Journal of minimally invasive surgery最新文献_第9页

Fluorescence imaging, an emerging tool for preserving the parathyroid glands during thyroidectomy. 荧光成像，在甲状腺切除术中保存甲状旁腺的新兴工具。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.89

Kyung Ho Kang

引用次数: 0

Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases. 康阳标准法单切口腹腔镜胆囊切除术治疗良性胆囊疾病的最佳适应证。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.97

Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim

{"title":"Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases.","authors":"Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim","doi":"10.7602/jmis.2022.25.3.97","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.97","url":null,"abstract":"Purpose: The optimal indications for single-incision laparoscopic cholecystectomy (SILC) have not yet been established.Methods: This single-center retrospective study included consecutive patients who underwent SILC between April 2010 and June 2020. Difficult surgery (DS) (conversion to multiport or open cholecystectomy, adjacent organ injury, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL) and poor postoperative outcome (PPO) (postoperative hospital stay ≥ 7 days or Clavien-Dindo grade ≥ II postoperative complications) were defined to comprehensively evaluate surgical difficulty and postoperative outcomes, respectively.Results: Of 1,405 patients (mean age, 51.2 years; 802 female [57.1%]), 427 (grade I, n = 358; grade II/III, n = 69) underwent SILC for acute cholecystitis (AC), 34 (2.4%) needed conversion to multiport (n = 33) or open cholecystectomy (n = 1), 7 (0.5%) had adjacent organ injury during surgery, and 49 (3.5%) developed postoperative complications. Of the patients, 89 and 52 had DS and PPO, respectively. In the multivariate analysis, grade I AC, grade II/III AC, and body mass index of ≥30 kg/m2 were significant predictors of DS. Age of ≥70 years and DS were significant predictors of PPO. In a subgroup analysis of patients with AC, DS (9.5% vs. 27.5%, p < 0.001) and PPO (5.0% vs. 15.9%, p = 0.001) were more frequent in patients with grade II/III AC than in those with grade I AC.Conclusion: SILC is not recommended in patients with grade II/III AC and should be carefully performed by experienced and well-trained surgeons.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/58/jmis-25-3-97.PMC9494018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386213","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

Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy. 机器人甲状腺切除术中应用吲哚菁绿血管造影评估甲状旁腺灌注。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.112

Jun Hyun Park, Jeeyeon Lee, Jin Hyang Jung, Ho Yong Park, Wan Wook Kim

引用次数: 3

Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery. 右结肠癌手术的体外与体内吻合。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.91

Seong Kyu Baek

{"title":"Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery.","authors":"Seong Kyu Baek","doi":"10.7602/jmis.2022.25.3.91","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.91","url":null,"abstract":"Laparoscopic right colectomy is currently considered the standard treatment for right colon cancer. After excision of the right colon, minimally invasive options for ileocolonic anastomosis include extracorporeal anastomosis (EA) and intracorporeal anastomosis (IA). However, the choice of anastomotic technique remains debated. As the entire IA is performed in the abdominal cavity, it is known for its advantages of a faster intestinal recovery and small incision. However, IA is time-consuming and technically difficult, limiting its widespread use. Recently, the robotic approach has increased the adoption of intracorporeal anastomotic techniques owing to the benefits of endowrist-articulated instruments and staplers. Except for a small incision and faster bowel recovery, the outcomes of the two anastomoses methods are inconsistent. To date, there has been no clear conclusion regarding whether IA or EA should be used to treat right colon cancer. This review aimed to investigate the current evidence relating to intraoperative outcomes and short-term postoperative results between both anastomotic approaches.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/44/jmis-25-3-91.PMC9494010.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386214","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

Optimal indication for single-incision laparoscopic cholecystectomy in benign gallbladder diseases. 良性胆囊疾病单切口腹腔镜胆囊切除术的最佳适应证。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.87

Min-Su Park

引用次数: 0

Capacitive coupling leading to electrical skin burn injury during laparoscopic surgery. 腹腔镜手术中电容耦合导致皮肤电烧伤。

Journal of minimally invasive surgery Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.106

Woo Jun Kim, Gyung Mo Son, In Young Lee, Sung Uk Yun, Gye Rok Jeon, Dong-Hoon Shin, Myung Sook Kwon, Jae Yeong Kwak, Kwang-Ryul Baek

{"title":"Capacitive coupling leading to electrical skin burn injury during laparoscopic surgery.","authors":"Woo Jun Kim, Gyung Mo Son, In Young Lee, Sung Uk Yun, Gye Rok Jeon, Dong-Hoon Shin, Myung Sook Kwon, Jae Yeong Kwak, Kwang-Ryul Baek","doi":"10.7602/jmis.2022.25.3.106","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.106","url":null,"abstract":"Purpose: Trocar-site burns occurring during laparoscopic surgery have been reported in various cases, and several efforts to reduce them are underway. This study aimed to analyze the effect of capacitive coupling on trocar site by observing electrical and histological changes for electrical skin burn injury.Methods: To measure the electrical changes relating to capacitive coupling, the temperature, current, voltage, and impedance around the trocar were measured when an open circuit and a closed circuit were formed using insulation intact instruments and repeated after insulation failure. After the experiment, the tissue around the trocar was collected, and microscopic examination was performed.Results: When open circuits were formed with the intact insulation, the impedance was significantly reduced compared to the cases of closed circuits (142.0 Ω vs. 109.3 Ω, p = 0.040). When the power was 30 W and there was insulation failure, no significant difference was measured between the open circuit and the closed circuit (147.7 Ω vs. 130.7 Ω, p = 0.103). Collagen hyalinization, nuclear fragmentation, and coagulation necrosis suggesting burns were observed in the skin biopsy at the trocar insertion site.Conclusion: This study demonstrated that even with a plastic trocar and electrosurgical instruments that have intact insulation, if an open circuit is formed, capacitive coupling increases, and trocar-site burn can occur. When using electrocautery, careful manipulation must be taken to avoid creating an open circuit to prevent capacitive coupling related to electrical skin burn.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f8/a4/jmis-25-3-106.PMC9494019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40385281","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 short video lecture for robotic bilateral axillo-breast approach to lateral neck lymph node dissection. 双侧腋窝-乳房入路机器人侧颈淋巴结清扫短视频讲座。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.80

Hyeong Won Yu, Jee-Hye Choi, Ja Kyung Lee, Woochul Kim, June Young Choi

引用次数: 0

Treatment strategies of drain after complicated laparoscopic cholecystectomy for acute cholecystitis. 急性胆囊炎复杂腹腔镜胆囊切除术后引流的治疗策略。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.51

Jae Do Yang

引用次数: 0

Is the oncological impact of vascular invasion more important in right colon cancer? 血管侵犯对右侧结肠癌的肿瘤学影响更重要吗？

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.49

Gyung Mo Son

引用次数: 0

Optimal drain management following complicated laparoscopic cholecystectomy for acute cholecystitis: a propensity-matched comparative study. 急性胆囊炎复杂腹腔镜胆囊切除术后最佳引流管理:倾向匹配的比较研究。

Journal of minimally invasive surgery Pub Date : 2022-06-15 DOI: 10.7602/jmis.2022.25.2.63

Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim

{"title":"Optimal drain management following complicated laparoscopic cholecystectomy for acute cholecystitis: a propensity-matched comparative study.","authors":"Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim","doi":"10.7602/jmis.2022.25.2.63","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.2.63","url":null,"abstract":"Purpose: This study was performed to investigate the effect of drain placement on complicated laparoscopic cholecystectomy (cLC) for acute cholecystitis (AC).Methods: This single-center retrospective study reviewed patients with AC who underwent cLC between January 2010 and December 2020. cLC was defined as open conversion, subtotal cholecystectomy, adjacent organ injury during surgery, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL. One-to-one propensity score matching was performed to compare the surgical outcomes between patients with and without drain on cLC.Results: A total of 216 patients (mean age, 65.8 years; 75 female patients [34.7%]) underwent cLC, and 126 (58.3%) underwent intraoperative abdominal drainage. In the propensity score-matched cohort (61 patients in each group), early drain removal (≤postoperative day 3) was performed in 42 patients (68.9%). The overall rate of surgical site infection (SSI) was 10.7%. Late drain removal demonstrated significantly worse surgical outcomes than no drain placement and early drain removal for overall complications (13.1% vs. 21.4% vs. 47.4%, p = 0.006), postoperative hospital stay (3.8 days vs. 4.4 days vs. 12.7 days, p < 0.001), and SSI (4.9% vs. 11.9% vs. 31.6%, p = 0.006). In the multivariate analysis, late drain removal was the most significant risk factor for organ space SSI.Conclusion: This study demonstrated that drain placement is not routinely recommended, even after cLC for AC. When placing a drain, early drain removal is recommended because late drain removal is associated with a higher risk of organ space SSI.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/db/jmis-25-2-63.PMC9218398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40587485","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