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JSLS: Journal of the Society of Laparoendoscopic Surgeons

Aristidis Ioannidis, Konstantinos Arvanitidis, Eirini Filidou, Vassilis Valatas, George Stavrou, Antonios Michalopoulos, George Kolios, Katerina Kotzampassi
Background and Objectives: Surgery provokes inflammatory and immune responses, so efforts have been made to reduce host response by using less invasive techniques. The purpose of this experimental study was to investigate the surgical stress induced by skin incision and the role of liver response in this process. Methods: Seventy male anesthetized Wistar rats were subjected to a midline incision confined strictly to the skin (dermis) of either 1 cm long (n = 20), 10 cm long (n = 20), or no incision (n = 20) or served as controls (n = 10)...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Murat Akarsu, Osman Kones
Background and Objectives: Colorectal cancer is the third leading cause of cancer-related death. Excision of premalignant polyps has a s ignificant impact on reducing colorectal cancer mortality and morbidity. Colonoscopy is considered to be the gold standard for the diagnosis and affords an opportunity for treatment of colonic polyps. In recent years, serious debates have taken place because of the biological characteristics of diminutive polyps (DPs), polypectomy complications, and serious costs...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Farwa Batool, Stacey D Collins, Jeremy Albright, Jane Ferraro, Juan Wu, Greta L Krapohl, Darrell A Campbell, Robert K Cleary
Background and Objectives: The traditional open approach is still a common option for colectomy and the most common option chosen for rectal resections for cancer. Randomized trials and large database studies have reported the merits of the minimally invasive approach, while studies comparing laparoscopic and robotic options have reported inconsistent results. Methods: This study was designed to compare open, laparoscopic, and robotic colorectal surgery outcomes in protocol-driven regional and national databases...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Benjamin Clapp
Background and Objectives: Rates of morbid obesity are skyrocketing worldwide. Not only bariatric surgeons, but also general surgeons are often operating on morbidly obese patients. Many general surgeons still use the same anatomic landmarks for patients with body mass index (BMI) over 35 mg/kg2 as they do for patients of normal weight and can therefore find accessing the morbidly obese abdominal organs difficult. This paper will describe a technique that is easily reproducible and applicable in a wide range of laparoscopic cases...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Delbos Lea, Gareau-Labelle Annie-Kim, Langlais Eve-Lyne, Lemyre Madeleine, Boutet Marianne, Maheux-Lacroix Sarah, Dallaire Lucie, Laberge Philippe Y
Background and Objectives: Laparoscopic hysterectomy poses the risk of lower urinary tract injury, and intraoperative recognition of urinary tract injury is often difficult. We sought to evaluate sodium fluorescein coloration of ureteral jets during cystoscopy after laparoscopic hysterectomy and to evaluate surgeons' satisfaction with this method of injury detection. Methods: This was an observational study, in which data were collected prospectively. A total of 30 women who underwent laparoscopic hysterectomy from August 2016 to February 2017 at the Centre Hospitalier de l'Université Laval (CHUL) de Québec...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
James C Rosser, Vudatha Vignesh, Brent A Terwilliger, Brett C Parker
Background: Drones have the ability to gather real time data cost effectively, to deliver payloads and have initiated the rapid evolution of many industrial, commercial, and recreational applications. Unfortunately, there has been a slower expansion in the field of medicine. This article provides a comprehensive review of current and future drone applications in medicine, in hopes of empowering and inspiring more aggressive investigation. Database: A literature search was performed by EBSCO (Elton B...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Rachel L Barr Grzesh, Alejandro D Treszezamsky, Suzanne S Fenske, Lauren G Rascoff, Erin L Moshier, Charles Ascher-Walsh
Background and Objective: Some patients who undergo laparoscopic hysterectomy request overnight admission for pain management, thus increasing costs for a surgery that is safe for same-day discharge. We wanted to evaluate whether a paracervical block of bupivacaine with epinephrine before laparoscopic supracervical hysterectomy would decrease overnight admission rates, postoperative pain, and pain medication requirement. Methods: This was a randomized, double-blind, placebo-controlled, parallel-group trial (Canadian Task Force classification I) at an academic medical center...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Juan Liu, Elise Bardawil, Robert K Zurawin, Junwei Wu, Huaying Fu, Francisco Orejuela, Xiaoming Guan
Introduction: This series of cases was an investigation of the safety and feasibility of robotic laparoendoscopic single-site surgery (R-LESS) as a method of performing sacrocolpopexy. Case Presentation: This is a retrospective series of 15 cases of R-LESS sacrocolpopexy with the V-Loc (Medtronic, Minneapolis, Minnesota, USA) suture and a retroperitoneal tunneling technique performed by a single surgeon, combined with a literature review. Patient demographic information and perioperative data were analyzed...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Christian Camenzuli, Pierre Schembri Wismayer, Jean Calleja Agius
Background and Objectives: Thyroid disease largely affects young females, but the incidence is also increasing among males. In an effort to avoid the scarring of the neck that is synonymous with conventional thyroidectomy, endoscopic techniques have been developed over the years. The transoral endoscopic approach is the latest of these innovations that promises a scarless surgical outcome. This review evaluates whether this technique is safe and feasible in live patients and outlines the outcomes in published literature so far...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Eric L Wu, Meghan E Garstka, Sang-Wook Kang, Emad Kandil
Introduction: Thyroid, parathyroid, and thymus surgeries are traditionally performed via a cervical approach. However, robot-assisted procedures can provide a safe alternative for neck surgeries. We report our experiences with robotic transaxillary and retroauricular approaches in pediatric patients. Case Presentation: We conducted a retrospective review of pediatric patients who underwent robot-assisted neck surgery by a single surgeon between April 2010 and May 2017...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
William Lynn, Andrei Ilczyszyn, Rachel Aguilo, Sanjay Agrawal
Background and Objectives: Laparoscopic sleeve gastrectomy (LSG) has some unique complications, the most concerning of which is sleeve leak. Staple line reinforcement (SLR) has been suggested as a means of decreasing the risk of sleeve leak, but it increases the cost. However, there is little in the literature regarding the effect of standardized operative technique in reducing the complications and improving the outcomes in LSG. We sought to demonstrate that standardization of the operative procedure and perioperative care is the key to an excellent 30-day outcome and that SLR is not necessary to ensure a negligible staple line leak and bleeding rate...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Dah-Ching Ding, Ci Huang, Tang-Yuan Chu, Yu-Chi Wei, Pao-Chu Chen, Mun-Kun Hong
Background and Objectives: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute. Methods: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Atif Iqbal, Ilya Sakharuk, Lindsey Goldstein, Sanda A Tan, Peihua Qiu, Zhaomian Li, Steven J Hughes
Background and Objectives: Patients who undergo colorectal surgery have high postoperative morbidity, with ileostomates being the most disadvantaged. Recent studies assessing readmission risk factors do not provide a specific prediction model and, if so, do not focus on patients who have had colorectal surgery; thus, the results of these studies have limited applicability to our specialized practice. We wanted to develop a prediction model for readmission within 30 days of discharge after ileostomy creation...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
László Andrási, Attila Paszt, Zsolt Simonka, Szabolcs Ábrahám, András Rosztóczy, György Lázár
Background and Objectives: We wanted to assess our surgical results focusing on the patients' quality of life. We present our experience with laparoscopic surgery for epiphrenic esophageal diverticulum. Short- and long-term results of surgical therapy were analyzed. Methods: Eight patients were examined with a symptom-causing epiphrenic diverticulum. Patients underwent complex gastroenterologic examinations before and after surgery. Laparoscopic transhiatal epiphrenic diverticulectomy, Heller cardiomyotomy, and Dor anterior partial fundoplication were performed on 7 patients...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Igor Mashchenko, Anna Trtchounian, Christopher Buchholz, Andrew N de la Torre
Introduction: As the incidence of liver cancer continues to increase in the setting of cirrhosis, parenchyma-sparing liver resection is increasingly necessary. A technique is described that involves using a sling made from 1-inch-wide packing gauze to retract and rotate the liver to divide the right triangular and coronary ligaments and mobilize segment 7. The right lobe is rotated anteriorly and counterclockwise, allowing access and parenchymal transection of segment 7 under ultrasonographic guidance...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Wei Kong, Xinghan Cheng, Guangwu Xiong
Background and Objectives: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP). Methods: We retrospectively analyzed the clinical data of 9 patients with symptomatic POP treated intraoperatively with LPASLS at the Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, between November 2016 and July 2017...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Osman Köneş, Ebru Oran
Background and Objectives: Endoscopic stenting is a minimally invasive treatment modality for patients with various gastrointestinal conditions. We evaluated the safety and efficacy of uncovered biodegradable stents for postoperative leaks and strictures in the upper gastrointestinal tract. Methods: This was a retrospective study of patients treated endoscopically with biodegradable stents from January 2010 through November 2017. Results: Thirteen patients were enrolled, 7 of whom were men...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Benjamin D Beran, Marie Shockley, Pamela Frazzini Padilla, Sara Farag, Pedro Escobar, Stephen Zimberg, Michael L Sprague
Background and Objectives: Vaginal cuff dehiscence may be a vascular-mediated event, and reports show a higher incidence after robot-assisted total laparoscopic hysterectomy (RATLH), when compared with other surgical routes. This study was conducted to determine the feasibility of using laser angiography to assess vaginal cuff perfusion during RATLH. Methods: This was a pilot feasibility trial incorporating 20 women who underwent RATLH for benign disease. Colpotomy was made with ultrasonic or monopolar instruments, whereas barbed or nonbarbed suture was used for cuff closure...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Camila B Ortega, Alfredo D Guerron, Jin S Yoo
Background and Objectives: A new technology involving indocyanine green (ICG) fluorescence angiography has been introduced to assess tissue perfusion and perform vascular mapping during laparoscopic surgery. The purpose of this study was to describe the use of this technology to identify the variable blood supply patterns to the stomach and gastroesophageal (GE) junction during laparoscopic sleeve gastrectomy (LSG), which may help in preserving the blood supply and preventing ischemia-related leaks...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Aaron Lee Wiegmann, Joseph R Broucek, Reid N Fletcher, Minh B Luu, Daniel J Deziel, Jonathan A Myers
Background and Objectives: Image-guided navigation is an effective intra-operative technology in select surgical sub-specialties. Laparoscopic and open lymph node biopsy are frequently undertaken to obtain adequate tissue of difficult lesions. Image-guided navigation may positively augment the precision and success of surgical lymph node biopsies. Methods: In this prospective pilot study, pre-operative imaging was uploaded into the navigation platform software, which superimposed the imaging and the subject's real-time anatomy...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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