{"title":"Chronic abdominal wall sinus secondary to missed spilled gallstones in laparoscopic cholecystectomy: a harrowing experience.","authors":"Saikrishna Aitha, Prakash Kumar Sasmal, Pankaj Kumar, Rutuja Challawar, Medhavi Sinha","doi":"10.7602/jmis.2024.27.1.51","DOIUrl":"10.7602/jmis.2024.27.1.51","url":null,"abstract":"<p><p>Gallbladder perforation with spillage of gallstones is not uncommon during laparoscopic cholecystectomy. Stone spillage can cause several complications. We report a case of recurrent discharging sinuses on the right back 4 years after laparoscopic cholecystectomy in a 44-year-old female patients. She suffered for 9 years to undergo empirical treatment for suspected tuberculosis, including repeated attempts at sinus tract excision done at different hospitals. We did a computed tomography sinogram, which revealed the tract extending from the right flank into a cavity in the right subpleural space. We proceeded with the sinus tract excision which extended between the tips of the 10th and 11th ribs, spreading to the right subpleural space where pus mixed with multiple gall stones were retrieved. Spilled stones may result in complications, making diagnosis difficult and seriously harming the patient physically, mentally, and economically. The need for accurate documentation and patient knowledge of missing gallstones cannot be understated.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144788","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}
Santhosh Anand, Preethi Mahalingam, Loganathan Jayapal, Siddhesh Suresh, Tasgaonkar Ema
{"title":"Laparoscopic management of median arcuate ligament syndrome: a video vignette.","authors":"Santhosh Anand, Preethi Mahalingam, Loganathan Jayapal, Siddhesh Suresh, Tasgaonkar Ema","doi":"10.7602/jmis.2024.27.1.44","DOIUrl":"10.7602/jmis.2024.27.1.44","url":null,"abstract":"<p><p>Median arcuate ligament syndrome (MALS) is a rare condition and a diagnosis of exclusion. We present a 30-year-old man, who had postprandial upper abdominal pain and weight loss of 6 kg in 3 months. His gastroscopy and abdominal ultrasound results were both unremarkable. Computed tomographic angiography showed characteristic compression of the celiac artery by thickened median arcuate ligament causing a 'J' shaped course of artery with poststenotic dilatation and dilated branches of the celiac artery. The patient underwent laparoscopic release of the median arcuate ligament. The intraoperative blood loss was 20 mL and duration of the procedure was 140 minutes. The patient had an uneventful recovery and was discharged on postoperative day 2. The symptoms subsided 2 months following surgery and he started gaining weight. Laparoscopic division of the median arcuate ligament is a minimally invasive, safe, and effective method to decompress the celiac artery.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144793","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":"Impact of nasogastric tube exclusion after minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study in India.","authors":"Vignesh N, Vaibhav Kumar Varshney, Selvakumar B, Subhash Soni, Peeyush Varshney, Lokesh Agarwal","doi":"10.7602/jmis.2024.27.1.23","DOIUrl":"10.7602/jmis.2024.27.1.23","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines the impacts of omitting nasogastric tube (NGT) placement following cervical esophagogastric anastomosis (CEGA) in Enhanced Recovery After Surgery (ERAS) protocols, comparing outcomes to those from early NGT removal.</p><p><strong>Methods: </strong>In a retrospective cohort of esophagectomy patients treated for esophageal cancer, participants were divided into two groups: group 1 had the NGT inserted post-CEGA and removed by postoperative day 3, while group 2 underwent the procedure without NGT placement. We primarily investigated anastomotic leak rates, also analyzing hospital stay duration, pulmonary complications, and NGT reinsertion.</p><p><strong>Results: </strong>Among 50 esophageal squamous cell carcinoma patients, 30 in group I were compared with 20 in group II. The baseline demographic and tumor characteristics were similar between both groups. The overall incidence of anastomotic leak was 14.0%, comparable in both groups (16.7% vs. 10.0%, <i>p</i> = 0.63). The postoperative hospital stay was significantly shorter in the no NGT group (median of 7 days vs. 6 days, <i>p</i> = 0.03) with similar major morbidity (Clavien-Dindo grade ≥IIIa; 13.3% vs. 5.0%, <i>p</i> = 0.63). There was no 30-day mortality, and one patient in each group had reinsertion of NGT for conduit dilatation.</p><p><strong>Conclusion: </strong>The exclusion of an NGT across CEGA after esophagectomy did not influence the anastomotic leak rate with comparable complications and a shorter hospital stay.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144792","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}
Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
{"title":"Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea.","authors":"Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek","doi":"10.7602/jmis.2024.27.1.14","DOIUrl":"10.7602/jmis.2024.27.1.14","url":null,"abstract":"<p><strong>Purpose: </strong>This study was performed to evaluate the safety and feasibility of skin adhesives and to compare postoperative and cosmetic outcomes after wound closure in single-port laparoscopic appendectomy (SPLA) between skin adhesives and steri-strips.</p><p><strong>Methods: </strong>This was a single-center retrospective study. We included 22 and 47 patients in whom skin adhesive and steri-strips were used respectively, for skin closure after subcuticular suturing in SPLA between August 2014 and 2020. The patient scar assessment questionnaire (PSAQ) was completed postoperatively to assess postoperative cosmetic outcomes.</p><p><strong>Results: </strong>On the postoperative day, patients in whom skin adhesive was used had significantly lower numeric rating scores than in whom steri-strips were used (2.8 ± 0.8 vs. 3.9 ± 0.8, <i>p</i> < 0.001). The frequency of analgesic administration within 24 hours and between 24 and 48 hours after surgery was significantly lower in the skin adhesive group compared to the wound closure strip group (1.4 ± 0.8 vs. 2.7 ± 1.2, <i>p</i> = 0.013 and 0.2 ± 0.4 vs. 0.7 ± 0.9, <i>p</i> = 0.002, respectively). In the PSAQ, \"satisfaction with appearance\" and \"satisfaction with symptoms\" subitem scores were significantly lower in patients in whom skin adhesive was used (11.3 ± 3.0 vs. 15.1 ± 4.5, <i>p</i> = 0.006 and 6.5 ± 1.8 vs. 9.5 ± 3.3, <i>p</i> = 0.003), whereas, \"appearance\" and \"consciousness\" subitems revealed no statistically significant differences between the groups.</p><p><strong>Conclusion: </strong>Liquid skin adhesive closures seem to be safe and feasible and cause less postoperative pain, resulting in greater patient satisfaction with postoperative scars than wound closure strip closure after subcuticular suturing in SPLA.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144790","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 transabdominal preperitoneal repair for bilateral obturator hernia: a video vignette.","authors":"Sungwoo Jung, Hyung Soon Lee","doi":"10.7602/jmis.2024.27.1.40","DOIUrl":"10.7602/jmis.2024.27.1.40","url":null,"abstract":"<p><p>Obturator hernias (OHs) are a rare cause of bowel obstruction that requires immediate surgical intervention to prevent morbidity and mortality. Patients with OHs present with acute intestinal obstruction secondary to incarceration, with a high morbidity and mortality rate due to delayed diagnosis and treatment. Although several surgical approaches have been reported, a standard approach for OH treatment has not yet been established. Here, we report the case of a 74-year-old woman who presented with bilateral OHs. The patient presented at our institution with pain in the left lower quadrant. Computed tomography revealed preperitoneal fat in both obturator foramen. Robotic transabdominal preperitoneal (R-TAPP) bilateral OH repair was performed, and a mesh was placed over both obturator foramen. The patient recovered without postoperative complications and was discharged on postoperative day 2. This suggests that the R-TAPP approach is safe for OH repair without incarceration.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144745","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":"Congenital bilio-bronchial fistula in an adult: a review of literature and video demonstration of laparoscopic fistula tract excision.","authors":"Chandrasekar Murugesan, Muniza Bai, Biju Pottakkat, Dharm Prakash Dwivedi, Hemachandren Munuswamy, Pazhanivel Mohan","doi":"10.7602/jmis.2024.27.1.1","DOIUrl":"10.7602/jmis.2024.27.1.1","url":null,"abstract":"<p><p>This article presents a review of the literature on congenital bilio-bronchial fistula (BBF), a rare anomaly characterized by abnormal communication between the bile duct and respiratory tract. Congenital BBF often presents with bilioptysis in early neonates and infants; however, patients with no overt symptoms may occasionally present in adulthood. Our literature search in Medline from 1850 to 2023 revealed 42 reported cases of congenital BBF, primarily managed with thoracotomy and excision of the fistula tract. About one-third of these cases required multiple surgeries due to associated biliary anomalies. The review underscores the importance of diagnostic imaging, including bronchoscopy, in identifying and delineating the extent of the fistula. It also highlights the evolving surgical management, with recent cases showing the efficacy of minimally invasive approaches such as laparoscopy and thoracoscopy. In addition to the literature review, we report a young female patient with a history of recurrent respiratory infections presenting with bilioptysis and extensive left lung damage. Initial management included bronchoscopy-guided glue instillation, left thoracotomy, and pneumonectomy. Following the recurrence of symptoms, the patient was successfully treated with laparoscopic excision of the fistula tract. In recent times, minimally invasive approaches such as laparoscopy and thoracoscopy, with excision of the fistula tract are gaining popularity and have shown good results. We suggest biliary communication being the high-pressure end, tackling it transabdominal may prevent recurrent problems.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"27 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144791","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}
Vignesh N, V. Varshney, S. B, S. Soni, P. Varshney, Lokesh Agarwal
{"title":"Impact of nasogastric tube exclusion after minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study in India.","authors":"Vignesh N, V. Varshney, S. B, S. Soni, P. Varshney, Lokesh Agarwal","doi":"10.7602/jmis.2024.7.1.23","DOIUrl":"https://doi.org/10.7602/jmis.2024.7.1.23","url":null,"abstract":"Purpose\u0000This study examines the impacts of omitting nasogastric tube (NGT) placement following cervical esophagogastric anastomosis (CEGA) in Enhanced Recovery After Surgery (ERAS) protocols, comparing outcomes to those from early NGT removal.\u0000\u0000\u0000Methods\u0000In a retrospective cohort of esophagectomy patients treated for esophageal cancer, participants were divided into two groups: group 1 had the NGT inserted post-CEGA and removed by postoperative day 3, while group 2 underwent the procedure without NGT placement. We primarily investigated anastomotic leak rates, also analyzing hospital stay duration, pulmonary complications, and NGT reinsertion.\u0000\u0000\u0000Results\u0000Among 50 esophageal squamous cell carcinoma patients, 30 in group I were compared with 20 in group II. The baseline demographic and tumor characteristics were similar between both groups. The overall incidence of anastomotic leak was 14.0%, comparable in both groups (16.7% vs. 10.0%, p = 0.63). The postoperative hospital stay was significantly shorter in the no NGT group (median of 7 days vs. 6 days, p = 0.03) with similar major morbidity (Clavien-Dindo grade ≥IIIa; 13.3% vs. 5.0%, p = 0.63). There was no 30-day mortality, and one patient in each group had reinsertion of NGT for conduit dilatation.\u0000\u0000\u0000Conclusion\u0000The exclusion of an NGT across CEGA after esophagectomy did not influence the anastomotic leak rate with comparable complications and a shorter hospital stay.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"4 37","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241410","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}
{"title":"A reply to the letter on '<i>Directed acyclic graphs for clinical research: a tutorial</i>'.","authors":"Woojoo Lee","doi":"10.7602/jmis.2023.26.4.224","DOIUrl":"10.7602/jmis.2023.26.4.224","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 4","pages":"224-225"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806802","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":"In reference to '<i>Directed acyclic graphs for clinical research: a tutorial</i>'.","authors":"Anjali Rajkumar, Vishak Ms","doi":"10.7602/jmis.2023.26.4.222","DOIUrl":"10.7602/jmis.2023.26.4.222","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 4","pages":"222-223"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807480","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":"Mastering data visualization with Python: practical tips for researchers.","authors":"Soyul Han, Il-Youp Kwak","doi":"10.7602/jmis.2023.26.4.167","DOIUrl":"10.7602/jmis.2023.26.4.167","url":null,"abstract":"<p><p>Big data have revolutionized the way data are processed and used across all fields. In the past, research was primarily conducted with a focus on hypothesis confirmation using sample data. However, in the era of big data, this has shifted to gaining insights from the collected data. Visualizing vast amounts of data to derive insights is crucial. For instance, leveraging big data for visualization can help identify and predict characteristics and patterns related to various infectious diseases. When data are presented in a visual format, patterns within the data become clear, making it easier to comprehend and provide deeper insights. This study aimed to comprehensively discuss data visualization and the various techniques used in the process. It also sought to enable researchers to directly use Python programs for data visualization. By providing practical visualization exercises on GitHub, this study aimed to facilitate their application in research endeavors.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 4","pages":"167-175"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807672","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}