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Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

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https://read.qxmd.com/read/30994398/are-cardiac-anomalies-and-persistent-fetal-circulation-a-risk-factor-for-cardiovascular-events-during-minimally-invasive-surgery-in-neonates
#1
Christine Burgmeier, Felix Schier
Introduction: Minimally invasive surgery (MIS) in neonates is progressively performed. The aim of this study was to evaluate the risk for cardiovascular events during endoscopic surgery in neonates and to analyze the influence of persistent fetal circulation and/or cardiac anomalies. Materials and Methods: This is a retrospective single institution study including all neonates undergoing MIS. The charts were reviewed for intraoperative cardiovascular events and operative procedure was performed. Special attention was paid to cardiac anomalies and persistent fetal circulation...
April 17, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30990362/single-center-experience-with-magnetic-retraction-in-colorectal-surgery
#2
Gerardo Davalos, Billy Y Lan, Ramon Diaz, Leonard K Welsh, Estefania Roldan, Dana Portenier, Alfredo D Guerron
BACKGROUND: Appropriate tissue retraction is essential in laparoscopic surgery, and colorectal operations often require an additional incision and trocar that can disturb visualization and maneuverability. Each incision carries an increased risk for complications as well as increased pain and cosmetic issues. Magnetic devices have been developed for a less invasive retraction. The objective of this study is to report our initial experience using magnet retraction. METHODS: Ten consecutive patients who underwent laparoscopic colorectal procedures by a single surgeon using a magnetic retractor (Levita Magnetics® Surgical System, San Mateo, CA) between October 2017 and June 2018 at Duke Regional Hospital in Durham, NC, were included...
April 16, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30990359/the-feasibility-of-a-prototype-thyroidoscope-for-gasless-transoral-endoscopic-thyroidectomy-a-preclinical-cadaver-study
#3
Jun-Ook Park, Soo-Geun Wang, Dahee Park, In-Ho Bae, Jin-Choon Lee, Byung-Joo Lee, Sung-Chan Shin
OBJECTIVE: This study aimed to evaluate the feasibility of the gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) using the Thyroidoscope, developed to maintain the surgical working space without CO2 insufflation. MATERIALS AND METHODS: To prevent a potentially fatal CO2 -related complication, we developed a retractable device, named the Thyroidoscope, which could maintain the surgical working space without CO2 insufflation. We conducted a preclinical cadaver study to evaluate its use in gasless TOETVA...
April 16, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30985252/modified-implantation-of-self-adhesive-mesh-in-laparoscopic-total-extraperitoneal-inguinal-hernia-repair
#4
Jianming Zhu, Zongde Hu, Yining Xu
INTRODUCTION: The self-adhesive mesh has become increasingly popular since its launch and has been proven to be reliable in laparoscopic hernia reparation. However, self-adhesive mesh may encounter unexpected adhesions during operation because one side of the mesh was covered with microgrips. OBJECTIVE: Performing a modified technique of self-adhesive mesh implantation to avoid unexpected adhesions to the mesh itself and to the surrounding tissues in the operation space...
April 13, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30985239/pediatric-endoscopic-pilonidal-sinus-treatment-an-effective-procedure-for-children-with-recurrent-pilonidal-sinus-disease-after-failed-open-surgery
#5
Ciro Esposito, Francesca Gargiulo, Serena Izzo, Mariapina Cerulo, Fulvia Del Conte, Giovanni Severino, Maria Escolino
BACKGROUND: The traditional open excision of pilonidal sinus disease (PSD) is associated with a painful postoperative course and high recurrence rates. We recently published our technique of pediatric endoscopic pilonidal sinus treatment (PEPSiT). We aimed to report our long-term outcome including using PEPSiT for recurrent PSD after failed open repair. METHODS: All patients with recurrent PSD after open excision who underwent PEPSiT in our unit over the past 2 years were included in the study...
April 13, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30985231/experience-with-stent-placement-for-benign-pancreaticobiliary-disorders-in-children
#6
Bettina Lange, Rüdiger Adam, Georg Kähler, Lucas M Wessel, Rainer Kubiak
PURPOSE: There is a lack of experience with stenting for benign pancreaticobiliary disorders in children. MATERIALS AND METHODS: Fifteen children (9 male and 6 female) with a median age of 7.1 years (range 0.7-14.2 years) who underwent treatment with a plastic stent for a benign disorder of the pancreaticobiliary system between May 2003 and September 2017 were recruited to this retrospective study. RESULTS: Biliary and/or pancreatic plastic stents were inserted into 5 patients with congenital, 4 with post-traumatic, and 6 with idiopathic pathologies...
April 13, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30973303/low-weight-child-can-it-be-considered-a-limit-of-robotic-surgery-experience-of-two-centers
#7
Francesco Molinaro, Rossella Angotti, Edoardo Bindi, Chiara Pellegrino, Giulia Fusi, Luca Luzzi, Nicola Tosi, Mario Messina, Girolamo Mattioli
PURPOSE: Robotic surgery should be considered a technical opportunity for many procedures in pediatric age. The purpose of this study is to verify the correlation between robotic procedures and low weight. MATERIALS AND METHODS: It is a retrospective study (2013-2017). We included all patients who underwent robotic assisted surgery for major procedures in two Italian centers for pediatric surgery. All patients were divided into two groups (group A ≤15 kg and group B > 15 kg)...
April 11, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30950767/is-segmental-colon-resection-an-alternative-treatment-for-splenic-flexure-cancer
#8
Refik Bademci, Jesus Bollo, C Martinez Sanchez, Pilar Hernadez, Eduardo Maria Targarona
BACKGROUND: Optimal elective surgery for splenic flexure cancer is unclear. Three types of surgical treatment methods are commonly used, subtotal colectomy (STC), left hemicolectomy (LHC), and segmental colon resection (SCR), but consensus is lacking as to which is the optimal method. MATERIALS AND METHODS: We retrospectively compared clinicopathological and operative results, morbidity, mortality, and long-term survival in patients with splenic flexure cancer who underwent surgery between 1998 and 2018...
April 5, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30946004/use-of-a-capture-guidance-surgical-instrument-to-minimize-muscle-stripping-during-nuss-repair-of-pectus-excavatum
#9
Lawrence Bodenstein, David M Notrica
BACKGROUND: Pectus excavatum is an anomaly of chest wall development in which anterior ribs curve inward and the sternum is displaced toward the vertebral column. The Nuss procedure is a minimally invasive technique in which one or more metal bars are implanted to brace the sternum in a corrected position. Over time, the chest wall remodels into an anatomically corrected shape and the bar(s) are removed at a later date. During the procedure, passage of an introducer instrument and then the repair bar(s) may shear the intercostal muscles from the adjacent ribs...
April 4, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30946003/computed-tomography-guided-wire-marking-for-thoracoscopic-resection-of-small-lung-nodules-in-children
#10
Sigurd T Seitz, Vera S Schellerer, Axel Schmid, Markus Metzler, Manuel Besendörfer
INTRODUCTION: In pediatric patients, thoracoscopic wedge-resection of pulmonary nodules is an established therapy. However, intraoperative localization of small lesions is still challenging. Purpose of this study was to evaluate the efficacy of preoperative computed tomography (CT)-guided wire-marking of small lung nodules. MATERIALS AND METHODS: Between 2012 and 2017 a total of six cases receiving thoracoscopic resection of CT-marked lung nodules were analyzed...
April 4, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30945979/a-prospective-randomized-controlled-trial-of-single-port-and-three-port-laparoscopic-appendectomy-in-children
#11
Andrzej Golebiewski, Stefan Anzelewicz, Agnieszka Wiejek, Dominika Lubacka, Piotr Czauderna
BACKGROUND: This study aimed to evaluate single-port laparoscopic appendectomy (SPLA) in comparison with three-port laparoscopic appendectomy (3PLA) in children about the extent of surgical trauma after SPLA and 3PLA measured by serum interleukin-6 (IL-6) and C-reactive protein (CRP) concentrations. MATERIALS AND METHODS: A total of 50 patients with a median age of 11.5 were randomized to two groups. Experts in both methods performed the surgeries. The decision on the type of planned surgery was randomly determined...
April 4, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30939056/complication-analysis-with-percutaneous-postoperative-choledochoscopy-in-826-patients-a-single-center-study
#12
Huiling Wang, Yingliang Ou, Jinrui Ou, Zhixiang Jian
BACKGROUND: Advances in choledochoscopy technology lead to an improvement in the treatment of hepatolithiasis. The aim of this study is to analyze the complications and efficacy of percutaneous postoperative choledochoscopy (PPOC) for residual stones. MATERIALS AND METHODS: Retrospective analysis of patients who underwent PPOC for residual stones. Main outcome measures included the rate of stone removal and postoperative complications. RESULTS: Eight hundred twenty-six patients received PPOC...
April 1, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30939054/application-of-carbon-nanoparticles-in-endoscopic-thyroidectomy-via-bilateral-areola-approach-total-thyroidectomy-plus-central-lymph-node-dissection
#13
Daqi Zhang, Tie Wang, Gianlorenzo Dionigi, Yantao Fu, Jiao Zhang, Yishen Zhao, Jingting Li, Hui Sun
BACKGROUND: The aim of this report was dual: (a) to describe the step-by-step standardized intraoperative percutaneous injection of carbon nanoparticles (CNPs) procedure for CNP-stained central compartment lymph nodes (CLNs) and passive display of parathyroid gland by CNP-stained thyroid in endoscopic thyroidectomy via bilateral areola approach (ETBAA) and (b) evaluation and outcomes of percutaneous injection of CNPs in total thyroidectomy plus CLN dissection through ETBAA. MATERIALS AND METHODS: Video describes the technique of intraoperative percutaneous injection of CNPs for central compartment LNs identification, dissection, and parathyroid glands preservation in ETBAA for papillary thyroid cancer...
April 1, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30932738/a-clinical-comparative-analysis-of-retroperitoneal-laparoscopic-tuberculous-nephrectomy-and-open-tuberculous-nephrectomy
#14
Xiang Li, Zhi-Jia Liu, Jian-Wu Liu, Ming Cai, Song Chen, Tao Yu, Yu-Zhe Tang, Yu-Bao Liu, Qiang Wang
BACKGROUND: This study aimed to investigate the efficacy and safety of retroperitoneal laparoscopic tuberculous nephrectomy (RLTN) and open tuberculous nephrectomy (OTN). MATERIALS AND METHODS: One hundred fifty-eight patients treated with RLTN were enrolled in the RLTN group. One hundred patients treated with OTN were enrolled in the control group. Surgical parameters and postoperative conditions were recorded to assess the effect of the operation, and complications were recorded throughout the follow-up time...
March 30, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30925119/laparoscopy-assisted-natural-orifice-specimen-extraction-to-treat-tumors-of-the-sigmoid-colon-and-rectum-the-short-and-long-term-outcomes-of-a-retrospective-study
#15
Chunqiu Chen, Hong Chen, Muqing Yang, Xiaocai Wu, Xiaoqi Yuan, Chunyan Zhu, Yi Han, Lu Yin
BACKGROUND: Few studies have assessed the short- and long-term outcomes of laparoscopically assisted natural orifice specimen extraction (NOSE) in patients with sigmoid colon and rectal tumors. We investigated the short- and long-term outcomes of patients undergoing laparoscopic-assisted NOSE for tumors of the sigmoid colon and rectum. METHODS: Ninety-eight patients with sigmoid colon and rectal tumors undergoing laparoscopic-assisted NOSE were included. The tumor was classified according to its distance from the anal verge: Group 1 (15-30 cm), Group 2 (5-15 cm), and Group 3 (≤5 cm)...
March 29, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30925103/simultaneous-colon-and-liver-laparoscopic-resection-for-colorectal-cancer-with-synchronous-liver-metastases-a-single-center-experience
#16
Cinzia Bizzoca, Antonella Delvecchio, Salvatore Fedele, Leonardo Vincenti
BACKGROUND: The one-stage approach for colorectal cancer (CRC) with synchronous liver metastases (SLM) has demonstrated advantages, when feasible, in terms of oncological radicality and reduction in sanitary costs. The simultaneous laparoscopic approach to both colon cancer and liver metastases joins the advantages of mini-invasiveness to the one-stage approach. METHODS: During the period from February 2011 to July 2017, a single surgeon performed 17 laparoscopic colorectal operations with simultaneous liver resection for CRC with SLM...
March 29, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30912692/a-new-minimally-invasive-approach-to-the-posterior-right-segments-of-the-liver-report-of-the-first-two-cases
#17
Pier Francesco Alesina, Martin K Walz
BACKGROUND: Minimally invasive liver surgery has gained increasing popularity over the past decade. Nevertheless, laparoscopic treatment of lesions located in the posterior-superior locations remains challenging because of the difficulty to reach a safe exposition of those regions of the liver. We present a new retroperitoneoscopic approach for the minimally invasive treatment of posterior tumors. MATERIALS AND METHODS: Between May and July 2018, 2 patients with solitary liver metastasis of colorectal origin underwent retroperitoneoscopic liver resection in the prone position...
March 25, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30900956/should-we-routinely-close-the-fascial-defect-in-laparoscopic-ventral-and-incisional-hernia-repair
#18
Emmanuel E Sadava, María E Peña, Francisco Schlottmann
INTRODUCTION: Closure of the hernia defect during laparoscopic ventral hernia repair (LVHR) remains controversial. We aimed to analyze whether closing hernia defects impacts in postoperative morbidity and recurrence rates after LVHR. MATERIALS AND METHODS: A consecutive series of patients undergoing LVHR from January 2014 to June 2017 with a minimum follow-up of 6 months were included. The sample was divided into two groups: DC, patients with fascial defect closure and NDC, patients without closure of the defect...
March 21, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30900936/cumulative-sum-analysis-of-the-learning-curve-for-uniportal-video-assisted-thoracoscopic-lobectomy-and-lymphadenectomy
#19
Davor Stamenovic, Antje Messerschmidt, Thomas Schneider
PURPOSE: The study was performed to analyze the learning curve of performing uniportal video-assisted thoracoscopic surgery (uVATS) for lobectomy and lymphadenectomy, and to evaluate the possible disadvantages in outcomes during the course of learning. MATERIALS AND METHODS: This is a prospective study of 52 consecutive patients undergoing uVATS lobectomy by a single surgeon from January 2016 to December 2017. Operation time (OPT) and the number of harvested lymph nodes (LNs) were evaluated by means of cumulative sum control chart by assessing efficiency (refinement in procedure to reach decreasing OPT and increasing number of harvested LNs) and mastery (absence of outliers)...
March 21, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30892984/extending-myotomy-both-downward-and-upward-improves-the-final-outcome-in-manometric-pattern-iii-achalasia-patients
#20
Renato Salvador, Luca Provenzano, Giovanni Capovilla, Dario Briscolini, Loredana Nicoletti, Michele Valmasoni, Lucia Moletta, Stefano Merigliano, Mario Costantini
BACKGROUND: Achalasia is currently classified in three manometric patterns. Pattern III is the least common pattern, and reportedly correlated with the worst outcome after all available treatments. We aimed to investigate the final outcome in pattern III achalasia patients after classic laparoscopic myotomy (CLM) as compared with a myotomy lengthened both downward and upward (long laparoscopic myotomy [LLM]). MATERIALS AND METHODS: The study population consisted of 61 consecutive patients with a diagnosis of pattern III achalasia who underwent laparoscopic myotomy between 1997 and 2017...
March 20, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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