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":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":"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}
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":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":"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}
L. Totaro, A. Celotti, V. Ranieri, I. Benzoni, G. Baiocchi
{"title":"Specific complications related to the approach in minivasive gastric surgery and impact on survival: a narrative review","authors":"L. Totaro, A. Celotti, V. Ranieri, I. Benzoni, G. Baiocchi","doi":"10.21037/ales-21-43","DOIUrl":"https://doi.org/10.21037/ales-21-43","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":"46232898","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}
P. Morgagni, G. Vittimberga, A. Casadei, I. Manzi, M. Framarini, Fabrizio D’Acapito, L. Saragoni
{"title":"Early gastric cancer: results in a Western area without a population-based screening program and minimal invasive treatment","authors":"P. Morgagni, G. Vittimberga, A. Casadei, I. Manzi, M. Framarini, Fabrizio D’Acapito, L. Saragoni","doi":"10.21037/ales-21-30","DOIUrl":"https://doi.org/10.21037/ales-21-30","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":"47355087","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":"Current management of large bowel obstruction: a narrative review","authors":"R. Rajan, D. Clark","doi":"10.21037/ales-21-45","DOIUrl":"https://doi.org/10.21037/ales-21-45","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":"46829626","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":"Best approaches to rectal prolapse","authors":"C. Rajasingh, B. Gurland","doi":"10.21037/ales-21-42","DOIUrl":"https://doi.org/10.21037/ales-21-42","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":"46015842","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":"Gallstone ileus of the colon: case report about an unusual cause of large bowel obstruction","authors":"Jasmine Bhinder, Natasha Ahuja, T. Adams","doi":"10.21037/ales-22-9","DOIUrl":"https://doi.org/10.21037/ales-22-9","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":"47689037","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":"Update on neuromodulation for fecal incontinence","authors":"K. Matzel","doi":"10.21037/ales-2022-03","DOIUrl":"https://doi.org/10.21037/ales-2022-03","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":"45928505","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}
Objective: To determine the oncologic benefits of laparoscopic and minimally invasive surgery (MIS). Background: Laparoscopy and MIS have been used increasingly in general surgery including surgical oncology. Early animal studies comparing the effect of laparoscopy and pneumoperitoneum on cancer development and progression suggested an oncological advantage with laparoscopy. Methods: We conducted a review of the literature to examine the evidence and to establish the presence or absence of oncologic benefits in patients with cancer who underwent laparoscopic resections when compared to those who had open resections. Conclusions: Laparoscopic surgery has well established short-term benefits in surgical patients, and in surgical oncology, the use of laparoscopy achieves equivalent technical aims such as margin adequacy and number of lymph nodes harvested, which are indirectly associated with oncologic outcomes. Survival and recurrence outcomes do not appear to be improved with laparoscopy, with the exception of a possible trend towards improved overall survival with laparoscopic liver resections. Unique benefits of laparoscopy in oncology include earlier access to adjuvant chemotherapy, less morbid multivisceral resections, staging, and more feasible metastasectomy (Better visualization of areas of disease, and the ability to access and resect lesions in multiple locations with minimal invasiveness and tissue trauma). Definitive conclusions about the oncologic benefits of MIS will require more highly powered studies with adequate follow-up.
{"title":"Oncologic benefits of laparoscopic and minimally invasive surgery: a review of the literature","authors":"L. Amodu, R. Howell, D. Daskalaki, J. Allendorf","doi":"10.21037/ales-21-19","DOIUrl":"https://doi.org/10.21037/ales-21-19","url":null,"abstract":"Objective: To determine the oncologic benefits of laparoscopic and minimally invasive surgery (MIS). Background: Laparoscopy and MIS have been used increasingly in general surgery including surgical oncology. Early animal studies comparing the effect of laparoscopy and pneumoperitoneum on cancer development and progression suggested an oncological advantage with laparoscopy. Methods: We conducted a review of the literature to examine the evidence and to establish the presence or absence of oncologic benefits in patients with cancer who underwent laparoscopic resections when compared to those who had open resections. Conclusions: Laparoscopic surgery has well established short-term benefits in surgical patients, and in surgical oncology, the use of laparoscopy achieves equivalent technical aims such as margin adequacy and number of lymph nodes harvested, which are indirectly associated with oncologic outcomes. Survival and recurrence outcomes do not appear to be improved with laparoscopy, with the exception of a possible trend towards improved overall survival with laparoscopic liver resections. Unique benefits of laparoscopy in oncology include earlier access to adjuvant chemotherapy, less morbid multivisceral resections, staging, and more feasible metastasectomy (Better visualization of areas of disease, and the ability to access and resect lesions in multiple locations with minimal invasiveness and tissue trauma). Definitive conclusions about the oncologic benefits of MIS will require more highly powered studies with adequate follow-up.","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":"48910738","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}
F. Berlth, E. Tagkalos, C. Mann, E. Hadzijusufoviç, A. Hölscher, Hauke Lang, P. Grimminger
Advances in gastric cancer surgery comprise the use of minimally invasive surgery such as laparoscopic or robotic techniques. Besides the technical progress, little changes have been established in the last decades regarding the lymphadenectomy, luminal resection type and reconstruction. Lately, proximal gastrectomy and reconstruction with double tract method became more popular and might lead to new possibilities of tailored luminal resections in gastric cancer and cancer of the esophagogastric junction. This procedure is established in east Asia, but of high interest for western countries, as the incidence of proximal gastric cancer and junctional cancer is rising. So far, limited evidence is disposable regarding the double tract method and the indication is seen for rather early cancer. Focus should be put on rapid evaluation on oncological safety and functional benefits in order to evaluate this surgical alternative to total gastrectomy, which is also feasible in laparoscopic or robotic-assisted procedures. This review aims to provide a current status of the proximal gastrectomy and double tract reconstruction, information on how it is done, and which patients could qualify for this surgery. Western surgeons should scientifically cooperate when performing this procedure in order to effectively evaluate whether the distal stomach preservation comes along with benefits
{"title":"Minimally invasive proximal gastrectomy and double tract reconstruction","authors":"F. Berlth, E. Tagkalos, C. Mann, E. Hadzijusufoviç, A. Hölscher, Hauke Lang, P. Grimminger","doi":"10.21037/ales-21-13","DOIUrl":"https://doi.org/10.21037/ales-21-13","url":null,"abstract":"Advances in gastric cancer surgery comprise the use of minimally invasive surgery such as laparoscopic or robotic techniques. Besides the technical progress, little changes have been established in the last decades regarding the lymphadenectomy, luminal resection type and reconstruction. Lately, proximal gastrectomy and reconstruction with double tract method became more popular and might lead to new possibilities of tailored luminal resections in gastric cancer and cancer of the esophagogastric junction. This procedure is established in east Asia, but of high interest for western countries, as the incidence of proximal gastric cancer and junctional cancer is rising. So far, limited evidence is disposable regarding the double tract method and the indication is seen for rather early cancer. Focus should be put on rapid evaluation on oncological safety and functional benefits in order to evaluate this surgical alternative to total gastrectomy, which is also feasible in laparoscopic or robotic-assisted procedures. This review aims to provide a current status of the proximal gastrectomy and double tract reconstruction, information on how it is done, and which patients could qualify for this surgery. Western surgeons should scientifically cooperate when performing this procedure in order to effectively evaluate whether the distal stomach preservation comes along with benefits","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":"41743502","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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