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Surgical Endoscopy

L S Nymo, S Norderval, M T Eriksen, H H Wasmuth, H Kørner, B A Bjørnbeth, T Moger, A Viste, K Lassen
BACKGROUND: To describe the real burden of major complications after elective surgery for colon cancer in Norway, and to assess which predictors that are significantly associated with the short-term outcome. METHODS: An observational, multi-centre analysis of prospectively registered colon resections registered into the Norwegian Registry for Gastrointestinal Surgery, NoRGast, between January 2014 and December 2016. A propensity score-adjusted subgroup analysis for surgical access groups was attempted, with laparoscopic resections grouped as intention-to-treat...
November 9, 2018: Surgical Endoscopy
Jung Ho Park, Hyoung-Chul Park, Sung Chan Park, Dae Kyung Sohn, Jae Hwan Oh, Sung-Bum Kang, Seung Chul Heo, Min Jung Kim, Ji Won Park, Seung-Yong Jeong, Kyu Joo Park
BACKGROUND: A laparoscopic approach can be attempted for pathologic T4 (pT4) colon cancer. Our aim was to evaluate the clinico-oncologic outcomes following laparoscopic versus open surgery for right and left-sided pT4 colon cancer. METHODS: From a multicentric collaborative database, we enrolled 245 patients with right-sided colon cancer (RCC, 128 laparoscopy and 117 open) and 338 with left-sided colon cancer (LCC, 176 laparoscopy and 162 open). All patients underwent intended curative surgery for histologically proven T4 adenocarcinoma, between 2004 and 2013...
November 9, 2018: Surgical Endoscopy
Diletta Cassini, Norma Depalma, Michele Grieco, Roberto Cirocchi, Farshad Manoochehri, Gianandrea Baldazzi
BACKGROUND: Recently, minimally invasive treatment of complicated sigmoid diverticulitis is becoming a valid alternative to standard procedures. Robotic approach may be useful to allow more precise dissection in arduous pelvic dissection as in complicated diverticulitis. The aim of this study is to investigate effectiveness, potential benefits and short-term outcomes of robotic-assisted laparoscopic surgical resection, compared with fully laparoscopic resection in complicated diverticulitis...
November 7, 2018: Surgical Endoscopy
Merritt Denham, Kara Donovan, Nicole Wetoska, Kristine Kuchta, JoAnn Carbray, John G Linn, Woody Denham, Stephen P Haggerty, Raymond Joehl, Michael Ujiki
BACKGROUND: Postoperative urinary retention (POUR) is a complication of laparoscopic inguinal hernia repair (LIHR). Previous research has identified predictive factors of POUR, such as age and history of benign prostatic hyperplasia (BPH). There is currently limited work on preventative measures. We hypothesize dexamethasone, a steroid, reduces POUR rates following LIHR due to its mechanism. METHODS: Consecutive patients (n = 979) undergoing LIHR from 2009 to 2017 at a single institution were selected from a prospectively managed database...
November 7, 2018: Surgical Endoscopy
Marcus A Quinn, Alistair J Geraghty, Andrew G N Robertson, Simon Paterson-Brown, Peter J Lamb
INTRODUCTION: There are limited data regarding long-term outcomes after surgical repair of giant paraoesophageal hiatus hernia (GPHH). The aim of this study was to assess symptomatic recurrence and patient-reported outcomes following GPHH repair. METHODS: 178 patients undergoing elective (127) and emergency (51) GPHH repair between 1994 and 2015 were identified from the prospectively collected Lothian Surgical Audit database. Electronic patient records were used to determine rate of clinical recurrence...
November 7, 2018: Surgical Endoscopy
Rintaro Hashimoto, Tomoki Matsuda, Masato Nakahori
BACKGROUND AND AIM: Double-balloon enteroscopy (DBE) performed to investigate overt small bowel bleeding can miss the source of bleeding. We investigated the clinical outcomes of patients with negative DBE results for suspected overt small bowel bleeding, which is defined in the current guidelines as obscure gastrointestinal bleeding. METHODS: We reviewed the prospectively collected medical records of patients who underwent DBE at our hospital between May 1, 2004 and April 30, 2016...
November 5, 2018: Surgical Endoscopy
Debang Li, Haixin Luan, Shijie Wang, Yanming Zhou
BACKGROUND: The survival benefit of additional surgery after non-curative endoscopic resection of early gastric cancer is a matter of debate. This meta-analysis is intended to draw a convincing conclusion on this issue based on data currently available. METHODS: A systematic review of PubMed/Medline database was performed from 2010 to 2018 for studies comparing survival outcomes of additional surgery versus simple follow-up after non-curative endoscopic resection for early gastric cancer...
November 5, 2018: Surgical Endoscopy
Thomas C Robertson, Kathryn Hall, Susan Bear, Kyle J Thompson, Timothy Kuwada, Keith S Gersin
INTRODUCTION: The use of non-narcotic modalities for postoperative analgesia may decrease exposure to opioids, thereby limiting their deleterious effects. The objective of this study was to determine the effectiveness of a liposomal bupivacaine transverse abdominis plane (TAP) block prior to laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB). The primary outcome was total postoperative morphine equivalents. METHODS: A single-surgeon, IRB-approved retrospective chart review was performed on consecutive patients who underwent LRYGB or LSG from 2010 to 2016...
November 2, 2018: Surgical Endoscopy
Carolyn Graham, Noah Switzer, Artan Reso, Christopher Armstrong, Neal Church, Philip Mitchell, Estifanos Debru, Richdeep Gill
INTRODUCTION: Bariatric surgery has been shown to be a safe and durable intervention for patients struggling with obesity and metabolic syndrome, including hypertension. Buchwald et al. reported hypertension resolution rates in 67.1% and improvement in 78.5% following aggregate bariatric surgery. The laparoscopic sleeve gastrectomy (LSG) is becoming increasingly utilized as a primary bariatric surgery, but lacks long-term outcome data. There are a growing number of studies reporting outcome data beyond 5 years...
November 1, 2018: Surgical Endoscopy
James M Tatum, Evan Alicuben, Nikolai Bildzukewicz, Kamran Samakar, Caitlin C Houghton, John C Lipham
BACKGROUND: Recurrent or persistent symptoms of reflux, dysphagia, or device erosion can lead to removal of the magnetic sphincter augmentation (MSA aka Linx) device. Device removal has been previously reported, and outcomes of various surgical management strategies at the time of removal have not been well described. METHODS: This is a retrospective review of patients undergoing MSA removal from March 2009 to September 2017 in a single institution. Reason for removal, operative management, and short-term outcomes are reported...
November 1, 2018: Surgical Endoscopy
Zhangyuanzhu Liu, Xiaobei Luo, Wei Jiang, Dexin Chen, Weisheng Chen, Kai Li, Xiumin Liu, Ziming Cui, Zhiming Li, Zelong Han, Side Liu, Guoxin Li, Chris Xu, Jun Yan
BACKGROUND: In low rectal cancer, a negative distal margin (DM) is necessary for R0 radical resection, and therefore, the choice of surgical procedure is dependent on whether the planned transection rectum has residual cancer or not. Currently, surgeons choose surgical procedures according to intraoperative in vitro DM frozen sections. This study aimed to investigate the feasibility of real-time in vivo optical biopsy using confocal laser endomicroscopy (CLE) to evaluate DM in situ and determine the surgical procedure in low rectal cancer...
November 1, 2018: Surgical Endoscopy
Zirui He, Sen Zhang, Pei Xue, Xialin Yan, Leqi Zhou, Jianwen Li, Mingliang Wang, Aiguo Lu, Junjun Ma, Lu Zang, Hiju Hong, Feng Dong, Hao Su, Jing Sun, Luyang Zhang, Minhua Zheng, Bo Feng
BACKGROUND: To investigate the safety and feasibility of the completely medial access by page-turning approach (CMAP) for laparoscopic right hemi-colectomy. METHODS: In this retrospective study, the data from 72 patients who underwent laparoscopic right hemi-colectomy with CMAP were analyzed and compared with data from 124 patients who underwent the conventional medial approach performed by the same surgical team from September 2011 to March 2017. RESULT: Complete mesocolic excision (CME) was achieved in 67 of 72 patients (93...
November 1, 2018: Surgical Endoscopy
Zaozao Wang, Jiadi Xing, Jun Cai, Zhongtao Zhang, Fei Li, Nengwei Zhang, Jixiang Wu, Ming Cui, Ying Liu, Lei Chen, Hong Yang, Zhi Zheng, Xiaohui Wang, Chongchong Gao, Zhe Wang, Qing Fan, Yanlei Zhu, Shulin Ren, Chenghai Zhang, Maoxing Liu, Jiafu Ji, Xiangqian Su
BACKGROUND: Although laparoscopic surgery has been recommended as an optional therapy for patients with early gastric cancer, whether patients with locally advanced gastric cancer (AGC) could benefit from laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy remains elusive due to a lack of comprehensive clinical data. To evaluate the efficacy of LADG, we conducted a multi-institutional randomized controlled trial to compare laparoscopy-assisted versus open distal gastrectomy (ODG) for AGC in North China...
November 1, 2018: Surgical Endoscopy
Farah Ladak, Jerry T Dang, Noah Switzer, Valentin Mocanu, Chunhong Tian, Daniel Birch, Simon R Turner, Shahzeer Karmali
BACKGROUND: Intraoperative evaluation with fluorescence angiography using indocyanine green (ICG) offers a dynamic assessment of gastric conduit perfusion and can guide anastomotic site selection during an esophagectomy. This study aims to evaluate the predictive value of ICG for the prevention of anastomotic leak following esophagectomy. METHODS: A comprehensive search of electronic databases using the search terms "indocyanine/fluorescence" AND esophagectomy was completed to include all English articles published between January 1946 and 2018...
November 1, 2018: Surgical Endoscopy
Pere Planellas, Helena Salvador, Ramon Farrés, Núria Gómez, David Julià, Júlia Gil, Marcel Pujadas, Franco Marinello, Lídia Cornejo, Antoni Codina
BACKGROUND: The inferior mesenteric artery approach with a selective lateral splenic flexure mobilization is the most widely used initial step in laparoscopic rectal and left colon surgery. Surgery started through the inferior mesenteric vein (IMV) with systematic medial mobilization (MM) has some theoretical advantages that have never been analyzed in a clinical trial. The aim of this study was to compare the two techniques with regards to surgical technique variables (conversion, surgical time, bleeding, morbidity, and mortality) and pathological outcomes...
October 30, 2018: Surgical Endoscopy
Jae Min Lee, Hyuk Soon Choi, Hoon Jai Chun, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Soon Ho Um, Chang Duck Kim, Hong Bae Kim
BACKGROUND: Endoscopic irreversible electroporation (IRE) can be performed using a flexible, thin, needle-shaped electrode for an endoscopic ultrasound (EUS)-guided procedure. This study aimed to evaluate the feasibility and efficacy of performing EUS-guided IRE with endoscopic needle-electrode in porcine pancreas. METHODS: Experimental endoscopic IRE on the pancreas were performed by EUS-guided approach in three pigs and compared with surgical approach in three pigs...
October 29, 2018: Surgical Endoscopy
Lisa A Bevilacqua, Nabeel R Obeid, Konstantinos Spaniolas, Andrew Bates, Salvatore Docimo, Aurora Pryor
BACKGROUND: Pathways for enhanced recovery after surgery (ERAS) have been shown to improve length-of-stay (LOS) and post-operative complications across various surgical fields, however there is a lack of evidence-based studies in bariatric surgery. Specifically, the value of early feeding within an ERAS program in bariatric surgery is unclear. The objective of the current study was to determine the effect of early feeding on LOS for patients who underwent primary or revisional laparoscopic sleeve gastrectomy (LSG) and Roux-en-y gastric bypass (RYGB)...
October 29, 2018: Surgical Endoscopy
Binggen Li, Changfu Qin, Reinhard Bittner
BACKGROUND: The Rives-Stoppa procedure is used for ventral hernia repair but requires a large midline incision. This report describes a new, totally endoscopic approach to the retromuscular plane, corresponding to a reversed totally extraperitoneal procedure, to perform sublay repair of primary and secondary ventral hernias. This totally endoscopic sublay (TES) repair is described in detail, and its safety and efficacy were evaluated. METHODS: In this prospective study, we assessed 26 consecutive primary and secondary epigastric midline ventral hernias that were repaired between July 2017 and July 2018 using the TES procedure...
October 29, 2018: Surgical Endoscopy
Xiaogang Dong, Zhongquan Sun, Tianchun Wu, Wenjia Guo, Sheng Yan, Shusen Zheng
BACKGROUND: Hemorrhage during the liver transection is the major hazard for laparoscopic hepatectomy (LH). We aimed to evaluate the feasibility and safety of a 915-MHz microwave device used in LH. METHODS: Data were retrospectively analyzed regarding 60 patients who underwent LH with or without 915-MHz microwave coagulation at our center from January 2016 to June 2016. 30 patients underwent the 915-MHz microwave-assisted LH (MW group), and 30 patients otherwise were considered as control group...
October 29, 2018: Surgical Endoscopy
Xuan Zhang, Yi Gao, XingLong Dai, HongTao Zhang, ZhongJun Shang, XinYi Cai, Tao Shen, XianShuo Cheng, Kun Yu, YunFeng Li
BACKGROUND AND OBJECTIVES: Transanal total mesorectal excision (TaTME) is positioned at the cutting edge of minimally invasive approach to mid- and low rectal cancer. This meta-analysis was to compare the short- and long-term outcomes of TaTME versus laparoscopic total mesorectal excision (LTME) and to evaluate the safety, efficacy, and possible superiority of TaTME. METHODS: A comprehensive search was conducted for randomized controlled trials (RCTs) and non-RCTs (NRCTs) comparing TaTME with LTME...
October 29, 2018: Surgical Endoscopy
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