Comparison of two-dimensional high-definition, ultra high-definition and three-dimensional endovision systems: an ex-vivo randomised study
Conclusions3D HD endovision system in comparison to 2D HD and 4K HD, may lead to faster execution without compromising safety of a task and is associated with less workload. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 21, 2020 Category: Surgery Source Type: research

Population demographics in geographic proximity to hospitals with robotic platforms do not correlate with disparities in access to robotic surgery
ConclusionsBased on this study of population-level data, disparities in access to robotic surgery seen in prior literature cannot be explained exclusively by sociodemographic factors related to the geographic proximity of HWR. This suggests other biases are involved in the lack of robotic procedures performed among minority and underprivileged populations. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 21, 2020 Category: Surgery Source Type: research

Patients with ineffective esophageal motility benefit from laparoscopic antireflux surgery
ConclusionPatients with ineffective esophageal motility derive significant benefits in perioperative and QOL outcomes after LARS. Nevertheless, as anticipated, their baseline dysmotility may reduce the degree of improvement in dysphagia rates post-surgery compared to patients with normal motility. Furthermore, the presence of preoperative IEM should not be a contraindication for complete fundoplication. Key to optimal outcomes after LARS is careful patient selection based on objective perioperative data, including manometry evaluation, with the purpose of tailoring surgery  to provide effective reflux control and impr...
Source: Surgical Endoscopy - September 21, 2020 Category: Surgery Source Type: research

EUS-guided fine needle tattooing (EUS-FNT) for preoperative localization of small pancreatic neuroendocrine tumors (p-NETs): a single-center experience
ConclusionsOur results suggest that EUS-guided FNT is a safe and useful method to mark preoperatively small ( ≤ 2 cm) pNETs. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 21, 2020 Category: Surgery Source Type: research

A 3-Year MBSAQIP propensity-matched analysis of Roux-en-Y gastric bypass with concomitant cholecystectomy: Is the robotic or laparoscopic approach preferred?
AbstractBackgroundThe primary objective of this study was to compare outcomes of patients undergoing minimally invasive RYGB (MIS/RYGB) versus MIS/RYGB with concomitant Cholecystectomy (CCY). A secondary objective was to compare the outcomes for laparoscopic RYGB (LRYGB) and robotic RYGB (RRYGB) with concomitant CCY.MethodsOutcomes of 117,939 MIS/RYGB with and without CCY were propensity-matched (Age, Gender, BMI, Comorbidities), 10:1, using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database from 2015 –2017. The MIS/RYGB with CCY were then separated into LRYGB and RRY...
Source: Surgical Endoscopy - September 21, 2020 Category: Surgery Source Type: research

Two-dimensional (2-D) vs. three-dimensional (3-D) laparoscopic right hemicolectomy with intracorporeal anastomosis for colon cancer: comparison of short-term results
ConclusionsLaparoscopic 3-D vision is as equally effective as 2-D vision in LRH with intracorporeal anastomosis, with a similar proportion of associated procedures and number of lymph nodes retrieved in the same operative time. Further prospective larger randomized studies are necessary to verify if LRH with 3-D video can reduce postoperative complications, compared to 2-D video.Graphic Abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 17, 2020 Category: Surgery Source Type: research

It ’s not always too late: a case for minimally invasive salvage esophagectomy
ConclusionOverall survival and disease-free survival were equivalent between SE and PE. Local recurrence was noted to be increased with SE, though this did not appear to affect survival. Although planned esophagectomy remains the standard of care, salvage esophagectomy has comparable outcomes and is appropriate for selected patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 17, 2020 Category: Surgery Source Type: research

Informed consent: a shared decision-making process that creates a new professional obligation for care
AbstractThis statement on informed consent, developed by the SAGES Ethics Committee, has been reviewed and approved by the Board of Governors of SAGES. This statement is provided to offer guidance about the purpose and process of obtaining informed consent, and it is intended for practicing surgeons as well as patients seeking surgical intervention. It is an expression of well-established principles and extensive literature. Excluded from this document are discussions of informed consent for research and informed consent for introduction of new technology, as that has been addressed in previous publications (Strong in Surg...
Source: Surgical Endoscopy - September 15, 2020 Category: Surgery Source Type: research

The current state of robotic retromuscular repairs —a qualitative review of the literature
ConclusionIn short-term follow-up, robotic retromuscular repairs show promise that VIH can be repaired with intramuscular mesh, few complications, and shorter LOS. Data on hernia recurrence, long-term complications, and rigorous cost analysis are needed to demonstrate generalizability. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 14, 2020 Category: Surgery Source Type: research

Closed Facebook groups and COVID-19: an evaluation of utilization prior to and during the pandemic
ConclusionsThe COVID-19 pandemic halted surgical education at all levels. The membership and utilization of closed Facebook groups increased significantly in many instances, demonstrating the importance of internet-based surgical education now and into the future. Further development of internet-based curriculums is warranted. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 14, 2020 Category: Surgery Source Type: research

Pregnant patients requiring appendectomy: comparison between open and laparoscopic approaches in NY State
AbstractIntroductionEven though acute appendicitis is the most common general surgical condition encountered during pregnancy, the preferred approach to appendectomy in pregnant patients remains controversial. Current guidelines support laparoscopic appendectomy as the treatment of choice for pregnant women with appendicitis, regardless of trimester. However, recent published data suggests that the laparoscopic approach contributes to higher rates of fetal demise. Our study aims to compare laparoscopic and open appendectomy in pregnancy at a statewide population level.MethodsICD-9 codes were used to extract 1006 pregnant p...
Source: Surgical Endoscopy - September 14, 2020 Category: Surgery Source Type: research

Tobacco use is not associated with increased risk of recurrent reflux 5 years after laparoscopic anti-reflux surgery
AbstractIntroductionTobacco use worsens gastrointestinal reflux disease (GERD). Smoking cessation improves GERD symptoms, but its impact on the efficacy of laparoscopic anti-reflux surgery (LARS) is unclear. In this retrospective cohort study, we hypothesized that non-smokers would demonstrate greater long-term improvements in disease-specific quality of life than active smokers.MethodsData were maintained in an IRB-approved prospective database, and patients were stratified according to tobacco use. Postoperative follow-up occurred in clinic and long-term follow-up via telephone interview. Outcomes measured were gastroeso...
Source: Surgical Endoscopy - September 10, 2020 Category: Surgery Source Type: research

Investigation of intraoperative factors associated with postoperative pancreatic fistula following laparoscopic left pancreatectomy with stapled closure: a video review-based analysis
AbstractIntroductionPostoperative pancreatic fistula (POPF) following distal pancreatectomy (DP) remains the most frequent complication, potential precursor of more serious events, and mechanisms behind POPF development are not clear. Primary aim of the current study is to investigate correlations between patients ’ characteristics, including technical intraoperative data assessed by retrospective video review of laparoscopic DP (L-PD), and development of clinically relevant (CR-)POPF and major complication.MethodsPatients undergoing L-DP whose surgery video was available for review were included in this study. Retro...
Source: Surgical Endoscopy - September 10, 2020 Category: Surgery Source Type: research

Assessing organic material on single-use vessel sealing devices: a comparative study of reprocessed and new LigaSure ™ devices
AbstractBackgroundReprocessed devices must be thoroughly cleaned prior to sterilization to ensure efficacy of sterilization agents. Many single-use devices are not designed to be thoroughly cleaned. Interlocking design features inherent to LigaSure ™ vessel sealing devices may prevent thorough cleaning and promote accumulation of human tissue that cannot be removed. Thus, the aim of this study was to compare industry reprocessed and new LigaSure™ vessel sealing devices for organic material.MethodsA total of 168, 84 new and 84 reprocessed, vessel sealing devices were disassembled and inspected for the presence o...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Clear colonoscopy as a surveillance tool in the prediction and reduction of advanced neoplasms: a randomized controlled trial
This study aims to determine whether the recurrence of ANs can be predicted and reduced by the newly developed clear colonoscopy procedure.MethodsBetween 2006 and 2010, a total of 1350 participants with colorectal neoplasm were equally randomized to clear colonoscopy surveillance (CCS) and routine colonoscopy surveillance (RCS) in our center. Clear colonoscopy was achieved through repeat colonoscopy. On surveillance colonoscopy at 3 (for high-risk patients) and 5 (for low-risk patients) years, the recurrence of ANs and the relationship between the frequency of repeat examinations required for a clear colonoscopy and the re...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Motion analysis for better understanding of psychomotor skills in laparoscopy: objective assessment-based simulation training using animal organs
AbstractBackgroundOur aim was to characterize the motions of multiple laparoscopic surgical instruments among participants with different levels of surgical experience in a series of wet-lab training drills, in which participants need to perform a range of surgical procedures including grasping tissue, tissue traction and dissection, applying a Hem-o-lok clip, and suturing/knotting, and digitize the level of surgical competency.MethodsParticipants performed tissue dissection around the aorta, dividing encountered vessels after applying a Hem-o-lok (Task 1), and renal parenchymal closure (Task 2: suturing, Task 3: suturing ...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Factors influencing the choice between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass
AbstractBackgroundWhile laparoscopic sleeve gastrectomy (LSG) continues to be the most commonly performed bariatric operation, several variables influence surgeons ’ practice patterns and patients’ decision-making in the type of bariatric procedure to perform. The aim of this study was to evaluate patient factors that influence the decision between laparoscopic Roux-en-Y gastric bypass (LRYGB) versus LSG.MethodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients undergoing LSG and LRYGB between 2015 and 2017. Univariate analysis and multi...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Totally extraperitoneal repair for the ‘sportsman’s groin’ via ‘the Manchester Groin Repair’: a comparison of elite versus amateur athletes
This study hypothesises that elite athletes have a superior advantage in both pre- and post-op rehabilitation and therefore will present and resume sporting activities quicker.MethodsA retrospective analysis on a secure database of athletes presenting with groin pain that underwent surgery for ‘inguinal disruption’. All data were explored via appropriate descriptive statistics and comparisons made between elite and amateur athletes.ResultsAll patients were male (n = 144). The median age 33 years (range 14–72). The median return to sporting activity was 4.5 weeks (range 2.0–16...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Comparing patterns of care and outcomes after operative management of complications after bariatric surgery at MBSAQIP accredited bariatric centers and non-bariatric facilities
This study sought to evaluate whether bariatric expertise affects patterns of care and perioperative outcomes among patients undergoing operative intervention for complications after bariatric surgery.MethodsAdministrative claims data from the Kentucky Office of Health Policy were queried for inpatients undergoing operative intervention for complications related to bariatric surgery between 2015 and 2018. Patients were stratified with respect to whether or not they underwent surgery at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) accredited bariatric surgery center (BCE) or not ...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Western population-based study of oncologic surgical quality and outcomes of laparoscopic versus open gastrectomy for gastric adenocarcinoma
ConclusionLG offers a safe surgical approach to gastric cancer with shorter hospital stay and lower re-admission rates than OG, and also similar and sometimes improved operative oncologic quality parameters (margin, lymph node yield). More importantly, this Western series demonstrates that equivalent long-term outcomes of LG vs. OG are being achieved. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Unnecessary use of radiology studies in the diagnosis of inguinal hernias: a retrospective cohort study
ConclusionsNearly 50% of all patients who receive any related imaging prior to surgery had potentially unnecessary diagnostic radiology studies. This not only exposes patients to avoidable risks, but also places a significant economic burden on patients and our already-strained health system. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Does etiology of gastroparesis determine clinical outcomes in gastric electrical stimulation treatment of gastroparesis?
AbstractBackgroundGastroparesis is a condition characterized by impaired gastric motility that may result in weight loss and malnutrition. There have been promising studies demonstrating improvement in symptoms after gastric electrical stimulation (GES) implantation for medically refractory gastroparetics [1 –10]. With the heterogeneous population of gastroparetics, the aim of this study was to assess if etiology correlated with response to GES.MethodsA retrospective review and analysis was performed on patients who underwent GES over a 10-year period at a single institution. Each patient was stratified into an etiol...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Multiquadrant surgery in the robotic era: a technical description and outcomes for da Vinci Xi robotic subtotal colectomy and total proctocolectomy
ConclusionsThe current study provides the largest cohort of patients assessed who have undergone multiquadrant robotic STC or TPC. The study provides a detailed description of the technique utilized at our institution. There was no associated 30-day mortality and a low risk of morbidity. The data suggest that the learning curve for improved operative time is between 15 and 20 cases. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Efficacy of uncovered colonic stents for extrinsic versus intrinsic malignant large bowel obstruction
AbstractBackgroundPrevious studies evaluating self-expandable metal stents (SEMS) for management of malignant extrinsic colon obstruction have yielded conflicting results. We evaluated the efficacy of uncovered SEMS for extrinsic colon malignancy (ECM) versus intrinsic colon malignancy (ICM).MethodsRetrospective review of all patients referred for colonic SEMS at a tertiary cancer center between 2007 and 2018 was performed. Primary outcome measures were technical success, clinical success, intervention rate, and overall survival.Results138 patients with ECM and 119 patients with ICM underwent attempted stent placement. The...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

(S029) Managing therapeutic anticoagulation in bariatric surgery patients
ConclusionsBariatric surgery can be safely performed in patients on therapeutic anticoagulation, though this population is at greater risk for bleeding complications in the perioperative period. Meticulous hemostasis in the operating room is the most important aspect of preventing bleeding complications. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Bone mineral density changes after bariatric surgery
ConclusionAll patients were found to have decreased BMD after RYGB and SG. Surgery type was not a significant risk factor in BMD change. Despite vitamin D and calcium supplementation in all patients, a decrease in vitamin D and calcium levels were associated with a decrease in BMD. Close follow-up and treatment of vitamin D and calcium levels are warranted in all bariatric patients.Graphic abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

What factors affect the operative time of robot-assisted laparoscopic radical prostatectomy?
This study aimed to investigate the factors associated with prolonged console time and surgical difficulty by RARP surgeons.MethodsThis study included 405 patients who underwent RARP between 2014 and 2019 at our institution. Given that the anatomical characteristics were considered to affect RARP, PVF and working space (WS) were estimated preoperatively by computed tomography using a 3D image analysis system. Univariate and multivariate logistic regression analyses were performed to identify the factors prolonging console time, such as body mass index (BMI), prostate volume, previous abdominal surgery, nerve-sparing proced...
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Usefulness of the Japan narrow-band imaging expert team classification system for the diagnosis of sessile serrated lesion with dysplasia/carcinoma
ConclusionsUse of magnifying NBI endoscopy with the JNET classification might be useful for diagnosing SSLs with dysplasia/carcinoma. This increased awareness may also improve the recognition of SSLs with dysplasia/carcinoma. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 9, 2020 Category: Surgery Source Type: research

Non-technical skills and device-related interruptions in minimally invasive surgery
ConclusionsIn elective laparoscopic operations, an increased likelihood of device-related interruptions in the OR was associated with more frequent negative NTS demonstrations by nursing teams. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 4, 2020 Category: Surgery Source Type: research

A randomized controlled trial of single-port versus multi-port laparoscopic distal gastrectomy for gastric cancer
AbstractObjectiveThis prospective randomized trial compared the invasiveness of laparoscopic gastrectomy using a single-port approach with that of a conventional multi-port approach in the treatment of gastric cancer.Summary Background DataThe benefit of single-port laparoscopic gastrectomy (SLG) over multi-port laparoscopic gastrectomy (MLG) has yet to be confirmed in a well-designed study.MethodsOne hundred and one patients who were scheduled to undergo laparoscopic distal gastrectomy for histologically confirmed clinical stage I gastric cancer between April 2016 and September 2018 were randomly allocated to SLG (n&thins...
Source: Surgical Endoscopy - September 4, 2020 Category: Surgery Source Type: research

A comparison of clinical outcomes and cost utility among laparoscopy, enteroscopy, and temporary gastric access-assisted ERCP in patients with Roux-en-Y gastric bypass anatomy
AbstractBackground and aimsGastric Access Temporary for Endoscopy (GATE), also known as EUS-Directed Trangastric ERCP (EDGE), has demonstrated advantages over device-assisted enteroscopy (DAE) and laparoscopic-assisted ERCP (LA-ERCP) for patients with Roux-en-Y gastric bypass (RYGB) anatomy. We aimed to directly compare clinical outcomes and cost utility among the three ERCP modalities.MethodsPatients with RYGB anatomy who had DAE, LA-ERCP, or GATE from 2009 to 2019 at 2 tertiary centers were included in our review. We measured outcomes in three areas: success rate, post-procedural adverse events (AEs) and hospitalization,...
Source: Surgical Endoscopy - September 4, 2020 Category: Surgery Source Type: research

Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis
ConclusionPeer coaching to refine or acquire new skills addresses many shortcomings of traditional, didactic learning modalities. This study revealed key aspects of optimal program structure, motivations and barriers to coaching which can be used to inform the design of successful peer coaching programs in the future.Graphic abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 4, 2020 Category: Surgery Source Type: research

Is robotic surgery feasible at a safety net hospital?
AbstractBackgroundRobotic surgery offers potential advantages of improved ability to complete procedures using a minimally invasive approach, recovery, and clinical outcomes. It has been previously established that safety net hospitals are outliers for surgical complications. As such, the adoption of new technology may not achieve the same outcomes as other institutions. We hypothesized that, compared to laparoscopic and open surgeries, robotic surgeries have fewer post-operative Clavien-Dindo complications at our safety net hospital.MethodsAll robotic surgeries performed from 2017 to 2019 at a single, safety net hospital ...
Source: Surgical Endoscopy - September 3, 2020 Category: Surgery Source Type: research

Risk of lymph node metastasis in early gastric cancer and indications for endoscopic resection: is it worth applying the east rules to the west?
The objective of the study is to determine risk factors related to LNM and to validate endoscopic resection in dications.MethodsThe study was a retrospective cohort of 178 patients with early gastric cancer who underwent gastrectomy. Clinical and pathological factors were analyzed. The new rules of ER from JGCA were applied to the studied cohort.ResultsLNM was present in 13.48% of the cases, 3.96% (3/76) in T1a tumors and 20.58% (21/102) in T1b tumors. In univariate analysis ulceration (p = 0.04), differentiation grade (p = 0.04), submucosal invasion (p = 0.001), lymphatic invasion (p 
Source: Surgical Endoscopy - September 3, 2020 Category: Surgery Source Type: research

Feasibility, safety, and long-term efficacy of gastric peroral endoscopic myotomy (G-POEM) for postsurgical gastroparesis: a single-center and retrospective study of a prospective database
AbstractBackgroundPostsurgical gastroparesis is recognized as a gastrointestinal dysfunction syndrome following foregut surgery. Gastric peroral endoscopic myotomy (G-POEM) is suggested as a minimally invasive therapy for gastroparesis. But the long-term efficacy and safety of G-POEM in treating postsurgical gastroparesis are rarely explored.MethodsThe primary outcomes included the symptomatic improvement based on gastroparesis cardinal symptoms index (GCSI) and the improvement of gastric emptying. The secondary outcomes included the improvement of gastroesophageal reflux symptoms and complications of G-POEM.ResultsThe sev...
Source: Surgical Endoscopy - September 3, 2020 Category: Surgery Source Type: research

Intractable biliary obstruction after TIPS creation treated by magnet-assisted endoscopic biliary-duodenal anastomosis
ConclusionWe showed that magnet-assisted endoscopic biliary-duodenal anastomosis is a safe method, which is easy to perform and worthy of popularizing. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 3, 2020 Category: Surgery Source Type: research

A forward-viewing radial-array echoendoscope is useful for diagnosing the depth of colorectal neoplasia invasion
ConclusionsThe pit pattern and FRE methods offered similar diagnostic performance for invasion depth. Furthermore, the FRE method may be used to correctly diagnose cases that are unevaluable using the pit pattern method. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

Laparoscopic skills training: the effects of viewing mode (2D vs. 3D) on skill acquisition and transfer
ConclusionNovices demonstrate superior performance in laparoscopic skills training using a 3D viewing mode compared to 2D. However, this does not necessarily translate to superior performance in subsequent testing or enhanced learning overall. Rather, test performance appears to be dictated by the viewing mode used during testing, not that of prior training. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

Use of the MMPI-2 personality profile in predicting 30-day ED-visits and readmissions following primary bariatric surgery
AbstractBackgroundMinnesota Multiphasic Personality Inventory-2 (MMPI-2) is used for psychological screening of bariatric surgery (BS) candidates. To date, no studies have analyzed the relationship between MMPI-2 and early returns to hospital. The aim of this study was to determine whether highT scores on the MMPI-2 clinical scales were associated with early return to hospital after primary bariatric surgery.MethodsPatients who completed an MMPI-2 evaluation, undergoing primary BS from 2014 to 2016 were evaluated.T score for the tested scales were collected and stratified into a highT score (T >  65) vs not (T...
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

Utilizing functional lumen imaging probe in directing treatment for post-fundoplication dysphagia
AbstractBackgroundEsophagogastric junction obstruction (EGJO) post-fundoplication (PF) is difficult to identify with currently available tests. We aimed to assess the diagnostic accuracy of EGJ opening on functional lumen imaging probe (FLIP) and dilation outcome in FLIP-detected EGJO in PF dysphagia.MethodsWe prospectively collected data on PF patients referred to Esophageal Clinic over 18  months. EGJO diagnosis was made by (a) endoscopist’s description of a narrow EGJ/wrap area, (b) appearance of wrap obstruction or contrast/tablet retention on esophagram, or (c) EGJ-distensibility index (DI) 
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

De Garengeot hernia: a systematic review
ConclusionsOverall, De Garengeot hernias were found to be rare and clinically heterogeneous, as highlighted by our classification system. A systematic approach to categorizing this unique hernia may improve management decisions and help avoid complications. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

Length of Barrett ’s esophagus in the presence of low-grade dysplasia, high-grade dysplasia, and adenocarcinoma
ConclusionAlmost 20% of all dysplasia in BE occurs in BE  
Source: Surgical Endoscopy - September 2, 2020 Category: Surgery Source Type: research

Considering delay of cholecystectomy in the third trimester of pregnancy
AbstractIntroductionCurrent guidelines support laparoscopic cholecystectomy as the treatment of choice for pregnant women with symptomatic gallbladder disease, regardless of the trimester. Early intervention has remained the standard of care, but recent evidence has challenged this practice in pregnant women. We sought to compare surgical and maternal –fetal outcomes of antepartum versus postpartum cholecystectomy in New York State.MethodsBetween 2005 and 2014, the New York Statewide Planning and Research Cooperative System (SPARCS) database was queried for patients who underwent cholecystectomy within 3 months befor...
Source: Surgical Endoscopy - September 1, 2020 Category: Surgery Source Type: research

Retrograde artery first approach for “shoulder” pancreatic cancers in minimally invasive distal pancreatectomy
Conclusions“Shoulder” pancreatic cancers are clinically significant. Retrograde artery first approach is a potentially safe and effective alternative to achieve a radical resection margin for shoulder pancreatic cancers in minimally invasive era. More evidences are needed in the future. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 1, 2020 Category: Surgery Source Type: research

Good compliance to enhanced recovery program improves outcome after colorectal surgery
AbstractAim of the studyThe fast-track (FT) protocol consists of several measures to optimize physiologic response to the surgical stress and improve postoperative outcome. Our goal was to evaluate the compliance to our protocol and to analyze the effect of compliance to the FT protocol on postoperative outcome and postoperative hospital stay. We also aimed to identify isolated FT measures able to influence outcome.MethodsThis retrospective study involves a cohort of consecutive patients who underwent colorectal surgery within a FT protocol between 2007 and 2013. Beside basic demographics, adherence to protocol, postoperat...
Source: Surgical Endoscopy - September 1, 2020 Category: Surgery Source Type: research

Impact of age on morbidity and mortality following bariatric surgery
ConclusionOverall, bariatric surgery (SG or RYGB) remains a low mortality risk procedure for all age groups. However, all age group classifications  >  45 years had higher incidence of major complications and mortality compared to patients 18–45 years (despite older individuals having lower preoperative BMI) indicating delaying surgery is detrimental. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 1, 2020 Category: Surgery Source Type: research

Correction to: Pathological impact of transanal colorectal tube for obstructive colorectal cancer
In Methods of Abstract, the word “2015” should be changed to “2011”. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 1, 2020 Category: Surgery Source Type: research

Correction to: Impact of  age on morbidity and mortality following bariatric surgery
This article was updated to correct the spelling of Nicholas Dugan ’s first name: it is correct as displayed here. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 1, 2020 Category: Surgery Source Type: research

A randomized controlled trial comparing right and left lateral decubitus starting position on outcomes in colonoscopy
ConclusionThis study failed to show an association between cecal intubation time and patient position comparing right and left lateral starting position. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - July 1, 2020 Category: Surgery Source Type: research

Internal traction method using a spring-and-loop with clip  (S–O clip) allows countertraction in gastric endoscopic submucosal dissection
ConclusionsSLC may offer an efficient method for gastric ESD, with a short attachment procedure time. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - July 1, 2020 Category: Surgery Source Type: research