Implantation of biologic mesh in ventral hernia repair —does it make sense?
ConclusionsPatients with postoperative surgical site infections are at an increased risk for recurrence, and bridged mesh placements lack efficacy. Overall, this study challenges the purported advantage of biologics in treating incisional hernia repairs. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Postoperative analgesic efficacy of continuous wound infusion with local anesthetics after laparoscopy (PAIN): a randomized, double-blind, placebo-controlled trial
AbstractBackgroundTo investigate the efficacy of continuous wound infusion (CWI) with local anesthetics for reducing postoperative pain compared with placebo in patients undergoing benign gynecologic laparoscopy.MethodsIn this double-blind trial, 66 patients were randomly assigned to receive either ropivacaine or normal saline though a multi-orifice catheter placed into the umbilical surgical wound for 50  h postoperatively. The primary outcome measure was the severity of postoperative pain 1, 6, 12, 24, and 48 h after surgery. The secondary outcome measure was the number of rescue analgesics requested.ResultsBas...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study
AbstractBackgroundThe present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12  months of follow-up, and postoperative complications.MethodsThis was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12  months after surgery, improvement in me...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Virtual reality operating room with AI guidance: design and validation of a fire scenario
AbstractBackgroundOperating room (OR) fires are uncommon but disastrous events. Inappropriate handling of OR fires can result in injuries, even death. Aiming to simulate OR fire emergencies and effectively train clinicians to react appropriately, we have developed an artificial intelligence (AI)-based OR fire virtual trainer based on the principle of the “fire triangle” and SAGES FUSE curriculum. The simulator can predict the user’s actions in the virtual OR and provide them with timely feedback to assist with training. We conducted a study investigating the validity of the AI-assisted OR fire trainer at ...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Endoscopic drainage with local infusion of antibiotics to avoid necrosectomy of infected walled-off necrosis
ConclusionsAddition of local infusion of antibiotics to endoscopic drainage avoids the need of necrosectomy in half of patients with IPN not responding to systemic antibiotics. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Evaluation of new motorized articulating laparoscopic instruments by laparoscopic novices using a standardized laparoscopic skills curriculum
ConclusionUsing new motorized ALI in the E-BLUS examination by laparoscopic novices led to a worse performance compared to CLI. An explanation could be that participants felt overwhelmed by ALI and that ALI have an own distinct learning curve. As participants valued ALI ’s additional degrees of freedom, however, a future application of ALI could be for training purposes, ideally in combination with CLI. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Variation in colectomy rates for benign polyp and colorectal cancer
ConclusionsThe use of colectomy for benign polyp is much more variable compared to CRC, suggesting overuse of colectomy for benign polyp in some regions. This variation may stem from provider-level differences, such as endoscopists ’ referral practice or skill or surgeons’ decision to perform colectomy, or from limited access to advanced endoscopists. Interventions to increase endoscopic resection of benign polyps may spare some patients the morbidity and cost of surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Laparoscopic transperitoneal adrenalectomy: a comparative study of different techniques for vessel sealing
ConclusionLaparoscopic transperitoneal adrenalectomy performed by means of radiofrequency energy-based device for the sealing of adrenal vessels is an effective procedure reducing operative time with potentially improved postoperative outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Laparoscopic hepatectomy enhances recovery for small hepatocellular carcinoma with liver cirrhosis by postoperative inflammatory response attenuation: a propensity score matching analysis with a conventional open approach
AbstractBackgroundThe concurrent presence of liver cirrhosis and hepatocellular carcinoma (HCC) poses a challenge for laparoscopic surgeons to establish a routine practice. The aim of this study was to gather evidence and produce recommendations on the safe and effective practice of laparoscopic hepatectomy for patients with solitary HCC ( ≤ 5 cm) and liver cirrhosis.MethodsBetween October 2013 and October 2014, 356 curative hepatectomies were performed for patients pathologically diagnosed with solitary HCC ( ≤ 5 cm) accompanied by cirrhosis (stage 4 fibrosis). To overcome selection bias, a 1...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Insufflation pressure above 25  mm Hg confers no additional benefit over lower pressure insufflation during posterior retroperitoneoscopic adrenalectomy: a retrospective multi-centre propensity score-matched analysis
AbstractBackgroundInsufflation pressures of or in excess of 25  mm Hg CO2 are routinely used during posterior retroperitoneoscopic adrenalectomy (PRA) in most centres. A critical analysis of the surgical literature provides limited evidence to support this strategy.ObjectiveTo determine whether high pressure ( ≥ 25 mm Hg) compared with lower pressure (
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Long-term outcomes after bilateral transabdominal preperitoneal (TAPP) repair for asymptomatic contralateral inguinal hernia
ConclusionBilateral laparoscopic TAPP in the setting of an asymptomatic hernia did not increase morbidity and had similar outcomes when compared to patients with bilateral symptoms. A comprehensive preoperative evaluation of the contralateral groin should be routinely performed, mainly by physical examination, and a bilateral repair may be proposed if an asymptomatic contralateral hernia is detected. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

The possibility of endoscopic treatment of cN0 submucosal esophageal cancer: results from a surgical cohort
AbstractBackgroundWe analyzed the pathological characteristics and recurrence pattern of cN0 submucosal esophageal cancer after esophagectomy and conducted risk stratification to determine the feasibility of performing endoscopic resection for cN0pT1b esophageal squamous cell malignancies.MethodsWe retrospectively enrolled 167 patients who underwent right-sided transthoracic esophagectomy and extended thoracic/abdominal two-field lymphadenectomy. Patients with pathologically confirmed lymph node metastasis or tumor recurrence constituted the high-risk group for endoscopic submucosal resection, and the remainder were define...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Fully laparoscopic thermo-ablation of liver malignancies with or without liver resection: tumor location is an independent local recurrence risk factor
ConclusionsExclusive laparoscopic TA is a safe and an effective tool to treat liver malignancies with or without liver resection. Other than classical risk factors, tumor location in upper segments of the liver, are independent risk factors for LR. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Outcomes and safety of double-balloon enteroscopy in small bowel diseases: a single-center experience of 1531 procedures
This study aimed to evaluate the diagnostic and therapeutic value of DBE in patients with suspected SBDs according to the patients ’ age and indications for the procedure.MethodsThe data of patients who underwent DBE at the endoscopy center of Changhai hospital between July 2013 and June 2018 were retrospectively reviewed. All features including demographic characteristics, indications, endoscopic findings, interventions and complications were collected.ResultsA total of 1291 consecutive patients who underwent 1531 DBE procedures (1375 diagnostic and 156 therapeutic) were included. The total diagnostic yield of DBE i...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Fetoscopic techniques for prenatal covering of gastroschisis in an ovine model are technically demanding and do not lead to permanent anchoring on the fetus until the end of gestation
ConclusionsFetoscopic intestinal bag placement and fixation in gastroschisis technically demanding. None of the evaluated techniques led to permanent anchorage of the bag to the fetus. The development of specially designed instruments, bags and fixation methods is required to optimize this approach. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Laparoscopic versus open gastrectomy for Siewert type II/III adenocarcinoma of the esophagogastric junction: a meta-analysis
AbstractBackgroundThe potential advantages of laparoscopic gastrectomy (LG) compared with open gastrectomy (OG) for Siewert type II/III adenocarcinoma of the esophagogastric junction (AEG) have not been fully clarified. The aim of this meta-analysis was to evaluate the safety and efficacy of LG for Siewert type II/III AEG, compared with OG.MethodsA comprehensive search was performed in various medical databases up to December 30, 2018. Seven non-randomized controlled trials comparing LG and OG for Siewert type II/III AEG were included. Outcomes evaluated including operation time, estimated blood loss, number of retrieved l...
Source: Surgical Endoscopy - January 21, 2021 Category: Surgery Source Type: research

Long-term (17  years) subjective and objective evaluation of the durability of laparoscopic Heller esophagomyotomy in patients with achalasia of the esophagus (90% of follow-up): a real challenge to POEM
ConclusionLHM controlled symptoms in 79% of achalasia patients very late (17  years) after surgery. This was corroborated by endoscopic, manometric, and functional studies. GERD symptoms developed in 18.7% and SCC in 3.7% in previously asymptomatic patients. Endoscopic surveillance at regular intervals is recommended for all patients who have had surgery. These very long-te rm results are a real challenge to POEM endoscopic treatment. Unique Identifying Registration Number 3743. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 20, 2021 Category: Surgery Source Type: research

Barriers to safety and efficiency in robotic surgery docking
ConclusionsDirect observation of surgical procedures can help to identify approaches to improve the design of technology and procedures, the training of staff, and configuration of the OR environment, with the eventual goal of improving safety, efficiency and teamwork in high technology surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 19, 2021 Category: Surgery Source Type: research

Retraction Note to: Long-term follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass versus one-anastomosis gastric bypass: a prospective randomized comparative study of weight loss and remission of comorbidities
This article has been retracted. Please see the Retraction Notice for more detail:https://doi.org/10.1007/s00464-021-08298-0. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 16, 2021 Category: Surgery Source Type: research

Combined endoscopic-laparoscopic surgery (CELS) can avoid segmental colectomy in endoscopically unremovable colonic polyps: a cohort study over 10 years
ConclusionCELS is safe and efficient to treat complex, benign colonic polyps by a complete minimal invasive laparoscopic approach. CELS showed better surgical outcomes with less morbidity, no mortality and appropriate pathological results avoiding unnecessary laparoscopic surgery with intestinal anastomosis. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 13, 2021 Category: Surgery Source Type: research

Correction to: Minimally invasive treatment of diaphragmatic endometriosis: a 15-year single referral center ’s experience on 215 patients
This article was updated to correct the author listing, where given names and surnames were reversed. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 13, 2021 Category: Surgery Source Type: research

Laparoscopic management of symptomatic congenital diaphragmatic hernia of Morgagni in the adult
ConclusionsAdults with symptomatic Morgagni hernia should undergo surgical repair. A laparoscopic approach utilizing the surgical principles of reduction of intra-abdominal contents, complete resection of the hernia sac, followed by primary repair of the hernia defect (when possible), with or without mesh reinforcement can be performed safely and effectively. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 12, 2021 Category: Surgery Source Type: research

The first modified Delphi consensus statement on sleeve gastrectomy
ConclusionA multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 12, 2021 Category: Surgery Source Type: research

Early surgery after bridge-to-surgery stenting for malignant bowel obstruction is associated with better oncological outcomes
ConclusionsPatients undergoing definitive surgery within 2  weeks of colonic stenting may have better oncological outcomes without compromising on postoperative outcomes. Further prospective studies are required to compare outcomes between emergency surgery and different bridging intervals. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 12, 2021 Category: Surgery Source Type: research

Comparison of short-term outcomes between totally laparoscopic right colectomy and laparoscopic-assisted right colectomy: a retrospective study in a single institution on 300 consecutive patients
AbstractBackgroundLaparoscopic surgery has become the standard surgical approach for the treatment of colon cancer. However, the surgical procedure for right colectomy is not standardized. Selection between laparoscopy-assisted right colectomy (LARC) with extracorporeal anastomosis and totally laparoscopic procedures with intracorporeal anastomosis is still a hot topic. The aim of this study was to compare the short-term outcomes of totally laparoscopic right colectomy (TLRC) and LARC in the treatment of right colon cancer.MethodsThis was a retrospective and single-center study conducted between January 2016 and December 2...
Source: Surgical Endoscopy - January 11, 2021 Category: Surgery Source Type: research

Endoscopic cephalic access thyroid surgery (EndoCATS) using the retroauricular approach – a single centre retrospective data analysis
AbstractBackgroundDue to improvements in endoscopic as well as robotic technology, and a request for better cosmetic results, there was a significant increase in thyroid surgery using these methods during the past decade.MethodsThe aim of our study is to evaluate the perioperative short- and long-term outcome as well as the learning curve of EndoCATS and the Quality of Life (QoL).ResultsA total of 150 patients with 152 hemithyroidectomies who underwent endoscopic thyroid surgery by EndoCATS between 2010 and 2016 were enrolled in this study. The mean specimen volume was 15.04  g ± 7.89 g. The ...
Source: Surgical Endoscopy - January 11, 2021 Category: Surgery Source Type: research

Real-time intraoperative functioning lumen imaging probe during endoscopic per-oral pyloromyotomy (pop)
The objective of this study was to evaluate the utility of using impedance planimetry with endoscopic functional luminal imaging probe (FLIP) to measure changes in pyloric distensibility after POP, and to compare these changes with improvement in symptoms and objective gastric emptying.MethodsPatients with medically refractory gastroparesis underwent POP with FLIP measurements of the pylorus (EndoFLIP ®, Medtronic, Fridley MN). FLIP measurements, as well as changes in symptoms measured by the validated gastroparesis cardinal symptom index (GCSI) and scintigraphic gastric emptying studies (GES), were evaluated before an...
Source: Surgical Endoscopy - January 11, 2021 Category: Surgery Source Type: research

Short- and long-term comparison of robotic and laparoscopic gastrectomy for gastric cancer by the same surgical team: a propensity score matching analysis
AbstractBackgroundResearch on short-term outcomes and oncology results after robotic gastrectomy (RG) is still limited, especially from a single surgical team. The purpose of this study was to compare the short-term and long-term outcomes of robotic and laparoscopic gastrectomy (LG).MethodsBetween October 2014 and September 2019, 1686 consecutive patients who underwent MIS gastrectomy were enrolled. The patients were divided into RG and LG groups according to surgical type. Groups were matched at a 1:1 ratio using propensity scores based on the following variables: age, sex, ASA score, primary tumor location, histologic ty...
Source: Surgical Endoscopy - January 11, 2021 Category: Surgery Source Type: research

Magnetic anchoring and guidance-assisted endoscopic irreversible electroporation for gastric mucosal ablation: a preclinical study in canine model
ConclusionsMAG-IRE for gastric mucosal ablation is feasible, safe, and effective. It can be a potential therapeutic option for minimally invasive treatment of gastric neoplasm. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 8, 2021 Category: Surgery Source Type: research

Robotic transanal minimally invasive surgery: a case series
ConclusionsRobot-assisted TAMIS is a safe alternative to laparoscopic TAMIS for resection of appropriate rectal polyps and early rectal cancers. rTAMIS may provide a modality for resecting larger or more proximal rectal lesions due to the wristed instruments and superior visualization with the robotic camera. Future studies should focus on comparing outcomes between robotic and laparoscopic TAMIS, and whether rTAMIS allows for the removal of larger, more complex lesions, which may save patients from a more morbid radical proctectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 8, 2021 Category: Surgery Source Type: research

Transanal total mesorectal excision outcomes for advanced rectal cancer in a complex surgical population
ConclusionsUsing the taTME approach on selected locally advanced low rectal cancers, especially in technically complex irradiated and obese male patients, has yielded comparably safe and effective outcomes to laparoscopic proctectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 8, 2021 Category: Surgery Source Type: research

Simultaneous endoscopic submucosal dissection for synchronous multiple early esophageal squamous cell carcinoma: a propensity score-matched analysis
ConclusionsSimultaneous ESD is an effective and safe methodology for synchronous multiple EESCC; it also reduces hospital stay and medical expenses. The risk of metachronous recurrence is higher for patients with synchronous multiple EESCC; thus, more intensive strategies are required. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 8, 2021 Category: Surgery Source Type: research

Doppler-guided hemorrhoidal dearterialization with laser (HeLP): indications and clinical outcome in the long-term. Results of a multicenter trial
AbstractBackgroundDoppler-guided hemorrhoidal laser procedure consists of sutureless closure of terminal branches of the superior hemorrhoidal artery by laser energy. Clinical results of patients treated with this procedure were analyzed at the completion of 2-year follow-up. Primary endpoint was resolution of symptoms and secondary endpoints were recurrence rate, type of recurrences, re-operation rate, and potential predictive factors for failure.MethodsBleeding was assessed on a score from 0 to 4 (none  = 0;   1/week = 3; 3–4/week = 4), frequency of hemorrhoid...
Source: Surgical Endoscopy - January 7, 2021 Category: Surgery Source Type: research

Development of artificial intelligence system for quality control of photo documentation in esophagogastroduodenoscopy
ConclusionsWe constructed a CNN model that could be used in the quality control of photo documentation in EGD. Our model needs further validation with a large dataset, and we expect our model to help both endoscopists and patients by improving the quality of EGD procedures. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 7, 2021 Category: Surgery Source Type: research

Trends and consequences of surgical conversion in the United States
AbstractBackgroundThe aim of this study was to identify national utilization trends of robotic surgery for elective colectomy, conversion rates over time, and the specific impact of conversion on postoperative morbidity. Conversion to open represents a hard endpoint for minimally invasive surgery (MIS) and is associated with worse outcomes when compared to MIS or even traditional open procedures.MethodsAll adult patients who underwent either laparoscopic or robotic elective colectomy from 2013 to 2018 as reported in the American College of Surgeons Quality Improvement Program (ACS-NSQIP) database were included. National tr...
Source: Surgical Endoscopy - January 6, 2021 Category: Surgery Source Type: research

Safety and feasibility of pure laparoscopic extended cholecystectomy: comparison with the open technique in a propensity analysis at a single center
ConclusionsLEC showed a significant advantage in terms of achieving shorter postoperative hospital stay and similar results to OEC with respect to overall complications and pathological outcomes. The present results confirm that laparoscopy can be considered a safe treatment for primary gallbladder cancer in selected patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 6, 2021 Category: Surgery Source Type: research

Robotic surgery for clinical T4 rectal cancer: short- and long-term outcomes
ConclusionsThe short- and long-term outcomes of robotic surgery for cT4 rectal cancer were favorable. Robotic surgery is considered to be a useful approach for cT4 rectal cancer. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 6, 2021 Category: Surgery Source Type: research

Laparoscopic middle colic artery-preserved right hemicolectomy with true D3 lymph node dissection for right-sided colon cancer: modified complete mesocolic excision
ConclusionAlthough this surgery can be performed safely, we believe that this surgery needs to be performed for suitable cases by a highly experienced and skilled surgical team. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 6, 2021 Category: Surgery Source Type: research

Expanding endoscopic treatment strategies for pancreatic leaks following pancreato-duodenectomy: a single centre experience
ConclusionsOur experience confirms efficacy and safety of endoscopic management of POPF following pancreatoduodenectomy management. Endoscopy should play a central role in this clinical scenario. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 5, 2021 Category: Surgery Source Type: research

Robotic Complete Mesocolic Excision (CME) is a safe and feasible option for right colonic cancers: short and midterm results from a single-centre experience
ConclusionsRobotic CME is feasible, effective and safe. Good oncological results and improved survival are seen in this cohort of patients with a standardised approach to robotic CME. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 5, 2021 Category: Surgery Source Type: research

Robotic-assisted surgery enhances the learning curve while maintaining quality outcomes in sleeve gastrectomy: a preliminary, multicenter study
AbstractBackgroundThe frequency of robotic-assisted bariatric surgery has been on the rise. An increasing number of fellowship programs have adopted robotic surgery as part of the curriculum. Our aim was to compare technical efficiency of a surgeon during the first year of practice after completing an advanced minimally invasive fellowship with a mentor surgeon.MethodsA systematic review of a prospectively maintained database was performed of consecutive patients undergoing robotic-assisted sleeve gastrectomy between 2015 and 2019 at a tertiary-care bariatric center (mentor group) and between 2018 and 2019 at a semi-academ...
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Endoscopic trans-oral outlet reduction after bariatric surgery is safe and effective for dumping syndrome
The objective of this study is to assess the safety and efficacy of TORe for DS in a single referral center.MethodsPatients after bariatric surgery suffering DS were followed, and data were retrospectively analyzed. Diagnosis and post-procedural assessment of DS were made clinically using Sigstad score. During the procedure, the anastomotic rim was cauterized. Afterwards, 2 non-interrupted “8-figure” sutures were placed, resulting in imbrication of additional gastric tissue on top of the anastomosis and narrowing to 
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Reducing fire and burn risk in the operating room —testing of a novel device
ConclusionsThe Gloshield device is effective in reducing the risk of thermal burn injury by protecting the distal ends of endoscopic light cables from operating room materials. However, the device needs to be attached appropriately in order to provide protective benefits. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Inter-user variation in the interpretation of near infrared perfusion imaging using indocyanine green in colorectal surgery
AbstractIntroductionDespite increasing endorsement of near-infrared perfusion assessment using indocyanine green (ICG) during colorectal surgery, little work has yet been done regarding learning curve and interobserver variation most especially on surgical video reflective of real-world usage.MethodsSurgeons with established expertise in ICG usage were invited to participate in the study along with others without such experience including trainees. All participants completed an opinion questionnaire and interpreted video presentations of fluorescence angiograms in a variety of colorectal case scenarios. An interactive vide...
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Double-clip traction could be superior to the pocket-creation method with cylindrical cap for colonic ESD: a randomized study in an ex vivo model
AbstractIntroductionIn Western countries, debates between ESD vs piece-meal EMR as the best treatment for large colorectal adenomas persist regarding the difficulty of ESD the colon, and the safety and relatively good results of piece-meal endoscopic mucosal resection (EMR).Pocket-creation method (PCM) and double-clip countertraction (DCT) are two strategies recently published to facilitate ESD in this challenging situation.MethodThis is a randomized animal study to compare PCM and DCT strategies for colonic ESD on ex vivo models (bovine colon) performed by 3 operators novice in ESD. Hybridknife type T was used to inject n...
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Transanal and transabdominal combined endoscopic resection of rectal stenosis and anal reconstruction based on transanal endoscopic technique
ConclusionThe transanal and transabdominal endoscopic resection of the rectal anastomotic stenosis and anal reconstruction reduced the difficulty of the surgery, improved its safety, shortened the operation time, decreased the operative complications, and enabled patients to recover well after surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Comparison of indocyanine green dye fluorescent cholangiography with intra-operative cholangiography in laparoscopic cholecystectomy: a meta-analysis
ConclusionICG-FC is safe, and it improves visualization of CHD. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Comparative perioperative and 5-year outcomes of robotic and laparoscopic or open inguinal hernia repair: a study of 153,727 patients in the state of New York
This study aimed to examine the perioperative outcomes of robotic inguinal hernia repair as compared to the open and laparoscopic approaches utilizing large-scale population-level data.MethodsThis study was funded by the SAGES Robotic Surgery Research Grant (2019). The New York Statewide Planning and Research Cooperative System (SPARCS) administrative database was used to identify all adult patients undergoing initial open (O-IHR), laparoscopic (L-IHR), and robotic (R-IHR) inguinal hernia repair between 2010 and 2016. Perioperative outcome measures [complications, length of stay (LOS), 30-day emergency department (ED) visi...
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study
ConclusionpSOC is a feasible, safe, and effective technique for diagnostic and therapeutic indications. It may be considered an alternative approach in clinical cases where gastrointestinal anatomy is altered. It has the potential to reduce peri-procedural adverse events and costs. Prospective randomized-controlled trials are necessary to confirm the previously collected data. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research

Utility of radial incision and cutting with steroid injection for refractory stricture after endoscopic submucosal dissection for large superficial esophageal squamous cell carcinoma
ConclusionsCombination of radial incision and cutting with steroid injection is a safe and feasible treatment for esophageal refractory stricture after extensive ESD, appearing to improve the therapeutic EBD outcome and maintain a longer symptom-relief duration. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research