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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
Jerome R Lyn-Sue, Justin A Doble, Ryan M Juza, Vamsi V Alli
Background and Objectives: The prevalence of patients with a history of bariatric surgery is climbing. Medical and surgical questions arising in this patient population may prompt them to present to the nearest emergency department (ED), irrespective of that facility's experience with bariatric surgery. The emergency physician is the first to evaluate patients with a history of bariatric surgery who present with abdominal symptoms. As a quality improvement project aimed at reducing resource utilization, we sought to determine which patients presenting to the ED could be treated in an outpatient setting in lieu of hospital admission...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Raelina S Howell, Melissa Fazzari, Patrizio Petrone, Alexander Barkan, Keneth Hall, María José Servide, María Fernanda Anduaga, Collin E M Brathwaite
Background and Objectives: Paraesophageal hiatal hernia repair can be performed with or without mesh reinforcement. The use, technique, and mesh type remain controversial because of mixed reports on mesh-related complications. Short-term outcomes have become important in all forms of surgery. Methods: From January 2012 through April 2017, all patients who underwent isolated hiatal hernia repair in our center were reviewed. Concomitant bariatric surgery cases were excluded...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Bengi Balci, Gizem Kilinc, Bülent Calik, Gökhan Akbulut
Introduction: Esophageal diverticulum is a rare entity with symptoms that include dysphagia, halitosis, chest pain, and regurgitation. Indications for surgery include the presence of any of these symptoms and a diverticulum larger than 3 cm because of the increased risk of malignancy and aspiration. Treatment is open or minimally invasive surgery performed from the transhiatal or transthoracic approach. Case Description: Three patients were investigated by esophagogastroduodenoscopy, esophageal manometry, and computed tomography and were given the diagnosis of epiphrenic diverticulum of the esophagus...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
John Zografakis, Gregory Johnston, Jennifer Haas, Lindsay Berbiglia, Tyler Bedford, Justin Spear, Adrian Dan, Mark Pozsgay
Background and Objectives: Synthetic mesh reinforcement during laparoscopic hiatal hernia repair (LHHR) reduces recurrence. Biologically derived mesh is also associated with reduced recurrence. Urinary bladder matrix (UBM), a biologically derived extracellular matrix mesh, has shown clinical success. We wanted to determine the safety and efficacy of LHHR with porcine UBM reinforcement. Methods: This retrospective, single-surgeon study reviewed clinical data on patients who underwent LHHR from August 2009 through May 2014, with diaphragmatic reinforcement with porcine UBM mesh...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Pankaj Garg
No abstract text is available yet for this article.
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Jung Woo Chang, Jeongseok Oh, Un Suk Jung
Background and Objectives: Single-port laparoscopic surgery (SPLS) is popular in the gynecological field, because it is less invasive and leaves a smaller scar. However, the postoperative shape of the umbilicus is often distorted due to the intensive procedures performed through the small opening. In this report, we describe a technique for forming a satisfactory umbilicus in SPLS. Methods: From March 2016 through April 2017, 32 patients were treated with SPLS by a single gynecologic surgeon...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Alexandria M Hertz, Evalyn I George, Christine M Vaccaro, Timothy C Brand
Background and Objectives: There are several different commercially available virtual-reality robotic simulators, but very little comparative data. We compared the face and content validity of 3 robotic surgery simulators and their pricing and availability. Methods: Fifteen participants completed one task on each of the following: dV-Trainer (dVT; Mimic Technologies, Inc., Seattle, Washington, USA), da Vinci Skills Simulator (dVSS; Intuitive Surgical Inc., Sunnyvale, California, USA), and RobotiX Mentor (RM; 3D Systems, Rock Hill, South Carolina, USA)...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Jeffrey R Watkins, Michael S Truitt, Houssam Osman, Rohan D Jeyarajah
Background and Objectives: Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. The purpose of our study was to identify the incidence of postoperative dysphagia in a series of patients who underwent laparoscopic paraesophageal hernia repair with novel placement of keyhole biologic mesh...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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