Pure laparoscopic donor right hepatectomy: perspectives in manipulating a flexible scope
ConclusionsPLDRH can be successfully performed with maximizing visibility given by the tips and pitfalls in manipulating the flexible scope. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Routine esophageal manometry is not useful in patients with normal videoesophagram
AbstractBackgroundVideoesophagram (VEG) and esophageal manometry (EM) are components of the preoperative evaluation for foregut surgery. EM is able to identify motility disorders and diminished contractility that may alter surgical planning. However, there are no clearly defined criteria to guide this. Reliable manometry is not always easily obtained, and therefore its necessity in routine preoperative evaluation is unclear. We hypothesized that if a patient has normal videoesophagram, manometry does not reveal clinically significant esophageal dysfunction.MethodsWe reviewed patients who underwent protocolized videoesophag...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Evaluating competency in video-assisted thoracoscopic surgery (VATS) lobectomy performance using a novel assessment tool and virtual reality simulation
This study aimed to provide validity evidence for a newly developed and dedicated tool for assessing competency in Video-Assisted Thoracoscopic Surgery (VATS) lobectomy.MethodsParticipants with varying experience with VATS lobectomy were included from different countries. Video recordings from participants ’ performance of a VATS right upper lobe lobectomy on a virtual reality simulator were rated by three raters using a modified version of a newly developed VATS lobectomy assessment tool (the VATSAT) and analyzed in relation to the unitary framework (content, response process, internal structure, r elation to other ...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Real-time diagnosis of Barrett ’s esophagus: a prospective, multicenter study comparing confocal laser endomicroscopy with conventional histology for the identification of intestinal metaplasia in new users
This study examined the role of pCLE in BE screening and surveillance as compared to the Seattle Protocol.MethodsPatients undergoing BE screening or surveillance endoscopy were enrolled at eight US centers. Optical biopsy using pCLE was interpreted in real time. Endoscopists performing pCLE were new users with a median experience of 8.5  months and no formal training in surgical pathology. Seattle Protocol biopsies were then taken. Recorded pCLE images were reviewed by a blinded expert in optical biopsy interpretation.ResultsEarly pCLE users identified significantly more patients with IM than the Seattle Protocol over...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Morbidity after transanal endoscopic microsurgery: risk factors for postoperative complications and the design of a 1-day surgery program
AbstractBackgroundTransanal endoscopic microsurgery(TEM) is a minimally invasive procedure with low morbidity. The definition of risk factors for postoperative complications would help to identify the patients likely to require more care and surveillance in an ambulatory or 1-day surgery (A-OdS) program. The main endpoints are overall 30-day morbidity and relevant morbidity. The secondary objectives are to detect risk factors for complications, rehospitalization, and the time of occurrence of the postoperative complications, and to describe the adverse effects following hospitalization that the A-OdS program would avoid.Me...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Polyp size of 1  cm is insufficient to discriminate neoplastic and non-neoplastic gallbladder polyps
This study assessed a national cohort of histopathologically proven gallbladder polyps to distinguish neoplastic from non-neoplastic polyps.MethodsPALGA, the nationwide network and registry of histo- and cytopathology, was searched to identify all histopathologically proven gallbladder polyps between 2003 and 2013. All polyps and (focal) wall thickenings  >  5 mm were included, and classified as neoplastic or non-neoplastic. Polyp subtype, size, distribution, presentation as wall thickening or protruding polyp, and presence of gallstones were assessed for neoplastic and non-neoplastic polyps. A decisi...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

High cardiovascular risk patients benefit more from bariatric surgery than low cardiovascular risk patients
AbstractIntroductionAtherosclerotic cardiovascular disease (ASCVD) and Framingham risk scores (FRS) are used to calculate 10-year risk of coronary death, nonfatal myocardial infarction, or fatal/nonfatal stroke. Our goal is to evaluate the association between preoperative cardiovascular risk and weight loss.MethodsWe retrospectively reviewed bariatric surgeries from 2010 to 2016. Patients who met criteria for calculating 10-year ASCVD score and FRS were included. Data collected included baseline demographics, perioperative parameters, and postoperative outcomes at 12  months. Simple linear regression and multiple line...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

A novel technique of pancreaticojejunostomy for laparoscopic pancreaticoduodenectomy
ConclusionsBing ’s anastomosis is a safe, reliable, and rapid PJ technique for LPD that is associated with favorable outcomes and a low risk of pancreatic fistula. However, its safety and feasibility should be verified by performing prospective randomized controlled trials at different institutions. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Does rating with a checklist improve the effect of E-learning for cognitive and practical skills in bariatric surgery? A rater-blinded, randomized-controlled trial
ConclusionThis study presents evidence that the use of a BOSATS checklist during E-learning helps trainees to improve their knowledge acquisition with E-learning. The transfer from mental training to the simulated OR environment seems to be partially enhanced by use of the BOSATS checklist. However, more research is required to investigate potential benefits. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Baseline psychiatric diagnoses are associated with early readmissions and long hospital length of stay after bariatric surgery
AbstractBackgroundThe impact of well-controlled or historical psychiatric diagnoses in patients seeking bariatric surgery (BS) on perioperative outcomes is unclear. The primary objective of this study was to determine the impact of psychiatric diagnoses on hospital length of stay (LOS), 30-day readmission rates after BS, and post-operative weight loss outcomes.MethodsPatients who underwent laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (LRNYGB) from 2014 to 2016 at a single academic institution were retrospectively reviewed. Baseline demographic data and psychiatric history including depression, anxiety,...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Robot-assisted versus laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a propensity score-matched comparative analysis using the 2015 –2016 MBSAQIP database
This study compares 30-day outcomes between robotic-assisted and laparoscopic procedures for Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).MethodsUsing the 2015 –2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database, patients between18- and 65-year-old were included. To adjust for potential confounders, 1:1 propensity-score matching (PSM) was performed using 22 preoperative characteristics. Second PSM analys is was performed adding operative time and conversion rate.Results269,923 patients underwent SG (n = 190,494) or RYGB (n =&thinsp...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Quantitative analysis of colon perfusion pattern using indocyanine green (ICG) angiography in laparoscopic colorectal surgery
ConclusionsQuantitative analysis of ICG perfusion patterns usingT1/2MAX and TR can be applied to detect segments with poor perfusion, thereby reducing anastomotic complications during laparoscopic colorectal surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Novel device to detect enterotomies in real time during laparoscopy: first in human trial during Roux-en-y gastric bypass
AbstractBackgroundUndetected bowel perforations occur in 0.3 –1% of laparoscopic surgical procedures with an associated mortality rate of 5.3%.ObjectiveThe purpose of the study was to evaluate the clinical feasibility of a novel medical device to accurately detect bowel gas, specifically hydrogen (H2) and methane (CH4), from a sample of gas from the abdominal cavity during laparoscopic surgery when a known bowel wall perforation has occurred. Setting: University (Academic) Hospital.MethodsA prospective single arm study was composed of 8 patients undergoing a standard laparoscopic roux-en-y gastric bypass. At seven ti...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

A comparison between one- and two-stage revisional gastric bypass
ConclusionThe performance of one-stage revisional LRYGB after failed LAGB seems to be a safe procedure, with noninferior outcomes when compared to a two-stage revisional procedure. It is a valid option, except in cases of mechanical and infectious band complications. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Meta-analysis of short- and long-term outcomes after pure laparoscopic versus open liver surgery in hepatocellular carcinoma patients
AbstractBackgroundThe advantages of laparoscopy are widely known. Nevertheless, its legitimacy in liver surgery is often questioned because of the uncertain value associated with minimally invasive methods. Our main goal was to compare the outcomes of pure laparoscopic (LLR) and open liver resection (OLR) in patients with hepatocellular carcinoma.MethodsWe searched EMBASE, MEDLINE, Web of Science, and The Cochrane Library databases to find eligible studies. The most recent search was performed on December 1, 2017. Studies were regarded as suitable if they reported morbidity in patients undergoing LLR versus OLR. Extracted ...
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Effect of ilaprazole on the healing of endoscopic submucosal dissection-induced gastric ulcer: randomized-controlled, multicenter study
ConclusionsAccording to this trial, ilaprazole and rabeprazole showed no significant difference in the healing of artificial gastric ulcers. Most of the ulcers achieved complete healing within 4 –8 weeks. Trial registration: ClinicalTrial.gov NCT02638584. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2019 Category: Surgery Source Type: research

Predictors and outcomes of converted minimally invasive pancreaticoduodenectomy: a propensity score matched analysis
AbstractBackgroundData-driven patient selection guidelines are not available to optimize outcomes in minimally invasive pancreaticoduodenectomy (MIPD). We aimed to define risk factors associated with conversion from MIPD to open PD and to determine the impact of conversion on post-operative outcomes.MethodsWe conducted a retrospective review of MIPD using NSQIP from 2014 to 2015. Propensity score was used to match patients who underwent completed MIPD to converted MIPD.Results467 patients were included: 375 (80.3%) MIPD and 92 (19.7%) converted. Converted patients were more often male (64% vs. 52%,p = 0.030),...
Source: Surgical Endoscopy - April 23, 2019 Category: Surgery Source Type: research

Safety and location analysis of transumbilical endoscopic submucosal dissection with single-basin lymph node dissection in the upper gastric body: a porcine model
In this study, we aimed to verify locations at which it is feasible to perform TU-ESD in the upper gastric body and to demonstrate the safety of TU-ESD in single-basin lymph node dissection (SBLND).MethodsIn vitro, TU-ESD was performed at three lesion sites (anterior wall, AW; posterior wall, PW; and lesser curvature, LC) in each porcine stomach using an EASIE-R tray (cases  = 10). In vivo, TU-ESD was performed with SBLND in 9 pigs. Seven days after the operation, the pigs were sacrificed and examined.ResultsIn the in vitro feasibility study, the TU-ESD time was significantly faster in the PW group (5.9 &thin...
Source: Surgical Endoscopy - April 23, 2019 Category: Surgery Source Type: research

Fashioning enterotomy closure after totally laparoscopic ileocolic anastomosis for right colon cancer: a multicenter experience
ConclusionsFashioning a stapled ileocolic intracorporeal anastomosis, we can recommend the adoption of a double-layer enterotomy closure using a running barbed suture in the first layer. Totally, stapled closure and robotic assistance have to be considered a non-inferior alternative. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 22, 2019 Category: Surgery Source Type: research

Safety and efficacy of magnetic anchoring electrode-assisted irreversible electroporation for gastric tissue ablation
ConclusionsMAE-assisted IRE is safe and effective for normal gastric tissue ablation and the gastric wall recovered in 14 –28 days post-IRE. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 22, 2019 Category: Surgery Source Type: research

Mesenteric excision of upper esophagus: a concept for rational anatomical lymphadenectomy of the recurrent laryngeal nodes in thoracoscopic esophagectomy
ConclusionThe mesoesophagus in the upper mediastinum is an anatomical unit surrounded by fibrous connective tissue containing the esophagus, trachea, tracheoesophageal vessels, lymphatic tissue, and RLNs. Thus, mesenteric excision of esophagus is defined to resect this area by sparing trachea and RLNs for rational anatomical lymphadenectomy. We believe that this concept makes upper mediastinal lymphadenectomy safer and more appropriate. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 22, 2019 Category: Surgery Source Type: research

Incidence and predictors of postoperative ileus after loop ileostomy closure: a systematic review and meta-analysis
ConclusionsPOI is an important complication after loop ileostomy closure, and its incidence is dependent on its definition. More research aimed at studying this complication is required to better understand risk factors for POI after loop ileostomy closure. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2019 Category: Surgery Source Type: research

Correction to: Discrimination between arterial and venous bowel ischemia by computer-assisted analysis of the fluorescent signal
In the original version, Ines Gockel was omitted as a coauthor. The complete author listing is corrected here. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2019 Category: Surgery Source Type: research

Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review
ConclusionsThis systematic review of staple-line leaks following LSG demonstrated a significantly lower rate using APM staple-line reinforcement as compared to oversewing, use of sealants, BPS reinforcement, or no reinforcement. Variation in surgical technique may also contribute to leak rates. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 16, 2019 Category: Surgery Source Type: research

Long-term outcomes of superficial neoplasia at the esophagogastric junction treated via endoscopic submucosal dissection and endoscopic submucosal tunnel dissection: a cohort study of a single center from China
ConclusionsIn conclusion, ESD was shown to be a safe and effective treatment strategy for early EGJ neoplasia. Mucosal adhesion may increase the difficulty of piecemeal curative resection, but the superficial depth of such an invasion favors better clinical outcomes. Additional surgical resection is a good choice for non-curative ESD, and re-ESD is also an alternative, in conjunction with intensive follow-up. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 16, 2019 Category: Surgery Source Type: research

A systematic review and meta-analysis comparing the short- and long-term outcomes for laparoscopic and open liver resections for liver metastases from colorectal cancer
ConclusionLaparoscopic liver resection for CRLM offers improved short-term outcomes with comparable long-term outcomes when compared to open approach. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 15, 2019 Category: Surgery Source Type: research

Mucosal loss as a critical factor in esophageal stricture formation after mucosal resection: a pilot experiment in a porcine model
ConclusionThe extent of loss of esophageal mucosa appears to be a critical factor for esophageal stricture. Inflammation followed by fibrosis may contribute to alteration in compliance of the esophagus but is not the main mechanism of postresection stricture. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 12, 2019 Category: Surgery Source Type: research

Correction to: Safety of orogastric tubes in foregut and bariatric surgery
The article “Safety of orogastric tubes in foregut and bariatric surgery,” written by Kulvir Nandra and Richard Ing, was originally published Online First without Open Access. After publication in volume 32, issue 10, pages 4068–4070, the authors decided to opt for Open Choice and to make the article an O pen Access publication. Therefore, the copyright of the article has been changed to © The Author(s) 2018 and the article is forthwith distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, duplicati ...
Source: Surgical Endoscopy - April 12, 2019 Category: Surgery Source Type: research

Efficacy and safety of radiofrequency ablation versus minimally invasive liver surgery for small hepatocellular carcinoma: a systematic review and meta-analysis
ConclusionsWe found that MIS led to higher OS, DFS, and lower local recurrences in SHCC patients. Meanwhile, RFA treatments led to significantly lower complication rates, shorter operation times, and hospitalization duration. Considering long-term outcomes, MIS was found to be superior to RFA. However, RFA may be an alternative treatment for patients presenting a single SHCC nodule ( ≤ 3 cm), given its minimally invasive nature and its comparable long-term efficacy with MIS. Nevertheless, our findings should be explained with caution due to the low level of evidence obtained. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 11, 2019 Category: Surgery Source Type: research

The determination of real fluid requirements in laparoscopic resection of pheochromocytoma using minimally invasive hemodynamic monitoring: a prospectively designed trial
ConclusionsAs vasoplegia, but not hypovolemia, was documented after tumor resection, there is no evidence that PCC patients profit from liberal fluid administration during laparoscopic adrenalectomy. To avoid volume overload, noninvasive techniques such as EDM should be routinely used to visualize the variable intraoperative course.Trial registration: ClinicalTrials.gov, Identifier: NCT01425710. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 11, 2019 Category: Surgery Source Type: research

Margin diagnosis for endoscopic submucosal dissection of early gastric cancer using multiphoton microscopy
ConclusionThese results indicate that MPM can be used as an effective, real-time, and label-free novel method to determine intraoperative resection margins. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 10, 2019 Category: Surgery Source Type: research

The retrospective comparison between submucosal tunneling endoscopic resection and endoscopic submucosal excavation for managing esophageal submucosal tumors originating from the muscularis propria layer
This study aimed to compare clinical performance and safety of STER and ESE in treating esophageal SMTs originating from the MP layer.MethodsFrom January 2011 to December 2017, retrospective data collection and follow-up were applied for all STER or ESE cases with esophageal SMTs originating from the MP layer in our endoscopy center, including clinical characteristics, procedure success, efficacy, and adverse events. Subgroup analysis was further done based on tumor size and origin.Results90 STER and 77 ESE were enrolled in this study. There were no significant difference for  patient characteristics, procedure perf...
Source: Surgical Endoscopy - April 10, 2019 Category: Surgery Source Type: research

Replicate systematic review and meta-analyses on robotic surgery: a quality appraisal and overlap investigation
ConclusionConducting multiple overlapping MAs with identical conclusions on the same topic that are of suboptimal quality may be a waste of resource and effort. Authors from university-affiliated institutes and experts in epidemiology and statistics are more likely to conduct MAs that have better quality. More guidelines and registries are needed to avoid overlapping MAs. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 10, 2019 Category: Surgery Source Type: research

Feasibility and safety of laparoscopy-assisted distal gastrectomy performed by trainees supervised by an experienced qualified surgeon
AbstractBackgroundLaparoscopic gastrectomy is becoming more commonly performed, but acquisition of its technique remains challenging. We investigated whether laparoscopy-assisted distal gastrectomy (LDG) performed by trainees (TR) supervised by a technically qualified experienced surgeon (QS) is feasible and safe.MethodsThe short-term outcomes of LDG were assessed in patients with gastric cancer between 2008 and 2018. We compared patients who underwent LDG performed by qualified experienced surgeons (QS group) with patients who underwent LDG performed by the trainees (TR group).ResultsThe operation time was longer in the T...
Source: Surgical Endoscopy - April 9, 2019 Category: Surgery Source Type: research

“Pop in a scope”: attempt to decrease the rate of unnecessary nontherapeutic laparotomies in hemodynamically stable patients with thoracoabdominal penetrating injuries
ConclusionLaparoscopy is a safe diagnostic and therapeutic procedure in stable patients with thoracoabdominal penetrating wound, with low complication rate,  and may avoid unnecessary laparotomies. The poor diagnostic performance of preoperative imaging exams supports routine laparoscopic evaluation of the diaphragm to exclude injuries in these patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2019 Category: Surgery Source Type: research

Endoscopic submucosal dissection for early neoplastic lesions in the surgically altered stomach: a systematic review and meta-analysis
ConclusionESD for early neoplastic lesions occurring in the SAS is a safe and efficacious with similar en bloc and curative resection rates compared to the anatomically normal stomach. ESD for lesions on the suture line or in the gastric tube is associated with an increased risk of perforation which can be managed endoscopically. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2019 Category: Surgery Source Type: research

Obesity is a risk factor for internal hernia after laparoscopic or robot-assisted gastrectomy with mesenteric defect closure for gastric cancer
ConclusionsPreoperative obesity is an independent risk factor for IH after minimally invasive gastrectomy followed by RY or DT reconstruction with mesenteric defect closure. We need to conduct vigilant follow-up for IH, especially in these patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2019 Category: Surgery Source Type: research

Minimally invasive resection of posterosuperior liver tumors in the supine position using intra-abdominal trocars
AbstractBackgroundLaparoscopic liver resection (LLR) of posterosuperior (PS) segment liver tumors is technically challenging with confusion about optimal patient positioning and trocar placement (i.e., transabdominal vs. transcostal). The aim of this study is to describe our technique and outcomes with LLR of these tumors.MethodsThis is an IRB-approved retrospective review of a prospective database. Between 2005 and 2017, patients with benign and malignant lesions underwent LLR. Perioperative outcomes of PS (segments 4A, 7, and 8) and anterolateral (AL) resections were compared. All patients were operated through intra-abd...
Source: Surgical Endoscopy - April 8, 2019 Category: Surgery Source Type: research

Surgical, survival, and oncological outcomes after vascular resection in robotic and open pancreaticoduodenectomy
ConclusionsPD with vein resection is technically feasible by OPD and RPD in selected patients. Additional SMV/PV would not increase the surgical risks of PD and could achieve similar survival outcomes for pancreatic head adenocarcinoma when compared to PD without vein resection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2019 Category: Surgery Source Type: research

A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education
ConclusionsDidactic courses are available in all of these training programs, but their contents are inconsistent. Furthermore, the availability and nature of hands-on training offered by these curriculums are widely variable. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 5, 2019 Category: Surgery Source Type: research

Healthcare spending and utilization following antireflux surgery: examining costs and reasons for readmission
ConclusionThe majority of patients undergoing ARS do not require additional care within 90  days of surgery. Patients who are readmitted accrue costs that almost double the overall cost of care compared to the initial hospitalization. Measures to attenuate potentially preventable readmissions after ARS may reduce healthcare utilization in this patient population. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 5, 2019 Category: Surgery Source Type: research

Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study
AbstractBackgroundCholecystectomy on index admission for acute cholecystitis is associated with improved patient outcomes. The timing of intervention is mainly driven by service provision. This population-based cohort study aimed to evaluate timing of emergency cholecystectomy in England.MethodsData from all consecutive patients undergoing surgery for acute cholecystitis on index admission in England from 1997 to 2012 were captured from the Hospital Episodes Statistics database. Data were analysed based on whether patients underwent surgery 0 –3 days, 4–7 days or ≥ 8 days from admission...
Source: Surgical Endoscopy - April 4, 2019 Category: Surgery Source Type: research

The results of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia: a retrospective study of 146 cases
ConclusionOpen preperitoneal prosthetic mesh repair can be safely performed in patients with incarcerated or strangulated inguinal hernia without contaminated hernia content. Mesh repair is not contraindicated in patients with bowel resection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2019 Category: Surgery Source Type: research

Outcomes of laparoscopic tumor ablation for neuroendocrine liver metastases: a 20-year experience
ConclusionTo our knowledge, this is the largest single-center experience with the longest follow-up regarding the utilization of LA for NELM. Our results demonstrate that in selected patients, LA achieves a 95% local tumor control and 59% 10-year overall survival. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2019 Category: Surgery Source Type: research

Robotic spleen-preserving splenic hilar lymph node dissection during total gastrectomy for gastric cancer
ConclusionThis study suggests that robotic application for spleen-preserving splenic hilar lymphadenectomy could be a feasible and safe method. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2019 Category: Surgery Source Type: research

Opioid and non-opioid utilization at home following gastrointestinal procedures: a prospective cohort study
ConclusionsAfter gastrointestinal surgery, the equivalent of each oxycodone 5  mg tablet taken in the last 24 h before discharge increases the likelihood of taking the equivalent of >  10 oxycodone 5 mg tablets by 5%. Non-opioid analgesia was utilized in less than half of the cases. Maximizing non-opioid analgesic therapy and basing opioid prescriptions on 24-h pre-discharge opioid intake may improve the quality of post-discharge pain management. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2019 Category: Surgery Source Type: research

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results
This study is a multicentre randomised controlled clinical trial. From November 2012 to May 2015, 193 patients undergoing LIVHR for primary incisional hernia with fascial defect size from 2 to 7  cm were recruited in 11 Finnish hospitals. Patients were randomised to either a laparoscopic (LG) or a hybrid (HG) repair group. The main outcome measure was hernia recurrence, evaluated clinically and radiologically at a 1-year follow-up visit. At the same time, chronic pain scores and QoL were a lso measured.ResultsAt the 1-year-control visit, we found no difference in hernia recurrence between the study groups. Altogether,...
Source: Surgical Endoscopy - April 2, 2019 Category: Surgery Source Type: research

CLEAN-NET: a modified laparoendoscopic wedge resection of the stomach to minimize the sacrifice of innocent gastric wall
ConclusionsCLEAN-NET can be performed safely with an acceptable operation time. CLEAN-NET can be a useful option in the laparoscopic surgical treatment of gastric submucosal tumors, when excessive sacrifice of the healthy gastric wall surrounding the endophytic tumor should be avoided. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2019 Category: Surgery Source Type: research

Blind nasogastric tube advancement following sleeve gastrectomy: an animal model
ConclusionIn this porcine model, blind NGT placement was not associated with significant mucosal injury or any damage to the sleeve gastrectomy staple line. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2019 Category: Surgery Source Type: research

Early unplanned reoperations after gastrectomy for gastric cancer are different between laparoscopic surgery and open surgery
ConclusionsCompared to open surgery, laparoscopic surgery does not increase the incidence of EURO in patients undergoing gastrectomy for GC; however, laparoscopic surgery is associated with a lower EURO rate after 24  h postoperatively and a higher proportion of patients with intra-abdominal bleeding requiring EURO than open surgery. Effective and accurate intraoperative hemostasis for intra-abdominal vessels and anastomotic sites will help further reduce the incidence of EURO following LAG within 24 h postope ratively. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 1, 2019 Category: Surgery Source Type: research