首页 > 最新文献

Journal of minimally invasive surgery最新文献

英文 中文
Minimally invasive radical antegrade modular pancreatosplenectomy: routine vs. modified. 微创根治性顺行模块化胰脾切除术:常规与改良。
Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.121
Hee Joon Kim

Radical antegrade modular pancreatosplenectomy (RAMPS) was introduced in 2003 by Strasberg to improve survival outcomes in left-sided pancreatic ductal adenocarcinoma. Many investigators have shown the feasibility and safety of minimally invasive RAMPS (MI-RAMPS). However, the survival benefit of RAMPS is inconclusive, and possible risks following the procedure, such as exocrine and endocrine insufficiencies, cannot be ignored. Therefore, several modifications of RAMPS were designed. Modified RAMPS is not a specific technique but rather a reduced form of RAMPS that is undertaken without compromising oncologic principles. In this literature review, the surgical technique and strategies of MI-RAMPS were examined.

根治性顺行模块化胰脾切除术(RAMPS)于2003年由Strasberg提出,用于改善左侧胰管腺癌的生存结果。许多研究者已经证明了微创RAMPS (MI-RAMPS)的可行性和安全性。然而,RAMPS的生存益处是不确定的,手术后可能出现的风险,如外分泌和内分泌不足,不能忽视。因此,设计了几种改进的RAMPS。改良RAMPS不是一种特定的技术,而是在不损害肿瘤学原理的情况下进行的RAMPS的简化形式。在这篇文献综述中,我们探讨了MI-RAMPS的手术技术和策略。
{"title":"Minimally invasive radical antegrade modular pancreatosplenectomy: routine vs. modified.","authors":"Hee Joon Kim","doi":"10.7602/jmis.2022.25.4.121","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.121","url":null,"abstract":"<p><p>Radical antegrade modular pancreatosplenectomy (RAMPS) was introduced in 2003 by Strasberg to improve survival outcomes in left-sided pancreatic ductal adenocarcinoma. Many investigators have shown the feasibility and safety of minimally invasive RAMPS (MI-RAMPS). However, the survival benefit of RAMPS is inconclusive, and possible risks following the procedure, such as exocrine and endocrine insufficiencies, cannot be ignored. Therefore, several modifications of RAMPS were designed. Modified RAMPS is not a specific technique but rather a reduced form of RAMPS that is undertaken without compromising oncologic principles. In this literature review, the surgical technique and strategies of MI-RAMPS were examined.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/1f/jmis-25-4-121.PMC9763487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490496","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}
引用次数: 0
Robotic-assisted resection of proximal jejunal ischemic stricture and intracorporeal robot-sewn anastomosis. 机器人辅助空肠近端缺血性狭窄切除术及机器人体内缝合吻合术。
Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.152
Vishu Jain, Peeyush Varshney, Subhash Chandra Soni, Vaibhav Kumar Varshney, B Selvakumar

With the advent of robotic surgery as an effective means of minimally invasive surgery in the last decade, more and more surgeries are being performed robotically in today's world. Robotic surgery has several advantages over conventional laparoscopic surgery, such as three-dimensional vision with depth perception, magnified view, tremor filtration, and, more importantly, degrees of freedom of the articulating instruments. While the literature is abundant on robotic cholecystectomy and highly complex hepatobiliary surgeries, there is hardly any literature on robotic small bowel resection with intracorporeal anastomosis. We present a case of a 50-year-old male patient with a symptomatic proximal jejunal ischemic stricture who underwent robotic-assisted resection and robot-sewn intracorporeal anastomosis in two layers. He did well in the postoperative period and was discharged on postoperative day 4 with uneventful recovery. We hereby discuss the advantages and disadvantages of robotic surgery in such a scenario with a review of the literature.

随着近十年来机器人手术作为一种有效的微创手术手段的出现,当今世界越来越多的手术由机器人进行。与传统的腹腔镜手术相比,机器人手术有几个优势,比如具有深度感知的三维视觉、放大视野、震颤过滤,更重要的是,关节器械的自由度。机器人胆囊切除术和高度复杂的肝胆手术的文献很多,而机器人小肠切除与体内吻合的文献却很少。我们报告一例50岁的男性空肠近端缺血性狭窄患者,他接受了机器人辅助切除和机器人缝合的两层体内吻合。患者术后情况良好,术后第4天出院,恢复正常。在此,我们通过文献综述来讨论机器人手术在这种情况下的优点和缺点。
{"title":"Robotic-assisted resection of proximal jejunal ischemic stricture and intracorporeal robot-sewn anastomosis.","authors":"Vishu Jain,&nbsp;Peeyush Varshney,&nbsp;Subhash Chandra Soni,&nbsp;Vaibhav Kumar Varshney,&nbsp;B Selvakumar","doi":"10.7602/jmis.2022.25.4.152","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.152","url":null,"abstract":"<p><p>With the advent of robotic surgery as an effective means of minimally invasive surgery in the last decade, more and more surgeries are being performed robotically in today's world. Robotic surgery has several advantages over conventional laparoscopic surgery, such as three-dimensional vision with depth perception, magnified view, tremor filtration, and, more importantly, degrees of freedom of the articulating instruments. While the literature is abundant on robotic cholecystectomy and highly complex hepatobiliary surgeries, there is hardly any literature on robotic small bowel resection with intracorporeal anastomosis. We present a case of a 50-year-old male patient with a symptomatic proximal jejunal ischemic stricture who underwent robotic-assisted resection and robot-sewn intracorporeal anastomosis in two layers. He did well in the postoperative period and was discharged on postoperative day 4 with uneventful recovery. We hereby discuss the advantages and disadvantages of robotic surgery in such a scenario with a review of the literature.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"152-157"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/5c/jmis-25-4-152.PMC9763486.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490495","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}
引用次数: 0
Early experience with robot-assisted Frey's procedure surgical outcome and technique: Indian perspective. 早期机器人辅助弗雷氏手术的经验、手术结果和技术:印度视角。
Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.145
Ankit Shukla, Senthil Gnanasekaran, Raja Kalayarasan, Biju Pottakkat

Purpose: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey's is scarce.

Methods: We herein, describe our series and technique of robot-assisted Frey's procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey's. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey's.

Results: In our study, out of 32 patients, nine patients underwent robot assisted Frey's procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, p = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, p = 0.400 and 3 days vs. 4 days, p = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, p = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups.

Conclusion: Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey's procedure is possible robotically with acceptable outcomes in selected patients.

目的:胰腺疾病的机器人手术目前呈上升趋势,可行、被广泛接受和安全。与胰腺疾病相关的常用手术包括远端胰腺切除术和胰十二指肠切除术。文献通常描述机器人外侧胰空肠吻合术;然而,关于机器人辅助弗雷氏症的数据很少。方法:本文描述了我们在2019年11月至2022年3月期间在三级护理中心进行的机器人辅助Frey手术的系列和技术,以及与开放式Frey手术相比的短期结果。慢性胰腺炎患者伴有顽固性疼痛,导管扩张,无炎症性头部肿块或恶性肿瘤的证据被纳入机器人辅助Frey的研究中。结果:在我们的研究中,32名患者中,有9名患者接受了机器人辅助的Frey手术。机器人组手术时间明显更长(570分钟vs 360分钟,p = 0.003)。机器人组术中出血量和术后镇痛需求中位数较低,但差异无统计学意义(250 mL vs 350 mL, p = 0.400, 3 d vs 4 d, p = 0.200)。机器人组的中位住院时间较短,但不显著(6天对7天,p = 0.540)。中位随访28个月,两组术后并发症和短期预后无显著差异。结论:机器人手术不仅具有腹腔镜手术的优点,而且具有更好的可视化、放大、灵巧性和人体工程学。Frey的手术在选定的患者中可以通过机器人实现可接受的结果。
{"title":"Early experience with robot-assisted Frey's procedure surgical outcome and technique: Indian perspective.","authors":"Ankit Shukla,&nbsp;Senthil Gnanasekaran,&nbsp;Raja Kalayarasan,&nbsp;Biju Pottakkat","doi":"10.7602/jmis.2022.25.4.145","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.145","url":null,"abstract":"<p><strong>Purpose: </strong>Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey's is scarce.</p><p><strong>Methods: </strong>We herein, describe our series and technique of robot-assisted Frey's procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey's. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey's.</p><p><strong>Results: </strong>In our study, out of 32 patients, nine patients underwent robot assisted Frey's procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, <i>p</i> = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, <i>p</i> = 0.400 and 3 days vs. 4 days, <i>p</i> = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, <i>p</i> = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups.</p><p><strong>Conclusion: </strong>Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey's procedure is possible robotically with acceptable outcomes in selected patients.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/b7/jmis-25-4-145.PMC9763489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9134928","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}
引用次数: 3
Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers. 最大侵袭性肿瘤的微创手术:直肠癌的盆腔切除。
Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.131
Mufaddal Kazi, Ashwin Desouza, Chaitali Nashikkar, Avanish Saklani

Purpose: Trials comparing minimally invasive rectal surgery have uniformly excluded T4 tumors. The present study aimed to determine the safety of minimally invasive surgery (MIS) for locally-advanced rectal cancers requiring pelvic exenterations based on benchmarked outcomes from the international PelvEx database.

Methods: Consecutive patients of T4 rectal cancers with urogenital organ invasion that underwent MIS exenterations between November 2015 and June 2022 were analyzed from a single center. A safety threshold was set at 20% for R1 resections and 40% for major complications (≥grade IIIA) for the upper limit of the 95% confidence interval (CI).

Results: The study included 124 MIS exenterations. A majority had a total pelvic exenteration (74 patients, 59.7%). Laparoscopic surgery was performed in 95 (76.6%) and 29 (23.4%) had the robotic operation. Major complications were observed in 35 patients (28.2%; 95% CI, 20.5%-37.0%). R1 resections were found pathologically in nine patients (7.3%; 95% CI, 3.4%-13.4%). The set safety thresholds were not crossed. At a median follow-up of 15 months, 44 patients (35.5%) recurred with 8.1% local recurrence rate. The 2-year overall and disease-free survivals were 85.2% and 53.7%, respectively.

Conclusion: MIS exenterations for locally-advanced rectal cancers demonstrated acceptable morbidity and safety in term of R0 resections at experienced centers. Longer follow-up is required to demonstrate cancer survival outcomes.

目的:比较微创直肠手术的试验一致排除了T4肿瘤。本研究旨在根据国际PelvEx数据库的基准结果,确定微创手术(MIS)治疗需要盆腔切除的局部晚期直肠癌的安全性。方法:对2015年11月至2022年6月连续行MIS切除的T4直肠癌伴泌尿生殖器官侵犯患者进行单中心分析。R1切除的安全阈值为20%,主要并发症(≥IIIA级)的安全阈值为40%,这是95%置信区间(CI)的上限。结果:本研究纳入124例MIS切除。大多数患者(74例,59.7%)进行了全盆腔切除。腹腔镜手术95例(76.6%),机器人手术29例(23.4%)。主要并发症35例(28.2%);95% ci, 20.5%-37.0%)。病理发现R1切除9例(7.3%;95% ci, 3.4%-13.4%)。未超过设定的安全阈值。中位随访15个月,44例(35.5%)复发,局部复发率8.1%。2年总生存率为85.2%,无病生存率为53.7%。结论:在经验丰富的中心,MIS切除局部晚期直肠癌的发病率和安全性可以接受。需要更长时间的随访来证明癌症生存结果。
{"title":"Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers.","authors":"Mufaddal Kazi,&nbsp;Ashwin Desouza,&nbsp;Chaitali Nashikkar,&nbsp;Avanish Saklani","doi":"10.7602/jmis.2022.25.4.131","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.4.131","url":null,"abstract":"<p><strong>Purpose: </strong>Trials comparing minimally invasive rectal surgery have uniformly excluded T4 tumors. The present study aimed to determine the safety of minimally invasive surgery (MIS) for locally-advanced rectal cancers requiring pelvic exenterations based on benchmarked outcomes from the international PelvEx database.</p><p><strong>Methods: </strong>Consecutive patients of T4 rectal cancers with urogenital organ invasion that underwent MIS exenterations between November 2015 and June 2022 were analyzed from a single center. A safety threshold was set at 20% for R1 resections and 40% for major complications (≥grade IIIA) for the upper limit of the 95% confidence interval (CI).</p><p><strong>Results: </strong>The study included 124 MIS exenterations. A majority had a total pelvic exenteration (74 patients, 59.7%). Laparoscopic surgery was performed in 95 (76.6%) and 29 (23.4%) had the robotic operation. Major complications were observed in 35 patients (28.2%; 95% CI, 20.5%-37.0%). R1 resections were found pathologically in nine patients (7.3%; 95% CI, 3.4%-13.4%). The set safety thresholds were not crossed. At a median follow-up of 15 months, 44 patients (35.5%) recurred with 8.1% local recurrence rate. The 2-year overall and disease-free survivals were 85.2% and 53.7%, respectively.</p><p><strong>Conclusion: </strong>MIS exenterations for locally-advanced rectal cancers demonstrated acceptable morbidity and safety in term of R0 resections at experienced centers. Longer follow-up is required to demonstrate cancer survival outcomes.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"131-138"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/6b/jmis-25-4-131.PMC9763485.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10481471","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}
引用次数: 1
Potential benefit of superior to inferior dissection during laparoscopic extended right hemicolectomy. 腹腔镜扩大右半结肠切除术中上剖腹与下剖腹的潜在益处。
Pub Date : 2022-12-15 DOI: 10.7602/jmis.2022.25.4.129
Dae Ro Lim

Various approaches can be used for performing laparoscopic right hemicolectomy for right-sided colon cancer. However, laparoscopic complete mesocolic excision with central vessel ligation using these approaches may sometimes present with difficulties of various factors. This video article presents a laparoscopic extended right hemicolectomy using a superior-to-inferior approach. The superior approach has potential benefits in that it exposes the superior mesenteric vessels and gastrocolic trunk.

腹腔镜右半结肠切除术治疗右侧结肠癌可采用多种方法。然而,使用这些方法进行腹腔镜结肠系膜全切除术和中央血管结扎术有时可能会遇到各种因素造成的困难。这篇视频文章介绍了一种采用上-下入路的腹腔镜扩大右半结肠切除术。上入路的潜在优势在于可以暴露肠系膜上血管和胃结肠干。
{"title":"Potential benefit of superior to inferior dissection during laparoscopic extended right hemicolectomy.","authors":"Dae Ro Lim","doi":"10.7602/jmis.2022.25.4.129","DOIUrl":"10.7602/jmis.2022.25.4.129","url":null,"abstract":"<p><p>Various approaches can be used for performing laparoscopic right hemicolectomy for right-sided colon cancer. However, laparoscopic complete mesocolic excision with central vessel ligation using these approaches may sometimes present with difficulties of various factors. This video article presents a laparoscopic extended right hemicolectomy using a superior-to-inferior approach. The superior approach has potential benefits in that it exposes the superior mesenteric vessels and gastrocolic trunk.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 4","pages":"129-130"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/e5/jmis-25-4-129.PMC9763483.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10481475","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}
引用次数: 0
The Journal of Minimally Invasive Surgery is indexed by PubMed Central in 2022. 《Journal of minimal Invasive Surgery》于2022年被PubMed Central收录。
Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.85
Sun Jin Park

The Journal of Minimally Invasive Surgery (JMIS) is the official journal of the Korean Society of Endo-Laparoscopic & Robotic Surgery (formerly the Korean Society of Endoscopic and Laparoscopic Surgeons). The editorial board of JMIS has been trying steadily for several years to be indexed by the international literature databases. As a first step, JMIS has been deposited into PubMed Central in 2022. Here I would like to show you the path that JMIS has been following over the years.

《微创外科杂志》(JMIS)是韩国内窥镜与机器人外科学会(前身为韩国内窥镜与腹腔镜外科医师学会)的官方期刊。多年来,《联合管理信息系统》编委会一直在努力争取被国际文献数据库编入索引。作为第一步,JMIS已于2022年存入PubMed Central。在这里,我想向您展示JMIS多年来一直遵循的路径。
{"title":"<i>The Journal of Minimally Invasive Surgery</i> is indexed by PubMed Central in 2022.","authors":"Sun Jin Park","doi":"10.7602/jmis.2022.25.3.85","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.85","url":null,"abstract":"<p><p><i>The Journal of Minimally Invasive Surgery</i> (JMIS) is the official journal of the Korean Society of Endo-Laparoscopic & Robotic Surgery (formerly the Korean Society of Endoscopic and Laparoscopic Surgeons). The editorial board of JMIS has been trying steadily for several years to be indexed by the international literature databases. As a first step, JMIS has been deposited into PubMed Central in 2022. Here I would like to show you the path that JMIS has been following over the years.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":" ","pages":"85-86"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/0b/jmis-25-3-85.PMC9494017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386215","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}
引用次数: 0
Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy. 腹腔镜右半结肠切除术中异型回肠支结扎后的回肠长段缺血。
Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.116
Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park

The variant terminal trunk of the superior mesenteric artery (SMA) could be confused with the ileocolic artery (ICA) as it runs on the right side of the superior mesenteric vein. If the variant ileal branch of SMA is mistaken for the ICA, unintentional ligation could cause long-segment ischemia in the ileum. We encountered a rare case of ileal ischemia caused by unintentional ligation of the variant ileal branch of the SMA during laparoscopic right hemicolectomy, which was confirmed by indocyanine green (ICG) angiography and hyperspectral imaging (HSI). Intraoperative real-time perfusion monitoring using ICG angiography and tissue oxygen saturation monitoring using HSI could help detect segments of hypoperfusion and prevent hypoperfusion-related anastomotic complications.

肠系膜上动脉(SMA)的变异末端干可能与回结肠动脉(ICA)混淆,因为它位于肠系膜上静脉的右侧。如果变异的SMA回肠分支被误认为ICA,无意的结扎可能导致回肠长段缺血。在腹腔镜右半结肠切除术中,我们遇到了一例罕见的因SMA变异回肠分支不小心结扎而引起的回肠缺血,并通过吲吲吲胺绿血管造影和高光谱成像(HSI)证实了这一病例。术中应用ICG血管造影实时血流灌注监测和HSI组织血氧饱和度监测有助于发现低灌注段,预防低灌注相关的吻合口并发症。
{"title":"Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy.","authors":"Gyung Mo Son,&nbsp;Tae Un Kim,&nbsp;Dong-Hoon Shin,&nbsp;Joo-Young Na,&nbsp;In Young Lee,&nbsp;Shin Hoo Park","doi":"10.7602/jmis.2022.25.3.116","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.116","url":null,"abstract":"<p><p>The variant terminal trunk of the superior mesenteric artery (SMA) could be confused with the ileocolic artery (ICA) as it runs on the right side of the superior mesenteric vein. If the variant ileal branch of SMA is mistaken for the ICA, unintentional ligation could cause long-segment ischemia in the ileum. We encountered a rare case of ileal ischemia caused by unintentional ligation of the variant ileal branch of the SMA during laparoscopic right hemicolectomy, which was confirmed by indocyanine green (ICG) angiography and hyperspectral imaging (HSI). Intraoperative real-time perfusion monitoring using ICG angiography and tissue oxygen saturation monitoring using HSI could help detect segments of hypoperfusion and prevent hypoperfusion-related anastomotic complications.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":" ","pages":"116-119"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/60/jmis-25-3-116.PMC9494016.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386216","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}
引用次数: 0
Fluorescence imaging, an emerging tool for preserving the parathyroid glands during thyroidectomy. 荧光成像,在甲状腺切除术中保存甲状旁腺的新兴工具。
Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.89
Kyung Ho Kang

With vocal cord palsy, hypoparathyroidism is one of the two major complications after thyroid surgery. Traditional approaches to preserving the parathyroid glands during thyroid surgery include identifying the glands precisely and preserving their vasculature with the naked eye, which mainly depend on the experience and skill of the surgeon. Recently, a relatively new technique, fluorescence image-guided surgery, has been widely researched and is becoming increasingly popular. The authors present a video clip of transoral robotic total thyroidectomy, which shows the three typical statuses of the parathyroid glands after thyroid surgery (well-perfused, poorly or non-perfused, and congested) and explains how to deal with each status of the parathyroid glands.

与声带麻痹一样,甲状旁腺功能低下是甲状腺手术后的两大并发症之一。传统的甲状腺手术中保留甲状旁腺的方法包括用肉眼精确识别腺体并保留其血管系统,这主要依赖于外科医生的经验和技能。近年来,一种相对较新的技术,荧光图像引导手术,已被广泛研究,并越来越受欢迎。作者介绍了一段经口机器人全甲状腺切除术的视频片段,展示了甲状腺手术后甲状旁腺的三种典型状态(灌注良好、灌注不良或不灌注、充血),并解释了如何处理甲状旁腺的每种状态。
{"title":"Fluorescence imaging, an emerging tool for preserving the parathyroid glands during thyroidectomy.","authors":"Kyung Ho Kang","doi":"10.7602/jmis.2022.25.3.89","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.89","url":null,"abstract":"<p><p>With vocal cord palsy, hypoparathyroidism is one of the two major complications after thyroid surgery. Traditional approaches to preserving the parathyroid glands during thyroid surgery include identifying the glands precisely and preserving their vasculature with the naked eye, which mainly depend on the experience and skill of the surgeon. Recently, a relatively new technique, fluorescence image-guided surgery, has been widely researched and is becoming increasingly popular. The authors present a video clip of transoral robotic total thyroidectomy, which shows the three typical statuses of the parathyroid glands after thyroid surgery (well-perfused, poorly or non-perfused, and congested) and explains how to deal with each status of the parathyroid glands.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"25 3","pages":"89-90"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/d4/jmis-25-3-89.PMC9494020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10762689","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}
引用次数: 0
Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases. 康阳标准法单切口腹腔镜胆囊切除术治疗良性胆囊疾病的最佳适应证。
Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.97
Seung Jae Lee, In Seok Choi, Ju Ik Moon, Dae Sung Yoon, Won Jun Choi, Sang Eok Lee, Nak Song Sung, Seong Uk Kwon, In Eui Bae, Seung Jae Roh, Sung Gon Kim

Purpose: The optimal indications for single-incision laparoscopic cholecystectomy (SILC) have not yet been established.

Methods: This single-center retrospective study included consecutive patients who underwent SILC between April 2010 and June 2020. Difficult surgery (DS) (conversion to multiport or open cholecystectomy, adjacent organ injury, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL) and poor postoperative outcome (PPO) (postoperative hospital stay ≥ 7 days or Clavien-Dindo grade ≥ II postoperative complications) were defined to comprehensively evaluate surgical difficulty and postoperative outcomes, respectively.

Results: Of 1,405 patients (mean age, 51.2 years; 802 female [57.1%]), 427 (grade I, n = 358; grade II/III, n = 69) underwent SILC for acute cholecystitis (AC), 34 (2.4%) needed conversion to multiport (n = 33) or open cholecystectomy (n = 1), 7 (0.5%) had adjacent organ injury during surgery, and 49 (3.5%) developed postoperative complications. Of the patients, 89 and 52 had DS and PPO, respectively. In the multivariate analysis, grade I AC, grade II/III AC, and body mass index of ≥30 kg/m2 were significant predictors of DS. Age of ≥70 years and DS were significant predictors of PPO. In a subgroup analysis of patients with AC, DS (9.5% vs. 27.5%, p < 0.001) and PPO (5.0% vs. 15.9%, p = 0.001) were more frequent in patients with grade II/III AC than in those with grade I AC.

Conclusion: SILC is not recommended in patients with grade II/III AC and should be carefully performed by experienced and well-trained surgeons.

目的:单切口腹腔镜胆囊切除术(SILC)的最佳适应证尚未确定。方法:这项单中心回顾性研究纳入了2010年4月至2020年6月期间接受SILC治疗的连续患者。分别定义手术困难(DS)(转多口或开腹胆囊切除术、邻近脏器损伤、手术时间≥90分钟或估计失血量≥100 mL)和术后预后差(PPO)(术后住院时间≥7天或术后并发症Clavien-Dindo分级≥II),综合评价手术难度和术后结局。结果:1405例患者(平均年龄51.2岁;女性802例[57.1%]),427例(一级,n = 358;II/III级(n = 69)患者因急性胆囊炎(AC)接受了SILC手术,34例(2.4%)患者需要转行多腔胆囊切除术(n = 33)或开腹胆囊切除术(n = 1), 7例(0.5%)患者术中相邻器官损伤,49例(3.5%)患者出现术后并发症。在这些患者中,分别有89例DS和52例PPO。在多变量分析中,I级AC、II/III级AC和体重指数≥30 kg/m2是DS的显著预测因子。年龄≥70岁和DS是PPO的显著预测因子。在AC患者的亚组分析中,DS (9.5% vs. 27.5%, p < 0.001)和PPO (5.0% vs. 15.9%, p = 0.001)在II/III级AC患者中比在I级AC患者中更常见。结论:II/III级AC患者不推荐SILC,应由经验丰富且训练有素的外科医生谨慎操作。
{"title":"Optimal indication of single-incision laparoscopic cholecystectomy using Konyang Standard Method in benign gallbladder diseases.","authors":"Seung Jae Lee,&nbsp;In Seok Choi,&nbsp;Ju Ik Moon,&nbsp;Dae Sung Yoon,&nbsp;Won Jun Choi,&nbsp;Sang Eok Lee,&nbsp;Nak Song Sung,&nbsp;Seong Uk Kwon,&nbsp;In Eui Bae,&nbsp;Seung Jae Roh,&nbsp;Sung Gon Kim","doi":"10.7602/jmis.2022.25.3.97","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.97","url":null,"abstract":"<p><strong>Purpose: </strong>The optimal indications for single-incision laparoscopic cholecystectomy (SILC) have not yet been established.</p><p><strong>Methods: </strong>This single-center retrospective study included consecutive patients who underwent SILC between April 2010 and June 2020. Difficult surgery (DS) (conversion to multiport or open cholecystectomy, adjacent organ injury, operation time of ≥90 minutes, or estimated blood loss of ≥100 mL) and poor postoperative outcome (PPO) (postoperative hospital stay ≥ 7 days or Clavien-Dindo grade ≥ II postoperative complications) were defined to comprehensively evaluate surgical difficulty and postoperative outcomes, respectively.</p><p><strong>Results: </strong>Of 1,405 patients (mean age, 51.2 years; 802 female [57.1%]), 427 (grade I, n = 358; grade II/III, n = 69) underwent SILC for acute cholecystitis (AC), 34 (2.4%) needed conversion to multiport (n = 33) or open cholecystectomy (n = 1), 7 (0.5%) had adjacent organ injury during surgery, and 49 (3.5%) developed postoperative complications. Of the patients, 89 and 52 had DS and PPO, respectively. In the multivariate analysis, grade I AC, grade II/III AC, and body mass index of ≥30 kg/m<sup>2</sup> were significant predictors of DS. Age of ≥70 years and DS were significant predictors of PPO. In a subgroup analysis of patients with AC, DS (9.5% vs. 27.5%, <i>p</i> < 0.001) and PPO (5.0% vs. 15.9%, <i>p</i> = 0.001) were more frequent in patients with grade II/III AC than in those with grade I AC.</p><p><strong>Conclusion: </strong>SILC is not recommended in patients with grade II/III AC and should be carefully performed by experienced and well-trained surgeons.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":" ","pages":"97-105"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/58/jmis-25-3-97.PMC9494018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386213","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}
引用次数: 1
Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy. 机器人甲状腺切除术中应用吲哚菁绿血管造影评估甲状旁腺灌注。
Pub Date : 2022-09-15 DOI: 10.7602/jmis.2022.25.3.112
Jun Hyun Park, Jeeyeon Lee, Jin Hyang Jung, Ho Yong Park, Wan Wook Kim

In recent da Vinci robot systems (Intuitive Surgical), near-infrared fluorescence imaging (Firefly technology) has been used. With this technique, it is possible for surgeons to see important structures well beyond the limits of their eyes; hence, surgeons can safely operate and make critical decisions accurately using image-guided surgery. Because parathyroid glands (PTGs) are small and embedded in the surrounding tissues, such as lymph nodes and fat, it is often very hard for surgeons to identify PTGs. To preserve PTGs well, the surgeon must be able to accurately identify PTGs, preserve the vasculature surrounding, and maintain the perfusion to PTGs. Herein, we report an assessment of PTG perfusion using indocyanine green angiography in transoral robotic thyroidectomy.

在最近的达芬奇机器人系统(Intuitive Surgical)中,近红外荧光成像(Firefly技术)已被使用。有了这项技术,外科医生就有可能看到远远超出眼睛范围的重要结构;因此,外科医生可以使用图像引导手术安全地操作并准确地做出关键决策。由于甲状旁腺(PTGs)很小,并且嵌入周围组织,如淋巴结和脂肪,因此外科医生通常很难识别PTGs。为了很好地保存PTGs,外科医生必须能够准确地识别PTGs,保存周围的血管,并保持PTGs的灌注。在此,我们报告了在经口机器人甲状腺切除术中使用吲哚菁绿血管造影评估PTG灌注。
{"title":"Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy.","authors":"Jun Hyun Park,&nbsp;Jeeyeon Lee,&nbsp;Jin Hyang Jung,&nbsp;Ho Yong Park,&nbsp;Wan Wook Kim","doi":"10.7602/jmis.2022.25.3.112","DOIUrl":"https://doi.org/10.7602/jmis.2022.25.3.112","url":null,"abstract":"<p><p>In recent da Vinci robot systems (Intuitive Surgical), near-infrared fluorescence imaging (Firefly technology) has been used. With this technique, it is possible for surgeons to see important structures well beyond the limits of their eyes; hence, surgeons can safely operate and make critical decisions accurately using image-guided surgery. Because parathyroid glands (PTGs) are small and embedded in the surrounding tissues, such as lymph nodes and fat, it is often very hard for surgeons to identify PTGs. To preserve PTGs well, the surgeon must be able to accurately identify PTGs, preserve the vasculature surrounding, and maintain the perfusion to PTGs. Herein, we report an assessment of PTG perfusion using indocyanine green angiography in transoral robotic thyroidectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":" ","pages":"112-115"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/8c/jmis-25-3-112.PMC9494021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386217","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}
引用次数: 3
期刊
Journal of minimally invasive surgery
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1