keyword
https://read.qxmd.com/read/38479380/factors-affecting-the-use-of-a-three-dimensional-model-during-robot-assisted-partial-nephrectomy
#21
JOURNAL ARTICLE
Masahiro Yamazaki, Tatsuya Takayama, Toru Sugihara, Tomohiro Kikuchi, Tomoki Kamimura, Jun Kamei, Satoshi Ando, Fumihito Terauchi, Tatsuo Morita, Tetsuya Fujimura
INTRODUCTION: This study aimed to identify cases that require a three-dimensional-printed kidney model in robot-assisted partial nephrectomy. METHODS: We enrolled 93 patients undergoing robot-assisted partial nephrectomy for renal tumors at a single institution between November 2018 and May 2021. The endpoints were how often and how long the surgeon consulted the three-dimensional-printed model, determined using intraoperative video. Multivariate analyses of the endpoints were adjusted by preoperative patient and kidney characteristics, including renal vascular complexity that was defined as the number of vascular branches penetrating the surface tangential to the ventral side of the kidney...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38478470/safety-and-efficacy-of-esd-for-laterally-spreading-tumors-with-hemorrhoids-close-to-the-dentate-line
#22
JOURNAL ARTICLE
Dongzi Peng, Xingcen Chen, Yuyong Tan, Liang Lv, Hongyi Zhu, Rong Li, Deliang Liu
BACKGROUND: Endoscopic submucosal dissection (ESD) is a curative treatment for laterally spreading tumors (LSTs). However, the outcomes of ESD for LSTs with hemorrhoids remain largely unknown. Our study aimed to evaluate the usefulness of ESD in managing LSTs with hemorrhoids. MATERIAL AND METHODS: We retrospectively collected 418 consecutive LST patients treated with ESD between 2011 and 2023. A retrospective comparative analysis was conducted. RESULTS: There were 85 patients included in the hemorrhoids group and 333 patients included in the other group...
March 13, 2024: Minimally Invasive Therapy & Allied Technologies: MITAT
https://read.qxmd.com/read/38477246/-endoscopic-treatment-of-recurrent-zenker-diverticulum-and-postoperative-esophageal-stricture
#23
JOURNAL ARTICLE
Yu G Starkov, A I Vagapov, A B Badakhova, R D Zamolodchikov, S V Dzhantukhanova
Zenker diverticulum is a rare disease accounting for 1.5-5% of esophageal diverticula. For a long time, surgical treatment of Zenker pharyngoesophageal diverticula implied open diverticulectomy via cervical approach. However, this intervention is characterized by high postoperative morbidity and recurrence rate. Oral endoscopic minimally invasive cricopharyngoesophagomyotomy has become widespread over the past 10 years. We present a 55-year-old female who underwent endoscopic treatment for recurrent Zenker diverticulum and postoperative esophageal stricture...
2024: Khirurgiia
https://read.qxmd.com/read/38476306/endoscopic-submucosal-dissection-for-resections-larger-than-10-cm-outcomes-from-a-portuguese-center
#24
JOURNAL ARTICLE
Raquel R Mendes, Pedro Barreiro, André Mascarenhas, Ana Rita Franco, Liliana Carvalho, Cristina Chagas
BACKGROUND: Endoscopic submucosal dissection (ESD) is a minimally invasive technique for en bloc resection of superficial neoplastic lesions, independent of their size. However, for giant gastrointestinal superficial neoplasia, the risk of invasive cancer is higher, and ESD is typically challenging. Despite the increasing literature on giant resections, data on their efficacy and safety are still lacking. OBJECTIVE: The aim of this study was to describe ESD outcomes from a Portuguese center, compare them with other international studies, and analyze the possible risk factors influencing outcomes...
February 2024: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/38476155/endoscopic-approach-to-duodenal-adenomas-in-familial-adenomatous-polyposis-a-retrospective-cohort
#25
JOURNAL ARTICLE
Joana Lemos Garcia, Isadora Rosa, João Pereira da Silva, Pedro Lage, Isabel Claro
INTRODUCTION: Over 90% of the patients with familial adenomatous polyposis (FAP) will develop duodenal adenomas. AIM: The aim of this study was to evaluate the effectiveness and safety of endoscopic excision of large duodenal adenomas in FAP patients. METHODS: All FAP patients from a familial risk clinic submitted to endoscopic therapy for duodenal adenomas ≥10 mm between January 2010 and February 2021 were included. RESULTS: From 151 FAP families, 22 patients (50 lesions) were included: 54...
December 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/38476151/successful-endoscopic-closure-of-esophageal-perforation-in-boerhaave-syndrome-using-the-over-the-scope-clip
#26
João Estorninho, Raquel Pimentel, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Amaro, Pedro Figueiredo
Boerhaave syndrome (BS) is a rare but potentially fatal condition. Although surgery is considered the standard treatment, endoscopic therapy has acquired an important role as a minimally invasive management approach. The authors describe 2 cases of middle-aged male patients, presenting with spontaneous esophageal perforation after severe straining and vomiting. In the first case, the patient presented with a bone impaction in the upper esophagus successfully removed by rigid esophagoscopy. After the procedure, a chest X-ray/cervicothoracic computerized tomography scan (CT) showed a left hydropneumothorax and pneumomediastinum with oral contrast leak at the lower esophagus...
December 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/38472705/frequency-of-clinically-significant-findings-in-the-surgical-pathology-specimen-following-laparoscopic-sleeve-gastrectomy-and-concordance-with-preoperative-endoscopy-insights-from-a-large-single-center-experience
#27
JOURNAL ARTICLE
Christopher K Owen, Melissa M Felinski, Kulvinder S Bajwa, Peter A Walker, Sheilendra S Mehta, Erik B Wilson, Stefanie Boodoo, Vishal Kudav, Shaan J Akhtar, Shinil K Shah, M Elaine Kling
INTRODUCTION: Endoscopy prior to bariatric surgery is not always performed, and in sleeve gastrectomy (SG), the surgical specimen is not always sent for pathological examination. There is limited data on the frequency of clinically significant findings in SG specimens or correlation with preoperative endoscopy. METHODS: We reviewed 426 consecutive SG patients to determine the concordance of preoperative endoscopy findings in patients with clinically significant postoperative pathology...
March 12, 2024: Obesity Surgery
https://read.qxmd.com/read/38472541/biportal-endoscopic-transforaminal-thoracic-interbody-fusion-for-the-treatment-of-thoracic-myelopathy
#28
JOURNAL ARTICLE
Ji Yeon Kim, Su Yong Choi, Kyoung Mo Kim
BACKGROUND: Biportal endoscopic spine surgery independently controls two hands, similar to microscopic surgery, and utilizes a broader working space that is not disturbed by retractors under clear-magnified endoscopic vision. These advantages facilitate successful neural decompression and safe transforaminal interbody fusion, even in patients with thoracic spondylotic myelopathy. METHODS: A wide laminectomy and precise total facetectomy, in conjunction with partial pediculotomy, establish a secure transforaminal space for cage insertion...
March 12, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38472531/large-language-models-and-bariatric-surgery-patient-education-a-comparative-readability-analysis-of-gpt-3-5-gpt-4-bard-and-online-institutional-resources
#29
JOURNAL ARTICLE
Nitin Srinivasan, Jamil S Samaan, Nithya D Rajeev, Mmerobasi U Kanu, Yee Hui Yeo, Kamran Samakar
BACKGROUND: The readability of online bariatric surgery patient education materials (PEMs) often surpasses the recommended 6th grade level. Large language models (LLMs), like ChatGPT and Bard, have the potential to revolutionize PEM delivery. We aimed to evaluate the readability of PEMs produced by U.S. medical institutions compared to LLMs, as well as the ability of LLMs to simplify their responses. METHODS: Responses to frequently asked questions (FAQs) related to bariatric surgery were gathered from top-ranked health institutions...
March 12, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38471528/virtual-reality-planning-of-microvascular-decompression-in-trigeminal-neuralgia-technique-and-clinical-outcome
#30
JOURNAL ARTICLE
Oliver Dietmar Fabrig, Carlo Serra, Ralf Alfons Kockro
BACKGROUND:  A neurovascular conflict (NVC) is considered the cause of trigeminal neuralgia (TN) in 75% of cases, and if so, a microvascular decompression (MVD) can lead to significant pain relief. A reliable preoperative detection of NVC is essential for clinical decision-making and surgical planning, making detailed neuroradiologic imaging an important component. We present our experiences and clinical outcomes with preoperative planning of the MVD procedure in a virtual reality (VR) environment, based on magnetic resonance imaging (MRI) including magnetic resonance angiography (MRA) and magnetic resonance venography (MRV) sequences...
March 12, 2024: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://read.qxmd.com/read/38471517/analysis-of-the-sonographic-predictors-of-difficult-laparoscopic-cholecystectomy-in-symptomatic-cholelithiasis
#31
JOURNAL ARTICLE
Amr Badawy, Bessa Samer, Tarek Sabra
BACKGROUND: Laparoscopic cholecystectomy (LC) is one of the most common laparoscopic procedures performed by young surgeons nowadays. Sometimes, LC could be challenging, especially for junior surgeons leading to serious complications. Therefore, this study aims to investigate the preoperative ultrasonographic features that could predict difficult LC. METHODS: In this prospective study, patients (n = 204) who underwent LC for symptomatic cholelithiasis from January 2020 to August 2022 were included...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38471215/intravascular-papillary-endothelial-hyperplasia-masson-s-tumour-in-the-jejunum-a-case-report-of-unusual-gastrointestinal-bleeding
#32
Marcelis Jordan, Carminati Alessia, Koessler Thibaud, Toso Christian, Ris Frederic, Sleiman Marwan
INTRODUCTION: Intravascular papillary endothelial hyperplasia (IPEH), originally described by Pierre Masson in 1923, is a benign vascular lesion characterised by the reactive proliferation of endothelial cells. This tumour typically manifests on the fingers, head, neck, or trunk. However, involvement of other organ systems, including abdominal organs, is possible although exceedingly rare. CASE PRESENTATION: A 57-year-old male patient presented to the emergency department with a 24-h history of recurrent light-headedness...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38469815/secondary-aorto-duodenal-fistula-a-diagnostic-challenge-in-a-patient-with-fever-and-anemia
#33
JOURNAL ARTICLE
Jean Félix Piñerúa-Gonsálvez, Rosanna Del Carmen Zambrano-Infantino, Carmen Del Pozo, Sara Miranda Riaño, Ricardo Ruano, Luis Fernández-Salazar
A 69-year-old male, three years post-endovascular exclusion for an abdominal aortic aneurysm, presented with asthenia and fever. An abdominal CT scan showed no gastrointestinal tract communications, abscess, or contrast extravasation. Tc-99m-HMPAO-labeled leukocytes scintigraphy with SPECT/CT revealed increased uptake on the posterior surface of the aortic graft, along with air bubbles in its right iliac limb. Upper gastrointestinal endoscopy was performed, revealing a duodenal ulcer in the transition between the second and third portions...
March 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38469609/late-complications-after-laparoscopic-longitudinal-gastrectomy-case-report
#34
JOURNAL ARTICLE
Razvan-Marius Ion, Alexandra Scurtu, Daniela Tatiana Sala, Radu Mircea Neagoe, Tamas Szekely, Renata Moriczi, Mircea Gabriel Muresan, Ruxandra Daniealopol, Valentin Daniealopol, Aurelio Russo, Gabriel Popescu
INTRODUCTION: Bariatric surgery is now widely regarded as the most effective treatment for morbid obesity. It aims to enhance patients' health by achieving long-lasting weight loss, reducing associated comorbidities, and improving their quality of life. CASE REPORT: The case involves a 51-year-old female patient who underwent sleeve gastrectomy eight years ago to address morbid obesity (Body Mass Index (BMI) = 43). Subsequently, the patient developed gastric obstructive syndrome, leading to diagnostic investigations including repeated upper digestive endoscopies and native computed tomography...
2024: Annali Italiani di Chirurgia
https://read.qxmd.com/read/38468722/case-report-totally-endoscopic-minimally-invasive-mitral-valve-surgery-during-pregnancy-a-case-series
#35
Zhenzhong Wang, Lishan Zhong, Haijiang Guo, Yanli Liu, Chengbin Zhou, Yingxian Ye, Fengzhen Han, Huanlei Huang
A totally endoscopic minimally invasive approach is widely used for cardiac valve surgery in normal adults. However, minimally invasive cardiac surgery during pregnancy is rarely reported. In addition to traditional median thoracotomy, totally endoscopic minimally invasive approaches can now be used for pregnant patients. We describe our experience with totally endoscopic cardiac valve surgery (TECVS) during pregnancy, which is safe for both mothers and fetuses.
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38468643/a-challenging-case-of-endoscopic-third-ventriculostomy
#36
Mohammed Yassaad Oudrhiri, Rayhane Hamdaoui, Zakaria Tlemcani, Yasser Arkha, Abdessamad El Ouahabi
BACKGROUND: Although controversial, endoscopic third ventriculostomy (ETV) in the management of Myelomeningocele and Chiari type II malformation-related hydrocephalous is gaining wider popularity and use. With variable success rates, it can be proposed as a first or second option after shunt malfunction. ETV in post-infectious hydrocephalus may also be considered as an alternative to shunting. With reported success rates of 50-60%, failure is attributed to anatomical reasons and/or to pathological subarachnoid space scarring that may result from infectious processes...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468557/postoperative-outcomes-and-analgesic-requirements-of-single-port-vs-multi-port-robotic-assisted-radical-cystectomy
#37
JOURNAL ARTICLE
Andrew Fang, Omar Hayek, John Kaylor, Charles Peyton, James E Ferguson, Jeffrey Nix, Soroush Rais-Bahrami
OBJECTIVE: To compare outcomes in patients undergoing robotic-assisted radical cystectomy (RARC) with urinary diversion for bladder cancer with either the single-port (SP) or multi-port (MP) robotic platform. METHODS: All patients who underwent SP and MP RARC at our institution between January 2018 and January 2023 were retrospectively reviewed. Postoperative analgesia was administered by a department-wide narcotic stewardship protocol, and inpatient and outpatient narcotic use was tracked...
March 12, 2024: Journal of Endourology
https://read.qxmd.com/read/38468539/introducing-an-isoprenaline-eluting-guidewire-report-on-its-design-and-the-results-of-the-dose-determining-pilot-study
#38
JOURNAL ARTICLE
Jeff John, Mark Wellman, Charné Dixon, Tracy Ann Kellermann, Pawel Wisniewski, Kamil Kopeć, Jakub Trzciński, Daniel Kopeć, Tomasz Ciach, Graham Fieggen, Lisa-Ann Kaestner, John Lazarus
INTRODUCTION: Retrograde intrarenal surgery is associated with complications, many of which are related to the intrarenal pressure (IRP). We aim to describe the design of a novel isoprenaline-eluting guidewire ("IsoWire") and present the results from the first in vitro release studies and the first animal studies showing its effect on IRP. MATERIALS AND METHODS: The IsoWire comprises a nitinol core surrounded by a stainless-steel wire wound into a tight coil. The grooves created by this coil created a reservoir for adding a hydrogel coating into which isoprenaline, a beta-agonist, was loaded...
March 12, 2024: Journal of Endourology
https://read.qxmd.com/read/38468506/assessing-the-feasibility-and-safety-of-the-toumai%C3%A2-robotic-system-in-urologic-surgery-initial-experience
#39
JOURNAL ARTICLE
Gaurab Pokhrel, Haoke Zheng, Jin Tao, Jingshan Cui, Yafeng Fan, Zhenghao Li, Biao Dong, Shuanbao Yu, Xuepei Zhang
Purpose Robotic surgery using da Vinci surgical system has gained prominence in urology, emerging robotic platforms are expanding its applications and increasing affordability. We assess the feasibility and safety of a novel system, the Toumai® robotic system in various urological surgeries. Methods This prospective study was conducted at the first affiliated hospital of Zhengzhou university. Twenty consecutive patients underwent renal and prostatic surgery with the Toumai®. The study assessed technical feasibility (conversion rate) and safety (perioperative complications) of the procedures as primary outcomes...
March 12, 2024: Journal of Endourology
https://read.qxmd.com/read/38467899/patient-complications-and-device-issues-associated-with-fda-approved-intragastric-balloons-available-in-the-usa-a-maude-database-study
#40
JOURNAL ARTICLE
Morgan C Goodman, Patrick Chang, William Minteer, Denis Nguyen, Kalpana Gopalkrishnan, Jennifer Phan
No abstract text is available yet for this article.
March 11, 2024: Obesity Surgery
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