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Which Factors Are Associated with Distal Pancreatectomy Outcomes' Optimization with the Application of an Enhanced Recovery After Surgery Program? J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-29 Duilio Pagano,Sergio Li Petri,Fabrizio di Francesco,Sergio Calamia,Caterina Accardo,Ivan Vella,Marco Barbàra,Salvatore Gruttadauria
Background: Distal pancreatectomy (DP) represents the best therapeutic option for patients with body-tail pancreatic neoplasms (PNs). The enhanced recovery after surgery protocol is widely used for treating patients with PN to speed up postoperative recovery. This study aims to describe our institute's experience in the application of fast recovery protocol in a cohort of patients treated with DP,
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Utilization of Single-Incision Laparoscopy in the Management of Ingested Magnets. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-28 Sara Ardila,Lucille Woodley,Emily Ulloa,Jenelle Fernandez,Jeffery Bornstein,Aaron Seims
Background: A ban on neodymium magnets was lifted by the U.S. Consumer Product Safety Commission in 2016. Pediatric gastroenterologists and surgeons were increasingly tasked with removing these problematic objects. The purpose of this study was to assess the utility of single-incision laparoscopic surgery (SILS) in the management of ingested magnets. Patients and Methods: This is a single-center, retrospective
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Ultrasound-Guided Epigastric Hernia Repair in the Pediatric Population: One Institution's Experience and Outcomes. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-23 Danielle Dougherty,Keyonna M Williams,Darrell Tubbs,Kevin N Johnson,Marcus D Jarboe
Introduction: Epigastric hernia repair is a common procedure performed on pediatric patients. These hernias have been demonstrated to be readily identified by ultrasound. This manuscript describes and assesses a novel technique in which ultrasound is used to identify and repair the hernias in a minimally invasive manner. Methods: A retrospective chart review evaluates all the ultrasound-guided epigastric
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Low Anterior Resection Syndrome in Total Mesorectal Excision: Risk Factors and Its Relationship with Quality of Life. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-22 Yanfei Zhu,Xiangyuan Ding,Wenbin Xiong,Gang Yang,Mengke Si,Huiming Yan
Background: Low anterior resection syndrome (LARS) is a bowel dysfunction following sphincter-sparing proctectomy. The occurrence of LARS may affect a patient's overall quality of life (QoL) after surgery. Current research was aimed to investigate related factors of LARS and major LARS in total mesorectal excision (TME) and its relationship with QoL. Methods: This study included patients who underwent
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Urgent Paraesophageal Hernia: Can We Do Better? J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-20 Yehuda Hershkovitz,Amir Ben Yehuda,Daniel Dykman,Igor Jeroukhimov
Introduction: Paraesophageal hernia (PEH) is a relatively common pathology in the Western population. It may be asymptomatic, but ∼50% of patients with PEH have symptoms that may mimic gastrointestinal, respiratory, and cardiac pathology. Surgery is recommended in all acute cases of PEH, but indications for surgical intervention in asymptomatic or nonacutely symptomatic patient remain unclear. Purpose
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Laparoscopic-Assisted Scrotal Approach for the Treatment of Inguinal Cryptorchidism with Patent Processus Vaginalis: Clinical Efficacy Analysis. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-20 Chengpin Tao,Yongsheng Cao,Xiang Liu,Changkun Mao
Objective: This study aimed to compare the clinical outcomes of two surgical approaches, laparoscopic-assisted scrotal incision and conventional inguinal-scrotal incision, for treating cryptorchidism with unobliterated processus vaginalis. Methods: Clinical data from 60 pediatric patients with inguinal cryptorchidism who were admitted to our institution between January 2018 and January 2022 were retrospectively
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Simultaneous Robotic-Assisted Splenectomy and Cholecystectomy in Children: Is It Safe and Effective? J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-20 Carlos Delgado-Miguel,Juan I Camps
Background: Hematologic conditions such as hereditary spherocytosis, sickle cell disease, and idiopathic thrombocytopenic purpura are frequently linked to cholelithiasis. In instances where symptoms are present, simultaneous cholecystectomy and splenectomy are commonly recommended. Our aim was to assess the outcomes of robotic-assisted procedures conducted for simultaneous surgical issues involving
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Incidence of Barrett's Esophagus Following Sleeve Gastrectomy in Southeast Asian Population. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-20 Sai Divya Yadavalli,Arun Kumar,Vitish Singla,Venu Madhav Jarapala,Vineet Ahuja,Surabhi Vyas,Sandeep Aggarwal
Background: Variable incidences (up to 18.8%) of Barrett's esophagus (BE) have been reported following sleeve gastrectomy (SG), however, there is no published data from the Southeast Asian population. Objective: To determine the incidence of BE following SG in Southeast Asians. Materials and Methods: In this cross-sectional observational study from a tertiary-care center, all patients who had undergone
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I Thought I Saw a Retrocaval Ureter; Don't Bite the Fish-Hook Sign So Easily. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-20 Beytullah Yağız,İsmail Yağmur,Sertaç Hancıoğlu,Berat Dilek Demirel,Ahsen Karagözlü Akgül,Seda Kaynak Şahap
Background: During the management of patients with hydronephrosis, a possibility of retrocaval ureter (RCU) may emerge indicated by a fish-hook sign or its mimickers. Owing to infrequent incidence, the proper way to diagnose or exclude an RCU is challenging and has not been discussed previously. Methods: The aim of this study was to retrospectively evaluate the children who were suspected to have an
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A Comparison of Robotic Versus Laparoscopic Distal Pancreatectomy for Benign or Malignant Lesions: A Meta-Analysis. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-10 Junguo Liu,Junchao Yao,Jinjuan Zhang,Yijun Wang,Guiming Shu,Cheng Lou,Du Zhi
Background: The momentum of robotic surgery is increasing, and it has great prospects in pancreatic surgery. It has been widely accepted and expanding to more and more centers. Robotic distal pancreatectomy (RDP) is the most recent advanced minimally invasive approach for pancreatic lesions and malignancies. However, laparoscopic distal pancreatectomy (LDP) also showed good efficacy. We compared the
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The Effect of Ureteral Access Sheath Use/Caliber Change on Outcomes of Retrograde Intrarenal Surgery, Short-Term Kidney Functions, Radiation Exposure, Ureteroscope Lifetime, and Factors Predicting Insertion Failure: A RIRSearch Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-10 Oktay Özman,Cem Başataç,Murat Akgül,Hakan Çakır,Önder Çınar,Fatih Şimşekoğlu,Cenk Murat Yazıcı,Eyüp Burak Sancak,Barbaros Baseskioglu,Haluk Akpınar,Bülent Önal
Background: The aim of this study was (1) to explore effect of ureteral access sheath (UAS) use on primary retrograde intrarenal surgery (RIRS) outcomes, short-term kidney functions, radiation exposure, and ureteroscope lifetime (URS-LT) and (2) to reveal factors that predict UAS insertion failure. Materials and Methods: Patients (n = 1318) who underwent RIRS without UAS (Group 1), those who had operation
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Single-Center Experience of 500 Cases of Laparoscopic Sleeve Gastrectomy: Surgical Techniques and Perioperative Management Strategies. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-09 Ma Kai,Qin Ya Xin,Zhai Xin Zhe,Han Jian Li
Introduction: Reported results and techniques of laparoscopic sleeve gastrectomy (LSG) are variable. Our objective was to assess results of weight loss, complications, and reflux in a large consecutive series of LSG, describing technical detail which contributed to outcomes. Methods: Retrospective review of prospectively collected data of 500 consecutive patients undergoing LSG. Patient demographics
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Oversewing the Staple Line: Does It Safe to Prevent Leakage? J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-07 Emre Gönüllü,Adem Yüksel,Murat Coşkun,Tarık Harmantepe,Gizem Fırtına,Kerem Karaman
Introduction: The staple line (SL) leak remains one of the most serious complications after laparoscopic sleeve gastrectomy (LSG). The present study aims to determine whether reinforcing the SL with sutures is effective in maintaining tissue integrity. Materials and Methods: LSG Specimens of 60 patients were ex vivo studied. The specimens were divided into three groups: In group 1, the entire SL was
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A Pilot Study to Determine the Role of Spatulating the Ureter During Pyeloplasty in Children for Ureteropelvic Junction Obstruction in the Robotic Era. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-11-03 Hiroyuki Koga,Masafumi Tanaka,Takanori Ochi,Shogo Seo,Yuichiro Miyake,Masahiro Takeda,Rumi Arii,Soichi Shibuya,Yuta Yazaki,Geoffrey J Lane,Atsuyuki Yamataka
Purpose: Spatulation during ureteropelvic junction obstruction repair was evaluated in children treated by robot-assisted retroperitoneal pyeloplasty anastomosis (RRPA). Methods: Intraoperative video recordings (IVRs) of RRPA (n = 22 ureters) performed at a single institute between 2018 and 2022 were reviewed blindly by 5 independent surgeons for perceived difficulty of suturing (DOS; 5 = impossible;
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Robotic Totally Extraperitoneal: An Initial Experience with Cambridge Medical Robotics Versius. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-31 Harish Bevinje Kakkilaya,Senthil Kumar Ganapathi,Pradeep Joshua Christopher,Jayadatt Pawar,Rajiv Maharaj,Rajapandian Subbiah,Sathiyamoorthy Rudhramoorthy,Palanivelu Chinnusamy
Background: Total extraperitoneal approach for laparoscopic inguinal hernia repair (L-TEP) allows for better dissection, lesser chance of bowel injury, and quicker operating time. However robotic groin hernia repair is currently performed only through transabdominal route as it allows for more mobility of the arms. This study is aimed at studying the feasibility and outcomes of robotic totally extraperitoneal
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Clinical Application of Ureteroscope-Assisted Laparoscopic Surgery for Prostatic Utricle in Children. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-30 Jian-Jun Hu,Yao-Wang Zhao,Lei Tu,Tian-Qu He,Yi-Fu Chen,Rong Wen,Qian-Long Peng
Purpose: To investigate the use of ureteroscope-assisted laparoscopic surgery (UALS) in treating symptomatic prostatic utricle (PU) in children. Materials and Methods: Data on surgically treated cases of PU at the Department of Urology in Hunan Children's Hospital between September 2014 and September 2022 were retrospectively collected and analyzed. The diagnosis was confirmed by cystourethroscopy
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Effectiveness of the Modified Hemoglobin, Albumin, Lymphocyte, and Platelet Score in Predicting Weight Loss After Laparoscopic Sleeve Gastrectomy. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-25 Muhammed Taha Demirpolat,Abdullah Şişik
Introduction: The overexpression of proinflammatory cytokines in obesity has suggested an association between obesity and inflammation. In this study, we aimed to predict the success of weight loss at the end of the first year of patients who underwent laparoscopic sleeve gastrectomy (LSG) for morbid obesity using hemoglobin, albumin, lymphocyte, and platelet (HALP) score and modified HALP (m-HALP)
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Literature Review of Handheld Articulating Instruments in Minimally Invasive Surgery. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-23 Rui Mao,Lei Gao,Wu Gang,Lin Wen
Background: Minimally invasive surgery (MIS) using handheld articulating instruments (HAIs) has emerged as an innovative approach, offering enhanced dexterity and accessibility compared with conventional straight tools. There has been a significant surge in market interest surrounding HAIs. However, the question about the potential benefits of these devices for surgeons and patients in clinical applications
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Intraoperative Regional Cerebral Oxygenation During Pediatric Thoracoscopic Surgery: A Systematic Review. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-20 Gaurav Prasad,Apoorv Singh,Deepika Kainth,Puneet Khanna,Sachit Anand
Background: Ventilating a pediatric patient during thoracoscopy is challenging. Few studies have highlighted the impact of capnothorax in children by measuring regional cerebral oxygen saturation (rcSO2) with near infrared spectroscopy. In this systematic review, we aimed to summarize the data from relevant studies and assess whether thoracoscopy in children is associated with intraoperative pathological
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Laparoscopic Transperitoneal Adrenalectomy for Adrenal Tumors in Children: Technical Considerations and Surgical Experience. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-20 Ankur Mandelia,Sabaretnam Mayilvaganan,Prathibha B Naik,Pujana Kanneganti
Aims: This study aimed to review our surgical experience of laparoscopic adrenalectomy (LA) for adrenal masses in the pediatric age group. Materials and Methods: The electronic medical records of all patients younger than 18 years of age who underwent LA between 2016 and 2023 were retrospectively reviewed. Children with adrenal tumors localized to the site of origin without evidence of encasement of
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Addition of Mechanical Lithotripsy to Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Common Bile Duct Stones: A Retrospective Single-Center Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-19 Hidehiro Kamezaki,Terunao Iwanaga,Mamoru Tokunaga,Takahiro Maeda,Jun-Ichi Senoo,Hiroshi Ohyama,Naoya Kato
Introduction: This study aimed to compare the treatment outcomes of endoscopic papillary large-balloon dilation (EPLBD) with and without mechanical lithotripsy (ML) in removing difficult common bile duct stones. Methods: Patients with difficult common bile duct stones treated with EPLBD, with or without ML, at the Eastern Chiba Medical Center between April 2014 and March 2020, were retrospectively
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The Early Initiation of Perioperative Anticoagulation Therapy in Cirrhotic Patients with Portal Hypertension After Laparoscopic Splenectomy Plus Esophagogastric Devascularization: A 10-Year Single-Center Experience. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-17 Dong Wang,Xiao Chen,Ling Lv,Tao Yang,Bo Huang,Yanlong Cao,Jianguo Lu,Jikai Yin
Background: Portal veinous system thrombosis (PVST) is a common complication after laparoscopic splenectomy plus esophagogastric devascularization (LSED). Anticoagulation therapy was still in debate in LSED perioperation. This study aimed to determine the postoperative risk factors of PVST, the efficacy and safety of the anticoagulation therapy after LSED procedure, and the potential impact of anticoagulation
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Gastrointestinal Fistula in Radical Distal Gastrectomy: Case-Control Study from a High-Volume Hospital. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-16 Zhiyuan Yu,Yan Sun,Yunhe Gao,Xudong Zhao,Jiahu Ye,Peiyu Li,Na Liu
Background: Postoperative gastrointestinal fistula (PGF) is one of the main causes of abdominal infection and perioperative death. This study was designed to investigate the risk factors of PGF, anastomotic fistula (AF), and duodenal stump fistula (DSF) for patients who underwent radical distal gastrectomy. Materials and Methods: In this retrospective observational study, 2652 gastric cancer cases
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The Initial Experience of Laparoscopic Management for Type VI Choledochal Cyst in Children. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-16 Bing Li,Bing Wei Chen,Lin Shun Xia
Purposes: Dilatation of cystic duct is very rare and had been classified as Todani type VI choledochal cyst. Choledochal cyst combined with dilatation of cystic duct is difficult to diagnose preoperatively. The purpose of this study is to report the rare variants and discuss the significance and laparoscopic management strategy in children. Methods: The subjects for this study were 10 consecutive patients
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Surgical Treatment of Portal Hypertension in Children. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-16 Abdumanap Alkhasov,Elena Komina,Sergey Ratnikov,Maria Saveleva,Ekaterina Romanova,Aleksey Gusev,Maksim Lochmatov,Sergey Yatsyk,Elena Dyakonova
Introduction: Portal hypertension is a syndrome characterized by increased pressure in the portal vein system and can be caused by impaired blood flow in the portal vein, hepatic veins, or inferior vena cava. The main complications of this condition are bleeding from varicose veins of the esophagus (in our study in 100% of patients), splenomegaly with hypersplenism (in our study in 98% of patients)
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Use of Transesophageal Echocardiography for Enhanced Safety During Bar Removal Procedures After Minimally Invasive Repair of Pectus Excavatum. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-16 Preeya K Deol,J David Hoover,J Duncan Phillips
Background: Minimally invasive repair of pectus excavatum involves placement of retrosternal support (Nuss) bars. Hardware removal has been rarely associated with life-threatening hemorrhage from the heart, aorta, internal mammary arteries, and/or lung. There is no accepted standard intraoperative monitoring technique used during removal. We hypothesized that the use of transesophageal echocardiography
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Critical View of Safety Dissection and Rouviere's Sulcus for Safe Laparoscopic Cholecystectomy: A Descriptive Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-16 Sushil Sharma Subedi,Durga Neupane,Nimesh Lageju
Objective: To determine the importance of a critical view of safety (CVS) techniques and Rouviere's sulcus (RS) in laparoscopic cholecystectomy (LC) and its relation to biliary duct injuries (BDIs) and to determine the frequency and the type of RS. Design, Setting, and Participants: A descriptive study was carried out among 76 patients presenting to the surgery department of a tertiary care center
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Efficacy and Safety of Sleeve Gastrectomy with Jejunoileal Bypass Compared with Roux-en-Y Gastric Bypass: Results from a Cohort Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-13 Gil Abdallah Tosta,Rodrigo Moises de Almeida Leite,Danilo Dallago de Marchi,Rocco Ricciardi,Bruno Zilberstein
Background: We previously described sleeve gastrectomy with jejunoileal bypass (SGJIB) as promising novel technique for the surgical treatment of obesity Methods: A retrospective analysis of a prospective database in a Private Practice of Alimentary Tract Surgery in São Paulo, Brazil. We analyzed 176 patients with 60 months of follow-up, 74 of whom underwent Vertical Sleeve Gastrectomy with Jejunoileal
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Driver-Activated VIDeoscopic Surgery: An Innovation Journey from Idea to Industry-Ready. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-12 Yao Liu,Francois I Luks
Introduction: Innovation is not a straightforward path. While surgeons are intimately familiar with clinical problems and often devise clever solutions to address them, the journey from idea to a marketable product is opaque. We describe our experience developing a novel video navigation system to help streamline collaboration and enhance surgeon control of their video image in minimally invasive surgery
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Hiatal Hernia Repair: Can We Predict the Need for Mesh? J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-12 Evgenia Golzman,Idan Farber,Li Or Lazar,Ibrahim Mashni,Guy Pines
Introduction: The use of mesh for paraesophageal hernia repair is controversial due to concerns about long-term complications. This study aimed to investigate whether preoperative imaging characteristics of diaphragmatic hernia could predict the need for mesh repair. Methods: The records of all patients who underwent laparoscopic diaphragmatic hernia repair between September 2015 and September 2022
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Laparoscopic Splenectomy and Esophagogastric Devascularization Versus Endoscopic Varices Ligation Plus Laparoscopic Splenectomy in the Treatment of Portal Hypertension. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-11 Rui Cao,Xiangyu Lu,Yilei Wu,Siyu Li,Jun Gong
Background/Aims: To compare laparoscopic splenectomy and esophagogastric devascularization (LSED) with endoscopic variceal ligation (EVL) plus laparoscopic splenectomy (LS) in treating esophagogastric variceal bleeding (EGVB) caused by portal hypertension (PH). Methods: Between January 2015 and May 2022, 87 patients with PH caused by hepatitis B cirrhosis were included in the retrospective study (34
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Laparoscopic Completion Total Gastrectomy for Remnant Gastric Cancer Compared to Laparoscopic Total Gastrectomy in Short- and Medium-Term Results. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-09 Jonathan Hammerschlag,Yehuda Hershkovitz,Itai Amos,Ron Lavy,Amir Ben-Yehuda
Introduction: The incidence of remnant gastric cancer is increasing in recent years. The advantages of minimally invasive surgery for gastric cancer are well established. However, laparoscopic completion total gastrectomy for remnant gastric cancer harbors difficulties due to adhesions, changed configuration of the anatomical organs, and changes on the lymphatic flow. We aim to investigate the feasibility
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When Gastroplasty Is Not Feasible in Ivor Lewis Esophagectomy: A Single-Center Study of Intrathoracic Esophagojejunostomy. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-04 Edouard Roussel,Eloise Papet,Rachid Chati,Lilian Schwarz,Jean-Jacques Tuech,Emmanuel Huet
Objective: The surgical management of tumors of the esophagogastric junction is increasingly performed by minimally invasive Ivor Lewis esophagectomy. However, gastroplasty is not always feasible. The creation of a long loop is an alternative for esophageal reconstruction. The aim of this study was to evaluate the technical feasibility of using a minimally invasive thoracoscopic approach in esophagojejunostomy
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Ultrasonography Guided Modified BRILMA (Blocking the Cutaneous Branches of Intercostal Nerves in the Middle Axillary Line) Block in Bariatric Surgery. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-03 Yalcin Burak Kara,Ilker Ital,Suleyman Caglar Ertekin,Sinan Yol,Samet Yardimci
Background: Postoperative pain is one of the major problems after laparoscopic sleeve gastrectomy besides complications. Management of pain control is still unclear in the obese population. Modified BRILMA (blocking the cutaneous branches of intercostal nerves in the middle axillary line) is a new analgesia technique which is performed by ultrasonography guided through the way between eighth and ninth
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Posterior Calot's Triangle Approach First Would Be a Better Choice for Chronic Atrophic Cholecystitis: A Retrospective Controlled Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-03 Hua Zhong,Shaoyin Li,Xiaojian Wu,Fang Luo
Objective: Compare the clinical efficacy of anterior and posterior Calot's triangle approach in laparoscopic cholecystectomy (LC) for chronic atrophic cholecystitis, to find out which approach is much safer and more reliable. Patients and Methods: From June 2020 to June 2022, 102 patients with chronic atrophic cholecystitis underwent LC in our hospital. They were divided into anterior Calot's triangle
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Association of Malnutrition Diagnosed Using Global Leadership Initiative on Malnutrition Criteria with Severe Postoperative Complications After Gastrectomy in Patients with Gastric Cancer. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-03 Sida Sun,Wenting Huang,Ziyi Wang,Wenhui Xie,Junfeng Zhou,Qingliang He
Background: The purpose of this study was to investigate the relationship between malnutrition assessed by the Global Leadership Initiative on Malnutrition (GLIM) criteria and the occurrence of severe postoperative complications (SPCs) after gastrectomy in patients with gastric cancer. Methods: A total of 220 patients with gastric cancer were included in this retrospective study. According to the GLIM
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A Modified Purse-String Stapling Technique for Intracorporeal Circular Stapled Esophagojejunostomy During Laparoscopic Total Gastrectomy: Comparison with Extracorporeal Reconstruction Technique. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-10-03 Weiguo Liu,Yongfang Guo,Zhigang Qiu,Xichun Liu,Jianli Zhang,Zhenqing Sun
Background: Intracorporeal esophagojejunostomy (EJ) in the context of laparoscopic total gastrectomy remains a complex and technically demanding procedure. We have previously introduced a novel method of intracorporeal circular stapled EJ utilizing a conventional purse-string suture instrument. Since May 2018, we have refined this technique, and the aim of this study was to assess its safety and efficacy
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The Role of Staging Laparoscopy for Intrahepatic Cholangiocarcinoma: A Snapshot of the Current Literature. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-28 Diego Coletta,Andrea Scarinci,Gian Luca Grazi,Alberto Patriti
Background: Accurate preoperative workup is crucial to identify patients with intrahepatic cholangiocarcinoma (IHC) who would have truly benefit from liver resection, avoiding it in patients with advanced disease or distant metastases. Staging laparoscopy (SL) may prevent unnecessary laparotomies in those patients with otherwise resectable disease, but evidence of its efficacy is scarce and inconclusive
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Risk of Conversion from Laparoscopic Appendectomy to Open Surgery: The Role of Clinical and Radiological Factors in Prediction. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-28 Nihan Turhan,Cengiz Duran,Taha Yusuf Kuzan,Beyza Nur Kuzan,Elbrus Zarbaliyev
Introduction: Laparoscopic appendectomy is the most preferred surgical method in the treatment of acute appendicitis. In our study, we aim to determine the clinical and radiological factors affecting conversion from laparoscopic appendectomy to open surgery. Materials and Methods: All patients older than 18 years, who were operated on with the diagnosis of acute appendicitis in the General Surgery
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Laparoscopic Inguinal Hernia Repair and Synchronous Peritoneal Dialysis Catheter Placement: A Single-Center Experience. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-28 Yi Huang,Cong Huang,Jun Luo,Teng Cheng
Background: Peritoneal dialysis (PD) is a common method for treating end-stage renal disease (ESRD). Occurrence of inguinal hernia before and during PD is considered to be the main cause of treatment discontinuation, failure, and conversion to hemodialysis. In this study, we present a single-center experience about laparoscopic inguinal hernia repair and synchronous PD catheter placement and evaluated
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Risk Factors and Long-Term Implications of Unplanned Conversion During Laparoscopic Liver Resection for Hepatocellular Carcinoma. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-25 Yangyang Ou,Tao Liu,Taiyun Huang,Zhaosong Xue,Ming Yao,Jianjun Li,Yubin Huang,Xiaoyong Cai,Yihe Yan
Background: Laparoscopic liver resection (LLR) has become a widely used standardized operation for patients with hepatocellular carcinoma (HCC) in the field of hepatic surgery. However, the risk factors and long-term implications associated with unplanned conversion to an open procedure during the LLR have not been adequately studied. Methods: The study incorporated 96 patients with HCC. Risk factors
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Prevalence of Malnutrition and the Value of Predicting Pancreatic Fistula in Patients with Laparoscopic Pancreatoduodenectomy. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-22 Yu du,Lin Li,Yahui Liu,Shupeng Wang
Background: Pancreatoduodenectomy is a standard surgical procedure for periampullary tumors. With recent improvements in perioperative management, postoperative mortality has decreased significantly in recent years; however, postoperative pancreatic fistula (POPF) is still one of the most prevalent and dangerous complications. The purpose of this study was to analyze the prevalence of malnutrition
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The Influence of Pregnancy on Weight Loss After Previous Bariatric Surgery. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-21 Robin Berk,Diego L Lima,Miriam Steinberger,Valentina Viscarret,Rie Seu,Victoria Konovalova,Diego Camacho
Introduction: Bariatric surgery is routinely performed on obese women of reproductive age, most commonly with the laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass procedures (RYGB). This study analyzes the effects of postoperative pregnancy on excess BMI loss percentage (EBMIL%) after SG and RYGB. Methods: A retrospective study was conducted with 191 female patients of reproductive
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Laparoscopic Right Hemicolectomy for Inflammatory Bowel Disease: Is Intracorporeal Anastomosis Feasible? A Retrospective Cohort Comparison Study. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-21 Katlin Mallette,Christopher M Schlachta,Jeffrey Hawel,Ahmad Elnahas,Nawar A Alkhamesi
Background: Inflammatory bowel disease (IBD) affects all ages and backgrounds, and many individuals require surgical intervention during their disease course. The adoption of laparoscopic techniques in this patient population has been slow, including intracorporeal anastomosis (ICA). The aim of our study was to determine if ICA was feasible and safe in patients with IBD undergoing laparoscopic right
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Laparoscopic Appendectomy Combined with an "Antimicrobial-Free" Strategy for Acute Uncomplicated Appendicitis. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-21 Mingsheng Xiao,Xiao Liu
Objective: To explore the efficacy and safety of enhanced recovery protocol (ERP) combined with laparoscopic appendectomy (LA) in the treatment of acute uncomplicated appendicitis (AUA) without antibiotics. Methods: In this study, a total of 160 patients with AUA who underwent LA between January 2018 and December 2021 were included and divided into the antibiotic group (n = 80) or the no-antibiotic
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Does the Weight Matter? Short-Term Outcomes of Lightweight Versus Heavyweight Three-Dimensional Anatomical Mesh in Minimally Invasive Inguinal Hernia Repair. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-19 Diego L Lima,Valentina Viscarret,Raquel Nogueira,João P G Kasakewitch,Robin Berk,Prashanth Sreeramoju,Flavio Malcher
Background: The type of mesh used in inguinal hernia repairs remains controversial. There are limited data looking at specific mesh-related complications. The objective of this study is to assess postoperative 90-day outcomes in lightweight (LW) and heavyweight (HW) anatomical mesh in minimally invasive inguinal hernia repairs. Methods: A retrospective single-center database was queried for all adult
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Extent of Lymph Node Harvest: A Retrospective Cohort Comparison of Intracorporeal Versus Extracorporeal Anastomosis in Right Hemicolectomy. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-15 Katlin Mallette,Christopher M Schlachta,Jeffrey Hawel,Ahmad Elnahas,Nawar A Alkhamesi
Background: Minimally invasive surgery has been demonstrated to have clear advantages in colon cancer management, with a decrease in the morbidity and mortality associated with surgery. With the introduction of intracorporeal anastomosis (ICA), the entire mesenteric dissection and division is performed under vision laparoscopically and may lead to superior lymph node harvest. The aim of our study is
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Exploring the Gender-Specific Impact of Intraperitoneal Bupivacaine on Early Postoperative Pain in Sleeve Gastrectomy. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-11 Suleyman Buyukasik,Burak Kankaya,Yusuf Emre Altundal,Mustafa Ozgul,Halil Alis
Background: Early postoperative pain is a significant problem in bariatric and metabolic surgery. Our study aimed to investigate the potential role of intraperitoneal bupivacaine hydrochloride in pain management in the early postoperative period after bariatric and metabolic surgery. Methods: This double-blind, prospective, randomized, controlled study included 68 individuals who underwent bariatric
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National Trends in Interventions for Pediatric Gallstone Pancreatitis. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-08 Audra J Reiter,Lynn Huang,Yao Tian,Gwyneth A Sullivan,Andrew Hu,Mehul V Raval
Introduction: Laparoscopic cholecystectomy (LC) during index hospitalization for gallstone pancreatitis is standard in adult populations. The objective of this study was to evaluate trends in use of LC and endoscopic retrograde cholangiopancreatography (ERCP) for children with gallstone pancreatitis. Materials and Methods: This retrospective cohort study used the Kids' Inpatient Database, spanning
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Thawed Porcine Model for Surgical Training: A Novel Conservative Procedure. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-09-06 Bruno Zilberstein,Bruno Bindi,Danilo D De Marchi,Ramiro Bragagnolo,João Pedro H Pfeifer
Background: General Surgery course is a mandatory in medical schools and continuing surgery training is important even to experienced surgeons which they need to maintain and/or improve their surgical skills. Additionally, the models used for that practice are human cadavers, anesthetized porcine, or simulators and are not accessible for medicine schools or physicians in many countries. Therefore,
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Elderly Patients' Outcomes After Robot-Assisted Radical Prostatectomy: A Single Center Experience. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-30 Ekrem Islamoglu,Eren Erdi Aksaray,Selim Tas,Ozgur Ari,Mehmet Salih Boga,Mutlu Ates,Murat Savas
Aim: To assess the oncological and functional outcomes of patients aged 70 years or older after robot-assisted radical prostatectomy (RARP) and compare their results with younger men. Materials and Methods: Our study included 496 men who underwent RARP in our clinic between March 2015 and December 2021 with at least 1-year follow-up. Of these patients, 130 were aged 70 or older, and 366 were between
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Single-Incision Laparoscopic Percutaneous Extraperitoneal Surgery for the Treatment of Incarcerated Indirect Inguinal Hernia in Children. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-29 Min He,Jieni Xiong,Jiabin Cai,Xiang Yan
Background: The aim of this study was to examine the feasibility and safety of the single-incision laparoscopic percutaneous extraperitoneal surgery for the treatment of incarcerated indirect inguinal hernia in children. Methods: Seventy-five patients who presented with incarcerated indirect inguinal hernia and underwent laparoscopic surgery from January 2019 to January 2022 in Children's Hospital
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A Single-Institution 5-Year Retrospective Analysis of Laparoscopic Sleeve Gastrectomy Staple-Line Reinforcement: Bioabsorbable Mesh Versus Oversewing. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-23 Jesse St Pierre,H Harvak Hajebian,Cruz Velasco,James Wooldridge,Jessica Gorham,William S Richardson
Background: Staple-line reinforcement has been used to decrease complications such as staple-line bleeding (SLB) and staple-line leaks (SLLs) in patients undergoing laparoscopic sleeve gastrectomy (SG). There is little data comparing bioabsorbable mesh reinforcement (BMR) with oversewing the staple line (OSL). The aim of our study was to compare BMR with OSL in SG. Materials and Methods: This is a
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Application of a New Approach for Laparoscopic Resection of Bismuth IIIa Hilar Cholangiocarcinoma. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-21 Xueqing Liu,Zixuan Hu,Xinbo Zhou,Jianzhang Qin,Zhongqiang Xing,Yunfei Liang,Jia Liu,Haihe Xu,Lingling Su,Ang Li,Jianhua Liu
Background: Hilar cholangiocarcinoma (HCCA) has a high degree of malignancy and poor prognosis, and the best long-term prognosis can only be achieved by radical resection. However, the surgical steps are complicated, and the operating space is limited, making it hard to complete laparoscopically. So our team proposes a new surgical approach for laparoscopic left-liver-first anterior radical modular
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Role of Magnetic Compression Anastomosis in Long-Gap Esophageal Atresia: A Systematic Review. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-21 Nellai Krishnan,Niklas Pakkasjärvi,Deepika Kainth,Johan Danielson,Ajay Verma,Devendra Kumar Yadav,Prabudh Goel,Sachit Anand
Background: Magnetic compression anastomosis (MCA) is an alternative technique for patients with long-gap esophageal atresia (EA). It allows for preservation of the native esophagus. We aimed to systematically summarize the current literature on MCA in EA. Methods: Studies where neonates with EA were treated with MCA devices were included, while studies on esophageal stenosis were excluded. All clinical
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Development and Implementation of an Enhanced Recovery Protocol for Bariatric Patients in a Third World Environment. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-17 Franco José Signorini,M Belén Soria,Florencia Huais,Martín Andrada,Analía Priotto,Lucio Ricardo Obeide,Federico Moser
Introduction: An applicable and reproducible enhanced recovery protocol was developed and implemented to improve our outcomes in a third-world environment. Methods: We compared the results obtained prospectively. The group treated before the application of the enhanced recovery protocol was called usual care (UC) and included all bariatric surgeries operated on between 2014 and 2017. The new protocol
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A Short-Term Outcomes Comparison of Laparoscopic Pancreaticoduodenectomy and Open Pancreaticoduodenectomy at Different Stages of Learning Curves: A Single Center Report. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-16 Chao Ji,Lin Li,Yahui Liu,Shupeng Wang,Yu Fu
Background: With the development of surgical instruments and the growth of professional expertise over the past decades, laparoscopic pancreatoduodenectomy (LPD) is widely applied in different centers. However, there are still some controversies about the safety of this procedure. Meanwhile, perioperative outcomes are affected by hospital size, surgeon experience, and the learning curve. The purpose
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Laparoscopic Sleeve Gastrectomy in Patients Over 60 Years Old: A Long-Term Follow-Up. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-09 Alessandro Delcarro,Adelinda Angela Giulia Zanoni,Francesca Ciccarese,Alberto Oldani,Roberta Villa,Chiara Airoldi,Stefano Olmi
Purpose: This study analyzed the safety and effectiveness of laparoscopic sleeve gastrectomy (LSG) in patients over 60 years old, in a long-term follow-up, in a high-volume bariatric center. Methods: We retrospectively analyzed all patients older than 60 years who underwent LSG in our center from January 2009 to December 2018. A prospectively collected database of 4991 consecutive LSG cases was reviewed
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Stratification of Risk Factors of Complications Associated with Peritoneal Dialysis Catheter Placement. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-08 Diana Alejandra Holguin Sanabria,Ivette Jiménez,Daniela Moreno Villamizar,Mauricio Pedraza,Diego Holguin,Ivan Darío Molina Ramírez
Background: Peritoneal dialysis (PD) is a frequent method for renal replacement therapy in pediatric population. However, PD is associated with a high incidence of early and late complications. Thus, this study aims to evaluate the perioperative factors associated with these complications. Methods: Clinical records of patients who had peritoneal dialysis catheter (PDC) placement between January 2013
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Proctoring System of Pediatric Laparoscopic Surgery for Choledochal Cyst. J. Laparoendosc. Adv. Surg. Tech. (IF 1.3) Pub Date : 2023-08-04 Masakazu Murakami,Koji Yamada,Shun Onishi,Toshio Harumatsu,Tokuro Baba,Masaaki Kuda,Kina Miyoshi,Yoshinori Koga,Ryuta Masuya,Takafumi Kawano,Mitsuru Muto,Makoto Hayashida,Kazuhiko Nakame,Shin Shinyama,Jun Kuwabara,Kyosuke Tatsuta,Yusuke Yanagi,Ryuichiro Hirose,Takeshi Shono,Misato Migita,Tatsuru Kaji,Mitsuhisa Takatsuki,Atsushi Nanashima,Hiroshi Matsufuji,Satoshi Ieiri
Background: Endoscopic surgery also has been becoming widespread in the field of pediatric surgery. However, most disease treated by pediatric surgery in a single institution are small number of cases. Besides, the variety of operative procedures that need to be performed in this field is quite wide. For these reasons, pediatric surgeons have limited opportunities to perform endoscopic surgery. Therefore