Fast, Easy, and Safe Establishment of Pneumoperitoneum in Laparoscopic Surgery: The Fingertip Technique
CONCLUSIONS: The fingertip technique is a fast, safe, and feasible method for establishing pneumoperitoneum in transperitoneal laparoscopic surgery.PMID:33628003 | PMC:PMC7881279 | DOI:10.4293/JSLS.2020.00069 (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Ahmet Şahan Orkunt Ozkaptan Alkan Cubuk Berkan Şimşek Yiloren Tanidir Oktay Ak ça Source Type: research

Early Outcomes of Robotic Single Site Cholecystectomy Using the DaVinci Xi ® System
CONCLUSIONS: RSSC for uncomplicated gallbladder disease may serve as an excellent alternative to SILC or conventional laparoscopic cholecystectomy because of its low complication rates, good cosmesis, and ease of reproducibility without a substantial learning curve.PMID:33628004 | PMC:PMC7881280 | DOI:10.4293/JSLS.2020.00082 (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Eun Jeong Jang Sung Hwa Kang Kwan Woo Kim Source Type: research

Gender as a Deterministic Factor in Procedure Selection and Outcomes in Bariatric Surgery
This study analyzes whether gender differences play a role in procedure selection and outcomes following either procedure.METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program database for years 2015 to 2017, we assessed demographics, postoperative complications, and readmission rates. Chi-square analysis, student t-test, and propensity analyses were performed appropriately.RESULTS: Data review found that men presenting for bariatric surgery had a higher incidence of comorbidities and higher body mass index than women. More men than women underwent Sleeve Gastrectomy (68.5% vs 63.0%, P
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Japjot Bal Nicole Ilonzo Tiwalade Adediji I Michael Leitman Source Type: research

Fast, Easy, and Safe Establishment of Pneumoperitoneum in Laparoscopic Surgery: The Fingertip Technique
CONCLUSIONS: The fingertip technique is a fast, safe, and feasible method for establishing pneumoperitoneum in transperitoneal laparoscopic surgery.PMID:33628003 | PMC:PMC7881279 | DOI:10.4293/JSLS.2020.00069 (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Ahmet Şahan Orkunt Ozkaptan Alkan Cubuk Berkan Şimşek Yiloren Tanidir Oktay Ak ça Source Type: research

Early Outcomes of Robotic Single Site Cholecystectomy Using the DaVinci Xi ® System
CONCLUSIONS: RSSC for uncomplicated gallbladder disease may serve as an excellent alternative to SILC or conventional laparoscopic cholecystectomy because of its low complication rates, good cosmesis, and ease of reproducibility without a substantial learning curve.PMID:33628004 | PMC:PMC7881280 | DOI:10.4293/JSLS.2020.00082 (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Eun Jeong Jang Sung Hwa Kang Kwan Woo Kim Source Type: research

Gender as a Deterministic Factor in Procedure Selection and Outcomes in Bariatric Surgery
This study analyzes whether gender differences play a role in procedure selection and outcomes following either procedure.METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program database for years 2015 to 2017, we assessed demographics, postoperative complications, and readmission rates. Chi-square analysis, student t-test, and propensity analyses were performed appropriately.RESULTS: Data review found that men presenting for bariatric surgery had a higher incidence of comorbidities and higher body mass index than women. More men than women underwent Sleeve Gastrectomy (68.5% vs 63.0%, P
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 25, 2021 Category: Surgery Authors: Japjot Bal Nicole Ilonzo Tiwalade Adediji I Michael Leitman Source Type: research

Post-Market Safety of Laparoscopic Ultrasound-Guided Radiofrequency Ablation.
Authors: Yu S, Silverberg K, Bhagavath B, Shobeiri SA, Propst A, Eisenstein D Abstract Background and Objectives: Postoperative safety outcomes with laparoscopic intra-abdominal ultrasound-guided radiofrequency ablation, as performed by gynecologic surgeons new to the procedure, were evaluated and compared to the premarket, pivotal study. Post-procedure feedback from surgeons was reported. Methods: This was a post-market, prospective, single-arm analysis with 4 to 8 weeks follow-up among surgeons (n = 29) with varying levels of laparoscopic surgery experience participating in the ongoing, multinational Treatmen...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 31, 2021 Category: Surgery Tags: JSLS Source Type: research

The Rise of Minimally Invasive Surgery: 16 Year Analysis of the Progressive Replacement of Open Surgery with Laparoscopy.
Conclusion: While the overall operative volume has increased nationally for surgical residents, the representation of open cases has steadily declined since the advent of MIS. The experience needed in open surgery during resident training is still to be determined and may be necessary now that laparoscopy is progressively replacing open operations. PMID: 33510568 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 31, 2021 Category: Surgery Tags: JSLS Source Type: research

Improving Hemostasis in Sleeve Gastrectomy With Alternative Stapler.
Conclusion: The AEON™ Endostapler is a significantly drier alternative to the Echelon Flex™ Powered Stapler, producing a much drier staple line and decreasing the need for other bleeding control methods. PMID: 33447003 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 16, 2021 Category: Surgery Tags: JSLS Source Type: research

Survey of Social Media Use for Surgical Education During Covid-19.
Conclusion: Social media use for surgical education during Covid-19 appears to be increasing and evolving. PMID: 33447004 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 16, 2021 Category: Surgery Tags: JSLS Source Type: research

A Retrospective Study of Risk Factors for Small Bowel Obstruction After Hysterectomy.
Conclusions: After adjusting for confounders including malignancy, abdominal hysterectomy was associated with a significantly higher risk for SBO when compared to minimally invasive hysterectomy. Our study adds to the body of literature supporting a minimally invasive approach to hysterectomy when feasible. PMID: 33447005 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 16, 2021 Category: Surgery Tags: JSLS Source Type: research

Video-Laparoscopic Treatment of Intrathoracic Gastric Volvulus.
Conclusions: Surgical treatment should be indicated to reduce morbidity and mortality, and associated with improved symptoms and patient prognosis. Video-laparoscopic surgery on intrathoracic gastric volvulus proved to be safe and effective and should be the option of choice in the management of this disease. PMID: 33447006 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 16, 2021 Category: Surgery Tags: JSLS Source Type: research

Concomitant Hiatal Hernia Repair with Sleeve Gastrectomy: A 5-Year Analysis.
Authors: Clapp B, Liggett E, Barrientes A, Aguirre K, Marwaha V, Tyroch A Abstract Background: The sleeve gastrectomy (SG) can be associated with postoperative gastroesophageal reflux and when a hiatal hernia (HH) is present, it should be fixed. Earlier studies have shown that 20% of SG have a concomitant hiatal hernia repair (SG+HHR). The aim of this project is to determine the rate of SG+HHR in a large state administrative database. Methods: The Texas Inpatient Public Use Data File (IPUDF) and Outpatient Public Use Data File (OPUDF) for the years 2013-2017 were examined for patients that underwent SG+HHR at the s...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 9, 2021 Category: Surgery Tags: JSLS Source Type: research

New Onset Cardiac Arrhythmias after Metabolic and Bariatric Surgery.
Authors: Clapp B, Amin M, Dodoo C, Harper B, Liggett E, Davis B Abstract Background: Metabolic and bariatric surgery (MBS) has been shown to improve medical problems; however, there are known arrhythmias that can occur after MBS (i.e., sick sinus syndrome [SSS] and sinus bradyarrhythmias). While the literature in this area contains case reports, there is a lack of published data on a state or national level. We used a large state administrative database to evaluate the occurrence of cardiac arrhythmias after MBS. Methods: We studied the years 2016 to 2018 using the Texas Inpatient Public Use Data File. Inclusio...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 9, 2021 Category: Surgery Tags: JSLS Source Type: research

Minimally Invasive Esophagectomy for Achieving R0.
Conclusion: The improvement in short-term surgical outcomes in MIE is well established. This study demonstrates that MIE can have superior surgical oncologic outcomes compared to OE, this was specifically an improved R0 margin rate with MIE compared to OE. These results further support the use of MIE in the treatment of esophageal cancer. PMID: 33414613 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 9, 2021 Category: Surgery Tags: JSLS Source Type: research

BCL-6 Overexpression as a Predictor for Endometriosis in Patients Undergoing In Vitro Fertilization.
Conclusions: Endometrial BCL-6 overexpression has a high PPV for diagnosing endometriosis and can help identify a patient population that may require surgical treatment before embryo transfer. PMID: 33414614 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 9, 2021 Category: Surgery Tags: JSLS Source Type: research

Robotic Roux-en-Y Gastric Bypass Procedure Guide.
Conclusion: The robotic Roux-en-Y gastric bypass is safe and feasible, and might offer some advantages in comparison to the laparoscopic approach. PMID: 33293782 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 10, 2020 Category: Surgery Tags: JSLS Source Type: research

Outcomes after Laparoscopic Gastropexy as an Alternative for Paraesophageal Hernia Repair.
Conclusion: Laparoscopic PEH repair remains the standard of care for the management of giant PEH. However, a subcategory of patients with high operative risk could be candidates for a shorter operative intervention. As our data infers, LG is a reasonable alternative in this patient population. While the continued use of antisecretory medications is sometimes required, LG restores the ability to tolerate full meals without restrictions and results in excellent patient satisfaction. PMID: 33293783 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 10, 2020 Category: Surgery Tags: JSLS Source Type: research

Robotic Inguinal Hernia Repair Outcomes: Operative Time and Cost Analysis.
Authors: Awad MA, Buzalewski J, Anderson C, Dove JT, Soloski A, Sharp NE, Protyniak B, Shabahang MM Abstract Background: Robotic inguinal hernia repair is the latest iteration of minimally invasive herniorrhaphy. Previous studies have shown expedited learning curves compared to traditional laparoscopy, which may be offset by higher cost and longer operative time. We sought to compare operative time and direct cost across the evolving surgical practice of 10 surgeons in our healthcare system. Methods: This is a retrospective review of all transabdominal preperitoneal robotic inguinal hernia repairs performed by ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - November 20, 2020 Category: Surgery Tags: JSLS Source Type: research

Surgical Performance Analysis and Classification Based on Video Annotation of Laparoscopic Tasks.
Authors: Loukas C, Gazis A, Kanakis MA Abstract Background and Objectives: Current approaches in surgical skills assessment employ virtual reality simulators, motion sensors, and task-specific checklists. Although accurate, these methods may be complex in the interpretation of the generated measures of performance. The aim of this study is to propose an alternative methodology for skills assessment and classification, based on video annotation of laparoscopic tasks. Methods: Two groups of 32 trainees (students and residents) performed two laparoscopic tasks: peg transfer (PT) and knot tying (KT). Each task was ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - November 6, 2020 Category: Surgery Tags: JSLS Source Type: research

Risk Factors of Postoperative Complications in Laparoscopic Cholecystectomy for Acute Cholecystitis.
Conclusions: This study indicated that POSSUM morbidity and moderate or severe cholecystitis were potential risk factors of postoperative complications. The pre-operative management of the general condition and cholecystitis using antibiotics, infusion, percutaneous transhepatic gallbladder drainage, and other approaches may be significant for the prevention of postoperative complications. Once the POSSUM morbidity reaches the threshold after LC, postoperative management becomes difficult, so strict control of the general condition should be performed. PMID: 33144824 [PubMed - in process] (Source: JSLS : Journal of the...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - November 6, 2020 Category: Surgery Tags: JSLS Source Type: research

Fabrication and Validation of a Cost-Effective Upper Endoscopy Simulator.
Conclusion: This device is a cost-effective method for simulating live upper endoscopies and is appropriate for use in FES training. PMID: 33100816 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 27, 2020 Category: Surgery Tags: JSLS Source Type: research

Single-Port vs. Conventional Multi-Port Laparoscopic Lymph Node Biopsy.
Conclusion: SPLB has shown good procedural and postoperative outcomes as well as a high diagnostic yield, comparable to traditional MPLB. Therefore, our results show that this approach is safe and effective and can be an equally valid option to MPLB to obtain a diagnosis or to follow the progression of a lymphoproliferative disease. Further studies are necessary to support these results before its widespread adoption. PMID: 33100817 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 27, 2020 Category: Surgery Tags: JSLS Source Type: research

Electrostatic Precipitation in Low Pressure Laparoscopic Hysterectomy and Myomectomy.
Conclusion: Electrostatic precipitation enhances low pressure laparoscopic hysterectomy and myomectomy. This was achieved by minimizing interruptions to surgery and exchange of CO2; providing a clear visual field throughout the procedure; and eliminating surgical smoke at the site of origin. PMID: 33100818 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 27, 2020 Category: Surgery Tags: JSLS Source Type: research

Accuracy of Ultrasound in Diagnosing Gallbladder Polyps at a Community Hospital.
Conclusions: The accuracy of transabdominal ultrasound in diagnosing true polyps is poor, with only 3% of polyps identified as adenomas based on pathology. Surgeons should use caution when making clinical decisions based on polyps identified on ultrasound, and more stringent diagnostic criteria are needed in order to decrease the false positive rate for diagnosis and screening. PMID: 33100819 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 27, 2020 Category: Surgery Tags: JSLS Source Type: research

Endoscopy Used as Provocative Testing in Bariatric Surgery: An Analysis of the Texas Public Use Data File.
Authors: Clapp B, Liggett E, Ma C, Castro C, Montelongo S, Van Noy K, Dilday J, Tyroch A Abstract Background: Many bariatric surgeons test the anastomosis and staple lines with some sort of provocative test. This can take the form of an air leak test with a nasogastric tube with methylene blue dye or with an endoscopy. The State Department of Health Statistics in Texas tracks outcomes using the Texas Public Use Data File (PUDF). Methods: We queried the Texas Inpatient and Outpatient PUDFs for 2013 to 2017 to examine the number of bariatric surgeries with endoscopy performed at the same time. We used the Interna...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 25, 2020 Category: Surgery Tags: JSLS Source Type: research

Appendicitis is a Severe Disease in Elderly Patients: A Twenty-Year Audit.
Authors: Weinandt M, Godiris-Petit G, Menegaux F, Chereau N, Lupinacci RM Abstract Background and Objectives: Life expectancy has increased substantially. Elderly patients currently represent a large part of patients requiring emergency abdominal surgery. The aim of this study was to evaluate the postoperative outcomes of elderly patients who underwent appendectomy in a single French tertiary center. Methods: We retrospectively reviewed the medical records of all patients who underwent appendectomy for acute appendicitis between January 1, 1994 and December 31, 2014. We used the French threshold of ≥ 75 y-ol...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 1, 2020 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology.
Conclusion: Laparoscopic-assisted TAP block is a safe and effective option for regional analgesia in laparoscopic gynecologic surgery. Posterior TAP block may help to reduce narcotic usage postoperatively. PMID: 32831540 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

Impact of Refractive Errors on Da Vinci SI Robotic System.
Authors: Tuna MB, Kilavuzoglu AE, Mourmouris P, Argun OB, Doganca T, Obek C, Ozisik O, Kural AR Abstract Objective: To investigate the impact of refractive errors on binocular visual acuity while using the Da Vinci SI robotic system console. Methods: Eighty volunteers were examined on the Da Vinci SI robotic system console by using a near vision chart. Refractive errors, anisometropia status, and Fly Stereo Acuity Test scores were recorded. Spherical equivalent (SE) were calculated for all volunteers' right and left eyes. Visual acuity was assessed by the logarithm of the minimal angle of resolution (LogMAR) me...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

One Size Does Not Fit All: Venous Thromboembolism Prophylaxis in Colorectal Cancer.
Conclusions: Patients with similar pre-operative comorbidities have various venous thromboembolism perioperative prophylaxis regimens prescribed. Despite prescription variations, VTE rates remain negligible. Patients with different comorbid conditions may require alterations to the traditionally prescribed 40 mg enoxaparin daily. Upon discharge, aspirin 81 mg with 40 mg of enoxaparin daily for high-risk patients shows benefits, but requires further investigation. PMID: 32831542 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

Robotic-Assisted and Laparoscopic Sigmoid Resection.
The objective of the current study is to compare the effectiveness of robotic-assisted and laparoscopic sigmoid resection. Methods: A multicenter retrospective comparative analysis of perioperative outcomes from consecutive robotic-assisted and laparoscopic sigmoid resections performed between 2010 and 2015 by six general and colorectal surgeons, who are experienced in both robotic-assisted and laparoscopic surgical techniques and who had>50 annual case volumes for each approach. Baseline characteristics and surgical risk factors between the two groups were balanced using a propensity score methodology with inverse ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

Hartmann's Pouch Stones and Laparoscopic Cholecystectomy: The Challenges and the Solutions.
Conclusion: HPS increase the difficulty of LC. Surgeons should be aware of their presence and should employ appropriate dissection strategies. Sharp or diathermy dissection should be avoided. Dislodging the stone into the gall bladder, stone removal, swab dissection, and cholangiography are useful measures to avoid ductal injury and reduce the conversion rate. PMID: 32831544 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

A Novel Use of Fully Absorbable PhasixTM Mesh for Laparoscopic Inguinal Hernia Repair.
Conclusion: Laparoscopic TAPP inguinal hernia repair using P4HB mesh is safe for combined, direct (medial), and indirect (lateral) inguinal hernia, with no recurrence. P4HB absorbable mesh caused less chronic pain and discomfort. Longer follow-up, more patients and 15 patients repaired using synthetic mesh are necessary to assess the utility of P4HB for inguinal hernia repair globally. PMID: 32831545 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 26, 2020 Category: Surgery Tags: JSLS Source Type: research

The COVID-19 Crisis and Its Impact on the Future of Healthcare.
Authors: Rosser JB PMID: 32801610 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 19, 2020 Category: Surgery Tags: JSLS Source Type: research

Evaluation of a Novel Trocar-Site Closure Device in Laparoscopic Surgery.
Authors: Jeon Y, Song S, Han KW, Lee DH, Baek JH Abstract Background and Objectives: We evaluated the effectiveness and safety of EZ-CloseTM compared to those of hand suture for trocar-site closure according to obesity. Methods: Fifty-four cases of laparoscopic colorectal surgery were enrolled. For the same patient, the right port site was closed using EZ-CloseTM and left port site was closed by hand suture among cases with port-site diameter ≥10 mm. Cases switched to use of a conventional fascial closure device or with closure time 120 s were considered failures. Closure time was analyzed according to body ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 29, 2020 Category: Surgery Tags: JSLS Source Type: research

Minimally Invasive Surgery for Pelvic Exenteration in Primary Colorectal Cancer.
Conclusion: MIS is feasible and safe for total pelvic exenteration and posterior exenteration in carefully selected locally advanced primary colorectal cancer, when performed by an experienced surgical team in high volume centers. An R0 resection with adequate margin can be achieved with good perioperative outcomes in MIS. Long-term oncological outcomes would require further follow up to confirm. PMID: 32714002 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 29, 2020 Category: Surgery Tags: JSLS Source Type: research

Factors that Lengthen Patient Hospitalizations Following Laparoscopic Hysterectomy.
Conclusion: Data from this study were collected prior to implementation of department-wide enhanced recovery after surgery protocols and highlights areas for improvement. Implementation of specific aspects of these protocols, including aggressive prevention of postoperative nausea and vomiting and early feeding, are easily made changes which may help to effectively decrease length of stay after laparoscopic hysterectomy. Patient and provider education on enhanced recovery protocols is also key to reducing length of stay. PMID: 32714003 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 29, 2020 Category: Surgery Tags: JSLS Source Type: research

Prevalence of Upper Gastrointestinal Pathology in Patients with Obesity on Preoperative Endoscopy.
Conclusion: Upper gastrointestinal pathology is highly common in patients with obesity. There is a significant rate of clinically significant endoscopy findings and all bariatric surgery patients should undergo preoperative endoscopy. PMID: 32612344 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 3, 2020 Category: Surgery Tags: JSLS Source Type: research

Operative Gynecological Laparoscopy Under Conscious Sedation.
Conclusions: Operative laparoscopy under conscious sedation and local anesthesia appears to be a feasible technique in gynecologic surgery with no adverse patient outcomes. PMID: 32612345 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 3, 2020 Category: Surgery Tags: JSLS Source Type: research

Transversus Abdominis Plane Block for Laparoscopic Hysterectomy Pain: A Meta-Analysis.
Conclusions: The evidence does not support a benefit of TAP block to reduce pain or opioid use for patients receiving laparoscopic or robotic hysterectomies. PMID: 32518477 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 12, 2020 Category: Surgery Tags: JSLS Source Type: research

Surgical Outcomes of Laparoscopic Right Colectomy with Complete Mesocolic Excision.
Conclusions: Laparoscopic right colectomy with complete mesocolic excision, central vascular ligation and intracorporeal anastomosis leads to encouraging oncological mid- and long-term outcomes with low complications rates. PMID: 32518478 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 12, 2020 Category: Surgery Tags: JSLS Source Type: research

Robotic Surgery for Median Arcuate Ligament Syndrome.
Authors: Fernstrum C, Pryor M, Wright GP, Wolf AM Abstract Background: Compression of the celiac artery by the median arcuate ligament results in median arcuate ligament syndrome (MALS). Using a consecutive cohort of patients with MALS, this study evaluated the efficacy and safety of robotic median arcuate ligament release (MALR). Methods: A retrospective chart review was performed on patients who underwent robotic MALR from August 2012 to April 2018. Patient workup included history and physical examination, mesenteric Doppler ultrasound, and CT (Computed Tomography) scan. Outcomes included pain improvement, le...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 12, 2020 Category: Surgery Tags: JSLS Source Type: research

The First Additional Port During Single-Incision Laparoscopic Cholecystectomy.
Conclusions: The first additional port in the epigastric area during SILC for acute cholecystitis helps to complete the operation without open conversion. However, the procedure can be performed safely in selective patients with relatively short duration of symptoms. PMID: 32518480 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 12, 2020 Category: Surgery Tags: JSLS Source Type: research

Pneumoperitoneum Modifies Serum and Tissue CCL2-CCL5 Expression in Mice.
Conclusion: CO2 pneumoperitoneum evokes an inflammatory response by modifying plasma RANTES levels and peritoneal CCL5/CCL2 expression. PMID: 32508487 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 9, 2020 Category: Surgery Tags: JSLS Source Type: research

Disparities in Access to Bariatric Surgery in Texas 2013-2017.
Conclusions: There are disparities to access for bariatric surgery in Texas. Blacks have the greatest access followed by whites. Hispanics have the lowest procedure rate per population. PMID: 32425480 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 21, 2020 Category: Surgery Tags: JSLS Source Type: research

Challenges to Intraoperative Evaluation of Endometrial Cancer.
Conclusion: We conclude the Mayo Clinic Criteria cannot be universally adopted until all four criteria can be validated through a prospective study that includes institutions that have variable resources. PMID: 32425481 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 21, 2020 Category: Surgery Tags: JSLS Source Type: research

Gall Bladder Empyema: Early Cholecystectomy during the Index Admission Improves Outcomes.
Conclusion: Surgical management of empyema should be offered as soon as possible after admission as with any acute cholecystitis. Surgery carried out after 72 h of admission is only associated with longer hospital stay but no statistically significant differences in other outcome parameters. In the presence of specialist expertise, fitness for surgery should be the determining factor of whether or not to offer surgery to these patients, regardless of the interval since their admission. PMID: 32425482 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 21, 2020 Category: Surgery Tags: JSLS Source Type: research

Neural Monitoring for Robotic Abdominal Wall Reconstruction.
Conclusion: Incorporation of neurophysiological monitoring in robotic surgery is feasible and may lead to the prevention and reduction in positioning-related injuries. PMID: 32327919 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 26, 2020 Category: Surgery Tags: JSLS Source Type: research

Novel Application of the EK Glove Port for Single-Incision Diverting Sigmoid Loop Colostomy in Advanced Rectal Cancer.
Conclusion: Single-port laparoscopic diverting sigmoid loop colostomy utilizing an EK glove port is a novel, technically simple, safe, and cost-effective procedure, especially applicable to patients with obstructing rectal cancer who receive care in a low resource environment. PMID: 32273670 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 11, 2020 Category: Surgery Tags: JSLS Source Type: research

Stepwise Simulation Course Design Model: Survey Results from 16 Centers.
Conclusion: Respondents find the stepwise model and its worksheet user friendly and helpful in developing simulation curricula of high educational standards. Future studies should include larger sample size, objective measures of impact, and longer-term follow-up. PMID: 32273671 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 11, 2020 Category: Surgery Tags: JSLS Source Type: research