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

Re: JSLS. 2018;22(4):1-9. Prediction of Success Following Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura Seems Still so far from to be Understood.
Authors: Rosario V PMID: 32273672 [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

Re: JSLS. 2015;19:e2013.00272. Late Results after Splenectomy in Adult Idiopathic Thrombocytopenic Purpura.
Authors: Lázár G PMID: 32273673 [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

Laparoscopic Abdominal Wall Hernia Repair.
Authors: Olmi S, Uccelli M, Cesana GC, Oldani A, Giorgi R, De Carli SM, Ciccarese F, Villa R Abstract Background and Objectives: The aim of this retrospective monocentric study was to evaluate results and recurrence rate with long-term follow-up after laparoscopic incisional/ventral hernia repair. Methods: This was a retrospective, single-center, observational trial, collecting data from patients who underwent laparoscopic incisional/ventral abdominal hernia repair using the open intraperitoneal onlay mesh technique and a single mesh type. All patients signed an informed consent form before surgery. Results...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 10, 2020 Category: Surgery Tags: JSLS Source Type: research

New Peritoneal Traction Device for Laparoscopic Paraaortic Lymphadenectomy.
This study examines the utility and safety of using the Laptraction to achieve peritoneal traction during laparoscopic transperitoneal paraaortic lymphadenectomy (as part of comprehensive staging surgery) in seven endometrial cancer patients. Results: Peritoneal traction was successfully and safely achieved using the Laptraction in all cases, without causing any complications. In all cases, time to deploy Laptraction was
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 10, 2020 Category: Surgery Tags: JSLS Source Type: research

Robotic Fundoplication for Large Paraesophageal Hiatal Hernias.
Conclusions: The success of robotic fundoplication depends on adhering to a few important technical principles. In our experience, the robotic surgical treatment of gastroesophageal reflux disease with large paraesophageal hernias may afford the surgeon increased dexterity and is feasible with comparable outcomes compared with traditional laparoscopic approaches. PMID: 32206010 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 25, 2020 Category: Surgery Tags: JSLS Source Type: research

Factors Associated with Negative Patient Experiences with Essure Sterilization.
The objective of the study was to identify factors associated with negative patient experiences with Essure. Design: This was a retrospective cohort study and follow-up survey. Setting: The study was conducted in an academic setting. Patients: Patients included women who had an Essure placed between 2002 and 2017. Methods: The hospitals' database was queried to identify subjects and charts were reviewed to confirm medical information. Subjects were invited by mail, e-mail, or phone call to participate a survey regarding symptoms and satisfaction with Essure. A comparison was made between women who reported ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 25, 2020 Category: Surgery Tags: JSLS Source Type: research

A New Silicon Sling Device for Traction During Robotic Gynecologic Surgery.
Conclusions: We have developed a novel device, VESOPASTA, which can be used for organ traction during robotic surgery. This new device allows easy ureteral traction, facilitate the identification of ureter and prevent ureteral injuries during robotic-assisted laparoscopic radical hysterectomy. PMID: 32161433 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 14, 2020 Category: Surgery Tags: JSLS Source Type: research

Is it time to call for improvement in surgical techniques for minimally invasive radical hysterectomy?
Authors: Chuang L, Koirala P, Nezhat F PMID: 32161434 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 14, 2020 Category: Surgery Tags: JSLS Source Type: research

Clip as Nidus for Choledocholithiasis after Cholecystectomy-Literature Review.
Conclusion: We found that the harmonic scalpel is a reasonable alternative with minimal complications but is however limited by cost. Electrosurgical vessel-sealing, ultrasonic shears, absorbable sutures such as endoloops (PDS), and polymer clips as well absorbable magnesium-calcium-zinc alloy clip are discussed. PMID: 32161435 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 14, 2020 Category: Surgery Tags: JSLS Source Type: research

Gasless Total Laparoscopic Hysterectomy with New Abdominal-Wall Retraction System.
Conclusion: Our new abdominal-wall retraction system for gasless TLH allowed for easy setup and a proper operation field in the performance of laparoscopic hysterectomy. PMID: 32161436 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 14, 2020 Category: Surgery Tags: JSLS Source Type: research

O-Ring Protector in Prevention of SSIs in Laparoscopic Colorectal Surgery.
Conclusions: SSIs infections rates were significantly higher in patients in which an O-ring retractor device was not used. This study suggests that the use of a wound protector device can be considered for routine use in elective colorectal surgery. PMID: 31892788 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 3, 2020 Category: Surgery Tags: JSLS Source Type: research

Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance.
Authors: Zhang Y, Kohn JR, Guan X Abstract Objective: To evaluate the differences in operative time and postoperative complications for total laparoscopic hysterectomy (TLH) performed using conventional laparoendoscopic single-site surgery (LESS) versus a robotic-assisted LESS approach. Methods: A retrospective study was conducted of all cases of conventional LESS TLH (n = 47) and robotic LESS TLH (n = 129) for benign gynecologic conditions performed from November 2014 to October 2017. Patient characteristics, operative time for hysterectomy, estimated blood loss, duration of hospitalization, and short-term pos...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 3, 2020 Category: Surgery Tags: JSLS Source Type: research

A Standardized Robotic Training Curriculum in a General Surgery Program.
We examined data from 6 residents who had at least 5 Global Evaluative Assessment of Robotic Skills assessments completed. Correlation coefficient scores showed a positive correlation ranging from 0.476 to 0.862 for average skills and 0.334 to 0.866 for overall performance scores. Discussion: The preliminary results suggest an improvement of resident robotic surgical skills through tailored education. This curriculum is designed to enhance robotic general surgery education that could potentially produce general surgeons able to operate robotically without needing a robotic/MIS (Minimally Invasive Surgery) fellowship. ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 3, 2020 Category: Surgery Tags: JSLS Source Type: research

Cosmesis and Patient Satisfaction Following Laparoscopic Adnexal Surgery.
Conclusions: Because the long-term patient satisfaction with and cosmetic wound outcomes of LESS were not significantly different from those achieved by OTPL, surgeons should consider performing LESS after weighing the pros and cons with regard to the patient's condition. PMID: 31832010 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 15, 2019 Category: Surgery Tags: JSLS Source Type: research

Chemicals in Surgical Smoke and the Efficiency of Built-in-Filter Ports.
Conclusions: Surgical smoke in minimally invasive gynecologic procedures contains several hazardous hydrocarbons including formaldehyde. Built-in-filter ports have the potential to reduce the exposure of surgical smoke to surgeons and operating room personnel; nevertheless, development of built-in-filter ports is necessary to improve the filtering efficiency for highly concentrated formaldehydes. PMID: 31787836 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 5, 2019 Category: Surgery Tags: JSLS Source Type: research

Experience With Transitioning From Laparoscopic to Robotic Right Colectomy.
Conclusions: This study suggests that the transition from the right laparoscopic colectomy with extracorporeal anastomosis to the robot-assisted right colectomy with intracorporeal anastomosis when performed by a surgeon with experience in laparoscopic colorectal surgery may not entail any increase on the morbidity rate or reduce the oncologic quality of the resection. PMID: 31787837 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - December 5, 2019 Category: Surgery Tags: JSLS Source Type: research

Transoral Endoscopic Thyroidectomy Vestibular Approach.
Conclusion: TOETVA represents the latest remote-access endoscopic technique for the excision of the thyroid gland. TOETVA is being performed at various international institutions and multiple hospitals in the United States. PMID: 31719772 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - November 15, 2019 Category: Surgery Tags: JSLS Source Type: research

Magnetic Sphincter Augmentation After Gastric Surgery.
Conclusions: MSA is a safe, simple, and standardized antireflux procedure. It is also feasible in patients with refractory GERD following gastric/bariatric surgery. Further prospective and comparative studies are needed to validate the preliminary clinical experience in this subset of patients. PMID: 31624454 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 19, 2019 Category: Surgery Tags: JSLS Source Type: research

Endometriosis Malignant Transformation Review: Rhabdomyosarcoma Arising From an Endometrioma.
Discussion: The incidence of rhabdomyosarcoma arising from endometriosis is exceedingly rare. The accuracy of diagnosing endometriosis and ruling out neoplasm requires coordinated efforts of a multidisciplinary team, involving radiologists, pathologists, oncologists, and gynecologic surgeons. PMID: 31624455 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 19, 2019 Category: Surgery Tags: JSLS Source Type: research

A Safe and Effective Technique of Paraesophageal Hernia Reduction Using Combined Laparoscopy and Nonsutured PEG Gastropexy in High-Risk Patients.
Conclusion: A combination of laparoscopic reduction and nonsutured PEG gastropexy is a safe and effective alternative treatment for high-risk patients (with significant morbidity and mortality) with symptomatic PHs. Most patients (80%) returned to normal oral intake postprocedure and were discharged home within 3 d. PMID: 31624456 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 19, 2019 Category: Surgery Tags: JSLS Source Type: research

LESS with Suture Suspension for Early-Stage Adnexa Cancer Staging.
Conclusion: Laparoendoscopic single-site surgery may be a feasible and safe technique for staging early-stage ovarian/tubal cancer. This approach has some advantages included providing easier access to the upper abdominal regions when performing high-level infrarenal para-aortic lymphadenectomy; the 2-cm elastic incision favors fast specimen extraction and colpotomy are avoided. However, the long-term oncologic outcomes need to be further investigated. PMID: 31595144 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 11, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Single-Port Versus Traditional Multi-Port Laparoscopic Cholecystectomy.
Conclusion: SPLC has shown relevant procedure and postoperative outcomes when compared to traditional 4PLC. The technique has proved to be promising even in cases of acute cholecystitis considered to date a relative contraindication. Further studies are needed to confirm its safety and feasibility in this setting. In contrast with the current evidence of increased costs for the single-port technique, a reduction of material and hospitalization costs was experienced in our study. PMID: 31488940 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 8, 2019 Category: Surgery Tags: JSLS Source Type: research

Utilization of Laparoscopic Colon Surgery in the Texas Inpatient Public Use Data File (PUDF).
Conclusions: LC accounted for only 36.8% of all colectomies performed in Texas between 2013-14. OC costs twice as much as LC and increased the length of stay by nearly 4 d. LC and RAC are both associated with significantly less cost and length of stay for patients undergoing surgery, while lowering perioperative complications. Disclosures: None of the authors have any relevant disclosures. PMID: 31488941 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 8, 2019 Category: Surgery Tags: JSLS Source Type: research

Two-Step Office-Based Hysteroscopic Operation for Submucosal Myoma.
Conclusions: The trial with this 2-step operation was very useful for the removal of type 0 submucosal myoma in an outpatient clinic. PMID: 31488942 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 8, 2019 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic Training Opportunities in an Emergency Biliary Service.
Conclusions: Surgical training is possible in a singlesession biliary emergency service without significantly impacting theatre utilization times or early patient outcomes. Further dedicated studies will allow individual learning curves to be determined. PMID: 31488943 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 8, 2019 Category: Surgery Tags: JSLS Source Type: research