Journal of minimally invasive surgery最新文献_第8页

Minimally invasive radical antegrade modular pancreatosplenectomy: routine vs. modified. 微创根治性顺行模块化胰脾切除术:常规与改良。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.121

Hee Joon Kim

引用次数: 0

Robotic-assisted resection of proximal jejunal ischemic stricture and intracorporeal robot-sewn anastomosis. 机器人辅助空肠近端缺血性狭窄切除术及机器人体内缝合吻合术。

Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.152

Vishu Jain, Peeyush Varshney, Subhash Chandra Soni, Vaibhav Kumar Varshney, B Selvakumar

{"title":"Robotic-assisted resection of proximal jejunal ischemic stricture and intracorporeal robot-sewn anastomosis.","authors":"Vishu Jain, Peeyush Varshney, Subhash Chandra Soni, Vaibhav Kumar Varshney, B Selvakumar","doi":"10.7602/jmis.2022.25.4.152","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.152","url":null,"abstract":"With the advent of robotic surgery as an effective means of minimally invasive surgery in the last decade, more and more surgeries are being performed robotically in today's world. Robotic surgery has several advantages over conventional laparoscopic surgery, such as three-dimensional vision with depth perception, magnified view, tremor filtration, and, more importantly, degrees of freedom of the articulating instruments. While the literature is abundant on robotic cholecystectomy and highly complex hepatobiliary surgeries, there is hardly any literature on robotic small bowel resection with intracorporeal anastomosis. We present a case of a 50-year-old male patient with a symptomatic proximal jejunal ischemic stricture who underwent robotic-assisted resection and robot-sewn intracorporeal anastomosis in two layers. He did well in the postoperative period and was discharged on postoperative day 4 with uneventful recovery. We hereby discuss the advantages and disadvantages of robotic surgery in such a scenario with a review of the literature.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"152-157"},"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/39/5c/jmis-25-4-152.PMC9763486.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490495","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

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