Surgical Endoscopy最新文献

{"title":"Correlation of pathological examination with indocyanine green (ICG) intensity gradients: a prospective study in patients with liver tumor","authors":"Wong Hoi She, Miu Yee Chan, Simon Hing Yin Tsang, Wing Chiu Dai, Albert Chi Yan Chan, Chung Mau Lo, Tan To Cheung","doi":"10.1007/s00464-024-10840-9","DOIUrl":"https://doi.org/10.1007/s00464-024-10840-9","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Intraoperative indocyanine green (ICG) fluorescence imaging has been shown to be a new and innovative way to illustrate the optimal resection margin in hepatectomy for hepatocellular carcinoma. This study investigated its accuracy in resection margin determination by looking into the correlation of ICG intensity gradients with pathological examination results of resected specimens.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This was a prospective, single-center, non-randomized controlled study. Patients who had liver tumors indicating liver resection were recruited. The hypothesis was that the use of intraoperative near-infrared/ICG fluorescence imaging would be a promising guiding tool for removing hepatocellular carcinoma with a better resection margin. Patients were given ICG (0.25 mg/kg) 1 day before operation. Resected specimens were inspected under a fluorescent imaging system. Biopsies were taken from tumors and normal tissue. Color signals obtained from ICG fluorescence imaging were compared with biopsies for analysis.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Twenty-two patients were recruited for study. The median size of their tumors was 2.25 cm. One patient had resection margin involvement. Under ICG fluorescence, the tumors typically lighted up as yellow color, wrapped by a zone of green color. Tumors of 17 patients (77.3%) displayed yellow color and were confirmed malignancy, while tumors of 12 patients (54.5%) displayed green color and were confirmed malignancy. Receiver operating characteristic curve was used to measure the sensitivity and specificity of the green color to look for a clear resection margin. The area under the curve was 85.3% (<i>p</i> = 0.019, 95% confidence interval 0.696–1.000), with a sensitivity of 0.706 and specificity of 1.000.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The use of ICG fluorescence can be helpful in determining resection margins. Resection of tumor should include complete resection of the green zone shown in the fluorescence image.</p>","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy and safety of snare traction-assisted endoscopic submucosal dissection for circumferential superficial esophageal cancer","authors":"Nan Dai, Saif Ullah, Jingwen Zhang, Xiaoyu Wan, Shanshan Zhu, Ping Liu, Changqing Guo, Xinguang Cao","doi":"10.1007/s00464-024-10859-y","DOIUrl":"https://doi.org/10.1007/s00464-024-10859-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>This study aims to investigate the efficacy and safety of snare traction-assisted endoscopic submucosal dissection (ESD) for the management of circumferential superficial esophageal cancer.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A total of 68 patients who underwent ESD for circumferential superficial esophageal cancer were included in this study. All the patients were divided into two groups based on whether the snare traction was used or not; the snare traction group (S-ESD, group <i>n</i> = 35) and the control group (C-ESD, group <i>n</i> = 33).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>There was no significant difference in the size of the resected area between the groups [21.98 (18.30, 27.00) cm² vs 24.00 (15.28, 30.72) cm², <i>P</i> = 0.976]. The snare traction group had a shorter dissection time [92.00 (74.00, 121.00) min vs 110.00 (92.50, 137.00) min, <i>P</i> = 0.017] and a faster resection speed [0.28 ± 0.13 cm²/min vs 0.22 ± 0.11cm²/min, <i>P</i> = 0.040] compared to the control group. There were no statistically significant differences between the two groups in terms of hospital stay, cost, en bloc resection rate, R0 resection rate, curative resection rate, bleeding rate, perforation rate, stricture rate, and recurrence rate (<i>P</i> &gt; 0.05).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Snare traction-assisted ESD is a safe and efficient approach for the treatment of circumferential superficial esophageal cancer. Its advantages includes shorter procedure so the anesthesia requirement, clear operative filed view, improved mucosal dissection efficiency, simple, and easily accessible equipment.</p><h3 data-test=\"abstract-sub-heading\">Graphical abstract</h3>\u0000","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of laparoscopic/robot-assisted surgery for Borrmann type 4 gastric cancer: a comparison study with conventional open surgery","authors":"Eigo Akimoto, Takahiro Kinoshita, Masahiro Yura, Mitsumasa Yoshida, Takafumi Okayama, Takumi Habu, Masaru Komatsu, Hiromi Nagata, Daiki Terajima","doi":"10.1007/s00464-024-10857-0","DOIUrl":"https://doi.org/10.1007/s00464-024-10857-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Laparoscopic surgery for early gastric cancer is regarded as a standard of care because of robust evidences obtained by several phase-III trials. Furthermore, the efficacy of laparoscopic radical surgery for advanced gastric cancer has been also reported. Meanwhile, the feasibility of laparoscopic surgery for Bormann type 4 gastric cancer, special type with unfavorable prognosis, remains unclear since excluded from eligibility of these trials.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This study included 100 patients with type 4 gastric cancer who underwent laparoscopic/robot-assisted (minimally invasive surgery (MIS) group; <i>n</i> = 32) or open (Open group; <i>n</i> = 68) curative surgery between 2008 and 2021. After propensity score matching, 30 patients in each group were extracted for analysis. Clinical data, including surgical and midterm survival outcomes, were retrospectively compared between the two groups.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Incidences of postoperative complication (≥ Clavien–Dindo grade III) were recorded in 23.3% in the MIS group and 13.3% in the Open group, but no statistical significance was demonstrated (<i>P</i> = 0.50). The 3-year overall survival rate in the MIS group was better than that in the Open group (80.2% vs. 53.5%, log-rank, <i>P</i> = 0.03). The trend of recurrence site was similar. Multivariate analysis showed that adjuvant chemotherapy was an independent favorable prognostic factor (hazard ratio, 0.33, 95% confidence interval 0.11–0.93) for overall survival. MIS was indicated as a favorable prognostic factor (hazard ratio, 0.39, 95% confidence interval 0.39–1.07), but without statistical difference.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>While multidisciplinary treatment is mainstay of treatment because of the poor prognosis of this disease, minimally invasive surgery may play an important role in treatment if appropriate patient selection is done. Further analyses with larger sample size are necessary to reach a final conclusion regarding oncological efficacy.</p>","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight loss benefits on HDL cholesterol persist even after weight regaining","authors":"Idoia Genua, Inka Miñambres, Rocío Puig, Helena Sardà, Sonia Fernández-Ananin, José Luis Sánchez-Quesada, Antonio Pérez","doi":"10.1007/s00464-024-10826-7","DOIUrl":"https://doi.org/10.1007/s00464-024-10826-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Obesity-related comorbidities may relapse in patients with weight regain after bariatric surgery. However, HDL cholesterol (HDLc) levels increase after surgery and seem to remain stable despite a gradual increase in BMI. The aim of this study is to analyze the effects of weight regain after bariatric surgery on HDL cholesterol.</p><h3 data-test=\"abstract-sub-heading\">Materials and methods</h3><p>This is a retrospective, observational, cohort study in patients who underwent bariatric surgery in the Hospital de la Santa Creu i Sant Pau (Barcelona) between 2007 and 2015. Patients without at least 5 years of follow-up after surgery, under fibrate treatment, and those who required revisional surgery were excluded from the analysis. Data were collected at baseline, 3 and 6 months after surgery, and then annually until 5 years post-surgery.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>One hundred fifty patients were analyzed. 93.3% of patients reached &gt; 20% of total weight loss after surgery. At 5th year, 37% of patients had regained &gt; 15% of nadir weight, 60% had regained &gt; 10%, and 22% had regained &lt; 5% of nadir weight. No differences were found in HDLc levels between the different groups of weight regain, nor in the % of change in HDLc levels between nadir weight and 5 years, or in the proportion of patients with normal HDLc concentrations either.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>HDLc remains stable regardless of weight regain after bariatric surgery.</p><h3 data-test=\"abstract-sub-heading\">Graphical abstract</h3>","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SAGES White Paper on the importance of diversity in surgical leadership: creating the fundamentals of leadership development (FLD) curriculum.","authors":"Jenny M Shao, Juliane Bingener, Yewande Alimi, Ruchir Puri, Kim McHugh, Carlos Gomez-Garibello, Joon K Shim, Courtney Collins, Patricia Sylla, Alia P Qureshi","doi":"10.1007/s00464-024-10815-w","DOIUrl":"https://doi.org/10.1007/s00464-024-10815-w","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"3 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140653948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of artificial intelligence-based computer vision model in laparoscopic appendectomy: validation, reliability, and clinical correlation.","authors":"Danit Dayan, Nadav Dvir, Haneen Agbariya, E. Nizri","doi":"10.1007/s00464-024-10847-2","DOIUrl":"https://doi.org/10.1007/s00464-024-10847-2","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140653432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcutaneous electric nerve stimulation of acupuncture points improves tolerance in adults undergoing diagnostic upper gastrointestinal endoscopy: a single-center, double-blinded, randomized controlled trial.","authors":"J. S. Chuah, Jih Huei Tan, M. Bujang, Koon Khee Chan, N. Kosai","doi":"10.1007/s00464-024-10841-8","DOIUrl":"https://doi.org/10.1007/s00464-024-10841-8","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"50 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic repair of duodenal atresia: systematic review and meta-analysis after consistent implementation of the technique in the past decade.","authors":"Laura Martou, A. Saxena","doi":"10.1007/s00464-024-10828-5","DOIUrl":"https://doi.org/10.1007/s00464-024-10828-5","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"91 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open versus robot-assisted retroperitoneal tumors resection involving inferior vena cava, abdominal aorta, and renal hilum: a comparative study.","authors":"Manan Sulaiman, Khan Akhtar Ali, Chunguang Yang, Rubina Hashim, Yang Luan, Ze Zhong Xiong, Hui Huang, Zhihua Wang","doi":"10.1007/s00464-024-10848-1","DOIUrl":"https://doi.org/10.1007/s00464-024-10848-1","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"55 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personalized anti-reflux surgery: connecting GERD phenotypes in 690 patients to outcomes.","authors":"Christopher J Zimmermann, Kristine Kuchta, Julia R. Amundson, Vanessa N. VanDruff, Stephanie Joseph, Simon Che, H. Hedberg, M. Ujiki","doi":"10.1007/s00464-024-10756-4","DOIUrl":"https://doi.org/10.1007/s00464-024-10756-4","url":null,"abstract":"","PeriodicalId":501625,"journal":{"name":"Surgical Endoscopy","volume":"116 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}