Journal of minimally invasive surgery最新文献

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Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report. 腹腔镜食管裂孔疝修补术后网片移入食管胃交界处;如何预防?病例报告。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.109
Moon-Soo Lee, Dong Kyu Lee, Hyun-Young Han, Joo Heon Kim
{"title":"Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report.","authors":"Moon-Soo Lee, Dong Kyu Lee, Hyun-Young Han, Joo Heon Kim","doi":"10.7602/jmis.2024.27.2.109","DOIUrl":"10.7602/jmis.2024.27.2.109","url":null,"abstract":"<p><p>Although the use of mesh reinforcement during large hiatal hernia repair may reduce the rate of recurrence, various mesh-related complications have been reported. A 65-year-old woman presented with dysphagia. The patient was diagnosed with a large hiatal hernia and treated with laparoscopic fundoplication and Collis gastroplasty with mesh repair. Six months after surgery, the patient presented with dysphagia and vomiting. Esophagogastroduodenoscopy showed migration of mesh material into the esophagogastric junction. We performed a proximal gastrectomy with mesh removal. The patient was discharged without any postoperative complications. Herein, we encountered a rare case requiring surgical treatment to resolve mesh-induced esophagogastric perforation after hiatal hernia repair. Mesh-associated complications, such as erosion or migration, should be considered as they may be more common than previously reported. Additionally, these complications are currently underscored in clinical practice. Regarding mesh applications, symptoms of mesh-related complications, such as dysphagia, should be carefully monitored for early detection.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422104","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
Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea. 预防性腹腔引流对腹腔镜结肠癌半结肠切除术术后疼痛的影响:韩国一项单中心观察性研究。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.76
Sung Seo Hwang, Heung-Kwon Oh, Hye-Rim Shin, Tae-Gyun Lee, Mi Jeong Choi, Min Hyeong Jo, Hong-Min Ahn, Hyeonjeong Park, Hyun Hee Sim, Eunjeong Ji, Anuj Naresh Singhi, Duck-Woo Kim, Sung-Bum Kang
{"title":"Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea.","authors":"Sung Seo Hwang, Heung-Kwon Oh, Hye-Rim Shin, Tae-Gyun Lee, Mi Jeong Choi, Min Hyeong Jo, Hong-Min Ahn, Hyeonjeong Park, Hyun Hee Sim, Eunjeong Ji, Anuj Naresh Singhi, Duck-Woo Kim, Sung-Bum Kang","doi":"10.7602/jmis.2024.27.2.76","DOIUrl":"10.7602/jmis.2024.27.2.76","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effect of prophylactic abdominal drainage (AD) in laparoscopic hemicolectomy, focusing on assessing postoperative pain outcomes.</p><p><strong>Methods: </strong>Patients were categorized into two groups: those with and without AD (AD group vs. no-AD group). A numerical rating scale (NRS) was used to assess postoperative pain on each postoperative day (POD). Further, the inverse probability of treatment weighting (IPTW) method was used to reduce intergroup bias.</p><p><strong>Results: </strong>In total, 204 patients who underwent laparoscopic hemicolectomies by a single surgeon between June 2013 and September 2022 at a single institution were retrospectively reviewed. After adjusting for IPTW, NRS scores on POD 2 were significantly lower in the no-AD group (3.2 ± 0.8 vs. 3.4 ± 0.8, <i>p</i> = 0.043). Further examination of postoperative outcomes showed no statistically significant differences in complications between the AD (17.3%) and no-AD (12.4%) groups (<i>p</i> = 0.170). The postoperative length of hospital stay was 7.3 ± 2.8 days in the AD group and 6.9 ± 3.0 days in the no-AD group, with no significant difference (<i>p</i> = 0.298). Time to first flatus was 3.0 ± 0.9 days in the AD group and 2.7 ± 0.9 days in the no-AD group, with no significant difference (<i>p</i> = 0.078). Regarding readmission within 1 month, there were four cases each in the AD (2.3%) and no-AD (1.7%) groups, with no significant difference (<i>p</i> = 0.733).</p><p><strong>Conclusion: </strong>Laparoscopic hemicolectomy without AD resulted in no significant differences in postoperative clinical outcomes, except for postoperative pain. This finding suggests that prophylactic AD may exacerbate postoperative pain.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422101","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
Is liquid skin adhesive safe and feasible for skin closure in single-port laparoscopic appendectomy? 液体皮肤粘合剂在单孔腹腔镜阑尾切除术中用于皮肤闭合是否安全可行?
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.74
Hyun Gu Lee
{"title":"Is liquid skin adhesive safe and feasible for skin closure in single-port laparoscopic appendectomy?","authors":"Hyun Gu Lee","doi":"10.7602/jmis.2024.27.2.74","DOIUrl":"10.7602/jmis.2024.27.2.74","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422103","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
Propensity score matching for comparative studies: a tutorial with R and Rex. 用于比较研究的倾向得分匹配:使用 R 和 Rex 的教程。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.55
Bora Lee, Nam-Eun Kim, Sungho Won, Jungsoo Gim
{"title":"Propensity score matching for comparative studies: a tutorial with R and Rex.","authors":"Bora Lee, Nam-Eun Kim, Sungho Won, Jungsoo Gim","doi":"10.7602/jmis.2024.27.2.55","DOIUrl":"10.7602/jmis.2024.27.2.55","url":null,"abstract":"<p><p>Recently, there has been considerable progress in developing new technologies and equipment for the medical field, including minimally invasive surgeries. Evaluating the effectiveness of these treatments requires study designs like randomized controlled trials. However, due to the nature of certain treatments, randomization is not always feasible, leading to the use of observational studies. The effect size estimated from observational studies is subject to selection bias caused by confounders. One method to reduce this bias is propensity scoring. This study aimed to introduce a propensity score matching process between two groups using a practical example with R. Additionally, Rex, an Excel add-in graphical user interface statistical program, is provided for researchers unfamiliar with R programming. Further techniques, such as matching with three or more groups, propensity score weighting and stratification, and imputation of missing values, are summarized to offer approaches for more complex studies not covered in this tutorial.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422105","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
The method of using robotic Harmonic ACE curved shears for parenchymal transection in robotic hepatectomy. 在机器人肝切除术中使用机器人 Harmonic ACE 弯剪进行实质横切的方法。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.114
Eun Jeong Jang, Sung Hwa Kang, Kwan Woo Kim
{"title":"The method of using robotic Harmonic ACE curved shears for parenchymal transection in robotic hepatectomy.","authors":"Eun Jeong Jang, Sung Hwa Kang, Kwan Woo Kim","doi":"10.7602/jmis.2024.27.2.114","DOIUrl":"10.7602/jmis.2024.27.2.114","url":null,"abstract":"<p><p>Robotic liver surgery is emerging as a minimally invasive surgery to overcome the disadvantages of laparoscopy. The two biggest barriers to the uptake of robotic hepatectomy are the high cost and instrument limitations. Transection of the liver parenchyma is the main issue in robotic hepatectomy. Nonetheless, with adequate experience and the aid of reliable and enhanced three-dimensional visualization, many robotic surgeons have successfully used robotic Harmonic ACE curved shears (Intuitive Surgical Inc.) for parenchymal transection of the liver. Herein, we share a method of using robotic Harmonic ACE curved shears for parenchymal transection using a video clip.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422007","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
Various retraction techniques for laparoscopic pancreaticoduodenectomy. 腹腔镜胰十二指肠切除术的各种牵引技术。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.118
Kwang Hyun Kim, Eui Hyuk Chong, Incheon Kang, Sung Hwan Lee, Seok Jeong Yang
{"title":"Various retraction techniques for laparoscopic pancreaticoduodenectomy.","authors":"Kwang Hyun Kim, Eui Hyuk Chong, Incheon Kang, Sung Hwan Lee, Seok Jeong Yang","doi":"10.7602/jmis.2024.27.2.118","DOIUrl":"10.7602/jmis.2024.27.2.118","url":null,"abstract":"<p><p>The laparoscopic pancreaticoduodenectomy (LPD), introduced by Gagner and Pomp in 1994, is typically done in high-volume centers due to its technical demands. Our methods aim to provide effective traction, enabling efficient surgery despite limited staffing. A retrospective analysis of 29 patients undergoing LPD by a single surgeon between September 2021 and December 2022 showed promising outcomes: median intraoperative bleeding of 425 mL, operation time of 505 minutes, and postoperative hospital stay of 10 days. With only one case requiring open conversion, our external retraction techniques demonstrate efficacy in overcoming challenges associated with manpower constraints, highlighting potential utility for surgeons in similar settings. We share LPD external retraction techniques and outcomes.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422008","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
Incidence of clinically relevant postoperative pancreatic fistula in patients undergoing open and minimally invasive pancreatoduodenectomy: a population-based study. 开放式和微创胰十二指肠切除术患者术后临床相关胰瘘的发生率:一项基于人群的研究。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.95
Jenny H Chang, Rasha T Kakati, Chase Wehrle, Robert Naples, Daniel Joyce, Toms Augustin, Robert Simon, R Matthew Walsh, Fadi S Dahdaleh, Philip Spanheimer, Isabella Salti, Alessandro Parente, Samer A Naffouje
{"title":"Incidence of clinically relevant postoperative pancreatic fistula in patients undergoing open and minimally invasive pancreatoduodenectomy: a population-based study.","authors":"Jenny H Chang, Rasha T Kakati, Chase Wehrle, Robert Naples, Daniel Joyce, Toms Augustin, Robert Simon, R Matthew Walsh, Fadi S Dahdaleh, Philip Spanheimer, Isabella Salti, Alessandro Parente, Samer A Naffouje","doi":"10.7602/jmis.2024.27.2.95","DOIUrl":"10.7602/jmis.2024.27.2.95","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pancreatic fistula (POPF) remains a devastating complication of pancreatoduodenectomy (PD). Minimally invasive PD (MIPD), including laparoscopic (LPD) and robotic (RPD) approaches, have comparable POPF rates to open PD (OPD). However, we hypothesize that the likelihood of having a more severe POPF, as defined as clinically relevant POPF (CR-POPF), would be higher in an MIPD relative to OPD.</p><p><strong>Methods: </strong>The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) targeted pancreatectomy dataset (2014-2020) was reviewed for any POPF after OPD. Propensity score matching (PSM) compared MIPD to OPD, and then RPD to LPD.</p><p><strong>Results: </strong>Among 3,083 patients who developed a POPF, 2,843 (92.2%) underwent OPD and 240 (7.8%) MIPD; of these, 25.0% were LPD (n = 60) and 75.0% RPD (n = 180). Grade B POPF was observed in 45.4% (n = 1,400), and grade C in 6.0% (n = 185). After PSM, MIPD patients had higher rates of CR-POPF (47.3% OPD vs. 54.4% MIPD, <i>p</i> = 0.037), as well as higher reoperation (9.1% vs. 15.3%, <i>p</i> = 0.006), delayed gastric emptying (29.2% vs. 35.8%, <i>p</i> = 0.041), and readmission rates (28.2% vs. 35.1%, <i>p</i> = 0.032). However, CR-POPF rates were comparable between LPD and RPD (56.8% vs. 49.3%, <i>p</i> = 0.408).</p><p><strong>Conclusion: </strong>The impact of POPF is more clinically pronounced after MIPD than OPD with a more complex postoperative course. The difference appears to be attributed to the minimally invasive environment itself as no difference was noted between LPD and RPD. A clear biological explanation of this clinical observation remains missing. Further studies are warranted.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422102","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
A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand. 一项针对泰国新毕业外科医生的腹腔镜腹股沟疝修补术可行性非劣效性回顾性研究。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.85
Thanat Tantinam, Tawadchai Treeratanawikran, Pattiya Kamoncharoen, Ekawit Srimaneerak, Metpiya Siripoonsap, Thawatchai Phoonkaew
{"title":"A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand.","authors":"Thanat Tantinam, Tawadchai Treeratanawikran, Pattiya Kamoncharoen, Ekawit Srimaneerak, Metpiya Siripoonsap, Thawatchai Phoonkaew","doi":"10.7602/jmis.2024.27.2.85","DOIUrl":"10.7602/jmis.2024.27.2.85","url":null,"abstract":"<p><strong>Purpose: </strong>The feasibility of starting laparoscopic surgery among newly graduated surgeons lacking extensive experience in open approaches remains a topic of interest. We aimed to evaluate the safety and efficacy of laparoscopic inguinal hernia repair (LHR) compared to open inguinal hernia repair (OHR) in this population.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted on inguinal hernia surgeries performed by a single recently graduated surgeon during the learning phase. Patient data were collected from July 2021 to November 2022 with a focus on demographics, intraoperative details, and 1-year postoperative outcomes. Noninferiority testing was employed with a predetermined margin of 15% to compare the complication rates, recurrence rates, and other secondary outcomes between LHR and OHR.</p><p><strong>Results: </strong>The study cohort comprised 66 patients (OHR group, n = 45 and LHR group, n = 21). Patient characteristics were similar between groups. No significant differences were observed in the complication rates (OHR, 26.7% and LHR, 19.0%; <i>p</i> = 0.50) or recurrence rates (OHR, 2.2% and LHR, 4.8%; <i>p</i> = 0.54). The LHR group demonstrated noninferior outcomes compared with the OHR group in terms of complication, recurrence, readmission, and reoperation rates. Except for the operative time, secondary outcomes did not differ significantly between the groups.</p><p><strong>Conclusion: </strong>LHR is a feasible initiation for recently graduated surgeons, demonstrating noninferior outcomes compared with open repair. Therefore, the belief that one must master open surgery before beginning laparoscopy may be untrue.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422099","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
Robotic subtotal left pancreatectomy with preservation of the bile duct and spleen for multifocal pancreatic metastases: a video vignette of organ-sparing pancreatectomy for tumors that do not require regional lymphadenectomy. 保留胆管和脾脏的机器人左侧胰腺次全切除术治疗多灶性胰腺转移瘤:无需区域淋巴结切除术的肿瘤保全器官胰腺切除术视频短片。
Journal of minimally invasive surgery Pub Date : 2024-06-15 DOI: 10.7602/jmis.2024.27.2.125
Charnwit Assawasirisin, Wethit Dumronggittigule, Prawej Mahawithitwong, Chutwichai Tovikkai
{"title":"Robotic subtotal left pancreatectomy with preservation of the bile duct and spleen for multifocal pancreatic metastases: a video vignette of organ-sparing pancreatectomy for tumors that do not require regional lymphadenectomy.","authors":"Charnwit Assawasirisin, Wethit Dumronggittigule, Prawej Mahawithitwong, Chutwichai Tovikkai","doi":"10.7602/jmis.2024.27.2.125","DOIUrl":"10.7602/jmis.2024.27.2.125","url":null,"abstract":"<p><p>Pancreatectomy for pancreatic metastases (PM) yields acceptable survival outcomes in selected renal cell carcinoma (RCC) patients. We describe a technique for robotic subtotal left pancreatectomy with preservation of the common bile duct (CBD) and spleen in a patient with multifocal RCC-PM. The patient, who had RCC and underwent nephrectomy 20 years ago, presented with a pancreatic mass. Computed tomography and endoscopic ultrasonography demonstrated one mass at the head of pancreas (HOP), and other three lesions at neck, body, and tail. HOP lesion located near CBD. Subtotal left pancreatectomy was more preferred option than total pancreatectomy due to better endocrine function. The ultrasound-guided CBD and uncinate-preserving resection started at HOP, and then continued with distal pancreatectomy. The pathology revealed metastatic RCC with a negative margin. The patient experienced only biochemical pancreatic leakage. One month after surgery, the patient only required oral medication for diabetes treatment. In conclusion, the robot-assisted technique is helpful in increasing the success rate of organ-sparing pancreatectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422006","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
Ramadan fasting following laparoscopic sleeve gastrectomy: a prospective online survey cohort study in Egypt. 腹腔镜袖带胃切除术后的斋月禁食:埃及前瞻性在线调查队列研究。
Journal of minimally invasive surgery Pub Date : 2024-03-15 DOI: 10.7602/jmis.2024.27.1.33
Tamer N Abdelbaki, Noureldin Ahmed, Mahmoud Ahmed Alhussini, Moustafa Elshafei
{"title":"Ramadan fasting following laparoscopic sleeve gastrectomy: a prospective online survey cohort study in Egypt.","authors":"Tamer N Abdelbaki, Noureldin Ahmed, Mahmoud Ahmed Alhussini, Moustafa Elshafei","doi":"10.7602/jmis.2024.27.1.33","DOIUrl":"10.7602/jmis.2024.27.1.33","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the feasibility and implications of Ramadan fasting for patients who have undergone laparoscopic sleeve gastrectomy (LSG), assessing impacts on hydration, nutrient intake, weight management, and gastrointestinal symptoms.</p><p><strong>Methods: </strong>A prospective online survey was conducted among 218 LSG patients and 83 control individuals with obesity who had not undergone surgery. Participants were surveyed before and after Ramadan, providing data on fasting practices, hunger and satiety levels, fluid and nutrient intake, and the occurrence of gastrointestinal symptoms. Statistical analysis was used to compare outcomes between fasting and non-fasting periods and between LSG patients and control participants.</p><p><strong>Results: </strong>A total of 70.2% of LSG patients completed the entire month of Ramadan fasting, with a significant correlation found between the duration post-surgery and the ability to fast. Fasting LSG patients reported decreased hunger, increased satiety, and significant reductions in fluid and nutrient intake during Ramadan. Weight loss was reported in 90.8% of fasting patients, with an average total weight loss of 7.2%. Gastrointestinal symptoms were mild and manageable.</p><p><strong>Conclusion: </strong>The majority of LSG patients can successfully fast during Ramadan with appropriate precautions, including adequate fluid and protein intake. The study highlights the need for patient education and tailored nutritional guidance to ensure safe and effective fasting post-LSG. In order to fast for the entire month, patients may be advised to consider postponing surgery for a few months after Ramadan, avoid overeating during non-fasting hours, and ensure sufficient fluid consumption and protein intake during fasting.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144744","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
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