Latest
  • Review|Open Access

    Completion proctectomy following transanal endoscopic microsurgery for early rectal cancer

    Katarina Levic-Souzani, Orhan Bulut
    Transanal endoscopic microsurgery (TEM) has proven to be a safe and effective procedure in removal of rectal lesions and may be used in treatment of early rectal cancer in selected patients. In cases when the TEM specimen shows non-radical resection, or histological high-risk factors, completion proctectomy (CP) is warranted. It is debated when it is the best time to perform CP following TEM. It is furthermore uncertain whether CP leads to an increased risk of abdominoperineal excision. Herein, we review the available literature regarding controversial issues with early completion... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:25. | doi:10.20517/2574-1225.2018.35
    Published on: 16 Aug 2018  | Viewed:45  | Downloaded:3
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  • Review|Open Access

    Is laparoscopic rectal surgery really not non-inferior?

    Peter F. O’Donohue, Conor D. Warren, Carina F. K. Chow
    Laparoscopic rectal surgery has gained popularity over the last 20 years. Currently there are still questions surrounding the safety and efficacy of this technique as compared to the traditional open modalities. To date, despite the initial enthusiasm for laparoscopic rectal surgery this technique is yet to reach non-inferiority in trials when compared to open resection. This review article discusses the current evidence exploring the value of laparoscopic rectal surgery. It will discuss its evolution over the last 20 years, exploring all the major randomised control trials and their... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:24. | doi:10.20517/2574-1225.2018.34
    Published on: 14 Aug 2018  | Viewed:80  | Downloaded:3
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  • Case Report|Open Access

    Endoscopic ultrasound-guided drainage of the biliary tree in malignant obstruction

    Elia Armellini, Fabrizio Mazza, Marco Ballarè, Giulio Donato, Marco Orsello, Pietro Occhipinti
    Endoscopic retrograde cholangiopancreatography (ERCP) with stenosis stenting is the procedure of choice for treatment of malignant biliary obstruction. It has a low failure rate (< 5%-10% in cases of normal anatomy). The traditional alternative is radiological percutaneous drainage with a variable and non-negligible burden of adverse events. Interventional endoscopic ultrasound offers real-time imaging of the bilio-pancreatic district with the possibility of accessing the main biliary duct and the left hepatic duct from the duodenum or stomach. Consequently, endoscopic ultrasound-guided... Read more
    This article belongs to the Special Issue New trends in minimally invasive management of liver tumors
    Mini-invasive Surg 2018;2:23. | doi:10.20517/2574-1225.2018.07
    Published on: 10 Aug 2018  | Viewed:177  | Downloaded:4
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  • Review|Open Access

    The role of transanal total mesorectal excision in rectal surgery

    Shlomo Yellinek, Steven D. Wexner
    Transanal total mesorectal excision (TaTME) is the newest approach for the resection of rectal cancer, according to the principles of TME. The evolution of TaTME started almost 40 years ago and is a combination of several important developments in both micro-endoscopic surgery and transanal surgery. The preliminary clinical data have revealed acceptable TME quality. Clinical trials to determine the long-term oncological results are still in process. In order to master TaTME, the surgeon should be an expert in laparoscopic rectal surgery as well as transanal microsurgery and follow a... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:22. | doi:10.20517/2574-1225.2018.17
    Published on: 2 Aug 2018  | Viewed:925  | Downloaded:52
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  • Original Article|Open Access

    Laparoscopic and endoscopic cooperative surgery for non-ampullary duodenal epithelial neoplasms

    Hiroki Toma, Kazuhiro Haraguchi, Kei Fujii, Tomonari Kobarai, Ichio Hirota, Toru Eguchi
    Aim: We herein describe our initial experience of laparoscopic and endoscopic cooperative surgery (LECS) for non-ampullary duodenal epithelial neoplasms (NADENs) and reveal its clinical significance. Methods: This study included 5 consecutive patients treated by LECS for NADENs between April 2015 and January 2016 in our hospital. For surgery, R0-resection of NADENs was accomplished by endoscopic submucosal dissection (ESD), and the mucosal defect resulting from ESD was subsequently repaired by laparoscopic seromuscular suture and endoscopic clipping. Clinical records were reviewed... Read more
    Mini-invasive Surg 2018;2:21. | doi:10.20517/2574-1225.2018.24
    Published on: 31 Jul 2018  | Viewed:537  | Downloaded:9
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  • Review|Open Access

    Functional results and quality of life after transanal total mesorectal excision

    Paola De Nardi
    This is a narrative review on ano-rectal, sexual, urinary, and quality of life outcomes after transanal total mesorectal excision (TME). Little is known on this topic as only a few studies are currently available in the literature. According to these, it appears that the functional results and quality of life are not substantially impaired compared with standard TME. However more data are needed to precisely assess the outcomes of this technique. Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:20. | doi:10.20517/2574-1225.2018.30
    Published on: 24 Jul 2018  | Viewed:368  | Downloaded:26
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  • Review|Open Access

    Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

    Naveena A. N. Kumar, Praveen Kammar, Avanish Saklani
    Minimal invasive surgery (MIS) is an accepted modality of treatment for rectal cancer. The indications for MIS have gradually been extended to locally advanced and locally recurrent rectal cancer as a result of technological advances in instrumentation, advances in surgical techniques, increased surgeon experience, and high volume center. However, safety and feasibility of laparoscopic surgery and robotic surgery in beyond total mesorectal excision (b-TME) and extended TME (e-TME) are not well established. This review summarizes the current evidence for MIS approach for b-TME/extended... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:19. | doi:10.20517/2574-1225.2018.26
    Published on: 23 Jul 2018  | Viewed:304  | Downloaded:9
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  • Review|Open Access

    Is robotic rectal resection the preferred option for resectable cancer?

    Hanumant Chouhan, James Shin, Seon-Hahn Kim
    The ultimate goal of rectal cancer surgery is to achieve a negative circumferential, distal resection margin and intact mesorectal excision; however, controversy remains as to what is the best approach. Based on the current evidence, open surgery remains the “gold standard”, however recent improvements in minimally invasive surgery (MIS) techniques with the introduction of robotic surgery and transanal total mesorectal excision have questioned the historical approach of open rectal dissection. A robotic system (da Vinci) overcomes many of the limitations of laparoscopic surgery. A robotic... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:18. | doi:10.20517/2574-1225.2018.40
    Published on: 20 Jul 2018  | Viewed:320  | Downloaded:12
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  • Review|Open Access

    The treatment of early rectal cancer in the era of adjuvant and neo-adjuvant therapy

    Michael G. Thomas, David E. Messenger, Katherine Gash
    The accurate staging of rectal cancer improves the stratification of patients for adjuvant therapy. Staging of tumor with endoluminal ultrasonography (EUS) shows a good correlation with histology (κ = 0.85; 95% confidence interval 0.76-0.95). Overall pT and pN stage accuracy of EUS was 92% and 65% respectively. The staging of local disease can be further augmented by EUS guided fine needle aspiration of extra rectal lesions lying within or outside of the mesorectum. In a systematic review of local excision after neoadjuvant therapy a total of 22 unique studies reporting on 1068 patients... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:17. | doi:10.20517/2574-1225.2018.25
    Published on: 18 Jul 2018  | Viewed:298  | Downloaded:14
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  • Meta-Analysis|Open Access

    Maternal and fetal delivery outcomes in pregnancies following bariatric surgery: a meta-analysis of the literature

    Brittanie Young, Samantha Drew, Christopher Ibikunle, Aliu Sanni
    Aim: The objective of this study is to evaluate maternal and fetal outcomes following pregnancies after bariatric surgery as compared to the general population affected by obesity. Methods: A systematic review was conducted through MEDLINE, Cochrane, and EMBASE to identify relevant studies from 2007 to 2016 with comparative data on the maternal and fetal delivery outcomes following bariatric surgery as compared to the population affected by obesity. The primary outcome analyzed was the rate of cesarean deliveries. Other outcomes included intrauterine growth restriction, small for... Read more
    Mini-invasive Surg 2018;2:16. | doi:10.20517/2574-1225.2017.50
    Published on: 28 Jun 2018  | Viewed:1349  | Downloaded:42
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  • Original Article|Open Access

    Pfannenstiel vs. midline incision for urinary diversion, following minimally invasive radical cystectomy: single center experience

    Gopal Ramdas Tak, Arvind P. Ganpule, Abhishek G. Singh, Aditya Pratap Singh Sengar, Mohankumar Vijayakumar, Sudharsan S. Balaji, Ravindra B. Sabnis, Mahesh R. Desai
    Aim: The present study is to assess the morbidity on comparing Pfannenstiel vs. midline incision following minimally invasive radical cystectomy. Methods: This is a retrospective comparative study from February 2004 to February 2017 and the number of patients studied was 116. Patients were divided into group A (Pfannenstiel incision) and group B (midline incision). The parameters analyzed were age, gender, co-morbidity, tobacco exposure, occupation, presentation, computed tomography findings, hydronephrosis, transurethral resection of bladder tumor report, duration of surgery (in minutes),... Read more
    Mini-invasive Surg 2018;2:15. | doi:10.20517/2574-1225.2018.05
    Published on: 31 May 2018  | Viewed:491  | Downloaded:11
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  • Original Article|Open Access

    Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

    Kalpesh Jani
    Aim: To summarize our experience in laparoscopic intra-peritoneal onlay mesh (IPOM) plus repair for ventral abdominal wall hernias over a 10-year period. Methods: All patients posted for laparoscopic repair of midline lower abdominal ventral hernia on an intention to treat basis were included in the study. Patients unfit for general anesthesia, patients posted for open repair or a hybrid approach (open reduction and closure of defect followed by laparoscopic IPOM repair) were excluded. Pre-operative patient demographics were noted. Intra-operative and post-operative data was recorded and... Read more
    Mini-invasive Surg 2018;2:14. | doi:10.20517/2574-1225.2018.08
    Published on: 28 May 2018  | Viewed:1394  | Downloaded:20
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  • Case Report|Open Access

    Duplicated gallbladder with obstructive jaundice: a case report with video

    Iman Ghaderi, Eleisha Flanagan, Suneet Bhansali, Timothy M. Farrell
    A 38-year-old male presented with painful obstructive jaundice. Ultrasound showed biliary dilatation and a duplicated gallbladder (DG). Magnetic resonance cholangiopancreatography (MRCP) imaging confirmed the diagnosis of DG and raised the suspicion of a stricture in the distal common bile duct. Endoscopic retrograde cholangiogram, sphincterotomy with small stone extraction, and biliary stent placement were accomplished, and the patient was transferred to our tertiary center. Given the report of a stricture, endoscopic retrograde cholangiopancreatography (ERCP) was repeated and showed no... Read more
    Mini-invasive Surg 2018;2:13. | doi:10.20517/2574-1225.2017.52
    Published on: 28 May 2018  | Viewed:613  | Downloaded:10
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  • Review|Open Access

    Robotic and laparoscopic urologic surgery ischemic preconditioning

    Murat Zor, Kubra Ozgok Kangal
    Laparoscopic and robotic assisted surgeries have evolved from a limited surgical procedure to a major surgical technique during the last three decades. The indications increased incrementally. Despite its several advantages, it has some surgery and pneumoperitoneum related adverse effects and hemodynamic complications. One of them is the ischemia reperfusion injury (IRI) of the abdominal organs that can be developed secondary to pneumoperitoneum. IRI is also a risk factor for acute kidney injury in partial nephrectomy surgeries even performed via open, or laparoscopic/robotic assisted. To... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:12. | doi:10.20517/2574-1225.2017.34
    Published on: 15 May 2018  | Viewed:325  | Downloaded:16
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  • Original Article|Open Access

    A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

    Toru Sugihara, Hideo Yasunaga, Hiroki Matsui, Akira Ishikawa, Tetsuya Fujimura, Hiroshi Fukuhara, Kiyohide Fushimi, Yukio Homma, Haruki Kume
    Aim: To examine the laparoscopic skill-degradation effect by investigating whether a long absence from laparoscopic surgery increases laparoscopic surgery time. Methods: Using the Japanese Diagnosis Procedure Combination database from April 2010 to March 2012, data for patients undergoing laparoscopic nephrectomy and nephroureterectomy for malignancy were collected. To regulate the hospital volume effect, the hospitals included in the study were limited to those with hospital volumes of 12-24 per year. Laparoscopic time was assessed by multivariate linear regression analysis including... Read more
    Mini-invasive Surg 2018;2:11. | doi:10.20517/2574-1225.2018.14
    Published on: 14 May 2018  | Viewed:500  | Downloaded:21
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  • Original Article|Open Access

    Does intra-operative cardiac output monitoring improve outcomes for patients undergoing elective colorectal surgery within an enhanced recovery programme?

    Muhammad Imran Aslam, Harriet Smith, Chelise Currow, Nadia Akhtar, Julia Merchant, Richard Evans, Ugochukwu Ihedioha, Peter Kang
    Aim: Intra-operative cardiac output (CO) monitoring became a standard of care in Northampton General Hospital, UK, at the end of 2013. This study aimed to assess the effectiveness of intra-operative CO monitoring with oesophageal Doppler or LiDCO for patients undergoing elective colorectal surgery for cancer within an enhanced recovery after surgery (ERAS). Methods: Data was prospectively collected over a 5-year period (March 2010 - Feb 2015) for patients undergoing elective colorectal surgery in the practice of a single surgeon. The ERAS protocol was applied for all the patients. There... Read more
    Mini-invasive Surg 2018;2:10. | doi:10.20517/2574-1225.2017.42
    Published on: 27 Apr 2018  | Viewed:671  | Downloaded:29
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  • Original Article|Open Access

    Towards safe and efficient cervical dilatation

    Avinoam Tzabari, Amnon Weichselbaum, Michael Stark
    Aim: Traditional methods of cervical dilatation such as Hegar rods and laminaria are associated with the damage leading to the risk of cervical incompetence or require two sessions with higher risk of infections. In this study, a new dilator based on expanding triple balloons is assessed. Methods: Cervical dilation with the triple balloon was evaluated in 15 women with various indications. After measuring the diameter of the cervix the triple balloon was inserted and inflated for 5-7 min and thereafter measured again. Results: This time was sufficient to achieve the diameter of 4.5-9.5 mm... Read more
    Mini-invasive Surg 2018;2:9. | doi:10.20517/2574-1225.2018.11
    Published on: 27 Apr 2018  | Viewed:1113  | Downloaded:35
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  • Case Report|Open Access

    Successful treatment for infected biloma after endoscopic ultrasound-guided hepaticogastrostomy using double stent placement technique

    Takeshi Ogura, Atsushi Okuda, Akira Miyano, Nobu Nishioka, Kazuhide Higuchi
    This case report describes a treatment of an elderly man who had undergone pancreaticoduodenectomy (Whipple Procedure) due to bile duct cancer. Herein, we describe technical tips of endoscopic ultrasound (EUS)-guided hepaticojejunostomy EUS-HJS combined with EUS-guided antegrade stenting (EUS-AS) using novel plastic stent. First, intrahepatic bile duct was punctured using 19G fine needle aspiration needle. Next, the 0.025-inch guidewire was inserted into the biliary tract. After the guidewire was advanced into the intestine, the bile duct and the intestine wall were dilated using by balloon... Read more
    Mini-invasive Surg 2018;2:8. | doi:10.20517/2574-1225.2017.48
    Published on: 23 Apr 2018  | Viewed:577  | Downloaded:27
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  • Review|Open Access

    Robotic urologic surgery complications

    Erdem Koc, Abdullah Erdem Canda
    Robot-assisted surgery is a commonly performed procedure in the recent urological approach. The scientific data that reveal the complication rates also tend to increase by the rising popularity of the robot-assisted surgeries in the treatment of urological cancers. Patient characteristics, nature of the cancer and learning curve of the surgeon are the determinant factors of the complication rates. Nevertheless, robot-assisted surgical techniques are safer with acceptable morbidity and mortality rates as compared to open surgical methods. In urology practice, robotic surgery is most commonly... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:7. | doi:10.20517/2574-1225.2017.33
    Published on: 16 Apr 2018  | Viewed:346  | Downloaded:22
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  • Original Article|Open Access

    Laparoscopic transgastric resection of gastric submucosal tumor located near the esophagogastric junction

    Pablo Priego, Marta Cuadrado, Francisca García-Moreno, Pedro Carda, Julio Galindo
    Aim: Laparoscopic wedge resection is widely accepted as the choice of treatment for gastric submucosal tumors (GST). However, tumors on the posterior wall at the esophagogastric junction (EGJ) are difficult to approach. Laparoscopic transgastric resection (LTR) is a novel technique to remove gastric tumors that are unresectable by endoscopy due to their size and location. The aim of the article is to assess the feasibility and oncological outcomes of this laparoscopic approach for intraluminal GST located in the posterior wall and near the EGJ. Methods: A retrospective analysis of all... Read more
    Mini-invasive Surg 2018;2:6. | doi:10.20517/2574-1225.2018.01
    Published on: 8 Apr 2018  | Viewed:851  | Downloaded:43
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