Most Viewed: Last ONE YEAR
  • Technical Note|Open Access

    Percutaneous nephrostomy step by step

    Ankush Jairath, Arvind Ganpule, Mahesh Desai
    Percutaneous renal access remains the cornerstone initial step in varied clinical settings. For obtaining the best surgical outcome and minimizing patient morbidity, an appropriate access to the target calyx is needed. Though the site of entry depends upon anatomy of pelvicalyceal system and indication for access, a proper technique should be used for gaining access and at the same time minimizing the associated complications. This article describes our technique of gaining access to the pelvicalyceal system and subsequent percutaneous nephrostomy placement in a stepwise manner. Read more
    Mini-invasive Surg 2017;1:180-5. | doi:10.20517/2574-1225.2017.24
    Published on: 28 Dec 2017  | Viewed:2890  | Downloaded:230
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  • Original Article|Open Access

    Upper gastrointestinal surgeon attitudes towards management of refractory gastroesophageal reflux disease in obese patients

    Waleed Al-Khyatt, Sherif Awad, Paul Leeder
    Aim: The marked increase in prevalence of obesity has been associated with an increase in obese patients seeking surgical treatment for refractory gastroesophageal reflux disease (GORD). The management of GORD in such patients remains contentious with no published guidelines. Methods: A snapshot 9-item online survey was undertaken to elicit professional opinions of UK surgeons regarding the surgical management of refractory GORD in obese patients. Results: Eighty-two percent and 51% of surgeons performed more than 10 anti-reflux procedures and more than 10 bariatric procedures per year,... Read more
    Mini-invasive Surg 2018;2:3. | doi:10.20517/2574-1225.2017.49
    Published on: 28 Feb 2018  | Viewed:2794  | Downloaded:159
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  • Case Report|Open Access

    Paucisymptomatic gastric anisakiasis: endoscopical removal of Anisakis sp. larva

    Rossella Palma, Simonetta Mattiucci, Cristina Panetta, Marilena Raniolo, Fabio Massimo Magliocca, Stefano Pontone
    Anisakiasis is increasing worldwide, even in Europe and in the Mediterranean region due to the increased practice of raw fish consumption. Usually, a detailed food history is the key to the diagnosis. A 52-year-old woman affected by pathological obesity underwent esophagogastroduodenoscopy (EGD) for a 1-year history of epigastric pain. In the gastric fundus, an Anisakis sp. larva, was casually detected. The nematode was successfully removed with a biopsy forceps. In this case, the finding of the parasite was casual, being detected during an accurate EGD performed for a 1-year history of... Read more
    Mini-invasive Surg 2018;2:1. | doi:10.20517/2574-1225.2017.40
    Published on: 16 Jan 2018  | Viewed:2455  | Downloaded:138
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Heller-Pinotti, a modified partial fundoplication associated with myotomy to treat achalasia: technical and final results from 445 patients

    Edno Tales Bianchi, Rubens Antonio Aissar Sallum, Sergio Szachnowicz, Francisco Carlos Bernal Costa Seguro, Andre Fonseca Duarte, Julio Rafael Mariano da Rocha, Ivan Cecconello
    Aim: The need for an antireflux procedure after myotomy is no longer as controversial as it used to be. However, the choice of the best fundoplication after myotomy is still controversial. The authors present the results of laparoscopic myotomies associated with postero-latero-anterior fundoplications (Heller-Pinotti). Methods: Medical records and endoscopic findings were reviewed for achalasia patients that had submitted to the procedure following 5 years of follow-up. Results: In total, 445 patients were enrolled: 39 (8.7%) presented erosive esophagitis, the Los Angeles classification... Read more
    Mini-invasive Surg 2017;1:153-9. | doi:10.20517/2574-1225.2017.41
    Published on: 28 Dec 2017  | Viewed:2245  | Downloaded:90
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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:1899  | Downloaded:33
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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:1589  | Downloaded:85
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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:1572  | Downloaded:56
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  • Case Report|Open Access

    RETRACTED ARTICLE: Complete amenorrhea following NovaSure endometrial ablation for resistant menorrhagia: a case report

    Ibrahim A. Abdelazim, Mohannad AbuFaza, Rania H. Farag
    Heavy menstrual bleeding (HMB) or menorrhagia is the most common form of dysfunctional uterine bleeding (DUB). In spite of medical treatment for DUB, many women will eventually require a hysterectomy, which is an invasive treatment option. NovaSure ablation offers a same day non-invasive alternative to hysterectomy and hysteroscopic ablation. A 38-year-old woman presented with HMB in 2015. The attacks of HMB interrupted her lifestyle, and she refused to continue with medical treatment, which failed to resolve her symptoms. This patient was admitted to the hospital four times over 2015 due... Read more
    Mini-invasive Surg 2018;2:2. | doi:10.20517/2574-1225.2017.30
    Published on: 27 Feb 2018  | Viewed:1394  | Downloaded:36
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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:1352  | Downloaded:40
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Non-conventional surgical approach to achalasia: mucosectomy and endomuscular pull-through

    Jose Luis Braga De Aquino, Marcelo Manzano Said, José Gonzaga Teixeira De Camargo
    Aim: Transhiatal esophagectomy is a therapeuthic option for the treatment of end-stage achalasia that avoids the complications of a thoracotomy. This technique; however, is still linked to some degree of morbimortality especially due to pleuromediastinal complications. Esophageal mucosectomy and endomuscular pull-through could avoid these complications.This study aims to evaluate the short and long-term outcomes of esophageal mucosectomy and endomuscular pull-through in a series of patients with advanced megaesophagus. Methods: We retrospectively studied 115 patients with end-stage... Read more
    Mini-invasive Surg 2017;1:167-72. | doi:10.20517/2574-1225.2017.29
    Published on: 28 Dec 2017  | Viewed:1338  | Downloaded:63
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Minimally invasive esophagectomy in achalasia: a more liberal approach to esophageal resection

    Eduardo Crema, Júverson Alves Terra Júnior, Guilherme Azevedo Terra, Celso Junior de Oliveira Teles, Alex Augusto da Silva
    Aim: The advent of minimally invasive abdominal and thoracic surgeries has led to a meaningful reduction in complication and mortality rates among patients undergoing esophagectomy, especially when used for the treatment of benign diseases such as megaesophagus. Methods: Two hundred thirty-one patients, 152 (65.8%) men and 79 (34.2%) women, with a mean age of 52.46 (19-80) years, were treated for advanced megaesophagus between September 1996 and October 2016. Two hundred ten patients (90.91%) had chagasic megaesophagus and 21 patients (9.09%) had idiopathic megaesophagus. Results: Immediate... Read more
    Mini-invasive Surg 2017;1:160-6. | doi:10.20517/2574-1225.2017.26
    Published on: 28 Dec 2017  | Viewed:1308  | Downloaded:88
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Endoscopic pneumatic dilatation and peroral endoscopic myotomy in dilated megaesophagus

    Eduardo Turiani Hourneaux de Moura, Eduardo Guimarães Hourneaux de Moura
    Achalasia is a primary esophageal disorderth variable causes, with an incidence between 0.03 to 1/100,000 people, and prevalence of approximately 10/100,000, with no difference between gender. It is more frequent in South and Central America, where Chagas disease is endemic. There are several methods to treat achalasia including endoscopic and surgical procedures, however, all of these methods are palliative. This article discusses 2 different endoscopic methods to treat advanced megaesophagus in Chagas disease, pneumatic balloon dilatation (PBD), and peroral endoscopic myotomy (POEM).... Read more
    Mini-invasive Surg 2017;1:148-52. | doi:10.20517/2574-1225.2017.27
    Published on: 28 Dec 2017  | Viewed:1241  | Downloaded:86
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  • Original Article|Open Access

    Short-term outcomes of laparoscopic colorectal resection in psychiatric patients

    Ken Yuu, Kazuhito Yajima, Masanori Tada, Nasry Baongoc, Kurumi Tsuchihashi, Masao Ogawa, Masayasu Kawasaki, Masao Kameyama
    Aim: To investigate the short-term outcomes of laparoscopic colorectal resection compared with open surgery in psychiatric patients with colorectal cancer. Methods: The authors retrospectively reviewed the medical records of 31 consecutive patients who underwent open surgery (OS) or laparoscopic surgery (LS) for colorectal cancer between April 2013 and September 2015. All patients were involuntarily admitted to the hospital, because of anosodiaphoria. The clinicopathological characteristics, intraoperative outcomes, and postoperative data of the two groups were analyzed. Categorical data... Read more
    Mini-invasive Surg 2017;1:173-9. | doi:10.20517/2574-1225.2017.36
    Published on: 28 Dec 2017  | Viewed:1068  | Downloaded:66
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  • Review|Open Access

    Complications of robotic and laparoscopic urologic surgery relevant to anesthesia

    Muhammed Ersagun Arslan, Ayşegül Özgök
    Technology keeps advancing in this era allowing surgery to become less invasive in many surgical sciences. Besides these technological advances, minimally invasive procedures such as laparoscopy and robotic assisted laparoscopy are preferred widely around the globe by both surgeons and patients. Because of the increasing demand to laparoscopy and robotic surgery, anesthetists also should adapt to these specific surgical procedures. Carbon dioxide (CO2) insufflation is applied in these procedures in order to provide working space and exposure to target organs. CO2 insufflation... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:4. | doi:10.20517/2574-1225.2017.31
    Published on: 16 Mar 2018  | Viewed:1056  | Downloaded:55
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  • Case Report|Open Access

    Endovesical instillation of platelet rich fibrin for treatment of interstitial cystitis: case report of two patients

    Falavolti Cristina, Maria Cristina Tirindelli, Antonella Nicotera, Tommasangelo Petitti, Giuseppe Avvisati, Maurizio Buscarini
    Interstitial cystitis, also called painful bladder syndrome, is a chronic condition causing bladder pain and sometimes pelvic pain. The exact cause of interstitial cystitis is not known. Often, signs and symptoms are hard to elucidate and no single treatment works for everyone. We report two cases of patients affected by interstitial cystitis treated with endovesical instillation of platelets rich fibrin (PRF). PRF is an autologous component that promotes angiogenesis, tissue growth and repair. This report presents the safety and the efficacy of PRF instillations in controlling clinical... Read more
    Mini-invasive Surg 2017;1:186-90. | doi:10.20517/2574-1225.2017.22
    Published on: 28 Dec 2017  | Viewed:1037  | Downloaded:63
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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:1022  | Downloaded:45
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  • Original Article|Open Access

    Magnetic resonance imaging study of orthotic balloon brace used for the treatment of pectus carinatum

    Clifton Ewbank, Olajire Idowu, Taylor Chung, Sunghoon Kim
    Aim: A compressive orthotic brace is considered the first line therapy for patients with pectus carinatum. We designed a brace made of a non-metallic binder equipped with a balloon which can be insufflated to apply variable compression pressure to chondrogladiolar pectus carinatum. The study aimed to study the effect of this brace on patients with pectus carinatum, dynamic magnetic resonance imaging (MRI) studies were obtained. Methods: Dynamic chest MRI studies were obtained on pectus carinatum patients fitted with the orthotic balloon brace. Patient’s vital signs and oxygen saturations... Read more
    Mini-invasive Surg 2018;2:5. | doi:10.20517/2574-1225.2017.51
    Published on: 21 Mar 2018  | Viewed:979  | Downloaded:46
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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:884  | Downloaded:17
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  • Original Article|Open Access

    Effect of mental training on short-term psychomotor skill acquisition in laparoscopic surgery - a pilot study

    Mohammad K Riaz, Abdul Muiz Shariffuddin, Benjie Tang, Afshin Alijani
    Aim: The mental demands of laparoscopic surgery create a steep learning curve for surgical trainees. Experienced surgeons informally conduct mental training prior to starting a complex laparoscopic procedure. Reconstructing haptic feedback to mentally observe surgeon-instrument-tissue interaction is considered to be acquired only with experience. An experiment was devised to implement mental training for the haptic feedback reconstruction and its effect on laparoscopic task performance was observed. Methods: Twenty laparoscopy novice medical students with normal/corrected visual acuity and... Read more
    Mini-invasive Surg 2018;2:28. | doi:10.20517/2574-1225.2018.41
    Published on: 15 Sep 2018  | Viewed:811  | Downloaded:11
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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:778  | Downloaded:13
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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:770  | Downloaded:30
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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:768  | Downloaded:42
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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:764  | Downloaded:20
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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:758  | Downloaded:34
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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:717  | Downloaded:14
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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:612  | Downloaded:26
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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:512  | Downloaded:22
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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:448  | Downloaded:25
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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:446  | Downloaded:20
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  • Original Article|Open Access

    Clinical feasibility of sphincter-preserving resection with transanal rectal dissection for low-lying rectal cancer in Japanese patients: a single-center cohort study

    Kimihiko Funahashi, Junichi Koike, Hiroyuki Shiokawa, Mitsunori Ushigome, Tomoaki Kaneko, Satoru Kagami, Takamaru Koda, Tatsuo Teramoto
    Aim: Recently, the transanal down-to-up rectal dissection, a new approach to improve the difficult total mesorectal excision (TME) for low-lying rectal cancer, has been popularized. This study assessed the long-term oncologic and functional outcomes after sphincter-preserving resection combined with transanal rectal dissection (TARD) under direct vision for both complete TME and preservation of the internal anal sphincter (IAS) as much as possible to clarify the clinical feasibility of this approach. Methods: A prospective cohort study was conducted in 90 Japanese patients between April... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:27. | doi:10.20517/2574-1225.2018.28
    Published on: 28 Aug 2018  | Viewed:422  | Downloaded:19
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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:393  | Downloaded:19
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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:392  | Downloaded:17
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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:386  | Downloaded:23
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  • Original Article|Open Access

    Repeat thermal ablation for local progression of lung tumours: how safe and efficacious is it?

    Henry Zhao, Satomi Okano, Anita Pelecanos, Karin Steinke
    Aim: To retrospectively evaluate the safety and efficacy of repeat thermal ablation for local progression of lung tumours after prior ablation(s). Methods: From December 2009 to March 2017, 13 patients underwent repeat ablation [11 repeat microwave ablations and 2 repeat radiofrequency ablations] of a lung tumour [9 non-small cell lung carcinomas, 3 metastatic colorectal adenocarcinomas, 1 metastatic pelvic sarcoma] for local progression after prior ablation(s). Safety of the procedure was assessed by presence or absence of adverse events. Efficacy of the procedure was assessed by local... Read more
    Mini-invasive Surg 2018;2:26. | doi:10.20517/2574-1225.2018.27
    Published on: 28 Aug 2018  | Viewed:360  | Downloaded:9
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  • 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:334  | Downloaded:14
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  • Review|Open Access

    Open or laparoscopic resection: does approach matter?

    Ebru Esen, Cihangir Akyol
    In colon cancer surgery, laparoscopic resection is a safer and more feasible method than open resection; however, despite its increasing popularity in recent years, laparoscopic approaches for the treatment of rectal cancer have not become a standard therapy option, due to the technical difficulties in gaining access to the deep and narrow pelvis and the steep learning curve. Multiple randomized trials found that short-term oncological outcomes and perioperative mortality and morbidity were comparable between laparoscopic and open rectal surgery, whereas comparative data between the two... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:29. | doi:10.20517/2574-1225.2018.32
    Published on: 26 Sep 2018  | Viewed:282  | Downloaded:17
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  • Review|Open Access

    Enhanced recovery after rectal surgery: what we have learned so far

    Giovanni D. Tebala, Ayeshah Gordon-Dixon, Mohammad Imtiaz, Ashish Shrestha, Mohamed Toeima
    Enhanced recovery after surgery (ERAS) protocols are gradually becoming the gold standard in the perioperative management of rectal patients. It is a multimodal and multidisciplinary approach that has the great merit to involve and empower the patient and bring him or her back to the centre of the strategy of care. If applied correctly, ERAS can improve the postoperative recovery, reduce the rate of complications and reduce the postoperative length of stay, in patients who had extensive pelvic dissection. The factors within ERAS and their application do not represent rigid schematizations... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:32. | doi:10.20517/2574-1225.2018.37
    Published on: 28 Sep 2018  | Viewed:240  | Downloaded:17
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  • Review|Open Access

    Minimally invasive contact X-ray brachytherapy as an alternative option in patients with rectal cancer not suitable for bespoke surgical resection

    Arthur Sun Myint, Jean Pierre Gerard
    Surgery remains the gold standard treatment for rectal cancer. All published guidelines and most protocols recommend surgery as the standard of care. However, non-surgical management of rectal cancer is increasingly gaining acceptance as it avoids extirpative surgery and a stoma. In patients who are not suitable for surgery because of advancing age or medical comorbidities, and also in a small number of patients who are stoma phobic and refuse surgery, we need to consider an alternative treatment option to bespoke surgery. External beam radiotherapy is usually offered as an alternative.... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:34. | doi:10.20517/2574-1225.2018.52
    Published on: 7 Oct 2018  | Viewed:234  | Downloaded:9
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  • Review|Open Access

    The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

    Tao-Wei Ke, Christian Ross Geniales, William Tzu-Liang Chen
    Laparoscopic surgery for the treatment of colorectal cancer has gained an enormous advantage as compared to the traditional approach in terms of patient benefits. Although it has gained popularity among surgeons, there are still some contentious issues especially in laparoscopic rectal surgery. Splenic flexure mobilization (SFM) is a crucial aspect of the procedure with complex technical details thereby establishing a learning curve that cannot be easily overcome. A team of colorectal surgeons at China Medical University Hospital (CMUH) adopted a standardized approach to laparoscopic rectal... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:35. | doi:10.20517/2574-1225.2018.46
    Published on: 9 Oct 2018  | Viewed:233  | Downloaded:19
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  • Review|Open Access

    Current state of transanal minimally invasive surgery in the management of rectal cancer

    Arman Erkan, Justin J. Kelly, John R. T. Monson
    Rectal cancer surgery has undergone a rapid change over the last few decades. We have come a long way from abdominoperineal resection to minimally invasive sphincter preserving techniques. Colorectal cancer screening programs made it possible to diagnose patients at earlier stages and this has led to question the necessity of radical surgery and the possibility of organ preservation. The platform most recently added to the surgical armamentarium is transanal minimally invasive surgery (TAMIS). It utilizes conventional laparoscopic tools to perform endoluminal surgery in rectum. Along with... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:30. | doi:10.20517/2574-1225.2018.51
    Published on: 26 Sep 2018  | Viewed:219  | Downloaded:16
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  • Original Article|Open Access

    Laparoscopic hepatectomy for benign hepatic lesions: short and long-term outcomes including quality-of-life evaluation

    Sergio Renato Pais-Costa, Olímpia Alves Teixeira Lima, Guilherme Crispim Costa, Sandro José Martins
    Aim: Even though laparoscopic hepatectomy (LH) has proved to be both safe and effective in specialized centers; the restricted indications for resection in the case of benign liver lesions has resulted in poorly reported outcomes. Our aim was to describe the short and long-term results of LH to treat benign hepatic lesions, including quality of life (QoL) evaluation. Methods: Thirty-one LHs were performed between 2007 and 2018 in 30 patients. We evaluated QoL with the SF-36 test and a body image satisfaction questionnaire by personal interview before surgical treatment and at 1 month, 3... Read more
    This article belongs to the Special Issue New trends in minimally invasive management of liver tumors
    Mini-invasive Surg 2018;2:33. | doi:10.20517/2574-1225.2018.33
    Published on: 29 Sep 2018  | Viewed:127  | Downloaded:6
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  • Review|Open Access

    Reduced-port surgery for rectal cancer

    Takashi Ishida, Kohei Shigeta, Koji Okabayashi, Masashi Tsuruta, Hirotoshi Hasegawa, Yuko Kitagawa
    Laparoscopic surgery for rectal cancer has short-term and long-term oncological outcomes similar to those of open surgery. Conventional multiport laparoscopic surgery (CMLS) for rectal cancer requires four or five abdominal incisions for trocars, each of which could lead to complications and/or pain. Single-incision laparoscopic surgery (SILS) would reduce the incidence of such wound-related complications and achieve better cosmetic outcomes relative to CMLS. The potential advantages of SILS are less pain and more rapid recovery than achieved with CMLS. However, SILS is rarely used for... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:31. | doi:10.20517/2574-1225.2018.53
    Published on: 28 Sep 2018  | Viewed:110  | Downloaded:4
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