Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Microultrasound imaging for accuracy of diagnosis in prostate cancer: a single‑center observational study.","authors":"Michael Grynkiewicz, Nicolò Maria Buffi, Vittorio Fasulo, Fabio De Carne, Edoardo Beatrici, Nicola Frego, Maciej Wiewiora, Giovanni Lughezzani","doi":"10.20452/wiitm.2025.17978","DOIUrl":"10.20452/wiitm.2025.17978","url":null,"abstract":"<p><strong>Introduction: </strong>Research results suggest that high-resolution ultrasonography (microUS) can be used to estimate the risk of prostate cancer (PCa) and identify suspicious areas, enabling precise biopsy during examination.</p><p><strong>Aim: </strong>The aim of the study was to assess the usefulness of microUS in a population of patients with suspected PCa.</p><p><strong>Materials and methods: </strong>An observational single-center study on the application of microUS was conducted in a group of 439 patients. All examinations were performed using the ExactVu microUS system.</p><p><strong>Result: </strong>A total of 439 patients with suspected PCa underwent microUS examination. Following the examination, suspicious lesions (positive result) were identified in 196 patients (44.6%). Among them, 86 (43.8%) underwent multiparametric magnetic resonance imaging (mpMRI), and suspicious lesions were found in 36% of the cases. There was no major difference in the frequency of positive results on microUS and mpMRI (<i>P</i> <⁠0.4). Concordant results of mpMRI and microUS were observed in 71% of the patients. The accordance between microUS and mpMRI was more frequent than a lack of accordance (<i>P</i> <⁠0.01). There was no difference in the frequency of PCa detection between the 2 groups (<i>P</i> <⁠0.6). There was no difference in the frequency of PCa detection in the group with concordant microUS and mpMRI findings, as compared to the discordant group of patients (<i>P</i> <⁠0.6). In the group of 243 individuals with negative microUS results, 87 (35.8%) underwent mpMRI. Result concordance between negative mpMRI and microUS was 79%.</p><p><strong>Conclusion: </strong>A positive result from microUS, even when MRI is negative, may indicate a need for prostate biopsy. On the other hand, a negative result from microUS suggests a low likelihood of clinically significant PCa and thus a need for biopsy.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"295-301"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483597","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":"Unilateral biportal endoscopy for upper lumbar disc herniation: surgical challenges and clinical outcomes.","authors":"Jiashen Shao, Zhiwu Zhang, Hai Meng, Jisheng Lin, Zihan Fan, Qi Fei","doi":"10.20452/wiitm.2025.17977","DOIUrl":"10.20452/wiitm.2025.17977","url":null,"abstract":"<p><strong>Introduction: </strong>Upper lumbar disc herniation (ULDH) is a rare type of herniation occurring at the L1/L2 or L2/L3 level. Due to its high location, associated with small spinal canal volume and complex anatomy, surgical treatment of this condition is challenging.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the clinical efficacy of unilateral biportal endoscopy (UBE) in the treatment of ULDH, and to assess short-term clinical outcomes.</p><p><strong>Materials and methods: </strong>This was a retrospective analysis of patients with L1/L2 or L2/L3 LDH who underwent UBE decompression surgery between June 2021 and June 2024 at the Department of Orthopedics of the Beijing Friendship Hospital. Demographic characteristics and surgical data were analyzed, and the Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), and visual analog scale (VAS) scores for lower back and leg pain were collected from the patients preoperatively, postoperatively, and at the final follow-up. Clinical improvement was assessed using the MacNab criteria.</p><p><strong>Result: </strong>During the study period, a total of 18 patients with ULDH who met the inclusion criteria underwent UBE decompression surgery. The mean (SD) follow-up was 17.5 (9.2) months. Postoperative VAS, JOA, and ODI scores showed significant improvement, as compared with the preoperative values, whereas the values obtained at the final follow-up did not differ significantly from those recorded in the early postoperative period. Only 1 patient showed poor improvement and developed postoperative complications.</p><p><strong>Conclusion: </strong>UBE technology has significant potential in the field of ULDH treatment; however, further large-scale clinical trials are warranted to confirm its long-term efficacy.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"318-324"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483129","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 a newly established bariatric program in a hospital without an intensive care unit: a retrospective analysis of safety and effectiveness.","authors":"Przemysław Sroczyński, Krzysztof Jędras, Grzegorz Dobkowski, Agata Gaździńska, Dariusz Tomaszewski, Robert Drozdowski, Michał Janik","doi":"10.20452/wiitm.2025.17975","DOIUrl":"10.20452/wiitm.2025.17975","url":null,"abstract":"<p><strong>Introduction: </strong>Bariatric surgery effectively contributes to substantial weight loss and improvement of obesity‑related comorbidities. Establishing new bariatric programs, particularly in hospitals without intensive care units, requires tailored implementation strategies and careful resource planning to ensure both safety and efficacy.</p><p><strong>Aim: </strong>The aim of this study was to retrospectively assess the safety and efficacy outcomes of a newly implemented bariatric program the Military Institute of Aviation Medicine.</p><p><strong>Materials and methods: </strong>This retrospective study evaluated all bariatric surgeries (n = 267) performed between September 2021 and December 2024 at our hospital following the establishment of a comprehensive bariatric program. The program included surgeon training, multidisciplinary team formation, protocol development, and infrastructure modifications. Patient demographics, operative details, complications, weight loss outcomes, and resolution of comorbidities were analyzed.</p><p><strong>Result: </strong>Laparoscopic sleeve gastrectomy (LSG) was the predominant procedure (85.77%), followed by laparoscopic Roux‑en‑Y gastric bypass (LRYGB, 13.86%). Mean (SD) operative time was 145 (35) minutes for LRYGB and 77 (19) minutes for LSG. Overall, 93.1% of the patients had no complications, with the rate of serious complications requiring surgical intervention (Clavien-Dindo grade IIIB) decreasing from 7.69% in 2021 to 0.97% in 2024. No mortalities occurred. Among the 112 patients (68.3%) with available follow‑up data, mean (SD) percentage of total weight loss was 29.61% (12.08%) for LRYGB and 25.92% (10.57%) for LSG. High rates of comorbidity resolution were observed for type 2 diabetes mellitus (90.91%), hypertension (65.79%), dyslipidemia (70%), and metabolic syndrome (91.67%).</p><p><strong>Conclusion: </strong>With careful planning, comprehensive team training, and adherence to established protocols, a new bariatric surgery program can achieve excellent safety and effectiveness outcomes from inception. The results validate our approach to program development and patient care.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"279-284"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483587","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 and efficacy of combining transcervical fibroid ablation with operative hysteroscopy.","authors":"Elvin Piriyev, Angelika Dieter, Sven Schiermeier, Stefan Renner, Thomas Römer","doi":"10.20452/wiitm.2025.17974","DOIUrl":"10.20452/wiitm.2025.17974","url":null,"abstract":"<p><strong>Introduction: </strong>Minimally-invasive, organ-preserving techniques for uterine fibroid management have gained popularity. This study assesses the safety and effectiveness of combining transcervical fibroid ablation (TFA) with operative hysteroscopy (HSC).</p><p><strong>Aim: </strong>We aimed to evaluate whether a combined approach that involves performing TFA and operative HSC during a single session increased the intra- and postoperative risks.</p><p><strong>Materials and methods: </strong>A total of 200 women were included in this retrospective study. They were divided into 2 groups: 100 underwent combined TFA and operative HSC (group 1), and 100 underwent HSC alone (group 2). Surgical procedures included fibroid / polyp resection, endometrial ablation, and septum dissection. Outcomes assessed comprised intra- and postoperative complications and symptom improvement.</p><p><strong>Result: </strong>Complication rates were low and comparable in both groups. Among the patients in group 1 with available follow-up (n = 60), 83.3% reported improvement in bleeding symptoms, particularly those treated with TFA combined with myomectomy (84%). The combined approach enabled treatment of a broader range of fibroid types (International Federation of Gynecology and Obstetrics score 0-6) and intrauterine pathologies in a single session. No severe or life-threatening complications were observed. The risk of bleeding during fibroid resection was reduced when the resection was preceded by TFA (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>Combining TFA and HSC appears to be a safe, effective, and versatile approach for treating uterine fibroids and intrauterine pathologies. It offers procedural efficiency, broadens treatment eligibility, and may reduce the need for reintervention.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"302-309"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483573","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":"Risk factors and prediction model for stone mucosa adhesion before retrograde intrarenal surgery.","authors":"Hongliang Wei, Xiaowei Wang, Shuo Zheng, Zhong Li, Lei Wang, Wei Li","doi":"10.20452/wiitm.2025.17973","DOIUrl":"10.20452/wiitm.2025.17973","url":null,"abstract":"<p><strong>Introduction: </strong>Preoperative assessment of ureteral adhesions related to stones is crucial for choosing the right surgical approach.</p><p><strong>Aim: </strong>This study aimed to evaluate clinically significant factors for predicting the development of adhesions between the calculus and the mucosa in patients with ureteral stones undergoing retrograde intrarenal surgery.</p><p><strong>Materials and methods: </strong>The study included 173 patients. Ureteroscopy was performed to accurately identify the presence of adhesions between the calculus and the mucosa. Univariate and multivariable logistic regression analyses were performed to identify independent factors predicting adhesions. An alignment diagram model was developed utilizing the independent factors identified. Discrimination and calibration of the model were evaluated via the receiver operating characteristic curve and further examined via calibration curves, decision curve analysis, and cumulative intervention curves.</p><p><strong>Result: </strong>Adhesions between the calculus and the mucosa were confirmed on ureteroscopy in 48 patients (27.7%). Multivariable logistic regression analyses showed that ureteral wall thickness (UWT), hydronephrosis severity, perirenal fat stranding (PFS), and pain intensity were independent risk predictors of adhesions (<i>P</i> <⁠0.001; <i>P</i> <⁠0.001; <i>P</i> = 0.02; <i>P</i> = 0.02, respectively). The estimated area under the curve in the group with and without adhesions was 0.849 (95% CI, 0.742-0.832) and 0.888 (95% CI, 0.829-0.833), respectively, demonstrating an excellent predictive performance of the model.</p><p><strong>Conclusion: </strong>UWT, PFS, hydronephrosis severity, and pain intensity are independent risk factors for the development of adhesions between the calculus and the mucosa. Our predictive model exhibited outstanding performance, and it may help clinicians choose the most appropriate surgical method.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"285-294"},"PeriodicalIF":1.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483546","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":"Protective effect of complete endoscopic thyroidectomy through different approaches on the recurrent laryngeal nerve.","authors":"Jianghai Li, Yuming Hua","doi":"10.20452/wiitm.2025.17965","DOIUrl":"10.20452/wiitm.2025.17965","url":null,"abstract":"<p><strong>Introduction: </strong>Papillary thyroid carcinoma (PTC) is a malignancy originating from the thyroid follicular epithelium, accounting for over 80% of thyroid cancer globally. It is often asymptomatic in its early stages, but over time, it may invade the unilateral recurrent laryngeal nerve (RLN), leading to hoarseness, weak speech, or dysphagia. In order to prevent further complications, prompt treatment is required, and surgery remains the primary and most effective option.</p><p><strong>Aim: </strong>This study aimed to evaluate the protective effect of complete endoscopic thyroidectomy (CET) via different approaches on the RLN.</p><p><strong>Materials and methods: </strong>The study analyzed clinical data of 100 patients with clinically node-negative PTC, who underwent CET via the breast approach from February 2023 to February 2025. The patients were divided into 2 groups: the control group (n = 55) which underwent CET via the axillary approach and the study group (n = 45), subjected to CET via the clavicular approach.</p><p><strong>Result: </strong>Postoperative assessments showed considerable improvements in amplitude perturbation, fundamental frequency perturbation, harmonic-to-noise ratio, and normalized noise energy in both groups, with the study group demonstrating superior results (<i>P</i> <⁠0.05). One month after surgery, the voice handicap index score decreased in both groups, as compared with preoperative levels, the study group having obtained a lower score (<i>P</i> <⁠0.05). The Scar Cosmesis Assessment and Rating score increased postoperatively in both groups, with a higher score recorded in the study group (<i>P</i> <⁠0.05). The Short Form-36 Heath Status Questionnaire scores increased across all dimensions postoperatively in both groups, with the study group showing greater improvements (<i>P</i> <⁠0.05).</p><p><strong>Conclusion: </strong>Compared with the axillary approach, CET via the clavicular approach results in greater postoperative improvements in acoustic parameters, lower voice handicap index scores, better scar appearance, and higher Short Form-36 health status scores.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"266-272"},"PeriodicalIF":1.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483555","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":"Best medical treatment vs endovascular repair for uncomplicated acute type B aortic dissection: a comparative study.","authors":"Fu-Kang Yuan, Hong-Yi Yang, Yu-Fei Fu, Zhong Tian, Hua-Wei Zhuo, Ming-Bao Chen","doi":"10.20452/wiitm.2025.17972","DOIUrl":"10.20452/wiitm.2025.17972","url":null,"abstract":"<p><strong>Introduction: </strong>Both best medical treatment (BMT) and endovascular repair (ER) are viable treatment strategies in uncomplicated acute type B aortic dissection (TBAD). However, long-term outcomes of these 2 approaches remain a topic of debate.</p><p><strong>Aim: </strong>This study was developed to compare the clinical efficacy, short-term outcomes, and long-term results of ER and BMT in the management of uncomplicated TBAD.</p><p><strong>Materials and methods: </strong>This retrospective, single-center study included consecutive individuals diagnosed with uncomplicated TBAD who underwent ER or BMT between January 2019 and August 2024. Relative outcomes for these 2 treatment approaches were compared.</p><p><strong>Result: </strong>In total, 165 and 148 patients who respectively received ER and BMT were enrolled in the analysis. Relative to BMT, ER significantly increased the thrombosed / obliterated false lumen rate (81.8% vs 16.2%, respectively; <i>P</i> = 0.001), reduced the rupture rate (1.8% vs 12.2%, respectively; <i>P</i> = 0.001), and decreased late mortality (4.8% vs 14.2%, respectively; <i>P</i> = 0.004). The rates of retrograde type A dissection, organ failure, and early mortality in the BMT and ER groups were similar (1.8% vs 3.4%; <i>P</i> = 0.48; 0.6% vs 2%; <i>P</i> = 0.35; 0.6% vs 4.1%; <i>P</i> = 0.06, respectively). In the ER group, the overall survival rates at 1, 3, and 5 years were 98.8%, 96.5%, and 94.6%, respectively, while the BMT group exhibited corresponding survival rates of 94.5%, 91.5%, and 84.7%.</p><p><strong>Conclusion: </strong>In comparison with BMT, ER significantly reduces rupture rate and enhances thrombosed / obliterated false lumen rate, thereby improving long-term prognosis.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 3","pages":"331-335"},"PeriodicalIF":1.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483584","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":"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}