A Diagnostic Nomogram for Predicting the Risk of Anastomotic Leakage in Elderly Patients With Rectal Cancer: A Single-center Retrospective Cohort Study
This study aimed to evaluate the clinical outcomes and prognosis of LAR in elderly patients (65 y and above) with rectal cancer and investigate the factors associated with the anastomotic leakage (AL). Besides, the study sought to create a nomogram for precise prediction of AL after anterior resection for rectal cancer. Materials and Methods: A total of 343 rectal cancer patients over 65 years old who underwent LAR or OAR at a single center between January 2013 to January 2021 were retrospectively reviewed. Univariate analysis was conducted to explore potential risk factors for AL, and a nomogram for AL was create...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Challenges in Anesthesia Management for Peroral Endoscopic Myotomy: A Retrospective Analysis
Conclusion: Periprocedural abdominal decompression with veress needle led to a reduction in arterial PaCO2 and PIP, and improved postoperative analgesia. Serious complications because of perioperative aspiration and CO2 insufflation were observed during the POEM procedure. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

High Rates of Incisional Hernia After Laparoscopic Right Colectomy With Midline Extraction Site
Background: Laparoscopic surgery aims at reducing wound complications and improving cosmetics, among other advantages. High rates of postoperative ventral hernia (POVH) are observed after laparoscopic-assisted colectomies. Materials and Methods: In a 2011 to 2016 retrospective study of all patients at Rabin Medical Center, we examined POVH prevalence after right hemicolectomy for neoplasia and correlation to specimen extraction site. We also compared laparoscopic-assisted colectomy to hand-assisted laparoscopic colectomy. Included were patients who had postoperative abdominal computed tomography or magnetic reso...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Robotic Direct Inguinal Hernia Repair: To Plicate or Not to Plicate?
Background: Closure of the direct inguinal defect with plication in minimally invasive direct inguinal hernia repair may have potential benefits in terms of reducing postoperative surgical site events (SSEs) and recurrences. However, these advantages remain unclear, particularly in the robotic literature. This is the first comparative study to investigate the outcomes after robotic direct inguinal hernia repair (RDIHR) with defect plication. Materials and Methods: Among patients who underwent RIHR between 2013 and 2020, those who underwent RDIHR were selected. Patients were then stratified into 2 groups based on...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Endoscopic Pilonidal Sinus Treatment: Rapid Recovery, Satisfactory Success, and High Quality of Life
Purpose: In the treatment of pilonidal sinus disease (PD), endoscopic pilonidal sinus treatment (EPSIT), a skin-sparing minimally invasive technique, has attracted attention as an effective treatment. The aim of this study to evaluate the treatment success, cosmetic outcomes, and the quality of life in the patients who underwent an EPSIT for PD. Materials and Methods: The prospectively maintained data of 86 patients who underwent EPSIT for PD were retrospectively analyzed. The primary end-point of this study was complete wound healing, while the secondary end-points were the quality of life and cosmetic outcomes...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Benefits and Reduced Hospital Costs of Direct Surgery in Perforated Appendicitis With Abscess Cost-effectiveness Analysis of Treatment Complicated Appendicitis
This study compared the outcomes and cost-effectiveness of patients who underwent IA and those who underwent direct surgery. Materials and Methods: A retrospective analysis of 79 patients who were diagnosed with perforated appendicitis with abscess was conducted. We compared the hospital course, outcomes, and total medical costs between the 2 groups. Results: Forty-three patients underwent PCD insertion for the management of appendiceal abscess (IA group), and 36 underwent appendectomy (DS group). There was no significant difference in abscess size (5.67 vs. 5.35 cm, P=0.15), appendectomy method (laparoscop...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Postoperative Outcomes of Closed Versus Nonclosed Mesentery Laparoscopic Colectomy: A Retrospective Single-center Study
Conclusions: This study revealed that closure of the mesenteric defect following laparoscopic colectomy might be associated with an increased incidence of postoperative ileus. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Incidence, Risk Factors, and Treatment of Proximally Migrated Pancreatic Stents
Conclusion: In this study, it was shown that proximal migration of pancreatic stents is frequent and most of these stents can be removed successfully. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Impact of Immune Response in Short-term and Long-term Outcomes After Minimally Invasive Surgery for Colorectal Liver Metastases: Results From a Randomized Study
Background: The potential benefit related to laparoscopic liver surgery (LLS) for colorectal liver metastases outcomes is not well known. Materials and Methods: Serum cytokines associated with Th1 (tumor necrosis factor-α) and Th2 [interleukin (IL)-10 and IL-6] phenotypes were measured in 36 patients operated on for colorectal liver metastases by open liver surgery (OLS) and LLS. Measurements were performed at 3 time points: 1 day before surgery, day 3 postoperative, and 1 month postoperative. We compared the postoperative inflammatory response influence between LLS and OLS on long-term outcomes. Results: ...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

The Effect of Transoral Endoscopic Thyroidectomy Vestibular Approach on Regional Cerebral Oxygen Saturation: A Prospective Observational Study
Conclusions: As long as the patients stay within the limits of normocapnia, the CO2 insufflation applied during TOETVA surgery has no negative effects on rSO2. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Morphologic Change of In Vivo Porcine Liver Under 13 mm Hg Pneumoperitoneum Pressure
Conclusions: This study indicated that the creation of pneumoperitoneum at 13 mm Hg pressure in a porcine causes liver morphologic alterations affecting the area and volume, as well as the diameter of a blood vessel. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

SARS-CoV-2 During Abdominal Operations: Are Surgeons at Risk?
Conclusions: SARS-CoV-2 was not found in the peritoneal cavity of 6 patients undergoing abdominal surgery. The risk of transmissibility of COVID-19 during surgery is still unclear. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

How to Learn a Complex Endoscopic Procedure: Knots in Transanal Endoscopic Surgery: Different Skill Among Surgeons
Purpose: The intrarectal suture is considered a high technically complex procedure. The study’s objectives were to assess the feasibility of making an intrarectal knot, through an in vitro study and assessing whether the video tutorial facilitates learning. Materials and Methods: A detailed description of the technique. A comparative observational cross-sectional study in surgeons with no previous experience in intrarectal knots. Results: Twenty-one of these 32 participants passed the intrarectal knot test without video tutorial (T1) (65.6%), and 26 (81.2%) after the video tutorial (T2) (P=0.26). The me...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Influence of Wrap Fixation Technique on the Results of Fundoplication
Background: Different techniques of wrap fixation in laparoscopic Nissen fundoplication (LNF) have been proposed with of the aim to reduce the complications, but the optimal technique is yet to be determined. The aim of our prospective study was to evaluate several techniques of wrap fixation and determine whether the application of a combined approach to perform wrap fixation reduces the failure rate in short-term and long-term follow-up. Materials and Methods: One hundred two patients with sliding or paraesophageal hiatal hernia (type I or type II), who underwent antireflux surgery were randomized into 2 group...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2021 Category: Surgery Tags: Original Articles Source Type: research

Erratum
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2021 Category: Surgery Tags: Erratum Source Type: research