Journal of minimally invasive surgery最新文献_第10页

Laparoscopic emergency surgery in Korea: a comprehensive analysis of current practices. 韩国的腹腔镜急诊手术：当前实践的综合分析。

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.176

Min Hyeong Jo, Heung-Kwon Oh

引用次数: 0

Robotic versus laparoscopic revisional bariatric surgeries: a systematic review and meta-analysis. 机器人与腹腔镜再造减肥手术：系统回顾与荟萃分析。

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.198

Karim Ataya, Hussein El Bourji, Ayman Bsat, Amir Al Ayoubi, Al Moutuz Al Jaafreh, George Abi Saad

{"title":"Robotic versus laparoscopic revisional bariatric surgeries: a systematic review and meta-analysis.","authors":"Karim Ataya, Hussein El Bourji, Ayman Bsat, Amir Al Ayoubi, Al Moutuz Al Jaafreh, George Abi Saad","doi":"10.7602/jmis.2023.26.4.198","DOIUrl":"10.7602/jmis.2023.26.4.198","url":null,"abstract":"Purpose: In recent years, the need for revisional bariatric surgery (RBS) procedures has experienced a noteworthy surge to confront complexities and weight recidivism. Despite being a subject of controversy for many, the utilization of the Da Vinci robotic platform (Intuitive Surgical, Inc.) may present benefits in RBS. This study aimed to evaluate the outcomes of robotic RBS in comparison to Laparoscopic RBS.Methods: A meticulous and thorough analysis was ensured through a comprehensive exploration of the literature, which included PubMed, Medline, Scopus, and Cochrane. This exploration was conducted in adherence to the directives outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Newcastle-Ottawa scale was used for quality assessment.Results: A total of 11 studies were included in this meta-analysis, comprising 55,889 in the laparoscopic group and 5,809 in the robotic group. No significant differences were observed in the leak, bleeding, operative time, or length of stay across both groups. However, the robotic group showed higher rates of conversion to open surgery (odds ratio [OR], 0.65; 95% confidence interval [CI], 0.53-0.79; p < 0.0001; I2 = 0%), reoperation (OR, 0.70; 95% CI, 0.57-0.87; p = 0.0009; I2 = 6%), and readmission (higher rate of readmission in the robotic group; OR, 0.76; 95% CI, 0.62-0.92; p = 0.005; I2 = 30%).Conclusion: Robotic-assisted bariatric surgery has no significant advantage over conventional laparoscopic surgery. Further research is warranted to explore and evaluate surgeons' methodology and proficiency differences.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 4","pages":"198-207"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807915","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

Simultaneous laparoscopic liver metastasectomy and intersphincteric resection for neuroendocrine tumor of the rectum by natural orifice specimen extraction surgery. 通过自然腔道标本提取手术同时进行腹腔镜直肠神经内分泌肿瘤肝转移切除术和括约肌间切除术

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.215

Mufaddal Kazi, Shraddha Patkar, Avanish Saklani

引用次数: 0

Advancements and challenges in minimally invasive surgery training among general-surgery residents in Thailand. 泰国普外科住院医师微创手术培训的进步与挑战。

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.178

Gyung Mo Son

引用次数: 0

Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system. 使用达芬奇单孔系统进行腹部全直肠系膜切除术治疗直肠癌的初步经验。

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.208

Wed Alshalawi, Chul Seung Lee, In Kyeong Kim, Yoon Suk Lee

引用次数: 0

Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea. 急性胆囊炎中根据病情严重程度采用单切口还是传统多孔腹腔镜胆囊切除术：韩国单中心回顾性研究。

Journal of minimally invasive surgery Pub Date : 2023-12-15 DOI: 10.7602/jmis.2023.26.4.180

Seung Jae Lee, Ju Ik Moon, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Rho, Sung Gon Kim, Min Kyu Kim, Dae Sung Yoon, Won Jun Choi, In Seok Choi

{"title":"Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea.","authors":"Seung Jae Lee, Ju Ik Moon, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Rho, Sung Gon Kim, Min Kyu Kim, Dae Sung Yoon, Won Jun Choi, In Seok Choi","doi":"10.7602/jmis.2023.26.4.180","DOIUrl":"10.7602/jmis.2023.26.4.180","url":null,"abstract":"Purpose: The safety of single-incision laparoscopic cholecystectomy (SILC) for acute cholecystitis (AC) has not yet been confirmed.Methods: This single-center retrospective study included patients who underwent laparoscopic cholecystectomy (LC) for AC between April 2010 and December 2020. Propensity scores were used to match patients who underwent SILC with those who underwent conventional multiport LC (CMLC) in the entire cohort and in the two subgroups.Results: A total of 1,876 patients underwent LC for AC, and 427 (22.8%) underwent SILC. In the propensity score-matched analysis of the entire cohort (404 patients in each group), the length of hospital stay (2.9 days vs. 3.5 days, p = 0.029) was shorter in the SILC group than in the CMLC group. No significant differences were observed in other surgical outcomes. In grade I AC (336 patients in each group), the SILC group showed poorer surgical outcomes than the CMLC group, regarding operation time (57.6 minutes vs. 52.4 minutes, p = 0.001) and estimated blood loss (22.9 mL vs. 13.1 mL, p = 0.006). In grade II/III AC (58 patients in each group), there were no significant differences in surgical outcomes between the two groups. Postoperative pain outcomes were also not significantly different in the two groups, regardless of severity.Conclusion: This study demonstrated that SILC had similar surgical and pain outcomes to CMLC in patients with AC; however, subgroup analysis showed that SILC was associated with poor surgical outcomes than CMLC in grade I AC. Therefore, SILC should be carefully performed in patients with AC by experienced hepatobiliary surgeons.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 4","pages":"180-189"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138808298","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

Laparoscopic right posterior sectionectomy for a large hepatocellular carcinoma close to inferior vena cava. 腹腔镜右后切开术治疗靠近下腔静脉的大肝癌。

Journal of minimally invasive surgery Pub Date : 2023-09-15 DOI: 10.7602/jmis.2023.26.3.162

Santhosh Anand, Loganathan Jayapal, Siddhesh Suresh Tasgaonkar Ema, Jainudeen Khalander Abdul Jameel, Prasanna Kumar Reddy

{"title":"Laparoscopic right posterior sectionectomy for a large hepatocellular carcinoma close to inferior vena cava.","authors":"Santhosh Anand, Loganathan Jayapal, Siddhesh Suresh Tasgaonkar Ema, Jainudeen Khalander Abdul Jameel, Prasanna Kumar Reddy","doi":"10.7602/jmis.2023.26.3.162","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.162","url":null,"abstract":"Approximately 20% of hepatocellular carcinomas (HCC) occur in noncirrhotic livers. Resection may be considered for patients with HCC, provided sufficient future liver remnant is available, regardless of the tumor size. Tumors located posteriorly near the right hepatic vein (RHV), or inferior vena cava can be managed through anterior or caudal approaches. RHV is typically conserved during right posterior sectionectomy. When a large posteriorly placed tumor causes chronic compression on RHV, the right anterior section drainage is redirected preferentially to the middle hepatic vein. The division of RHV in such instances does not cause congestion of segments 8 and 5. The technical complexity of laparoscopic right posterior sectionectomy arises from the large transection surface, positioned horizontally. We describe in this multimedia article, a case of large HCC in segments 6 and 7, which was successfully treated using laparoscopic anatomic right posterior sectionectomy.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/23/jmis-26-3-162.PMC10505367.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298481","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

Do we all agree that the future of pancreaticoduodenectomy lies in how effectively we use robots? 我们是否都同意胰十二指肠切除术的未来取决于我们如何有效地使用机器人?

Journal of minimally invasive surgery Pub Date : 2023-09-15 DOI: 10.7602/jmis.2023.26.3.110

Jae Hoon Lee

{"title":"Do we all agree that the future of pancreaticoduodenectomy lies in how effectively we use robots?","authors":"Jae Hoon Lee","doi":"10.7602/jmis.2023.26.3.110","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.110","url":null,"abstract":"The penetration of minimally invasive pancreaticoduodenectomy (MIPD) has been low due to the technically demanding surgical dissection, many anastomotic procedures needed, and the lack of confidence regarding the additional benefits from the minimally invasive approach compared to the conventional open approach [1]. However, retrospective series and randomized trials have reported some key advantages of MIPD, which include a decrease in intraoperative blood loss, wound complications, and postoperative pain, in addition to a shorter length of stay compared with the open pancreaticoduodenectomy (PD) [2–4]. Since robotic PD (RPD) surgery was first performed in 2003, the development of robotic platforms and the accumulation of surgical experience has meant that RPD has led to a gradual increase of adoption RPD [5]. However, no large comparative studies have been performed for RPD and laparoscopic PD (LPD), even though only a limited number of institutions perform MIPD [6]. There are two main adopters for the robotic platform in PD depending on the preference of the surgeons. Indeed, surgeons who began their MIPD journey using laparoscopy tend to prefer a hybrid approach of laparoscopic resection and robotic reconstruction, whereas other surgeons prefer a full robotic approach. There are a multitude of reasons why some surgeons prefer a hybrid approach: (1) Familiarity with the surgical devices and the operative field is a critical factor in proficient and efficacious procedures for MIPD surgeons. (2) The availability of multi-fire","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"110-111"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/b9/jmis-26-3-110.PMC10505360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298478","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

Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study. 韩国腹腔镜急诊手术现状:多中心回顾性队列研究

Journal of minimally invasive surgery Pub Date : 2023-09-15 DOI: 10.7602/jmis.2023.26.3.112

Jung-Min Bae, Chang-Yeon Jung, Keesang Yoo, Hak-Jae Lee, Suk-Kyung Hong, Sungyeon Yoo, Yun Tae Jung, Eun Young Kim, Min Jung Ko, Ho-Gyun Shin

{"title":"Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study.","authors":"Jung-Min Bae, Chang-Yeon Jung, Keesang Yoo, Hak-Jae Lee, Suk-Kyung Hong, Sungyeon Yoo, Yun Tae Jung, Eun Young Kim, Min Jung Ko, Ho-Gyun Shin","doi":"10.7602/jmis.2023.26.3.112","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.112","url":null,"abstract":"Purpose: Laparoscopic surgery is a choice in several emergency settings. However, there has been no nationwide study or survey that has compared the clinical use of laparoscopic emergency surgery (LES) versus open abdominal emergency surgery (OES) in Korea. Therefore, we examined the state of LES across multiple centers in Korea and further compared this data with the global state based on published reports.Methods: Data of 2,122 patients who received abdominal emergency surgery between 2014 and 2019 in three hospitals in Korea were collected and retrospectively analyzed. Several clinical factors were investigated and analyzed.Results: Of the patients, 1,280 (60.3%) were in the OES group and 842 (39.7%) were in the LES group. The most commonly operated organ in OES was the small bowel (25.8%), whereas that for LES was the appendix. In appendectomy and cholecystectomy, 93.7% and 88.0% were in the LES group. In small bowel surgery, gastric surgery, and large bowel surgery, 89.4%, 92.0%, and 79.1% were in the OES group. The severity-related factors of patient status demonstrated statistically significant limiting factors of selection between LES and OES.Conclusion: Although our study has several limitations, compared to the LES data from other countries, the general LES state was similar in appendectomies, cholecystectomies, and small bowel surgeries. However, in gastric and colorectal surgeries, the LES state was different from those of other countries. This study demonstrated the LES state and limiting factors of selection between LES and OES in various operated organs. Further studies are required to analyze these differences and the various limiting factors.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/85/jmis-26-3-112.PMC10505370.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298484","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

Early outcomes of robotic transabdominal preperitoneal inguinal hernia repair: a retrospective single-institution study in Korea. 机器人经腹腹膜前腹股沟疝修补术的早期结果:韩国一项回顾性单机构研究。

Journal of minimally invasive surgery Pub Date : 2023-09-15 DOI: 10.7602/jmis.2023.26.3.128

Sungwoo Jung, Jin Ho Lee, Hyung Soon Lee

{"title":"Early outcomes of robotic transabdominal preperitoneal inguinal hernia repair: a retrospective single-institution study in Korea.","authors":"Sungwoo Jung, Jin Ho Lee, Hyung Soon Lee","doi":"10.7602/jmis.2023.26.3.128","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.128","url":null,"abstract":"Purpose: Robotic hernia repair has increased in popularity since the introduction of da Vinci robots (Intuitive Surgical). However, we lack quantitative analyses of its potential benefits. Herein, we report our initial experience with robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair.Methods: We retrospectively reviewed the data from patients who underwent R-TAPP inguinal hernia repair with a prosthetic mesh using the da Vinci platform. Data on patient characteristics and surgical outcomes were also collected.Results: Twenty-one patients (including 20 male patients [95.2%]) with a mean age of 54.1 ±16.4 years and body mass index of 23.8 ± 1.9 kg/m2 underwent R-TAPP inguinal hernia repair. Bilateral hernia repair was performed in two patients (9.5%), and six patients (28.5%) with scrotal hernia underwent R-TAPP hernia repair. A sigmoid colon sliding hernia was present in three patients (14.3%). The mean operation and console times were 91.8 ± 20.4 minutes and 154.5 ± 26.2 minutes, and 61.4 ± 16.9 minutes and 128.0 ± 25.5 minutes for unilateral and bilateral inguinal hernia, respectively. Spermatic vessel injury was identified intraoperatively in one patient. Two minor postoperative complications, postoperative ileus, and wound seroma were reported. The mean duration of hospitalization was 3.8 ± 0.9 days. No recurrence or conversion to open surgery was required.Conclusion: Our findings suggest that R-TAPP inguinal hernia repair is safe and feasible. Its cost-effectiveness, optimal procedural steps, and indications for a robotic approach require further investigation.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"128-133"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/b2/jmis-26-3-128.PMC10505366.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305823","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: 1