K. Donohue, Rachel E. NeMoyer, Viktor Y. Dombrovskiy, Teresa V Brown, Sondra J. Patella, C. Rezac, R. Moss, Nell Maloney Patel
Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA; Virginia Hospital Center, Arlington, VA, USA Contributions: (I) Conception and design: All authors; (II) Administrative support: NM Patel, R Moss, C Rezac; (III) Provision of study materials or patients: NM Patel, R Moss, C Rezac; (IV) Collection and assembly of data: T Brown, K Donohue, RE NeMoyer; (V) Data analysis and interpretation: V Dombrovskiy, RE NeMoyer; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Nell Maloney Patel, MD. Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 444, New Brunswick, NJ 08901, USA. Email: malonene@rwjms.rutgers.edu.
{"title":"A minimally invasive approach to colon cancer resection improves time to adjuvant chemotherapy","authors":"K. Donohue, Rachel E. NeMoyer, Viktor Y. Dombrovskiy, Teresa V Brown, Sondra J. Patella, C. Rezac, R. Moss, Nell Maloney Patel","doi":"10.21037/ALES-20-95","DOIUrl":"https://doi.org/10.21037/ALES-20-95","url":null,"abstract":"Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA; Virginia Hospital Center, Arlington, VA, USA Contributions: (I) Conception and design: All authors; (II) Administrative support: NM Patel, R Moss, C Rezac; (III) Provision of study materials or patients: NM Patel, R Moss, C Rezac; (IV) Collection and assembly of data: T Brown, K Donohue, RE NeMoyer; (V) Data analysis and interpretation: V Dombrovskiy, RE NeMoyer; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Nell Maloney Patel, MD. Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 444, New Brunswick, NJ 08901, USA. Email: malonene@rwjms.rutgers.edu.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42386703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ultrasonography is an extremely cheap, safe and minimally invasive diagnostic tool in the hands of a skillful user. It has been an important instrument in abdominal surgery for more than 30 years (1). Intraoperative ultrasound (IOUS) is an important tool to surgeons in liver resections for several reasons. It assists the operator in identifying the surgical anatomy with real time imaging and it gives him information about the size and quantity of the tumors with also a good accuracy for detecting small lesions (2,3). Different studies have shown the added value of ultrasound during laparotomic liver surgery. Zacherl et al. found that IOUS changed surgical strategy in 22.8% of cases. The sensitivity of IOUS in a segment-by-segment analysis for colorectal liver metastasis was 95.2%, which was the highest amongst the diagnostic techniques including CT and MRI. Based on these findings, they concluded that IOUS even should be considered the gold standard for hepatic neoplasms (4). Original Article
{"title":"The value of laparoscopic intraoperative ultrasound of the liver by the surgeon","authors":"Koen van der Steen, K. Bosscha, D. Lips","doi":"10.21037/ALES-20-106","DOIUrl":"https://doi.org/10.21037/ALES-20-106","url":null,"abstract":"Ultrasonography is an extremely cheap, safe and minimally invasive diagnostic tool in the hands of a skillful user. It has been an important instrument in abdominal surgery for more than 30 years (1). Intraoperative ultrasound (IOUS) is an important tool to surgeons in liver resections for several reasons. It assists the operator in identifying the surgical anatomy with real time imaging and it gives him information about the size and quantity of the tumors with also a good accuracy for detecting small lesions (2,3). Different studies have shown the added value of ultrasound during laparotomic liver surgery. Zacherl et al. found that IOUS changed surgical strategy in 22.8% of cases. The sensitivity of IOUS in a segment-by-segment analysis for colorectal liver metastasis was 95.2%, which was the highest amongst the diagnostic techniques including CT and MRI. Based on these findings, they concluded that IOUS even should be considered the gold standard for hepatic neoplasms (4). Original Article","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":"6 1","pages":"17-17"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48763486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-20DOI: 10.21037/ALES-2020-RC-09
M. Milone, U. Elmore
{"title":"Right colectomy 2.0: a special series","authors":"M. Milone, U. Elmore","doi":"10.21037/ALES-2020-RC-09","DOIUrl":"https://doi.org/10.21037/ALES-2020-RC-09","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":"6 1","pages":"1-1"},"PeriodicalIF":0.5,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43230667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-19DOI: 10.21037/ALES-2019-BMS-42
Mehmet Mahir Özmen
{"title":"What is new in bariatric and metabolic surgery","authors":"Mehmet Mahir Özmen","doi":"10.21037/ALES-2019-BMS-42","DOIUrl":"https://doi.org/10.21037/ALES-2019-BMS-42","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49587376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Methods of anorectal physiology","authors":"L. Bordeianou, L. Savitt, Mikhaila C Marecki","doi":"10.21037/ales-2022-01","DOIUrl":"https://doi.org/10.21037/ales-2022-01","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44094963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Grandt, Johannes Chang, A. Türler, C. Jansen, R. Schierwagen, Tatjana Schröder, M. Praktiknjo, C. Strassburg, U. Spengler, J. Trebicka, L. Gluud
. Background: Bariatric surgery is an effective treatment for several patients, but some may not achieve sufficient weight loss. We therefore evaluated predictors of adequate weight loss defined as ≥ 50% excess weight loss (EWL). Methods: Retrospective cohort study including patients who underwent sleeve gastrectomy (SG) or Roux-Y-gastric bypass (RYGB) followed for 12 months. Results: A total of 170 patients [81.2% female, age 42 years, 19.4% type 2 diabetes (T2D), body mass index (BMI) 49.4 kg/m 2 ] were included. Type of surgery was SG (71.2%) or RYGB (28.8%). After surgery, the median BMI decreased to 34.9 (30.0–40.5) kg/m 2 . The median %EWL was 57.7 (41.6–69.7). Pre-operative weight loss was not associated with %EWL (P=0.25). Patients who achieved therapeutic success had a lower baseline median BMI of 48.0 (IQR, 42.9–51.6) kg/m 2 whereas those who did not had a median BMI of 52.0 (IQR, 48.0–58.5) kg/m 2 and the baseline BMI was correlated with the %EWL (P<0.001). Gender, age, and surgical method did not predict therapeutic success. The baseline BMI and T2D were the only predictors in logistic regression analysis. Conclusions: A lower baseline BMI and absence of T2D predicted therapeutic success and %EWL. RYGB and SG performed equally well, but the proportion of patients with T2D was higher in RYBG what may have influenced the outcome. Additional research is needed to evaluate the findings.
{"title":"Cohort study evaluating predictors of therapeutic success after sleeve gastrectomy or Roux-en-Y gastric bypass","authors":"J. Grandt, Johannes Chang, A. Türler, C. Jansen, R. Schierwagen, Tatjana Schröder, M. Praktiknjo, C. Strassburg, U. Spengler, J. Trebicka, L. Gluud","doi":"10.21037/ales-21-2","DOIUrl":"https://doi.org/10.21037/ales-21-2","url":null,"abstract":". Background: Bariatric surgery is an effective treatment for several patients, but some may not achieve sufficient weight loss. We therefore evaluated predictors of adequate weight loss defined as ≥ 50% excess weight loss (EWL). Methods: Retrospective cohort study including patients who underwent sleeve gastrectomy (SG) or Roux-Y-gastric bypass (RYGB) followed for 12 months. Results: A total of 170 patients [81.2% female, age 42 years, 19.4% type 2 diabetes (T2D), body mass index (BMI) 49.4 kg/m 2 ] were included. Type of surgery was SG (71.2%) or RYGB (28.8%). After surgery, the median BMI decreased to 34.9 (30.0–40.5) kg/m 2 . The median %EWL was 57.7 (41.6–69.7). Pre-operative weight loss was not associated with %EWL (P=0.25). Patients who achieved therapeutic success had a lower baseline median BMI of 48.0 (IQR, 42.9–51.6) kg/m 2 whereas those who did not had a median BMI of 52.0 (IQR, 48.0–58.5) kg/m 2 and the baseline BMI was correlated with the %EWL (P<0.001). Gender, age, and surgical method did not predict therapeutic success. The baseline BMI and T2D were the only predictors in logistic regression analysis. Conclusions: A lower baseline BMI and absence of T2D predicted therapeutic success and %EWL. RYGB and SG performed equally well, but the proportion of patients with T2D was higher in RYBG what may have influenced the outcome. Additional research is needed to evaluate the findings.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45348159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Bertani, E. Cassinotti, M. Porta, M. Pagani, L. Boni, L. Baldari
Objective: Laparoscopic surgery is the standard approach for treatment of early stages of gastric cancer, as there is no evidence to recommend it in more advanced cancers. The minimally invasive technique is associated with some complications, the most concerning of which is anastomotic leakage. Moreover, some aspects of this approach, like lymphadenectomy extension, are still debated. In last years, indocyanine green (ICG) fluorescence imaging was introduced in laparoscopic surgery to improve visualization of anatomical and pathological structures. The purpose of this review article is to delve into all the possible applications of ICG imaging in gastric cancer surgery. Background: After injection, ICG becomes fluorescent when excited either by a laser beam, or by near-infrared light at certain wave lengths. The fluorescence released by ICG can be detected using specifically designated scopes and cameras. In the field of gastric cancer surgery, ICG can be injected intravenously, to visualize arteries and bowel perfusion, or peritumoral, to visualize the tumour and the lymph nodes. Methods: A literature search was performed using PubMed and Embase database to identify relevant articles on ICG fluorescence guided surgery and laparoscopic gastric cancer surgery. Conclusions: More in detail, the paper shows the indications of ICG fluorescence angiography and its association with anastomotic leakage, if compared to standard procedure. Then, it defines the advantages of ICG use to perform the sentinel lymph node mapping, with its application in early gastric cancer. The use of ICG for lymphatic mapping to perform lymphadenectomy is a visual guide and allows to increase the number of lymph nodes harvested. Finally, experimental studies have been published on the use of ICG for and intraoperative identification of peritoneal carcinomatosis.
{"title":"Indocyanine green—a potential to explore: narrative review","authors":"C. Bertani, E. Cassinotti, M. Porta, M. Pagani, L. Boni, L. Baldari","doi":"10.21037/ales-21-5","DOIUrl":"https://doi.org/10.21037/ales-21-5","url":null,"abstract":"Objective: Laparoscopic surgery is the standard approach for treatment of early stages of gastric cancer, as there is no evidence to recommend it in more advanced cancers. The minimally invasive technique is associated with some complications, the most concerning of which is anastomotic leakage. Moreover, some aspects of this approach, like lymphadenectomy extension, are still debated. In last years, indocyanine green (ICG) fluorescence imaging was introduced in laparoscopic surgery to improve visualization of anatomical and pathological structures. The purpose of this review article is to delve into all the possible applications of ICG imaging in gastric cancer surgery. Background: After injection, ICG becomes fluorescent when excited either by a laser beam, or by near-infrared light at certain wave lengths. The fluorescence released by ICG can be detected using specifically designated scopes and cameras. In the field of gastric cancer surgery, ICG can be injected intravenously, to visualize arteries and bowel perfusion, or peritumoral, to visualize the tumour and the lymph nodes. Methods: A literature search was performed using PubMed and Embase database to identify relevant articles on ICG fluorescence guided surgery and laparoscopic gastric cancer surgery. Conclusions: More in detail, the paper shows the indications of ICG fluorescence angiography and its association with anastomotic leakage, if compared to standard procedure. Then, it defines the advantages of ICG use to perform the sentinel lymph node mapping, with its application in early gastric cancer. The use of ICG for lymphatic mapping to perform lymphadenectomy is a visual guide and allows to increase the number of lymph nodes harvested. Finally, experimental studies have been published on the use of ICG for and intraoperative identification of peritoneal carcinomatosis.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Knowles, P. Dinning, S. Scott, M. Swash, S. de Wachter
{"title":"New concepts in the pathophysiology of fecal incontinence","authors":"C. Knowles, P. Dinning, S. Scott, M. Swash, S. de Wachter","doi":"10.21037/ales-2022-02","DOIUrl":"https://doi.org/10.21037/ales-2022-02","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49135159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Santoro, A. Colangelo, P. Pelizzo, Rita Cian, G. Zanus
{"title":"Imaging modalities for pelvic floor disorders","authors":"G. Santoro, A. Colangelo, P. Pelizzo, Rita Cian, G. Zanus","doi":"10.21037/ales-21-44","DOIUrl":"https://doi.org/10.21037/ales-21-44","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43647835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：