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

Laparoscopic approach in chronic posttraumatic diaphragmatic hernia. 慢性创伤后膈疝的腹腔镜入路。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.77

Aisawan Asumpinawong, Suthep Udomsawaengsup

引用次数: 0

Minimally invasive surgery for colorectal cancer, a look back to look forward: a personal history. 结直肠癌微创手术，回顾展望:个人病史。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.41

Gyu-Seog Choi

引用次数: 1

Which one will you choose; open, laparoscopic, or robotic transduodenal ampullectomy?: a case report. 你会选择哪一个?开放式、腹腔镜还是机器人经十二指肠壶胃切除术?一份病例报告。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.73

Dawn Jung, Ji Eun Jung, Chang Moo Kang

引用次数: 1

Oncological impact of vascular invasion in colon cancer might differ depending on tumor sidedness. 结肠癌血管浸润的肿瘤学影响可能因肿瘤的侧边性而异。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.53

Moamen Shalkamy Abdelgawaad Shalkamy, Jung Hoon Bae, Chul Seung Lee, Seung Rim Han, Ji Hoon Kim, Bong-Hyeon Kye, In Kyu Lee, Yoon Suk Lee

{"title":"Oncological impact of vascular invasion in colon cancer might differ depending on tumor sidedness.","authors":"Moamen Shalkamy Abdelgawaad Shalkamy, Jung Hoon Bae, Chul Seung Lee, Seung Rim Han, Ji Hoon Kim, Bong-Hyeon Kye, In Kyu Lee, Yoon Suk Lee","doi":"10.7602/jmis.2022.25.2.53","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.2.53","url":null,"abstract":"Purpose: Vascular invasion is a well-known independent prognostic factor in colon cancer and tumor sidedness is also being considered a prognostic factor. The aim of this study was to compare the oncological impact of vascular invasion depending on the tumor location in stages I to III colon cancer.Methods: A retrospective analysis was performed using data from patients who underwent curative resection between 2004 and 2015. Patients were divided into right-sided colon cancer (RCC) and left-sided colon cancer (LCC) groups according to the tumor location. Disease-free survival (DFS) and overall survival (OS) were compared between the RCC and LCC groups, depending on the presence of vascular invasion.Results: A total of 793 patients were included, of which 304 (38.3%) had RCC and 489 (61.7%) had LCC. DFS and OS did not differ significantly between the RCC and LCC groups. Vascular invasion was a poor prognostic factor for DFS in both RCC (hazard ratio [HR], 2.291; 95% confidence interval [CI], 1.186-4.425; p = 0.010) and LCC (HR, 1.848; 95% CI, 1.139-2.998; p = 0.011). Additionally, it was associated with significantly worse OS in the RCC (HR, 3.503; 95% CI, 1.681-7.300; p < 0.001), but not in the LCC group (HR, 1.676; 95% CI, 0.885-3.175; p = 0.109). Multivariate analysis revealed that vascular invasion was independently poor prognostic factor for OS in the RCC (HR, 3.186; 95% CI, 1.391-7.300; p = 0.006).Conclusion: This study demonstrated that RCC with vascular invasion had worse OS than LCC with vascular invasion.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/b1/jmis-25-2-53.PMC9218406.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610366","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: 2

Risk of incisional hernia after laparoscopic colorectal surgery: surgeon’s worries and challenges 腹腔镜结直肠手术后切口疝的风险:外科医生的担忧和挑战

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.9

Byung Mo Kang

引用次数: 0

Laparoscopic transabdominal preperitoneal and totally extraperitoneal in inguinal hernia surgery: comparison of intraoperative and postoperative early complications of two techniques 腹腔镜经腹腹膜前和全腹膜外技术在腹股沟疝手术中的应用:两种技术术中及术后早期并发症的比较

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.18

A. Yıldız

{"title":"Laparoscopic transabdominal preperitoneal and totally extraperitoneal in inguinal hernia surgery: comparison of intraoperative and postoperative early complications of two techniques","authors":"A. Yıldız","doi":"10.7602/jmis.2022.25.1.18","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.1.18","url":null,"abstract":"Purpose Totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) are laparoscopic techniques frequently used in inguinal hernia surgeries. There are very few studies directly comparing the outcomes of TEP and TAPP. The present study compared both techniques’ technical aspects, intraoperative and postoperative early complications. Methods In this study, 108 patients diagnosed with inguinal hernia underwent laparoscopic surgery between May 2016 and December 2020. Seventy six of these patients (70.4%) underwent TEP, and 32 (29.6%) underwent TAPP. This study was retrospective. However, the data were registered prospectively (including video recordings). Results No significant difference was found between the groups regarding age, sex, body mass index, American Society of Anesthesiologist physical status classification, and duration of hospitalization. Although the TEP group had a higher overall complication rate than TAPP, the difference between the two groups was not significant (TEP, 9.2% vs. TAPP, 3.1%, p = 0.979). Two conversions and two recurrences (2.6% each) were observed in TEP. The hematoma was seen in one case in both techniques (3.1% vs. 1.3%, p = 0.665), respectively. A patient in the TEP group developed a pseudoaneurysm and was treated with endovascular embolization. Conclusion In our study, conversion and intraoperative early postoperative complications were more prevalent in TEP than TAPP. On the other hand, no significant difference was determined between the results of the two techniques. It has been found that TAPP is as safe as TEP in inguinal hernia surgery; however, the superiority of one method over the other was not observed in this study.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79245874","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}

引用次数: 6

Prevention and management of intraoperative complication during single incision laparoscopic totally extraperitoneal repair 单切口腹腔镜全腹膜外修复术中并发症的预防与处理

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.36

Sungwoo Jung, Jin Ho Lee, Jae Uk Chong, Hyung Soon Lee

引用次数: 0

Risk factors of incisional hernia after laparoscopic colorectal surgery with periumbilical minilaparotomy incision: a propensity score matching analysis 腹腔镜结直肠手术脐周小切口切口后切口疝的危险因素:倾向评分匹配分析

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.24

Yoon-Ji Kim, Ki Hyun Kim, K. Seo, Seung Hun Lee, G. Son

{"title":"Risk factors of incisional hernia after laparoscopic colorectal surgery with periumbilical minilaparotomy incision: a propensity score matching analysis","authors":"Yoon-Ji Kim, Ki Hyun Kim, K. Seo, Seung Hun Lee, G. Son","doi":"10.7602/jmis.2022.25.1.24","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.1.24","url":null,"abstract":"Purpose Incisional hernia is one of the most common complications after abdominal surgery conducted through a midline incision. Considerable debate remains regarding the design, comorbidity, suture material, and method. We investigated the risk factors for incisional hernia after laparoscopic colorectal surgery in the presence of limited surgery-related factors. Methods A retrospective study was designed with 541 patients who underwent laparoscopic colorectal surgery performed by a single operator from January 2015 to December 2017. Due to open conversions, other abdominal operations, or follow-up loss, only 445 patients were included in the study. After propensity score matching, 266 patients were included. The study was based on diagnosis of incisional hernia on computed tomography at 6 and 12 months postoperatively. Results Of the 266 total patients, 133 underwent abdominal closure using PDS (Ethicon), while the remaining 133 underwent closure with Vicryl (Ethicon). Of these patients, nine were diagnosed with incisional hernia at the 12-month follow-up six (4.5%) in the Vicryl group and three (2.3%) in the PDS group (p = 0.309). The incidence of incisional hernia was significantly increased in females (odds ratio [OR], 15.233; 95% confidence interval [CI], 1.905–121.799; p = 0.010), in patients with body mass index (BMI) of >25 kg/m2 (OR, 4.740; 95% CI, 1.424–15.546; p = 0.011), and in patients with liver disease (OR, 19.899; 95% CI, 1.614–245.376; p = 0.020). Conclusion BMI of >25 kg/m2, female, and liver disease were significant risk factors for incisional hernia after elective laparoscopic colorectal surgery performed through a transumbilical minilaparotomy incision.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91071641","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}

引用次数: 3

Surgical outcomes of various surgical approaches for transverse colon cancer. 横结肠癌各种手术方法的手术效果。

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.1

Hyo Jun Kim, Ji Won Park

{"title":"Surgical outcomes of various surgical approaches for transverse colon cancer.","authors":"Hyo Jun Kim, Ji Won Park","doi":"10.7602/jmis.2022.25.1.1","DOIUrl":"10.7602/jmis.2022.25.1.1","url":null,"abstract":"The transverse colon has anatomical peculiarities in the middle position between the foregut and the midgut. Because the transverse colon harbors a flexure at both ends, mobilization of the transverse colon can be especially challenging compared with other colons. Although transverse colon cancer is relatively uncommon, an optimal surgical management for transverse colon cancer must be established. In transverse colon cancer, proximity to the pancreas and variation in arterial and venous anatomy make radical resection more difficult. Dissection of lymph nodes around the middle colic vessels is a critical step in transverse colon cancer resection. The proximity of the middle colic vessels to the superior mesenteric vessels contributes to the complexity of this step, making it challenging for less-trained surgeons. For these reasons, patients with transverse colon cancer were not included in most landmark studies that compared laparoscopic surgery with open surgery. More radical operations, such as subtotal colectomy or extended right or left hemicolectomy, can be performed for transverse colon cancer to secure an adequate lymphadenectomy. Such cancers have also been treated with limited segmental colectomies, such as right, transverse, or left colectomy. Currently, there is still a lack of standardized definitions and procedures. Therefore, it is time to discuss and establish optimal surgical treatments for transverse colon cancer.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8977494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75420726","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

Comparison of one-stage laparoscopic common bile duct exploration plus cholecystectomy and two-stage endoscopic sphincterotomy plus laparoscopic cholecystectomy for concomitant gallbladder and common bile duct stones in patients over 80 years old 一期腹腔镜胆总管探查加胆囊切除术与二期内镜括约肌切开术加腹腔镜胆囊切除术治疗80岁以上合并胆囊、胆总管结石的比较

Journal of minimally invasive surgery Pub Date : 2022-03-15 DOI: 10.7602/jmis.2022.25.1.11

Seung Jae Lee, I. Choi, J. Moon, Y. Choi, Ki-Hyun Ryu

{"title":"Comparison of one-stage laparoscopic common bile duct exploration plus cholecystectomy and two-stage endoscopic sphincterotomy plus laparoscopic cholecystectomy for concomitant gallbladder and common bile duct stones in patients over 80 years old","authors":"Seung Jae Lee, I. Choi, J. Moon, Y. Choi, Ki-Hyun Ryu","doi":"10.7602/jmis.2022.25.1.11","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.1.11","url":null,"abstract":"Purpose This study was performed to compare the safety and efficacy of one-stage laparoscopic common bile duct exploration (LCBDE) plus laparoscopic cholecystectomy (LC) with those of endoscopic sphincterotomy (EST) plus LC for concomitant gallbladder (GB) and common bile duct (CBD) stones in elderly patients. Methods This single-center retrospective study reviewed the medical records of patients aged >80 years who were diagnosed with concomitant GB and CBD stones between January 2010 and December 2020. Results Of the 137 patients included in this study, 46 underwent one-stage LCBDE + LC and 91 underwent two-stage EST + LC. The frequency of previous gastrectomy (23.9% vs. 5.5%, p = 0.002) and multiple stones (76.1% vs. 49.5%, p = 0.003) was higher in the LCBDE + LC group than in the EST + LC group. Further, patients in LCBDE + LC group had larger CBD stones (11.9 mm vs. 6.0 mm, p < 0.001). There were no significant differences in the clearance (91.3% vs. 95.6%, p = 0.311) and recurrence (4.3% vs. 8.8%, p = 0.345) rates between the groups. The incidence of posttreatment overall complications (17.4% vs. 22.0%, p = 0.530) and total hospital stay (12.7 days vs. 11.7 days, p = 0.339) were similar in the two groups. Conclusion One-stage LCBDE + LC is a safe and effective treatment for concomitant GB and CBD stones, even in elderly patients, and may be considered as the first treatment option in elderly patients with previous gastrectomy, multiple large (≥ 15 mm) CBD stones, or inability to cooperate with endoscopic procedures.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76685394","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}

引用次数: 6