Annals of Laparoscopic and Endoscopic Surgery最新文献_第6页

A minimally invasive approach to colon cancer resection improves time to adjuvant chemotherapy 癌症切除的微创方法可缩短辅助化疗的时间

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-04-20 DOI: 10.21037/ALES-20-95

K. Donohue, Rachel E. NeMoyer, Viktor Y. Dombrovskiy, Teresa V Brown, Sondra J. Patella, C. Rezac, R. Moss, Nell Maloney Patel

引用次数: 1

The value of laparoscopic intraoperative ultrasound of the liver by the surgeon 腹腔镜手术中肝脏超声检查的价值

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-04-01 DOI: 10.21037/ALES-20-106

Koen van der Steen, K. Bosscha, D. Lips

引用次数: 3

Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report COVID-19大流行期间TAMIS安全性能的技术要求:脊髓麻醉和AirSeal®的作用-一份病例报告

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-02-05 DOI: 10.21037/ALES-20-103

M. Amaral, Mariana Vaz, Antonio C. Manso, M. Rosete, Nídia Gonçalves, M. Serôdio, J. Tralhão

{"title":"Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report","authors":"M. Amaral, Mariana Vaz, Antonio C. Manso, M. Rosete, Nídia Gonçalves, M. Serôdio, J. Tralhão","doi":"10.21037/ALES-20-103","DOIUrl":"https://doi.org/10.21037/ALES-20-103","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) pandemic is challenging healthcare systems Surgical care during the COVID-19 pandemic presents numerous challenges regarding not only patient and community safety, but also the safety of physicians and operating room (OR) staff In the OR, general anaesthesia poses a risk of aerosolization during the intubation process There is also concern about minimally invasive surgery due to aerosol formation The SARS-CoV-2 virus was also identified in the faeces, so this is a possible pathway for transmission This article presents the role of spinal anaesthesia (SA) and AirSeal® device in reducing the risk of COVID-19 contamination while performing transanal minimally invasive surgery (TAMIS) A 59-year-old patient, diagnosed with a T1 rectal adenocarcinoma, was submitted to TAMIS The surgery was done during COVID-19 pandemic due to the risk of oncological progression with delayed treatment, under SA and using the AirSeal® system and adequate personnel protective equipment (PPE) Laparoscopic smoke evacuation systems with appropriate filters, like AirSeal®, minimize the aerosol formation and may reduce the risk associated with surgical smoke exposure This case is unique because the patient was safely submitted to TAMIS using proper PPE and AirSeal® under SA, in order to minimize aerosol formation which is crucial during COVID-19 pandemic © 2021 AME Publishing Company All right reserved","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":"6 1","pages":"26-26"},"PeriodicalIF":0.5,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48240259","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

Right colectomy 2.0: a special series 右结肠切除术2.0:一个特殊系列

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-20 DOI: 10.21037/ALES-2020-RC-09

M. Milone, U. Elmore

引用次数: 0

What is new in bariatric and metabolic surgery 减肥和代谢外科的新进展

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-19 DOI: 10.21037/ALES-2019-BMS-42

Mehmet Mahir Özmen

引用次数: 0

Methods of anorectal physiology 肛肠生理学方法

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-01 DOI: 10.21037/ales-2022-01

L. Bordeianou, L. Savitt, Mikhaila C Marecki

引用次数: 0

Cohort study evaluating predictors of therapeutic success after sleeve gastrectomy or Roux-en-Y gastric bypass 评估袖状胃切除术或Roux-en-Y胃旁路术后治疗成功预测因素的队列研究

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-01 DOI: 10.21037/ales-21-2

J. Grandt, Johannes Chang, A. Türler, C. Jansen, R. Schierwagen, Tatjana Schröder, M. Praktiknjo, C. Strassburg, U. Spengler, J. Trebicka, L. Gluud

{"title":"Cohort study evaluating predictors of therapeutic success after sleeve gastrectomy or Roux-en-Y gastric bypass","authors":"J. Grandt, Johannes Chang, A. Türler, C. Jansen, R. Schierwagen, Tatjana Schröder, M. Praktiknjo, C. Strassburg, U. Spengler, J. Trebicka, L. Gluud","doi":"10.21037/ales-21-2","DOIUrl":"https://doi.org/10.21037/ales-21-2","url":null,"abstract":". Background: Bariatric surgery is an effective treatment for several patients, but some may not achieve sufficient weight loss. We therefore evaluated predictors of adequate weight loss defined as ≥ 50% excess weight loss (EWL). Methods: Retrospective cohort study including patients who underwent sleeve gastrectomy (SG) or Roux-Y-gastric bypass (RYGB) followed for 12 months. Results: A total of 170 patients [81.2% female, age 42 years, 19.4% type 2 diabetes (T2D), body mass index (BMI) 49.4 kg/m 2 ] were included. Type of surgery was SG (71.2%) or RYGB (28.8%). After surgery, the median BMI decreased to 34.9 (30.0–40.5) kg/m 2 . The median %EWL was 57.7 (41.6–69.7). Pre-operative weight loss was not associated with %EWL (P=0.25). Patients who achieved therapeutic success had a lower baseline median BMI of 48.0 (IQR, 42.9–51.6) kg/m 2 whereas those who did not had a median BMI of 52.0 (IQR, 48.0–58.5) kg/m 2 and the baseline BMI was correlated with the %EWL (P<0.001). Gender, age, and surgical method did not predict therapeutic success. The baseline BMI and T2D were the only predictors in logistic regression analysis. Conclusions: A lower baseline BMI and absence of T2D predicted therapeutic success and %EWL. RYGB and SG performed equally well, but the proportion of patients with T2D was higher in RYBG what may have influenced the outcome. Additional research is needed to evaluate the findings.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45348159","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

Indocyanine green—a potential to explore: narrative review 吲哚菁绿——有待探索的潜力:叙事回顾

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-01 DOI: 10.21037/ales-21-5

C. Bertani, E. Cassinotti, M. Porta, M. Pagani, L. Boni, L. Baldari

{"title":"Indocyanine green—a potential to explore: narrative review","authors":"C. Bertani, E. Cassinotti, M. Porta, M. Pagani, L. Boni, L. Baldari","doi":"10.21037/ales-21-5","DOIUrl":"https://doi.org/10.21037/ales-21-5","url":null,"abstract":"Objective: Laparoscopic surgery is the standard approach for treatment of early stages of gastric cancer, as there is no evidence to recommend it in more advanced cancers. The minimally invasive technique is associated with some complications, the most concerning of which is anastomotic leakage. Moreover, some aspects of this approach, like lymphadenectomy extension, are still debated. In last years, indocyanine green (ICG) fluorescence imaging was introduced in laparoscopic surgery to improve visualization of anatomical and pathological structures. The purpose of this review article is to delve into all the possible applications of ICG imaging in gastric cancer surgery. Background: After injection, ICG becomes fluorescent when excited either by a laser beam, or by near-infrared light at certain wave lengths. The fluorescence released by ICG can be detected using specifically designated scopes and cameras. In the field of gastric cancer surgery, ICG can be injected intravenously, to visualize arteries and bowel perfusion, or peritumoral, to visualize the tumour and the lymph nodes. Methods: A literature search was performed using PubMed and Embase database to identify relevant articles on ICG fluorescence guided surgery and laparoscopic gastric cancer surgery. Conclusions: More in detail, the paper shows the indications of ICG fluorescence angiography and its association with anastomotic leakage, if compared to standard procedure. Then, it defines the advantages of ICG use to perform the sentinel lymph node mapping, with its application in early gastric cancer. The use of ICG for lymphatic mapping to perform lymphadenectomy is a visual guide and allows to increase the number of lymph nodes harvested. Finally, experimental studies have been published on the use of ICG for and intraoperative identification of peritoneal carcinomatosis.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843705","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: 4

New concepts in the pathophysiology of fecal incontinence 大便失禁病理生理学的新概念

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-01 DOI: 10.21037/ales-2022-02

C. Knowles, P. Dinning, S. Scott, M. Swash, S. de Wachter

引用次数: 3

Imaging modalities for pelvic floor disorders 盆底疾病的影像学诊断

IF 0.5 4区医学

Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-01-01 DOI: 10.21037/ales-21-44

G. Santoro, A. Colangelo, P. Pelizzo, Rita Cian, G. Zanus

引用次数: 0