Experience in the use of a device to attach an anti-adhesion & #8211;absorption barrier film to the abdominal cavity in laparoscopic colorectal surgery
Yutaka Kojima, Kazuhiro Sakamoto, Yuichi Tomiki, Kosuke MizukoshiJournal of Minimal Access Surgery 2020 16(4):449-450The use of laparoscopic surgery is widespread worldwide and is becoming the standard procedure. Postoperative adhesion, which is one of the typical postoperative complications, is considered to be less likely to occur compared with open surgery. However, once complications, such as small bowel obstruction or chronic abdominal pain, occur due to adhesion, the minimal invasiveness can be greatly impaired, and it can also become costly from a medical economics perspective. In the past, anti-adhesion absorption ...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Yutaka Kojima Kazuhiro Sakamoto Yuichi Tomiki Kosuke Mizukoshi Source Type: research

Laparoscopic treatment of duplicate gallbladder with acute cholecystitis
We report a case of duplicate gallbladder with acute calculus cholecystitis successfully treated by laparoscopic removal of both the gallbladders. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Rahul A Gupta Pradip Pokharia Archana Khanduri Source Type: research

Personal protective equipment use in laparoscopy during COVID-19
Kaushik BhattacharyaJournal of Minimal Access Surgery 2020 16(4):445-446COVID-19 pandemic mandates all the laparoscopic surgeons to don the personal protective equipment (PPE) to prevent getting infected in the operation theatre. PPE has few inherent problems which makes the surgery extremely challenging for all the surgeons. Dehydration and profuse sweating along with breathing difficulty due to N95 mask with PPE increases the chances of committing surgical error during laparoscopy. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Kaushik Bhattacharya Source Type: research

915 MHz microwave-assisted laparoscopic partial splenectomy: A case series
Conclusion: Based on our observation, pre-coagulation of a 915 MHz MW during LPS is a safe and efficient technique. More studies are required before applying extensively. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Qiyi Zhang Yang Tian Jixuan Duan Zhenzhen Gao Weilin Wang Sheng Yan Source Type: research

Indocyanine green tattooing for resection of endophytic submucosal lesions at anatomically difficult locations: Broader application of robotic platform
Conclusion: The use of intraoperative ICG tattooing of endophytic submucosal lesions at difficult locations can facilitate minimally invasive oncologic resection. This technique allows the surgeon to be more comfortable to approach complex lesions safely to improve patient outcomes. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Akshay Pratap Benedetto Mungo Martin McCarter Source Type: research

Laparoscopic treatment of a pericaecal internal hernia
We present the case of a pericaecal hernia treated successfully with a laparoscopic approach and full recovery after surgery. A 53-year-old female patient with a personal history of depression, osteoporosis and irritable bowel syndrome consulted to the emergency department for abdominal pain and distension in the last 12 h, associated with one episode of vomit and diminished frequency in the passage of stools. The right abdomen was tender to palpation, and blood work revealed no leucocytosis. A computed tomography scan showed small bowel loops distended and displaced to the right parietocolic recess, lateral to the ascendi...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Facundo Iriarte Agustin Buero Daniel Enrique Pirchi Walter Sebastian Nardi Matias Mihura Irribarra Source Type: research

Robotic-assisted laparoscopic common bile duct exploration with hepaticojejunostomy for primary ductal stones in nonagenarians: A report of two cases
In this report, we focus on biliary bypass surgery, one of the more complex HPB surgeries. Over the past few decades, the laparoscopic approach has gained preference over the open approach, but the robotic approach is still uncommon. Biliary bypass is also not often performed in nonagenarians due to its inherent-associated morbidity and mortality, and these patients typically have higher surgical risks. We present two cases of nonagenarians who had recurrent episodes of cholangitis secondary to multiple primary common bile duct (CBD) stones and ectatic bile ducts. Both the patients were treated conservatively over many yea...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Vivyan W. Y. Tay Zhongkai Wang Brian K. P. Goh Source Type: research

Robotic resection of a thoracic duct cyst
Michael Andrew Napolitano, Keith D MortmanJournal of Minimal Access Surgery 2020 16(4):429-430A 69-year-old male presented with back tightness. Computed tomography revealed a 5 cm × 3 cm cystic para-oesophageal mass. A right robotic-assisted thoracoscopic resection was performed. Final pathology revealed a thoracic duct cyst (TDC). Robotic resection of a TDC has not been described in the literature previously but is shown in this report to be an effective and efficient way to perform the procedure. We suspect that robotic resection of mediastinal masses such as TDCs will become more common. Further studies comparing r...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Michael Andrew Napolitano Keith D Mortman Source Type: research

Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Carla Gillespie Ada Ng Richard Skipworth Steven Leibman Garett Smith Source Type: research

A large radiopaque appendicolith in an 8-year-old child
We report a case of acute appendicitis in an 8-year-old boy due to a large 2-cm radiopaque appendicolith treated successfully by laparoscopic appendectomy. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Rahul Gupta Pradip Pokharia Rahul Varshney Source Type: research

Laparoscopic management of chylous ascites posthiatal hernia repair with Toupet fundoplication
We present a case of chylous ascites in a 69-year-old man 5 months after a laparoscopic Toupet fundoplication (posterior 270°). This was successfully treated with laparoscopic ligation of tissue adjacent to the right crus. Laparoscopic ligation is a management option that should be considered after this rare complication, offering rapid results. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Adele Hwee Hong Lee Carla Gillespie Mary Ann Johnson Source Type: research

Laparoscopic retrieval of a fishbone migrating from the stomach causing a liver abscess: Report of case and literature review
We present a 66-year-old woman who presented to the emergency department with epigastric pain, with no other relevant anamnestic details. Computed tomography scan revealed a liver abscess, secondary to stomach perforation from a long, sharp object. Diagnostic laparoscopy revealed a fishbone protruding from the left lobe of the liver. The FB was extracted and the liver abscess incised and drained laparoscopically with no operative and post-operative complications. Migration of FB into the liver is a rare occurrence. Treatment of such liver abscess must include the extraction of the FB. Laparoscopy in these cases is feasible...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Or Barkai Yoram Kluger Offir Ben-Ishay Source Type: research

Laparoscopic retrieval of impacted and broken dormia basket using a novel approach
Vaibhav Kumar Varshney, KS Sreesanth, Manish Gupta, Pawan Kumar GargJournal of Minimal Access Surgery 2020 16(4):415-417We encountered a 73-year-old patient who presented with right upper abdominal pain and jaundice. On evaluation, he was found to have cholelithiasis with choledocholithiasis. Endoscopic retrograde cholangiography was attempted, but during the procedure, the wire snapped and the dormia basket got retained in the common bile duct (CBD). Laparoscopic CBD exploration was performed and the basket with calculus was found impacted in the lower CBD. The basket was disengaged by holding its tip through another dorm...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Vaibhav Kumar Varshney KS Sreesanth Manish Gupta Pawan Kumar Garg Source Type: research

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty & #8211; Report of a case and review of the literature
We report the first case of mesh migration into the sigmoid colon after TEP presenting 10 years after surgery. A 72-year-old male presented with left iliac fossa pain and diffuse lump. His computed tomogram scan showed sigmoid colon adherent to internal oblique at the site of hernia repair with a collection containing air specks and calcification. A colonoscopy revealed mesh within the sigmoid colon. He had to undergo a sigmoidectomy with Hartmann's surgery for the same. Here, we discuss the implicated pathophysiology, management and prevention of mesh migration after laparoscopic inguinal hernioplasty with literature ...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Maitreyi Patel Chetan Shenoy Ganesh Nagarajan Vinod Chandiramani Source Type: research

Changing trends and outcomes associated with the adoption of minimally invasive pancreatic surgeries: A single institution experience with 150 consecutive procedures in Southeast Asia
Conclusion: The case volume of MIPS increased rapidly at our institution over the study period. Furthermore, although the indications for MIPS expanded to include more complex procedures in higher risk patients, there was no change in key perioperative outcomes. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Brian K Goh Tze Yi Low Ye Xin Koh Ser Yee Lee Jin-Yao Teo Juinn Huar Kam Prema Raj Jeyaraj Peng-Chung Cheow Pierce K Chow London L Ooi Alexander Y Chung Chung Yip Chan Source Type: research

Modified equipment for facilitating the transoral vestibular approach to endoscopic thyroidectomy
Conclusions: The use of modified equipment permitted shorter operation times. The time difference was not statistically significant but does represent a significant time-saving. The use of the modified equipment will simplify and speed up the learning process for novice endoscopic surgeons. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Piyapong Bamroong Pornthep Kasemsiri Cattleya Thongrong Kanokkarn Mahawerawat Siriwan Tongwiset Angkana Rachain Sirikarn Khaengraeng Source Type: research

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent ?
Conclusions: In the general and the elderly population, laparoscopic approach could result in more rapid rehabilitation for RC patients, especially in the IC patients. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Zhenhua Liu Yisen Meng Shaobo Li Wei Yu Jie Jin Source Type: research

Laparoscopic hybrid pyloromyotomy for infantile hypertrophic pyloric stenosis: A simplified technique
Conclusion: LHP is a simplified approach which is easy to learn and teach, improves safety and accuracy of the procedure. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Vikesh Agrawal Dhananjaya Sharma Himanshu Acharya Abhishek Tiwari Source Type: research

Prevalent bariatric dietary practices: Is India on the same page ?
Conclusion: Our study reflects that prevalent dietary practices among Indian bariatricians are in line with national and international guidelines. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Ishitaa N Bhatia Amrit M Nasta Madhu R Goel Ramen G Goel Source Type: research

The effect of the body mass index on the short-term surgical outcomes of laparoscopic total gastrectomy: A propensity score-matched study
Conclusions: Despite the association with a longer operative time in the high BMI group, BMI had no significant effect on the surgical outcomes of LTG. LTG could be performed safely regardless of BMI. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Mamoru Miyasaka Yuma Ebihara Kimitaka Tanaka Yoshitsugu Nakanishi Toshimichi Asano Takehiro Noji Yo Kurashima Toru Nakamura Soichi Murakami Takahiro Tsuchikawa Keisuke Okamura Toshiaki Shichinohe Yoshihiro Murakami Katsuhiko Murakawa Fumitaka Nakamura Tak Source Type: research

Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
Conclusions: The laparoscopic approach allows for confirming the diagnosis and accurately defining the exact site of duplication, as well as for effective and safe treatment. Laparoscopic excision of IC duplication without bowel resection is a safe option and is worth promoting. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Jianlei Chen Jian Wang Zhicheng Gu Shungen Huang Jie Zhu Bin Wu Zhenwei Zhu Peng Cai Chao Sun Source Type: research

Preliminary study of short- and long-term outcome and quality of life after minimally invasive surgery for Crohn & #39;s disease: Comparison between single incision, robotic-assisted and conventional laparoscopy
Conclusions: Minimally invasive technique for CD is feasible, even for complicated and recurrent disease. Our study demonstrated low rates of post-operative complications. However, it is a preliminary study with a small sample size. Further studies should be performed to assess the best surgical technique. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Daniela Zambonin Francesco Giudici Ferdinando Ficari Benedetta Pesi Cecilia Malentacchi Stefano Scaringi Source Type: research

Subxiphoid robotic extended thymectomy & #8211; The first Indian report
Conclusion: Our experience suggests that subxiphoid approach offers a good operative view of the thymus in cervical region along with easy identification of bilateral phrenic nerves. Thus, SRT can be performed safely with comparable results. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Belal Bin Asaf Harsh Vardhan Puri Sukhram Bishnoi Navdeep Singh Nanda Mohan Venkatesh Pulle Arvind Kumar Source Type: research

Higher quality camera navigation improves the surgeon & #39;s performance: Evidence from a pre-clinical study
Conclusion: In this pre-clinical setting, the surgeon's virtual performance is significantly influenced by the LCN quality. LCN by high performers resulted in a shorter operation time and a lower error rate. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Florentine Huettl Tobias Huber Matthias Duwe Hauke Lang Markus Paschold Werner Kneist Source Type: research

Gastrointestinal stromal tumour of stomach: Feasibility of laparoscopic resection in large lesions and its long-term outcomes
Conclusion: Our study establishes laparoscopic resection is feasible and safe in treating gastric GISTs for tumours >5 cm size. The long-term disease-free survival in our study shows acceptable oncological results in comparison to historical open resections. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Parthasarathi Sharma Dhawal Bhushan Chittawadagi Bharath Cumar Saravana Kumar Chinnusamy Palanivelu Source Type: research

Changing trends and outcomes associated with the adoption of minimally-invasive pancreato-biliary surgery: Contemporary experience of a & #39;self-taught & #39; early adopter in Southeast Asia
Conclusion: MIPBS can be safely adopted today with a low open conversion rate. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Brian K. P. Goh Gerald Zeng Tze-Yi Low Darren W Chua Ye-Xin Koh Kai-Inn Lim Source Type: research

Robotic assistance in ventral hernia repair may decrease the incidence of hernia recurrence
Conclusions: The results of this study suggest that robotic surgery maintains some of the advantages of laparoscopic surgery and may also provide the additional advantage of recurrence rate reduction. This may be explained by the ability to perform a more complex hernia repair with robotic assistance secondary to the ease of closure of the fascial defect. More research is needed to validate this finding. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Mitchell Andrew Goettman Margaret Lynn Riccardi Lucky Vang Moe S Dughayli Chadi H Faraj Source Type: research

Post-operative pain after laparoscopic ventral hernia repair, the impact of mesh soakage with bupivacaine solution versus normal saline solution: A randomised controlled trial (HAPPIEST Trial)
Conclusion: Soakage of mesh in 0.5% bupivacaine solution before application in laparoscopic ventral hernia repair significantly reduces early post-operative pain. Trial Registration: Trial was registered with clinicaltrials. gov (NCT03035617) URL: https://clinicaltrials. gov (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Tabish Chawla Noman Shahzad Khabir Ahmad Jehangir Farman Ali Source Type: research

Is a difficult gallbladder worth removing in its entirety ? & #8211; Outcomes of subtotal cholecystectomy
Conclusion: Subtotal cholecystectomy is a useful alternative during difficult gallbladder surgery. It should be considered early into the procedure preferably prior to conversion to an open procedure. Biliovascular injuries can be avoided and the Immediate and long-term outcomes are acceptable. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Kushal Bairoliya Ramesh Rajan RS Sindhu Bonny Natesh Jacob Mathew S Raviram Source Type: research

Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy: A comparison of two systematic reviews
Conclusions: TOVAT and MIVAT should not be considered in competition with each other, but seen simply as alternative choices. Both appear to be safe methods, comparable in terms of post-operative complications, although the main reason for using TOVAT seems to be purely aesthetic. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Francesco Tartaglia Alessandro Giuliani Salvatore Sorrenti Salvatore Ulisse Source Type: research

Key clinical applications for indocyanine green fluorescence imaging in minimally invasive colorectal surgery
Jan Grosek, Aleš TomažičJournal of Minimal Access Surgery 2020 16(4):308-314Near-infrared indocyanine green (ICG) fluorescence imaging has gained solid acceptance over the last years, and rightly so, as this technology has so much to offer, especially in the field of minimally invasive surgery. Firm evidence from ongoing and future studies will hopefully transform many of the applications of ICG fluorescence into the standard of care for our patients. This review examines the current status of ICG fluorescence for assessment of bowel perfusion, lymphatic mapping as well as intraoperative localisation of uret...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Jan Grosek Ale & #353; Toma & #382;i & #269; Source Type: research

Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
Conclusion: Compared with open resection group, the total effect of laparoscopy combined with gastroscopy positioning group in the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Hu Zhang Jie Chen Chen Chen Source Type: research

Message from new editors
Sandeep Aggarwal, Anil SharmaJournal of Minimal Access Surgery 2020 16(4):297-297 (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Sandeep Aggarwal Anil Sharma Source Type: research

Experience in the use of a device to attach an anti-adhesion & #8211;absorption barrier film to the abdominal cavity in laparoscopic colorectal surgery
Yutaka Kojima, Kazuhiro Sakamoto, Yuichi Tomiki, Kosuke MizukoshiJournal of Minimal Access Surgery 2020 16(4):449-450The use of laparoscopic surgery is widespread worldwide and is becoming the standard procedure. Postoperative adhesion, which is one of the typical postoperative complications, is considered to be less likely to occur compared with open surgery. However, once complications, such as small bowel obstruction or chronic abdominal pain, occur due to adhesion, the minimal invasiveness can be greatly impaired, and it can also become costly from a medical economics perspective. In the past, anti-adhesion absorption ...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Yutaka Kojima Kazuhiro Sakamoto Yuichi Tomiki Kosuke Mizukoshi Source Type: research

Laparoscopic treatment of duplicate gallbladder with acute cholecystitis
We report a case of duplicate gallbladder with acute calculus cholecystitis successfully treated by laparoscopic removal of both the gallbladders. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Rahul A Gupta Pradip Pokharia Archana Khanduri Source Type: research

Personal protective equipment use in laparoscopy during COVID-19
Kaushik BhattacharyaJournal of Minimal Access Surgery 2020 16(4):445-446COVID-19 pandemic mandates all the laparoscopic surgeons to don the personal protective equipment (PPE) to prevent getting infected in the operation theatre. PPE has few inherent problems which makes the surgery extremely challenging for all the surgeons. Dehydration and profuse sweating along with breathing difficulty due to N95 mask with PPE increases the chances of committing surgical error during laparoscopy. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Kaushik Bhattacharya Source Type: research

915 MHz microwave-assisted laparoscopic partial splenectomy: A case series
Conclusion: Based on our observation, pre-coagulation of a 915 MHz MW during LPS is a safe and efficient technique. More studies are required before applying extensively. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Qiyi Zhang Yang Tian Jixuan Duan Zhenzhen Gao Weilin Wang Sheng Yan Source Type: research

Indocyanine green tattooing for resection of endophytic submucosal lesions at anatomically difficult locations: Broader application of robotic platform
Conclusion: The use of intraoperative ICG tattooing of endophytic submucosal lesions at difficult locations can facilitate minimally invasive oncologic resection. This technique allows the surgeon to be more comfortable to approach complex lesions safely to improve patient outcomes. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Akshay Pratap Benedetto Mungo Martin McCarter Source Type: research

Laparoscopic treatment of a pericaecal internal hernia
We present the case of a pericaecal hernia treated successfully with a laparoscopic approach and full recovery after surgery. A 53-year-old female patient with a personal history of depression, osteoporosis and irritable bowel syndrome consulted to the emergency department for abdominal pain and distension in the last 12 h, associated with one episode of vomit and diminished frequency in the passage of stools. The right abdomen was tender to palpation, and blood work revealed no leucocytosis. A computed tomography scan showed small bowel loops distended and displaced to the right parietocolic recess, lateral to the ascendi...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Facundo Iriarte Agustin Buero Daniel Enrique Pirchi Walter Sebastian Nardi Matias Mihura Irribarra Source Type: research

Robotic-assisted laparoscopic common bile duct exploration with hepaticojejunostomy for primary ductal stones in nonagenarians: A report of two cases
In this report, we focus on biliary bypass surgery, one of the more complex HPB surgeries. Over the past few decades, the laparoscopic approach has gained preference over the open approach, but the robotic approach is still uncommon. Biliary bypass is also not often performed in nonagenarians due to its inherent-associated morbidity and mortality, and these patients typically have higher surgical risks. We present two cases of nonagenarians who had recurrent episodes of cholangitis secondary to multiple primary common bile duct (CBD) stones and ectatic bile ducts. Both the patients were treated conservatively over many yea...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Vivyan W. Y. Tay Zhongkai Wang Brian K. P. Goh Source Type: research

Robotic resection of a thoracic duct cyst
Michael Andrew Napolitano, Keith D MortmanJournal of Minimal Access Surgery 2020 16(4):429-430A 69-year-old male presented with back tightness. Computed tomography revealed a 5 cm × 3 cm cystic para-oesophageal mass. A right robotic-assisted thoracoscopic resection was performed. Final pathology revealed a thoracic duct cyst (TDC). Robotic resection of a TDC has not been described in the literature previously but is shown in this report to be an effective and efficient way to perform the procedure. We suspect that robotic resection of mediastinal masses such as TDCs will become more common. Further studies comparing r...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Michael Andrew Napolitano Keith D Mortman Source Type: research

Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Carla Gillespie Ada Ng Richard Skipworth Steven Leibman Garett Smith Source Type: research

A large radiopaque appendicolith in an 8-year-old child
We report a case of acute appendicitis in an 8-year-old boy due to a large 2-cm radiopaque appendicolith treated successfully by laparoscopic appendectomy. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Rahul Gupta Pradip Pokharia Rahul Varshney Source Type: research

Laparoscopic management of chylous ascites posthiatal hernia repair with Toupet fundoplication
We present a case of chylous ascites in a 69-year-old man 5 months after a laparoscopic Toupet fundoplication (posterior 270°). This was successfully treated with laparoscopic ligation of tissue adjacent to the right crus. Laparoscopic ligation is a management option that should be considered after this rare complication, offering rapid results. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Adele Hwee Hong Lee Carla Gillespie Mary Ann Johnson Source Type: research

Laparoscopic retrieval of a fishbone migrating from the stomach causing a liver abscess: Report of case and literature review
We present a 66-year-old woman who presented to the emergency department with epigastric pain, with no other relevant anamnestic details. Computed tomography scan revealed a liver abscess, secondary to stomach perforation from a long, sharp object. Diagnostic laparoscopy revealed a fishbone protruding from the left lobe of the liver. The FB was extracted and the liver abscess incised and drained laparoscopically with no operative and post-operative complications. Migration of FB into the liver is a rare occurrence. Treatment of such liver abscess must include the extraction of the FB. Laparoscopy in these cases is feasible...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Or Barkai Yoram Kluger Offir Ben-Ishay Source Type: research

Laparoscopic retrieval of impacted and broken dormia basket using a novel approach
Vaibhav Kumar Varshney, KS Sreesanth, Manish Gupta, Pawan Kumar GargJournal of Minimal Access Surgery 2020 16(4):415-417We encountered a 73-year-old patient who presented with right upper abdominal pain and jaundice. On evaluation, he was found to have cholelithiasis with choledocholithiasis. Endoscopic retrograde cholangiography was attempted, but during the procedure, the wire snapped and the dormia basket got retained in the common bile duct (CBD). Laparoscopic CBD exploration was performed and the basket with calculus was found impacted in the lower CBD. The basket was disengaged by holding its tip through another dorm...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Vaibhav Kumar Varshney KS Sreesanth Manish Gupta Pawan Kumar Garg Source Type: research

Mesh migration into the sigmoid colon after total extraperitoneal hernioplasty & #8211; Report of a case and review of the literature
We report the first case of mesh migration into the sigmoid colon after TEP presenting 10 years after surgery. A 72-year-old male presented with left iliac fossa pain and diffuse lump. His computed tomogram scan showed sigmoid colon adherent to internal oblique at the site of hernia repair with a collection containing air specks and calcification. A colonoscopy revealed mesh within the sigmoid colon. He had to undergo a sigmoidectomy with Hartmann's surgery for the same. Here, we discuss the implicated pathophysiology, management and prevention of mesh migration after laparoscopic inguinal hernioplasty with literature ...
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Maitreyi Patel Chetan Shenoy Ganesh Nagarajan Vinod Chandiramani Source Type: research

Changing trends and outcomes associated with the adoption of minimally invasive pancreatic surgeries: A single institution experience with 150 consecutive procedures in Southeast Asia
Conclusion: The case volume of MIPS increased rapidly at our institution over the study period. Furthermore, although the indications for MIPS expanded to include more complex procedures in higher risk patients, there was no change in key perioperative outcomes. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Brian K Goh Tze Yi Low Ye Xin Koh Ser Yee Lee Jin-Yao Teo Juinn Huar Kam Prema Raj Jeyaraj Peng-Chung Cheow Pierce K Chow London L Ooi Alexander Y Chung Chung Yip Chan Source Type: research

Modified equipment for facilitating the transoral vestibular approach to endoscopic thyroidectomy
Conclusions: The use of modified equipment permitted shorter operation times. The time difference was not statistically significant but does represent a significant time-saving. The use of the modified equipment will simplify and speed up the learning process for novice endoscopic surgeons. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Piyapong Bamroong Pornthep Kasemsiri Cattleya Thongrong Kanokkarn Mahawerawat Siriwan Tongwiset Angkana Rachain Sirikarn Khaengraeng Source Type: research

Perioperative recovery in different urinary reconstruction approaches of radical cystectomy: Are the advantages of laparoscopy consistent ?
Conclusions: In the general and the elderly population, laparoscopic approach could result in more rapid rehabilitation for RC patients, especially in the IC patients. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2020 Category: Surgery Authors: Zhenhua Liu Yisen Meng Shaobo Li Wei Yu Jie Jin Source Type: research