Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques最新文献

{"title":"Abdominal rebleeding after transcatheter arterial embolization for ruptured pseudoaneurysms associated with severe acute pancreatitis: a retrospective study.","authors":"Min Ai,&nbsp;DaZhi Gao,&nbsp;GuangMing Lu,&nbsp;Jian Xu","doi":"10.5114/wiitm.2020.97426","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97426","url":null,"abstract":"<p><strong>Introduction: </strong>Patients are at risk of abdominal rebleeding after transcatheter arterial embolization (TAE) for pancreatitis-related pseudoaneurysm, which increases the mortality rate.</p><p><strong>Aim: </strong>This study was performed to evaluate the effects of an intestinal fistula (IF) and the anatomical location of the pseudoaneurysm on abdominal rebleeding after TAE of a ruptured pseudoaneurysm associated with severe acute pancreatitis (SAP).</p><p><strong>Material and methods: </strong>From February 2013 to November 2019, 24 patients with SAP-related pseudoaneurysm rupture and hemorrhage in our hospital underwent TAE. All patients' epidemiological data and related medical histories were collected and statistically analyzed. We classified the pseudoaneurysms as type I, II, and III according to their anatomical locations and as type A (without an IF) and type B (with an IF).</p><p><strong>Results: </strong>The interventions for abdominal infection in patients with type I pseudoaneurysms were percutaneous drainage in 6 patients, endoscopic necrotic tissue removal in 5, and surgical necrotic tissue removal or enterostomy in none, with a rebleeding rate of 33.3% (3/9 patients). The interventions for abdominal infection in patients with type II pseudoaneurysms were percutaneous drainage in 7 patients, endoscopy in three, and surgery in one, with a rebleeding rate of 20.0% (2/10 patients). The interventions for abdominal infection in patients with type III pseudoaneurysms were percutaneous drainage in 3 patients, endoscopy in 1, and surgery in 2, with a rebleeding rate of 80.0% (4/5 patients). There was no statistically significant difference in the types of interventions for abdominal infection among patients with type I, II, and III pseudoaneurysms (p = 0.355) or in the rate of abdominal rebleeding after TAE for type III pseudoaneurysms (p = 0.111). The interventions for abdominal infection in patients with type A pseudoaneurysms were percutaneous drainage in 13 patients, endoscopy in 6, and surgery in 1, with a rebleeding rate of 22.2% (4/18 patients) and mortality rate of 11.1% (2/18 patients). The interventions for abdominal infection in patients with type B pseudoaneurysms were percutaneous drainage in 3 patients, endoscopy in 3, and surgery in 2, with a rebleeding rate of 83.3% (5/6 patients) and mortality rate of 66.7% (4/6 patients). There was no significant difference in the types of interventions for abdominal infection in patients with and without IF (p = 0.215); however, the rebleeding rate and mortality rate were significantly higher in patients with IF (p = 0.015 and 0.018, respectively).</p><p><strong>Conclusions: </strong>IF may increase the rate of abdominal rebleeding after TAE for ruptured SAP-related pseudoaneurysms, while the anatomical location of the pseudoaneurysm may not affect the rate of rebleeding after TAE.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"83-90"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bd/26/WIITM-16-41371.PMC7991941.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pleural empyema in children - benefits of primary thoracoscopic treatment.","authors":"Roksana Barglik,&nbsp;Andrzej Grabowski,&nbsp;Wojciech Korlacki,&nbsp;Michał Pasierbek,&nbsp;Anna Modrzyk","doi":"10.5114/wiitm.2020.97443","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97443","url":null,"abstract":"<p><strong>Introduction: </strong>Pleural empyema is the condition of the pleural cavity when initially sterile pleural effusion has become infected. In the majority of cases, it is of parapneumonic origin. Parapneumonic effusions and pleural empyemata usually continuously progress in severity. The American Thoracic Society divides them into three stages: exudative, fibrinopurulent and organizing. The therapy depends on the stage.</p><p><strong>Aim: </strong>To assess whether thoracoscopy should be considered better than conservative treatment and to assess the feasibility of the thoracoscopic approach to the 3^rd phase of pleural empyema.</p><p><strong>Material and methods: </strong>The clinical course of 115 patients treated from 1996 to 2017 was analyzed. 45 patients operated on thoracoscopically after the failure of conventional treatment were compared with 70 patients treated by primary thoracoscopic drainage and decortication.</p><p><strong>Results: </strong>The results of the study demonstrated that patients treated primarily by thoracoscopy had a shortened length of hospital stay (16.6 vs. 19.3 days), reduced drainage time (7.9 vs. 9.8 days), and shorter time of general therapy (31.8 vs. 38.0 days). They required fibrinolysis less frequently (12.8 vs. 26.7% of patients) and had reduced risk of reoperation (10 vs. 15.6% of cases). Operation time in the 3^rd stage was only 15 min longer. The difference in length of hospital stay was only 0.8 days in favor of less severe cases.</p><p><strong>Conclusions: </strong>The thoracoscopic approach is safely feasible in the 3^rd stage of pleural empyema and should be considered as the preferred approach. Furthermore, the post-operative stay and general course of the disease are milder whenever surgery would not be delayed by prolonged conservative treatment attempts.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"264-272"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/d6/WIITM-16-41378.PMC7991945.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retroperitoneoscopic renal and adrenal specimen resection surgery in children.","authors":"Liang Zhong,&nbsp;Xiangyu Zou,&nbsp;Jie Sun","doi":"10.5114/wiitm.2020.94923","DOIUrl":"https://doi.org/10.5114/wiitm.2020.94923","url":null,"abstract":"<p><strong>Introduction: </strong>The most common indication for retroperitoneoscopy in children is poorly functioning kidney, related to reflux or obstruction. Few pediatric urologists attempt to conduct a mass resection operation under retroperitoneoscopy, especially in infants with oncological diseases.</p><p><strong>Aim: </strong>In this study, we describe our experience in a series of resection operations under retroperitoneoscopy to demonstrate its safety and efficacy in children, especially in the treatment of pediatric urology tumor.</p><p><strong>Material and methods: </strong>A retrospective review of 18 consecutive retroperitoneoscopic resection operations from December 2017 to July 2019 was made. Then a comparison study between retroperitoneoscopy and transperitoneal laparoscopy for exclusively oncological patients was conducted.</p><p><strong>Results: </strong>Retroperitoneoscopic surgery was successfully performed on 18 patients, 11 having solid tumors, 2 with cysts, and 5 with nonfunctioning or poorly functioning kidneys. The mean age was 69.5 ±46.9 months. The mean operative time was 138.6 ±57.7 min, while the mean size of the mass was 6.4 ±3.8 cm in the largest diameter. Two patients were converted to open surgery because of large diameter of the mass. The 11 solid tumors which were operated on by retroperitoneoscopic surgery were then compared with 13 consecutive oncological patients undergoing transperitoneal laparoscopy. Retroperitoneoscopy has a lower transfusion rate (p < 0.05) and faster recovery (p < 0.01) compared to transperitoneal laparoscopy.</p><p><strong>Conclusions: </strong>This study demonstrates that the resection operation of a renal or adrenal specimen under retroperitoneoscopy is feasible and safe in children. It is useful not only to treat patients with benign diseases but also in oncological patients. Retroperitoneoscopy is a recommended surgical approach for children.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"256-263"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/35/WIITM-16-40543.PMC7991949.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of surgical gastric plication on obesity and diabetes mellitus type 2: a systematic review and meta-analysis.","authors":"Hauke Heinrich Georg Meyer,&nbsp;Romualdas Riauka,&nbsp;Zilvinas Dambrauskas,&nbsp;Antanas Mickevicius","doi":"10.5114/wiitm.2020.97424","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97424","url":null,"abstract":"<p><strong>Introduction: </strong>All the bariatric procedures have evolved greatly over the past decades and laparoscopic greater curvature plication (LGCP) is one of the quite recently introduced techniques lacking systematic evaluation.</p><p><strong>Aim: </strong>To compare and summarize the current data in the literature in regard to the effect of gastric plication on obesity and diabetes mellitus type 2.</p><p><strong>Material and methods: </strong>The systematic review and meta-analysis was performed according to the PRISMA guidelines and registered at PROSPERO under the registration number CRD42018114314. The literature in English and German was searched using the MEDLINE (PubMed) and BJS databases for studies published in the last 10 years. A meta-analysis was performed focusing on the effects of this operation on weight loss, glycemia control and improvement of comorbidities.</p><p><strong>Results: </strong>Mean preoperative body mass index (BMI) ranged from 34.42 to 46.3 kg/m². Most of the patients were female. The operation time was in the range from 50 to 192.23 min. Mean follow-up was from one month to 12 years, with most studies having a follow-up of less than 2 years. The postoperative BMI ranged from 28.59 to 38, with reported excess weight loss (EWL%) in the range 20-70%. Glycated hemoglobin (HbA_1c) values decreased by up to 5.1% after surgery, ranging from 5.1% to 7.5%.</p><p><strong>Conclusions: </strong>Despite the quality of most of the included studies being low, the present meta-analysis revealed that, in the short term, gastric plication is an effective measure for weight loss, while the effect on diabetes mellitus type 2 is not statistically significant.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"10-18"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/wiitm.2020.97424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorectal anastomosis dehiscence: a call for more detailed morphological classification.","authors":"Alexander Ferko,&nbsp;Jan Rejholoc,&nbsp;Matej Škrovina,&nbsp;Ilja Tachecí,&nbsp;Igor Sirák","doi":"10.5114/wiitm.2020.97367","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97367","url":null,"abstract":"<p><strong>Introduction: </strong>A proactive approach is recommended in colorectal anastomosis leak treatment, and early diagnosis is very important. Early postoperative endoscopy would allow rapid diagnosis of anastomotic pathologies and consequent prompt intervention according to anastomotic disruption morphology.</p><p><strong>Aim: </strong>To evaluate the effectiveness of close endoscopic follow-up of all patients (including asymptomatic ones) in improving diagnosis of acute leak (AL) and reducing its complications.</p><p><strong>Material and methods: </strong>This study included 124 patients who had undergone rectum resection for rectal cancer with stapled anastomosis. Endoscopy was performed between the 7^th and 10^th postoperative day and 1 month postoperatively. For defect morphology assessment, a classification system was created based on four levels of severity. Photographic findings were evaluated by an independent, experienced gastroenterologist.</p><p><strong>Results: </strong>Postoperative endoscopy revealed 28 (22.6%) patients with acute leakage. Initial endoscopy confirmed AL in 18 patients. Six (31.6%) patients were asymptomatic and 13 (68.4%) were symptomatic. The second endoscopy revealed another 9 (32.1%) leaks (4 (44.5%) asymptomatic and 5 (55.5%) symptomatic). Sixteen (57.1%) patients had grade A leakages, 7 (25.0%) had grade B leakages, and 5 (17.9%) had grade C leakages. Furthermore, 22 of 27 (81%) defects were located posterior and posterior-laterally. Fifteen (55.5%) defects were smaller than 1/3 the circumference, 7 (25.9%) affected 1/3-1/2 of the circumference, and 5 (18.5%) affected more than 1/2 of the circumference.</p><p><strong>Conclusions: </strong>Incorporation of early endoscopy in postoperative management allows rapid diagnosis of AL and allows faster intervention, even in leaks that are clinically silent.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"98-109"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/87/WIITM-16-41349.PMC7991942.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First experience of junior surgeons with laparoscopic distal gastrectomy: in view of comparison with experienced surgeons.","authors":"Ki Bum Park,&nbsp;Yoontaek Lee,&nbsp;Dong-Wook Kim","doi":"10.5114/wiitm.2020.99310","DOIUrl":"https://doi.org/10.5114/wiitm.2020.99310","url":null,"abstract":"<p><strong>Introduction: </strong>Laparoscopic surgery is not easily performed by junior surgeons who have limited experience.</p><p><strong>Aim: </strong>To investigate the safety and feasibility of the first experience of junior surgeons with laparoscopic distal gastrectomy (LDG) who were trained in super high-volume centers.</p><p><strong>Material and methods: </strong>Clinicopathological data from the first 85 LDG cases performed by three gastric cancer surgeons were collected. All three surgeons were trained for > 1 year in super high-volume centers. The surgical and postoperative outcomes of the first experiences of junior surgeons were compared with the short-term outcomes reported in a multicenter randomized controlled trial (Korean Laparoendoscopic Gastrointestinal Surgery Study, KLASS-01 trial), conducted by the KLASS group, which is composed of experienced surgeons who practice in a high-volume center.</p><p><strong>Results: </strong>A significantly greater number of older patients with longer operation times and lower estimated blood loss was observed for the junior surgeons than in the KLASS data. Although junior surgeons performed significantly more Billroth II anastomoses with D1+ lymph node dissection, there was no difference between the two groups in terms of hospital stay, number of retrieved lymph nodes, or postoperative morbidity.</p><p><strong>Conclusions: </strong>The surgical outcomes of early gastric cancer managed by laparoscopic surgery performed by well-trained beginners were similar to the outcomes reported in the large-scale trial. Therefore, with regard to the surgical training system, training at super high-volume centers may be considered to provide some assurance in terms of surgical technique-related safety.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"123-128"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/4b/WIITM-16-41870.PMC7991934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video-assisted thoracoscopic surgery is safe and reliable for large and invasive primary mediastinal tumors.","authors":"Yu Fang,&nbsp;Zhiming Qin","doi":"10.5114/wiitm.2020.94528","DOIUrl":"https://doi.org/10.5114/wiitm.2020.94528","url":null,"abstract":"<p><strong>Introduction: </strong>Video-assisted thoracoscopic surgery (VATS) was not considered for the treatment of primary mediastinal tumors of large sizes or with local invasion.</p><p><strong>Aim: </strong>To investigate the clinical outcomes of VATS for large and invasive mediastinal tumors.</p><p><strong>Material and methods: </strong>One hundred and thirteen patients with primary mediastinal tumors were treated by VATS. Twenty-nine patients had bulky tumors (diameter > 6 cm) and 5 patients had invasive tumors. Clinical data were documented and compared.</p><p><strong>Results: </strong>No patients suffered from any complications after VATS. No relapse or metastasis occurred in the patients with bulky tumors, while 1 patient with invasive thymoma suffered a relapse after VATS. The 2-year disease-free survival and overall survival in patients with bulky tumors were 100% and 100%, while those in patients with invasive tumors were 75% and 100%. There were no differences in hospital stay after VATS between the patients with bulky tumors and smaller tumors, nor between the patients with invasive tumors and non-invasive tumors. Patients with bulky tumors lost more blood than those with smaller tumors, while more blood loss occurred in patients with invasive tumors than non-invasive tumors. Longer operative time was needed for patients with bulky tumors and invasive tumors. Mediastinal tumors with large size or invasion should not be contraindicated for VATS. The prognosis of such patients treated with VATS was comparable to that of traditional open surgery.</p><p><strong>Conclusions: </strong>VATS is a safe and effective procedure for large and invasive mediastinal tumors.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"163-168"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/d0/WIITM-16-40401.PMC7991948.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25534514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery.","authors":"Lu Huang,&nbsp;Li He,&nbsp;Ling Zhang,&nbsp;Xiaoqin Gan,&nbsp;Jigang Jia,&nbsp;Yue Yang,&nbsp;Yonghong Lin","doi":"10.5114/wiitm.2020.95397","DOIUrl":"https://doi.org/10.5114/wiitm.2020.95397","url":null,"abstract":"<p><strong>Introduction: </strong>Natural orifice transluminal endoscopic surgery (NOTES) is a new concept of minimally invasive surgery. It could prevent complications related to the trocar in laparoscopic surgery, and help achieve ideal cosmetic outcomes.</p><p><strong>Aim: </strong>To describe the safety and feasibility of the prone position in transvaginal NOTES (V-NOTES) resection of posterior uterine myoma.</p><p><strong>Material and methods: </strong>Seventeen patients were included in the study from February to December 2019. All the patients were diagnosed with solitary posterior uterine myoma and underwent V-NOTES myomectomy in the prone position. We measured the characteristics and the surgical outcomes of these patients, to evaluate the safety and feasibility of the prone position in V-NOTES myomectomy.</p><p><strong>Results: </strong>The mean age of the patients was 38.71 ±7.68 years and the mean body mass index was 22 ±2.02 kg/m². Five patients had a cesarean section once, and 1 patient had a history of two operations (cesarean section and laparoscopic cholecystectomy). The remaining patients had no history of surgery. The mean myoma volume in the ultrasound report was 121.99 ±125.24 cm³. The mean operation time was 107.48 ±34.16 min. The mean hemoglobin decrease 48 h after the operation was 1.37 ±0.66 g/dl. The mean weight of the myoma was 183.88 ±144.29 g. The mean VAS score 12 h and 24 h after surgery was 2 ±0.87 and 1.18 ±0.73, respectively. The mean postoperative hospital stay was 3.18 ±0.39 days. One patient was converted to TU-LESS. No other complications such as massive hemorrhage, infection or injury occurred.</p><p><strong>Conclusions: </strong>The prone position in V-NOTES myomectomy is safe and feasible. It expands the operative space and reduces the difficulty of surgery. Perhaps it can be used as a standard position for posterior uterine myomectomy by V-NOTES.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"234-242"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/wiitm.2020.95397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data.","authors":"Shumao Zhang,&nbsp;Zhanwen Huang,&nbsp;Liang Cai,&nbsp;Wei Zhang,&nbsp;Haoyuan Ding,&nbsp;Li Zhang,&nbsp;Yue Chen","doi":"10.5114/wiitm.2020.100678","DOIUrl":"https://doi.org/10.5114/wiitm.2020.100678","url":null,"abstract":"<p><strong>Introduction: </strong>The benefit of three-dimensional (3D) visualization for liver disease is uncertain.</p><p><strong>Aim: </strong>To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD.</p><p><strong>Material and methods: </strong>We searched PubMed, Embase, Cochrane Library, Medline, and Web of Science for studies addressing 3D versus 2D for 2D until 30 February 2020. Study-specific effect sizes and their 95% confidence intervals (CIs) were combined to calculate the pooled value using a fixed-effects or random-effects model.</p><p><strong>Results: </strong>Nine studies with 808 patients were included. The 3D group had shorter operative time (mean difference (MD) = 34.39; 95% CI = 59.50, 9.28), experienced less intraoperative blood loss (MD = 106.55; 95% CI = 183.76, 29.34), and a smaller blood transfusion volume (MD = 88.25; 95% CI = 141.26, 35.24). The 3D group had a smaller difference between the predicted volume and the actual resected volume (MD = 103.25; 95% CI = 173.24, 33.26) and a lower rate of postoperative complications (odds ratio (OR) = 0.57; 95% CI: 0.35, 0.91).</p><p><strong>Conclusions: </strong>During surgery, 3D video-assisted hepatectomy could effectively reduce operative time, intraoperative bleeding, and blood transfusion volume, and had a smaller difference between the predicted volume and the actual resected volume and a lower rate of postoperative complications. More high-quality randomized controlled trials are required to verify the reliability and validity of our conclusion.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/af/WIITM-16-42364.PMC7991933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complete laparoscopic radical resection of hilar cholangiocarcinoma: technical aspects and long-term results from a single center.","authors":"Jingdong Li,&nbsp;Yongfu Xiong,&nbsp;Gang Yang,&nbsp;Lixing Zhang,&nbsp;Muhammad Riaz,&nbsp;Jian Xu,&nbsp;Qiang Li,&nbsp;Zhaohui Tang","doi":"10.5114/wiitm.2020.97363","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97363","url":null,"abstract":"<p><strong>Introduction: </strong>The landscape of surgical treatments for hepatobiliary disease was significantly changed after the advent of laparoscopy. Many kinds of complex laparoscopic procedures can be routinely performed at present, but radical resection of hilar cholangiocarcinoma (HC) by laparoscopy is still highly contentious.</p><p><strong>Aim: </strong>To describe our primary experience with laparoscopic radical resection for HC and determine the safety and feasibility of this procedure.</p><p><strong>Material and methods: </strong>Between December 2015 and November 2019, 32 patients planned to undergo curative-intent laparoscopic resection of HC in our department. The perioperative and long-term outcomes of these patients were retrospectively analyzed.</p><p><strong>Results: </strong>Laparoscopic surgery with radical resection was ultimately performed in 24 (75.0%) patients; 3 (9.3%) patients were found to be unresectable at the preliminary exploration stage, and 5 (15.7%) patients converted from laparoscopy to laparotomy. The operation time and blood loss were 476.95 ±133.89 min and 568.75 ±324.01 ml, respectively. A negative margin was achieved in 19 (79.1%) of the laparoscopy patients. Three (12.5%) patients were identified with microscopic positive margins, and 2 (8.4%) patients underwent macroscopic residual tumor resection (R2). The length of postoperative stay was 23.3 ±11.7 days. Severe morbidity occurred in 4 (16.6%) patients. The actuarial 3-year overall survival and disease-free survival for patients who underwent laparoscopic surgery were 49.1% and 47.0%, respectively.</p><p><strong>Conclusions: </strong>Laparoscopic radical resection for HC is safe and feasible in experienced hands for highly selected patients but is still in its initial stages. When adequate oncologic resection is performed, the laparoscopic approach does not adversely influence the prognosis of the patient.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"62-75"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/wiitm.2020.97363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}