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Journal of minimally invasive surgery最新文献

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The technique of laparoscopic and robotic extended cholecystectomy for gallbladder cancer. 腹腔镜与机器人扩展胆囊切除术治疗胆囊癌的研究。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.43
Kwang Hyun Kim, Tinna Osk Thrastardottir, Sung Hoon Choi
{"title":"The technique of laparoscopic and robotic extended cholecystectomy for gallbladder cancer.","authors":"Kwang Hyun Kim,&nbsp;Tinna Osk Thrastardottir,&nbsp;Sung Hoon Choi","doi":"10.7602/jmis.2023.26.1.43","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.43","url":null,"abstract":"<p><p>The application of minimally invasive surgery for gallbladder cancer (GBC) is yet controversial. This article discusses the techniques of laparoscopic and robotic extended cholecystectomy. A 69-year-old male diagnosed with cT1-2N0 GBC underwent laparoscopic surgery, and a 55-year-old male with cT2N1 GBC underwent robotic surgery after preoperative chemotherapy. Nonanatomical partial hepatectomy with lymphadenectomy was performed. Liver parenchymal dissection was performed using Cavitron Ultrasonic Surgical Aspirator laparoscopically and Maryland bipolar dissector and Harmonic scalpel robotically. The operation time was 180 and 220 minutes, and the estimated blood loss was 140 and 130 mL, respectively. The final pathologies were pT1bN0 and pT2aN1, for which patients received adjuvant chemotherapy. There was no evidence of recurrence at 33 and 18 months without complications. Both laparoscopic and robotic extended cholecystectomy can be safely performed with the robotic surgical system as an effective alternative for GBC requiring liver resection with radical lymphadenectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"43-45"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/df/jmis-26-1-43.PMC10020742.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199532","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
Sample size calculation in clinical trial using R. 应用R计算临床试验样本量。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.9
Suyeon Park, Yeong-Haw Kim, Hae In Bang, Youngho Park
{"title":"Sample size calculation in clinical trial using R.","authors":"Suyeon Park,&nbsp;Yeong-Haw Kim,&nbsp;Hae In Bang,&nbsp;Youngho Park","doi":"10.7602/jmis.2023.26.1.9","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.9","url":null,"abstract":"<p><p>Since the era of evidence-based medicine, it has become a matter of course to use statistics to create objective evidence in clinical research. As an extension of this, it has become essential in clinical research to calculate the correct sample size to demonstrate a clinically significant difference before starting the study. Also, because sample size calculation methods vary from study design to study design, there is no formula for sample size calculation that applies to all designs. It is very important for us to understand this. In this review, each sample size calculation method suitable for various study designs was introduced using the R program (R Foundation for Statistical Computing). In order for clinical researchers to directly utilize it according to future research, we presented practice codes, output results, and interpretation of results for each situation.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"9-18"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/7f/jmis-26-1-9.PMC10020745.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199534","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
Bariatric endoscopy: from managing complications to primary metabolic procedures. 减肥内窥镜检查:从并发症管理到初级代谢程序。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.1
Jerry T Dang, Grace J Kim, Matthew Kroh
{"title":"Bariatric endoscopy: from managing complications to primary metabolic procedures.","authors":"Jerry T Dang,&nbsp;Grace J Kim,&nbsp;Matthew Kroh","doi":"10.7602/jmis.2023.26.1.1","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.1","url":null,"abstract":"<p><p>Obesity is a worldwide epidemic and is the second leading cause of preventable death. The approach to treating obesity involves a multidisciplinary approach including lifestyle interventions, pharmacological therapies, and bariatric surgery. Endoscopic interventions are emerging as important tools in the treatment of obesity with primary and revisional bariatric endoscopic therapies. These include intragastric balloons, aspiration therapy, suturing and plication, duodenal-jejunal bypass liners, endoscopic duodenal mucosal resurfacing, and incisionless magnetic anastomosis systems. Endoscopic interventions have also demonstrated efficacy in treating complications of bariatric surgery. Approaches include stenting, endoscopic internal drainage, and endoscopic vacuum-assisted closure. This review aimed to discuss the current endoscopic procedures used as primary and revisional bariatric therapy including those used for managing bariatric surgical complications.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/12/jmis-26-1-1.PMC10020740.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199539","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
Endoscopic Histoacryl injection for esophagojejunostomy leakage after total gastrectomy in patients with gastric cancer. 内镜下注射组织丙烯酯治疗胃癌全胃切除术后食管空肠造口瘘。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.21
Min Chan Kim, Sangyun Shin, Myeongseok Koh
{"title":"Endoscopic Histoacryl injection for esophagojejunostomy leakage after total gastrectomy in patients with gastric cancer.","authors":"Min Chan Kim,&nbsp;Sangyun Shin,&nbsp;Myeongseok Koh","doi":"10.7602/jmis.2023.26.1.21","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.21","url":null,"abstract":"<p><strong>Purpose: </strong>Esophagojejunostomy leakage after total gastrectomy for gastric cancer is one of the most serious and sometimes life-threatening adverse events. The purpose of this study was to evaluate complications after total gastrectomy in patients with gastric cancer during the period when Histoacryl (B. Braun) injection was performed. Therapeutic outcome of endoscopic Histoacryl injection for esophagojejunostomy leakage was also determined.</p><p><strong>Methods: </strong>This was a single-center retrospective study. Between January 2016 and December 2021, clinicopathologic characteristics and surgical outcomes of 205 patients who underwent total gastrectomy were investigated. Baseline characteristics and clinical outcomes of 10 patients with esophagojejunostomy leakage were also investigated.</p><p><strong>Results: </strong>Postoperative complication and mortality rates of total gastrectomy in 205 patients were 25.4% and 0.9%, respectively. Serious complications more than Clavien-Dindo IIIb accounted for 6.3%. Ten (4.9%) esophagojejunostomy leakages occurred in 205 patients. Among 10 esophagojejunostomy leakage patients, endoscopic Histoacryl injection was performed on eight patients and leakage was successfully managed with endoscopic Histoacryl injection in seven patients (87.5%). Mean postinjection hospital stay of seven successfully managed patients was 13.8 days. They were able to drink water at 1-6 days after injection. Among eight patients with endoscopic Histoacryl injection, six patients were injected once and two patients were injected three times.</p><p><strong>Conclusion: </strong>Endoscopic Histoacryl injection for esophagojejunostomy leakage after total gastrectomy can be considered as a useful treatment for some selected cases.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/60/jmis-26-1-21.PMC10020743.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9145852","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
Totally robotic Roux-en-Y gastric bypass in a morbidly obese patient in Korea: a case report. 全机器人Roux-en-Y胃旁路术治疗韩国一例病态肥胖患者:病例报告。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.40
Ji Won Seo, Kyong-Hwa Jun
{"title":"Totally robotic Roux-en-Y gastric bypass in a morbidly obese patient in Korea: a case report.","authors":"Ji Won Seo,&nbsp;Kyong-Hwa Jun","doi":"10.7602/jmis.2023.26.1.40","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.40","url":null,"abstract":"<p><p>Robotic bariatric surgery renders it unnecessary for surgeons to manually apply torque while simplifying intracorporeal suturing. Surgeons can comfortably manipulate instruments. Also, the three-dimensional operative field is very clear. Unfortunately, robotic bariatric surgery is still not the first choice for morbidly obese patients in Korea because it currently is not covered by the National Healthcare Insurance system. In this video, we show the totally robotic Roux-en-Y gastric bypass conducted using robotic staplers, in a morbidly obese patient with diabetes mellitus and private medical insurance.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"40-42"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/92/jmis-26-1-40.PMC10020741.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199535","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
Endoscopic Histoacryl injection: can simplicity overcome complexity? 内窥镜组氨丙烯酰注射：简单能否战胜复杂？
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.19
Sangjun Lee
{"title":"Endoscopic Histoacryl injection: can simplicity overcome complexity?","authors":"Sangjun Lee","doi":"10.7602/jmis.2023.26.1.19","DOIUrl":"10.7602/jmis.2023.26.1.19","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"19-20"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/ad/jmis-26-1-19.PMC10020735.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199538","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
Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct. Mirizzi综合征并发4型胆囊胆瘘至右肝管。
Journal of minimally invasive surgery Pub Date : 2023-03-15 DOI: 10.7602/jmis.2023.26.1.35
Christina M Stuart, Madeline G Huey, Christian V Ghincea, Fredric M Pieracci, Magdalene Brooke
{"title":"Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct.","authors":"Christina M Stuart,&nbsp;Madeline G Huey,&nbsp;Christian V Ghincea,&nbsp;Fredric M Pieracci,&nbsp;Magdalene Brooke","doi":"10.7602/jmis.2023.26.1.35","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.1.35","url":null,"abstract":"<p><p>Mirizzi syndrome is a rare complication of long-term chronic cholecystitis, characterized by extrinsic compression of the common hepatic duct that may progress to development of cholecystobiliary fistula. Here we report a case of a 38-year-old female patient who underwent laparoscopic cholecystectomy with intraoperative cholangiogram for acute cholecystitis and choledocholithiasis. Intraoperatively, the patient was found to have a Mirizzi syndrome complicated by cholecystobiliary fistula to the right hepatic duct. The gallbladder was successfully removed, cholelithiasis cleared and a ureteral stent was used in reconstruction. The patient was discharged on postoperative two and was doing well on routine follow-up. Ultimately, Mirizzi syndrome is a rare clinical entity that requires careful consideration during preoperative workup and a high suspicion when abnormal anatomy is encountered intraoperatively.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 1","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/b2/jmis-26-1-35.PMC10020744.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9498375","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
Usefulness of the new articulating laparoscopic instrument in laparoscopic pancreaticoduodenectomy. 新型关节式腹腔镜器械在腹腔镜胰十二指肠切除术中的应用。
Journal of minimally invasive surgery Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.161
Sung Hoon Choi
{"title":"Usefulness of the new articulating laparoscopic instrument in laparoscopic pancreaticoduodenectomy.","authors":"Sung Hoon Choi","doi":"10.7602/jmis.2022.25.4.161","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.161","url":null,"abstract":"<p><p>Minimally invasive pancreaticoduodenectomy has been developed in two tracts of robotic and laparoscopic surgeries. Laparoscopic approach remains a frequently performed surgical method that accounts for a significant portion of minimally invasive pancreaticoduodenectomy. However, biliary and pancreatic reconstruction stages are still demanding procedures because of the inherent limitations of conventional laparoscopic instruments. Therefore, recently developed articulating laparoscopic instruments have greater dexterity similar to robotic instruments seem to be able to compensate for the weak points of conventional laparoscopic instruments. In this article, we demonstrate the hepaticojejunostomy and duct-to-mucosa pancreaticojejunostomy technique using the new articulating laparoscopic instrument.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"161-164"},"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/5c/01/jmis-25-4-161.PMC9763488.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10481478","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 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
{"title":"Minimally invasive radical antegrade modular pancreatosplenectomy: routine vs. modified.","authors":"Hee Joon Kim","doi":"10.7602/jmis.2022.25.4.121","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.121","url":null,"abstract":"<p><p>Radical antegrade modular pancreatosplenectomy (RAMPS) was introduced in 2003 by Strasberg to improve survival outcomes in left-sided pancreatic ductal adenocarcinoma. Many investigators have shown the feasibility and safety of minimally invasive RAMPS (MI-RAMPS). However, the survival benefit of RAMPS is inconclusive, and possible risks following the procedure, such as exocrine and endocrine insufficiencies, cannot be ignored. Therefore, several modifications of RAMPS were designed. Modified RAMPS is not a specific technique but rather a reduced form of RAMPS that is undertaken without compromising oncologic principles. In this literature review, the surgical technique and strategies of MI-RAMPS were examined.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"121-126"},"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/0f/1f/jmis-25-4-121.PMC9763487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490496","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-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,&nbsp;Peeyush Varshney,&nbsp;Subhash Chandra Soni,&nbsp;Vaibhav Kumar Varshney,&nbsp;B Selvakumar","doi":"10.7602/jmis.2022.25.4.152","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.152","url":null,"abstract":"<p><p>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.</p>","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
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