keyword
https://read.qxmd.com/read/38322062/surgical-perspectives-of-open-vs-laparoscopic-approaches-to-lateral-pancreaticojejunostomy-a-comprehensive-review
#21
REVIEW
Krushank Nayak, Raju K Shinde, Rajesh G Gattani, Tosha Thakor
Pancreaticojejunostomy, a critical step in pancreatic surgery, has significantly evolved surgical approaches, including open, laparoscopic, and robotic techniques. This comprehensive review explores open surgery's historical success, advantages, and disadvantages, emphasizing surgeons' accrued experience and familiarity with this approach. However, heightened morbidity and prolonged recovery associated with open pancreaticojejunostomy underscore the need for a nuanced evaluation of alternatives. The advent of robotic-assisted surgery introduces a paradigm shift in pancreatic procedures...
January 2024: Curēus
https://read.qxmd.com/read/38315334/robotic-approach-for-perihilar-cholangiocarcinoma-iiia-type-step-by-step-procedure
#22
JOURNAL ARTICLE
Benedetto Ielpo, Edoardo Rosso, Maria Vittoria d'Addetta, Mayra Abad, Gemma Vellalta, Patricia Sanchez-Velazquez, Fernando Burdio
BACKGROUND: Perihilar cholangiocarcinoma is a challenging technique to be performed by minimally invasive approach being the type III among the most complex procedure. Nowadays, the robotic approach is gaining increasing interest among the surgical community, and more and more series describing robotic liver resection have been reported. However, few cases of minimally invasive Bismuth type IIIA cholangiocarcinoma have been reported. Robotic approach allows for a better dissection and suture thanks to the flexible and precise instruments movements, overcoming some of the limitations of the laparoscopic technique...
February 5, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38302757/evaluation-of-a-novel-home-based-laparoscopic-and-core-surgical-skills-programme-monash-online-surgical-training
#23
JOURNAL ARTICLE
Samantha Leng, Noor Chaudhry, Maurizio Pacilli, Ramesh Mark Nataraja
INTRODUCTION: Limitations to surgical education access were exacerbated during the COVID-19 Pandemic. In response, we created a national home-based comprehensive surgical skills course: Monash Online Surgical Training (MOST). Our aim was to evaluate the educational impact of this approach. METHODS: A remote, 6-week course was designed with learning objectives aligned to the national surgical training. Participants received a personal laparoscopic bench trainer, instrument tracking software, live webinars, access to an online theoretical learning platform, and individualised feedback by system-generated or expert surgeons' assessments...
February 1, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38289023/laparoscopic-transection-and-partial-resection-of-hernia-sac-in-the-treatment-of-indirect-inguinal-hernia-a-preliminary-observation
#24
JOURNAL ARTICLE
Jinyu Dai, Jian Li, Xiaobing Sun
INTRODUCTION: This study aimed to investigate the feasibility of applying laparoscopic transection and partial resection of hernia sac in the treatment of indirect inguinal hernia in children. PATIENTS AND METHODS: From December 2017 to November 2018, we recruited 20 children, who were aged 1-6 years old, with indirect inguinal hernia. At the time of admission, the participants had already developed an indirect inguinal hernia for 6 months to 1 year. A simple transection and partial resection of hernia sac was performed at the internal ring on each of the recruited children...
January 9, 2024: Journal of Minimal Access Surgery
https://read.qxmd.com/read/38272757/a-systematic-review-comparing-the-safety-cost-and-carbon-footprint-of-disposable-and-reusable-laparoscopic-devices
#25
REVIEW
Pauline Chauvet, Audrey Enguix, Valérie Sautou, Karem Slim
INTRODUCTION: The objective of this systematic review of the literature is to compare a selection of currently utilized disposable and reusable laparoscopic medical devices in terms of safety (1st criteria), cost and carbon footprint. MATERIAL AND METHODS: A search was carried out on electronic databases for articles published up until 6 May 2022. The eligible works were prospective (randomized or not) or retrospective clinical or medical-economic comparative studies having compared disposable scissors, trocars, and mechanical endoscopic staplers to the same instruments in reusable...
January 24, 2024: Journal of Visceral Surgery
https://read.qxmd.com/read/38262899/-three-decades-of-progress-in-china-s-laparoscopic-colorectal-surgery-techniques
#26
JOURNAL ARTICLE
M H Zheng, J J Ma, X Zhao
Laparoscopic colorectal surgery has been carried out in China for more than 30 years and has experienced a three-stage high-speed development of "exploring and designing,optimising and standardising, perfecting and re-innovating" at the technical level. Based on the support and assistance of laparoscopic technology, colorectal surgery has made rapid progress in sub-microscopic anatomy, surgical procedures, surgical concepts, instruments and equipment. Nowadays, the technology and efficacy of laparoscopic colorectal surgery have gradually reached the ceiling, and in view of the existing pain points and the future direction of development, where will we go? This article summarised the past three decades of experience and consolidate the results to guide the future practice and the way forward...
January 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38255425/robotic-assisted-nissen-fundoplication-in-pediatric-patients-a-matched-cohort-study
#27
JOURNAL ARTICLE
Rianne E M Killaars, Omar Mollema, Hamit Cakir, Ruben G J Visschers, Wim G van Gemert
BACKGROUND: Nissen Fundoplication (NF) is a frequently performed procedure in children. Robotic-assisted Nissen Fundoplication (RNF), with the utilization of the Senhance® Surgical System (SSS® ) (Asensus Surgical® Inc., Durham, NC, USA) featuring 3 mm instruments, aims to improve precision and safety in pediatric surgery. This matched cohort study assesses the safety and feasibility of RNF in children using the SSS® , comparing it with Laparoscopic Nissen Fundoplication (LNF)...
January 17, 2024: Children
https://read.qxmd.com/read/38242350/laparoscopic-trocars-marketed-versus-true-dimensions-a-descriptive-study
#28
JOURNAL ARTICLE
Tobias B Limperg, Victoria Y Novoa, Howard L Curlin, Sebastiaan Veersema
STUDY OBJECTIVE: To establish true dimensions of single-use laparoscopic trocars compared with marketed dimensions, calculate corresponding incision sizes, examine what trocar size categories are based on, and outline accessibility of information regarding true dimensions. DESIGN: Descriptive study. SETTING: Laparoscopic disposable trocars available in North America and Europe are marketed in several distinct categories. In practice, trocars in the same-size category exhibit different functionality (ability to introduce instruments/needles and retrieve specimens) and warrant different incision lengths...
January 18, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38241380/fiberbots-robotic-fibers-for-high-precision-minimally-invasive-surgery
#29
JOURNAL ARTICLE
Mohamed E M K Abdelaziz, Jinshi Zhao, Bruno Gil Rosa, Hyun-Taek Lee, Daniel Simon, Khushi Vyas, Bing Li, Hanifa Koguna, Yue Li, Ali Anil Demircali, Huseyin Uvet, Gulsum Gencoglan, Arzu Akcay, Mohamed Elriedy, James Kinross, Ranan Dasgupta, Zoltan Takats, Eric Yeatman, Guang-Zhong Yang, Burak Temelkuran
Precise manipulation of flexible surgical tools is crucial in minimally invasive surgical procedures, necessitating a miniature and flexible robotic probe that can precisely direct the surgical instruments. In this work, we developed a polymer-based robotic fiber with a thermal actuation mechanism by local heating along the sides of a single fiber. The fiber robot was fabricated by highly scalable fiber drawing technology using common low-cost materials. This low-profile (below 2 millimeters in diameter) robotic fiber exhibits remarkable motion precision (below 50 micrometers) and repeatability...
January 19, 2024: Science Advances
https://read.qxmd.com/read/38234069/a-case-of-laparoscopic-excision-of-choledochal-cyst-hepaticojejunostomy-and-roux-en-y-anastomosis-using-artisential-%C3%A2
#30
Younghoon Shim, Chang Moo Kang
Choledochal cyst is a condition involving an abnormal dilation of the bile ducts, which can lead to various symptoms and comorbidities, including cancer. The treatment of choice for choledochal cyst is surgical correction including choledochal cyst excision and Roux-en-y hepaticoenterostomy. Minimal invasive methods like laparoscopic methods or robotic methods are used for surgical correction of choledochal cysts; however, it is still controversial which method is superior. A Korean company, LIVESMED, developed Artisential® , a laparoscopic surgical instrument that can overcome the drawbacks of laparoscopic methods...
January 18, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/38233608/steerable-drop-in-radioguidance-during-minimal-invasive-non-robotic-cervical-and-endometrial-sentinel-lymph-node-surgery
#31
JOURNAL ARTICLE
Matthias N van Oosterom, Berta Diaz-Feijóo, Maria Isabel Santisteban, Núria Sánchez-Izquierdo, Andrés Perissinotti, Ariel Glickman, Tiermes Marina, Aureli Torné, Fijs W B van Leeuwen, Sergi Vidal-Sicart
PURPOSE: The recently introduced tethered DROP-IN gamma probe has revolutionized the way robotic radioguided surgery is performed, fully exploiting the nature of steerable robotic instruments. Given this success, the current first-in-human study investigates if the DROP-IN can also provide benefit in combination with steerable non-robotic instruments during conventional laparoscopic surgery, showing equivalence or even benefit over a traditional rigid gamma probe. METHODS: The evaluation was performed in ten patients during laparoscopic cervical (n = 4) and endometrial (n = 6) cancer sentinel lymph node (SLN) procedures...
January 18, 2024: European Journal of Nuclear Medicine and Molecular Imaging
https://read.qxmd.com/read/38233127/current-status-of-robotic-hepatobiliary-and-pancreatic-surgery
#32
JOURNAL ARTICLE
Keisuke Minamimura, Yuto Aoki, Youhei Kaneya, Satoshi Matsumoto, Hiroki Arai, Daisuke Kakinuma, Yukio Oshiro, Yoichi Kawano, Masanori Watanabe, Yoshiharu Nakamura, Hideyuki Suzuki, Hiroshi Yoshida
Laparoscopic surgery is performed worldwide and has clear economic and social benefits in terms of patient recovery time. It is used for most gastrointestinal surgical procedures, but laparoscopic surgery for more complex procedures in the esophageal, hepatobiliary, and pancreatic regions remains challenging. Minimally invasive surgery that results in accurate tumor dissection is vital in surgical oncology, and development of surgical systems and instruments plays a key role in assisting surgeons to achieve this...
January 16, 2024: Journal of Nippon Medical School
https://read.qxmd.com/read/38231341/perioperative-outcomes-of-laparoscopic-low-anterior-resection-using-artisential-%C3%A2-versus-robotic-approach-in-patients-with-rectal-cancer-a-propensity-score-matching-analysis
#33
JOURNAL ARTICLE
I K Kim, C S Lee, J H Bae, S R Han, W Alshalawi, B C Kim, I K Lee, D S Lee, Y S Lee
BACKGROUND: Total mesorectal excision using conventional straight fixed devices may be technically difficult because of the narrow and concave pelvis. Several laparoscopic articulating tools have been introduced as an alternative to robotic systems. The aim of this study was to compare perioperative outcomes between laparoscopic low anterior resection using ArtiSential® and robot-assisted surgery for rectal cancer. METHODS: This retrospective study included 682 patients who underwent laparoscopic or robotic low anterior resection  for rectal cancer from September 2018 to December 2021...
January 17, 2024: Techniques in Coloproctology
https://read.qxmd.com/read/38225771/endoscopic-treatment-for-gastric-subepithelial-tumor
#34
REVIEW
Chan Gyoo Kim
Most gastric subepithelial tumors (SETs) are asymptomatic and are often incidentally discovered during endoscopic procedures conducted for unrelated reasons. Although surveillance is sufficient for the majority of gastric SETs, certain cases necessitate proactive management. Laparoscopic wedge resection, although a viable treatment option, has its limitations, particularly in cases where SETs (especially those with intraluminal growth) are not visualized on the peritoneal side. Recent advances in endoscopic instruments and technology have paved the way for the feasibility of endoscopic resection of SETs...
January 2024: Journal of Gastric Cancer
https://read.qxmd.com/read/38222162/laparoscopic-cholecystectomy-in-a-patient-with-situs-inversus-a-case-report-and-literature-review
#35
Jennifer Song, Robert Fincher, Michael McCool, Andrew McCague, Paul Wisniewski
Situs inversus (SI) is an autosomal recessive congenital abnormality in which there is a complete mirror reversal of visceral organs. In this article, we present the case of a 26-year-old male with a past medical history of suicidal ideations, gallstones, and SI who complained of left upper quadrant pain for two weeks. After admission for acute cholecystitis, he underwent a successful laparoscopic cholecystectomy without postoperative complications. Due to the anatomical deviation characteristic of SI, it can be challenging for surgeons to accurately diagnose and perform laparoscopic cholecystectomies...
December 2023: Curēus
https://read.qxmd.com/read/38222019/determining-the-need-for-a-thoracoscopic-approach-to-treat-a-giant-hiatal-hernia-when-abdominal-access-is-poor
#36
JOURNAL ARTICLE
Francisco Javier Pérez Lara, Rogelio Zubizarreta Jimenez, Tatiana Prieto-Puga Arjona, Pilar Gutierrez Delgado, Juan Manuel Hernández Carmona, Jose Manuel Hernández Gonzalez, Maria Pitarch Martinez
BACKGROUND: Giant hernias present a significant challenge for digestive surgeons. The approach taken (laparoscopic vs thoracoscopic) depends largely on the preferences and skills of each surgeon, although in most cases today the laparoscopic approach is preferred. AIM: To determine whether patients presenting inadequate laparoscopic access to the intrathoracic hernial sac obtain poorer postoperative results than those with no such problem, in order to assess the need for a thoracoscopic approach...
December 27, 2023: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38211759/robotic-assisted-laparoscopic-removal-of-mid-urethral-mesh-slings-eroded-into-the-bladder
#37
Shreeya Popat, Gjanje Smith-Mathus, Alvaro Lucioni, Una J Lee
INTRODUCTION AND OBJECTIVES: Depending on the indication, there are multiple surgical approaches for the removal of mid-urethral mesh slings (MUS): transvaginal, endoscopic, open abdominal, and robotic. Here, we demonstrate the robotic approach to treat MUS that have eroded into the bladder. The robotic approach offers excellent exposure, visualization, and accessibility. Compared to endoscopic approaches, the entire arm of the sling can be removed from the bladder wall, the bladder repaired, and the foreign body completely eliminated...
January 9, 2024: Urology
https://read.qxmd.com/read/38195405/artificial-intelligence-assisted-recognition-of-anatomical-landmarks-and-laparoscopic-instruments-in-transabdominal-preperitoneal-inguinal-hernia-repair
#38
JOURNAL ARTICLE
Apollon Zygomalas, Dimitrios Kalles, Nikolaos Katsiakis, Andreas Anastasopoulos, Georgios Skroubis
Laparoscopic TAPP (Trans-Abdominal PrePeritoneal) is a minimally invasive surgical procedure used to repair inguinal hernias. Arguably, one important aspect to TAPP hernia repair is the identification of anatomical landmarks and the correct use of various laparoscopic instruments. There are very few studies regarding the use of artificial intelligence in laparoscopic inguinal hernia repair and more specifically in TAPP. The aim of this study is to evaluate the feasibility and usefulness of AI in the recognition of anatomical landmarks and tools in laparoscopic TAPP videos...
January 9, 2024: Surgical Innovation
https://read.qxmd.com/read/38174713/robot-assisted-partial-nephrectomy-using-the-novel-hugo%C3%A2-ras-system-feasibility-setting-and-perioperative-outcomes-of-the-first-off-clamp-series
#39
JOURNAL ARTICLE
F Prata, A Ragusa, A Civitella, P Tuzzolo, F Tedesco, L Cacciatore, A Iannuzzi, P Callè, G Raso, M Fantozzi, M Pira, M Ricci, M Pino, A Minore, S Basile, A Testa, V G Crimi, N Deanesi, A Travino, G D'Addurno, R M Scarpa, R Papalia
INTRODUCTION: Hugo Robot-Assisted Surgery (RAS) System has been conceived with enhanced modularity but its role for nephron-sparing surgery setting still remains poorly explored. We aimed to describe our experience in robot-assisted partial nephrectomy (RAPN) with a three-arms setting for the first off-clamp series using the new Hugo RAS System. METHODS: Patients were placed on an extended flank position at the margin of the surgical bed with a slightly flexion (45°)...
January 4, 2024: Urologia
https://read.qxmd.com/read/38166634/effect-of-ultrasound-guided-stellate-ganglion-block-on-inflammatory-cytokines-and-postoperative-recovery-after-partial-hepatectomy-a-randomised-clinical-trial
#40
RANDOMIZED CONTROLLED TRIAL
Wei-Long Lao, Shuang Sang, Li-Cai Huang, Sheng-Hua Yi, Mo-Chi Guo, Hui-Min Dong, Guo-Zhong Zhou, Zhong-Hua Chen
BACKGROUND: Stellate ganglion block (SGB) has been shown to reduce perioperative complications in various surgeries. Because laparoscopic techniques and instruments have advanced during the past two decades, laparoscopic liver resection is being increasingly adopted worldwide. Lesser blood loss, fewer postoperative complications, and shorter postoperative hospital stays are the advantages of laparoscopic liver resection, as compared to conventional open surgery. There is an urgent need for an effective intervention to reduce perioperative complications and accelerate postoperative recovery...
January 2, 2024: BMC Anesthesiology
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