2,012 results match your criteria Journal of the Society of Laparoendoscopic Surgeons [Journal]


Improved Outcomes Utilizing a Valveless-Trocar System during Robot-assisted Radical Prostatectomy (RARP).

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, Division of Urology, University of Pennsylvania, Philadelphia, PA.

Introduction: To evaluate the effect of valveless trocar system (VTS) on intra-operative parameters, peri-operative outcomes, and 30-day postoperative complications in patients undergoing robotic-assisted laparoscopic prostatectomy.

Methods: A total of 200 consecutive patients undergoing Robot-assisted radical prostatectomy by a single surgeon were prospectively evaluated using either the valveless trocar (n = 100) or standard trocars (n = 100). Patient demographics, intra-operative parameters, length of stay, presence or absence of postoperative nausea and vomiting, analog pain score at 0-6 hours, 6-12 hours, 12-18 hours, and >24 hours, and 30-day postoperative complications were analyzed. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364705PMC
February 2019

Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.

JSLS 2019 Jan-Mar;23(1)

Department of General Surgery and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.

Background And Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364704PMC
February 2019

Surgical Management of Solid Pseudopapillary Tumor of the Pancreas.

JSLS 2018 Oct-Dec;22(4)

Division of Gastrointestinal Surgery of the Hospital Nossa Senhora das Graças and Clinical Hospital of the Federal University of Parana, Curitiba, Brazil.

Background And Objectives: Although solid pseudopapillary tumor (SPT) of the pancreas is rare, its diagnosis has increased severalfold in the past decades. We present our experience in the management of SPT, including a patient who experienced tumor rupture during laparoscopy pancreatic resection.

Methods: Data on all patients with SPT who were subjected to surgical treatment were retrospectively obtained. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365096PMC
February 2019

Retroperitoneal Liposarcoma: A Concern in Inguinal Hernia Repair.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, Paracelsus Medical University, Salzburg, Austria.

Background And Objectives: The goal of the study was to evaluate retroperitoneal sarcomas with continuous growth into the scrotum through the inguinal canal with regard to diagnostic approach, surgical treatment, and outcome. The analysis is based on a comprehensively documented case and a complete systematic review of published literature. Potential pitfalls are highlighted. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345196/
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http://dx.doi.org/10.4293/JSLS.2018.00064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345196PMC
February 2019
3 Reads

Impact of Chronic Obstructive Pulmonary Disease on Laparoscopic Hysterectomy Outcome.

JSLS 2019 Jan-Mar;23(1)

Department of Obstetrics and Gynecology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Background And Objectives: Limited research exists on the association between chronic obstructive pulmonary disease (COPD) and morbidity and mortality after laparoscopic hysterectomy. The objective of this study is to examine the following: 1) which demographics and comorbidities are most likely to present concurrently in patients with COPD? 2) Are patients with COPD undergoing laparoscopic hysterectomy at increased risk for development of postoperative complications within 30 days?

Methods: Retrospective cohort study using data collected from 2007 to 2016 from the American College of Surgeons National Surgical Quality Improvement Program database. All patients who underwent laparoscopic hysterectomy were identified by Current Procedural Terminology codes and stratified based on COPD status. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342248PMC
January 2019
2 Reads

Colonic Stent Use in Patients With Malignant Flexure Tumors Presenting With Obstruction.

JSLS 2019 Jan-Mar;23(1)

Istanbul Aydin University, General Surgery Department, Turkey.

Background And Objective: Colonic stenting in left-sided tumor is being commonly used. However, placing a stent in the flexure tumors is rare because it is technically more difficult. In this study, we aimed to retrospectively screen patients with flexure tumors admitted to our clinic who were treated using a colonic stent and discuss our findings. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341513PMC
January 2019

T-Tube Use After Laparoscopic Common Bile Duct Exploration.

JSLS 2019 Jan-Mar;23(1)

Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Background And Objectives: Laparoscopic common bile duct exploration (LCBDE) has been verified to be an effective technique in treating choledocholithiasis, and T-tube insertion has been widely performed after LCBDE. With growing doubts regarding the effectiveness and safety of T-tube drainage (TTD), it has been suggested to replace such with primary duct closure (PDC). This meta-analysis aimed to evaluate the short- and long-term effectiveness and safety of PDC compared with TTD after LCBDE. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333567PMC
January 2019

Drainage During Endoscopic Thyroidectomy.

JSLS 2019 Jan-Mar;23(1)

Thyroid and Breast Surgery, Ningbo Medical Center Lihuili Eastern Hospital.

Background: Conventional cervical drainage tubes are placed crossing the suprasternal fossa during endoscopic thyroidectomy. In our clinical experience, some patients show shallow or absent suprasternal fossa, which affects the cosmetic outcome in the patient. Therefore, this study aimed to assess the feasibility and significance of restoring the suprasternal fossa by changing the position of neck drainage tubes. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333566/
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http://dx.doi.org/10.4293/JSLS.2018.00060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333566PMC
January 2019
2 Reads

Transient Occlusion of Uterine Arteries in Procedures with High Risk of Uterine Bleeding.

JSLS 2019 Jan-Mar;23(1)

Department of Anesthesiology and Pain Medicine, Uijeongbu St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea.

Introduction: Uterine-conservative surgery via laparoscopy is a challengeable and high risk because of heavy intra-operative bleeding events in reproductive women with highly vascular uterine benign disease. There are three reported cases of women with highly vascular uterine benign diseases and high risk of intra-operative heavy bleeding, but were treated successfully to control intra-operative heavy bleeding risk by transient occlusion of the uterine artery (TOUA) through laparoscopy and resulted in safe conservation of the uterus.

Case Presentation: The cases of women with high risk of heavy bleeding during therapeutic procedure included cesarean scar pregnancy, hydatid form mole on cesarean scar, and cervical pregnancy. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333565PMC
January 2019
5 Reads

pH Scores in Hiatal Repair with Transoral Incisionless Fundoplication.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, San Angelo Community Medical Center, San Angelo, TX 76904, USA.

Background And Objectives: Transoral incisionless fundoplication is an alternative to traditional laparoscopic fundoplications. Recently, hiatal hernia repair combined with transoral incisionless fundoplication has become an accepted modification of the original procedure; however, outcomes information, particularly objective pH monitoring, has been sparse. We retrospectively review the subjective and objective outcomes of transoral incisionless fundoplication combined with hiatal hernia repair. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333564/
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http://dx.doi.org/10.4293/JSLS.2018.00087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333564PMC
January 2019
4 Reads

Which Cholecystectomy do Medical Students Prefer?

JSLS 2019 Jan-Mar;23(1)

University of Pernambuco, Faculty of Medical Sciences, Recife, Brazil.

Introduction: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision.

Methods: Brazilian medical students watched a video reviewing the advantages and disadvantages of six different surgical approaches to cholecystectomy: open surgery, conventional laparoscopy, mini-laparoscopy (MINI), single-incision laparoscopic surgery, natural-orifice transluminal endoscopic surgery, and robotic surgery. Respondents then answered questions about hypothetical situations in which the participants would be submitted to elective cholecystectomy. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333563/
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http://dx.doi.org/10.4293/JSLS.2018.00086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333563PMC
January 2019
3 Reads

Propensity-Matched Analysis of Sigmoidectomies for Diverticular Disease.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, St. Joseph Mercy Hospital, Ann Arbor, Michigan USA.

Background And Objectives: The role for the robotic-assisted approach as a minimally invasive alternative to open colorectal surgery is in the evaluation phase. While the benefits of minimally invasive colorectal surgery when compared to the open approach have been clearly demonstrated, the adoption of laparoscopy has been limited. The purpose of this study was to evaluate clinical outcomes, hospital and payer characteristics of patients undergoing robotic-assisted, laparoscopic, and open elective sigmoidectomy for diverticular disease in the United States. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328361PMC
January 2019
1 Read
0.786 Impact Factor

Comparison of Robotic and Laparoscopic Hysterectomy for the Large Uterus.

JSLS 2019 Jan-Mar;23(1)

Department of Gynecology, Apollo Hospitals, Jubilee Hills, Hyderabad, India.

Background And Objectives: We compared the outcome of robotic hysterectomy (RH) with laparoscopic hysterectomy (LH) for large uteri (≥16 weeks).

Methods: This was a retrospective review over 5 years of 165 women (RH, 46; LH, 119). Demographic data, conversion, hemoglobin drop, indication, operating time, postoperative stay, and intra-operative strategies (adhesiolysis, myomectomy) were recorded. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328360PMC
January 2019

Laparoscopic Revision of Failed Bariatric Procedures.

JSLS 2019 Jan-Mar;23(1)

Chicago Institute of Minimally Invasive Surgery, Skokie, Illinois, USA.

Background: The main indications for revision of bariatric surgery are inadequate weight loss, weight regain, or complications. The objective of revision is to restore the restrictive component and/or add a malabsorptive component.

Objectives: To evaluate the effectiveness of revisional laparoscopic bariatric surgery for loss of weight and assess the risks and benefits associated with these technically demanding procedures. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328359/
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http://dx.doi.org/10.4293/JSLS.2018.00074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328359PMC
January 2019
4 Reads

Laparoscopic Hysterectomy Outcomes: Hospital vs Ambulatory Surgery Center.

JSLS 2019 Jan-Mar;23(1)

The Center for Innovative GYN Care, Rockville, MD 20852, USA.

Background And Objective: Compare operative outcomes of laparoscopic hysterectomy in an outpatient hospital setting versus freestanding ambulatory surgery center.

Methods: Retrospective cohort study of two groups in an outpatient hospital surgery department and freestanding ambulatory surgical center, both serving the Washington, DC area. Women, 18 years or older, who underwent laparoscopic hysterectomy for benign conditions in an outpatient hospital setting between 2011 and 2014 (n = 821), and at an ambulatory surgery center between 2013 and 2017 (n = 1210). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328358PMC
January 2019

Robotic Repair of Supratrigonal Vesicovaginal Fistula with Sigmoid Epiploica Interposition.

JSLS 2018 Oct-Dec;22(4)

Western New York Urology Associates, Cheektowaga, New York, USA.

Introduction And Hypothesis: In the United States, vesicovaginal fistula (VVF) most often results from gynecologic surgery causing significant morbidity and distress to both the patient and surgeon. The use of tissue interposition at time of primary repair has been advocated to decrease the risk of recurrence. The aim of this study is to describe our experience with interposition of sigmoid epiploica during robotic extravesical repair of supratrigonal VVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328364PMC
January 2019
1 Read

Effect of Anterior Compartment Endometriosis Excision on Infertility.

JSLS 2018 Oct-Dec;22(4)

Department of Gynecology, University of Strasbourg, Strasbourg, France and Latifa Hospital, Dubai, United Arab Emirates.

Background And Objectives: Laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms; the data are lacking concerning the impact of anterior compartment endometriosis on infertility. We conducted this study to evaluate whether or not the surgical excision of deep endometriosis affecting the anterior compartment plays a role in restoring fertility.

Methods: This multicentre, retrospective study included a group of 55 patients presenting with otherwise-unexplained infertility who had undergone laparoscopic excision of anterior compartment endometriosis with histological confirmation. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328363PMC
January 2019
2 Reads

Systematic Review of Topical Hemostatic Agent Use in Minimally Invasive Gynecologic Surgery.

JSLS 2018 Oct-Dec;22(4)

Department of Obstetrics and Gynecology, University of Louisville Hospital, Louisville, KY, USA.

Background And Objectives: To perform a systematic review of articles evaluating hemostatic effectiveness and peri-operative outcomes when topical hemostatic agents (HA) are used in minimally invasive gynecologic surgeries (MIGS) for benign conditions.

Methods: Studies published through March 31, 2017 were retrieved through PubMed, EMBASE, Cochrane, and ClinicalTrials.gov to identify all eligible studies. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328362PMC
January 2019
2 Reads

Hemostasis with the Ultrasonic Scalpel.

JSLS 2018 Oct-Dec;22(4)

Crispi Institute of Minimally Invasive Surgery, Rio de Janeiro, Brazil.

Background And Objectives: The ultrasonically activated scalpel is a surgical instrument that is used in minimally invasive surgery to safely cut and seal vessels. This study reported the experimental observations of the use of a laparoscopic ultrasonic scalpel, including its safety and feasibility. in sealing vessels of different diameters in an in vivo animal model during both physiological and supraphysiological blood pressure (BP) conditions. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317652/
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http://dx.doi.org/10.4293/JSLS.2018.00042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317652PMC
January 2019
5 Reads

Hedging, Weasel Words, and Truthiness in Scientific Writing.

Authors:
Douglas E Ott

JSLS 2018 Oct-Dec;22(4)

School of Engineering Mercer University Macon, Georgia, USA.

Background And Objectives: Words in scientific discourse must be truthful. Introducing ambiguity or creating a false narrative by insinuating close counts or almost statements as facts that appeal to a truth the writer wants to exist doesn't make it true. A reader's personal interpretation because of hedging or weasel words creates an opportunity for truthiness as a belief to become a fact when it isn't. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311890/
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http://dx.doi.org/10.4293/JSLS.2018.00063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311890PMC
January 2019
3 Reads

Economic Disparities in Patients Undergoing Sigmoidectomy.

JSLS 2018 Oct-Dec;22(4)

Icahn School of Medicine at Mount Sinai, New York, New York.

Background And Objectives: Disparities in health care outcomes and resources utilized are present in the treatment of many conditions and represent an area for targeted improvement. This study analyzes the differences in outcomes and total hospital charges between the highest and lowest income quartiles of patients undergoing sigmoid colectomy.

Methods: This retrospective cohort study included patients undergoing sigmoid colectomy from 2013 to 2014 queried from the Agency for Healthcare Research and Quality National Inpatient Sample Database who were categorized as the lowest and highest income quartile based on average income of the patient's ZIP code. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305960PMC
January 2019
0.786 Impact Factor

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
January 2019
1 Read

Outcomes of Open and Laparoscopic Appendectomy With Single Endoloop Stump Closure.

JSLS 2018 Oct-Dec;22(4)

General Surgery Department, Siedlce Hospital, Siedlce, Poland.

Background And Objectives: Although laparoscopic appendectomy (LA) has been used for 35 years, the open approach (OA) is preferred worldwide. Widespread access to instrumentation in a number of centers has reduced economic and logistical obstacles. The aim of this work is to compare the results for patients with suspected appendicitis treated using an OA versus patients treated using LA. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00062DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305067PMC
January 2019

The Impact of Surgical Approach on Late Recurrence in Incisional Hernia Repair.

JSLS 2018 Oct-Dec;22(4)

Medical Affairs, Ethicon, Inc., Hamburg, Germany.

Background And Objectives: We conducted a retrospective, observational study to compare real-world recurrence rates for different surgical approaches after incisional hernia mesh repair.

Methods: Two large US insurance claims databases, Truven Commercial Claims (CCAE) and Medicare Supplemental (MDCR), were evaluated for the period from 2009 to 2015. The first incisional hernia repair with mesh for patients 21 years or older was identified (INDEX). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305066PMC
January 2019

Laparoscopic Splenectomy for Trauma.

JSLS 2018 Oct-Dec;22(4)

Minimally Invasive Surgery, Department of Surgery, Howard University Hospital, Washington, DC USA.

Background And Objectives: The use of laparoscopy in the trauma setting is gaining momentum, with more therapeutic procedures being performed. We evaluated the use of laparoscopic splenectomy among trauma patients with data from the National Trauma Database. We compared outcomes for trauma patients undergoing laparoscopic (LS) versus open splenectomy (OS). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305065PMC
January 2019
1 Read

New Ovine Polymer-Reinforced Bioscaffold in Hiatal Hernia Repair.

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, Oklahoma State University, Comanche County Memorial Hospital, Lawton, Oklahoma, USA.

Background And Objectives: Biologic and resorbable synthetic materials are used commonly for crural repair reinforcement during laparoscopic hiatal herniorrhaphy. Recently, an ovine polymer-reinforced bioscaffold (OPRBS) has been developed for reinforcement of abdominal wall and hiatal herniorrhaphies. This is the first reported series on use of OPRBS in hiatal hernia repairs. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305064/
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http://dx.doi.org/10.4293/JSLS.2018.00057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305064PMC
January 2019
9 Reads

Staple Line Treatment and Bleeding After Laparoscopic Sleeve Gastrectomy.

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland.

Background And Objectives: Staple line treatment during laparoscopic sleeve gastrectomy (LSG) remains a controversial issue among bariatric surgeons. The objective of this study was to compare rates of postoperative bleeding (POB) among various methods of staple line reinforcement.

Methods: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program 2015 dataset was queried for patients undergoing an LSG. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305063/
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http://dx.doi.org/10.4293/JSLS.2018.00056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305063PMC
January 2019
9 Reads

Efficacy of a New Crosslinked Hyaluronan Gel in the Prevention of Intrauterine Adhesions.

JSLS 2018 Oct-Dec;22(4)

School of Medicine, Istanbul University, Department of Obstetrics and Gynecology, Istanbul, Turkey.

Background And Objectives: The authors sought to assess the effect of the use of a new crosslinked hyaluronan (NCH) gel on the prevention of intrauterine adhesions (IUAs) in women underwent curettage in the second trimester.

Methods: Between June 2016 and September 2017, 60 patients who underwent curettage for retained placental tissue after medically induced or spontaneous pregnancy loss in the second trimester were enrolled in the study. The patients were randomly assigned to 1 of 2 groups: Group 1 patients received curettage plus NCH gel (intervention group), and group 2 patients received curettage alone (control group). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261745PMC
January 2019
2 Reads

Origins of Robotic Surgery: From Skepticism to Standard of Care.

JSLS 2018 Oct-Dec;22(4)

University of Washington, School of Medicine, Seattle WA USA.

Background And Objectives: The uses of robotics in surgery were hypothesized as far back as 1967, but it took nearly 30 years and the nation's largest agency, the Department of Defense, in conjunction with innovative startups and established research agencies to complete the first fully functional multipurpose surgical robot. Currently, the most prominently available multipurpose robotic surgery system with US Food and Drug Administration approval is Intuitive Surgical Inc.'s da Vinci Surgical System, which is found in operating rooms across the globe. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261744PMC
January 2019
1 Read

Symptoms and Health Quality After Laparoscopic and Robotic Myomectomy.

JSLS 2018 Oct-Dec;22(4)

Department of Obstetrics and Gynecology, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Background And Objectives: To compare the symptom severity and health quality outcomes of women who underwent laparoscopic and robotic myomectomy.

Methods: This was a prospective nonrandomized cohort study. The Uterine Fibroid Symptom and Health Related Quality of Life Questionnaire was administered to 33 laparoscopic myomectomy and 31 robotic myomectomy patients before and year after surgery. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261743PMC
January 2019
1 Read

Predictive Factors for Success of Laparoscopic Splenectomy for ITP.

JSLS 2018 Oct-Dec;22(4)

Second Department of Medicine and Cardiology Centre, University of Szeged, Szeged, Hungary.

Background And Objectives: Therapy-resistant immune thrombocytopenia (ITP) is the most frequent indication of laparoscopic splenectomy (LS). It ensures the best results for this disease compared with possible second-line pharmacologic therapies. Therefore, learning about the safety of the surgical method and its long-term efficacy is important, as is selecting patients who respond to surgical treatment. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248273PMC
January 2019
1 Read

The Length of Surgical Skin Incision in Postoperative Inflammatory Reaction.

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background And Objectives: Surgery provokes inflammatory and immune responses, so efforts have been made to reduce host response by using less invasive techniques. The purpose of this experimental study was to investigate the surgical stress induced by skin incision and the role of liver response in this process.

Methods: Seventy male anesthetized Wistar rats were subjected to a midline incision confined strictly to the skin (dermis) of either 1 cm long (n = 20), 10 cm long (n = 20), or no incision (n = 20) or served as controls (n = 10). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251478PMC
January 2019
2 Reads

Clinical Significance of Diminutive Colonic Polyps in Elderly Patients.

JSLS 2018 Oct-Dec;22(4)

Department of General Surgery, Faculty of Medicine, Bakirköy Dr. Sadi Konuk Training & Research Hospital University of Health Sciences, University of Health Sciences, Istanbul, Turkey.

Background And Objectives: Colorectal cancer is the third leading cause of cancer-related death. Excision of premalignant polyps has a ignificant impact on reducing colorectal cancer mortality and morbidity. Colonoscopy is considered to be the gold standard for the diagnosis and affords an opportunity for treatment of colonic polyps. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225984/
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http://dx.doi.org/10.4293/JSLS.2018.00016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225984PMC
January 2019
8 Reads

A Regional and National Database Comparison of Colorectal Outcomes.

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, St Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA.

Background And Objectives: The traditional open approach is still a common option for colectomy and the most common option chosen for rectal resections for cancer. Randomized trials and large database studies have reported the merits of the minimally invasive approach, while studies comparing laparoscopic and robotic options have reported inconsistent results.

Methods: This study was designed to compare open, laparoscopic, and robotic colorectal surgery outcomes in protocol-driven regional and national databases. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203949/
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http://dx.doi.org/10.4293/JSLS.2018.00031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203949PMC
January 2019
12 Reads

Optimal Initial Trocar Placement for Morbidly Obese Patients.

Authors:
Benjamin Clapp

JSLS 2018 Oct-Dec;22(4)

Providence Memorial Hospital, El Paso TX.

Background And Objectives: Rates of morbid obesity are skyrocketing worldwide. Not only bariatric surgeons, but also general surgeons are often operating on morbidly obese patients. Many general surgeons still use the same anatomic landmarks for patients with body mass index (BMI) over 35 mg/kg as they do for patients of normal weight and can therefore find accessing the morbidly obese abdominal organs difficult. Read More

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http://dx.doi.org/10.4293/JSLS.2017.00101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203948PMC
January 2019
1 Read

Sodium Fluorescein for Ureteral Jet Detection: A Prospective Observational Study.

JSLS 2018 Jul-Sep;22(3)

Département de gynécologie du CHU de Québec - Université Laval, Québec, QC, Canada.

Background And Objectives: Laparoscopic hysterectomy poses the risk of lower urinary tract injury, and intraoperative recognition of urinary tract injury is often difficult. We sought to evaluate sodium fluorescein coloration of ureteral jets during cystoscopy after laparoscopic hysterectomy and to evaluate surgeons' satisfaction with this method of injury detection.

Methods: This was an observational study, in which data were collected prospectively. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191068/
Publisher Site
http://dx.doi.org/10.4293/JSLS.2018.00019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191068PMC
December 2018
15 Reads

Laparoscopic Right Hepatectomy Via an Anterior Approach for Hepatocellular Carcinoma.

JSLS 2018 Jan-Mar;22(1)

Department of Liver Surgery, The First People's Hospital of Foshan, Guang Dong, The People's Republic of China.

Background And Objectives: In the past, right hepatectomy via the anterior approach has been regarded as one of the many standard approaches for hepatectomy. However, total laparoscopic right hepatectomy from the anterior approach has been regarded as technically challenging. We report our experience in using the anterior approach in total laparoscopic right hepatectomy for hepatocellular carcinoma (HCC). Read More

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http://dx.doi.org/10.4293/JSLS.2017.00084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6184524PMC
December 2018
2 Reads
0.790 Impact Factor

Surgical and Medical Applications of Drones: A Comprehensive Review.

JSLS 2018 Jul-Sep;22(3)

Department of Surgery, University at Buffalo, Buffalo, New York, USA.

Background: Drones have the ability to gather real time data cost effectively, to deliver payloads and have initiated the rapid evolution of many industrial, commercial, and recreational applications. Unfortunately, there has been a slower expansion in the field of medicine. This article provides a comprehensive review of current and future drone applications in medicine, in hopes of empowering and inspiring more aggressive investigation. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174005/
Publisher Site
http://dx.doi.org/10.4293/JSLS.2018.00018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174005PMC
December 2018
10 Reads

Use of Paracervical Block Before Laparoscopic Supracervical Hysterectomy.

JSLS 2018 Jul-Sep;22(3)

Department of Obstetrics, Gynecology and Reproductive Science, Division of Gynecology.

Background And Objective: Some patients who undergo laparoscopic hysterectomy request overnight admission for pain management, thus increasing costs for a surgery that is safe for same-day discharge. We wanted to evaluate whether a paracervical block of bupivacaine with epinephrine before laparoscopic supracervical hysterectomy would decrease overnight admission rates, postoperative pain, and pain medication requirement.

Methods: This was a randomized, double-blind, placebo-controlled, parallel-group trial (Canadian Task Force classification I) at an academic medical center. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174006/
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http://dx.doi.org/10.4293/JSLS.2018.00023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174006PMC
December 2018
16 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/
Publisher Site
http://dx.doi.org/10.4293/JSLS.2018.00009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169819PMC
December 2018
10 Reads

Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far.

JSLS 2018 Jul-Sep;22(3)

Department of Anatomy, Faculty of Medicine and Surgery, Biomedical Sciences, University of Malta, Msida, Malta.

Background And Objectives: Thyroid disease largely affects young females, but the incidence is also increasing among males. In an effort to avoid the scarring of the neck that is synonymous with conventional thyroidectomy, endoscopic techniques have been developed over the years. The transoral endoscopic approach is the latest of these innovations that promises a scarless surgical outcome. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158973/
Publisher Site
http://dx.doi.org/10.4293/JSLS.2018.00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158973PMC
December 2018
4 Reads

Robotic Neck Surgery in the Pediatric Population.

JSLS 2018 Jul-Sep;22(3)

Division of Endocrine and Oncological Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA.

Introduction: Thyroid, parathyroid, and thymus surgeries are traditionally performed via a cervical approach. However, robot-assisted procedures can provide a safe alternative for neck surgeries. We report our experiences with robotic transaxillary and retroauricular approaches in pediatric patients. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158972PMC
December 2018
5 Reads

Standardised Sleeve Gastrectomy Without Reinforcement.

JSLS 2018 Jul-Sep;22(3)

Department of Bariatric Surgery, Homerton University Hospital National Health Service Trust, London, United Kingdom.

Background And Objectives: Laparoscopic sleeve gastrectomy (LSG) has some unique complications, the most concerning of which is sleeve leak. Staple line reinforcement (SLR) has been suggested as a means of decreasing the risk of sleeve leak, but it increases the cost. However, there is little in the literature regarding the effect of standardized operative technique in reducing the complications and improving the outcomes in LSG. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158971/
Publisher Site
http://dx.doi.org/10.4293/JSLS.2018.00015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158971PMC
December 2018
1 Read

Trends of Opportunistic Salpingectomy.

JSLS 2018 Jul-Sep;22(3)

Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital; Tzu Chi University, Hualien, Taiwan.

Background And Objectives: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute.

Methods: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158970PMC
December 2018
2 Reads

Readmission After Elective Ileostomy in Colorectal Surgery Is Predictable.

JSLS 2018 Jul-Sep;22(3)

Departments of Surgery.

Background And Objectives: Patients who undergo colorectal surgery have high postoperative morbidity, with ileostomates being the most disadvantaged. Recent studies assessing readmission risk factors do not provide a specific prediction model and, if so, do not focus on patients who have had colorectal surgery; thus, the results of these studies have limited applicability to our specialized practice. We wanted to develop a prediction model for readmission within 30 days of discharge after ileostomy creation. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158969PMC
December 2018
3 Reads

Laparoscopic Surgery for Epiphrenic Esophageal Diverticulum.

JSLS 2018 Apr-Jun;22(2)

Department of Surgery.

Background And Objectives: We wanted to assess our surgical results focusing on the patients' quality of life. We present our experience with laparoscopic surgery for epiphrenic esophageal diverticulum. Short- and long-term results of surgical therapy were analyzed. Read More

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http://dx.doi.org/10.4293/JSLS.2017.00093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035909PMC
October 2018
8 Reads

A Sling Technique for Laparoscopic Resection of Segment Seven of the Liver.

JSLS 2018 Apr-Jun;22(2)

Department of Surgery, New Jersey Medical School, Rutger's University, Newark, New Jersey.

Introduction: As the incidence of liver cancer continues to increase in the setting of cirrhosis, parenchyma-sparing liver resection is increasingly necessary. A technique is described that involves using a sling made from 1-inch-wide packing gauze to retract and rotate the liver to divide the right triangular and coronary ligaments and mobilize segment 7. The right lobe is rotated anteriorly and counterclockwise, allowing access and parenchymal transection of segment 7 under ultrasonographic guidance. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020890PMC
October 2018

A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension.

JSLS 2018 Apr-Jun;22(2)

Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background And Objectives: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP).

Methods: We retrospectively analyzed the clinical data of 9 patients with symptomatic POP treated intraoperatively with LPASLS at the Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, between November 2016 and July 2017. Read More

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http://dx.doi.org/10.4293/JSLS.2017.00105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020889PMC
October 2018
4 Reads

Self-Expanding Biodegradable Stents for Postoperative Upper Gastrointestinal Issues.

JSLS 2018 Apr-Jun;22(2)

General Surgery Unit, Bakırköy Training and Research Hospital, Istanbul, Turkey.

Background And Objectives: Endoscopic stenting is a minimally invasive treatment modality for patients with various gastrointestinal conditions. We evaluated the safety and efficacy of uncovered biodegradable stents for postoperative leaks and strictures in the upper gastrointestinal tract.

Methods: This was a retrospective study of patients treated endoscopically with biodegradable stents from January 2010 through November 2017. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016862PMC
October 2018
5 Reads

Laser Angiography to Assess the Vaginal Cuff During Robotic Hysterectomy.

JSLS 2018 Apr-Jun;22(2)

Department of Gynecology, Section of Minimally Invasive Gynecologic Surgery, Cleveland Clinic Florida, Weston, Florida, USA.

Background And Objectives: Vaginal cuff dehiscence may be a vascular-mediated event, and reports show a higher incidence after robot-assisted total laparoscopic hysterectomy (RATLH), when compared with other surgical routes. This study was conducted to determine the feasibility of using laser angiography to assess vaginal cuff perfusion during RATLH.

Methods: This was a pilot feasibility trial incorporating 20 women who underwent RATLH for benign disease. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016861PMC
October 2018
4 Reads