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JSLS: Journal of the Society of Laparoendoscopic Surgeons

Mohammed Shahait, Ross Cockrell, Mona Yezdani, Sue-Jean Yu, Alexandra Lee, Kellie McWilliams, David I Lee
Introduction: To evaluate the effect of valveless trocar system (VTS) on intra-operative parameters, peri-operative outcomes, and 30-day postoperative complications in patients undergoing robotic-assisted laparoscopic prostatectomy. Methods: A total of 200 consecutive patients undergoing Robot-assisted radical prostatectomy by a single surgeon were prospectively evaluated using either the valveless trocar (n = 100) or standard trocars (n = 100). Patient demographics, intra-operative parameters, length of stay, presence or absence of postoperative nausea and vomiting, analog pain score at 0-6 hours, 6-12 hours, 12-18 hours, and >24 hours, and 30-day postoperative complications were analyzed...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Yehonatan Nevo, Ron Shapiro, Dvir Froylich, Shai Meron-Eldar, Douglas Zippel, Aviram Nissan, David Hazzan
Background and Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF. The aim of this study was to assess the feasibility and safety of laparoscopic surgery in the treatment of EVFs in patients with complicated diverticular and Crohn's disease...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
M Lechner, K Borhanian, S Mitterwallner, R Bittner, E Klieser, G Köhler, K Emmanuel, F Mayer
Background and Objectives: The goal of the study was to evaluate retroperitoneal sarcomas with continuous growth into the scrotum through the inguinal canal with regard to diagnostic approach, surgical treatment, and outcome. The analysis is based on a comprehensively documented case and a complete systematic review of published literature. Potential pitfalls are highlighted. Methods: We describe the case of a 57-year-old male Caucasian who presented with a swelling in the right groin...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Jensen N Galvis, Maria V Vargas, Hannah N Robinson, Paul Tyan, Alex Gu, Chapman Wei, Nikhila Janakiram, Gaby Moawad
Background and Objectives: Limited research exists on the association between chronic obstructive pulmonary disease (COPD) and morbidity and mortality after laparoscopic hysterectomy. The objective of this study is to examine the following: 1) which demographics and comorbidities are most likely to present concurrently in patients with COPD? 2) Are patients with COPD undergoing laparoscopic hysterectomy at increased risk for development of postoperative complications within 30 days? Methods: Retrospective cohort study using data collected from 2007 to 2016 from the American College of Surgeons National Surgical Quality Improvement Program database...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Osman Köneş, Abdulcabbar Kartal, Murat Akarsu, Cevher Akarsu, Mehmet Emin Güneş, Halil Alış
Background and Objective: Colonic stenting in left-sided tumor is being commonly used. However, placing a stent in the flexure tumors is rare because it is technically more difficult. In this study, we aimed to retrospectively screen patients with flexure tumors admitted to our clinic who were treated using a colonic stent and discuss our findings. Methods: Patients admitted to the emergency department for obstructive colonic tumors between 2012 and 2017 were retrospectively evaluated, and 21 patients treated using stents were included in the study...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Cuinan Jiang, Xiuhao Zhao, Shi Cheng
Background and Objectives: Laparoscopic common bile duct exploration (LCBDE) has been verified to be an effective technique in treating choledocholithiasis, and T-tube insertion has been widely performed after LCBDE. With growing doubts regarding the effectiveness and safety of T-tube drainage (TTD), it has been suggested to replace such with primary duct closure (PDC). This meta-analysis aimed to evaluate the short- and long-term effectiveness and safety of PDC compared with TTD after LCBDE...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Gao-Xiang Chen, Cheng Li, Hai Zhang
Background: Conventional cervical drainage tubes are placed crossing the suprasternal fossa during endoscopic thyroidectomy. In our clinical experience, some patients show shallow or absent suprasternal fossa, which affects the cosmetic outcome in the patient. Therefore, this study aimed to assess the feasibility and significance of restoring the suprasternal fossa by changing the position of neck drainage tubes. Methods and Materials: A total of 117 female patients were enrolled and divided into 2 groups, including 59 and 58 individuals in the Conventional (conventional anterior neck region negative pressure drainage) and Improvement (improved method with a negative pressure drainage) groups...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Yong-Soon Kwon, Yoo Mi Cho, Kyong Shil Im, Su Bin Yoo, Sung Woo Hyung
Introduction: Uterine-conservative surgery via laparoscopy is a challengeable and high risk because of heavy intra-operative bleeding events in reproductive women with highly vascular uterine benign disease. There are three reported cases of women with highly vascular uterine benign diseases and high risk of intra-operative heavy bleeding, but were treated successfully to control intra-operative heavy bleeding risk by transient occlusion of the uterine artery (TOUA) through laparoscopy and resulted in safe conservation of the uterus...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Glenn Michael Ihde, Catalina Pena, Christy Scitern, Steve Brewer
Background and Objectives: Transoral incisionless fundoplication is an alternative to traditional laparoscopic fundoplications. Recently, hiatal hernia repair combined with transoral incisionless fundoplication has become an accepted modification of the original procedure; however, outcomes information, particularly objective pH monitoring, has been sparse. We retrospectively review the subjective and objective outcomes of transoral incisionless fundoplication combined with hiatal hernia repair...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Gustavo L Carvalho, Diego Laurentino Lima, Phillip P Shadduck, Gustavo Henrique Belarmino de Góes, Gustavo Barros Alves de Carvalho, Raquel Nogueira Cordeiro, Eduarda Migueis Quintas Calheiros, Dalmir Cavalcanti Dos Santos
Introduction: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision. Methods: Brazilian medical students watched a video reviewing the advantages and disadvantages of six different surgical approaches to cholecystectomy: open surgery, conventional laparoscopy, mini-laparoscopy (MINI), single-incision laparoscopic surgery, natural-orifice transluminal endoscopic surgery, and robotic surgery...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Elizabeth R Raskin, Deborah S Keller, Madhu L Gorrepati, Sylvie Akiel-Fu, Shilpa Mehendale, Robert K Cleary
Background and Objectives: The role for the robotic-assisted approach as a minimally invasive alternative to open colorectal surgery is in the evaluation phase. While the benefits of minimally invasive colorectal surgery when compared to the open approach have been clearly demonstrated, the adoption of laparoscopy has been limited. The purpose of this study was to evaluate clinical outcomes, hospital and payer characteristics of patients undergoing robotic-assisted, laparoscopic, and open elective sigmoidectomy for diverticular disease in the United States...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Rooma Sinha, Rupa Bana, Madhumathi Sanjay
Background and Objectives: We compared the outcome of robotic hysterectomy (RH) with laparoscopic hysterectomy (LH) for large uteri (≥16 weeks). Methods: This was a retrospective review over 5 years of 165 women (RH, 46; LH, 119). Demographic data, conversion, hemoglobin drop, indication, operating time, postoperative stay, and intra-operative strategies (adhesiolysis, myomectomy) were recorded. Results: Mean age was 45.7 ± 6.4 years and 44...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Constantine T Frantzides, Brad Alexander, Alexander T Frantzides
Background: The main indications for revision of bariatric surgery are inadequate weight loss, weight regain, or complications. The objective of revision is to restore the restrictive component and/or add a malabsorptive component. Objectives: To evaluate the effectiveness of revisional laparoscopic bariatric surgery for loss of weight and assess the risks and benefits associated with these technically demanding procedures. Methods: Revision cases performed between 2001 and 2013 were identified and grouped according to the primary procedure and type of revision...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Paul MacKoul, Natalya Danilyants, Rupen Baxi, Louise van der Does, Leah Haworth
Background and Objective: Compare operative outcomes of laparoscopic hysterectomy in an outpatient hospital setting versus freestanding ambulatory surgery center. Methods: Retrospective cohort study of two groups in an outpatient hospital surgery department and freestanding ambulatory surgical center, both serving the Washington, DC area. Women, 18 years or older, who underwent laparoscopic hysterectomy for benign conditions in an outpatient hospital setting between 2011 and 2014 (n = 821), and at an ambulatory surgery center between 2013 and 2017 (n = 1210)...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Julio C U Coelho, Marco A R da Costa, Eduardo J B Ramos, André Ritzmann Torres, Mariane Christina Savio, Christiano M P Claus
Background and Objectives: Although solid pseudopapillary tumor (SPT) of the pancreas is rare, its diagnosis has increased severalfold in the past decades. We present our experience in the management of SPT, including a patient who experienced tumor rupture during laparoscopy pancreatic resection. Methods: Data on all patients with SPT who were subjected to surgical treatment were retrospectively obtained. Results: Of 20 patients evaluated, 17 (85%) were females...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Derrick J Sanderson, John Rutkowski, Bashir Attuwaybi, Abeer Eddib
Introduction and Hypothesis: In the United States, vesicovaginal fistula (VVF) most often results from gynecologic surgery causing significant morbidity and distress to both the patient and surgeon. The use of tissue interposition at time of primary repair has been advocated to decrease the risk of recurrence. The aim of this study is to describe our experience with interposition of sigmoid epiploica during robotic extravesical repair of supratrigonal VVF. Methods: This is a retrospective case series from June 2015 to September 2016...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Gabriele Centini, Karolina Afors, Joao Alves, István Máté Argay, Philippe R Koninckx, Lucia Lazzeri, Giorgia Monti, Errico Zupi, Arnaud Wattiez
Background and Objectives: Laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms; the data are lacking concerning the impact of anterior compartment endometriosis on infertility. We conducted this study to evaluate whether or not the surgical excision of deep endometriosis affecting the anterior compartment plays a role in restoring fertility. Methods: This multicentre, retrospective study included a group of 55 patients presenting with otherwise-unexplained infertility who had undergone laparoscopic excision of anterior compartment endometriosis with histological confirmation...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Traci E Ito, Alexandra L Martin, Edith F Henderson, Jeremy T Gaskins, Vida M Vaughn, Shan M Biscette, Resad P Pasic
Background and Objectives: To perform a systematic review of articles evaluating hemostatic effectiveness and peri-operative outcomes when topical hemostatic agents (HA) are used in minimally invasive gynecologic surgeries (MIGS) for benign conditions. Methods: Studies published through March 31, 2017 were retrieved through PubMed, EMBASE, Cochrane, and to identify all eligible studies. No studies were excluded based on publish date. All comparative studies or case series with >10 participants reporting use of at least one topical HA in MIGS for benign conditions were included as long as full-text articles were available and written in English...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Claudio Peixoto Crispi, Claudio Peixoto Crispi, Paulo Sergio da Silva Reis, Fernando Luis Fernandes Mendes, Marina Mattos Filgueiras, Marlon de Freitas Fonseca
Background and Objectives: The ultrasonically activated scalpel is a surgical instrument that is used in minimally invasive surgery to safely cut and seal vessels. This study reported the experimental observations of the use of a laparoscopic ultrasonic scalpel, including its safety and feasibility. in sealing vessels of different diameters in an in vivo animal model during both physiological and supraphysiological blood pressure (BP) conditions. Methods: One healthy female swine was used...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Douglas E Ott
Background and Objectives: Words in scientific discourse must be truthful. Introducing ambiguity or creating a false narrative by insinuating close counts or almost statements as facts that appeal to a truth the writer wants to exist doesn't make it true. A reader's personal interpretation because of hedging or weasel words creates an opportunity for truthiness as a belief to become a fact when it isn't. Conclusion: Awareness by scientists of this situation will make article reading more critical and related to reality rather than what you want an author wants it to be...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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