Journal of minimally invasive surgery最新文献

Robot-assisted minimally invasive esophagectomy in patients with esophageal cancer: an update on experiences from a tertiary cancer care center in India. 机器人辅助微创食管切除术在食管癌患者：从印度三级癌症护理中心的经验更新。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.74

Raj Nagarkar, Vikas Jain, Nayana Kulkarni, Soundarya Varadarajan, Yasam Venkata Ramesh

{"title":"Robot-assisted minimally invasive esophagectomy in patients with esophageal cancer: an update on experiences from a tertiary cancer care center in India.","authors":"Raj Nagarkar, Vikas Jain, Nayana Kulkarni, Soundarya Varadarajan, Yasam Venkata Ramesh","doi":"10.7602/jmis.2025.28.2.74","DOIUrl":"10.7602/jmis.2025.28.2.74","url":null,"abstract":"Purpose: Robot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancers, has gained traction in the last decade due to its positive surgical outcomes. The present study is an update to our earlier published data, in which we discuss the new developments in terms of perioperative and postoperative outcomes of our patients.Methods: This is a single-center, retrospective data of patients who underwent RAMIE for esophageal cancers between January 2020 to October 2024 at a tertiary cancer center in India.Results: A total of 52 patients have undergone RAMIE at our center to date. The median age of the cohort was 56.02 ± 11.69 years, with a slight male predominance (n = 29, 55.77%). Majority of the patients were of American Society of Anesthesiologists physical status classification II (n = 40, 76.92%), Eastern Cooperative Oncology Group status 1 (n = 35, 67.30%), with no comorbidities (n = 36, 69.23%), and presented with stage 2 disease (n = 21, 40.37%). Squamous cell carcinoma was the predominant histological subtype (n = 31, 59.62%). The median operative time was 111.6 (range, 60-180) minutes with a median lymph node harvest of 12 (range, 7-24). The median intensive care unit stay was 2 (range, 2-5) days, and the median total hospital stay was 6 (range, 3-9) days. No major postoperative complications were observed. The 30-day mortality rate was reported in two patients (3.85%).Conclusion: The results of our research indicate that RAMIE may serve as a safe and effective surgical option for esophageal cancers, leading to improved perioperative and postoperative outcomes.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"74-80"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327999","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}

引用次数: 0

Evolution of practice of robotic ileoanal pouches: a single-center case series in East London. 机器人回肠袋的实践演变：在东伦敦的单中心案例系列。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.97

Maitreyi Patel, Valentin Butnari, Xavier Aguayo, Nirooshun Rajendran

{"title":"Evolution of practice of robotic ileoanal pouches: a single-center case series in East London.","authors":"Maitreyi Patel, Valentin Butnari, Xavier Aguayo, Nirooshun Rajendran","doi":"10.7602/jmis.2025.28.2.97","DOIUrl":"10.7602/jmis.2025.28.2.97","url":null,"abstract":"Robotic ileal pouch-anal anastomosis offers improved ergonomics and dexterity, leading to increased use. This study presents our initial series, describing technique and outcomes from a nationally accredited district general hospital. Data of consecutive patients who underwent robotic restorative proctocolectomy, between January 2021 and August 2024 was presented. Da Vinci Xi system (Intuitive Surgical) was used for all cases. We usually use the ileostomy site as the extraction site and J pouch formation avoiding Pfannenstiel or lower midline incision. Eight patients with a median age of 38 years, and a mean body mass index of 20.65 kg/m2 were included. Four had restorative proctectomy while one had restorative proctocolectomy. The median operative time was 407.5 minutes. One patient needed reoperation due to intraabdominal collection. The median length of stay was 6.5 days. One readmission was for adhesive obstruction. There were no mortalities. Our series demonstrates the technical feasibility and safety of our robotic technique.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"97-102"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327997","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}

引用次数: 0

Twenty-four-hour pH monitoring of gastric conduit in post-esophagectomy patients: correlation with clinical and endoscopic parameters in a prospective cohort study from India. 在印度的一项前瞻性队列研究中，食管切除术后患者胃导管24小时pH监测与临床和内镜参数的相关性

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.81

Vishu Jain, Vaibhav Kumar Varshney, Subhash Chandra Soni, B Selvakumar, Peeyush Varshney, Lokesh Agarwal, Ashish Agarwal, Chhagan Lal Birda

{"title":"Twenty-four-hour pH monitoring of gastric conduit in post-esophagectomy patients: correlation with clinical and endoscopic parameters in a prospective cohort study from India.","authors":"Vishu Jain, Vaibhav Kumar Varshney, Subhash Chandra Soni, B Selvakumar, Peeyush Varshney, Lokesh Agarwal, Ashish Agarwal, Chhagan Lal Birda","doi":"10.7602/jmis.2025.28.2.81","DOIUrl":"10.7602/jmis.2025.28.2.81","url":null,"abstract":"Purpose: Esophagectomy for malignancy leads to decreased gastric conduit acidity due to bilateral vagotomy and fundic gland area reduction. However, reflux symptoms occur. The changes in pH of gastric conduit and esophageal remnant post-esophagectomy were studied and correlated clinically, endoscopically and with Helicobacter pylori positivity.Methods: We studied 20 patients prospectively undergoing esophagectomy for malignancy from January 2022 to December 2023. The patients underwent pre- and postoperative clinical assessment, 24-hour pH monitoring, and esophagoduodenoscopy with H. pylori testing and analysis.Results: Postoperatively, the total percent (%) time pH <4 was nonsignificantly increased to 17.95% (p = 0.754) in the esophageal remnant and significantly decreased to 53.5% (p = 0.012) in the stomach. Postoperatively, the H. pylori-positive patients had a non-significantly higher total % time pH <4 in the esophageal remnant than H. pylori-negative patients (29.47 ± 33.54 vs. 6.44 ± 11.58, p = 0.064) and slightly lower total % time pH <4 in the stomach (53.30 ± 46.08 vs. 53.71 ± 31.20, p = 0.982). The total % time pH <4 in the gastric conduit was significantly correlated with the esophageal remnant (p = 0.002), showing a correlation coefficient of 0.629.Conclusion: There is a significant increase in gastric conduit pH post-esophagectomy with increased exposure to the esophageal remnant mucosa proportional to gastric acidity. H. pylori infection does not affect gastric aciditiy and acid reflux after esophagectomy.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"81-88"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328000","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}

引用次数: 0

Clinical outcomes of varying age groups following vertical sleeve gastrectomy: a retrospective study using the 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database in the United States. 竖直套管胃切除术后不同年龄组的临床结果：一项使用美国2022年代谢和减肥手术认证和质量改进计划数据库的回顾性研究

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.89

Satyam K Ghodasara, Jana K Elsawwah, Hyo J Yang, Ashish Padnani, Zoltan H Nemeth

{"title":"Clinical outcomes of varying age groups following vertical sleeve gastrectomy: a retrospective study using the 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database in the United States.","authors":"Satyam K Ghodasara, Jana K Elsawwah, Hyo J Yang, Ashish Padnani, Zoltan H Nemeth","doi":"10.7602/jmis.2025.28.2.89","DOIUrl":"10.7602/jmis.2025.28.2.89","url":null,"abstract":"Purpose: The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy.Methods: The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group.Results: Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m2 were associated with a BMI decrease of ≥2.5 kg/m2 postoperatively within the 30-day follow-up period.Conclusion: These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327989","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}

引用次数: 0

Design and implementation of modular laparoscopic general surgery models for surgical education. 用于外科教育的模块化腹腔镜普外科模型的设计与实现。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.108

Sung Hyun Kim, Sang Sik Cho, In Geol Ho, Ho Seung Kim, Chang Moo Kang

引用次数: 0

Enhancing surgeon comfort in robotic surgery: the role of forearm compression sleeves. 提高外科医生在机器人手术中的舒适度：前臂压缩袖的作用。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.62

Ho Seung Kim, Min Hyeong Jo

引用次数: 0

Research trends in virtual reality surgical simulation for education: a systematic review. 教育用虚拟现实外科模拟的研究趋势：系统综述。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.51

Changhyun Choi, Hongrae Kim, Dae Kyung Sohn

{"title":"Research trends in virtual reality surgical simulation for education: a systematic review.","authors":"Changhyun Choi, Hongrae Kim, Dae Kyung Sohn","doi":"10.7602/jmis.2025.28.2.51","DOIUrl":"10.7602/jmis.2025.28.2.51","url":null,"abstract":"Purpose: Virtual reality (VR) has emerged as a transformative tool in surgical education, offering a controlled and repeatable training environment that mitigates ethical and legal challenges associated with traditional apprenticeship models. By simulating real-life surgical scenarios, VR allows trainees to practice procedures safely while improving skill acquisition and procedural efficiency. In this study, we systematically reviewed research trends in VR-based surgical education to provide insights into its current applications and future potential.Methods: A comprehensive literature search was conducted on PubMed, identifying 395 studies. Of these, 92 studies met predefined inclusion criteria and were selected for analysis. The selected studies were analyzed based on publication period, surgical procedure, medical specialty, country of origin, and outcome measures.Results: Study findings revealed that research on VR surgical simulation peaked between 2005 and 2009, followed by a decline in recent years. Laparoscopic and endoscopic training were the most frequently studied procedures, with general surgery and gastroenterology being the most predominant specialties. The United States contributed the highest number of publications. Common outcome measures for evaluating VR training effectiveness included time, movement economy, subject evaluation, error rates, proficiency scales, and accuracy.Conclusion: These findings illustrate the historical trajectory and current landscape of VR use in surgical training. While the initial surge in interest has waned, VR remains a valuable tool for procedural skill development, particularly in laparoscopic and endoscopic training, and its future potential may depend on improvements in realism, cost-efficiency, and curriculum integration.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"51-61"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327998","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}

引用次数: 0

Approaches in treating infiltrative common bile duct cancer: the potential of robotic hepatopancreatoduodenectomy. 浸润性胆总管癌的治疗方法：机器人肝胰十二指肠切除术的潜力。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.103

Eun Jeong Jang, Kwan Woo Kim

{"title":"Approaches in treating infiltrative common bile duct cancer: the potential of robotic hepatopancreatoduodenectomy.","authors":"Eun Jeong Jang, Kwan Woo Kim","doi":"10.7602/jmis.2025.28.2.103","DOIUrl":"10.7602/jmis.2025.28.2.103","url":null,"abstract":"Hepatopancreatoduodenectomy (HPD) is a definitive, yet highly complex surgical approach for treating extensive cholangiocarcinoma, characterized by substantial morbidity and mortality. Recent advancements in minimally invasive surgery, particularly robotic platforms, have demonstrated potential in overcoming the technical challenges associated with HPD. Here, we present a case of a 69-year-old male with hilar cholangiocarcinoma extending to the mid and distal common bile duct, successfully managed with robotic left hepatectomy, caudate lobectomy, and pancreaticoduodenectomy (HPD). The operation, performed using the da Vinci Xi system (Intuitive Surgical), lasted 543 minutes with an estimated blood loss of 500 mL. Postoperative complications, including a hepaticojejunostomy leakage, were managed conservatively, and the patient was discharged. This case highlights the feasibility and safety of robotic HPD for complex biliary malignancies, emphasizing its potential as a minimally invasive alternative in select patients when performed by experienced surgeons.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327988","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}

引用次数: 0

Emergency laparoscopic Hartmann procedure no longer a subspecialist operation: a retrospective cohort study at an Australian non-subspecialized center. 急诊腹腔镜哈特曼手术不再是亚专科手术：澳大利亚非亚专科中心的回顾性队列研究。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.66

Daniel Cattanach, Peter Tilleard, Jana Bednarz, Bree Stephensen

{"title":"Emergency laparoscopic Hartmann procedure no longer a subspecialist operation: a retrospective cohort study at an Australian non-subspecialized center.","authors":"Daniel Cattanach, Peter Tilleard, Jana Bednarz, Bree Stephensen","doi":"10.7602/jmis.2025.28.2.66","DOIUrl":"10.7602/jmis.2025.28.2.66","url":null,"abstract":"Purpose: An open Hartmann (OH) procedure generally remains the standard of care for several emergent colorectal conditions. There is a perception that the laparoscopic approach is limited to large subspecialist centers. This study aimed to investigate the outcomes of these emergency procedures in a non-subspecialized regional center.Methods: We conducted a retrospective cohort analysis on patients who underwent an emergency Hartmann procedure between 2019 and 2023 within a general surgery unit at a regionally located tertiary-level Australian hospital. Patients were classified as having undergone either OH or laparoscopic Hartmann (LH) procedures. Our primary outcome of interest was length of hospital stay (LOS). Secondary outcomes included time to return of gut function, morbidity, and reversal. Differences between the OH and LH groups were assessed descriptively and using confounder-adjusted regression.Results: We identified 115 patients (83 underwent OH, 32 underwent LH) during the study period. The adjusted estimated mean LOS for patients undergoing an OH procedure was 15.8 days (95% confidence interval [CI], 13.7-17.9) compared to 9.6 days (95% CI, 7.4-11.9) for patients undergoing an LH procedure. The mean time taken for the return of gut function was estimated to be 34% longer following an OH procedure compared to an LH procedure (adjusted incidence rate ratio, 1.34 days; 95% CI, 1.00-1.81). Morbidity was similar between groups. The LH group had higher rates of laparoscopic reversal (91.7% vs. 33.3%).Conclusion: The expected benefits of laparoscopic surgery may extend to the emergency colorectal setting and LH procedures can be performed safely in a non-subspecialized center.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 2","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327992","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}

引用次数: 0

Comment on "Twenty-four-hour pH monitoring of gastric conduit in post-esophagectomy patients: correlation with clinical and endoscopic parameters in a prospective cohort study from India". 对“印度一项前瞻性队列研究中食管切除术后胃导管24小时pH监测与临床和内镜参数的相关性”的评论。

Journal of minimally invasive surgery Pub Date : 2025-06-15 DOI: 10.7602/jmis.2025.28.2.64

Dongjae Jeon

引用次数: 0