Annals of Surgical Treatment and Research最新文献_第7页

The evaluation of feasibility of ambulatory laparoscopic cholecystectomy using intraoperative instillation of bupivacaine: a retrospective observational study. 评估使用术中灌注布比卡因进行非卧床腹腔镜胆囊切除术的可行性：一项回顾性观察研究。

IF 1.2 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.4174/astr.2024.107.1.35

Min-Ho Shin, Seong-Pyo Mun

{"title":"The evaluation of feasibility of ambulatory laparoscopic cholecystectomy using intraoperative instillation of bupivacaine: a retrospective observational study.","authors":"Min-Ho Shin, Seong-Pyo Mun","doi":"10.4174/astr.2024.107.1.35","DOIUrl":"10.4174/astr.2024.107.1.35","url":null,"abstract":"Purpose: This study aimed to compare outcomes of opioid patients-controlled anesthesia (PCA) and intraoperative local anesthesia in terms of postoperative pain, lab results, patient surveys, and discharge scores to evaluate the feasibility of ambulatory laparoscopic cholecystectomy (LC).Methods: Patients who underwent LC for acute cholecystitis were assigned to the outpatient surgery (OPS) group or inpatient surgery (IPS) group according to the surgeon. In the OPS group, a mixture of bupivacaine and epinephrine was injected into trocar sites and sprayed on the surgical dissection field. Oral opioid and analgesics were given twice a day. In the IPS group, patients received opioid PCA. Numeric rating scale (NRS) for walking, erythrocyte sedimentation rate (ESR), CRP, self-assessed survey on general physical condition and discharge, and discharge score of ambulatory surgery were assessed postoperatively.Results: NRS was significantly lower in the OPS group. There were no significant differences in ESR and CRP between the groups. Self-assessed survey on general conditions and the possibility of discharge were significantly better in the OPS group. The discharge scores at 3, 6, and 9 hours were significantly higher in the OPS group.Conclusion: Intraoperative instillation of bupivacaine at port sites and dissection fields had a better effect on short-term postoperative pain, patient surveys, and discharge criteria of ambulatory surgery than opioid PCA.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"107 1","pages":"35-41"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment for appendicitis in cancer patients on chemotherapy: a retrospective cohort study. 癌症患者化疗期间的阑尾炎治疗：一项回顾性队列研究。

IF 1.2 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.4174/astr.2024.107.1.1

Hyung Hwan Kim, Sung Sil Park, Byung Chang Kim, Kyung Su Han, Bun Kim, Chang Won Hong, Dae Kyung Sohn, Kiho You, Dong Woon Lee, Sung Chan Park

{"title":"Treatment for appendicitis in cancer patients on chemotherapy: a retrospective cohort study.","authors":"Hyung Hwan Kim, Sung Sil Park, Byung Chang Kim, Kyung Su Han, Bun Kim, Chang Won Hong, Dae Kyung Sohn, Kiho You, Dong Woon Lee, Sung Chan Park","doi":"10.4174/astr.2024.107.1.1","DOIUrl":"10.4174/astr.2024.107.1.1","url":null,"abstract":"Purpose: Whether to perform surgery or conservatively manage appendicitis in immunosuppressed patients is a concern for clinicians. This study aimed to compare the outcomes of these 2 treatment options for appendicitis in patients with cancer undergoing chemotherapy.Methods: This retrospective study included 206 patients with cancer who were diagnosed with acute appendicitis between August 2001 and December 2021. Among them, patients who received chemotherapy within 1 month were divided into surgical and conservative groups. We evaluated the outcomes, including treatment success within 1 year, 1-year recurrence, and the number of days from the diagnosis of appendicitis to chemotherapy restart, between the 2 groups.Results: Among the 206 patients with cancer who were diagnosed with acute appendicitis, 78 received chemotherapy within 1 month. The patients were divided into surgery (n = 63) and conservative (n = 15) groups. In the surgery group, the duration of antibiotic therapy (7.0 days vs. 16.0 days, P < 0.001) and length of hospital stay (8.0 days vs. 27.5 days, P = 0.002) were significantly shorter than conservative groups. The duration from the diagnosis of appendicitis to the restart of chemotherapy was shorter in the surgery group (20.8 ± 15.1 days vs. 35.2 ± 28.2 days, P = 0.028). The treatment success rate within 1 year was higher in the surgery group (100% vs. 33.3%, P < 0.001).Conclusion: Surgical treatment showed a significantly higher success rate than conservative treatment for appendicitis in patients less than 1 month after chemotherapy. Further prospective studies will be needed to clinically determine treatment options.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"107 1","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing extracorporeal, semi-extracorporeal, and intracorporeal anastomosis in laparoscopic right hemicolectomy: introducing a bridging technique for colorectal surgeons. 比较腹腔镜右半结肠切除术中的体外、半体外和体内吻合术：为结直肠外科医生引入一种桥接技术。

IF 1.2 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.4174/astr.2024.107.1.42

Hye Jung Cho, Jong Woo Kim, Woo Ram Kim

{"title":"Comparing extracorporeal, semi-extracorporeal, and intracorporeal anastomosis in laparoscopic right hemicolectomy: introducing a bridging technique for colorectal surgeons.","authors":"Hye Jung Cho, Jong Woo Kim, Woo Ram Kim","doi":"10.4174/astr.2024.107.1.42","DOIUrl":"10.4174/astr.2024.107.1.42","url":null,"abstract":"Purpose: Intracorporeal anastomosis (IA) in laparoscopic right hemicolectomy has been associated with faster recovery in bowel function compared to extracorporeal anastomosis (EA). However, the technical difficulty of laparoscopic suturing technique and intraabdominal fecal contamination hinder many surgeons from implementing such a procedure. We introduce and compare a bridging technique designated as \"semi-extracorporeal\" anastomosis (SEA), which embraces the advantages and amends the drawbacks of IA and EA.Methods: Between May 2016 and October 2022, 100 patients who underwent laparoscopic right hemicolectomy were analyzed. All patients who received laparoscopic right hemicolectomy underwent one of the 3 anastomosis methods (EA, SEA, and IA) by a single colorectal surgeon at a single tertiary care hospital. Data including perioperative parameters and postoperative outcomes were analyzed by each group.Results: A total of 100 patients were reviewed. Thirty patients underwent EA; 50 and 20 patients underwent SEA and IA, respectively. Operation time (minute) was 170 (range, 100-285), 170 (range, 110-280), and 147.5 (range, 80-235) in EA, SEA, and IA, respectively (P = 0.010). Wound size was smaller in SEA and IA compared to EA (P < 0.001). IA was associated with a shorter time (day) to first flatus compared to SEA and EA (4 [range, 2-13] vs. 4 [range, 2-7] vs. 2.5 [range, 1-4], P < 0.001). Postoperative complication showed no statistical significance between the 3 groups.Conclusion: Semi-extracorporeal was an attractive bridging option for colorectal surgeons worrisome of the technical difficulty of IA while maintaining faster bowel recovery and smaller wound incisions compared to EA.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"107 1","pages":"42-49"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scaffold-based synergistic enhancement of stem cell effects for therapeutic angiogenesis in critical limb ischemia: an experimental animal study. 基于支架的干细胞协同增强效应，用于治疗严重肢体缺血的血管生成：一项动物实验研究。

IF 1.2 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.4174/astr.2024.107.1.50

Hyung Sub Park, Geum Hee Choi, Tae Woo Jung, Taeseung Lee

{"title":"Scaffold-based synergistic enhancement of stem cell effects for therapeutic angiogenesis in critical limb ischemia: an experimental animal study.","authors":"Hyung Sub Park, Geum Hee Choi, Tae Woo Jung, Taeseung Lee","doi":"10.4174/astr.2024.107.1.50","DOIUrl":"10.4174/astr.2024.107.1.50","url":null,"abstract":"Purpose: Stem cell-based therapies are considered an alternative approach for critical limb ischemia (CLI) patients with limited or exhausted options, yet their clinical use is limited by the lack of sustainability and unclear mechanism of action. In this study, a substance P-conjugated scaffold was injected with mesenchymal stem cells (MSCs) into an animal model of CLI to verify whether angiogenesis could be enhanced.Methods: A self-assembling peptide (SAP) was conjugated with substance P, known to have the ability to recruit host stem cells into the site of action. This SAP was injected with MSCs into ischemic hindlimbs of rats, and the presence of MSCs was verified by immunohistochemical (IHC) staining of MSC-specific markers at days 7, 14, and 28. The degree of angiogenesis, cell apoptosis, and fibrosis was also quantified.Results: Substance P-conjugated SAP was able to recruit intrinsic MSCs into the ischemic site of action. When injected in combination with MSCs, the presence of both injected and recruited MSCs was found in the ischemic tissues by double IHC staining. This in turn led to a higher degree of angiogenesis, less cell apoptosis, and less tissue fibrosis compared to the other groups at all time points.Conclusion: The combination of substance P-conjugated SAP and MSCs was able to enhance angiogenesis and tissue repair, which was achieved by the additive effect from exogenously administered and intrinsically recruited MSCs. This scaffold-based intrinsic recruitment approach could be a viable option to enhance the therapeutic effects in patients with CLI.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"107 1","pages":"50-57"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A personalized prognostic model for long-term survival in patients with intrahepatic cholangiocarcinoma: a retrospective cohort study. 肝内胆管癌患者长期生存的个性化预后模型：一项回顾性队列研究。

IF 1.2 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.4174/astr.2024.107.1.16

Xianhui Dong, Pengwei Zhang, Chunhong Ye, Li Li

{"title":"A personalized prognostic model for long-term survival in patients with intrahepatic cholangiocarcinoma: a retrospective cohort study.","authors":"Xianhui Dong, Pengwei Zhang, Chunhong Ye, Li Li","doi":"10.4174/astr.2024.107.1.16","DOIUrl":"10.4174/astr.2024.107.1.16","url":null,"abstract":"Purpose: This study aimed to determine the optimal cutoff points for age and tumor size of patients with intrahepatic cholangiocarcinoma (ICC) and to establish and verify a predictive nomogram of overall survival at 1, 3, and 5 years.Methods: From the SEER (Surveillance, Epidemiology, and End Results) database, 1,325 ICC patients were selected and randomly divided into training and testing cohorts at a 7:3 ratio. Using the X-tile software, age and tumor size were classified into 3 subgroups: ≤61, 62-74, and ≥75 years and ≤35, 36-55, and ≥56 mm. Subsequently, univariate and multivariate Cox regression analyses were performed using the R software in the training cohort to determine independent risk factors, compile the prediction nomogram, and verify it with the testing cohort findings.Results: The C-indexes of the new prediction nomograms in the training and testing cohorts were 0.738 (95% confidence interval [CI], 0.718-0.758) and 0.750 (95% CI, 0.72-0.78), respectively. Furthermore, the areas under the 1-, 3-, and 5-year receiver operating characteristic (ROC) curves based on the nomogram were 0.792, 0.853, and 0.838, respectively, higher than the ROC based on the 7th and 8th editions of the American Joint Cancer Commission (AJCC) staging system.Conclusion: This study established and verified a prognostic nomogram that improved the accuracy of the 1-, 3-, and 5-year survival predictions for ICC patients, compared with that based on the 7th and 8th editions of the AJCC staging system, and can help clinicians make personalized survival predictions.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"107 1","pages":"16-26"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study. 复发性腹股沟疝不同手术方法的比较分析：一项单中心观察性研究。

IF 1.4 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.4174/astr.2024.106.6.330

Mi Jeong Choi, Kang-Seok Lee, Heung-Kwon Oh, Sang-Hoon Ahn, Hong-Min Ahn, Hye-Rim Shin, Tae-Gyun Lee, Min Hyeong Jo, Duck-Woo Kim, Sung-Bum Kang

{"title":"Comparative analysis of different surgical approaches for recurrent inguinal hernia: a single-center observational study.","authors":"Mi Jeong Choi, Kang-Seok Lee, Heung-Kwon Oh, Sang-Hoon Ahn, Hong-Min Ahn, Hye-Rim Shin, Tae-Gyun Lee, Min Hyeong Jo, Duck-Woo Kim, Sung-Bum Kang","doi":"10.4174/astr.2024.106.6.330","DOIUrl":"10.4174/astr.2024.106.6.330","url":null,"abstract":"Purpose: Managing recurrent inguinal hernias is complex, and choosing the right surgical approach (laparoscopic vs. open) is vital for patient outcomes. This study compared the outcomes of using the same vs. different surgical approaches for initial and subsequent hernia repairs.Methods: We retrospectively analyzed patients who underwent recurrent inguinal hernia repair at Seoul National University Bundang Hospital between January 2014 and May 2023. Patients were divided into the \"concordant\" and \"discordant\" groups, comprising patients who underwent same and different approaches in both surgeries, respectively. Preoperative baseline characteristics, index surgery data, postoperative outcomes, and recurrence rates were analyzed and compared.Results: In total, 131 patients were enrolled; the concordant and discordant groups comprised 31 (open, n = 19; laparoscopic, n = 12) and 100 patients (open to laparoscopic, n = 68; laparoscopic to open, n = 32), respectively. No significant differences were observed in the mean operation time (50.5 ± 21.7 minutes vs. 50.2 ± 20.0 minutes, P = 0.979), complication rates (6.5% vs. 14.0%, P = 0.356), or 36-month cumulative recurrence rates (9.8% vs. 9.8%; P = 0.865). The mean postoperative hospital stay was significantly shorter in the discordant than in the concordant group (1.8 ± 0.7 vs. 1.4 ± 0.6, P = 0.003).Conclusion: Most recurrent inguinal hernia repairs were performed using the discordant surgical approach. Overall, concordance in the surgical approach did not significantly affect postoperative outcomes. Therefore, the selection of the surgical approach based on the patient's condition and surgeon's preference may be advisable.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"106 6","pages":"330-336"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term outcomes of single-port laparoscopic hepatectomy for hepatocellular carcinoma: a retrospective comparative analysis. 单孔腹腔镜肝切除术治疗肝细胞癌的长期疗效：回顾性对比分析。

IF 1.4 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.4174/astr.2024.106.6.354

Chang Ho Seo, Ho Joong Choi, Young Kyoung You

{"title":"Long-term outcomes of single-port laparoscopic hepatectomy for hepatocellular carcinoma: a retrospective comparative analysis.","authors":"Chang Ho Seo, Ho Joong Choi, Young Kyoung You","doi":"10.4174/astr.2024.106.6.354","DOIUrl":"10.4174/astr.2024.106.6.354","url":null,"abstract":"Purpose: Numerous efforts have been made to achieve minimally invasive surgery, such as single-port laparoscopic surgery. However, few studies have provided long-term follow-up information, and the number of patients with hepatocellular carcinoma (HCC) in previous studies has been small. The purpose in this study is to compare the long-term oncological outcomes of HCC patients who underwent single-port laparoscopic hepatectomy (SPLH) with those of patients who underwent multiport laparoscopic hepatectomy (MPLH).Methods: We retrospectively reviewed the medical records of 135 patients with HCC who underwent laparoscopic liver between January 2008 and December 2018. Of the 135 patients, 53 underwent MPLH, and 82 underwent SPLH.Results: From January 2008 to December 2018, 135 patients underwent laparoscopic hepatectomy for HCC. Among them, 82 patients underwent SPLH, and 53 patients underwent MPLH. Neither long-term overall survival (P = 0.849) nor recurrence-free survival (P = 0.057) differed significantly between the 2 groups, even though the recurrence rate was higher in the SPLH group. In the univariable analysis of risk factors for recurrence, multiple tumors, SPLH method, and portal vein invasion were statistically significant (P < 0.05). Multivariable analysis showed that the SPLH method and portal vein invasion were independent adverse prognostic factors for recurrence-free survival.Conclusion: In terms of both short-term and long-term outcomes, the SPLH method seems to be a feasible approach for HCC in select patients. Because the potential risk of margin recurrence might produce poor oncological outcomes, strict patient selection is essential to ensure that an adequate safety margin can be secured.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"106 6","pages":"354-360"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CORRIGENDUM: Correction of the ACKNOWLEDGEMENTS (Fund/Grant Support). Epigenetic modulation inhibits epithelial-mesenchymal transition-driven fibrogenesis and enhances characteristics of chemically-derived hepatic progenitors. 更正：更正 ACKNOWLEDGEMENTS（基金/资助）。表观遗传调控抑制上皮-间充质转化驱动的纤维化并增强化学衍生肝祖细胞的特性。

IF 1.4 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.4174/astr.2024.106.6.370

Michael Adisasmita, Hyomin K Lee, Yohan An, Myounghoi Kim, Michael Girma Mamo, Junho K Hur, Dongho Choi, Ji Hyun Shin, Yun Kyung Jung

引用次数: 0

Characteristics of pantaloon inguinal hernia and evaluation of added laparoscopic iliopubic tract repair to transabdominal preperitoneal hernioplasty: a retrospective observational study. 泛腹股沟疝的特征和经腹腹膜前疝成形术后增加腹腔镜髂腹股沟修补术的评估：一项回顾性观察研究。

IF 1.4 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.4174/astr.2024.106.6.361

Sung Ryul Lee

{"title":"Characteristics of pantaloon inguinal hernia and evaluation of added laparoscopic iliopubic tract repair to transabdominal preperitoneal hernioplasty: a retrospective observational study.","authors":"Sung Ryul Lee","doi":"10.4174/astr.2024.106.6.361","DOIUrl":"10.4174/astr.2024.106.6.361","url":null,"abstract":"Purpose: Pantaloon hernia (PH), defined as concurrent ipsilateral direct and indirect inguinal hernias, is known for its high postoperative recurrence rate. This study retrospectively investigated the characteristics of PHs and evaluated the safety and efficacy of incorporating laparoscopic iliopubic tract repair (IPTR) into transabdominal preperitoneal (TAPP) hernioplasty.Methods: A total of 3,355 patients who underwent TAPP hernioplasty for groin hernias between October 2014 and December 2021 were analyzed. These patients were divided into 2 groups: PH (97 patients) and non-PH (3,258 patients). The PH group was further subdivided based on the surgical technique used: TAPP hernioplasty without IPTR (TAPP group, 39 patients) and TAPP hernioplasty with IPTR for defect closure (TAPP + IPTR group, 58 patients).Results: The study included 93 male and 4 female patients with PH. Patients with PH were generally older and predominantly male compared to the non-PH group. The recurrence rate in the PH group was notably higher than in the non-PH group (2.1% [2 of 97] vs. 0.2% [6 of 3,258], respectively; P = 0.007). Among the PH group, reoperations were more frequent in the TAPP group compared to the TAPP + IPTR group (10.3% [4 of 39] vs. 0% [0 of 58], respectively; P = 0.048). The reasons for reoperation in the PH group included recurrences (2 patients), mesh bulge (1 patient), and chronic seroma (1 patient).Conclusion: TAPP + IPTR hernioplasty is an acceptable approach in PH treatment, reducing reoperation.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"106 6","pages":"361-368"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 surgeries in pediatric patients: an early experience in a single center. 儿科机器人手术：单个中心的早期经验。

IF 1.4 4区医学

Annals of Surgical Treatment and Research Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI: 10.4174/astr.2024.106.6.322

Ye-Chan Jeong, Ayoung Kang, Da-Young Ko, Joong-Kee Youn, Hyun-Young Kim

{"title":"Robotic surgeries in pediatric patients: an early experience in a single center.","authors":"Ye-Chan Jeong, Ayoung Kang, Da-Young Ko, Joong-Kee Youn, Hyun-Young Kim","doi":"10.4174/astr.2024.106.6.322","DOIUrl":"10.4174/astr.2024.106.6.322","url":null,"abstract":"Purpose: Robotic surgery (RS) has the advantages of 3-dimensional view, optical magnification, motional scaling, and improved ergonomics and degree of freedom. Although RS has widely been performed on pediatric patients lately, there are still numerous restrictions and ambiguous indications. The purpose of this study was to report our early experience with RS on pediatric patients at a single center.Methods: Electronic medical records of patients who underwent RS with the da Vinci Xi surgical platform (Intuitive Surgical, Inc.) in Seoul National University Children Hospital from November 2019 to August 2021 were reviewed retrospectively. The median follow-up was 21.0 months (range, 12.3-31.8 months). An online survey was conducted to investigate satisfaction with robotic surgical scars.Results: Fifty-four patients underwent robotic surgeries (median age at operation, 11.1 years [range, 0.1-17.8 years]). In our hospital, patients had 20 different kinds of robotic surgeries, including choledochal cyst excision with hepaticojejunostomy, ovarian mass excision, and others. Median operation time and console time were 157.5 minutes (range, 45-505 minutes) and 40 minutes (range, 11-360 minutes), respectively. All cases were done without conversion into open or laparoscopic methods. Postoperative complications were found in 5 patients. According to an online survey, over half of patients (60.9%) answered that they felt satisfied with scars.Conclusion: Our early experience demonstrated the safety and feasibility of RS in children with a range of diagnoses and complicated procedures. With more experience, RS could be an alternative to traditional open or laparoscopic operations in pediatric patients. Further studies are needed to clarify indications of pediatric RS.","PeriodicalId":8071,"journal":{"name":"Annals of Surgical Treatment and Research","volume":"106 6","pages":"322-329"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0