Annals of Laparoscopic and Endoscopic Surgery最新文献_第3页

A review of minimally invasive surgery in ulcerative colitis: more than one way to skin a cat 微创手术治疗溃疡性结肠炎的综述:不止一种剥猫皮的方法

4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-10-01 DOI: 10.21037/ales-23-7

Charles Browning, Karen Zaghiyan

{"title":"A review of minimally invasive surgery in ulcerative colitis: more than one way to skin a cat","authors":"Charles Browning, Karen Zaghiyan","doi":"10.21037/ales-23-7","DOIUrl":"https://doi.org/10.21037/ales-23-7","url":null,"abstract":": Minimally invasive surgery (MIS) in ulcerative colitis (UC) remains an important part of the surgical arsenal despite advances in biologic treatments for UC. There remains a need for operative intervention in approximately 30% of patients, even with advanced medical therapies. Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the preferred surgery for UC patients with medically refractory disease, refractory bleeding, or dysplasia/cancer. As in most surgical procedures, the move toward MIS has improved overall patient outcomes and UC is no exception. Historically patients have undergone laparotomy for total abdominal colectomy (TAC) and IPAA with the frequent need for multistage surgery as well as multiquadrant abdominopelvic surgery presenting a challenge in the adoption of MIS surgery for UC. However, advances in minimally invasive techniques over the last two decades from hand-assist laparoscopy, to totally laparoscopic surgery, robotic surgery, and transanal approaches have facilitated the gradual move toward MIS. With clear advantages in short-term surgical outcomes including reduced pain, shorter hospital stay, faster return of bowel function, improved cosmesis as well as some potential long-term benefits in bowel function, female fertility, and male sexual function it is clear that MIS for UC is here to stay. Even in an urgent setting with fulminant colitis, laparoscopy is safe and should be preferred over midline laparotomy except in unstable patient. Here, we will discuss the various approaches for MIS surgery in UC including potential advantages and pitfalls of each approach.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136054801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Detection and surveillance of neoplastic lesions of the esophagus: application of guidelines and techniques 食道肿瘤病变的检测和监测:指南和技术的应用

4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-10-01 DOI: 10.21037/ales-23-11

Karan Sachdeva, Lovekirat Dhaliwal, Prasad G. Iyer

{"title":"Detection and surveillance of neoplastic lesions of the esophagus: application of guidelines and techniques","authors":"Karan Sachdeva, Lovekirat Dhaliwal, Prasad G. Iyer","doi":"10.21037/ales-23-11","DOIUrl":"https://doi.org/10.21037/ales-23-11","url":null,"abstract":": Esophageal cancer is the eighth most common cancer in the world, with high mortality rates. The two main histological subtypes of esophageal cancer are esophageal adenocarcinoma (EAC) and esophageal squamous cell carcinoma (ESCC). Both EAC/ESCC are generally preceded by a stepwise progression of precursor metaplastic [Barrett’s esophagus (BE)] and dysplastic lesions, which increase the risk of developing cancer by several folds. Despite advances in management techniques, esophageal cancer continues to have a grim prognosis because it is often detected after the emergence of alarm symptoms. This highlights the need for intensive screening and surveillance with an aim to detect precursor lesions and early-stage esophageal cancer. Multiple international society guidelines recommend screening high-risk populations for BE/EAC, but ESCC screening is not widely recommended. Endoscopic screening remains the gold standard but is not feasible for large-scale application due to associated cost, invasiveness, and required expertise. Ongoing innovations in developing minimally invasive non-endoscopic screening tools combined with molecular biomarkers have fueled further interest in screening and surveillance of high-risk populations. Advanced endoscopic imaging techniques help enhance the surveillance-based detection of precursor lesions, guide targeted tissue acquisition, and stratify the risk of progression to advanced dysplasia/cancer. Multimodal endoscopic eradication therapies have been shown to eradicate dysplasia and reduce progression to EAC/ESCC with minimal adverse effects. Future implementation of minimally invasive screening tools, identification of the prognostic clinical and biomarker tools and adherence to the quality metrics for BE detection will potentially result in significant improvement in the mortality and morbidity related to esophageal cancer.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136054806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current applications of indocyanine green fluorescence in colorectal surgery: a narrative review 吲哚菁绿荧光在结直肠手术中的应用现状综述

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-22-84

J. S. Uppal, Eric Meng, A. Caycedo-Marulanda

引用次数: 0

Revisional bariatric surgery for weight recurrence or surgical nonresponse 针对体重复发或手术无反应的翻修减肥手术

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-23-15

Erin Briggs, Sunjay Kumar, F. Palazzo, Talar Tatarian

引用次数: 0

Laparoscopic treatment for perforated gastroduodenal ulcer: direct repair surgical technique 腹腔镜治疗胃十二指肠溃疡穿孔:直接修复手术技术

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-23-17

A. Biloslavo, M. Mastronardi, Margherita Sandano, Alice Gabrieli, M. Troian

引用次数: 0

Esophageal adenocarcinoma after laparoscopic adjustable gastric banding: a case report and literature review 腹腔镜可调节胃束带术后食管腺癌1例报告并文献复习

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-22-62

Sara Palomares Casasús, M. Fernández-Moreno, Fernando López Mozos, María Barrios Carvajal, R. Martí Obiol, J. Ortega

引用次数: 0

Crohn’s disease: is minimally invasive surgery the gold standard? A narrative review 克罗恩病：微创手术是金标准吗？叙述性评论

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-22-75

G. Luglio, M. Cricrì, F. Tropeano, G. D. De Palma

引用次数: 0

Umbilical Littre’s hernia—lessons from a rare case 脐带利特尔疝——一例罕见病例的经验教训

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-23-22

I. Sadien

引用次数: 0

Endoluminal wound vacuum therapy for gastrointestinal leaks: current state and future directions 肠内伤口真空治疗胃肠道渗漏的现状及未来发展方向

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-22-79

K. Wikiel, B. McConnell, D. Bollinger, Danielle Abbitt, S. Ahrendt, M. McCarter, Alexander P. Morton, Fredric M. Pierraci, E. Jones

引用次数: 0

A novel framework for surgical reflection 一种新的外科反射框架

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-07-01 DOI: 10.21037/ales-23-8

P. Soleimani-Nouri, Olivia Holtermann Entwistle, M. Fehervari, D. Spalding

引用次数: 0