Latest
  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Posterolateral percutaneous endoscopic discectomy with free-running electromyography monitoring under general anesthesia

    Yoshihiro Kitahama , Genichiro Matsui , Manabu Minami , Taigo Kawaoka , Kimimichi Otome , Masato Nakamura
    Aim: Posterolateral percutaneous endoscopic discectomy (PLPED) is commonly performed under local anesthesia, but patients and surgeons are concerned about intraoperative uncontrolled pain. The purpose of this study was to evaluate the safety of the PLPED under general anesthesia with free-running electromyography (EMG) monitoring. Methods: The clinical outcomes of consecutive 48 cases of lumbar disc herniation (LDH) were evaluated by numeric rating scale (NRS) score and MacNab’s criteria. Hospital stay and time to ambulation and return to work were also assessed. Results: NRS score for the... Read more
    Mini-invasive Surg 2017;1:109-14. | doi:10.20517/2574-1225.2017.11
    Published on: 30 Sep 2017  | Viewed:821  | Downloaded:67
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Training system of percutaneous endoscopic lumbar discectomy in China

    De-Hong Yang
    Mini-invasive Surg 2017;1:106-8. | doi:10.20517/2574-1225.2017.16
    Published on: 30 Sep 2017  | Viewed:180  | Downloaded:10
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  • Original Article|Open Access

    The role of delayed laparoscopic suction for intra-abdominal collection or abscess post appendectomy in paediatric patients: case series and review of literature

    Dayang Anita Abdul Aziz , Surita Said , Marjmin Osman , Felicia Lim , Mahmud Mohd Nor , Faizah Mohd Zaki , Zarina Abdul Latiff
    Aim: Intra-abdominal collection or abscess (IAA) is a dreaded complication post open or laparoscopic appendectomy for perforated appendicitis. There have been many discussions on the role of laparoscopic irrigation during laparoscopic appendectomy for perforated appendix but not its role for patients who subsequently developed IAA post-surgery. Methods: All patients who developed clinical symptoms and radiological evidence of IAA of more than 5 cm × 5 cm post appendectomy from January 2014 to May 2016 were subjected to delayed laparoscopic suction (DLS) of the IAA. Days to resolution of... Read more
    Mini-invasive Surg 2017;1:143-7. | doi:10.20517/2574-1225.2017.20
    Published on: 30 Sep 2017  | Viewed:562  | Downloaded:16
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    One size fits all: laparoscopic Heller’s myotomy for the treatment of achalasia irrespective of the degree of dilatation

    Leonardo de Mello Del Grande , Fernando A. M. Herbella , Marco G. Patti , Francisco Schlottmann
    Laparoscopic Heller’s myotomy is the most common surgical procedure to treat achalasia. It is the most accepted therapy for non-advanced stages of the disease. In the setting of advanced disease with marked esophageal dilatation or sigmoid-shaped esophagus the ideal surgical procedure is debatable. Esophagectomy is believed by several authors to be the operation of choice in these cases. Others; however, opt for less invasive alternatives. Laparoscopic Heller’s myotomy has been shown to be a safe and resourceful alternative in end-stage achalasia as well. Read more
    Mini-invasive Surg 2017;1:121-5. | doi:10.20517/2574-1225.2017.23
    Published on: 30 Sep 2017  | Viewed:286  | Downloaded:5
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  • Original Article|Open Access

    Mini-invasive distal pancreatectomy: a feasible and cost-effective technique

    Stefano Maria Massimiliano Basso , Federica Maffeis , Franco Lumachi , Alessandro Patanè , Michele Ciocca Vasino , Paolo Ubiali
    Aim: Laparoscopic pancreatic surgery is a minimally invasive technique that has been widely applied only in the past decade. The purpose of this study was to evaluate its safety and assess whether laparoscopic distal pancreatectomy (LDP) is cost-effective compared with open distal pancreatectomy (ODP). Methods: The medical records of patients treated for left-sided pancreatic lesions were retrospectively analysed, and the analysis of costs for hospital stay, operative time, and equipment were analysed. Twelve patients underwent LDP, while 12 patients underwent ODP. Results: The two groups... Read more
    Mini-invasive Surg 2017;1:133-42. | doi:10.20517/2574-1225.2017.06
    Published on: 30 Sep 2017  | Viewed:488  | Downloaded:20
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Establishment of the Japanese training system for percutaneous endoscopic lumbar discectomy: from the stand point of neurosurgery

    Junichi Mizuno
    Mini-invasive Surg 2017;1:103-5. | doi:10.20517/2574-1225.2017.13
    Published on: 30 Sep 2017  | Viewed:284  | Downloaded:34
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Differences between idiopathic and chagasic achalasia

    Roberto Oliveira Dantas
    Idiopathic and Chagas’ disease achalasia are characterized by absent or partial lower esophageal sphincter relaxation, absence of peristaltic esophageal contraction, food retenction in the esophagus and esophageal dilatation. The most frequent symptoms are dysphagia, regurgitation, heartburn, weight loss and non-cardiac chest pain. The diagnosis is made by radiologic examination and esophageal manometry, which is considered the most accurate exam to characterized achalasia. In both diseases there is destruction of the esophageal myenteric plexus. Despite similarities in clinical and... Read more
    Mini-invasive Surg 2017;1:117-20. | doi:10.20517/2574-1225.2017.25
    Published on: 30 Sep 2017  | Viewed:200  | Downloaded:10
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  • Original Article|Open Access

    Laparoscopic skills training of surgical residents: a comparison of two proficiency-based independent approaches

    Charles F. Bellows , Alison A. Smith
    Aim: Current financial and work hour constraints make proctored on-site laparoscopic simulation training challenging. An independent learning approach utilizing proficiency-based training is a potential solution. The purpose of this study was to determine if an independent approach using a portable, laparoscopic training device within one’s home environment could effectively train novices in laparoscopic procedural skills. Methods: After baseline testing, laparoscopic novices (n = 16) were randomized to one of two study groups. The on-site group (n = 7) received unlimited access to the... Read more
    Mini-invasive Surg 2017;1:126-32. | doi:10.20517/2574-1225.2017.12
    Published on: 30 Sep 2017  | Viewed:404  | Downloaded:28
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  • Editorial|Open Access

    The influence of total bowel length on gastric bypass outcomes

    Vincent Quan , Fergus Paul MacDonald Cooper , Mohamed Bekheit
    Mini-invasive Surg 2017;1:95-8. | doi:10.20517/2574-1225.2017.17
    Published on: 30 Sep 2017  | Viewed:547  | Downloaded:41
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Anatomical relationship between Kambin’s triangle and exiting nerve root

    Masataka Sakane
    Mini-invasive Surg 2017;1:99-102. | doi:10.20517/2574-1225.2017.19
    Published on: 30 Sep 2017  | Viewed:940  | Downloaded:76
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Achalasia management: the South American viewpoint

    Fernando A.M. Herbella , Leonardo M. Del Grande
    This seminar reflects the lessons learned by different Brazilian centers highly experienced in the treatment of Chagas disease esophagopathy. Different treatment options are discussed in the light of personal experiences emphasizing aspects not frequently adopted by North American and European surgeons Read more
    Mini-invasive Surg 2017;1:115-6. | doi:10.20517/2574-1225.2017.28
    Published on: 30 Sep 2017  | Viewed:375  | Downloaded:18
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Percutaneous endoscopic lumbar laminectomy

    Yukoh Ohara , Sumito Shimizu , Junichi Mizuno
    Aim: Percutaneous endoscopic lumbar laminectomy or laminotomy (PELL) is a minimally invasive surgical technique to treat lumbar canal stenosis. The procedure is undertaken using a single port endoscope, as with percutaneous endoscopic lumbar discectomy (PED). PED has become popular with spinal surgeons in Japan as a suitable surgery for lumbar disc herniation patients. Because PED has the powerful advantage of structural preservation, it allows for short hospital stays and early recovery of the patient. PELL and PED are conceptually very similar, in that they are both minimally invasive.... Read more
    Mini-invasive Surg 2017;1:74-80. | doi:10.20517/2574-1225.2017.08
    Published on: 30 Jun 2017  | Viewed:1260  | Downloaded:79
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Percutaneous endoscopic cervical laminectomy

    Yasuhiko Nishimura
    Aim: This study aimed to document the use of percutaneous endoscopic cervical laminectomy (PECL) and the treatment results. Methods: Eleven patients with a limited cervical spinal canal stenosis were indicated for the surgery. Under general anesthesia, the interlaminar space between the affected vertebrae was approached from 5 mm outside the midline. Laminectomy was performed using a 2.5-mm or 3.5-mm high speed drill, and an endoscope. Subsequently, the bilateral yellow ligament was removed and sufficient decompression of the dural sac was confirmed. Surgery was completed after the... Read more
    Mini-invasive Surg 2017;1:69-73. | doi:10.20517/2574-1225.2017.09
    Published on: 30 Jun 2017  | Viewed:698  | Downloaded:54
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Outcomes of full-endoscopic posterior cervical foraminotomy for cervical radiculopathy caused by bony stenosis of the intervertebral foramen

    Kazuo Ohmori , Koichiro Ono , Takeshi Hori
    Aim: Full-endoscopic posterior cervical foraminotomy (FPCF) has been utilized to treat cervical lateral disc herniation and provided good surgical outcomes. The authors examined the superiority of FPCF in patients with spondylotic foraminal stenosis. Methods: Fifty-nine cases of FPCF were evaluated. Of the 59 patients, 34 had lateral disc herniation (group H) and 25 had spondylotic foraminal stenosis (group S). Operative time, complications, length of hospital stay, visual analog pain scale scores of neck and arm pain, and the amount of facet joint resection were compared between the... Read more
    Mini-invasive Surg 2017;1:63-8. | doi:10.20517/2574-1225.2017.10
    Published on: 30 Jun 2017  | Viewed:1380  | Downloaded:61
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Minimal laminectomy using the interlaminar approach for percutaneous endoscopic lumbar discectomy

    Hisashi Koga , Hirohiko Inanami
    Aim: To evaluate the application of laminectomy using the interlaminar approach (ILA) for percutaneous endoscopic lumbar discectomy (PELD). Methods: Minimal laminectomy using the ILA for PELD was performed in 13 patients with lumbar disc herniation (LDH). The width of the interlaminar space, shape of the caudal margin of the upper vertebral laminae (CM-UVL), LDH size, and caudal migration grade were radiologically evaluated. Ten LDHs were removed via the shoulder of the corresponding nerve root, and three via the axilla of the corresponding nerve root and dural sac. Bone status was... Read more
    Mini-invasive Surg 2017;1:56-62. | doi:10.20517/2574-1225.2017.04
    Published on: 30 Jun 2017  | Viewed:1429  | Downloaded:236
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Endoscopic surgical skill qualification and educational system of the Japanese Orthopaedic Association

    Akira Dezawa
    Mini-invasive Surg 2017;1:52-5. | doi:10.20517/2574-1225.2017.15
    Published on: 30 Jun 2017  | Viewed:431  | Downloaded:25
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Common diseases mimicking lumbar disc herniation and their treatment

    Kyongsong Kim , Toyohiko Isu , Daijiro Morimoto , Naotaka Iwamoto , Rinko Kokubo , Juntaro Matsumoto , Takao Kitamura , Atsushi Sugawara , Akio Morita
    Lumbar disc herniation (LDH) is a common disease characterized by leg pain, numbness, and low back pain, which are also encountered in peripheral nerve and paralumbar spine disease. This study describes other diseases with symptoms similar to LDH. Patients with paralumbar spine diseases such as superior cluneal nerve entrapment neuropathy (NEN), gluteus medius muscle pain, piriformis syndrome, and sacroiliac joint pain experience lowback, buttock, and leg pain. Peripheral nerve diseases of the leg including lateral femoral cutaneous NEN, common and superficial peroneal NEN, and tarsal... Read more
    Mini-invasive Surg 2017;1:43-51. | doi:10.20517/2574-1225.2017.05
    Published on: 30 Jun 2017  | Viewed:2072  | Downloaded:69
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  • Original Article|Open Access

    Modified parasternal approach is a good alternative for aortic valve surgery

    Kuan-Ming Chiu
    Aim: Cardiac surgery, as with other surgical specialties, has moved toward minimally invasive procedures. Currently, since the cardiopulmonary bypass machine remains necessary for most cardiac surgery procedures, efforts have focused on decreasing surgical trauma by limiting vascular access sites and any unnecessary dissection. This study presents the authors’ approach for less invasive valve surgery, which aimed to avoid a conventional midline sternotomy and reducing the length of incision. Methods: For patients with aortic valve involvement, parasternal approach was the primary choice. A... Read more
    Mini-invasive Surg 2017;1:81-8. | doi:10.20517/2574-1225.2017.03
    Published on: 30 Jun 2017  | Viewed:857  | Downloaded:28
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  • Short Communication|Open Access

    Single-incision laparoscopic closure of inguinal hernia in female children: a simplified technique

    Ahmed AbdElghaffar Helal
    Aim: Single-incision laparoscopic hernia repair (SILHR) is a popular technique, especially in female children, as it reduces the number of incisions while achieving a better cosmetic outcome. However, intracorporeal suturing and knotting remains a major obstacle during SILHR and it requires a relatively long learning curve. Conversely, extracorporeal suturing and knotting is straightforward, though it has several drawbacks. The purpose of this report is to describe a simple technique for SILHR in female children. Methods: Between May 2014 and December 2016, 100 girls with 120 hernias of the... Read more
    Mini-invasive Surg 2017;1:89-94. | doi:10.20517/2574-1225.2016.10
    Published on: 30 Jun 2017  | Viewed:797  | Downloaded:63
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  • Topic: Percutaneous endoscopic system for spinal diseases|Open Access

    Preface of the special issue on "Percutaneous endoscopic system for spinal diseases"

    Hisashi Koga
    Mini-invasive Surg 2017;1:41-2. | doi:10.20517/2574-1225.2017.14
    Published on: 30 Jun 2017  | Viewed:486  | Downloaded:36
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Mini-invasive Surgery Online ISSN: 2574-1225
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