1,143 results match your criteria Journal of laparoendoscopic & advanced surgical techniques. Part A[Journal]


An evaluation of an early stage innovation for full-thickness excision of benign colonic polyps using the IDEAL framework.

Colorectal Dis 2019 Apr 16. Epub 2019 Apr 16.

Department of Surgery, St Mark's Hospital, Harrow, Middlesex, UK.

Aims: Colectomy is the current approach for patients with endoscopically unresectable benign polyps but risks considerable morbidity. Full-thickness laparoendoscopic excision(FLEX) is a novel, specifically developed procedure which could reduce this treatment burden and improve outcomes. However, traditional evaluations of surgical innovations have lacked methodological rigour. Read More

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http://dx.doi.org/10.1111/codi.14650DOI Listing

CLEAN-NET: a modified laparoendoscopic wedge resection of the stomach to minimize the sacrifice of innocent gastric wall.

Surg Endosc 2019 Apr 2. Epub 2019 Apr 2.

Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital, Yokohama, Japan.

Background: To avoid excessive sacrifice of the tissue surrounding the submucosal tumor in gastric wedge resection with a stapling device, we perform a "combined laparoscopic and endoscopic approach for neoplasia with a nonexposure technique" (CLEAN-NET). Herein the operative technique of CLEAN-NET is described and its short-term outcomes in 50 patients are evaluated.

Patients And Methods: Between December 2015 and July 2017 CLEAN-NET was performed in 50 patients with gastric submucosal tumors. Read More

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http://dx.doi.org/10.1007/s00464-019-06765-3DOI Listing

Transumbilical laparoendoscopic single-site adrenalectomy: A feasible and safe alternative to standard laparoscopy.

Arch Ital Urol Androl 2019 Mar 29;91(1):1-4. Epub 2019 Mar 29.

Urology and Renal Transplantation Department, Coimbra University Hospital Center; Faculty of Medicine, University of Coimbra.

Objectives: Standard multi-port laparoscopic adrenalectomy (LA) is considered the gold standard for benign adrenal tumors. Single-site LA has been proposed as a feasible and safe alternative because of lower invasiveness, improved cosmetics, less pain and shorter hospital stay. The objective was to evaluate and compare results of single-site transumbilical laparoendoscopic adrenalectomy with standard LA for adrenal tumors. Read More

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http://dx.doi.org/10.4081/aiua.2019.1.1DOI Listing
March 2019
2 Reads

[New laparoendoscopic and minimally invasive extraperitoneal mesh augmentation techniques for ventral hernia repair].

Authors:
G Köhler

Chirurg 2019 Mar 25. Epub 2019 Mar 25.

Abteilung für Allgemein- und Viszeralchirurgie, Krankenhaus der Barmherzigen Schwestern - Ordensklinikum Linz, Seilerstätte 4, 4010, Linz, Österreich.

In recent years techniques for ventral hernia repair have undergone a dynamic evolution with the development of minimally invasive and laparoendoscopic techniques. Despite the multitude of methods, five main criteria for setting the target have emerged: 1) functional and morphological reconstruction of the abdominal wall, 2) extraperitoneal mesh augmentation, 3) abandonment of penetrating fixation elements, 4) minimal surgical access trauma of the abdominal wall and 5) minimized intraperitoneal dissection that jeopardizes adherent intestinal structures. The mesh position varies between preperitoneal retromuscular and supraneurotic or preaponeurotic on the anterior rectus sheath. Read More

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http://link.springer.com/10.1007/s00104-019-0947-8
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http://dx.doi.org/10.1007/s00104-019-0947-8DOI Listing
March 2019
3 Reads

Rendez-Vous laparoendoscopic after ERCP failure in patient with Billroth II gastrectomy.

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):384-387

Departmentof Surgery, University of Sao Paulo. Sao Paulo, Brazil.

Endoscopic retrograde cholangiopancreatography (ERCP) is the treatment of choice in patients with choledocholithiasis. However,despite its high success rate, in some cases it is not successful, requiring alternative therapy. Billroth II partial gastrectomy is a condition associated with an important failure rate of ERCP. Read More

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March 2019
6 Reads

Laparoendoscopic Transgastric Resection of Prepyloric Gastrointestinal Stromal Tumor.

Innovations (Phila) 2019 Feb 11;14(1):66-68. Epub 2019 Feb 11.

1 Division of General Thoracic Surgery, Mayo Clinic, Rochester, MN, USA.

This case report describes an 83-year-old woman with multiple comorbidities who presented with melena and coffee-ground emesis with diagnostic studies evident for a large prepyloric gastrointestinal stromal tumor. She underwent combined laparoendoscopic transgastric resection surgery for the tumor, performed by a team of gastroenterologist and thoracic surgeon with a successful outcome. The case and videos in this report provide a descriptive demonstration of the steps leading up to the surgical intervention followed by a step-by-step illustration of the combined surgical technique, thus highlighting the importance of multidisciplinary approach for optimal treatment of prepyloric gastrointestinal stromal tumor. Read More

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http://journals.sagepub.com/doi/10.1177/1556984519826413
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http://dx.doi.org/10.1177/1556984519826413DOI Listing
February 2019
8 Reads

A multi-center prospective randomized controlled trial (phase III) comparing the quality of life between laparoscopy-assisted distal gastrectomy and totally laparoscopic distal gastrectomy for gastric Cancer (study protocol).

BMC Cancer 2019 Mar 7;19(1):206. Epub 2019 Mar 7.

Department of Surgery, Korea University College of Medicine, Seoul, Korea.

Background: KLASS (the Korean Laparoendoscopic Gastrointestinal Surgery Study) is a time-honored study group that has established laparoscopic surgery for gastrointestinal disease in Korea and has performed some important studies for the rationale of laparoscopic gastrointestinal surgery. A multi-center RCT (randomized controlled trial) to compare the quality of life (QOL) of patients undergoing totally laparoscopic distal gastrectomy (TLDG) and laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer, named as KLASS 07, has been currently prepared in Korea.

Methods: Patients diagnosed as gastric cancer, with clinical stage IA (T1N0M0) or IB (T1N1M0 / T2N0M0) according to the 7th edition of the Americal Joint Committee on Cancer System, were randomized to receive either TLDG or LADG. Read More

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http://dx.doi.org/10.1186/s12885-019-5396-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407283PMC

Effect of Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy on Long-term Survival Among Patients With Stage I Gastric Cancer: The KLASS-01 Randomized Clinical Trial.

JAMA Oncol 2019 Feb 7. Epub 2019 Feb 7.

Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Importance: Laparoscopic distal gastrectomy is gaining popularity over open distal gastrectomy for gastric cancer because of better early postoperative outcomes. However, to our knowledge, no studies have proved whether laparoscopic distal gastrectomy is oncologically equivalent to open distal gastrectomy.

Objective: To examine whether the long-term survival among patients with stage I gastric cancer undergoing laparoscopic distal gastrectomy is noninferior to that among patients undergoing open distal gastrectomy. Read More

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http://oncology.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamaoncol.2018.6727DOI Listing
February 2019
37 Reads

Transvesical laparoendoscopic single-site surgery to repair a vesicovaginal fistula in man after female to male sex reassignment.

Cent European J Urol 2018 27;71(4):481. Epub 2018 Sep 27.

University of Warmia and Mazury, Faculty of Medicine, Department of Urology, Olsztyn, Poland.

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http://dx.doi.org/10.5173/ceju.2018.1751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338807PMC
September 2018
1 Read

Laparoendoscopic single-site nephrectomy with the aid of intraabdominal retractors.

Int Urol Nephrol 2019 Mar 14;51(3):409-415. Epub 2019 Jan 14.

Department of Urology, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu Provincial Hospital of Traditional Chinese Medicine, 155 Han zhong Road, Nanjing, 210029, China.

Objectives: To evaluate the feasibility and clinical efficacy of a novel intraabdominal retractor device in laparoendoscopic single-site nephrectomy(LESS-N).

Methods: Between February 2012 and February 2017, 98 patients underwent LESS-N in our institution, including 38 patients with benign renal disease and 60 patients with malignant renal disease. 39 were performed conventional LESS-N(C-LESS-N) and 59 were performed intraabdominal retractor-assisted LESS-N(IAR-LESS-N). Read More

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http://dx.doi.org/10.1007/s11255-019-02077-6DOI Listing
March 2019
1 Read

CTEP Versus LESS Totally Extraperitoneal Hernioplasty.

JSLS 2018 Oct-Dec;22(4)

Department of General Surgery, The Second Hospital of Shandong University, Jinan, Shandong, China.

Background And Objectives: The authors sought to assess and compare the surgical outcomes of laparoendoscopic single-port surgery (LESS) for totally extraperitoneal (LESS-TEP) hernioplasty and conventional totally extraperitoneal (CTEP) hernioplasty.

Methods: From March 2015 through May 2018, a retrospective analysis of postoperative outcomes was conducted that included 81 cases of LESS-TEP and 88 cases of CTEP hernioplasty patients. For postoperative indicator comparisons, a visual-analog pain scale and 5-level cosmesis evaluation sheet were applied. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305068PMC
February 2019
3 Reads

Laparoscopic total extraperitoneal inguinal hernia repair: Retrospective study on prosthetic materials, postoperative management, and quality of life.

Medicine (Baltimore) 2018 Dec;97(52):e13974

Department of General, Laparoscopic, Robotic and Bariatric Surgery, Athens Medical Center, Marousi, Greece.

Laparoscopic inguinal hernia repair is one of the most frequently performed operations. However, the search for the most appropriate prosthetic materials continues to occupy the surgical community. The purpose of this study was to evaluate the postoperative short- and mid-term effects (like duration of stay, number and type of complications, and inguinal pain) of laparoscopic inguinal hernia repair using the total extraperitoneal (TEP) approach. Read More

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http://dx.doi.org/10.1097/MD.0000000000013974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314767PMC
December 2018
3 Reads

Robotic Urologic Surgical Interventions Performed with the Single Port Dedicated Platform: First Clinical Investigation.

Eur Urol 2019 04 3;75(4):684-691. Epub 2018 Dec 3.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

We report the first clinical investigation for surgical procedures performed using the da Vinci SP robotic surgical platform (Intuitive Surgical, Sunnyvale, CA, USA) during the first 10 days (September 28-October 12, 2018) after the system was installed at our institution. The aim of the study was to determine the feasibility and safety of major urologic procedures, measured as the rate of conversions and the incidence of perioperative complications. Secondary aims of the study consisted of key perioperative surgical outcomes, including operative time, blood loss, and length of stay. Read More

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http://dx.doi.org/10.1016/j.eururo.2018.11.044DOI Listing
April 2019
3 Reads

Transvesical laparoendosopic single-site surgery as a valuable option to remove eroded materials from the bladder: single-center experience and a review of the literature.

Int Urol Nephrol 2019 Feb 26;51(2):247-252. Epub 2018 Nov 26.

Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Ul. Oczapowskiego 2, 10-719, Olsztyn, Poland.

Introduction: Currently, polypropylene materials are used widely for the treatment of various urogynecologic disorders. This type of treatment can be complicated, although rarely, with erosions of the polypropylene implants into the bladder or the urethra. There is no established treatment for such complications. Read More

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http://link.springer.com/10.1007/s11255-018-2039-y
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http://dx.doi.org/10.1007/s11255-018-2039-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394444PMC
February 2019
19 Reads

Pediatric Partial Nephrectomy for Upper Urinary Tract Duplication Anomalies: A Comparison Between Different Surgical Approaches and Techniques.

Urology 2019 Mar 24;125:196-201. Epub 2018 Nov 24.

Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Objective: To review and compare 4 different surgical approaches for partial nephrectomy of a nonfunctioning moiety in children with upper urinary tract duplication anomalies.

Materials And Methods: A retrospective review of all pediatric patients who underwent open partial nephrectomy (OPN), laparoscopic partial nephrectomy (LPN), robotic partial nephrectomy (RPN), or laparoendoscopic single site partial nephrectomy (LESS-PN) for the treatment of a nonfunctioning moiety in a duplicated collecting system at 2 medical centers between 2007 and 2017. Patient demographics, perioperative data, surgical techniques, complications, and results were compared. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295183125
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http://dx.doi.org/10.1016/j.urology.2018.11.026DOI Listing
March 2019
25 Reads

Longitudinal analysis of laparoendoscopic single-site adrenalectomy and conventional laparoscopic adrenalectomy regarding patient-reported satisfaction and cosmesis outcomes.

Asian J Surg 2019 Mar 13;42(3):514-519. Epub 2018 Nov 13.

Department of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.

Background/objective: To compare longitudinal patient-reported cosmesis of laparoendoscopic single-site adrenalectomy (LESS-A) to that of conventional laparoscopic adrenalectomy (CLA).

Methods: A total of 23, 15, and 9 patients underwent transumbilical LESS-A (TU-LESS), subcostal LESS-A (SC-LESS), and CLA, respectively. A questionnaire was administered asking the patient to assess wound pain (0: not painful to 10: very painful), satisfaction (0: not satisfied to 10: very satisfied), and cosmesis (0: very ugly to 10: very beautiful) on the basis of a visual analogue scale. Read More

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http://dx.doi.org/10.1016/j.asjsur.2018.10.002DOI Listing
March 2019
2 Reads

Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature.

J Minim Access Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Surgery, San Giovanni Hospital, Bellinzona, Switzerland.

Background: Radical prostatectomy (RP) represents an important acquired risk factor for the development of primary inguinal hernias (IH) with an estimated incidence rates of 15.9% within the first 2 years after surgery. The prostatectomy-related preperitoneal fibrotic reaction can make the laparoendoscopic repair of the IH technically difficult, even if safety and feasibility have not been extensively evaluated yet. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_218_18DOI Listing
November 2018
21 Reads

Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling.

JSLS 2018 Jul-Sep;22(3)

Section of Minimally Invasive Gynecologic Surgery.

Introduction: This series of cases was an investigation of the safety and feasibility of robotic laparoendoscopic single-site surgery (R-LESS) as a method of performing sacrocolpopexy.

Case Presentation: This is a retrospective series of 15 cases of R-LESS sacrocolpopexy with the V-Loc (Medtronic, Minneapolis, Minnesota, USA) suture and a retroperitoneal tunneling technique performed by a single surgeon, combined with a literature review. Patient demographic information and perioperative data were analyzed. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169819/
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http://dx.doi.org/10.4293/JSLS.2018.00009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169819PMC
December 2018
18 Reads

Robotic laparoendoscopic single-site surgery in gynecology: A systematic review.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 3;231:1-7. Epub 2018 Oct 3.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.

Robotic laparoendoscopic single-site (R-LESS) seems to be the next route in advancing minimal invasive surgery, with the potential for better cosmetic results and reduced patient morbidity compared with multi-port surgery. This review describes the history and development of (R-LESS) gynecologic surgery and outlines the latest advancements in the realm of gynecology. The review was conducted according to the PRISMA guidelines. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03012115183101
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http://dx.doi.org/10.1016/j.ejogrb.2018.10.006DOI Listing
December 2018
18 Reads

Management of difficult or failed biliary access in initial ERCP: A review of current literature.

Clin Res Hepatol Gastroenterol 2018 Oct 9. Epub 2018 Oct 9.

Department of Surgery, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, PR China.

Selective bile duct cannulation is the prerequisite for all endoscopic biliary therapeutic interventions, but this cannot always be achieved easily. Despite advances and new developments in endoscopic accessories, selective biliary access fails in 5%-15% of cases, even in expert high volume centers. Various techniques - such as double-guidewire induced cannulation, pre-cut papillotomy or transpancreatic sphincterotomy with or without placement of a pancreatic stent - have been used to improve cannulation success rates. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22107401183018
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http://dx.doi.org/10.1016/j.clinre.2018.09.004DOI Listing
October 2018
2 Reads

Hybrid transgastric approach for the treatment of gastroesophageal junction pathologies.

Dis Esophagus 2019 Feb;32(2)

IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.

Flexible endoscopy has evolved to the point that it includes many endoluminal procedures that once required open or laparoscopic surgery, for instance, antireflux surgery, pyloromyotomy, mucosal and submucosal tumor resections, and even full-thickness resection. However, these procedures remain technically demanding due to flexible technology issues: difficult imaging, limited energy devices, lack of staplers, unsatisfactory suturing abilities, and so on. Transgastric laparoscopy or hybrid laparoscopy/flex endoscopy has been described for almost two decades as an alternative to a pure endoluminal approach, mainly for pancreatic pseudocyst drainage and full-thickness and mucosal resection of various lesions. Read More

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http://dx.doi.org/10.1093/dote/doy095DOI Listing
February 2019
5 Reads

Clinical Usefulness of a Self-Retaining Internal Organ Retractor for Laparoendoscopic Single-Site Adrenalectomy.

J Laparoendosc Adv Surg Tech A 2019 Mar 5;29(3):379-384. Epub 2018 Oct 5.

3 Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Introduction: Although laparoendoscopic single-site adrenalectomy (LESS-A) is feasible, it is still considered as a challenging procedure because of technical limitations. Making an optimal retraction is one of major obstacles in LESS-A, and it sometimes requires additional ports or needlescopic devices. Internal organ retractor (IOR) is a novel retraction device that is applied intracorporeally without additional port. Read More

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http://dx.doi.org/10.1089/lap.2018.0414DOI Listing
March 2019
3 Reads

Laparoendoscopic Single-site Surgery for Comprehensive Staging of Early Ovarian Cancer.

J Minim Invasive Gynecol 2018 Sep 29. Epub 2018 Sep 29.

Department of Gynecologic Oncology, West China Second Hospital, Sichuan University (all authors); Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education (all authors), Chengdu, Sichuan, China.. Electronic address:

Study Objective: To demonstrate the procedure and suspension skills of laparoendoscopic single-site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for early-stage ovarian cancer.

Design: A presentation of the surgery through this technical video.

Setting: A hospital. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.09.781DOI Listing
September 2018
12 Reads

Transumbilical laparoendoscopic single-site donor nephrectomy: evolving trends.

Surg Endosc 2018 Sep 26. Epub 2018 Sep 26.

Transplant Surgery Section, Surgery Department, King Faisal Specialist Hospital and Research Center, Jeddah, 21499, Kingdom of Saudi Arabia.

Background: We report our experience with laparoendoscopic single-site donor nephrectomy (LESS DN).

Methods: Retrospective comparative study of data from 200 Consecutive left LESS DN (group A) compared to 205 consecutive conventional laparoscopic donor nephrectomy (LDN) (group B). Standard laparoscopic instruments were used in all patients. Read More

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http://dx.doi.org/10.1007/s00464-018-6474-8DOI Listing
September 2018
7 Reads
3.260 Impact Factor

Extended Techniques of Minimally Invasive Surgery in the Retroperitoneum: Practice Pattern in German Urology Departments.

Urol Int 2018 18;101(3):345-350. Epub 2018 Sep 18.

Clinic for Urology and Urologic Oncology, Medical School Hannover, Hannover, Germany.

Introduction: Laparoendoscopic single-site surgery (LESS), robot-assisted (RA), and retroperitoneoscopic (R) surgery expand the armamentarium of minimally invasive surgery (MIS). As information on the use of these surgical approaches in daily routine is limited, we conducted a survey among German urologists.

Materials And Methods: In 2017, all urology departments in Germany received a questionnaire evaluating practice patterns of MIS in the retroperitoneum. Read More

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http://dx.doi.org/10.1159/000493148DOI Listing
April 2019
3 Reads

Laparoscopic renal surgery is here to stay.

Arab J Urol 2018 Sep 6;16(3):314-320. Epub 2018 Mar 6.

Department of Urology, Freeman Hospital, High Heaton, Newcastle upon Tyne, UK.

Objectives: To review the current literature comparing the outcomes of renal surgery via open, laparoscopic and robotic approaches.

Materials And Methods: A comprehensive literature search was performed on PubMed, MEDLINE and Ovid, to look for studies comparing outcomes of renal surgery via open, laparoscopic, and robotic approaches.

Results: Limited good-quality evidence suggests that all three approaches result in largely comparable functional and oncological outcomes. Read More

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http://dx.doi.org/10.1016/j.aju.2018.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104665PMC
September 2018
4 Reads

Minimally invasive donor nephrectomy: current state of the art.

Langenbecks Arch Surg 2018 Sep 21;403(6):681-691. Epub 2018 Aug 21.

University of Maryland School of Medicine, 29 S. Greene St., Suite 200, Baltimore, MD, 21201, USA.

Background: The concept of a minimally invasive live donor nephrectomy developed over 20 years ago. Surgeons gained expertise with the laparoscopic technique and utilized multiple variations that are now utilized in transplant centers throughout the world. Recent modifications include laparoendoscopic single-site and robotic approaches that have been adopted by an additional smaller set of programs. Read More

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http://dx.doi.org/10.1007/s00423-018-1700-3DOI Listing
September 2018
4 Reads

A Totally Laparoendoscopic Approach for Low Rectal Cancer with Inguinal Nodal Metastasis.

J Laparoendosc Adv Surg Tech A 2019 Jan 21;29(1):60-64. Epub 2018 Aug 21.

1 Surgical Oncology Unit, Oncology Center Mansoura University, Mansoura, Egypt.

Background And Aims: Isolated inguinal nodal metastasis from rectal cancer is rare with better oncological outcome in case of surgical resection.

Methods: We report a rectal cancer case with inguinal nodal metastasis that was operated using a totally endoscopic approach. Laparoscopic intersphincteric resection was done for rectal cancer and video endoscopic inguinal lymphadenectomy (VEIL) for inguinal lymph nodes. Read More

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http://dx.doi.org/10.1089/lap.2018.0442DOI Listing
January 2019
3 Reads

Laparoscopic approach to vesicovaginal fistulae.

Authors:
S R Ramphal

Best Pract Res Clin Obstet Gynaecol 2019 Jan 27;54:49-60. Epub 2018 Jun 27.

Urogynaecology and Pelvic Floor Unit, Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. Electronic address:

The surgical repair of vesicovaginal fistula (VVF) over the last two decades has evolved from the transabdominal/transvaginal route to minimally invasive techniques of laparoscopy and robotic surgery. The indications for laparoscopic repair include supratrigonal fistulae, and stenotic/narrow vaginas that make vaginal access to the fistula site difficult. In the current published literature, comparable results have been reported with open surgery. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.06.008DOI Listing
January 2019
5 Reads

Robotic laparoendoscopic single-site radical prostatectomy (R-LESS-RP) with daVinci Single-Site® platform. Concept and evolution of the technique following an IDEAL phase 1.

J Robot Surg 2019 Apr 17;13(2):215-226. Epub 2018 Jul 17.

Department of Urology, IRCCS San Raffaele Turro Hospital, Via Stamira d'Ancona 20, 20127, Milan, Italy.

To describe the evolution of robotic laparoendoscopic single-site radical prostatectomy (R-LESS-RP) performed with the daVinci Single-Site Platform® and a home-made multiport aimed to overcome classical drawbacks of LESS, still present with this platform. Between 09/2015 and 06/2017 12 patients underwent R-LESS RP for clinical localized prostate cancer. Following a "phase 1 (development-stage)" innovation, development, exploration, assessment, long-term study (IDEAL) framework, different solutions were drawn to overcome drawbacks of daVinci Single-Site Platform®, included 3 (A, B, and C) multi-ports developed and evaluated in term of advantages/drawbacks concerning ergonomy. Read More

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http://dx.doi.org/10.1007/s11701-018-0839-9DOI Listing
April 2019
1 Read

First Canadian experience with robotic laparoendoscopic single-site vs. standard laparoscopic living-donor nephrectomy: A prospective comparative study.

Can Urol Assoc J 2018 Nov 8;12(11):E440-E446. Epub 2018 Jun 8.

Department of Surgery, Division of Urology, Western University, London, ON, Canada.

Introduction: We aimed to compare the outcomes of robotic laparoendoscopic single-site living donor nephrectomy (R-LESS LDN) vs. standard laparoscopic living donor nephrectomy (LLDN).

Methods: Between October 2013 and November 2015, 39 patients were allocated to either standard LLDN (n=25) or R-LESS LDN (n=14). Read More

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http://cuaj.ca/index.php/journal/article/view/5275
Publisher Site
http://dx.doi.org/10.5489/cuaj.5275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217949PMC
November 2018
13 Reads

Development on a magnetic anchoring robot system based on visual servo control for laparoendoscopic single-site surgery.

Int J Med Robot 2018 Aug 8;14(4):e1904. Epub 2018 Mar 8.

Harbin Institute of Technology, Harbin, Heilongjiang Province, China.

Background: Surgical robot systems have been used in laparoendoscopic single-site surgery (LESS) to improve patient outcomes. A magnetic anchoring surgical robot system for LESS can effectively extend the operation space.

Methods: A robot system based on visual servo control for LESS is proposed. Read More

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http://dx.doi.org/10.1002/rcs.1904DOI Listing
August 2018
2 Reads

Single-session Transvesical Laparoendoscopic 1-Port Removal of 2 Bladder Diverticula in a Female Patient.

Urology 2018 Oct 26;120:264-265. Epub 2018 Jun 26.

Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland. Electronic address:

Background: Bladder diverticula are usually encountered in males, and they are a rarity in women, especially in the absence of obstruction. Open surgery, as well as laparoscopic or robotic, or single-port surgery have been applied successfully to remove bladder diverticula. To the best of our knowledge, no single-port diverticulectomies have been performed in women. Read More

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http://dx.doi.org/10.1016/j.urology.2018.06.015DOI Listing
October 2018
3 Reads

Endoscopic intact removal of medium-size- or multiple bladder stones with the use of transvesical laparoendoscopic single-site surgery.

World J Urol 2019 Feb 28;37(2):373-378. Epub 2018 Jun 28.

Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland.

Objectives: To determine the feasibility and safety of performing transvesical laparoendoscopic single-site surgery (T-LESS) in patients with medium-size, hard stones or multiple stones with high burden.

Methods: In this case series study, 12 patients (11 males and one female) with a mean age of 66.8 years were operated on from February 2016 to May 2017 due to bladder calculi, using the T-LESS approach with a single-port device (Tri-Port + , Olympus, Germany). Read More

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http://dx.doi.org/10.1007/s00345-018-2358-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373356PMC
February 2019
22 Reads

The Comparison of Robotic Single-Site Surgery to Single-Port Laparoendoscopic Surgery for the Treatment of Advanced-Stage Endometriosis.

J Laparoendosc Adv Surg Tech A 2018 Jun 22. Epub 2018 Jun 22.

Department of Obstetrics and Gynecology, Robot Surgery Center, College of Medicine, Ewha Womans University , Seoul, Republic of Korea.

Objective: To compare perioperative outcomes of robotic single-site (RSS) surgery with conventional single-port laparoendoscopic surgery for the treatment of advanced-stage endometriosis.

Materials And Methods: This is a retrospective cohort study that included 120 patients who received single-port laparoendoscopic surgery or RSS surgery for the treatment of advanced-stage endometriosis at Ewha Womans University's Mokdong Hospital in Seoul, Korea between December 2014 and May 2017. Single-port laparoendoscopic cystectomy and adhesiolysis were performed in 52 patients (Single-port laparoendoscopic [SPL] group) and RSS cystectomy and adhesiolysis were performed in 68 patients (RSS group). Read More

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http://dx.doi.org/10.1089/lap.2018.0118DOI Listing
June 2018
3 Reads

[HerniaSurge: international guidelines on treatment of inguinal hernia in adults : Comments of the Surgical Working Group Hernia (CAH/DGAV) and the German Hernia Society (DHG) on the most important recommendations].

Chirurg 2018 Aug;89(8):631-638

Hernienzentrum Rottenburg a.N., Winghofer Medicum Plus GmbH, Rottenburg a.N., Deutschland.

Surgical Techniques: The HerniaSurge guidelines have the highest evidence with respect to a strong recommendation for mesh-based surgical techniques. This evidence is equally valid for the Lichtenstein procedure as for the minimally invasive procedures TEP/TAPP. In the case of discrete symptomatic or asymptomatic inguinal hernias, watchful waiting can be an option, taking into account health status and social circumstances. Read More

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http://dx.doi.org/10.1007/s00104-018-0673-7DOI Listing
August 2018
10 Reads

Laparoendoscopic Percutaneous Endoscopic Gastrostomy in Adults.

J Laparoendosc Adv Surg Tech A 2018 Oct 20;28(10):1192-1195. Epub 2018 Jun 20.

2 Department of Surgery, Regional Hospital of Vicenza , Vicenza, Italy .

Background: Since its introduction, the placement of percutaneous endoscopic gastrostomy (PEG) has been increasing in the Western countries. Nevertheless, it is not always possible to perform this operation. Laparoscopic-assisted endoscopic gastrostomy (LAPEG) is an effective alternative solution. Read More

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http://dx.doi.org/10.1089/lap.2018.0119DOI Listing
October 2018
15 Reads

Novel System for Robotic Single-port Surgery: Feasibility and State of the Art in Urology.

Eur Urol Focus 2018 09 18;4(5):669-673. Epub 2018 Jun 18.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

Robotic urology has evolved in parallel with the development of new robotic systems. A recently conceived robotic platform, specifically designed for single-port (SP) surgery, has reignited the interest for the approach. In this review, the evolution of robotic SP surgery was analyzed. Read More

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http://dx.doi.org/10.1016/j.euf.2018.06.004DOI Listing
September 2018
3 Reads

Laparoendoscopic Single-site Plus 1-port Donor Nephrectomy: Division of Roles to Shorten Warm Ischemic Time.

Transplant Proc 2018 Jun 10;50(5):1238-1242. Epub 2018 Mar 10.

Department of Urology, Tokai University School of Medicine, Kanagawa, Japan.

Background: In this study we present our new surgical procedure, laparoendoscopic single-site surgery plus 1 for donor nephrectomy (LESS+1-DN), which shortens warm ischemic time (WIT) and improves surgical outcomes.

Methods: From January 2013 to February 2017, 15 patients who underwent LESS-DN and 41 patients who underwent LESS+1-DN at our institution were evaluated retrospectively. Patients were divided into 3 groups: group A, 15 cases of LESS-DN; group B, the first 15 patients who underwent LESS+1-DN; and group C, 26 patients who underwent subsequent LESS+1-DN. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.02.077DOI Listing
June 2018
4 Reads

Long-Term Oncologic Outcomes of Laparoscopic Sentinel Node Navigation Surgery in Early Gastric Cancer: A Single-Center, Single-Arm, Phase II Trial.

Ann Surg Oncol 2018 Aug 21;25(8):2357-2365. Epub 2018 May 21.

Department of Surgery, Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, Korea.

Background: Sentinel node navigation surgery (SNNS) in early gastric cancer (EGC) is technically feasible according to previous literature, however its long-term oncologic safety has not been reported.

Methods: A single-center, single-arm, phase II trial was conducted to determine the oncologic outcomes of laparoscopic sentinel node (SN) biopsy in clinical stage T1N0M0 gastric cancer patients. Cases with positive SNs on intraoperative pathologic examination underwent conventional gastrectomy with radical lymphadenectomy (SN-positive group), whereas those with negative SNs underwent laparoendoscopic-limited gastric resections without further lymph node dissections (SN-negative group). Read More

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http://link.springer.com/10.1245/s10434-018-6523-5
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http://dx.doi.org/10.1245/s10434-018-6523-5DOI Listing
August 2018
33 Reads

The Influence of 3D in Single-port Laparoscopy Surgery: An Experimental Study.

Surg Laparosc Endosc Percutan Tech 2018 Aug;28(4):261-266

ICVS/3B's. Life and Health Sciences Research Institute.

The aim of this experimental study was to analyze the effect of 3-dimensional (3D) imaging in laparoendoscopic single-site surgery. End points were time, errors, and preference. Twenty-six participants were enrolled in the study, and these were divided into Beginners and Experts, in exercises either with a 2-dimensional or a 3D system. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000536DOI Listing
August 2018
20 Reads

Robotic Laparoendoscopic Single Site: Pyeloplasty and Nephrectomy Chapter.

J Endourol 2018 May;32(S1):S88-S92

Department of Urology, University of Texas Southwestern Medical Center , Dallas, Texas.

Robotic laparoendoscopic single site (RLESS) for upper tract procedures is safe and feasible in the correctly selected patient. An ideal candidate is young, has a low body mass index, and is undergoing surgery for benign indications. For RLESS procedures, we utilize a GelPOINT access platform for "single-port" placement and ports are configured in a diamond shape. Read More

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http://dx.doi.org/10.1089/end.2017.0724DOI Listing
May 2018
4 Reads

Laparoscopic single-incision triangulated umbilical surgery (SITUS) pyeloplasty: a description of the first 32 cases.

World J Urol 2018 Nov 12;36(11):1883-1888. Epub 2018 May 12.

Department of Urology and Andrology, General Hospital Hall in Tirol, A.Ö. Bezirkskrankenhaus (BKH) Hall i.T, Milser Str. 10, 6060, Hall, Austria.

Introduction And Objectives: Transumbilical laparoendoscopic (LESS) procedures reduce access trauma. Laparoendocopic single-incision triangulated umbilical surgery (SITUS) utilizes straight instruments in a triangulated fashion, via three trocars placed through a single umbilical incision.

Methods: Thirty-two consecutive patients underwent an SITUS pyeloplasty. Read More

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http://dx.doi.org/10.1007/s00345-018-2308-5DOI Listing
November 2018
22 Reads

Conventional versus Single Port Laparoscopy for the Surgical Treatment of Ectopic Pregnancy: A Meta-Analysis.

Gynecol Obstet Invest 2018 17;83(4):329-337. Epub 2018 Apr 17.

Department of Obstetrics and Gynecology, University Hospital of Berne and University of Berne, Berne, Switzerland.

Background/aims: A new minimally invasive laparoscopic approach for ectopic pregnancy, the laparo-endoscopic single site surgery (LESS), has recently been introduced. The aim of this study is to compare the surgical outcome of this approach with conventional laparoscopy for ectopic pregnancy.

Method: A review following the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement was performed. Read More

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http://dx.doi.org/10.1159/000487944DOI Listing
October 2018
13 Reads

Single-Site Laparoscopy and Robotic Surgery in Pediatric Urology.

Curr Urol Rep 2018 Apr 17;19(6):42. Epub 2018 Apr 17.

Division of Pediatric Urology, Department of Pediatric Surgery, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Wood Center, Philadelphia, PA, 19104, USA.

Purpose Of Review: In this review, we summarize research that has evaluated the role of laparoendoscopic single-site (LESS) and robotic surgery in pediatric urology, highlighting new and/or controversial ideas.

Recent Findings: The newest research developments over the last several years are studies that address generalizability of these techniques, ideal patient factors, extrapolation to more complex surgeries, and comparative studies to more traditional techniques to define the associated costs and benefits, as well as patient-centered outcomes. Specifically in the field of LESS, addressing the limitations of suboptimal vision, instrument crowding, and loss of triangulation have been a focus. Read More

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http://dx.doi.org/10.1007/s11934-018-0794-zDOI Listing
April 2018
3 Reads

Perception versus reality: elucidating motivation and expectations of current fellowship council minimally invasive surgery fellows.

Surg Endosc 2018 Nov 17;32(11):4422-4427. Epub 2018 Apr 17.

Department of Surgery, Methodist Dallas Medical Center, 1441 N Beckley Ave, Dallas, TX, 75203, USA.

Background: The aim of our study is to determine minimally invasive trainee motivation and expectations for their respective fellowship. Minimally Invasive Surgery (MIS) is one of the largest non-ACGME post-residency training pathways though little is known concerning the process of residents choosing MIS as a fellowship focus. As general surgery evolves, it is important to understand resident motivation in order to better prepare them for a surgical career. Read More

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http://dx.doi.org/10.1007/s00464-018-6184-2DOI Listing
November 2018
11 Reads

Single port laparoscopy (SPL): Retrospective study evaluating postoperative pain in comparison with conventional laparoscopy (CL).

J Gynecol Obstet Hum Reprod 2018 Oct 11;47(8):365-369. Epub 2018 Apr 11.

Department of Obstetrics and Gynecology, Maison Blanche's Hospital, University of Reims-Champagne-Ardennes, 45, Cognacq-Jay, 51100 Reims, France; Department of Obstetrics and Gynecology, Manchester's Hospital, 45 Manchester's Avenue, 08000 Charleville Mezieres, France.

Objective: To compare postoperative pain after single port laparoscopy (SPL) approach with conventional laparoscopy (CL) in case of adnexectomy.

Material And Methods: This is a retrospective monocentric study involving patients who underwent adnexal surgery by SPL or CL for a suspected benign disease or as a preventive measure. The main outcome measure was the level of postoperative pain. Read More

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http://dx.doi.org/10.1016/j.jogoh.2018.04.006DOI Listing
October 2018
2 Reads

Retroperitoneal Single Port Versus Transperitoneal Multiport Donor Nephrectomy: A Prospective Randomized Control Trial.

J Endourol 2018 Jun 12;32(6):496-501. Epub 2018 Apr 12.

2 Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research , Chandigarh, India .

Background: Laparoscopic donor nephrectomy (LDN) converted a retroperitoneal (RP) procedure into a transperitoneal (TP) operation with reports of bowel and solid organ injuries leading to mortality in occasional cases. Laparoscopic RP donor nephrectomy can reduce these risks but never became popular because of the muscle cutting approach. Lumbotomy incision can be used to approach retroperitoneum by incising fascial planes, eliminating disadvantages of the RP approach. Read More

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http://dx.doi.org/10.1089/end.2017.0829DOI Listing
June 2018
6 Reads
2.100 Impact Factor

Targeted treatment of primary aldosteronism - The consensus of Taiwan Society of Aldosteronism.

J Formos Med Assoc 2019 Jan 3;118(1 Pt 1):72-82. Epub 2018 Mar 3.

Division of Cardiology, National Taiwan University Hospital, Taipei, Taiwan.

Background/purpose: Even with the increasing recognition of primary aldosteronism (PA) as a cause of refractory hypertension and an issue of public health, the consensus of its optimal surgical or medical treatment in Taiwan has not been reached. Our objective was to develop a clinical practice guideline that is feasible for real-world management of PA patients in Taiwan.

Methods: The Taiwan Society of Aldosteronism (TSA) Task Force recognized the above-mentioned issues and reached this Taiwan PA consensus at its inaugural meeting, in order to provide updated information of internationally acceptable standards, and also to incorporate our local disease characteristics and constraints into PA management. Read More

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http://dx.doi.org/10.1016/j.jfma.2018.01.006DOI Listing
January 2019
11 Reads
1.700 Impact Factor

Laparoendoscopic Single-Site Supracervical Hysterectomy with Manual Morcellation: A Retrospective Study.

J Minim Invasive Gynecol 2018 Sep - Oct;25(6):1094-1100. Epub 2018 Mar 2.

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Study Objective: To evaluate the feasibility, efficiency, and safety of manual morcellation in laparoendoscopic single-site (LESS) supracervical hysterectomy.

Design: Retrospective study (Canadian Task Force classification II-2).

Setting: A teaching hospital. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.02.017DOI Listing
March 2018
6 Reads