of the centers, while 66.7% omitted routine drain placement. Postoperative complication rates included bleeding (0.98%), leak (0.33%), reoperation (1.04%), and mortality (0.16%). Although not significant, complication rates were consistently higher in the centers performing fewer than 50 SGs annually.</p><p><strong>Conclusions: </strong>SG in Poland is characterized by favorable safety outcomes but notable procedural variability. While most centers follow recommended practices, a lack of standardization persists in key technical areas. Surgical volume may influence complication rates. National guidelines and structured training programs may help harmonize practice and improve outcomes.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"209-214"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818005","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}
Paweł Lech, Dominika Mysiorska, Julia Młyńska, Emilia Szymborska, Natalia Dowgiałło-Gornowicz
{"title":"Outcomes of Nissen sleeve gastrectomy in a short‑term follow‑up: a new future?","authors":"Paweł Lech, Dominika Mysiorska, Julia Młyńska, Emilia Szymborska, Natalia Dowgiałło-Gornowicz","doi":"10.20452/wiitm.2025.17945","DOIUrl":"10.20452/wiitm.2025.17945","url":null,"abstract":"<p><strong>Introduction: </strong>Sleeve gastrectomy (SG) is the most commonly performed bariatric procedure worldwide, offering significant weight loss and remission of obesity-related diseases. However, SG is associated with a high risk of gastroesophageal reflux disease (GERD). To mitigate this issue, a modified procedure combining SG with Nissen fundoplication (Nissen-sleeve gastractomy [NSG]) has been developed.</p><p><strong>Aim: </strong>The primary aim of this study was to assess the effectiveness of NSG in GERD remission. Secondary objectives included the evaluation of short-term weight loss and the resolution of obesity-related diseases.</p><p><strong>Materials and methods: </strong>We conducted s prospective analysis of 34 patients who underwent NSG between September 2023 and August 2024 at a single center in Poland. Inclusion criteria comprised age over 18 years, eligibility for metabolic and bariatric surgery, and GERD symptoms. Data on GERD severity and weight loss outcomes were collected before and after the surgery.</p><p><strong>Results: </strong>Mean (SD) preoperative body mass index was 40.3 (4.4) kg/m². GERD symptom severity decreased from a median score of 8 to 1 (<i>P</i> <0.001), with 97.1% of the patients achieving GERD remission. Mean (SD) percentage of total weight loss was 23% (6.3%) at 6 months and 30.3% (6.7%) at 12 months postoperatively. Type 2 diabetes remission was observed in 28.6% of the patients, and hypertension remission, in 58.3%. No postoperative complications were reported.</p><p><strong>Conclusions: </strong>NSG is a safe and effective procedure that leads to GERD remission, while achieving short-term satisfactory weight loss and mitigating obesity-related diseases.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"204-208"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817986","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 2 different fluoroscopy activation intervals in shock wave lithotripsy: a prospective randomized study.","authors":"Cengiz Çanakcı, Ahmet Şahan, Orkunt Özkaptan, Erdinç Dinçer, Utku Can, Alper Coşkun","doi":"10.20452/wiitm.2025.17947","DOIUrl":"10.20452/wiitm.2025.17947","url":null,"abstract":"<p><strong>Introduction: </strong>Intermittent fluoroscopic controls are required during shock wave lithotripsy (SWL) to readjust the probe due to patients' movements, respiratory movement, and stone displacement within the kidney. However, there is still no consensus in the literature on the optimal frequency of fluoroscopic monitoring.</p><p><strong>Aim: </strong>Our aim was to determine the optimal fluoroscopy activation interval in fluoroscopy‑guided SWL and examine its effect on fluoroscopy time and stone‑free status.</p><p><strong>Materials and methods: </strong>This prospective randomized study included patients with opaque renal pelvic stones smaller than 2 cm, subjected to fluoroscopy‑guided SWL between July 2020 and January 2024. The patients were divided into 2 groups. Fluoroscopic control was performed every 250 shocks in group 1, and every 500 shocks in group 2. Demographic data, calculus volume and density, skin‑to‑stone distance, number of shots and sessions, fluoroscopy duration, and stone‑free status were analyzed.</p><p><strong>Results: </strong>The data of 158 randomly included patients (equally divided between both groups) were analyzed. No differences were observed between the groups in terms of demographic data and stone parameters. However, there was a difference in fluoroscopy time, which was longer in group 1 than in group 2 (mean [SD], 217.9 [90.2] vs 117 [37] s, respectively; P <0.001). No differences in stone‑free status between the groups were observed (group 1; 64.5%; group 2, 67%; P = 0.87).</p><p><strong>Conclusions: </strong>Reducing fluoroscopy activation interval in SWL does not affect stone‑free status, but it helps limit radiation exposure.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"152-156"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817980","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}
Alicja Dudek, Barbara Zapała, Ilona Kawa, Karol Ciszek, Piotr Tylec, Katarzyna Cyranka, Michał Wysocki, Piotr Major
{"title":"Metabolic and bariatric surgery reduces aging biomarkers in patients with obesity, independently of achieving optimal total weight loss.","authors":"Alicja Dudek, Barbara Zapała, Ilona Kawa, Karol Ciszek, Piotr Tylec, Katarzyna Cyranka, Michał Wysocki, Piotr Major","doi":"10.20452/wiitm.2025.17946","DOIUrl":"10.20452/wiitm.2025.17946","url":null,"abstract":"<p><strong>Introduction: </strong>Obesity, a chronic disease linked to premature aging, is increasingly managed through metabolic and bariatric surgery (MBS).</p><p><strong>Aim: </strong>This study aimed to evaluate whether changes in biological age markers depended on the optimal weight loss rates resulting from MBS.</p><p><strong>Materials and methods: </strong>In this prospective, observational study, 100 patients with obesity scheduled for MBS from July 2020 to May 2021 underwent a 24-month postoperative follow-up. The telomere length (TL) was assessed using quantitative polymerase chain reaction. We also evaluated DNA damage, C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor α (TNF-α) levels, total oxidant status (TOS), and the metabolic age. We checked whether the percentage of total body weight loss (%TWL) and the percentage excess weight loss (%EWL) correlated with the changes in aging markers postsurgery.</p><p><strong>Results: </strong>Forty patients completed follow-up, with 22 achieving optimal (%TWL ≥20%; %EWL ≥50%) and 18 suboptimal (%TWL <20%; %EWL <50%) surgical outcomes. Both groups showed a significant TL increase and a reduction of DNA damage, CRP, IL-6, and TNF-α levels, TOS, and the metabolic age. A greater change, however, was only observed for the metabolic age in the optimal outcome group. The Δ of change in the other aging markers did not differ between the groups.</p><p><strong>Conclusions: </strong>Improvements in aging markers, such as TL, DNA damage, inflammatory parameters, and TOS occur independently of weight loss rates after MBS, suggesting that weight loss indices alone do not fully capture the therapeutic success of the procedure.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"196-203"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817984","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}
Jacek Szeliga, Mateusz Jagielski, Jacek Sobocki, Michał Borys, Mirosław Czuczwar, Adam Durczyński, Tomasz Gach, Piotr Hogendorf, Andrzej Kawiński, Katarzyna Kuśnierz, Piotr Major, Michał Mik, Michał Pędziwiatr, Paweł Piwowarczyk, Marek Sierżęga, Michał Spychalski, Wojciech Szczeklik, Mirosław Szura, Mateusz Wierdak, Witold Zgodziński, Andrzej Budzyński, Stanisław Hać, Marek Jackowski, Wojciech Kielan, Michał Kukla, Sławomir Mrowiec, Piotr Myśliwiec, Jerzy Sieńko, Maciej Słodkowski, Wiesław Tarnowski, Grzegorz Wallner, Marek Zawadzki, Krzysztof Zieniewicz
{"title":"Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines.","authors":"Jacek Szeliga, Mateusz Jagielski, Jacek Sobocki, Michał Borys, Mirosław Czuczwar, Adam Durczyński, Tomasz Gach, Piotr Hogendorf, Andrzej Kawiński, Katarzyna Kuśnierz, Piotr Major, Michał Mik, Michał Pędziwiatr, Paweł Piwowarczyk, Marek Sierżęga, Michał Spychalski, Wojciech Szczeklik, Mirosław Szura, Mateusz Wierdak, Witold Zgodziński, Andrzej Budzyński, Stanisław Hać, Marek Jackowski, Wojciech Kielan, Michał Kukla, Sławomir Mrowiec, Piotr Myśliwiec, Jerzy Sieńko, Maciej Słodkowski, Wiesław Tarnowski, Grzegorz Wallner, Marek Zawadzki, Krzysztof Zieniewicz","doi":"10.20452/wiitm.2025.17941","DOIUrl":"10.20452/wiitm.2025.17941","url":null,"abstract":"","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"1-29"},"PeriodicalIF":1.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477597","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 endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen.","authors":"Nan Su, Jiashen Shao, Gang Zhu, Yu Wang","doi":"10.20452/wiitm.2025.17935","DOIUrl":"10.20452/wiitm.2025.17935","url":null,"abstract":"<p><strong>Introduction: </strong>Robot‑assisted surgery is becoming increasingly popular and its application is expanding to various spinal surgical procedures, including endoscopic spinal surgery.</p><p><strong>Aim: </strong>The aim of this study was to describe a novel small parallel orthopedic surgical robot and evaluate its feasibility in assisting surgeons during percutaneous lumbar laminectomy on cadaveric specimens.</p><p><strong>Materials and methods: </strong>The authors of the study developed a new orthopedic surgical navigation system (R‑Pharos, Rossum Robot Co., Ltd, Beijing, China), consisting of a navigation cart and a hybrid serial‑parallel bedside robotic arm. The system is equipped with interactive software for selecting and planning the percutaneous lumbar laminectomy target and path. A cadaveric specimen was selected for a right‑side partial laminectomy at L4. During the procedure, the surgeon used the robotic arm to guide the saw to the target lamina and perform the percutaneous resection. Postoperative cone beam computed tomography (CBCT) and endoscopic assessments were used to confirm the resection outcome.</p><p><strong>Results: </strong>After optimizing the precision of the small parallel orthopedic surgical robot to 1 mm, it was shown to meet the navigational requirements for percutaneous lumbar laminectomy. The surgeon utilized the interactive software to design the resection range and path for the right L4 lamina which was successfully resected, as confirmed by endoscopic observation. A postoperative CBCT scan revealed that the resection area precisely matched the preoperative design.</p><p><strong>Conclusions: </strong>This study demonstrated that the small parallel orthopedic surgical robot was capable of preoperatively planning the lamina resection area and could assist the surgeon in performing percutaneous lumbar laminectomy with high navigational precision.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"99-105"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477604","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}
Rui Zhu, Kui Mao, Xin-Zhi Lu, You-Qing Wang, Qian-Qian Li, Zi Ye
{"title":"Transarterial chemoembolization with 125 I seed insertion for unresectable hepatocellular carcinoma: a meta‑analysis.","authors":"Rui Zhu, Kui Mao, Xin-Zhi Lu, You-Qing Wang, Qian-Qian Li, Zi Ye","doi":"10.20452/wiitm.2025.17931","DOIUrl":"10.20452/wiitm.2025.17931","url":null,"abstract":"<p><strong>Introduction: </strong>Transarterial chemoembolization (TACE) is frequently used to treat patients with hepa‑ tocellular cancer (HCC) who are not eligible for surgery. The efficacy of TACE treatment can be improved by percutaneous insertion of 125I seeds after the procedure.</p><p><strong>Aim: </strong>This meta‑analysis aimed to assess the relative safety and efficacy of TACE with 125I seed insertion (TACE‑I) as compared with TACE alone for the management of inoperable HCC.</p><p><strong>Materials and methods: </strong>The PubMed, Cochrane Library, and Wanfang databases were searched for relevant studies published since the database inception through October 2024. The primary study outcome was objective response rate (ORR), while secondary outcomes comprised disease control rate (DCR), progression‑free survival (PFS), overall survival (OS), and adverse event incidence.</p><p><strong>Results: </strong>This meta‑analysis ultimately included 5 articles, all of which were published in China. In all these studies, TACE‑I outperformed TACE alone with respect to patient ORR (P <0.001), PFS (P <0.001), and OS (P <0.001). DCR values were similar in both groups (P = 0.77), as were the rates of adverse events, including fever (P = 0.75), vomiting (P = 0.83), and myelosuppression (P = 0.23). The only outcome exhibiting significant heterogeneity was OS (I2 = 73%). Based on the Egger test, the end points affected by publication bias were ORR, DCR, and OS (P = 0.01, P = 0.03, and P = 0.04, respectively).</p><p><strong>Conclusions: </strong>In patients with inoperable HCC, TACE‑I is associated with significantly better efficacy and longer survival than TACE alone, and has a good safety profile.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"30-35"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477609","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":"A retrospective cohort study comparing different fixation methods for the MiniMizer Extra adjustable gastric band.","authors":"Žygimantas Juodeikis, Gintautas Brimas","doi":"10.20452/wiitm.2025.17937","DOIUrl":"10.20452/wiitm.2025.17937","url":null,"abstract":"<p><strong>Introduction: </strong>Two decades ago, laparoscopic adjustable gastric banding was a leading bariatric sur‑ gery. However, its popularity has declined, with sleeve gastrectomy becoming the predominant choice. The MiniMizer Extra band used in our clinic from 2008 to 2020 was associated with band erosion primarily at its lower edge. In 2014, we started using a modified band fixation technique by placing sutures only on the upper part of the band.</p><p><strong>Aim: </strong>The aim of this study was to compare 2 different fixation techniques for the MiniMizer Extra adjustable gastric band to identify any potential differences in outcomes.</p><p><strong>Materials and methods: </strong>In this study, we compared 54 patients who underwent adjustable gastric banding with the MiniMizer Extra band between January 1, 2009, and January 31, 2010, with a group of 54 patients who were subjected to the procedure between January 1, 2014, and January 31, 2019, using a different band fixation method.</p><p><strong>Results: </strong>Weight loss results significantly favored the modified fixation group, with an average total weight loss of 24.2%. The overall complication rate was 12% and was significantly higher in the original fixation group. Complications included 6 cases of band erosion, 4 port‑related issues, 1 case of band slippage, and 2 cases of band intolerance.</p><p><strong>Conclusions: </strong>The modified fixation group demonstrated improved weight loss results with fewer com‑ plications, suggesting a potential advantage in safety and efficacy of the modified technique.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"51-54"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477596","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}
Michal Balík, Pavel Navráti, Lucie Šmejkalová, Miloš Broďák
{"title":"Robot‑assisted resection of a rare bladder tumor facilitated by perioperative bladder wall tattooing.","authors":"Michal Balík, Pavel Navráti, Lucie Šmejkalová, Miloš Broďák","doi":"10.20452/wiitm.2025.17932","DOIUrl":"10.20452/wiitm.2025.17932","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumors (IMTs) of the bladder are rare, with a limited number of cases reported in the literature. Complete resection with negative margins is essential to reduce the risk of recurrence, while bladder function preservation is also crucial for the patient. This study describes a 56‑year‑old patient with a bladder dome IMT managed using robot‑assisted partial cystectomy facili‑ tated by perioperative cystoscopic tattooing to precisely demarcate the tumor margins. The procedure began with cystoscopic tattooing of the lesion using Black Eye dye, followed by robotic resection with the da Vinci Xi system. Complete transmural resection and a 2‑layer bladder closure were performed, with preservation of the bladder capacity. The patient experienced minimal blood loss, no intraopera‑ tive complications, and was discharged 2 days after the procedure. Follow‑up examinations, including cystoscopy and computed tomography, confirmed no recurrence 12 months after surgery. Cystoscopic tattooing facilitated clear intraoperative tumor localization, enabling precise resection and minimal bladder wall loss. This approach addressed a key challenge of robotic bladder surgery-lack of tactile feedback-while maintaining functional outcomes. Robot‑assisted partial cystectomy with cystoscopic tattooing represents a promising alternative to maximal transurethral resection, especially in the context of bladder‑sparing trimodal therapy, for patients who are not eligible for or unwilling to undergo radical cystectomy. This technique is particularly relevant given the increasing focus on minimally invasive procedures and advancements in systemic therapy. In the future, this method could be adapted for ureteral robotic surgeries to enhance lesion localization.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"114-117"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477607","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}
Rafał B Drobot, Marcin Lipa, Jędrzej J Skorupka, Artur A Antoniewicz
{"title":"Robot‑assisted surgical management of mid‑urethral sling erosion into the bladder using transperitoneal robotic extensive approach for total mesh excision.","authors":"Rafał B Drobot, Marcin Lipa, Jędrzej J Skorupka, Artur A Antoniewicz","doi":"10.20452/wiitm.2024.17939","DOIUrl":"10.20452/wiitm.2024.17939","url":null,"abstract":"<p><p>Robot‑assisted surgical management of mid‑urethral sling (MUS) erosion into the bladder represents a novel approach in urological surgery. This study reports the first 2 cases in Poland treated using the transperitoneal robotic extensive approach for total mesh excision (TREATME). Both procedures were performed successfully, with complete mesh removal. No intra‑ or postoperative complications occurred, and conversion to open surgery was not required. These initial findings suggest that TREATME may be a feasible and safe option for managing complex MUS complications, necessitating further evaluation in larger studies.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"118-123"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477608","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}