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Minimally Invasive Surgery

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https://www.readbyqxmd.com/read/30155296/challenges-and-results-of-laparoscopic-splenectomy-for-hematological-diseases-in-a-developing-country
#1
Vikal Chandra Shakya, Bikram Byanjankar, Rabin Pandit, Anang Pangeni, Anir Ram Moh Shrestha, Bishesh Poudyal
Introduction: Though, in developed countries, laparoscopy is now a gold standard for splenectomy, we are lacking in this aspect in the eastern world. Splenectomy has mostly been performed by open surgery in our region. This is our effort to introduce laparoscopic splenectomy in our country. Methods: This is a retrospective cohort study done in patients presenting to hematology and surgery department of our hospital who underwent laparoscopic splenectomy for hematological diseases from January 2013 to December 2016...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/30140457/-true-day-case-laparoscopic-cholecystectomy-in-a-high-volume-specialist-unit-and-review-of-factors-contributing-to-unexpected-overnight-stay
#2
A Solodkyy, A R Hakeem, N Oswald, F Di Franco, S Gergely, A M Harris
Introduction: Laparoscopic cholecystectomy (LC) is the gold standard treatment for gallstones. British Association of Day Case Surgery recommends at least 60% of LCs be performed as day cases. The aim of this study was to assess our rate of true day case LCs and review factors preventing same-day discharge. Methods: We prospectively collected data of all elective LCs performed in a district general hospital over 32 months. Results: 500 patients underwent LC during this period; 438 (88...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/30057811/interspinous-process-decompression-improves-quality-of-life-in-patients-with-lumbar-spinal-stenosis
#3
Pierce D Nunley, Vikas V Patel, Douglas G Orndorff, William F Lavelle, Jon E Block, Fred H Geisler
Lumbar spinal stenosis has been shown to negatively impact health-related quality of life. Interspinous process decompression (IPD) is a minimally invasive procedure that utilizes a stand-alone spacer to serve as a joint extension blocker to relieve neural compression in patients with spinal stenosis. Using the 5-year results from an FDA randomized controlled trial of IPD, the quality of life in 189 patients treated with the Superion® spacer was evaluated with the SF-12. Physical and mental component summary (PCS, MCS) scores were computed preoperatively and at annual intervals...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/30018822/association-between-obesity-surgical-route-and-perioperative-outcomes-in-patients-with-uterine-cancer
#4
Entidhar Al Sawah, Jason L Salemi, Mitchel Hoffman, Anthony N Imudia, Emad Mikhail
Objective: To study temporal trends of hysterectomy routes performed for uterine cancer and their associations with body mass index (BMI) and perioperative morbidity. Methods: A retrospective review of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) 2005-2013 databases was conducted. All patients who were 18 years old and older with a diagnosis of uterine cancer and underwent hysterectomy were identified using ICD-9-CM and CPT codes...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29971162/elective-true-day-case-laparoscopic-inguinal-hernia-repair-in-a-district-general-hospital-lessons-learned-from-1000-consecutive-cases
#5
A Solodkyy, M Feretis, A Fedotovs, F Di Franco, S Gergely, A M Harris
Introduction: Laparoscopic inguinal hernia repair (LIHR) is ideal for day case surgery. It is recommended that at least 70% should be day cases as a measure of cost-effectiveness. The aims of this study were to (i) assess the rate of true day case (TDC) surgery and (ii) identify predictors associated with unexpected overnight stay (UOS). Methods: Data was collected prospectively on 1000 consecutive elective LIHR performed in a District General Hospital (DGH) over a 7-year period...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29955395/changes-in-hysterectomy-route-and-adnexal-removal-for-benign-disease-in-australia-2001-2015-a-national-population-based-study
#6
Natalie De Cure, Stephen J Robson
Objective: Hysterectomy rates have fallen over recent years and there remains debate whether salpingectomy should be performed to reduce the lifetime risk of ovarian cancer. We examined trends in adnexal removal and route of hysterectomy in Australia between 2001 and 2015. Methods: Data were obtained from the national procedural dataset for hysterectomy approach (vaginal, VH; abdominal, AH; and, laparoscopic, LH) and rates of adnexal removal, as well as endometrial ablation...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29888002/corrigendum-to-a-comparative-study-in-learning-curves-of-two-different-intracorporeal-knot-tying-techniques
#7
Manuneethimaran Thiyagarajan, Chandru Ravindrakumar
[This corrects the article DOI: 10.1155/2016/3059434.].
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29862073/laparoscopic-choledochotomy-in-a-solitary-common-duct-stone-a-prospective-study
#8
K B Deo, S Adhikary, S Khaniya, V C Shakya, C S Agrawal
Background: Laparoscopic common bile duct exploration has all the advantages of minimal access and is also the most cost effective compared to the other options. Objective: To study a profile on laparoscopic common bile duct exploration for a single common duct stone. Methods: A total of 30 consecutive patients with solitary common bile duct stone attending our hospital over a period of one year were enrolled in the study. Laparoscopic common bile duct exploration was done by transductal route in all the patients...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29854454/residency-training-in-robotic-general-surgery-a-survey-of-program-directors
#9
Lea C George, Rebecca O'Neill, Aziz M Merchant
Objective: Robotic surgery continues to expand in minimally invasive surgery; however, the literature is insufficient to understand the current training process for general surgery residents. Therefore, the objectives of this study were to identify the current approach to and perspectives on robotic surgery training. Methods: An electronic survey was distributed to general surgery program directors identified by the Accreditation Council for Graduate Medical Education website...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29854453/effects-of-fatigue-based-on-electroencephalography-signal-during-laparoscopic-surgical-simulation
#10
Nyakuru Z Ndaro, Shu-Yi Wang
Background: Following recent advances in technology, there is a growing interest in studying fatigue based on electrophysiological signals as a means of monitoring brain activity. While some existing works relate fatigue to performance, others consider the two as independent entities. Therefore, we must explore this intricate issue, particularly in laparoscopic training, for the sake of patient safety. Objective: This paper explores and evaluates effects of fatigue on efficiency and accuracy based on laparoscopic surgical training using Electroencephalography (EEG) signal...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29850240/spinal-biologics-in-minimally-invasive-lumbar-surgery
#11
REVIEW
Kevin Y Chang, Wellington K Hsu
As the use of minimally invasive spine (MIS) fusion approaches continues to grow, increased scrutiny is being placed on its outcomes and efficacies against traditional open fusion surgeries. While there are many factors that contribute to the success of achieving spinal arthrodesis, selecting the optimal fusion biologic remains a top priority. With an ever-expanding market of bone graft substitutes, it is important to evaluate each of their use as it pertains to MIS techniques. This review will summarize the important characteristics and properties of various spinal biologics used in minimally invasive lumbar surgeries and compare their fusion rates via a systematic review of published literature...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29805806/3d-printing-applications-in-minimally-invasive-spine-surgery
#12
REVIEW
Megan R Hsu, Meraaj S Haleem, Wellington Hsu
3D printing (3DP) technology continues to gain popularity among medical specialties as a useful tool to improve patient care. The field of spine surgery is one discipline that has utilized this; however, information regarding the use of 3DP in minimally invasive spine surgery (MISS) is limited. 3D printing is currently being utilized in spine surgery to create biomodels, hardware templates and guides, and implants. Minimally invasive spine surgeons have begun to adopt 3DP technology, specifically with the use of biomodeling to optimize preoperative planning...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29796313/microvascular-anastomosis-training-in-neurosurgery-a-review
#13
REVIEW
Vadim A Byvaltsev, Serik K Akshulakov, Roman A Polkin, Sergey V Ochkal, Ivan A Stepanov, Yerbol T Makhambetov, Talgat T Kerimbayev, Michael Staren, Evgenii Belykh, Mark C Preul
Cerebrovascular diseases are among the most widespread diseases in the world, which largely determine the structure of morbidity and mortality rates. Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. Training in microvascular surgery became even more difficult with less case exposure and growth of the use of endovascular techniques...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29623222/the-role-of-minimally-invasive-techniques-in-scoliosis-correction-surgery
#14
Michael B Cloney, Jack A Goergen, Angela M Bohnen, Zachary A Smith, Tyler Koski, Nader Dahdaleh
Objective: Recently, minimally invasive surgery (MIS) has been included among the treatment modalities for scoliosis. However, literature comparing MIS to open surgery for scoliosis correction is limited. The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach. Methods: We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29552358/teach-and-playback-training-device-for-minimally-invasive-surgery
#15
Sriram Garudeswaran, Sohyung Cho, Ikechukwu Ohu, Ali K Panahi
Recent technological progress offers the opportunity to significantly transform conventional open surgical procedures in ways that allow minimally invasive surgery (MIS) to be accomplished by specific operative instruments' entry into the body through key-sized holes rather than large incisions. Although MIS offers an opportunity for less trauma and quicker recovery, thereby reducing length of hospital stay and attendant costs, the complex nature of this procedure makes it difficult to master, not least because of the limited work area and constricted degree of freedom...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29464119/instrumental-mechanoreceptoric-palpation-in-gastrointestinal-surgery
#16
Rozaliia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Sergey G Shapovalyants, Igor L Andreytsev, Mikhail E Sokolov, Vladimir E Podolskii
Background and Aims: Small gastric or colorectal tumours can be visually undetectable during laparoscopic surgeries, and available methods still do not provide a 100% localisation rate. Thus, new methods for further improvements in tumour localisation are highly desirable. In this study, we evaluated the usage of the Medical Tactile Endosurgical Complex (MTEC) in gastrointestinal surgery for localisation of tumours. The MTEC provides the possibility of instrumental mechanoreceptoric palpation, which serves as an analogue of conventional manual palpation...
2017: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29362674/robot-assisted-hybrid-esophagectomy-is-associated-with-a-shorter-length-of-stay-compared-to-conventional-transthoracic-esophagectomy-a-retrospective-study
#17
Hans C Rolff, Rikard B Ambrus, Mohammed Belmouhand, Michael P Achiam, Marianne Wegmann, Mette Siemsen, Steen C Kofoed, Lars B Svendsen
Aim: To compare the peri- and postoperative data between a hybrid minimally invasive esophagectomy (HMIE) and the conventional Ivor Lewis esophagectomy. Methods: Retrospective comparison of perioperative characteristics, postoperative complications, and survival between HMIE and Ivor Lewis esophagectomy. Results: 216 patients were included, with 160 procedures performed with the conventional and 56 with the HMIE approach. Lower perioperative blood loss was found in the HMIE group (600 ml versus 200 ml, p < 0...
2017: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/28781893/routine-cysticotomy-and-flushing-of-the-cystic-duct-in-patients-with-low-risk-of-common-duct-stones-can-it-be-beneficial
#18
Piera Leon, Fabiola Giudici, Antonio Sciuto, Francesco Corcione
BACKGROUND: Gallstone disease affects 15-20% of the general population and up to 20% of these patients present common bile duct stones. AIM: This observational study reports our experience on routine cysticotomy and flushing of the cystic duct in patients with low risk of common duct stones. MATERIALS AND METHODS: We analyzed 731 patients who underwent laparoscopic cholecystectomy between September 2013 and September 2015. RESULTS: Patients were preoperatively stratified on the clinical risk; those presenting with low preoperative risk of common bile duct stones were referred to undergo laparoscopic cholecystectomy and routine cysticotomy with bile duct flushing...
2017: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/28761766/technical-details-of-laparoscopic-sleeve-gastrectomy-leading-to-lowered-leak-rate-discussion-of-1070-consecutive-cases
#19
David L Warner, Kent C Sasse
INTRODUCTION: Laparoscopic sleeve gastrectomy is a widely utilized and effective surgical procedure for dramatic weight loss in obese patients. Leak at the sleeve staple line is the most serious complication of this procedure, occurring in 1-3% of cases. Techniques to minimize the risk of sleeve gastrectomy leaks have been published although no universally agreed upon set of techniques exists. This report describes a single-surgeon experience with an approach to sleeve leak prevention resulting in a progressive decrease in leak rate over 5 years...
2017: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/28078139/tulaa-a-minimally-invasive-appendicectomy-technique-for-the-paediatric-patient
#20
REVIEW
Giordano Perin, Maria Grazia Scarpa
TULAA or Transumbilical Laparoscopic Assisted Appendicectomy is a minimally invasive technique described by Pelosi in 1992 for the removal of the inflamed appendix. Its main advantage is the possibility of exploring the peritoneal cavity and performing a simple and safe extracorporeal appendicectomy. Since its first description, different authors reported their experience with such technique. The aim of this review is to summarise the surgical outcomes currently reported in the literature for this minimally invasive surgical approach and compare it with standard open and laparoscopic appendicectomy...
2016: Minimally Invasive Surgery
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