SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES

Perioperative Outcomes of Robotic Versus Conventional Laparoscopic Pelvic Exenteration for Anteriorly Invaded Primary Colorectal Cancer: A Retrospective Study
Manabe T, Takesue S, Fujimoto T, Mizuuchi Y, Ando Y, Hiraki M, Nakamura M and Noshiro H
Robot-assisted surgery has been widely adopted in digestive, urological, and gynecologic procedures, leading to its application in complex operations such as pelvic exenteration (PE). However, limited data are available regarding the perioperative outcomes of robotic PE compared directly to conventional laparoscopic PE in the treatment of colorectal cancer.
The Reasons for Delays in Ileostomy Closure in Laparoscopic Rectal Cancer Surgery
Saglam AI, Yildirim M, Koca B, Ozsoy U and Kocabay A
Temporary ileostomy is a valuable aid in reducing the severity of complications associated with rectal cancer surgery. The purpose of the present study was to determine the reasons for delays in ileostomy closure in patients who underwent laparoscopic rectal cancer surgery and protective loop ileostomy and to prevent delays in closure timing.
Impact of Transversalis Fascia Repair on Hospital Stay, Quality of Life, and Complications in Total Extraperitoneal (TEP) Inguinal Hernia Repair: A Double-blind Randomized Controlled Trial
Hadipour P, Sayadi-Shahraki M, Reisi-Vanani V and Ataei-Goujani H
We designed a study to determine the impact of transversalis fascia repair (TFR) during TEP surgery for inguinal hernias on hospital stay duration, recurrence rates, quality of life, and related adverse outcomes in a randomized, double-blinded, controlled clinical trial. We screened patients presenting with inguinal hernias requiring elective surgery.
Two Types of Mesh in TAPP for Primary Inguinal Hernia: A Retrospective Study With Long-Term Follow-Up in Elderly Patients
Li W, Li L, Jiang Y, Zhang J and Lu J
The clinical value of self-gripping mesh (SGM) in laparoscopic transabdominal preperitoneal (TAPP) repair for elderly patients with primary inguinal hernia remains unclear. This study aimed to compare the perioperative and postoperative outcomes between SGM and conventional mesh (CM) in this population.
Anastomotic Leakage and Gastroparesis Syndrome Following Laparoscopic Radical Gastrectomy: A Retrospective Cohort Study Involving 3779 Patients
Li R, Yu Z, Sun X, Xu Q, Gao J, Yuan Z, Cao B, Zhou S, Liang W, Li P and Zhao X
The occurrence of anastomotic leakage (AL) and gastroparesis syndrome (GS), common and severe complications after laparoscopic radical gastrectomy, significantly impacts the prognosis of patients. The objective of this study was to investigate the risk factors associated with AL after laparoscopic radical gastrectomy and GS after laparoscopic distal gastrectomy.
Minimally Invasive Left Colonic Interposition For Corrosive Esophageal Stricture: Technique and Outcomes
Tien TPD, Loc NVV, Trung LV and Vuong NL
Corrosive ingestion frequently leads to upper aerodigestive tract strictures, with the optimal surgical approach debated. This study investigates the safety and effectiveness of colonic interposition for this condition.
Robotic-Assisted Retromuscular Umbilical Prosthetic Hernia Repair (r-TARUP) With Hugo-RAS System: Case Series and Technique
Sassun R, Achilli P, Morini L, Brucchi F, Nicastro V, di Donna G, Magarini R, Alampi BD and Ferrari G
Minimally invasive approaches have transformed ventral hernia management, with robotic platforms enhancing challenging techniques like the robotic Transabdominal Retromuscular Umbilical Prosthesis (r-TARUP). While traditionally performed using the da Vinci system, the introduction of the Medtronic Hugo RAS system offers a valuable alternative. We present our first case series with standardized surgical technique for r-TARUP using the Hugo RAS system, detailing operative setup, technical considerations, and initial outcomes.
Procedure-Specific Early Complications Following Bariatric Surgery: A High-Volume Single-Institution Analysis
Abi Mosleh K, Jawhar N, Salameh Y, Ghusn W, El Ghazal N, Kellogg TA and Ghanem OM
Metabolic and bariatric surgery (MBS) is an established treatment for severe obesity and its related comorbidities. While long-term outcomes are often emphasized, early postoperative complications remain a critical metric of safety and resource utilization. Large database studies have reported national trends in MBS outcomes but are limited by lack of granularity, inconsistent definitions, and inclusion of heterogeneous surgical experience. This study aimed to provide a detailed analysis of 30-day postoperative complications following sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and duodenal switch (DS) over a 17-year period at a single high-volume quaternary academic center.
Comparison of Clinical Outcomes Between Billroth-I and Roux-en-Y Reconstruction Following Minimally Invasive Distal Gastrectomy for Gastric Cancer: A Multicenter Retrospective Propensity Score-Matched Analysis
Ebihara Y, Kyogoku N, Takano H, Wada H, Nitta T, Saikawa D, Yamamura Y, Takada M, Shichinohe T and Hirano S
Gastric cancer (GC) is the third leading cause of cancer deaths, with surgery as the primary treatment; however, the outcomes of different types of surgeries still need to be understood further. This study evaluated the surgical outcomes and prognosis after minimally invasive distal gastrectomy (MIDG) for GC in a multicenter retrospective cohort using propensity score matching.
Cold Snare Biopsy to Increase Diagnostic Accuracy in Patients With Suspected Colorectal Cancer Under Colonoscopy
Wu J and Li X
Cold forceps biopsy (CFB) is commonly used for the suspected diagnosis of colorectal cancer (CRC). With larger pathologic specimens, cold snare biopsy (CSB) of CRC may be an attractive alternative. We performed a cohort study to compare the effectiveness and safety of CSB to CFB.
Antireflux Surgery: State of the Art From Diagnosis to Treatment
Reitano E, Spota A, Riva P, Vannucci M, De' Angelis N, Mutter D, Dallemagne B and Perretta S
Gastroesophageal reflux (GERD) disease is a common condition. It is caused by different underlying causes, ranging from lower oesophageal sphincter (LOS) dysfunction to an impaired gastric emptying and esophageal motility disorders. Although initially representing a benign condition, persistent GERD can result in precancerous lesions. Over time, various surgical and endoscopic solutions have been proposed, particularly for patients in whom medical therapy is either ineffective or poorly tolerated. Both endoscopic and surgical techniques aim to enhance the function of the anti-reflux barrier.
Life-Threatening Cardiac Tamponade After Hiatal Hernia Surgery: A Review of Diagnostic Pitfalls and Therapeutic Interventions
Chen G, Wang Z, Qian B, Wang R, Liao J, Tang M, Hu J and Tian Y
Previous studies have reported deaths due to undiagnosed cardiac tamponade following hiatal hernia surgery, with an alarmingly high associated mortality rate. This review aims to raise awareness and improve the diagnostic accuracy of cardiac tamponade among surgeons who perform hiatal hernia repair.
Robotic Versus Laparoscopic Gastrectomy for Remnant Gastric Cancer: A Single-Center Retrospective Cohort Study
Kitadani J, Hayata K, Goda T, Tominaga S, Fukuda N, Nakai T, Nagano S and Kawai M
This retrospective study compares the short-term safety and feasibility-related clinical outcomes of robotic gastrectomy (RG) for remnant gastric cancer (RGC) (including various types of initial reconstruction) with those of laparoscopic gastrectomy (LG).
Effect of Cholecystectomy on ERCP Cannulation and Postoperative Complications in Patients With Choledocholithiasis: A Propensity Score-matched Analysis
Wang J, Huang Z, Hu Q, Chen C and Tao R
Limited studies have examined cholecystectomy's impact on endoscopic retrograde cholangiopancreatography (ERCP) cannulation success and complications in patients with choledocholithiasis. This study used propensity score matching (PSM) to evaluate how cholecystectomy history affects these outcomes during ERCP for choledocholithiasis.
Construct Validity of the Avian Model for Neonatal Laparoscopic Surgery Training
Parata G, Zimmermann P, Sanchez O, De Bernardis G, Birraux J, Saxena A and Brönnimann E
To validate the construct validity of the avian model, a cost-effective and realistic simulator using chicken cadavers for neonatal laparoscopic surgery training.
Hand-assisted Laparoscopic Surgery (HALS) as an Alternative to Laparoscopic Converted to Open Surgery (LCOS) in Proctectomy Patients
Hyon SS, Elsawwah JK, Narang R, Stopper PB, Rolandelli RH and Nemeth ZH
Hand-assisted laparoscopy is an operative approach that combines the benefits of both open and laparoscopic surgery. Despite this method, many surgeons choose to perform standard laparoscopic surgery (SLS) without the use of a hand assist. Operative challenges encountered during SLS may necessitate an unplanned laparoscopic converted to open surgery (LCOS), which may increase the risk of adverse patient outcomes. Alternatively, prior studies show that hand-assisted laparoscopic surgery (HALS) may be associated with a lower risk of postoperative morbidity. In this study, we compared preoperative factors and postoperative outcomes between HALS and LCOS in patients undergoing a proctectomy.
Is Glisson's Capsule Injury During Laparoscopic Cholecystectomy Responsible for Postoperative Right Shoulder Tip Pain: An Observational Cross-sectional Study
Dhamala I, Kumar N, Saxena P, Garg P, Mishra A, Kumar NS, Huda F and Basu S
The common postoperative complications of laparoscopic cholecystectomy (LC) are port site infection, biliary leak, hemorrhage, and pain at the surgical site, as well as at the shoulder tip. The aim of the study was to identify whether the Glisson's capsule (GC) injury during LC responsible for postoperative right shoulder tip pain (RSTP).
Declining Prevalence of Post-Colonoscopy Colorectal Cancers: A Systematic Review and Meta-Analysis
Zhang L, Su T, Xiao T, Xu H and Zhao S
The global burden of colorectal cancer (CRC) is projected to increase by 60% by 2030. Colonoscopy plays a crucial role in CRC screening, reducing incidence and mortality. However, its limitation is the occurrence of post-colonoscopy colorectal cancers (PCCRC). This meta-analysis aimed to determine the pooled prevalence of PCCRC-3y (CRCs diagnosed within 6 to 36 mo of colonoscopy) and emphasize the importance of enhancing endoscopy quality metrics to mitigate the burden of PCCRC-3y effectively.
Clinical and Socioeconomic Factors Related to Preoperative and Postoperative Groin Pain in Inguinal Hernia Repair
Zhou J, Xu SY and Goldblatt MI
Inguinal hernias are among the most prevalent surgical problems worldwide. Preoperative and postoperative groin pain has the potential to affect quality of life (QOL) significantly. The purpose of this study is to identify whether the pain experienced by patients may be predicted by a number of preoperative and postoperative clinical and socioeconomic factors.
Use of Cryopreserved Vascular Allograft Reconstruction in Robotic-Assisted Kidney Autotransplantation for Nutcracker Syndrome After Failed Renal Vein Transposition: Description of a Novel Technique
McCabe M, Ellis E, Chacon A, Ellis J, Doyle A, Nair A, Pineda-Solis K, Wu G and Kashyap R
Robotic-assisted kidney autotransplantation (RAKAT) is a minimally invasive approach to managing complex renal pathologies. While increasingly utilized, experience with RAKAT in patients with prior renal surgery remains limited.
Truncal Vagotomy and Gastrojejunostomy Revision for Treatment of Marginal Ulcer
Clapp B, Farsi S, Roberson L, Proksch D, Lloyd SJ and Billy HT
Marginal ulcer (MU) remains a serious complication after Roux-en-Y gastric bypass (RYGB). This can be a life-threatening problem, even years after RYGB. Patients can present with pain or even with hemorrhage or perforation. There is no agreed-upon standard in prevention or treatment, although most perforated ulcers are treated with an omental patch. We present our results of treatment of MU with truncal vagotomy (TV).