Journal of minimally invasive surgery最新文献

{"title":"Robotic single-port plus one-port splenic vessel-conserving spleen-preserving distal pancreatectomy: a case report.","authors":"Sung Hyun Kim, Na Reum Kim, Chang Moo Kang","doi":"10.7602/jmis.2024.27.3.177","DOIUrl":"10.7602/jmis.2024.27.3.177","url":null,"abstract":"<p><p>Minimally invasive distal pancreatectomy is a safe and effective surgical approach for the treatment of distal pancreatic tumors. Recently, the da Vinci single-port (SP) system (Intuitive Surgical, Inc.) was introduced to overcome the previously known limitations of this approach. Here, we report our experience with robotic SP plus one-port splenic vessel-conserving spleen-preserving distal pancreatectomy (RSP + 1 SVc-SpDP). A 38-year-old male patient was incidentally found to have a pancreatic neuroendocrine tumor. On May 12, 2023, RSP + 1 SVc-SpDP was performed. The robotic SP was placed at the transumbilical site, and an additional 12-mm port was placed on the left side of the patient's abdomen. The surgical procedure was based on splenic vessel-conserving, spleen-preserving distal pancreatectomy. The operative time was 350 minutes, and the patient was discharged on postoperative day 8 without any complications. The initial experience of RSP + 1 SVc-SpDP using the da Vinci SP system showed the possibility of an alternative operation for distal pancreatectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"177-180"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302666","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}

{"title":"Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review.","authors":"Myeong Gon Cho, Hyun-Young Han, Joo Heon Kim, Moon-Soo Lee","doi":"10.7602/jmis.2024.27.3.172","DOIUrl":"10.7602/jmis.2024.27.3.172","url":null,"abstract":"<p><p>Omphalitis is an infection of the umbilicus that can cause inflammation to spread. Omphalitis is rare in adults; however, it can occasionally occur owing to urachal remnants. A 61-year-old male patient with abdominal pain and umbilical pus was admitted to the emergency room. Abdominal computed tomography revealed peritonitis with multiple intra-abdominal abscesses. The patient was diagnosed with peritonitis resulting from urachal cyst rupture. Laparoscopic drainage of the abscesses and excising of the umbilicus and intra-abdominal fistula tract were performed. Antibiotics were administered, and the patient was discharged uneventfully. The rarity of peritonitis caused by infection and urachal cyst rupture can make diagnosing omphalitis challenging. Therefore, in this case report and literature review, we discuss the diagnosis and treatment of complicated omphalitis, which rarely progresses to peritonitis owing to ruptured urachal cysts.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"172-176"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302647","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}

{"title":"Automated machine learning with R: AutoML tools for beginners in clinical research.","authors":"Youngho Park","doi":"10.7602/jmis.2024.27.3.129","DOIUrl":"10.7602/jmis.2024.27.3.129","url":null,"abstract":"<p><p>Recently, interest in machine learning (ML) has increased as the application fields have expanded significantly. Although ML methods excel in many fields, establishing an ML pipeline requires considerable time and human resources. Automated ML (AutoML) tools offer a solution by automating repetitive tasks, such as data preprocessing, model selection, hyperparameter optimization, and prediction analysis. This review introduces the use of AutoML tools for general research, including clinical studies. In particular, it outlines a simple approach that is accessible to beginners using the R programming language (R Foundation for Statistical Computing). In addition, the practical code and output results for binary classification are provided to facilitate direct application by clinical researchers in future studies.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"129-137"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302650","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}

{"title":"Is prophylactic abdominal drainage mandatory in laparoscopic hemicolectomy?","authors":"Ji Hoon Kim","doi":"10.7602/jmis.2024.27.3.140","DOIUrl":"10.7602/jmis.2024.27.3.140","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"140-141"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302663","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}

{"title":"Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis.","authors":"Adebayo Feranmi Falola, Oluwasina Samuel Dada, Ademola Adeyeye, Chioma Ogechukwu Ezebialu, Rhoda Tolulope Fadairo, Madeleine Oluomachi Okere, Abdourahmane Ndong","doi":"10.7602/jmis.2024.27.3.142","DOIUrl":"10.7602/jmis.2024.27.3.142","url":null,"abstract":"<p><strong>Purpose: </strong>Surgical practice globally has undergone significant advancements with the advent of robotic systems. In Africa, a similar trend is emerging with the introduction of robots into various surgical specialties in certain countries. The need to review the robotic procedures performed, platforms utilized, and analyze outcomes such as conversion, morbidity, and mortality associated with robotic surgery in Africa, necessitated this study. This is the first study examining the status and outcomes of robotic surgery in Africa.</p><p><strong>Methods: </strong>A thorough scoping search was performed in PubMed, Google Scholar, Web of Science, and African Journals Online. Of the 1,266 studies identified, 16 studies across 3 countries met the inclusion criteria. A meta-analysis conducted using R statistical software estimated the pooled prevalences with the 95% confidence interval (CI) of conversion, morbidity, and mortality.</p><p><strong>Results: </strong>Surgical robots are reportedly in use in South Africa, Egypt, and Tunisia. Across four specialties, 1,328 procedures were performed using da Vinci (Intuitive Surgical), Versius (CMR Surgical), and Senhance (Asensus Surgical) surgical robotic platforms. Urological procedures (90.1%) were the major procedures performed, with robotic prostatectomy (49.3%) being the most common procedure. The pooled rate of conversion and prevalence of morbidity from the meta-analysis was 0.21% (95% CI, 0%-0.54%) and 21.15% (95% CI, 7.45%-34.85%), respectively. There was no reported case of mortality.</p><p><strong>Conclusion: </strong>The outcomes highlight successful implementation and the potential for wider adoption. Based on our findings, we advocate for multidisciplinary and multinational collaboration, investment in surgical training programs, and policy initiatives aimed at addressing barriers to the widespread adoption of robotic surgery in Africa.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"142-155"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302648","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}

{"title":"Robotic median arcuate ligament release: a video vignette.","authors":"Marie-Thérèse Maréchal, Nikolaos Koliakos, Dimitrios Papaconstantinou, Luca Pau, Nicolas Boyer, Mathilde Poras, Georgios Katsanos, Eleonora Farinella","doi":"10.7602/jmis.2024.27.3.181","DOIUrl":"10.7602/jmis.2024.27.3.181","url":null,"abstract":"<p><p>Median arcuate ligament syndrome (MALS) poses a rare challenge in diagnosis and management. We present a case of MALS in a 50-year-old male with recurrent epigastric pain, vomiting, and diarrhea. Diagnostic imaging revealed celiac artery stenosis and gastroduodenal artery collateral dilatation. Robotic-assisted median arcuate ligament release successfully alleviated symptoms. Utilizing the da Vinci X system (Intuitive Surgical, Inc.), the procedure involved meticulous dissection of the celiac artery and surrounding tissue. Postoperative duplex ultrasound confirmed improved arterial flow. Literature underscores the diagnostic hurdles of MALS and the advantages of minimally invasive approaches over conventional open surgery. The robotic approach may help smoothen the learning curve associated with this procedure, by providing improved operative flexibility. Patient outcomes are excellent, with long-term symptom relief in most cases.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"181-183"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302665","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}

{"title":"Assessment of mechanical bowel preparation prior to nephrectomy in the minimally invasive surgery era: insights from a national database analysis in the United States.","authors":"Stephen Schmit, Kamil Malshy, Alexander Homer, Borivoj Golijanin, Christopher Tucci, Rebecca Ortiz, Sari Khaleel, Elias Hyams, Dragan Golijanin","doi":"10.7602/jmis.2024.27.3.165","DOIUrl":"10.7602/jmis.2024.27.3.165","url":null,"abstract":"<p><strong>Purpose: </strong>This study was performed to evaluate the association between mechanical bowel preparation (MBP) and perioperative outcomes following nephrectomy in the minimally invasive surgery (MIS) era.</p><p><strong>Methods: </strong>All partial and radical nephrectomies between 2019 and 2021 from the National Surgical Quality Improvement Program database were evaluated. Thirty-day perioperative outcomes were compared between groups where MBP was performed vs. not, in both the MIS and open surgery (OS) cohorts. A propensity score matching technique was utilized within MIS cases to control for covariates. The chi-square and <i>t</i> tests were used to determine significance.</p><p><strong>Results: </strong>A total of 11,869 cases met the inclusion criteria and were included in the analysis. Of these, 8,204 (69.1%; comprising 65.3% robotic and 34.7% laparoscopic) underwent MIS, while 3,665 (30.9%) underwent OS. The rate of MBP was higher in the MIS group (16.0% vs. 10.0%, <i>p</i> < 0.001). Within the MIS group, MBP was associated with reduced rates of postoperative ileus (0.9% vs. 1.9%, <i>p</i> = 0.02), while other complications were comparable. Propensity score matching showed no association between MBP and postoperative ileus. However, a lower rate of 30-day readmission in the MBP group became statistically significant (4.4% vs. 6.4%, <i>p</i> = 0.01). Conversely, patients in the MBP group also demonstrated higher rates of pneumonia (1.3% vs. 0.5%, <i>p</i> = 0.002) and pulmonary embolism (0.6% vs. 0%, <i>p</i> < 0.001) after matching.</p><p><strong>Conclusion: </strong>MBP practice prior to nephrectomy is infrequent in both OS and MIS cases, with minor differences in perioperative outcomes for patients undergoing MIS. Routine MBP should continue to be excluded from the standard of care for nephrectomy in the MIS era.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 3","pages":"165-171"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302649","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}

{"title":"Comments on \"Impact of nasogastric tube exclusion after minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study in India\".","authors":"Sin Hye Park, Dong Jin Kim","doi":"10.7602/jmis.2024.27.2.72","DOIUrl":"10.7602/jmis.2024.27.2.72","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 2","pages":"72-73"},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422100","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}

{"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":"27 2","pages":"109-113"},"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}

{"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":"27 2","pages":"76-84"},"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}