Oncologic Resection in Laparoscopic Versus Robotic Transhiatal Esophagectomy.
Conclusions: Laparoscopic and robot-assisted THEs yield similar perioperative oncologic results including lymph node yield and margin status. In the transition from laparoscopic surgery, robotic surgery should be considered oncologically noninferior compared with laparoscopy. PMID: 31148912 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Surgeons' Perspectives on Risk Factors for and Prophylaxis of Trocar Site Hernias: A Multispecialty National Survey.
Authors: Wells A, Germanos GJ, Salemi JL, Mikhail E Abstract Background and Objectives: Although trocar site hernias (TSHs) occur in only 1.5% to 1.8% of all laparoscopic procedures, TSHs can present serious postoperative complications. The purpose of this study was to survey surgeons who are active members of the Society of Laparoendoscopic Surgeons (SLS) to elicit their experiences with TSHs, including fascial closure preferences. Methods: After reviewing the clinical and epidemiological literature to compile relevant questions, an anonymous survey was designed using Qualtrics web-based software. The survey l...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Surgical Equipment Price Awareness Amongst Obstetrician-Gynecologists.
Conclusion: We found that price-estimate accuracy was very low and had no association with any of the demographics. Also notable was the perception that pricing is not transparent despite a unanimous desire for transparency. Although physicians reported a preference for using less-expensive surgical devices, we conclude that physicians are unequipped to make cost-conscious decisions highlighting a large potential for education. PMID: 31148914 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Single-Port Laparoscopic and Robotic Cholecystectomy in Obesity ( > 25 kg/m2).
Conclusions: SPLC and RSSC could be safely performed in selected patients with high body mass index, showing no significant clinical differences. PMID: 31148915 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Percutaneous Endoscopic Gastrostomy Is Useful for Elderly.
Conclusion: We summarized the LAPEG cases performed at our institution for the elderly, and have reported its feasibility and safety. The strongest advantage of LAPEG was that it allowed placement of the PEG without any complication under direct observation of the intraperitoneal cavity to confirm the safety of each organ. PMID: 31148916 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Extra-Glissonian Approach for Laparoscopic Liver Right Anterior Sectionectomy.
Conclusion: Totally laparoscopic right anterior sectionectomy using the extraglissonian approach was technically feasible and safe in expert hands. More data are needed to assess the long-term oncological survival outcomes. PMID: 31148917 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Strategy for Heterotopic Interstitial Pregnancy Following Assisted Reproductive Techniques.
Conclusion: This laparoscopic strategy is a safe, relatively simple, effective, and minimally invasive approach to address the challenging case of HIP after ART in the first trimester. PMID: 31097904 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 18, 2019 Category: Surgery Tags: JSLS Source Type: research

A Novel Approach to Combined Vaginal and Laparoscopic Gynecological Surgery.
Conclusion: Our proposed combined vaginal and laparoscopic approach to benign gynecological surgery can be utilized in difficult surgical candidates including those with obesity, nulliparous patients, and those with prior abdominal surgery. Our data has shown that this approach is safe and effective. PMID: 31097905 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 18, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Insertion of Various Shaped Trocars in a Porcine Model.
Conclusion: The bladed trocars have lower forces and deformations in their introduction, and should be those that cause less injury and are more suitable for first entry. Conical and pyramidal trocars with the same blade size showed similar force, deformation, time, and distance of exposed blade. PMID: 31097906 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 18, 2019 Category: Surgery Tags: JSLS Source Type: research

Feasibility of Routine Ambulatory Laparoscopic Cholecystectomy in Brazil.
Conclusions: ALC may be performed in Brazil with low rates of morbidity, mortality, and hospital readmission. Its implementation should be stimulated in Latin America. PMID: 31097907 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 18, 2019 Category: Surgery Tags: JSLS Source Type: research

Benefit of Laparoendoscopic Repair of Hiatal Hernia in the Presence of Aberrant Left Hepatic Artery.
Conclusion: The laparoendoscopic technique of hiatal hernia repair, using extracorporeal arthroscopic sliding knots and concomitant transoral incisionless fundoplication, is safe, preserves an ALHA, and allows proper surgical techniques in a confined operative field. PMID: 30996584 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 20, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Low Anterior Resection with Two Planned Stapler Fires.
Conclusion: Rectal transection with 2 planned stapler fires appears safe, practical, and straightforward to standardize, and reduces the need for multiple linear fires and the incidence of anastomotic leakage. PMID: 30914830 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 29, 2019 Category: Surgery Tags: JSLS Source Type: research

Resection of Mucosal and Submucosal Gastrointestinal Lesions and a Double Endoscope Experience.
Conclusion: The advantages of endoscopic resections; short hospitalization, low complication rates, patient comfort, and doesn't require the general anesthesia. For endoscopic resection, we think that the second endoscope shortens the duration of the procedure, reduces the complication rate, and increases the comfort of the endoscopist. PMID: 30880899 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 19, 2019 Category: Surgery Tags: JSLS Source Type: research

Large Hiatal Hernia Repair with Urinary Bladder Matrix Graft Reinforcement and Concomitant Sleeve Gastrectomy.
Conclusion: In this series of 32 cases, laparoscopic cruroplasty with UBM graft reinforcement has been effective and durable at 12 months of followup. This technique may offer one satisfactory solution for large hiatal hernia repair concomitant with laparoscopic sleeve gastrectomy that may achieve a durable repair with low GERD symptoms. PMID: 30880900 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 19, 2019 Category: Surgery Tags: JSLS Source Type: research

Ascending the Learning Curve of Robotic Abdominal Wall Reconstruction.
Conclusions: r-AWR with and without TAR is a safe and feasible procedure associated with a short LOS, low complication rate, and low recurrence even within the surgeon's learning curve experience. PMID: 30846894 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 9, 2019 Category: Surgery Tags: JSLS Source Type: research

Intestinal Injury by Heat Conduction from Surgical Sealing Devices.
Conclusions: Regardless of type, the backs of active blades of surgical sealing devices conduct high temperatures and can induce heat damage in the small intestine. Surgical sealing devices should not be activated while attached to surrounding tissue or organs in laparoscopic surgery. PMID: 30846895 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 9, 2019 Category: Surgery Tags: JSLS Source Type: research

New Crosslinked Hyaluronan Gel, Intrauterine Device, or Both for the Prevention of Intrauterine Adhesions.
Authors: Pabuçcu EG, Kovanci E, Şahin Ö, Arslanoğlu E, Yıldız Y, Pabuçcu R Abstract Background and Objectives: To compare the efficacy of 3 different techniques for prevention of adhesion reformation after hysteroscopic adhesiolysis in patients with moderate-to-severe intrauterine adhesions. Short-term assisted reproductive outcomes were also compared. Study Design: Total of 72 cases were randomized to Lippes loop intrauterine device (IUD) only, IUD plus a new crosslinked hyaluronan (NCH) gel, or NCH gel only following hysteroscopic adhesiolysis. All cases received hormonal therapy and a ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 9, 2019 Category: Surgery Tags: JSLS Source Type: research

A Novel Technique for Essure Reversal.
Conclusion: Essure reversal is a feasible technique for removing the device and restoring tubal patency; however, more data are needed on pregnancy outcomes following this novel procedure. PMID: 30846897 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 9, 2019 Category: Surgery Tags: JSLS Source Type: research

The Association of Appendectomy, Adhesions, Tubal Pathology, and Female Infertility.
Authors: Margaux Becker V, Silver S, Seufert R, Muensterer OJ Abstract Background and Objectives: The aim of the study was to investigate a potential association between previous childhood appendectomy, tube pathology, and female infertility. Methods: We reviewed patients seeking care at the fertility clinic of our university medical center between 2006 and 2016. The history of previous appendectomy was extracted from hospital documentation and by telephone follow-up. Tubal patency was assessed by diagnostic laparoscopy and chromopertubation. Results: In our study cohort (N = 237), 24.9% (n = 59) had a hist...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 9, 2019 Category: Surgery Tags: JSLS Source Type: research

Abdominal Compliance and Laparoscopy: A Review.
Conclusions: Abdominal compliance has its limits, is unique for each patient and pressure-volume curves cannot be easily predicted. Using the lowest possible pressure to accomplish the surgical task without compromising surgical outcome is the desired goal. The clinical importance is caution and knowing there is a point where more pressure does not increase working space and only increases pressure. PMID: 30828242 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Surgical Management of Solid Pseudopapillary Tumor of the Pancreas.
Conclusion: Complete SPT resection is possible in most patients, with a low recurrence rate. Because of its large size, laparoscopic resection of SPT's should be performed only by experienced surgeons to avoid tumor rupture. PMID: 30740012 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 13, 2019 Category: Surgery Tags: JSLS Source Type: research

Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.
Conclusions: The laparoscopic approach for benign EVF in selected patients is both feasible and safe in the hands of experienced surgeons with extensive expertise in laparoscopic surgery. PMID: 30740013 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 13, 2019 Category: Surgery Tags: JSLS Source Type: research

Improved Outcomes Utilizing a Valveless-Trocar System during Robot-assisted Radical Prostatectomy (RARP).
Authors: Shahait M, Cockrell R, Yezdani M, Yu SJ, Lee A, McWilliams K, Lee DI Abstract Introduction: To evaluate the effect of valveless trocar system (VTS) on intra-operative parameters, peri-operative outcomes, and 30-day postoperative complications in patients undergoing robotic-assisted laparoscopic prostatectomy. Methods: A total of 200 consecutive patients undergoing Robot-assisted radical prostatectomy by a single surgeon were prospectively evaluated using either the valveless trocar (n = 100) or standard trocars (n = 100). Patient demographics, intra-operative parameters, length of stay, presence or abs...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 13, 2019 Category: Surgery Tags: JSLS Source Type: research

Retroperitoneal Liposarcoma: A Concern in Inguinal Hernia Repair.
Conclusion: Preoperative clinical suspicion of retroperitoneal involvement is paramount for developing of a surgical strategy and in unclear cases demands extended preoperative diagnostic workup. Following the appropriate patient management is crucial to prognosis. PMID: 30700965 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 2, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Hysterectomy Outcomes: Hospital vs Ambulatory Surgery Center.
Authors: MacKoul P, Danilyants N, Baxi R, van der Does L, Haworth L Abstract Background and Objective: Compare operative outcomes of laparoscopic hysterectomy in an outpatient hospital setting versus freestanding ambulatory surgery center. Methods: Retrospective cohort study of two groups in an outpatient hospital surgery department and freestanding ambulatory surgical center, both serving the Washington, DC area. Women, 18 years or older, who underwent laparoscopic hysterectomy for benign conditions in an outpatient hospital setting between 2011 and 2014 (n = 821), and at an ambulatory surgery center between 2...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Revision of Failed Bariatric Procedures.
Conclusion: Results of revisional bariatric surgery vary depending on the original procedure and the reasons for revision. In particular, if the main reason for reoperation is inadequate weight loss, then the burden is to demonstrate a surgically correctable deficiency. Revisional procedures incorporating malabsorption result in greater weight loss than gastric restriction alone. PMID: 30675090 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Comparison of Robotic and Laparoscopic Hysterectomy for the Large Uterus.
Authors: Sinha R, Bana R, Sanjay M Abstract Background and Objectives: We compared the outcome of robotic hysterectomy (RH) with laparoscopic hysterectomy (LH) for large uteri (≥16 weeks). Methods: This was a retrospective review over 5 years of 165 women (RH, 46; LH, 119). Demographic data, conversion, hemoglobin drop, indication, operating time, postoperative stay, and intra-operative strategies (adhesiolysis, myomectomy) were recorded. Results: Mean age was 45.7 ± 6.4 years and 44.5 ± 5.4 years (no diff) and body mass index was 30.2 ± 6.3 kg/m2 and 27.8 ± 4.8 kg/m2 (P = .00...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Propensity-Matched Analysis of Sigmoidectomies for Diverticular Disease.
Conclusions: The robotic-assisted minimally invasive approach to elective sigmoidectomy for diverticular disease results in favorable intra-operative and postoperative outcomes when compared to laparoscopic and open approaches. PMID: 30675092 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Which Cholecystectomy do Medical Students Prefer?
Conclusion: When Brazilian medical students were asked to select a surgical approach for cholecystectomy, most chose MINI. The preference for MINI was strongest amongst female medical students. Both female and male medical students ranked safety as the most important factor. PMID: 30675093 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

pH Scores in Hiatal Repair with Transoral Incisionless Fundoplication.
Authors: Ihde GM, Pena C, Scitern C, Brewer S Abstract Background and Objectives: Transoral incisionless fundoplication is an alternative to traditional laparoscopic fundoplications. Recently, hiatal hernia repair combined with transoral incisionless fundoplication has become an accepted modification of the original procedure; however, outcomes information, particularly objective pH monitoring, has been sparse. We retrospectively review the subjective and objective outcomes of transoral incisionless fundoplication combined with hiatal hernia repair. Methods: Ninety-seven consecutive patients presenting for refl...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Transient Occlusion of Uterine Arteries in Procedures with High Risk of Uterine Bleeding.
Conclusion: Laparoscopic TOUA could be a therapeutic option to manage heavy intra-operative bleeding during conservative uterine surgeries associated with the risk of heavy bleeding. PMID: 30675095 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Drainage During Endoscopic Thyroidectomy.
Conclusions: In endoscopic thyroidectomy via the chest and breast approach, using the new drainage technique described here could yield improved restoration of the suprasternal fossa, ameliorating the cosmetic outcome and patient satisfaction. PMID: 30675096 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

T-Tube Use After Laparoscopic Common Bile Duct Exploration.
Conclusion: PDC alone or PDC+BD is superior to TTD as a duct-closure method after LCBDE. PMID: 30675097 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Colonic Stent Use in Patients With Malignant Flexure Tumors Presenting With Obstruction.
Conclusions: Preoperative stenting in colonic flexura tumors is associated with faster healing, less postoperative complications, lower rates of colostomy, and higher rates of minimally invasive surgery, and can be safely used at experienced centers. PMID: 30675098 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Impact of Chronic Obstructive Pulmonary Disease on Laparoscopic Hysterectomy Outcome.
Conclusion: Patients with COPD who undergo laparoscopic hysterectomy have increased risk of experiencing postoperative pneumonia, reintubation, renal insufficiency, and sepsis. Overall, postoperative complication rates remain low, but gynecologists should consider the pulmonary disease status of patients when assessing preoperative risk. PMID: 30675099 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 26, 2019 Category: Surgery Tags: JSLS Source Type: research

Systematic Review of Topical Hemostatic Agent Use in Minimally Invasive Gynecologic Surgery.
Conclusion: Application of topical HA in MIGS can reduce operative time, blood loss, and ameliorate damage to ovarian function. However, more data needs to be gathered for use of HA during different types of gynecologic procedures (adnexal surgery, myomectomy, and hysterectomy) to provide better quality evidence to guide their use. PMID: 30662251 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 23, 2019 Category: Surgery Tags: JSLS Source Type: research

Effect of Anterior Compartment Endometriosis Excision on Infertility.
Conclusion: Laparoscopic excision of anterior compartment endometriosis is effective in restoring fertility in patients with otherwise-unexplained infertility and in treating endometriosis-related symptoms. PMID: 30662252 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 23, 2019 Category: Surgery Tags: JSLS Source Type: research

Robotic Repair of Supratrigonal Vesicovaginal Fistula with Sigmoid Epiploica Interposition.
Conclusions: Robotic repair of VVF with sigmoid epiploica interposition is efficient and well tolerated. Use of this technique may increase the number of patients eligible for tissue interposition. PMID: 30662253 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 23, 2019 Category: Surgery Tags: JSLS Source Type: research

Hemostasis with the Ultrasonic Scalpel.
Conclusion: Our findings corroborate that the ultrasonic scalpel can safely seal arteries up to 8 mm in diameter to prevent or control bleeding during laparoscopic procedures, even when BP exceeds normal levels. PMID: 30626994 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 12, 2019 Category: Surgery Tags: JSLS Source Type: research

Staple Line Treatment and Bleeding After Laparoscopic Sleeve Gastrectomy.
The objective of this study was to compare rates of postoperative bleeding (POB) among various methods of staple line reinforcement. Methods: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program 2015 dataset was queried for patients undergoing an LSG. Patients were stratified by staple line treatment groups-no treatment (NT), suture oversewing (OVERSEW), buttressing by a commercial product (BUTTRESS), and both buttress and oversew (COMBINATION). The primary outcome was POB. Multivariable logistic regression was used to compare POB rates among the treatment groups. Results: In the 98,142...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

New Ovine Polymer-Reinforced Bioscaffold in Hiatal Hernia Repair.
Conclusion: OPRBS in hiatal hernia repair have been associated with excellent early patient outcomes in this study. OPRBS represent a new paradigm in hernia repair, as it is the first clinically available biological repair material reinforced with embroidered resorbable or permanent synthetic polymer. Relative weaknesses of the current study include the small sample size (n = 25), and short-term (mean = 14.2 months) followup. Long-term followup and additional studies will be required to confirm these findings. PMID: 30607101 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Splenectomy for Trauma.
Authors: Shamim AA, Zafar SN, Nizam W, Zeineddin A, Ortega G, Fullum TM, Tran DD Abstract Background and Objectives: The use of laparoscopy in the trauma setting is gaining momentum, with more therapeutic procedures being performed. We evaluated the use of laparoscopic splenectomy among trauma patients with data from the National Trauma Database. We compared outcomes for trauma patients undergoing laparoscopic (LS) versus open splenectomy (OS). Methods: From the National Trauma Database (2007 to 2015), we identified all patients who underwent a total splenectomy. Patients who had other abdominal operations were...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

The Impact of Surgical Approach on Late Recurrence in Incisional Hernia Repair.
Conclusion: Successful laparoscopic surgery incisional hernia mesh repair was associated with decreased risk of recurrence compared with OPEN and CONV. PMID: 30607103 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Outcomes of Open and Laparoscopic Appendectomy With Single Endoloop Stump Closure.
Authors: Kryspin M, Wyrzykowsk D Abstract Background and Objectives: Although laparoscopic appendectomy (LA) has been used for 35 years, the open approach (OA) is preferred worldwide. Widespread access to instrumentation in a number of centers has reduced economic and logistical obstacles. The aim of this work is to compare the results for patients with suspected appendicitis treated using an OA versus patients treated using LA. Methods: A retrospective study of all patients (N = 290) who underwent operation due to suspected appendicitis in the General Surgery Department from 2014 to 2017 was conducted. LA was ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

CTEP Versus LESS Totally Extraperitoneal Hernioplasty.
Authors: Zhang H, Li J, Gong M, Zhang G, Liu J, Li B Abstract Background and Objectives: The authors sought to assess and compare the surgical outcomes of laparoendoscopic single-port surgery (LESS) for totally extraperitoneal (LESS-TEP) hernioplasty and conventional totally extraperitoneal (CTEP) hernioplasty. Methods: From March 2015 through May 2018, a retrospective analysis of postoperative outcomes was conducted that included 81 cases of LESS-TEP and 88 cases of CTEP hernioplasty patients. For postoperative indicator comparisons, a visual-analog pain scale and 5-level cosmesis evaluation sheet were applied...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Economic Disparities in Patients Undergoing Sigmoidectomy.
Conclusions: Patients in the highest income quartile utilize more hospital resources than the lowest income quartile. Additional study is required to understand why these differences exist. Key Points: 1. Significant differences in outcomes and hospital charges exist between socioeconomic groups undergoing sigmoidectomy. 2. There does not seem to be a difference in outcomes after sigmoidectomy among different socioeconomic groups. 3. Elective and laparoscopic sigmoid colectomy is more frequently applied to higher socioeconomic groups. 4. Hospital charges are also greater among patients of higher socioeconomic groups un...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Hedging, Weasel Words, and Truthiness in Scientific Writing.
Conclusion: Awareness by scientists of this situation will make article reading more critical and related to reality rather than what you want an author wants it to be. PMID: 30607107 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Predictive Factors for Success of Laparoscopic Splenectomy for ITP.
Conclusion: LS is safe and remains the most effective second-line treatment for ITP. In our study, younger age and response to preoperative steroids were predictive factors for the long-term success of splenectomy. PMID: 30524182 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 15, 2018 Category: Surgery Tags: JSLS Source Type: research

Symptoms and Health Quality After Laparoscopic and Robotic Myomectomy.
Authors: Takmaz O, Ozbasli E, Gundogan S, Bastu E, Batukan C, Dede S, Gungor M Abstract Background and Objectives: To compare the symptom severity and health quality outcomes of women who underwent laparoscopic and robotic myomectomy. Methods: This was a prospective nonrandomized cohort study. The Uterine Fibroid Symptom and Health Related Quality of Life Questionnaire was administered to 33 laparoscopic myomectomy and 31 robotic myomectomy patients before and year after surgery. Symptom severity and health quality scores were compared between the preoperative and postoperative periods for laparoscopic and robo...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 15, 2018 Category: Surgery Tags: JSLS Source Type: research

Origins of Robotic Surgery: From Skepticism to Standard of Care.
Conclusion: We analyzed the literature and referred to primary sources by conducting interviews with present and historical leaders in the field to yield a detailed chronology of surgical robotics development. As minimally invasive robotic procedures are becoming the standard of care, it is crucial to comprehensively document their historical context and importance as an emerging and evolving discipline. PMID: 30524184 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 15, 2018 Category: Surgery Tags: JSLS Source Type: research