{"title":"Influence of gas type, pressure, and temperature in laparoscopy—a systematic review","authors":"T. Galetin, A. Galetin","doi":"10.21037/ales-21-24","DOIUrl":"https://doi.org/10.21037/ales-21-24","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":"42162840","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}
Alberto d’Amore, S. Pascale, F. Ascari, E. Bertani, U. F. Romario
Objective: This review was conducted to assess the results of minimally invasive surgery for advanced gastric cancer after preoperative chemotherapy. Background: Localized gastric cancer is treated mainly via surgery. Among recent advances in surgical treatments, minimally invasive gastrectomies have become standard treatment for early gastric cancer and are becoming a safe option for advanced gastric cancers. However, most studies on laparoscopic gastrectomies for locally advanced gastric cancer have been performed in patients undergoing primary surgery. In Western countries, most patients with locally advanced gastric cancer undergo preoperative chemotherapy. However, concerns remain regarding the indications for minimally invasive gastrectomies in patients with locally advanced gastric cancer, treated with preoperative chemotherapy. Methods: We conducted a systematic search of the electronic medical databases to identify all relevant publications on minimally invasive gastrectomy. Eight papers were analyzed. Conclusions: Neoadjuvant chemotherapy does not adversely influence the results of a minimally invasive gastrectomy, and minimally invasive surgery, even after neoadjuvant chemotherapy, may facilitate postoperative chemotherapy in terms of timing and number of completed chemotherapeutic cycles.
{"title":"Minimally invasive gastrectomy after neoadjuvant chemotherapy: a literature review","authors":"Alberto d’Amore, S. Pascale, F. Ascari, E. Bertani, U. F. Romario","doi":"10.21037/ales-21-28","DOIUrl":"https://doi.org/10.21037/ales-21-28","url":null,"abstract":"Objective: This review was conducted to assess the results of minimally invasive surgery for advanced gastric cancer after preoperative chemotherapy. Background: Localized gastric cancer is treated mainly via surgery. Among recent advances in surgical treatments, minimally invasive gastrectomies have become standard treatment for early gastric cancer and are becoming a safe option for advanced gastric cancers. However, most studies on laparoscopic gastrectomies for locally advanced gastric cancer have been performed in patients undergoing primary surgery. In Western countries, most patients with locally advanced gastric cancer undergo preoperative chemotherapy. However, concerns remain regarding the indications for minimally invasive gastrectomies in patients with locally advanced gastric cancer, treated with preoperative chemotherapy. Methods: We conducted a systematic search of the electronic medical databases to identify all relevant publications on minimally invasive gastrectomy. Eight papers were analyzed. Conclusions: Neoadjuvant chemotherapy does not adversely influence the results of a minimally invasive gastrectomy, and minimally invasive surgery, even after neoadjuvant chemotherapy, may facilitate postoperative chemotherapy in terms of timing and number of completed chemotherapeutic cycles.","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":"47610509","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 conservative options for fecal incontinence","authors":"Adam D. Price, Ian M. Paquette","doi":"10.21037/ales-2022-04","DOIUrl":"https://doi.org/10.21037/ales-2022-04","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":"43157078","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}
The first laparoscopic distal gastrectomy (LDG) was performed by Kitano in 1991. It was a revolution in the surgical treatment of stomach cancer with the following rationale: to provide better quality of life, less pain in the postoperative period, less blood loss, earlier recovery and shorter hospital stay, all with equal surgical quality (1). Over the last 30 years with the development of equipment and improvement in optical systems, there has been a great advance in studies that confirmed technical safety and good oncological results (2). Although the first patients were operated on in the early 1990s, it was only between 2000 and 2010 that the most consistent studies appeared, first reporting on the effectiveness of the technique and later, showing encouraging oncological results. Nowadays, the method is receiving international approval after the publication of randomized clinical trials. Review Article
{"title":"Distal gastrectomy: the evidence—a narrative overview","authors":"P. Kassab, Osvaldo Castro","doi":"10.21037/ALES-21-4","DOIUrl":"https://doi.org/10.21037/ALES-21-4","url":null,"abstract":"The first laparoscopic distal gastrectomy (LDG) was performed by Kitano in 1991. It was a revolution in the surgical treatment of stomach cancer with the following rationale: to provide better quality of life, less pain in the postoperative period, less blood loss, earlier recovery and shorter hospital stay, all with equal surgical quality (1). Over the last 30 years with the development of equipment and improvement in optical systems, there has been a great advance in studies that confirmed technical safety and good oncological results (2). Although the first patients were operated on in the early 1990s, it was only between 2000 and 2010 that the most consistent studies appeared, first reporting on the effectiveness of the technique and later, showing encouraging oncological results. Nowadays, the method is receiving international approval after the publication of randomized clinical trials. Review Article","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":"45771193","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}
Hiatal hernias are commonly seen in patients presenting with GERD. Surgical management of patients with hiatal hernias remains a challenge given the lack of general consensus on management and operative technique. This has led to gaps in quality and outcomes of care in these patients. Variable levels of knowledge, experience, and expertise among practitioners has resulted in extreme deviations in preoperative evaluation, procedural technique, follow-up, and outcomes, that led to poor confidence in surgical management of GERD and hiatal hernias. We performed a literature review of contemporary and latest studies compiled in review format. The conclusions we made from our review of the literature were that foregut surgeons need to have a comprehensive understanding of foregut physiology and coordinate a thorough preoperative evaluation including independent interpretation of esophageal physiologic testing and the ability to perform endoscopy. Foregut surgeons should have specialized expertise and training in benign foregut procedures, minimally invasive techniques, and have a commitment to long term follow up. Ideally these complex operations would be completed by a minimally invasive trained surgeon at a high-volume center as improved outcomes and decreased costs have been associated with laparoscopic technique and increased surgeon/hospital volume. A multidisciplinary approach should be utilized when feasible.
{"title":"Who should be repairing these hernias? Level of expertise?","authors":"E. Furay, S. Doggett, F. P. Buckley","doi":"10.21037/ALES-19-237","DOIUrl":"https://doi.org/10.21037/ALES-19-237","url":null,"abstract":"Hiatal hernias are commonly seen in patients presenting with GERD. Surgical management of patients with hiatal hernias remains a challenge given the lack of general consensus on management and operative technique. This has led to gaps in quality and outcomes of care in these patients. Variable levels of knowledge, experience, and expertise among practitioners has resulted in extreme deviations in preoperative evaluation, procedural technique, follow-up, and outcomes, that led to poor confidence in surgical management of GERD and hiatal hernias. We performed a literature review of contemporary and latest studies compiled in review format. The conclusions we made from our review of the literature were that foregut surgeons need to have a comprehensive understanding of foregut physiology and coordinate a thorough preoperative evaluation including independent interpretation of esophageal physiologic testing and the ability to perform endoscopy. Foregut surgeons should have specialized expertise and training in benign foregut procedures, minimally invasive techniques, and have a commitment to long term follow up. Ideally these complex operations would be completed by a minimally invasive trained surgeon at a high-volume center as improved outcomes and decreased costs have been associated with laparoscopic technique and increased surgeon/hospital volume. A multidisciplinary approach should be utilized when feasible.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42927324","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}
Initially sleeve gastrectomy (SG) was performed as an open procedure in 1988, known as Hess and Marceau’s technique, which is actually the first stage of the bilio-pancreatic diversion-duodenal switch (BPD-DS). It was proposed in 1993 as a single weight-loss procedure defined by Johnston, later known as operation Magenstrasse and Mill. In 1999 Gagner was the first to describe laparoscopic SG technique. Therefore SG became popular and one of the most common bariatric surgery procedure in the world. The method has many technical differences. Unfortunately, there is still no strict standardization of the method. With the development of technology, robotic surgery has taken its place in bariatric surgery field. A lot of new studies on robotic SG (RSG) have recently been published. Also there are several technical conflict, such as distance from the pylorus, resection of greater curvature, size of the antrum, use of bougie, fundus resection, whether or not reinforce the staple line, identification and repair of the hiatus. There are also some contraindications for SG. Barrett’s esophagus is a one of them. These variations in the technique affect the complications and effectiveness of surgery. In this study, we aimed to discuss the development and modifications of SG steps of with the current literature review.
{"title":"Sleeve gastrectomy and its modifications","authors":"C. E. Guldogan, Ö. Özozan, Mehmet Mahir Özmen","doi":"10.21037/ALES-20-30","DOIUrl":"https://doi.org/10.21037/ALES-20-30","url":null,"abstract":"Initially sleeve gastrectomy (SG) was performed as an open procedure in 1988, known as Hess and Marceau’s technique, which is actually the first stage of the bilio-pancreatic diversion-duodenal switch (BPD-DS). It was proposed in 1993 as a single weight-loss procedure defined by Johnston, later known as operation Magenstrasse and Mill. In 1999 Gagner was the first to describe laparoscopic SG technique. Therefore SG became popular and one of the most common bariatric surgery procedure in the world. The method has many technical differences. Unfortunately, there is still no strict standardization of the method. With the development of technology, robotic surgery has taken its place in bariatric surgery field. A lot of new studies on robotic SG (RSG) have recently been published. Also there are several technical conflict, such as distance from the pylorus, resection of greater curvature, size of the antrum, use of bougie, fundus resection, whether or not reinforce the staple line, identification and repair of the hiatus. There are also some contraindications for SG. Barrett’s esophagus is a one of them. These variations in the technique affect the complications and effectiveness of surgery. In this study, we aimed to discuss the development and modifications of SG steps of with the current literature review.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ALES-20-30","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42837924","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 : 2020-11-30DOI: 10.21037/ales-2019-bms-15
E. Gemici, H. Seyit
{"title":"AB004. OP-4 Do complications end the effectiveness of sleeve gastrectomy?","authors":"E. Gemici, H. Seyit","doi":"10.21037/ales-2019-bms-15","DOIUrl":"https://doi.org/10.21037/ales-2019-bms-15","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651337","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 : 2020-11-30DOI: 10.21037/ales-2019-bms-20
C. Arslan, M. Atabey
Background: Obesity is one of the most important health problems today due to its increased prevalence and chronic diseases it causes. It is known that meal pattern of individuals is important in body weight control. With this perspective, we aimed to determine the correlation between the number of meals and body mass index (BMI) of the patients evaluated before laparoscopic sleeve gastrectomy. Methods: Between 2018–2019, 22 patients who were admitted for laparoscopic sleeve gastrectomy were reviewed retrospectively. Twenty-four-hour food consumption of each patient was recorded. They were divided into 2 groups as those who had less than 3 meals and those who had 3 or more meals. Height measurements and detailed body analysis of both groups were performed. The height (cm) and weight (kg) data and the BMI were calculated. BMI = (Body weight (kg) / Height (m)) formula was used. Results: It was observed that of the 22 patients, 40.91% (n=9) had less than 3 meals, while 59.09% (n=13) had 3 or more meals. The average BMI of those having less than 3 meals was 39.97 kg/m (n=9, min =34.6 kg/m, max =47.2 kg/m). The average BMI of individuals who had 3 or more meals was 42.43 kg/m (n=13, min =35.3 kg/m, max =62.4 kg/m). BMI values being lower in individuals who had less than 3 meals is found to be statistically (P<0.001) significant. Conclusions: When the patients in our study group were evaluated, it was observed that individuals who had less than 3 meals had lower BMI values than those who had 3 or more meals. Further studies should be conducted to demonstrate this relationship by examining food patterns and calorie intake per meal in broader patient groups.
背景:肥胖是当今最重要的健康问题之一，因为它的患病率和慢性疾病的增加。众所周知，个体的饮食模式对控制体重很重要。从这个角度来看，我们旨在确定在腹腔镜袖胃切除术前评估的患者的进餐次数与体重指数(BMI)之间的相关性。方法:回顾性分析2018-2019年收治的22例腹腔镜袖胃切除术患者。记录每例患者24小时的摄食量。他们被分成两组，一组少于三顿饭，另一组超过三顿饭。两组均进行身高测量和详细的体格分析。计算身高(cm)、体重(kg)及BMI。BMI =(体重(kg) /身高(m))结果:22例患者中，40.91% (n=9)的用餐时间小于3次，59.09% (n=13)的用餐时间大于或等于3次。进餐少于3次的平均BMI为39.97 kg/m (n=9, min =34.6 kg/m, max =47.2 kg/m)。进食3顿及以上的个体的平均BMI为42.43 kg/m (n=13, min =35.3 kg/m, max =62.4 kg/m)。三餐少于3顿的人BMI值更低，这在统计学上是显著的(P<0.001)。结论:在对我们研究组的患者进行评估时，我们观察到，少于3餐的个体的BMI值低于3餐或更多餐的个体。应该进行进一步的研究，通过在更广泛的患者群体中检查食物模式和每餐卡路里摄入量来证明这种关系。
{"title":"AB009. OP-9 Correlation between meal frequency and body mass index of obese individuals before laparoscopic sleeve gastrectomy","authors":"C. Arslan, M. Atabey","doi":"10.21037/ales-2019-bms-20","DOIUrl":"https://doi.org/10.21037/ales-2019-bms-20","url":null,"abstract":"Background: Obesity is one of the most important health problems today due to its increased prevalence and chronic diseases it causes. It is known that meal pattern of individuals is important in body weight control. With this perspective, we aimed to determine the correlation between the number of meals and body mass index (BMI) of the patients evaluated before laparoscopic sleeve gastrectomy. Methods: Between 2018–2019, 22 patients who were admitted for laparoscopic sleeve gastrectomy were reviewed retrospectively. Twenty-four-hour food consumption of each patient was recorded. They were divided into 2 groups as those who had less than 3 meals and those who had 3 or more meals. Height measurements and detailed body analysis of both groups were performed. The height (cm) and weight (kg) data and the BMI were calculated. BMI = (Body weight (kg) / Height (m)) formula was used. Results: It was observed that of the 22 patients, 40.91% (n=9) had less than 3 meals, while 59.09% (n=13) had 3 or more meals. The average BMI of those having less than 3 meals was 39.97 kg/m (n=9, min =34.6 kg/m, max =47.2 kg/m). The average BMI of individuals who had 3 or more meals was 42.43 kg/m (n=13, min =35.3 kg/m, max =62.4 kg/m). BMI values being lower in individuals who had less than 3 meals is found to be statistically (P<0.001) significant. Conclusions: When the patients in our study group were evaluated, it was observed that individuals who had less than 3 meals had lower BMI values than those who had 3 or more meals. Further studies should be conducted to demonstrate this relationship by examining food patterns and calorie intake per meal in broader patient groups.","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68295010","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 : 2020-11-30DOI: 10.21037/ales-2019-bms-18
H. Özgüç, Mustafa Narmanlı, Okan Aydın, Hakan Çirnak
{"title":"AB007. OP-7 The knowledge, attitude, and behavioral levels of 5th and 6th grade medical students on obesity, bariatric and metabolic surgery: a survey study","authors":"H. Özgüç, Mustafa Narmanlı, Okan Aydın, Hakan Çirnak","doi":"10.21037/ales-2019-bms-18","DOIUrl":"https://doi.org/10.21037/ales-2019-bms-18","url":null,"abstract":"","PeriodicalId":8024,"journal":{"name":"Annals of Laparoscopic and Endoscopic Surgery","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42960751","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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