A systematic review of the effect of gastric pouch and/or gastrojejunostomy (stoma) size on weight loss outcomes with Roux-en-Y gastric bypass
ConclusionsThis review finds that a larger pouch or stoma size may be associated with adverse weight loss outcomes but the quality of data does not allow us to precisely determine optimum pouch or stoma size with RYGB. There is a need for more randomised data comparing long-term weight loss outcomes with pouches or stoma of different sizes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Splenic preservation versus splenectomy in laparoscopic distal pancreatectomy: a propensity score-matched study
ConclusionsPreserving the spleen during laparoscopic distal pancreatectomy is not associated with a lower postoperative morbidity compared to sacrificing the spleen. Tumor size is a risk factor for unplanned splenectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Surgical and nutritional outcomes of laparoscopic proximal gastrectomy versus total gastrectomy: a meta-analysis
AbstractBackgroundLaparoscopic proximal gastrectomy (LPG) is regarded as a less invasive surgery than laparoscopic total gastrectomy (LTG) for early gastric cancer located on the proximal side of the stomach. However, whether LPG is more effective than LTG remains unclear.MethodsA systematic literature search of studies assessing short-term surgical and nutritional outcomes after LPG and LTG was conducted. A meta-analysis of surgical outcomes (operative time, intraoperative estimated blood loss, postoperative complications, and length of hospital stay) and nutritional outcomes (decrease in body weight, albumin, hemoglobin,...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Endoscopic versus laparoscopic drainage of pseudocyst and walled-off necrosis following acute pancreatitis: a randomized trial
ConclusionsEndoscopic and laparoscopic techniques have similar efficacy for internal drainage of suitable pancreatic fluid collections with
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Laparoscopic and open surgery in rectal cancer patients in Germany: short and long-term results of a large 10-year population-based cohort
AbstractBackgroundRectal cancer is frequent in Germany and worldwide. Several studies have assessed laparoscopic surgery as a treatment option and most have shown favorable results. However, long-term oncologic safety remains a controversial issue.MethodsThe current dataset derives from 30 clinical cancer registries in Germany and includes 16,378 patients diagnosed with rectal cancer between 2007 and 2016. Outcomes were 90-day mortality, overall survival (OS), local recurrence-free survival (RFS) and relative survival of patients treated with either open or laparoscopic surgery. Multivariable logistic regression was used t...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Performance of Indocyanine green for sentinel lymph node mapping and lymph node metastasis in colorectal cancer: a diagnostic test accuracy meta-analysis
AbstractBackgroundIndocyanine green has been widely employed as a secure and easy technique for sentinel lymph node mapping in different types of cancer. Nonetheless, the usage of Indocyanine green has not been fully implemented due to the heterogeneous results found in published studies. Thus, the objective of this meta-analysis is to evaluate the overall performance of Indocyanine green for sentinel lymph node mapping and node metastasis in patients undergoing colorectal cancer surgery.MethodsAn extensive systematic search was performed to identify relevant studies in English and Spanish with no time limit restrictions. ...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Anti-reflux mucosectomy using a cap-assisted endoscopic mucosal resection method for refractory gastroesophageal disease: a prospective feasibility study
This study aimed to in vestigate the short-term outcomes of ARMS-C in GERD patients.MethodsFrom December 2016 to February 2018, we performed ARMS-C in 33 patients with pathologic reflux disease and esophageal hypersensitivity. ARMS-C involved endoscopic mucosal resection at the circumference of the esophagogastric junction (EGJ), resulting in narrowing of the hiatal opening after healing. The GERD symptoms, 24-h pH monitoring results, manometry, endoscopy, and EGJ distensibility were compared before and after the procedure.ResultsSix months after ARMS-C, 63% of patients discontinued the use of pump inhibitors (PPIs), while...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Timed screening colonoscopy: a randomized trial of two colonoscopic withdrawal techniques
ConclusionsFixed withdrawal times did not prove to lead to an increase in the number of detected adenomas. Nevertheless, our study supports previous reports stating that longer withdrawal times are indeed associated with better proximal and distal adenoma detection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Surgical outcomes according to the type of monopolar electrocautery device used in laparoscopic surgery for right colon cancer: a comparison of endo-hook versus endo-shears
AbstractBackgroundAlthough monopolar electrocautery is preferred by many laparoscopic surgeons and is more cost-effective than bipolar or ultrasonic scissors, few studies have compared these outcomes between different monopolar electrocautery devices used in laparoscopic surgery. Therefore, this study compared the surgical outcomes between monopolar endo-hook versus endo-shears during laparoscopic right hemicolectomy for right colon cancer.MethodsUsing a prospective database of patients treated at our institute, we analyzed the surgical outcomes of 358 consecutive patients with right colon cancer who underwent curative lap...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case –controlled study of the MBSAQIP database
In this study, we used a large national risk-stratified bariatric clinical database to compare outcomes between robotic and laparoscopic gastric bypass (RNYGB) and sleeve gastrectomy (SG).MethodsA retrospective analysis of the 2015 and 2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Participant Use Data File (PUF) was performed. Primary robotic and laparoscopic RYNGB and SG were analyzed. Descriptive analysis was performed of the unmatched cohorts, followed by 1:3 case-controlled matching. Cases and controls were matched by patient demographics and pre-operative comorbidities, a...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Safety and feasibility of laparoscopic sigmoid resection without diversion in perforated diverticulitis
AbstractBackgroundLaparoscopic primary anastomosis (PA) without diversion for diverticulitis has historically been confined to the elective setting. Hartmann ’s procedure is associated with high morbidity rates that might be reduced with less invasive and one-step approaches. The aim of this study was to analyze the results of laparoscopic PA without diversion in Hinchey III perforated diverticulitis.MethodsWe performed a retrospective analysis of a prospectively collected database of all patients who underwent laparoscopic sigmoidectomy for diverticular disease during the period 2000 –2018. The sample was divi...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Correction to: Efficacy and safety of endoscopic balloon dilation in inflammatory bowel disease: results of the large multicenter study of the ENEIDA registry
Javier P. Gisbert was listed incorrectly as Javier P érez-Gisbert. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Correction to: Trocar site closure with a novel anchor-based (neoClose ® ) system versus standard suture closure: a prospective randomized controlled trial
After careful review, the authors have noticed the following mistakes in the article entitled “Trocar site closure with a novel anchor based (neoClose®) system versus standard suture closure: A prospective randomized controlled trial”: - Correct closure times are 19.9 seconds (SD 9.9) for the study group and 31.0 seconds (SD 20.1) for the control group (initial incorrect values were 20 .2 seconds (SD 10.1) and 30 seconds (SD 19.1) respectively). The new correct P-value is
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Correction to: Laparoscopic and open surgery in rectal cancer patients in Germany: short and long-term results of a large 10-year population-based cohort
The article, “Laparoscopic and open surgery in rectal cancer patients in Germany: short and long‑term results of a large 10-year population-based cohort,” written by Valentin Schnitzbauer, Michael Gerken, Stefan Benz, Vinzenz Völkel,, Teresa Draeger, Alois Fürst, and Monika Klinkhammer-Schalke was origin ally published electronically on the publisher’s internet portal (currently SpringerLink) on 30 May 2019 without open access. With the author(s)’ decision to opt for Open Choice the copyright of the article changed on September 18, 2019 to © The Author(s) [Year] and the article is f...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Correction to: Utility of functional lumen imaging probe in esophageal measurements and dilations: a single pediatric center experience
This article has been corrected to include the middle initial of senior author Mouen A. Khashab. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Benchmarking patient satisfaction scores in a colorectal patient population
ConclusionPress Ganey scores were found to vary significantly. Patients with a neoplasia diagnosis reported higher overall satisfaction, Care Provider, Nurse Assistant, and Personal Issues scores. Adjustment for disease condition is important when assessing patient satisfaction as an indicator of quality and as a metric for reimbursement. This study adds to increasing evidence about bias in these scores. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 10, 2020 Category: Surgery Source Type: research

Microanatomy-based standardization of left upper mediastinal lymph node dissection in thoracoscopic esophagectomy in the prone position
AbstractBackgroundAlthough thoracoscopic esophagectomy in the prone position (TEPP) has become a standard procedure for esophageal cancer surgery, upper mediastinal lymph node dissection (UMLND) on the left side remains an issue. We have recently developed a new standardized approach to left UMLND in TEPP based on the microanatomy of the membranes and layers with the aim of achieving quick and safe surgery. The purpose of this study was to establish and evaluate our new standardized procedure in left UMLND.Patients and methodsPatients were divided into 2 groups: a pre-standardization group (n = 100) and a pos...
Source: Surgical Endoscopy - February 10, 2020 Category: Surgery Source Type: research

Minimally invasive approach to hiatal hernia repair is superior to open, even in the emergent setting: a large national database analysis
AbstractBackgroundWe aimed to examine the outcomes and utilization of different hiatal hernia repair (HHR) approaches in elective and emergent/urgent settings. Methods: Vizient 2015 –2017 database was queried for adult patients who underwent HHR. Patients were grouped into open (OHHR), laparoscopic (LHHR), or robotic-assisted (RHHR), and further stratified by elective or urgent status and severity of illness at admission. Surgical outcomes and costs were compared across all g roups. Statistical analysis were done using SPSS v.25.0.Results9171 adults were included (OHHRN = 1534;LHHRN = 6796...
Source: Surgical Endoscopy - February 10, 2020 Category: Surgery Source Type: research

Postoperative drain after transoral endoscopic thyroidectomy vestibular approach (TOETVA) with single incision
ConclusionIn TOETVA, a small drain can provide a good cosmetic appearance and reliable drainage. The main exudation period of the wound is within 8  h after the operation. If a residual volume of less than 11 ml is considered to be self-absorbable, the shortest safe extubation point for 95% of patients should be 32 h after the operation. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 7, 2020 Category: Surgery Source Type: research

Effect of hospital teaching status on endoscopic retrograde cholangiopancreatography mortality and complications in the USA
AbstractBackgroundOur aim was to assess the differences in outcomes of cholecystitis, pancreatitis, gastrointestinal (GI) bleed, GI perforation, and mortality in teaching versus nonteaching hospitals nationwide among therapeutic and diagnostic ERCPs. We hypothesized that complication rates would be higher in teaching hospitals given greater patient complexity.MethodsInpatient diagnostic and therapeutic ERCPs were identified from the National Inpatient Sample (NIS) from 2008 to 2012. The presence of ACGME-approved residency programs is required to qualify as a teaching hospital. Nonteaching urban and rural hospitals were gr...
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Laparoscopic parastomal hernia repair delays recurrence relative to open repair
AbstractBackgroundMesh repair of parastomal hernia is widely accepted as superior to non-mesh repair, yet the most favorable surgical approach is a subject of continued debate. The aim of this study was to compare the clinical outcomes of open versus laparoscopic parastomal hernia repair.MethodsAn IRB-approved retrospective review was conducted comparing laparoscopic (LPHR) or open (OPHR) parastomal hernia repair performed between 2009 and 2017 at our facilities. Patient demographics, preoperative characteristics, operative details, and clinical outcomes were compared by surgical approach. Subgroup analysis was performed b...
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Simulation training for the endoscopic management of upper gastrointestinal bleeding: a nationwide survey of rural surgeons ’ needs and preferences analysis
ConclusionRural surgeons frequently perform flexible endoscopy in their practice and are interested in further training for the endoscopic management of NVUGIB. These results will be used to develop a simulation platform for training in the endoscopic management of NVUGIB that meets rural surgeons ’ needs. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Totally extraperitoneal approach for open complex abdominal wall reconstruction
ConclusionsTEVHR is a safe alternative to traditional transabdominal approaches to ventral hernia repair. The extraperitoneal dissection facilitates hernia repair, avoiding peritoneal entry and adhesiolysis, resulting in decreased operative times.  In our study, there was low risk for postoperative bowel obstruction and enterotomy. Future prospective studies with long-term follow-up are required to draw definitive conclusions. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Effect of antiplatelet agent number, types, and pre-endoscopic management on post-polypectomy bleeding: validation of endoscopy guidelines
ConclusionsAnalysis of this large polypectomy dataset showed that the use of low-dose aspirin, thienopyridine, or cilostazol and a combination of these is associated with increased PPB risk. Although PPB risk was high with DAPT or TAPT, PPB rate in any antiplatelet monotherapy even with a continuing strategy was low at  
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Impact of fragmentation on rehospitalization after bariatric surgery
AbstractBackgroundThe care of patients who have undergone bariatric surgery is complex and requires a multidisciplinary approach. As such, these patients may be prone to fragmentation of care and differences in healthcare outcomes. We aimed to (1) determine the incidence of fragmentation among patients after Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG), (2) identify risk factors for readmission, and (3) ascertain whether care fragmentation affects outcomes.MethodsThis is a retrospective cohort study using the National Readmission Database 2016. Patients were included if they had primary bariatric surgery duri...
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Correction to: Outcomes of endoscopic treatment for malignant biliary obstruction in patients with surgically altered anatomy: analysis of risk factors for clinical failure
There are several places where the P-value and Odds ratio in Table  3 are incorrect: these are shown in the corrected Table 3 below. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Long-term oncological outcomes of laparoscopic versus open transhiatal resection for patients with Siewert type II adenocarcinoma of the esophagogastric junction
ConclusionsLong-term outcomes of the LTH group were not inferior to those of the OTH group, suggesting the possibility of LTH as a treatment option for selected patients with Siewert type II AEG. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 5, 2020 Category: Surgery Source Type: research

Functional outcomes after laparoscopic versus robotic-assisted rectal resection: a systematic review and meta-analysis
AbstractSurgical resection is crucial for curative treatment of rectal cancer. Through multidisciplinary treatment, including radiochemotherapy and total mesorectal excision, survival has improved substantially. Consequently, more patients have to deal with side effects of treatment. The most recently introduced surgical technique is robotic-assisted surgery (RAS) which seems equally effective in terms of oncological control compared to laparoscopy. However, RAS enables further advantages which maximize the precision of surgery, thus providing better functional outcomes such as sexual function or contience without compromi...
Source: Surgical Endoscopy - February 5, 2020 Category: Surgery Source Type: research

A new method of near-infrared fluorescence image-guided hepatectomy for patients with hepatolithiasis: a  randomized controlled trial
ConclusionsThese data demonstrate the efficacy of NIRF imaging with ICG using DPM-I for treating hepatolithiasis. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 4, 2020 Category: Surgery Source Type: research

A novel preoperative scoring system to predict technical difficulty in laparoscopic splenectomy for non-traumatic diseases
AbstractBackgroundLaparoscopic splenectomy (LS) has been proven to be a safe and advantageous procedure. To ensure that resections of appropriate difficulty are selected, an objective preoperative grading of difficulty is required. We aimed to develop a predictive difficulty grading of LS based on intraoperative complications.MethodsA total of 272 non-traumatic patients who underwent LS were identified from a regional medical center. Patients were randomized into a training cohort (n = 222) and a validation cohort (n = 50). Data on demographics, medical and surgical history, operative and pathol...
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Laparoscopic common bile duct exploration for elderly patients with choledocholithiasis: a systematic review and meta-analysis
ConclusionAlthough there is associated with higher pulmonary complication, LCBDE is still considered as a safe and effective treatment for elderly patients with choledocholithiasis. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Resection of the gastric submucosal tumor (G-SMT) originating from the muscularis propria layer: comparison of efficacy, patients ’ tolerability, and clinical outcomes between endoscopic full-thickness resection and surgical resection
ConclusionFor treatment of MP-derived G-SMTs (with or without ulceration), our study showed the feasibility and safety of EFTR, which also provided better results in terms of procedural blood loss, the postoperative bowel function restoration and cost-effectiveness when compared to surgery, whereas the surgery was superior in en bloc resection rate for G-SMTs larger than 30  mm. The postprocedural clinical outcomes seemed to be equivalent in these two resection methods. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Laparoscopic fundoplication for refractory GERD: a procedure worth repeating if needed
ConclusionsPatients who undergo reoperative fundoplication experience a significant improvement in their GERD-related symptoms, although not to the degree seen in primary antireflux surgery patients. Perioperative morbidity rates following reoperative and primary procedures can be similar in the hands of an experienced surgeon. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Minimally invasive esophagectomy and radical lymph node dissection without recurrent laryngeal nerve paralysis
ConclusionThe native tissue preservation technique may reduce the incidence of recurrent laryngeal nerve paralysis after minimally invasive esophagectomy with radical lymph node dissection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

The association of penicillin allergy with outcomes after open  ventral hernia repair
This study evaluates the relationship of PA to outcomes after open ventral hernia repair (OVHR).MethodsA prospective institutional database was queried for patients undergoing OVHR. Demographics, operative characteristics, and outcomes were evaluated by the reported PA and the administration of beta-lactam prophylaxis (BLP).ResultsAllergy histories were reviewed in 1178 patients. PA was reported in 21.6% of patients, with 55.5% reporting rash or hives, 15.0% airway compromise or anaphylaxis, and 29.5% no specific reaction. BLP was administered to 76.3% of patients, including 22.1% of PA patients and 89.9% of patients witho...
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

A prospective randomized controlled trial comparing simethicone, N -acetylcysteine, sodium bicarbonate and peppermint for visualization in upper gastrointestinal endoscopy
ConclusionsThe application of simethicone plus NAC is safe, improves endoscopic visualization and requires a minimal amount of mucosal cleansing solution. The addition of sodium bicarbonate and peppermint further improved visualization for the upper and lower gastric body.Thai Clinical Trials Registry (TCTR) with a reference number; TCTR20190501002. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Has National Colorectal Cancer Awareness Month increased endoscopy screening rates and public interest in colorectal cancer?
ConclusionsNational Colorectal Cancer Awareness Month is associated with an increased public interest in colorectal cancer based on user Google search trends. Yet, this has not translated into a demonstrable increase in the rates of screening. This presents an opportunity to capitalize on this increased public interest and harness this enthusiasm into increased screening. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 3, 2020 Category: Surgery Source Type: research

Minimally invasive colectomy is associated with reduced risk of anastomotic leak and other major perioperative complications and reduced hospital resource utilization as compared with open surgery: a retrospective population-based study of comparative effectiveness and trends of surgical approach
AbstractBackgroundWe used a population-based database to: (1) compare clinical and economic outcomes between minimally invasive surgery (MIS) and open surgery (OS) for colectomy; and (2) evaluate contemporary trends in MIS rates.MethodsRetrospective Premier Healthcare Database review of patients undergoing elective inpatient colectomy between January 1, 2010 and September 30, 2017 (first  = index admission). Patients were classified into MIS (laparoscopic/robotic) or OS groups, and by left or right colectomy. Propensity score matching (1:1 ratio) of MIS and OS groups was used to address potential confounding ...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

A randomized Comparison of laparoscopic LEns defogging using Anti-fog solution, waRm saline, and chlorhexidine solution (CLEAR)
AbstractObjectiveCurrent literature demonstrates a lack of comparative in vivo studies regarding laparoscopic lens fogging (LLF). This randomized trial aimed to compare 3 popular methods of minimizing or reducing LLF in laparoscopic surgery by heating the lens using warm saline, applying anti-fog solution to the lens, and rubbing the lens with chlorhexidine solution.MethodsNinety-six participants underwent randomization to be allocated in control (n = 24), warm saline (n = 24), anti-fog solution (n = 24), and chlorhexidine groups (n = 24). The primary outcome measure ...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Detrimental impact of symptom-detected colorectal cancer
AbstractBackgroundThe incidence and mortality rates of colorectal cancer (CRC) have been steadily decreasing, largely attributable to screening colonoscopies that either remove precancerous lesions or identify CRC earlier. We aimed to assess the prognostic difference between colorectal cancers diagnosed by screening (SC), diagnostic (DC), or surveillance (SU) colonoscopies.MethodsAll 1809 surgically treated patients with primary CRC diagnosed through colonoscopy at our tertiary center (2004 –2015) were extracted from a prospectively maintained database. Oncologic outcomes were compared, including multivariate Cox reg...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Endoscope rotating technique is useful for difficult colorectal endoscopic submucosal dissection
ConclusionThe endoscope rotating is a useful technique for difficult colorectal ESD due to easy approaching the proper dissection plane. This technique also increases the rate of en bloc resections, R0 resections regardless of size, shape, and location and improves dissection speed without increasing the incidence of adverse events. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

The impact of component separation technique versus no component separation technique on complications and quality of life in the repair of large ventral hernias
ConclusionThe use of CST versus No-CST in the repair of large VHs results in an increased risk of wound complications but does not increase the hernia recurrence rate. In the largest QOL comparative study to date, CST ’s generation of myofascial advancement flaps does not negatively impact patient QOL in the repair of large ventral hernias in the short or long term. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Laparoscopic liver resection for segment VII lesion using a combination of rubber band retraction method and flexible laparoscope
ConclusionThe combination technique of rubber band retraction and flexible laparoscopic camera allowed feasible and safe LLR for segment VII lesions that showed postoperative outcomes comparable to other segment lesions. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Pre-clinical study on a telemetric gastric sensor for recognition of acute upper gastrointestinal bleeding: the “HemoPill monitor”
ConclusionsThe study clearly demonstrated the capability of the HemoPill sensor prototype to detect clinically relevant bleedings with high sensitivity and specificity (>  80%) when the sensor was positioned close to the bleeding site. The sensors proved to be robust against artefact effects from stomach content. These are favorable findings that underline the potential benefit for the use of the HemoPill sensor in monitoring patients with a risk of re-bleeding in the upper gastrointestinal tract. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Lower rate of conversion using robotic-assisted surgery compared to laparoscopy in completion total gastrectomy for remnant gastric cancer
AbstractBackgroundCompletion total gastrectomy with radical lymphadenectomy for remnant gastric cancer is a technically demanding procedure. No previous studies have compared laparoscopic to robotic-assisted completion gastrectomy, whereas a few small case series have reported benefits of minimally invasive surgery over open surgery. The aim of this study is to assess the effectiveness and feasibility of robotic-assisted compared with laparoscopic completion gastrectomy for the treatment of remnant gastric cancer.MethodsWe retrospectively reviewed data from 55 patients who underwent minimally invasive completion gastrectom...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Clinical efficacy of per-oral endoscopic myotomy (POEM) for spastic esophageal disorders: a systematic review and meta-analysis
ConclusionsWhile it is well known that POEM is a safe and effective treatment for spastic esophageal disorders, we conclude that variation in total myotomy length and prior endoscopic or medical treatments did not have a significant effect on clinical success. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Video-based coaching in surgical education: a systematic review and meta-analysis
The objective of this systematic review was to summarize the existing evidence of video-based coaching (VBC) and compare VBC to traditional master-apprentice-based surgical education.MethodsWe performed a systematic review and meta-analysis of randomized controlled trials (RCT) assessing VBC according to the PRISMA and Cochrane guidelines. The MEDLINE, EMBASE, and COCHRANE and Researchgate databases were searched for eligible manuscripts. Standard mean difference (SMD) of performance scoring scales was used to assess the effect of VBC versus traditional training without VBC (control).ResultsOf 627 studies identified, 24 RC...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Self-directed training with e-learning using the first-person perspective for laparoscopic suturing and knot tying: a randomised controlled trial
ConclusionModifying instructional videos to the first-person perspective did not translate into a better performance in this setting but was welcomed by participants. Completely self-directed training with the use of e-learning can be a feasible training approach to achieve technical proficiency in laparoscopic suturing and knot tying in a training setting. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Assessing the efficacy and safety of laparoscopic antireflux procedures for the management of gastroesophageal reflux disease: a systematic review with network meta-analysis
ConclusionLaparoscopic 270 ° fundoplication achieves a better outcome than 360° total fundoplication, especially in terms of postoperative dysphagia, although other types of partial fundoplication might be equally effective.Registration no.CRD42017074783. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research

Outcomes and impact of laparoscopic inguinal hernia repair versus open inguinal hernia repair on healthcare spending and employee absenteeism
This study compares the impact of open (OIHR) versus laparoscopic (LIHR) inguinal hernia repair on healthcare spending and postoperative outcomes.MethodsThe TRUVEN database was queried using ICD9 procedure codes for open, laparoscopic, and robotic-assisted IHR, from 2012 to 2013. Patients  >  18 years of age and continuously enrolled for 12 months postoperatively were included. Demographics, patient comorbidities, postoperative complications, pain medication use, length of hospital stay, missed work hours, postoperative visits, and overall expenditure were collected, and assessed at time of surge...
Source: Surgical Endoscopy - January 14, 2020 Category: Surgery Source Type: research