Endoscopic Double-Pigtail Catheter (EDPC) Internal Drainage as First-Line Treatment of Gastric Leak: A Case Series during Laparoscopic Sleeve Gastrectomy Learning Curve for Morbid Obesity.
Conclusion: This was a preliminary retrospective observational study, conducted on 5 patients affected by GL as a complication of LSG for morbid obesity. EDPC maintains the safety, efficacy, and nonexpensive characteristic and may be proposed as better first-line treatment in case of GL after bariatric surgery. PMID: 33425388 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - January 13, 2021 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Direct Pars Defect Tubular Decompression and TLIF for the Treatment of Low-Grade Adult Isthmic Spondylolisthesis: Surgical Challenges and Nuances of a Muscle-Sparing Minimally Invasive Approach.
We present an illustrative report on the use of a minimally invasive, muscle-sparing, direct pars defect decompression with transforaminal lumbar interbody fusion (TLIF) and instrumentation for the treatment of low-grade adult isthmic spondylolysis with spondylolisthesis and discuss the surgical challenges and nuances associated with the technique. PMID: 33178457 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - November 14, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development.
In conclusion, in a specialized center, single-event, multilevel SPML surgeries of children with CP safely improved ambulatory knee and ankle angle motion and daily mobility outcomes. Future educational studies of training needs for surgeons new to the approach are needed. PMID: 32922995 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - September 16, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Anatomy of Rouviere's Sulcus and Its Association with Complication of Laparoscopic Cholecystectomy.
Conclusion: Identification of RS by operating surgeons is a predictor of safe laparoscopic cholecystectomy. PMID: 32908699 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - September 12, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Transferability of Simulation-Based Training in Laparoscopic Surgeries: A Systematic Review.
Conclusion: Simulation provides a safe, effective, and ethical way for residents to acquire surgical skills before entering the operating room. PMID: 32908700 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - September 12, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Single-Incision Percutaneous Closure of Pediatric Inguinal Hernia: A New Modification for Intracorporeal Suture Knotting.
Conclusion: Intracorporeal suture knotting during SIPC of pediatric inguinal hernia allows for the transformation of a formally extraperitoneal procedure to an intraperitoneal procedure. This new modification for intracorporeal suture knotting does not require any special operating devices or homemade instruments. It seems to be an attractive way during SIPC of pediatric inguinal hernia when intracorporeal suture knotting is considered. PMID: 32832152 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 26, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Pulmonary Recruitment Maneuver for Reducing Shoulder Pain after Laparoscopic Gynecologic Surgery: A Network Meta-Analysis of Randomized Controlled Trials.
Conclusion: PRM with 40 cm H2O performed either alone or accompanied by IPS is a promising intervention for alleviating shoulder pain within 48 hours following gynecologic laparoscopy. PMID: 32765908 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 13, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Percutaneous Nephrolithotomy: Challenges for a Novice Urologist.
This article focuses mainly on the intricacies faced by a trainee during the procedure and how to troubleshoot them. Failure at any stage can lead to bleeding complications or incomplete removal of stones. PMID: 32455012 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - May 28, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study.
Conclusion: Both laparoscopic mesh and suture rectopexy are feasible and reliable methods for the treatment of complete rectal prolapse in children. However, no recurrence, low incidence of constipation and high improvement of incontinence at follow up more than 36 months with mesh rectopexy accordingly, we considered mesh rectopexy to be the procedure of choice in treatment of complete rectal prolapse. PMID: 32411460 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - May 16, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal.
Conclusion: With the adoption of a safe culture of cholecystectomy, the major bile duct injury rate has decreased currently. Repair of bile duct injury by experienced hepatobiliary surgeon results in excellent outcome. PMID: 32373362 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - May 8, 2020 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Extracervical Approaches to Thyroid Surgery: Evolution and Review.
Authors: Sephton BM Abstract Over the last two decades, advances and adaptation of technology have led to a variety of endoscopic thyroidectomy procedures being performed. The drive for extracervical procedures has been predominantly influenced by the desire for improved cosmesis via avoidance of visible scars. Extracervical techniques have shown considerable evolution with approaches that have included transaxillary, breast, postauricular, and transoral routes. There has been a varied evidence base for each of these approaches with regard to technical feasibility, safety, patient satisfaction, and cost-effectivene...
Source: Minimally Invasive Surgery - September 20, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography.
Conclusion: IcGA is safe to use as demonstrated by the very low rate of complications in this case series. It is also safe to rely on to guide re-resection and recreation of an anastomosis intraoperatively by demonstration of blood flow. This may help offset the loss of tactile feedback and assessment of tension in the robotic platform. PMID: 31467710 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - September 1, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Development of a Two Port Laparoscopic Appendectomy Technique at a Rural Hospital.
This study includes 51 consecutive LAs performed at a rural hospital. Patients were divided into 4 groups: group 1 was the standard technique group (n=12), group 2 served as a "try-out" (n=12), group 3 served as feasibility group (n=12), and group 4 was the final patient cohort in which the optimized technique was preferably used (n=15). Results: Median age of the study cohort was 35.4 (range: 6.2-80.6) years, and 55% of patients were male. Whereas in G1 all patients had standard port placement (10/12-mm, 2x5-mm), in an increasing number of patients in G2-4 only two 5-mm ports and the 2.3-mm Teleflex minigras...
Source: Minimally Invasive Surgery - June 28, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Predictive Factors for a Long Postoperative Stay after Emergency Laparoscopic Cholecystectomy Using the 2013 Tokyo Guidelines: A Retrospective Study.
This study aimed to identify and evaluate risk factors associated with long postoperative hospital stays (PHSs) in patients undergoing emergency LC for AC according to the 2013 Tokyo Guidelines (TG13). Clinical data of patients who underwent emergency LC for AC between 2011 and 2017 were retrospectively collected. Patients were divided into early discharge (ED, discharge in three days or less postoperatively) and late discharge (LD, discharge in more than three days postoperatively) groups based on clinical progression and PHS after LC. Preoperative characteristics and perioperative outcomes were analysed as potential risk...
Source: Minimally Invasive Surgery - May 30, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Role of 99mTc-HIDA Scan for Assessment of Gallbladder Dyskinesia and Comparison of Gallbladder Dyskinesia with Various Parameters in Laparoscopic Cholecystectomy Patients.
Authors: Thiyagarajan M, Kamaraj E, Navrathan N, Thyagarajan M, Singh Krishna B Abstract Objectives: Pathogenesis of gallstone includes bile stasis due to defect in the gallbladder muscle contraction. Our aim of the study is to find out the role of 99mTc-HIDA scan in assessment of gallbladder dyskinesia in cholelithiasis patients before laparoscopic cholecystectomy and compare the gallbladder dyskinesia with various parameters like symptoms of patients, diabetic status of patients, gallstones size and number, and cholecystitis features in histopathology report after surgery. Material and Method: This is a prosp...
Source: Minimally Invasive Surgery - March 26, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Cost Analysis and Supply Utilization of Laparoscopic Cholecystectomy.
This study sought to describe laparoscopic cholecystectomy cost of care among three subspecialties of surgeons. This retrospective observational cohort study captured 372 laparoscopic cholecystectomy cases performed between June 2015 and June 2016 by 12 surgeons divided into three subspecialties: 2 in bariatric surgery (BS), 5 in acute care surgery (ACS), and 5 in general surgery (GS). The study utilized a third-party software, Surgical Profitability Compass Procedure Cost Manager and Crimson System (SPCMCS) (The Advisory Board Company, Washington, DC), to stratify case volume, supply cost, case duration, case severity lev...
Source: Minimally Invasive Surgery - January 16, 2019 Category: Surgery Tags: Minim Invasive Surg Source Type: research

The Frequency of Resurgery after Percutaneous Lumbar Surgery Using Dekompressor in a Ten-Year Period.
Authors: Klessinger S Abstract To prevent open surgical procedures, minimally invasive techniques, like Dekompressor (PLDD), have been developed. The absence of reherniation is an important factor correlating with clinical success after lumbar surgery. In this retrospective, observational study, the frequency of additional open surgery after PLDD in a long time retrospective was examined. The correlation between clinical symptoms and outcome was assessed, and the time between PLDD and open surgery was analyzed. Consecutive patients after PLDD between 2005 and 2007 were included. MacNab's outcome criteria were used ...
Source: Minimally Invasive Surgery - November 9, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Trends in Route of Hysterectomy after the Implementation of a Comprehensive Robotic Training Program.
Conclusion: The decrease in number of abdominal and laparoscopic hysterectomies and increase in number of robotic hysterectomies that was seen are consistent with national trends. The initiation of a robotic training program did not prevent the proliferation of use of the robot but did aim to ensure proficiency on the robot prior to gaining privileges for patient use. This type of comprehensive training and monitoring program could be applied to future technologic advances to ensure a standard level of surgical proficiency. Trends in route of hysterectomy are clearly multifactorial and involve patient, provider, and locati...
Source: Minimally Invasive Surgery - October 14, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Robotic-Assisted versus Conventional Laparoscopic Approach for Rectal Cancer Surgery, First Egyptian Academic Center Experience, RCT.
Authors: Debakey Y, Zaghloul A, Farag A, Mahmoud A, Elattar I Abstract Background: Undoubtedly, robotic systems have largely penetrated the surgical field. For any new operative approach to become an accepted alternative to conventional methods, it must be proved safe and result in comparable outcomes. The purpose of this study is to compare the short-term operative as well as oncologic outcomes of robotic-assisted and laparoscopic rectal cancer resections. Methods: This is a prospective randomized clinical trial conducted on patients with rectal cancer undergoing either robotic-assisted or laparoscopic surgery...
Source: Minimally Invasive Surgery - September 26, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Strangulated Hernia Can Be a Risk Factor of Seroma following Laparoscopic Transabdominal Preperitoneal Repair.
This study aimed to retrospectively evaluate the risk of seroma after TAPP and to identify the association between strangulated hernia and seroma. Methods: We treated 300 inguinal hernias by TAPP between 2013 and 2016 at Kurashiki Central Hospital. We used the Chi-square test. Factors significant in each association were further examined using multiple subsequent logistic regressions. Results: A total of 222 hernias were eligible for analysis. The incidence of seroma was 11% (n=25). There were nine cases of strangulated hernias, and three (33%) resulted in seroma. The ratio of strangulated hernia of seroma group is...
Source: Minimally Invasive Surgery - September 20, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country.
Conclusion: Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, especially if spleen is normal or only mildly enlarged, and is an advantageous alternative to open splenectomy. Absence of ideal resources has not limited our progress in minimal access approach. PMID: 30155296 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 31, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

'True Day Case' Laparoscopic Cholecystectomy in a High-Volume Specialist Unit and Review of Factors Contributing to Unexpected Overnight Stay.
Conclusions: This unit has a high 'true day case' rate of 75.8%. High BMI and ASA3 should not be absolute contraindications to day case surgery. The majority of unexpected overnight stays are unavoidable but may be reduced by patient selection, stringent preoperative assessment, operation scheduling, and reduction in unnecessary drain insertion. PMID: 30140457 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 25, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Interspinous Process Decompression Improves Quality of Life in Patients with Lumbar Spinal Stenosis.
Authors: Nunley PD, Patel VV, Orndorff DG, Lavelle WF, Block JE, Geisler FH Abstract Lumbar spinal stenosis has been shown to negatively impact health-related quality of life. Interspinous process decompression (IPD) is a minimally invasive procedure that utilizes a stand-alone spacer to serve as a joint extension blocker to relieve neural compression in patients with spinal stenosis. Using the 5-year results from an FDA randomized controlled trial of IPD, the quality of life in 189 patients treated with the Superion® spacer was evaluated with the SF-12. Physical and mental component summary (PCS, MCS) scores w...
Source: Minimally Invasive Surgery - August 1, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer.
Authors: Al Sawah E, Salemi JL, Hoffman M, Imudia AN, Mikhail E Abstract Objective: To study temporal trends of hysterectomy routes performed for uterine cancer and their associations with body mass index (BMI) and perioperative morbidity. Methods: A retrospective review of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) 2005-2013 databases was conducted. All patients who were 18 years old and older with a diagnosis of uterine cancer and underwent hysterectomy were identified using ICD-9-CM and CPT codes. Surgical route was classified into four groups: total abdominal ...
Source: Minimally Invasive Surgery - July 19, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Elective "True Day Case" Laparoscopic Inguinal Hernia Repair in a District General Hospital: Lessons Learned from 1000 Consecutive Cases.
Elective "True Day Case" Laparoscopic Inguinal Hernia Repair in a District General Hospital: Lessons Learned from 1000 Consecutive Cases. Minim Invasive Surg. 2018;2018:7123754 Authors: Solodkyy A, Feretis M, Fedotovs A, Di Franco F, Gergely S, Harris AM Abstract Introduction: Laparoscopic inguinal hernia repair (LIHR) is ideal for day case surgery. It is recommended that at least 70% should be day cases as a measure of cost-effectiveness. The aims of this study were to (i) assess the rate of true day case (TDC) surgery and (ii) identify predictors associated with unexpected overnight stay (U...
Source: Minimally Invasive Surgery - July 5, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Changes in Hysterectomy Route and Adnexal Removal for Benign Disease in Australia 2001-2015: A National Population-Based Study.
We examined trends in adnexal removal and route of hysterectomy in Australia between 2001 and 2015. Methods: Data were obtained from the national procedural dataset for hysterectomy approach (vaginal, VH; abdominal, AH; and, laparoscopic, LH) and rates of adnexal removal, as well as endometrial ablation. The total female population in two age groups ("younger age group," 35 to 54 years, and "older age group," 55 to 74 years) was obtained from the Australian Bureau of Statistics. Results: The rate of hysterectomy fell in both younger (61.7 versus 45.2/10000/year, p
Source: Minimally Invasive Surgery - July 1, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Corrigendum to "A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques".
Corrigendum to "A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques". Minim Invasive Surg. 2018;2018:7646831 Authors: Thiyagarajan M, Ravindrakumar C Abstract [This corrects the article DOI: 10.1155/2016/3059434.]. PMID: 29888002 [PubMed - in process] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - June 12, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Laparoscopic Choledochotomy in a Solitary Common Duct Stone: A Prospective Study.
Conclusions: Laparoscopic common bile duct exploration is an effective, safe management of common bile duct stone. PMID: 29862073 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - June 7, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Spinal Biologics in Minimally Invasive Lumbar Surgery.
Authors: Chang KY, Hsu WK Abstract As the use of minimally invasive spine (MIS) fusion approaches continues to grow, increased scrutiny is being placed on its outcomes and efficacies against traditional open fusion surgeries. While there are many factors that contribute to the success of achieving spinal arthrodesis, selecting the optimal fusion biologic remains a top priority. With an ever-expanding market of bone graft substitutes, it is important to evaluate each of their use as it pertains to MIS techniques. This review will summarize the important characteristics and properties of various spinal biologics used...
Source: Minimally Invasive Surgery - June 2, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Effects of Fatigue Based on Electroencephalography Signal during Laparoscopic Surgical Simulation.
Conclusion: Regression analysis shows that there are significant learning and fatigue effects when peg transfer task in the training is repeated in a series of trials. However, for the training to be effective and efficient, there should be monitoring during the training to observe where in the learning curve a trainee gains maximum learning benefits. Furthermore, fatigue is a significant indicator of efficiency and accuracy in terms of completion time and errors, respectively. PMID: 29854453 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - June 2, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Residency Training in Robotic General Surgery: A Survey of Program Directors.
Conclusion: A formal robotics curriculum with simulation training and early surgical exposure for general surgery residents should be given consideration in surgical residency training. PMID: 29854454 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - June 2, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Microvascular Anastomosis Training in Neurosurgery: A Review.
Authors: Byvaltsev VA, Akshulakov SK, Polkin RA, Ochkal SV, Stepanov IA, Makhambetov YT, Kerimbayev TT, Staren M, Belykh E, Preul MC Abstract Cerebrovascular diseases are among the most widespread diseases in the world, which largely determine the structure of morbidity and mortality rates. Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. Training in microvascular surgery became even more difficult with less case exposure and growth...
Source: Minimally Invasive Surgery - June 1, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

3D Printing Applications in Minimally Invasive Spine Surgery.
Authors: Hsu MR, Haleem MS, Hsu W Abstract 3D printing (3DP) technology continues to gain popularity among medical specialties as a useful tool to improve patient care. The field of spine surgery is one discipline that has utilized this; however, information regarding the use of 3DP in minimally invasive spine surgery (MISS) is limited. 3D printing is currently being utilized in spine surgery to create biomodels, hardware templates and guides, and implants. Minimally invasive spine surgeons have begun to adopt 3DP technology, specifically with the use of biomodeling to optimize preoperative planning. Factors limiti...
Source: Minimally Invasive Surgery - June 1, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery.
The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach. Methods: We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015. Results: MIS patients had lower number of levels fused (p
Source: Minimally Invasive Surgery - April 8, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Teach and Playback Training Device for Minimally Invasive Surgery.
Authors: Garudeswaran S, Cho S, Ohu I, Panahi AK Abstract Recent technological progress offers the opportunity to significantly transform conventional open surgical procedures in ways that allow minimally invasive surgery (MIS) to be accomplished by specific operative instruments' entry into the body through key-sized holes rather than large incisions. Although MIS offers an opportunity for less trauma and quicker recovery, thereby reducing length of hospital stay and attendant costs, the complex nature of this procedure makes it difficult to master, not least because of the limited work area and constricted degree...
Source: Minimally Invasive Surgery - March 22, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery.
Conclusion: Instrumental mechanoreceptoric palpation performed using MTEC is a simple, safe, and reliable method for tumour localisation in gastrointestinal laparoscopic surgery. PMID: 29464119 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - February 24, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study.
Authors: Rolff HC, Ambrus RB, Belmouhand M, Achiam MP, Wegmann M, Siemsen M, Kofoed SC, Svendsen LB Abstract Aim: To compare the peri- and postoperative data between a hybrid minimally invasive esophagectomy (HMIE) and the conventional Ivor Lewis esophagectomy. Methods: Retrospective comparison of perioperative characteristics, postoperative complications, and survival between HMIE and Ivor Lewis esophagectomy. Results: 216 patients were included, with 160 procedures performed with the conventional and 56 with the HMIE approach. Lower perioperative blood loss was found in the HMIE group (600 ml versus 200 ml, p
Source: Minimally Invasive Surgery - January 26, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Routine Cysticotomy and Flushing of the Cystic Duct in Patients with Low Risk of Common Duct Stones: Can It Be Beneficial?
CONCLUSIONS: Routine cysticotomy and bile flushing in our experience is a valid, simple, and not time consuming manoeuvre that can help decompressing and flushing CBD. Moreover, it is a valid tool for extending selective IOC approach in a focused manner. Further evaluations have to be conducted to evaluate risks and effectiveness of this manoeuvre. PMID: 28781893 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 8, 2017 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Technical Details of Laparoscopic Sleeve Gastrectomy Leading to Lowered Leak Rate: Discussion of 1070 Consecutive Cases.
CONCLUSION: In this single-surgeon experience, sleeve gastrectomy leak rate has fallen to 0% since the implementation of specific technical modifications in the procedure. PMID: 28761766 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - August 2, 2017 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults.
Conclusion. The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands. PMID: 28074156 [PubMed - in process] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - January 13, 2017 Category: Surgery Tags: Minim Invasive Surg Source Type: research

TULAA: A Minimally Invasive Appendicectomy Technique for the Paediatric Patient.
Authors: Perin G, Scarpa MG Abstract TULAA or Transumbilical Laparoscopic Assisted Appendicectomy is a minimally invasive technique described by Pelosi in 1992 for the removal of the inflamed appendix. Its main advantage is the possibility of exploring the peritoneal cavity and performing a simple and safe extracorporeal appendicectomy. Since its first description, different authors reported their experience with such technique. The aim of this review is to summarise the surgical outcomes currently reported in the literature for this minimally invasive surgical approach and compare it with standard open and laparos...
Source: Minimally Invasive Surgery - January 13, 2017 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Complications, Not Minimally Invasive Surgical Technique, Are Associated with Increased Cost after Esophagectomy.
Conclusions. Despite the association of MIE with higher operation costs, the total hospital cost was not different between surgical technique groups. Postoperative complications and severe preoperative comorbidities are significant drivers of hospital cost associated with esophagectomy. Surgeons should choose technique based on clinical factors, rather than cost implications. PMID: 28053785 [PubMed - in process] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - January 6, 2017 Category: Surgery Tags: Minim Invasive Surg Source Type: research

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery.
Discussion. Despite the limitations, the published evidence supports that SILS is safe and feasible for liver and pancreatic resections when performed by experienced teams in the tertiary setting. However, no substantial benefit has been identified yet, especially compared to other minimal invasive techniques. PMID: 27891251 [PubMed - in process] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - November 30, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Analysis of a Standardized Technique for Laparoscopic Cuff Closure following 1924 Total Laparoscopic Hysterectomies.
Conclusion. A running 5 mm deep × 5 mm apart culdotomy closure that incorporates the uterosacral ligaments with the pubocervical fascia, with reperitonealization when possible, appears to be associated with few postoperative vaginal cuff complications. PMID: 27579179 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - September 2, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial.
Authors: Alaparthi GK, Augustine AJ, Anand R, Mahale A Abstract Objective. To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery. Methodology. We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group. All...
Source: Minimally Invasive Surgery - August 17, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Prediction of Muscle Fatigue during Minimally Invasive Surgery Using Recurrence Quantification Analysis.
In this study, surface electromyography was used to record muscle activations of five subjects while they performed fifteen various laparoscopic operations. The muscle activation data was then reconstructed using recurrence quantification analysis (RQA) to detect possible signs of muscle fatigue on eight muscle groups (bicep, triceps, deltoid, and trapezius). The results showed that RQA detects the fatigue sign on bilateral trapezius at 47.5 minutes (average) and bilateral deltoid at 57.5 minutes after the start of operations. No sign of fatigue was detected for bicep and triceps muscles of any subject. According to the re...
Source: Minimally Invasive Surgery - June 18, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Redo Surgery after Failed Open VBG: Laparoscopic Minigastric Bypass versus Laparoscopic Roux en Y Gastric Bypass-Which Is Better?
Conclusion. LMGB is a safe and feasible revisional bariatric surgery after failed VBG and can achieve early good weight loss results similar to that of LRYGP. However, the decision to convert to lap RYGB or MGB should be taken intraoperatively depending mainly on the actual intraoperative pouch length. PMID: 27313885 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - June 18, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Laparoscopic Cystectomy In-a-Bag of an Intact Cyst: Is It Feasible and Spillage-Free After All?
Authors: Detorakis S, Vlachos D, Athanasiou S, Grigoriadis T, Domali A, Chatzipapas I, Stamatakis E, Mousiolis A, Patrikios A, Antsaklis A, Loutradis D, Protopapas A Abstract This prospective study was conducted to assess the feasibility of laparoscopic cystectomy of an intact adnexal cyst performed inside a water proof endoscopic bag, aiming to avoid intraperitoneal spillage in case of cyst rupture. 102 patients were recruited. Two of them were pregnant. In 8 of the patients the lesions were bilateral, adding up to a total of 110 cysts involved in our study. The endoscopic sac did not rupture in any case. Mean dia...
Source: Minimally Invasive Surgery - April 22, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience.
Authors: Gunnala V, Setton R, Pereira N, Huang JQ Abstract Objective. To determine if robot-assisted myomectomy (RAM) is feasible for women with large uterine myomas. Methods. Retrospective review of one gynecologic surgeon's RAM cases between May 2010 and July 2013. Large uterine myomas, defined as the largest myoma ≥9 cm by preoperative magnetic resonance imaging, was age- and time-matched to controls with the largest myoma
Source: Minimally Invasive Surgery - April 3, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research

A Comparative Study in Learning Curves of Two Different Intracorporeal Knot Tying Techniques.
Conclusion. The winding method of knotting is simpler and easier to perform, especially for the surgeons who have limited laparoscopic experience. PMID: 27022482 [PubMed] (Source: Minimally Invasive Surgery)
Source: Minimally Invasive Surgery - March 31, 2016 Category: Surgery Tags: Minim Invasive Surg Source Type: research