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

Early experience with robot-assisted Frey's procedure surgical outcome and technique: Indian perspective. 早期机器人辅助弗雷氏手术的经验、手术结果和技术:印度视角。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.145

Ankit Shukla, Senthil Gnanasekaran, Raja Kalayarasan, Biju Pottakkat

{"title":"Early experience with robot-assisted Frey's procedure surgical outcome and technique: Indian perspective.","authors":"Ankit Shukla, Senthil Gnanasekaran, Raja Kalayarasan, Biju Pottakkat","doi":"10.7602/jmis.2022.25.4.145","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.145","url":null,"abstract":"Purpose: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey's is scarce.Methods: We herein, describe our series and technique of robot-assisted Frey's procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey's. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey's.Results: In our study, out of 32 patients, nine patients underwent robot assisted Frey's procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, p = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, p = 0.400 and 3 days vs. 4 days, p = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, p = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups.Conclusion: Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey's procedure is possible robotically with acceptable outcomes in selected patients.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/b7/jmis-25-4-145.PMC9763489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9134928","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: 3

Evaluation of early versus delayed laparoscopic cholecystectomy in acute calculous cholecystitis: a prospective, randomized study. 急性结石性胆囊炎早期与延迟腹腔镜胆囊切除术的评估:一项前瞻性随机研究。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.139

Gaurav Gupta, Ajay Shahbaj, Dharmendra Kumar Pipal, Pawan Saini, Vijay Verma, Sangeeta Gupta, Vibha Rani, Seema Yadav

{"title":"Evaluation of early versus delayed laparoscopic cholecystectomy in acute calculous cholecystitis: a prospective, randomized study.","authors":"Gaurav Gupta, Ajay Shahbaj, Dharmendra Kumar Pipal, Pawan Saini, Vijay Verma, Sangeeta Gupta, Vibha Rani, Seema Yadav","doi":"10.7602/jmis.2022.25.4.139","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.139","url":null,"abstract":"Purpose: Uncertainty exists about whether early laparoscopic cholecystectomy (LC) is an appropriate surgical treatment for acute calculous cholecystitis. This study aimed to compare early vs. late LC for acute calculous cholecystitis regarding intraoperative difficulty and postoperative outcomes.Methods: This was a prospective randomized study carried out between December 2015 and June 2017; 60 patients with acute calculous cholecystitis were divided into two groups (early and delayed groups), each comprising 30 patients. Thirty patients treated with LC within 3 to 5 days of arrival at the hospital were assigned to the early group. The other 30 patients were placed in the delayed group, first treated conservatively, and followed by LC 3 to 6 weeks later.Results: The conversion rates in both groups were 6.7% and 0%, respectively (p = 0.143). The operating time was 56.67 ± 11.70 minutes in the early group and 75.67 ± 20.52 minutes in the delayed group (p = 0.001), and both groups observed equal levels of postoperative complications. Early LC patients, on the other hand, required much fewer postoperative hospital stay (3.40 ± 1.99 vs. 6.27 ± 2.90 days, p = 0.006).Conclusion: Considering shorter operative time and hospital stay without significant increase of open conversion rates, early LC might have benefits over late LC.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"139-144"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/75/jmis-25-4-139.PMC9763484.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10481472","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 extended right hemicolectomy with superior-to-inferior dissection: a mentee's initial experience. 腹腔镜下扩大右半结肠切除术与上下夹层:学员的初步经验。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.158

Min Chul Kim, Sung Chan Park

引用次数: 1

Minimally invasive surgery for maximally invasive tumors-pelvic exenterations for rectal cancers: are we prepared? 最大侵袭性肿瘤的微创手术--直肠癌的盆腔外切术：我们准备好了吗？

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.127

Joe King Man Fan

{"title":"Minimally invasive surgery for maximally invasive tumors-pelvic exenterations for rectal cancers: are we prepared?","authors":"Joe King Man Fan","doi":"10.7602/jmis.2022.25.4.127","DOIUrl":"10.7602/jmis.2022.25.4.127","url":null,"abstract":"Despite the public awareness of colorectal cancer screening with more and more early premalignant or malignant lesions detected, surgeons still face the challenges of operating for a patient suffering from locally advanced rectal carcinoma which required pelvic exenterations, and surgical outcomes mostly influenced by margin status, adjuvant chemotherapy, positive lymph nodes and liver metastasis, etc. Open pelvic exenteration has been the adopted approach in the past and laparoscopic surgery is another option in expert centers. A study in this issue of the Journal of Minimally Invasive Surgery demonstrated promising results of minimally invasive approaches for pelvic exenteration in patients with locally advanced rectal carcinoma, with overall complication rate of 28.2% with a 7.3% circumferential resection margin positivity and with no distal margin involvement, with local recurrence rate of 8.1% and overall survival of 85.2% by 2-year follow-up. We are expecting more results in the future to support the routine implementation of minimally invasive pelvic exenterations.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"127-128"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/88/jmis-25-4-127.PMC9763478.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488101","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

Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers. 最大侵袭性肿瘤的微创手术:直肠癌的盆腔切除。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.131

Mufaddal Kazi, Ashwin Desouza, Chaitali Nashikkar, Avanish Saklani

{"title":"Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers.","authors":"Mufaddal Kazi, Ashwin Desouza, Chaitali Nashikkar, Avanish Saklani","doi":"10.7602/jmis.2022.25.4.131","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.131","url":null,"abstract":"Purpose: Trials comparing minimally invasive rectal surgery have uniformly excluded T4 tumors. The present study aimed to determine the safety of minimally invasive surgery (MIS) for locally-advanced rectal cancers requiring pelvic exenterations based on benchmarked outcomes from the international PelvEx database.Methods: Consecutive patients of T4 rectal cancers with urogenital organ invasion that underwent MIS exenterations between November 2015 and June 2022 were analyzed from a single center. A safety threshold was set at 20% for R1 resections and 40% for major complications (≥grade IIIA) for the upper limit of the 95% confidence interval (CI).Results: The study included 124 MIS exenterations. A majority had a total pelvic exenteration (74 patients, 59.7%). Laparoscopic surgery was performed in 95 (76.6%) and 29 (23.4%) had the robotic operation. Major complications were observed in 35 patients (28.2%; 95% CI, 20.5%-37.0%). R1 resections were found pathologically in nine patients (7.3%; 95% CI, 3.4%-13.4%). The set safety thresholds were not crossed. At a median follow-up of 15 months, 44 patients (35.5%) recurred with 8.1% local recurrence rate. The 2-year overall and disease-free survivals were 85.2% and 53.7%, respectively.Conclusion: MIS exenterations for locally-advanced rectal cancers demonstrated acceptable morbidity and safety in term of R0 resections at experienced centers. Longer follow-up is required to demonstrate cancer survival outcomes.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"131-138"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/6b/jmis-25-4-131.PMC9763485.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10481471","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

Potential benefit of superior to inferior dissection during laparoscopic extended right hemicolectomy. 腹腔镜扩大右半结肠切除术中上剖腹与下剖腹的潜在益处。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.129

Dae Ro Lim

引用次数: 0

The Journal of Minimally Invasive Surgery is indexed by PubMed Central in 2022. 《Journal of minimal Invasive Surgery》于2022年被PubMed Central收录。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.85

Sun Jin Park

引用次数: 0

Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy. 腹腔镜右半结肠切除术中异型回肠支结扎后的回肠长段缺血。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.116

Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park

引用次数: 0

Fluorescence imaging, an emerging tool for preserving the parathyroid glands during thyroidectomy. 荧光成像，在甲状腺切除术中保存甲状旁腺的新兴工具。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.89

Kyung Ho Kang

引用次数: 0

Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases. 康阳标准法单切口腹腔镜胆囊切除术治疗良性胆囊疾病的最佳适应证。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.97

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

{"title":"Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases.","authors":"Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim","doi":"10.7602/jmis.2022.25.3.97","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.97","url":null,"abstract":"Purpose: The optimal indications for single-incision laparoscopic cholecystectomy (SILC) have not yet been established.Methods: This single-center retrospective study included consecutive patients who underwent SILC between April 2010 and June 2020. Difficult surgery (DS) (conversion to multiport or open cholecystectomy, adjacent organ injury, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL) and poor postoperative outcome (PPO) (postoperative hospital stay ≥ 7 days or Clavien-Dindo grade ≥ II postoperative complications) were defined to comprehensively evaluate surgical difficulty and postoperative outcomes, respectively.Results: Of 1,405 patients (mean age, 51.2 years; 802 female [57.1%]), 427 (grade I, n = 358; grade II/III, n = 69) underwent SILC for acute cholecystitis (AC), 34 (2.4%) needed conversion to multiport (n = 33) or open cholecystectomy (n = 1), 7 (0.5%) had adjacent organ injury during surgery, and 49 (3.5%) developed postoperative complications. Of the patients, 89 and 52 had DS and PPO, respectively. In the multivariate analysis, grade I AC, grade II/III AC, and body mass index of ≥30 kg/m2 were significant predictors of DS. Age of ≥70 years and DS were significant predictors of PPO. In a subgroup analysis of patients with AC, DS (9.5% vs. 27.5%, p < 0.001) and PPO (5.0% vs. 15.9%, p = 0.001) were more frequent in patients with grade II/III AC than in those with grade I AC.Conclusion: SILC is not recommended in patients with grade II/III AC and should be carefully performed by experienced and well-trained surgeons.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":" ","pages":"97-105"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/58/jmis-25-3-97.PMC9494018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386213","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