Videosurgery and Other Miniinvasive Techniques最新文献

{"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":1.7,"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":1.7,"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}

{"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}

{"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}