{"title":"Adolescent metabolic and bariatric surgery: what does the data show?","authors":"Juyeon Park, A. Pryor","doi":"10.21037/ales-22-55","DOIUrl":"https://doi.org/10.21037/ales-22-55","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46288940","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}
Background and Objective: Natural orifice specimen extraction surgery (NOSES) is an innovative technique, used in minimally invasive surgery for colorectal cancer. NOSES has been demonstrated as a safe and effective method in patients matching the inclusion criteria. Objective was to analyze and review articles regarding short- and long-term outcomes in NOSES in left-sided colon and upper rectal cancer. Methods: We conducted a search in PubMed and Cochrane Reviews databases and reviewed the studies in English regarding NOSES in left-sided colon and upper rectal cancer published until May 2022. Key Content and Findings: This literature review contains short summary of the recent articles’ results regarding NOSES in left-sided and upper rectal colon cancer. Studies showed better short-term outcomes and comparable with conventional laparoscopy long-term outcomes. Pitfalls and challenges of NOSES-studies include implementing standardized research protocols and thoughtful recruitment of patients due to the necessity of getting accurate and reproducible results. Conclusions: The advantages of NOSES in colorectal cancer treatment including reduction in postoperative pain and wound complications, less use of postoperative analgesics, faster recovery of bowel function have been described in left-sided colon and upper rectal cancer treatment. Oncological outcomes do not differ with conventional laparoscopic surgery with specimen extraction via laparotomy. is LCCS patients the best treatment results. Natural orifice specimen extraction 95% 0.59 to 1.25; I = 0%; P=0.43]. Two studies provided data on the 5-year OS rate. There was no significant difference in 5-year OS between NOSES and conventional laparoscopy groups (HR = 0.78; 95% CI: 0.43 to 1.40; I 2 =0%; P=0.40) (16).
{"title":"Natural orifice specimen extraction surgery in left-sided colon and upper rectal cancer: a narrative review","authors":"S. Efetov, E. Popova, A. Zubayraeva, P. Tsarkov","doi":"10.21037/ales-22-30","DOIUrl":"https://doi.org/10.21037/ales-22-30","url":null,"abstract":"Background and Objective: Natural orifice specimen extraction surgery (NOSES) is an innovative technique, used in minimally invasive surgery for colorectal cancer. NOSES has been demonstrated as a safe and effective method in patients matching the inclusion criteria. Objective was to analyze and review articles regarding short- and long-term outcomes in NOSES in left-sided colon and upper rectal cancer. Methods: We conducted a search in PubMed and Cochrane Reviews databases and reviewed the studies in English regarding NOSES in left-sided colon and upper rectal cancer published until May 2022. Key Content and Findings: This literature review contains short summary of the recent articles’ results regarding NOSES in left-sided and upper rectal colon cancer. Studies showed better short-term outcomes and comparable with conventional laparoscopy long-term outcomes. Pitfalls and challenges of NOSES-studies include implementing standardized research protocols and thoughtful recruitment of patients due to the necessity of getting accurate and reproducible results. Conclusions: The advantages of NOSES in colorectal cancer treatment including reduction in postoperative pain and wound complications, less use of postoperative analgesics, faster recovery of bowel function have been described in left-sided colon and upper rectal cancer treatment. Oncological outcomes do not differ with conventional laparoscopic surgery with specimen extraction via laparotomy. is LCCS patients the best treatment results. Natural orifice specimen extraction 95% 0.59 to 1.25; I = 0%; P=0.43]. Two studies provided data on the 5-year OS rate. There was no significant difference in 5-year OS between NOSES and conventional laparoscopy groups (HR = 0.78; 95% CI: 0.43 to 1.40; I 2 =0%; P=0.40) (16).","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68294977","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}
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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}
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":null,"pages":null},"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}
{"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":null,"pages":null},"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}
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":null,"pages":null},"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}
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