Laparoscopy - Science method

A rare entity of keloid formation in the umbilical port site after undergoing laparoscopic cholecystectomy is being highlighted.

Objective: Sexual function and quality of life are significantly reduced in endometriosis patients, particularly those with deep infiltrative endometriosis (DIE). The purpose of this study was to compare the effects of endometriosis excision and excision techniques on sexual function among individuals with DIE to those of healthy females in an obje...

Background: Most of diaphragmatic hernias repaired through laparotomy, laparoscopy, thoracotomy or even thoracoscopy. Transsternal approach can be used in patients with diaphragmatic hernia posted for cardiac surgery. Case presentation: We present a case of 70 years old male with history of diabetes and hypertension since the last 15 years presente...

Objectives To compare the effects of transumbilical single-port laparoscopic surgery (TSPLS) and multi-port laparoscopic surgery (MPLS) for adnexal mass during pregnancy. Methods A retrospective analysis was performed on patients with adnexal mass during pregnancy admitted to our hospital between January 2015 and June 2023. The patients were divid...

The study aimed to assess the long-term impact of minimally invasive surgical (MIS) techniques on elderly patients with colorectal cancer (CRC). A search across four databases identified 898 relevant publications, with 407 of which were reviewed. Five studies included 1743 patients, with 58.1% being males. Results showed that 3-year overall surviva...

Purpose The potential benefits of robotic surgery (RS) for rectal cancer (RC) remain uncertain. The objective of this study was to evaluate the short- and long-term outcomes of RS compared to conventional laparoscopic surgery (LS) for stage I–III middle or lower RC. Methods This study retrospectively analyzed 350 consecutive patients with stage I–...

Introducción: el dolor postoperatorio es una complicación común en cirugía, que afecta la recuperación y calidad de vida de los pacientes. A pesar de los avances en las técnicas analgésicas, su control sigue siendo un desafío. En las cirugías abdominales, el bloqueo del plano transverso del abdomen (TAP) ha demostrado ser eficaz para reducir el dol...

Background: Laparoscopic surgery for endometriosis presents unique challenges due to the complexity of and variability in lesion appearances within the abdominal cavity. This study investigates the application of deep learning models for object detection in laparoscopic videos, aiming to assist surgeons in accurately identifying and localizing endo...

Surgical scene segmentation is a fundamental task in robotic-assisted laparoscopic surgery understanding. It often contains various anatomical structures and surgical instruments, where similar local textures and fine-grained structures make segmentation a difficult task. The vision-specific transformer method is a promising way for surgical scene...

This case report presents a laparoscopic surgery performed at The Second Hospital of Hebei Medical University for a patient with congenital duodenal diaphragm complicated by heterotopic pancreas (HP). The utilization of indocyanine green (ICG) molecular fluorescent imaging technology and the suspension traction method for duodenal obstruction point...

Background Stoma outlet obstruction (SOO) is a significant complication following colorectal surgery with diverting ileostomy, but its prevalence and associated risk factors are not fully understood. This meta-analysis aimed to quantify the prevalence of SOO and identify key risk factors influencing its occurrence. Methods A systematic review and...

Introduction Postnatal management of ovarian cysts in neonates is debated. Methods A retrospective analysis of neonates diagnosed with ovarian mass at a tertiary referral center (Jan 2014–May 2024). Results 64 neonates (1 day–8 months; mean: 8.2 weeks) were diagnosed with 65 ovarian masses ≥ 20 mm (mean: 44.2 mm; range: 20–81 mm). Prematurity was...

Introdução: A hérnia inguinal é uma das patologias cirúrgicas mais comuns e pode ser tratada por diferentes abordagens cirúrgicas, incluindo as técnicas aberta e laparoscópica. Cada técnica possui vantagens e desvantagens, dependendo das características do paciente e do tipo de hérnia. A cirurgia aberta oferece acesso direto ao campo operatório, en...

INTRODUCTION: While intestinal obstruction is common, intestinal endometriosis is relatively rare, making its etiology still poorly understood. We report a case of rectal obstruction caused by intestinal endometriosis with a frozen pelvis, treated with laparoscopy in collaboration with gynecologists. CASE PRESENTATION: A 39-year-old female patient...

Background Volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) are commonly used in laparoscopic surgery in the Trendelenburg position, and pressure-controlled ventilation volume guaranteed (PCV-VG) has been increasingly used recently. However, there is still no consensus on the optimal ventilation mode. Therefore, a syste...

This perspective proposes adapting video-text generative AI to 3D medical imaging (CT/MRI) and medical videos (endoscopy/laparoscopy) by treating 3D images as videos. The approach leverages modern video models to analyze multiple sequences simultaneously and provide real-time AI assistance during procedures. The paper examines medical imaging’s uni...

Background Laparoscopic hepatic cyst deroofing (LHCD) stands as the preferred treatment modality for simple hepatic cysts (SHCs), but it has limitations. This study aimed to introduce endoscopic transgastric hepatic cyst deroofing (ETGHCD) as a minimally invasive alternative and to compare its safety and efficacy with LHCD in treating SHCs. Method...

A inflamação da vesícula biliar é chamada de colecistite, que pode ocorrer de forma aguda ou crônica, acometendo principalmente idosos e pacientes com dislipidemias. Em sua forma grave, pode causar dores intensas e levar a complicações como a perfuração da vesícula e sepse. Objetivos: Revisar práticas cirúrgicas minimamente invasivas no manejo da C...

Introducción: La recurrencia local luego del tratamiento del cáncer de recto (CR) ha disminuido del 40% al 4 a 10% gracias a escisión total del mesorrecto y la neoadyuvancia. Entre 7 y 25% de los pacientes podrían presentar compromiso neoplásico en los linfonodos de los compartimentos laterales pélvicos, contribuyendo a la recurrencia local. La téc...

The complainant, alleges grave medical negligence in relation to the treatment administered to his daughter-in law, who was admitted to Vasundhara Hospital on 05.09.2024 for a minor uterine fibroid surgery. It was claimed that she was assured of the simplicity of the procedure, and shortly after admission, without comprehensive diagnostic work-up o...

La incidencia de lesiones diafragmáticas izquierdas por traumatismo toracoabdominal penetrante es alta y es un desafío para diagnosticar y tratar. La lesión aislada del diafragma se presenta en hasta el 30 % de los casos. La laparoscopía ha demostrado mejores resultados en comparación con la cirugía abierta. La vía laparoscópica permite una explora...

Background Solitary fibrous tumors (SFTs) are rare mesenchymal tumors that can occur in multiple parts of the human body. The majority of SFTs are benign, with malignant cases being exceedingly rare. Although SFTs have been identified in extrapleural sites such as the upper respiratory tract, orbits, and extremities, their occurrence in the seminal...

Background Diagnosis and treatment of infant gastroesophageal reflux (GER) can be accomplished in a number of ways. Although the long-term effects on high-risk infants are unknown, laparoscopic surgery has led to an increase in the number of children needing antireflux surgery. This study aims to assess the outcome of laparoscopic nissen fundoplica...

A 12-year-old girl presented with inguinal swelling and recurrent groin pain since menarche. Ultrasound showed an inguinally located ovary with normal perfusion. Herniorrhaphy revealed an ectopic inguinal left ovary with fallopian tube and atretic hemiuterus and a closed internal inguinal ring. Laparoscopy revealed a right-sided hemiuterus and vagi...

Individuals with severe osteogenesis imperfecta who require surgery often present a difficult management problem due to limb deformity and shortening, kyphoscoliosis, and deformity of the rib cage. All of these features may be associated with respiratory problems and impaired cardiovascular reserve. Surgical procedures and anaesthetic management re...

Background: Ectopic pregnancy (EP) is a life-threatening condition where a fertilized ovum implants outside the uterine cavity. Prompt diagnosis and management are essential to reduce morbidity and mortality. This study aimed to assess the clinical profile and management outcomes of ectopic pregnancies in a tertiary care setting. Methods: A hospita...

Introdução: A endometriose é uma das doenças ginecológicas mais prevalentes, afetando de 7% a 10% das mulheres em idade reprodutiva. Consiste na presença de glândulas endometriais e estroma fora da cavidade uterina, e a forma profunda é a mais grave. Os tumores neuroendócrinos gastrointestinais são raros, mas estão entre as neoplasias mais comuns d...

Background Reproductive health conditions present various challenges for women in all aspects of their lives, including in the workplace. This study explores the workplace experiences of employed women with reproductive healthcare needs arising predominantly from endometriosis, as well as adenomyosis and infertility. Methods Semi-structured interv...

Introduction Radical prostatectomy is a key treatment for prostate cancer. However, the impact of the learning curve of the surgeon has on the pentafecta is unclear. This meta-analysis aims to determine the impact of a procedure being performed in the initial learning curve has on the surgical results. Materials and methods A systematic review of...

To compare the safety and effectiveness of robot-assisted laparoscopic surgery and traditional laparoscopic surgery in the treatment of giant pheochromocytomas and paragangliomas (PPGL). A retrospective analysis was conducted using the data of patients who underwent surgery at our institution between January 2013 and November 2023 and whose postope...

O estudo tem como objetivo investigar qual a relação entre a capacidade funcional, risco de queda e dispneia em pacientes no período pós-operatório de cirurgias abdominais e urológicas por laparoscopia e laparotomia internados em uma enfermaria. Trata-se de uma revisão integrativa da literatura com a busca eletrônica nas bases de dados PubMed, LILA...

Purpose The aim of this study was to evaluate the safety and feasibility of totally intracorporeal colorectal anastomosis (TICA) in patients undergoing colorectal resection for the treatment of deep endometriosis (DE) affecting the bowel. Methods Between January 2021 and August 2024, 33 consecutive patients with DE treated with segmental colorecta...

Background Wound healing is crucial for maintaining healthy skin and preventing complications. Topical administration is a preferred method for delivering therapeutic medicines at the surgery site, as it is simple, affordable, and does not result in systemic harm or antibiotic resistance. Moxifloxacin (MXF), a broad-spectrum antibiotic with anti-in...

Background Laparoscopic appendectomy is now the gold-standard treatment for acute appendicitis, requiring three ports for a classic procedure. Recent laparoscopy improvements aim to minimize surgical trauma and improve cosmetic quality through smaller, fewer portal incisions, such as two-port laparoscopic appendectomy, resulting in reduced postoper...

Introducción. Durante la formación quirúrgica la exposición a los diferentes procedimientos, básicos y avanzados, necesarios para alcanzar la experticia es cada vez más difícil. La simulación se convierte en una herramienta fundamental para mejorar las curvas de aprendizaje y la confianza del residente. Métodos. Estudio de una cohorte de cinco resi...

Objectives To compare clinical presentation and diagnostic evaluation to identify differences in treatment between pregnant and nonpregnant patients with appendicitis. Methods Retrospective case-control study comparing 12 pregnant and 60 nonpregnant, age-matched patients who had an appendectomy for acute appendicitis (pathology confirmed) between...

Objective To investigate the effectiveness of pre-placed pancreatic duct stents on improving outcomes of pancreatic enucleation for benign tumors, a procedure often discouraged by postoperative complications, such as pancreatic fistulae. Methods This single-center retrospective cohort study analyzed 148 patients with benign tumors located in the h...

Hepatic trauma is one of the most complex challenges faced by surgeons, particularly in developing countries. Nonoperative management (NOM) has emerged as the standard approach for hemodynamically stable patients, supported by technological advances such as computed tomography (CT) and selective angiographic embolization. Studies report success rat...

Laparoscopic vasectomy in humans is rarely performed. As a standalone procedure, it is time-consuming, resource intensive and requiring longer anaesthetic time. With the traditional minimally-invasive vasectomy offering a solution to many of these barriers, there are surgeons who suggest avoiding it entirely. However, there is evidence indicating t...

Background Retroperitoneal mucinous cystadenomas are exceptionally rare neoplasms, with limited cases reported in the literature. The occurrence of neuroendocrine differentiation in such tumors is even more uncommon, posing unique diagnostic and management challenges. Case presentation We report a case of a 32-year-old woman who was incidentally d...

Laparoscopic surgery training is gaining increasing importance. To release doctors from the burden of manually annotating videos, we proposed an automatic surgical gesture recognition model based on the Fundamentals of Laparoscopic Surgery (FLS) and the Chinese Laparoscopic Skills Testing and Assessment (CLSTA) tools. Furthermore, statistical analy...

Pseudomyxoma peritonei (PMP) is a rare clinicopathological condition characterised by mucin-producing peritoneal and omental deposits with an estimated incidence of 1-2 cases per million per year. We report a 42-year-old female patient who presented to a tertiary care hospital in Muscat, Oman, in 2023 due to a 7-year history of chronic diarrhoea as...

Purpose It is increasingly acknowledged that public acceptability should be considered when designing, evaluating, and implementing healthcare interventions; especially for vulnerable groups. Patients and Methods A voluntary, self-reported, anonymous questionnaire with ethical approval and patient and public involvement was distributed online thro...

Renal cell carcinoma is a heterogeneous group of renal tumors characterized by several histological subtypes. Herein, we discuss an unusual case of a 55-year-old male who presented as a consultation to our urology clinic with an incidentally found renal mass. After shared decision making patient proceeded with a Robotic Assisted Laparoscopy (RAL) l...

Background and Clinical Significance: Colorectal cancer (CRC) remains a global health challenge with significant postoperative complications and functional declines. Telerehabilitation offers an accessible alternative to improve preoperative physical condition and postoperative recovery. Case Presentation: Five CRC patients scheduled for laparoscop...

Laparoendoscopic single-site surgery (LESS) / single-incision laparoscopic surgery (SILS) is considered the effective minimally invasive laparoendoscopic method for solving gynecological problems. The aim of the study was to clinically analyze and evaluate the main advantages and disadvantages of transumbilical LESS / SILS surgeries used in the sur...

Background This study was aimed at evaluating the postoperative outcomes of vaginal natural orifice transluminal endoscopic hysterectomy (vNOTEH). Methods This prospective cohort study was conducted for comparing recovery outcomes, the time to first anal exhaust and return-to-work (RTW) time in vNOTEH versus laparoscopic hysterectomy (LH) groups....

Recently, the incidence of adenocarcinoma of esophagogastric junction (AEG) is increasing in China. Laparoscopic total gastrectomy plus D2 lymph node dissection is an important treatment method for AEG of Siewert type II. In order to achieve the esophagojejunostomy, surgical techniques, no matter in open surgery or in laparoscopic one, are highly d...

Splenectomy is a well-established therapeutic approach for pediatric hematologic disorders, especially in the case of hereditary spherocytosis (HS). In addition to the commonly acknowledged short- and long-term infectious and thrombotic complications, also splenosis represents a rare but noteworthy complication of splenectomy. Splenosis is characte...

Objectives Surgical staging procedures are used to select patients with peritoneal metastases for surgery. We aimed to evaluate the impact of surgical staging procedures and the risk of abdominal wall recurrences in patients with peritoneal metastases scheduled for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC). Me...

Background: Infertility is a health issue worldwide and hysterosalpingography (HSG) is a valuable tool in infertility workup. HSG is used as a modality in investigating both primary and secondary infertility. Methods: This is a retrospective descriptive study. This study includes 168 women who attended obstetrics and gynecology outpatient departmen...

The objective of this study is to evaluate the efficacy of laparoscopic surgery combined with the rectal inversion and specimen extraction (RIES) technique for rectal cancer, focusing on both short-term and long-term outcomes. A retrospective comparative analysis was performed on 120 patients who underwent laparoscopic radical excision for rectal c...

Background Expectations determine treatment outcomes in several medical conditions. The significance of expectations for treatment outcomes in patients with endometriosis remains unknown. Endometriosis is a painful and debilitating disease that negatively affects quality of life. Up to 30% of surgically treated patients report persistent post-opera...

BACKGROUND Intraductal oncocytic papillary neoplasm (IOPN) of the pancreas is an extremely rare pancreatic tumor, with only sporadic cases reported in the literature. IOPN is difficult to diagnose and highly prone to misdiagnosis. IOPN carries a certain risk of progressing to invasive cancer. Surgical resection is the primary treatment for IOPN. Ac...

BACKGROUND Gastrointestinal duplication is a rare congenital anomaly of the digestive tract, with colonic manifestations being particularly uncommon. Malignant transformation of colonic duplication cysts is rare, with adenocarcinoma being the most frequently reported type. Herein, we report a rare case of adenocarcinoma originating from a colonic d...

Indocyanine green fluorescence imaging technology has been increasingly utilized in rectal surgery in recent years. As a safe tracer, indocyanine green can facilitate lymph node tracing, assess the blood supply at anastomotic sites, and localize tumour lesions during laparoscopic surgery, thereby resulting in favourable outcomes. This technology he...

Background: Post-operative ileus or POI is one of the most common problems found and disruptive after laparotomy or laparoscopy, both electively and emergency. Potential complications that can arise from POI with a prolonged period include increased post-operative pain, increased nausea and vomiting, complications in the lungs, worsening of the sur...

The surgical treatment of mid-low rectal cancer poses greater technical challenges, and whether robotic surgery provides superior safety and efficacy compared to laparoscopic surgery remains controversial. The aim of this meta-analysis was to compare the surgical outcomes of robotic and laparoscopic surgery for mid-low rectal cancer. We searched th...

Introduction: Laparoscopic surgery is widely used due to its minimal invasiveness, shorter recovery times, and improved patient outcomes. However, it demands advanced psychomotor skills, such as spatial awareness, precision movements, and hand-eye coordination. Mastering these skills requires structured and effective training strategies. Developing...

The article presents the results of a comprehensive strategic study of wholesale trade in medical equipment and instruments in the Republic of Belarus. The main structural indicators of the industry market are determined. Based on the analysis of quantitative and qualitative characteristics of the market using data on the market of equipment and in...

Background Studies have shown that endometriosis significantly has a negative impact on women's mental health and quality of life (QoL), resulting in these participants experiencing a diminished QoL. Objective This study aimed to evaluate the effect of laparoscopic surgery on the severity of pain and the QoL of women with different types of endome...

Internal herniation (IH) refers to the movement of intra-abdominal organs or tissues out of their original position through normal or abnormal orifices and fissures in the peritoneum or mesentery and into an anatomic space within the abdominal cavity. Although the incidence of small bowel obstruction (SBO) caused by IH is very low (approximately 0....

Purpose: We investigated and report the distribution of lymph node metastasis and long-term outcome in splenic flexure colon cancer. Subjects and methods: Eighty-eight patients who underwent laparoscopic surgery with D2/D3 dissection for splenic flexure colon cancer (distal 1/3 transverse colon to proximal 1/3 descending colon) between April 2008 a...

Introducción. La cirugía laparoscópica ha transformado la formación en las especialidades quirúrgicas. Programas como los de Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Fundamentals of Laparoscopic Surgery (FLS) han estandarizado la enseñanza teórica y práctica. Este estudio busca comprender las posibles variaciones en la c...

The prevalence of simple hepatic cyst is 5-10% worldwide and usually does not require surgical intervention unless the patient becomes symptomatic. After laparoscopic surgical treatment there is a high chance of recurrence. Recurrence have been treated on individual basis by different centers either by laparoscopy or open cystectomy. A case of recu...

Ovarian cancer is associated with high rates of patient mortality and morbidity. Laparoscopic assessment of tumor localization can be used for treatment planning in newly diagnosed high-grade serous ovarian carcinoma (HGSOC). While spread to multiple intra-abdominal areas is correlated with worse outcomes, whether other morphological tumor differen...

OBJECTIVE: Elective splenectomy is often performed due to hematological diseases. In this study, we aimed to investigate the splenectomy procedures performed in our clinic under emergency and elective conditions by analyzing the surgical techniques applied, surgical indications, and the clinical and demographic data of the patients, while seeking t...

Objectives: Complete resection of advanced rectal cancer is challenging, with local recurrence rates ranging from 4% to 12%. Local recurrence is often categorized as central, anastomotic, or lateral, with lateral lymph node (LLN) metastasis being the primary driver of lateral recurrence. Although preoperative radiotherapy effectively manages nonlat...

Background. Endometriosis has a significant impact on the quality of life of patients, as it is a source of debilitating pain syndrome, leading to depression, anxiety and sleep disorders. Therefore, studying the possibilities of effective treatment of this disease and assessing the quality of life indicators of patients is a relevant clinical task....

Background Enhanced Recovery After Surgery (ERAS) programs improve postoperative outcomes through evidence-based practices. However, implementing ERAS in resource-limited settings like Rwanda remains challenging. This study aimed to introduce an ERAS program at the Centre Hospitalier Universitaire de Kigali (CHUK) by tailoring it to the local conte...

Background Minimally invasive hepatobiliary surgery is performed increasingly either with robotic assistance or conventional laparoscopy. The lack of haptic feedback is one of the main challenges which has to be addressed during these procedures. Especially in oncological minimally invasive liver surgery Indocyanine green (ICG) can help to gain add...

Purpose We aimed to develop treatment strategies for older patients with inguinal hernia considering adequate adjustment for operative risks and a comparison that accounts for differences in surgical and anesthetic approaches. Methods This retrospective cohort study included 1935 patients aged ≥ 80 years diagnosed with inguinal hernia at 21 facili...

Gastric perforation is a rare but potentially life-threatening cause of acute abdomen in pediatric patients beyond the neonatal period. Over-the-counter ibuprofen, often administered without physician oversight, can exacerbate gastric mucosal injury, particularly when used concurrently with corticosteroids. We describe the case of a 28-month-old ma...

Robot-assisted surgery has emerged as the most transformative technological advancement in this field of medicine over the past two decades. Since the U.S. Food and Drug Administration (FDA) approved the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, California, USA) in 2000, it has revolutionized minimally invasive surgery by sho...

Background Identifying the left ureter is a key step while performing laparoscopic sigmoid resection to prevent intraoperative injury and postoperative complications. Methods This feasibility study aims to evaluate the real-time performance of a deep learning-based computer vision model in identifying the left ureter during laparoscopic sigmoid re...

Background Colovesical fistulas caused by colonic diverticulitis are relatively rare but require surgical intervention. Recent advancements have enabled laparoscopic approaches, although standard procedures are yet to be established. Objective To evaluate the safety and efficacy of laparoscopic surgery for colovesical fistula and compare outcomes w...

Background Healthcare care professionals, particularly surgeons, are at significant risk of acquiring work-related musculoskeletal disorders that can lead to prolonged pain and diminish productivity. This study aimed to identify the prevalence, associated risk factors, and coping strategies for work-related musculoskeletal disorders among general a...

Introduction Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) constitute the most commonly performed bariatric metabolic surgery (BMS) procedures in the USA. The number of robotic-assisted BMS cases remains low, primarily due to the increased cost and extended operative time associated with this technology. Ou...

Introduction While surgery remains an important part of the multimodal treatment of gastric cancer, laparoscopy is increasingly being used in these procedures. The aim of our study is to compare open and laparoscopic total gastrectomy using the concept of ‘textbook outcome’, which has become popular as an important and comprehensive tool in evaluat...

Background Concerns about the expense of robotic surgery for inguinal hernia repairs have emerged alongside the growing interest and skill in robotic techniques over the past decade. This study aimed to assess whether the costs of robotic inguinal hernia repairs are comparable to those of laparoscopic or open methods. Methods We conducted a retros...

Introduction Laparoscopic adrenalectomy is a common procedure for the treatment of adrenal tumors. However, the recent inclusion of robotic adrenalectomy in the list of insurance‐covered procedures in Japan since April 2022 has raised questions regarding its broader clinical utility. This study aimed to elucidate the treatment outcomes of robotic a...

Over the past decade, there has been a growing trend in managing hydatid cysts of the liver using laparoscopic techniques. This shift has sparked considerable interest among researchers, leading to abundant literature comparing the outcomes of open versus laparoscopic treatment for this condition. Numerous studies have explored the safety, efficacy...