Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.12.001
Atanu Pal
The increasing use of robotic surgery has seen a wave of technology ripple through global healthcare. Similar changes occurred in aviation several decades ago. New robot types have increased access for both patients and surgeons. The modern robotic curriculum therefore needs to train surgeons of varying experience, gaining access to several robot types, and based in centres around the world. Drawing on this analogy with aviation helps to derive principles for curriculum design, and considers human–machine interface, non-technical skills, team training, and simulation. The components of the curriculum could be core (cross-platform), platform-specific, specialty-specific, and platform-transitional. Analogous concepts also emerge, including type rating, control as surgery-by-wire, spatio-haptic envelope, and virtual operations. The fourth industrial revolution sets anticipation for progress.
{"title":"From runways to robots: A renaissance of the analogy","authors":"Atanu Pal","doi":"10.1016/j.lers.2024.12.001","DOIUrl":"10.1016/j.lers.2024.12.001","url":null,"abstract":"<div><div>The increasing use of robotic surgery has seen a wave of technology ripple through global healthcare. Similar changes occurred in aviation several decades ago. New robot types have increased access for both patients and surgeons. The modern robotic curriculum therefore needs to train surgeons of varying experience, gaining access to several robot types, and based in centres around the world. Drawing on this analogy with aviation helps to derive principles for curriculum design, and considers human–machine interface, non-technical skills, team training, and simulation. The components of the curriculum could be core (cross-platform), platform-specific, specialty-specific, and platform-transitional. Analogous concepts also emerge, including type rating, control as surgery-by-wire, spatio-haptic envelope, and virtual operations. The fourth industrial revolution sets anticipation for progress.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.12.002
Konstantin Semash, Timur Dzhanbekov
Laparoscopic liver resection in living donors is a relatively novel surgical approach that has the potential to enhance donor safety and facilitate faster recovery. Following an initial development period during which donor safety was not effectively validated, the minimally invasive approach now yields better outcomes, provided that these procedures are performed by experienced surgeons. The key factors include donor selection criteria, the clinical infrastructure, and the learning curve for surgeons. This review outlines the current status of the development of laparoscopic liver resection in living donors and discusses the obstacles to the advancement of this surgical technique.
{"title":"Laparoscopic donor hepatectomy: Are there obstacles on the path to global widespread?","authors":"Konstantin Semash, Timur Dzhanbekov","doi":"10.1016/j.lers.2024.12.002","DOIUrl":"10.1016/j.lers.2024.12.002","url":null,"abstract":"<div><div>Laparoscopic liver resection in living donors is a relatively novel surgical approach that has the potential to enhance donor safety and facilitate faster recovery. Following an initial development period during which donor safety was not effectively validated, the minimally invasive approach now yields better outcomes, provided that these procedures are performed by experienced surgeons. The key factors include donor selection criteria, the clinical infrastructure, and the learning curve for surgeons. This review outlines the current status of the development of laparoscopic liver resection in living donors and discusses the obstacles to the advancement of this surgical technique.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 13-22"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful adoption of a surgical robot at a robot-naive hospital in Portugal: How we did it","authors":"Jorge Carvalho , Rita Veloso , Anya Lissina , Juliane Hafermann , Avelino Fraga","doi":"10.1016/j.lers.2024.09.005","DOIUrl":"10.1016/j.lers.2024.09.005","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 61-64"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.10.001
Shuyi (Kiana) Wang, Ghazal Hashemi, Yao Zhang, Bin Zheng
Objective
Interpersonal brain synchronization (IBS) has emerged as a significant concept in understanding collaborative team dynamics, with functional near-infrared spectroscopy (fNIRS) proving to be a vital tool in its assessment. This review aims to collate and analyze the literature on the application of fNIRS in various team settings, emphasizing its potential utility in surgical environments.
Methods
A thorough search and screening process across multiple databases resulted in 17 studies being reviewed, with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks. This review examined the tasks employed, participant demographics, organizational structures of teams, methodologies for IBS measurement, and correlations between brain synchronization and behavioral measurements.
Results
fNIRS emerged as a non-invasive, cost-effective, and portable tool, predominantly used to assess IBS in pair-based tasks with a variety of participant demographics. Wavelet transform coherence was the primary method used for measuring synchronization, particularly in the prefrontal brain region. A consistent correlation was found between increased brain synchronization and enhanced team performance, underscoring the potential of fNIRS in understanding and optimizing team dynamics.
Conclusion
This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation, providing invaluable insights for potential applications in surgical settings. While acknowledging the limitations in the current literature, the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance. The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics, contributing to improved patient outcomes and safety.
{"title":"Exploring a novel approach to assessing surgical team collaboration: Evidence of brain activity synchronization","authors":"Shuyi (Kiana) Wang, Ghazal Hashemi, Yao Zhang, Bin Zheng","doi":"10.1016/j.lers.2024.10.001","DOIUrl":"10.1016/j.lers.2024.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>Interpersonal brain synchronization (IBS) has emerged as a significant concept in understanding collaborative team dynamics, with functional near-infrared spectroscopy (fNIRS) proving to be a vital tool in its assessment. This review aims to collate and analyze the literature on the application of fNIRS in various team settings, emphasizing its potential utility in surgical environments.</div></div><div><h3>Methods</h3><div>A thorough search and screening process across multiple databases resulted in 17 studies being reviewed, with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks. This review examined the tasks employed, participant demographics, organizational structures of teams, methodologies for IBS measurement, and correlations between brain synchronization and behavioral measurements.</div></div><div><h3>Results</h3><div>fNIRS emerged as a non-invasive, cost-effective, and portable tool, predominantly used to assess IBS in pair-based tasks with a variety of participant demographics. Wavelet transform coherence was the primary method used for measuring synchronization, particularly in the prefrontal brain region. A consistent correlation was found between increased brain synchronization and enhanced team performance, underscoring the potential of fNIRS in understanding and optimizing team dynamics.</div></div><div><h3>Conclusion</h3><div>This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation, providing invaluable insights for potential applications in surgical settings. While acknowledging the limitations in the current literature, the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance. The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics, contributing to improved patient outcomes and safety.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.12.003
Alison S. Baskin , Ruby D. Lopez-Flores , Shareef Syed , Ian Soriano
{"title":"Totally-robotic Roux-en-Y duodenal bypass for obstructing annular pancreas: A case report","authors":"Alison S. Baskin , Ruby D. Lopez-Flores , Shareef Syed , Ian Soriano","doi":"10.1016/j.lers.2024.12.003","DOIUrl":"10.1016/j.lers.2024.12.003","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 58-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.09.003
Jonathan A. Laredo, Sofia Torres-Small, Devanshi Patel, Saskya Byerly, Dina M. Filiberto, Elizabeth H. Wood
Objective
Minimally invasive surgery (MIS) techniques such as laparoscopy and robotic surgery for colorectal resection have been cited as superior to traditional open surgery because of their associations with decreased operating room time, hospital stay length, and postoperative morbidity. Despite these benefits, the open approach remains a common surgical method for colorectal resection procedures. We aim to evaluate the most recent yearly trends in open, laparoscopic, and robotic approaches to provide insight into uptake and present the status of MIS in the field of colorectal surgery.
Methods
Data were collected from the American College of Surgeons National Surgical Quality Improvement Program targeted colectomy database for the years 2014–2020. The surgical approach was classified as either open, laparoscopic, or robotic. Analysis was performed to identify trends in colorectal surgery categorized by year, patient age, American Society of Anesthesiologists (ASA) classification, body mass index (BMI), and emergency status.
Results
There was an overall decline in both open and laparoscopic surgery cases (from 38.4% to 34.4% and from 57.4% to 50.8%, respectively) and an overall increase in robotic surgery cases (from 4.2% to 14.8%) from 2014 through 2020. Open surgery was the most common approach for the lowest BMI category (<18.5 kg/m2), highest risk ASA classes (4–5) and most emergent surgeries, whereas robotic surgery rates were negligible for these groups. Laparoscopy was the most prevalent approach for all other categories.
Conclusion
Laparoscopy was the most prevalent approach in colorectal surgery, although the total case proportions generally tended to decrease. While open surgery remains the approach of choice for emergent procedures, laparoscopic case proportions increased marginally in this category, likely owing to increases in surgeon comfort and continued expansion of laparoscopic training efforts. Importantly, the total prevalence of robotic surgery increased significantly between 2014 and 2020, which may be attributable to advancements in the robotic platform and increases in familiarity and competence with the technology. We anticipate a continuation of these trends in the future and recommend the creation of a national robotic surgery training standard.
{"title":"Recent patterns in minimally invasive colectomies: Where are we now?","authors":"Jonathan A. Laredo, Sofia Torres-Small, Devanshi Patel, Saskya Byerly, Dina M. Filiberto, Elizabeth H. Wood","doi":"10.1016/j.lers.2024.09.003","DOIUrl":"10.1016/j.lers.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Minimally invasive surgery (MIS) techniques such as laparoscopy and robotic surgery for colorectal resection have been cited as superior to traditional open surgery because of their associations with decreased operating room time, hospital stay length, and postoperative morbidity. Despite these benefits, the open approach remains a common surgical method for colorectal resection procedures. We aim to evaluate the most recent yearly trends in open, laparoscopic, and robotic approaches to provide insight into uptake and present the status of MIS in the field of colorectal surgery.</div></div><div><h3>Methods</h3><div>Data were collected from the American College of Surgeons National Surgical Quality Improvement Program targeted colectomy database for the years 2014–2020. The surgical approach was classified as either open, laparoscopic, or robotic. Analysis was performed to identify trends in colorectal surgery categorized by year, patient age, American Society of Anesthesiologists (ASA) classification, body mass index (BMI), and emergency status.</div></div><div><h3>Results</h3><div>There was an overall decline in both open and laparoscopic surgery cases (from 38.4% to 34.4% and from 57.4% to 50.8%, respectively) and an overall increase in robotic surgery cases (from 4.2% to 14.8%) from 2014 through 2020. Open surgery was the most common approach for the lowest BMI category (<18.5 kg/m<sup>2</sup>), highest risk ASA classes (4–5) and most emergent surgeries, whereas robotic surgery rates were negligible for these groups. Laparoscopy was the most prevalent approach for all other categories.</div></div><div><h3>Conclusion</h3><div>Laparoscopy was the most prevalent approach in colorectal surgery, although the total case proportions generally tended to decrease. While open surgery remains the approach of choice for emergent procedures, laparoscopic case proportions increased marginally in this category, likely owing to increases in surgeon comfort and continued expansion of laparoscopic training efforts. Importantly, the total prevalence of robotic surgery increased significantly between 2014 and 2020, which may be attributable to advancements in the robotic platform and increases in familiarity and competence with the technology. We anticipate a continuation of these trends in the future and recommend the creation of a national robotic surgery training standard.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2025.01.001
Jie Yang , Lihui Wang , Lin Chen , Pengmin Zhou , Suibi Yang , Hongjie Shen , Lifeng Xing , Pengpeng Chen , Yuetian Yu , Hongying Ni , Zhongheng Zhang
Objective
To develop and demonstrate a comprehensive methodological framework for target trial emulation (TTE) implementation via post-laparoscopic septic shock fluid management as a clinical case study.
Methods
We designed a simulated study of 10,000 patients in which colloid resuscitation was compared with crystalloid resuscitation. The framework incorporated precise eligibility criteria, standardized intervention protocols, and balanced treatment allocation with temporal anchoring. The primary analyses focused on 28-day mortality and were evaluated through survival analysis and comparative statistics.
Results
The methodological framework successfully demonstrated the systematic implementation of TTE principles, providing reproducible protocols for eligibility determination, intervention standardization, and outcome assessment in observational studies.
Conclusion
This work bridges the gap between TTE theory and practice by providing a detailed technical roadmap that enhances methodological transparency and reproducibility in comparative effectiveness research.
{"title":"A comprehensive step-by-step approach for the implementation of target trial emulation: Evaluating fluid resuscitation strategies in post-laparoscopic septic shock as an example","authors":"Jie Yang , Lihui Wang , Lin Chen , Pengmin Zhou , Suibi Yang , Hongjie Shen , Lifeng Xing , Pengpeng Chen , Yuetian Yu , Hongying Ni , Zhongheng Zhang","doi":"10.1016/j.lers.2025.01.001","DOIUrl":"10.1016/j.lers.2025.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and demonstrate a comprehensive methodological framework for target trial emulation (TTE) implementation via post-laparoscopic septic shock fluid management as a clinical case study.</div></div><div><h3>Methods</h3><div>We designed a simulated study of 10,000 patients in which colloid resuscitation was compared with crystalloid resuscitation. The framework incorporated precise eligibility criteria, standardized intervention protocols, and balanced treatment allocation with temporal anchoring. The primary analyses focused on 28-day mortality and were evaluated through survival analysis and comparative statistics.</div></div><div><h3>Results</h3><div>The methodological framework successfully demonstrated the systematic implementation of TTE principles, providing reproducible protocols for eligibility determination, intervention standardization, and outcome assessment in observational studies.</div></div><div><h3>Conclusion</h3><div>This work bridges the gap between TTE theory and practice by providing a detailed technical roadmap that enhances methodological transparency and reproducibility in comparative effectiveness research.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 28-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.11.001
Hongxing Ye, Chao Zhang, Ping Lan, Renya Zhan, Xiujue Zheng
Objective
Microvascular decompression (MVD) is the gold standard for treating drug-resistant classic trigeminal neuralgia (dcTN), with endoscopy enhancing surgical precision through improved visualization. This study evaluates the efficacy of fully endoscopic MVD for dcTN and presents our early experience.
Methods
This retrospective study included patients with dcTN who underwent fully endoscopic MVD in the Department of Neurosurgery, the First Affiliated Hospital, Zhejiang University School of Medicine from November 2020 to February 2023. We recorded basic patient clinical information, clinical outcomes, offending vessels, complications, and recurrences, and assessed outcomes via the Barrow Neurological Institute (BNI) pain intensity score and the numeric rating scale (NRS) score.
Results
All 42 patients had dcTN with preoperative BNI scores of V and NRS scores of 8–10. Endoscopic visualization enabled the precise identification of neurovascular conflicts, including small and deeply located vessels. Immediately after surgery, 90.5% of patients achieved complete pain relief (BNI score of I, NRS score of 0). At the final follow-up, 85.7% of patients had complete pain relief. All patients’ pain was significantly relieved at immediate after surgery (0 vs. 9, p < 0.001) and at the final follow-up (0 vs. 9, p < 0.001), with lower NRS scores. Complications, including vertigo, headache, and transient facial numbness, occurred in 14.4% of patients and were manageable.
Conclusion
Fully endoscopic MVD is a safe and effective treatment for dcTN.
目的微血管减压术（MVD）是治疗耐药经典三叉神经痛（dcTN）的金标准，内镜下微血管减压术（MVD）可提高手术精度。本研究评估了内窥镜下MVD治疗dcTN的疗效，并介绍了我们的早期经验。方法回顾性研究于2020年11月至2023年2月在浙江大学医学院第一附属医院神经外科行全内镜下MVD的dcTN患者。我们记录了患者的基本临床信息、临床结果、侵犯血管、并发症和复发情况，并通过巴罗神经学研究所（BNI）疼痛强度评分和数字评定量表（NRS）评分对结果进行评估。结果42例患者均为dcTN，术前BNI评分为V， NRS评分为8 ~ 10分。内镜可视化能够精确识别神经血管冲突，包括小血管和深部血管。术后即刻，90.5%的患者疼痛完全缓解（BNI评分为1分，NRS评分为0分），终期随访时，85.7%的患者疼痛完全缓解。所有患者术后即刻疼痛均明显缓解(0比9，p <；0.001)和最终随访时(0 vs. 9, p <；0.001)， NRS评分较低。14.4%的患者出现眩晕、头痛和短暂性面部麻木等并发症，这些并发症是可控的。结论内镜下MVD是一种安全有效的治疗dcTN的方法。
{"title":"Fully endoscopic microvascular decompression for trigeminal neuralgia: A retrospective study","authors":"Hongxing Ye, Chao Zhang, Ping Lan, Renya Zhan, Xiujue Zheng","doi":"10.1016/j.lers.2024.11.001","DOIUrl":"10.1016/j.lers.2024.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>Microvascular decompression (MVD) is the gold standard for treating drug-resistant classic trigeminal neuralgia (dcTN), with endoscopy enhancing surgical precision through improved visualization. This study evaluates the efficacy of fully endoscopic MVD for dcTN and presents our early experience.</div></div><div><h3>Methods</h3><div>This retrospective study included patients with dcTN who underwent fully endoscopic MVD in the Department of Neurosurgery, the First Affiliated Hospital, Zhejiang University School of Medicine from November 2020 to February 2023. We recorded basic patient clinical information, clinical outcomes, offending vessels, complications, and recurrences, and assessed outcomes via the Barrow Neurological Institute (BNI) pain intensity score and the numeric rating scale (NRS) score.</div></div><div><h3>Results</h3><div>All 42 patients had dcTN with preoperative BNI scores of V and NRS scores of 8–10. Endoscopic visualization enabled the precise identification of neurovascular conflicts, including small and deeply located vessels. Immediately after surgery, 90.5% of patients achieved complete pain relief (BNI score of I, NRS score of 0). At the final follow-up, 85.7% of patients had complete pain relief. All patients’ pain was significantly relieved at immediate after surgery (0 vs. 9, <em>p</em> < 0.001) and at the final follow-up (0 vs. 9, <em>p</em> < 0.001), with lower NRS scores. Complications, including vertigo, headache, and transient facial numbness, occurred in 14.4% of patients and were manageable.</div></div><div><h3>Conclusion</h3><div>Fully endoscopic MVD is a safe and effective treatment for dcTN.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2025.01.002
Turki Alkully , Sara Mahfoud Alghamdi , Najla Khalid A. Alzahrani , Raghad Saeed S. Alghamdi , Sarah Ibrahim Alghamdi , Hassan Mahfouz H. Alghamdi , Afaf Safar E. Alzahrani
Objective
Although bariatric surgeries are widely performed around the world, patients frequently experience the recurrence of pre-existing gastroesophageal reflux disease (GERD) symptoms or develop new symptoms, some of which are resistant to medical treatment. This study investigates the effect and outcome of magnetic sphincter augmentation (MSA), a minimally invasive treatment for GERD, in this population.
Methods
A thorough search of the PubMed, Cochrane, Scopus, Web of Science, and Google Scholar databases from inception until June 6, 2024 was performed to retrieve relevant studies that evaluated the effects of MSA on the GERD health-related quality of life (GERD-HRQL) score and the reduction in proton pump inhibitor (PPI) use in patients who underwent bariatric surgery. The “meta” package in RStudio version 2023.12.0 + 369 was used.
Results
A total of eight studies were included in the systematic review and seven studies were included in the meta-analysis. MSA significantly reduced the GERD-HRQL score (MD = −27.55 [95% CI: −30.99 to −24.11], p < 0.01) and PPI use (RR = 0.23 [95% CI: 0.16 to 0.33], p < 0.01).
Conclusion
MSA is a viable treatment option for patients with GERD symptoms who undergo bariatric surgery. This approach showed promising results in terms of reducing the GERD-HRQL score and reducing the use of PPI.
目的：虽然减肥手术在世界范围内广泛进行，但患者经常会出现原有胃食管反流病（GERD）症状复发或出现新症状，其中一些症状对药物治疗有抗药性。本研究探讨磁括约肌增强术（MSA）的效果和结果，这是一种微创治疗胃食管反流的方法。方法全面检索PubMed、Cochrane、Scopus、Web of Science和谷歌Scholar数据库，检索自成立至2024年6月6日的相关研究，以评估MSA对接受减肥手术患者GERD健康相关生活质量（GERD- hrql）评分的影响以及质子泵抑制剂（PPI）使用的减少。使用了RStudio版本2023.12.0 + 369中的“ meta ”包。结果系统评价共纳入8项研究，meta分析纳入7项研究。MSA显著降低了GERD-HRQL评分(MD = - 27.55 [95% CI: - 30.99 ~ - 24.11], p <；0.01)和PPI使用(RR = 0.23(95%置信区间CI: 0.16 - 0.33), p & lt;0.01)。结论msa是一种可行的治疗方法，适用于有胃食管反流症状的患者。这种方法在降低GERD-HRQL评分和减少PPI使用方面显示出有希望的结果。
{"title":"The outcomes of magnetic sphincter augmentation in patients with gastroesophageal reflux disease post bariatric surgery: A systemic review and meta-analysis","authors":"Turki Alkully , Sara Mahfoud Alghamdi , Najla Khalid A. Alzahrani , Raghad Saeed S. Alghamdi , Sarah Ibrahim Alghamdi , Hassan Mahfouz H. Alghamdi , Afaf Safar E. Alzahrani","doi":"10.1016/j.lers.2025.01.002","DOIUrl":"10.1016/j.lers.2025.01.002","url":null,"abstract":"<div><h3>Objective</h3><div>Although bariatric surgeries are widely performed around the world, patients frequently experience the recurrence of pre-existing gastroesophageal reflux disease (GERD) symptoms or develop new symptoms, some of which are resistant to medical treatment. This study investigates the effect and outcome of magnetic sphincter augmentation (MSA), a minimally invasive treatment for GERD, in this population.</div></div><div><h3>Methods</h3><div>A thorough search of the PubMed, Cochrane, Scopus, Web of Science, and Google Scholar databases from inception until June 6, 2024 was performed to retrieve relevant studies that evaluated the effects of MSA on the GERD health-related quality of life (GERD-HRQL) score and the reduction in proton pump inhibitor (PPI) use in patients who underwent bariatric surgery. The “meta” package in RStudio version 2023.12.0 + 369 was used.</div></div><div><h3>Results</h3><div>A total of eight studies were included in the systematic review and seven studies were included in the meta-analysis. MSA significantly reduced the GERD-HRQL score (MD = −27.55 [95% CI: −30.99 to −24.11], <em>p</em> < 0.01) and PPI use (RR = 0.23 [95% CI: 0.16 to 0.33], <em>p</em> < 0.01).</div></div><div><h3>Conclusion</h3><div>MSA is a viable treatment option for patients with GERD symptoms who undergo bariatric surgery. This approach showed promising results in terms of reducing the GERD-HRQL score and reducing the use of PPI.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.lers.2024.09.004
{"title":"Thank you to Laparoscopic, Endoscopic and Robotic Surgery peer reviewers","authors":"","doi":"10.1016/j.lers.2024.09.004","DOIUrl":"10.1016/j.lers.2024.09.004","url":null,"abstract":"","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Page 65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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