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A new abdominal drainage tube fixation method for 3-port laparoscopic cholecystectomy improves patients’postoperative quality of life

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Laparoscopic, endoscopic and Robotic surgery 2024年第3期7卷 107-112页

作者： Fenghua Zhang Lin Lin Huan Zhang Jinghua Liu Rui Wang department of Operating Room Linyi People’s HospitalLinyi 276000China department of Health Care Linyi People’s HospitalLinyi 276000China department of Hepatobiliary surgery Guangzhou University of Chinese MedicineGuangzhou 510006China department of Hepatobiliary surgery and Minimally Invasive Institute of Digestive surgery Linyi People’s HospitalLinyi 276000China

Objective Laparoscopic surgery has become a routine general surgery with many advantages,such as alleviating abdominal ***,postoperative pain caused by abdominal drainage tubes has attracted little attention from medical *** aim of this study was to explore the influence of a new abdominal drainage tube fixation method for 3-port laparoscopic cholecystectomy(LC)on patients’postoperative quality of *** Patients who underwent 3-port LC with abdominal drainage tubes in the department of Hepatobiliary surgery of Linyi People’s Hospital from March 1,2023 to October 31,2023 due to gallstones with chronic cholecystitis were selected for this *** patients were randomly divided into an experimental group and a control *** the experimental group,the new abdominal drainage tube fixation method was used,while in the control group,the traditional method was ***,the quality of life of patient in terms of pain,activity,recovery time,and mental health status was *** exudate around the patient’s drainage tube was collected for bacterial culture and *** A total of 139 patients were randomly divided into an experimental group(70 patients)and a control group(69 patients).The patients’baseline characteristics were not significantly *** patients in the experimental group had better outcomes in quality of life,with higher pain scores(24.03±2.37 vs.15.48±2.29,p<0.001)and activity scores(20.57±1.78 vs.14.13±1.43,p<0.001),and a shorter postoperative recovery time(2.36±0.68 d vs.2.96±1.34 d,p<0.001).The same results were shown in linear regression analysis scores of the 2 *** positive rate of bacterial culture in the exudate around the patient’s drainage tube in the experimental group was significantly lower than that in the control group(12.9%vs.43.5%,p<0.001);and furthermore,the positive rate of conditional pathogenic bacteria was even lower(7.1%vs.33.3%,p<0.001)in the experimental group than in the contro

关键词： Abdominal drainage tube Surgical site infection Quality of life Fixation method Laparoscopic cholecystectomy

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Scale offers the possibility of identifying adherence to lifestyle interventions in patients with non-alcoholic fatty liver disease

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World Journal of Gastroenterology 2024年第25期30卷 3179-3181页

作者： Cen-Qin Liu Bing Hu department of Gastroenterology and Hepatology West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive endoscopy West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina

Nonalcoholic fatty liver disease(NAFLD)is the most common chronic liver disorder,and dietary and lifestyle interventions remain the mainstays of NAFLD *** et al established a prediction system to evaluate adherence to lifestyle interventions in patients with NAFLD and choose optimal ***,we discuss the application scenarios of the scale and the areas warranting further attention,aiming to provide a possible reference for clinical recommend-ations.

关键词： Nonalcoholic fatty liver disease Dietary and lifestyle interventions Scale Adherence Exercise

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Enhancing clinical proficiency through laparoscopic training using Japanese origami

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Laparoscopic, endoscopic and Robotic surgery 2024年第3期7卷 102-106页

作者： Shunsuke Furukawa Masatsugu Hiraki Naoya Kimura Ryota Sakurai Ryo Kohata Naohiko Kohya Masashi Sakai Akashi Ikubo Ryuichiro Samejima department of surgery Japanese Red Cross Society Karatsu Red Cross HospitalSaga847-8588Japan department of surgery Saga University Faculty of MedicineSaga849-8501Japan

Objective This study aimed to investigate the clinical efficacy of laparoscopic training using origami,a traditional Japanese papercraft,using laparoscopic forceps to create origami *** In this retrospective study,4 surgeons were randomly divided into 2 groups:The training group,consisting of surgeons 1 and 2,and the non-training group,consisting of surgeons 3 and *** the course of a one-year study period,the training group regularly underwent laparoscopic surgery training with a dry box,wherein they folded a total of 1000 origami cranes using laparoscopic *** non-training group periodically underwent common laparoscopic surgery training of techniques such as suturing and *** surgeon regularly performed the transabdominal preperitoneal approach for inguinal *** training was conducted concurrently with the *** procedure time(peritoneum detachment,mesh placement,and closure of the peritoneum),total operation time(time from peritoneum detachment to closure of the peritoneum),and surgical outcomes were *** The training group showed greater improvement in the total operation time and more stable performance than the non-training ***,the time taken for peritoneum detachment was significantly shorter in the training *** Laparoscopic training using origami has the potential to enhance laparoscopic surgical skills and improve surgical outcomes.

关键词： Laparoscopic surgery Training Dry box Origami

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Contemporary concepts of prevention and management of gastroesophageal variceal bleeding in liver cirrhosis patients

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World Journal of Hepatology 2024年第2期16卷 126-134页

作者： Dmitry Victorovich Garbuzenko department of Faculty surgery South Ural State Medical UniversityChelyabinsk 454092Russia

This editorial describes the contemporary concepts of prevention and management of gastroesophageal variceal bleeding in liver cirrhosis(LC)patients according to the current *** variceal bleeding is the most dangerous complication of portal hypertension in LC *** stratification and determination of an individual approach to the choice of therapeutic measures aimed at their prevention and management has emerged as one of the top concerns in modern *** to the current guidelines,in the absence of clinically significant portal hypertension,etiological and nonetiological therapies of LC is advisable for the primary preventing gastroesophageal variceal bleeding,whereas its presence serves as an indication for the administration of non-selectiveβ-blockers,among which carvedilol is the drug of ***-selectiveβ-blockers,as well as endoscopic variceal ligation and transjugular intrahepatic portosystemic shunt can be used to prevent recurrence of gastroesophageal variceal *** with vasoactive drugs(terlipressin,somatostatin,octreotide),endoscopic variceal ligation,endovascular techniques and transjugular intrahepatic portosystemic shunt are recommended for the treatment of acute gastroesophageal variceal *** and accurate risk stratification of gastroesophageal variceal bleeding will allow developing individual strategies for their prevention and management,avoiding the first and further decompensation in LC,which will improve the prognosis and survival of patients suffering from it.

关键词： Liver cirrhosis Portal hypertension Gastroesophageal variceal bleeding Prevention Management

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Risk factors for small bowel angioectasia:The impact of visceral fat accumulation

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World Journal of Gastroenterology 2015年第23期21卷 7242-7247页

作者： Atsuo Yamada Ryota Niikura Yuka Kobayashi Hirobumi Suzuki Shuntaro Yoshida Hirotsugu Watabe Yutaka Yamaji Yoshihiro Hirata Kazuhiko Koike department of Gastroenterology Graduate School of Medicine The University of Tokyo department of endoscopy and endoscopic surgery The University of Tokyo Hospital

AIM: To investigate visceral fat accumulation in association with the risk of small bowel ***: We retrospectively investigated 198 consecutive patients who underwent both capsule endoscopy and CT for investigation of obscure gastrointestinal bleeding(OGIB) from January 2009 to September 2013. The visceral fat area(VFA) and subcutaneous fat area were measured by CT, and information on comorbidities, body mass index, and medications was obtained from their medical *** regression analysis was used to evaluate ***: Capsule endoscopy revealed small bowel angioectasia in 18/198(9.1%) patients with *** to patients without small bowel angioectasia,those with small bowel angioectasia had a significantly higher VFA(96 ± 76.0 cm2 vs 63.4 ±51.5 cm2, P = 0.016) and a higher prevalence of liver cirrhosis(61% vs 22%, P < 0.001). The proportion of patients with chronic renal failure was higher in patients with small bowel angioectasia(22% vs 9%,P = 0.11). There were no significant differences in subcutaneous fat area or waist circumference. The prevalence of small bowel angioectasia progressively increased according to the VFA. Multivariate analysis showed that the VFA [odd ratio(OR) for each 10-cm2 increment = 1.1; [95% confidence interval(CI):1.02-1.19; P = 0.021] and liver cirrhosis(OR = 6.1,95%CI: 2.2-18.5; P < 0.001) were significant risk factors for small bowel ***: VFA is positively associated with theprevalence of small bowel angioectasia, for which VFA and liver cirrhosis are independent risk factors in patients with OGIB.

关键词： Capsule endoscopy Obscure gastrointestinalbleeding Small bowel angioectasia Visceral fataccumulation

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Impact of open hepatectomy on postoperative bile leakage in patients with biliary tract cancer

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World Journal of Gastrointestinal surgery 2024年第1期16卷 67-75页

作者： Gang Wu Wen-Ying Li Yu-Xing Gong Feng Lin Chen Sun General surgery department The Second Affiliated Hospital of Harbin Medical UniversityHarbin 150000Heilongjiang ProvinceChina

BACKGROUND Bile leakage is a common and serious complication of open hepatectomy for the treatment of biliary tract *** To evaluate the incidence,risk factors,and management of bile leakage after open hepatectomy in patients with biliary tract *** We retrospectively analyzed 120 patients who underwent open hepatectomy for biliary tract cancer from February 2018 to February *** leak was defined as bile drainage from the surgical site or drain or the presence of a biloma on *** incidence,severity,timing,location,and treatment of the bile leaks were *** risk factors for bile leakage were analyzed using univariate and multivariate logistic regression *** The incidence of bile leak was 16.7%(20/120),and most cases were grade A(75%,15/20)according to the International Study Group of Liver surgery *** median time of onset was 5 d(range,1-14 d),and the median duration was 7 d(range,2-28 d).The most common location of bile leakage was the cut surface of the liver(70%,14/20),followed by the anastomosis site(25%,5/20)and the cystic duct stump(5%,1/20).Most bile leaks were treated conservatively with drainage,antibiotics,and nutritional support(85%,17/20),whereas some required endoscopic retrograde cholangiopancreatography with stenting(10%,2/20)or percutaneous transhepatic cholangiography with drainage(5%,1/20).Risk factors for bile leakage include male sex,hepatocellular carcinoma,major hepatectomy,blood loss,and blood *** Bile leakage is a frequent complication of open hepatectomy for biliary tract ***,most cases are mild and can be conservatively *** sex,hepatocellular carcinoma,major hepatectomy,blood loss,and blood transfusion were associated with an increased risk of bile leak.

关键词： Open hepatectomy Bile leak Biliary tract cancer Risk factors Management Complication

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Machine learning in predicting postoperative complications in Crohn’s disease

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World Journal of Gastrointestinal surgery 2024年第8期16卷 2745-2747页

作者： Li-Fan Zhang Liu-Xiang Chen Wen-Juan Yang Bing Hu department of Gastroenterology and Hepatology West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Digestive endoscopy Medical Engineering Research Laboratory West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina

Crohn's disease(CD)is a chronic inflammatory bowel disease of unknown origin that can cause significant disability and morbidity with its *** to the unique nature of CD,surgery is often necessary for many patients during their lifetime,and the incidence of postoperative complications is high,which can affect the prognosis of ***,it is essential to identify and manage post-operative *** learning(ML)has become increasingly im-portant in the medical field,and ML-based models can be used to predict post-operative complications of intestinal resection for ***,a valuable article titled“Predicting short-term major postoperative complications in intestinal resection for Crohn's disease:A machine learning-based study”was published by Wang et *** appreciate the authors'creative work,and we are willing to share our views and discuss them with the authors.

关键词： Crohn’s disease Intestinal resection Postoperative complications Machine learning Explainability

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Minimally invasive management of parapharyngeal space tumors:Introducing a decision-making algorithm and radiologic tool

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Laparoscopic, endoscopic and Robotic surgery 2024年第3期7卷 97-101页

作者： Manuel Schoch Gunesh Rajan Grzegorz Karwacki department of Otolaryngology and Head-Neck surgery Hospital of St.GallSt.GallenSwitzerland department of Otolaryngology and Head-Neck surgery Hospital of LucerneLuzernSwitzerland department of Radiology and Nuclear Medicine Hospital of LucerneLuzernSwitzerland

Objective Traditionally tumors of the parapharyngeal space(PPS)are resected through transcervical *** recent approaches include endoscopic approaches or transoral robotic surgery(TORS)without directions on when to use which *** objective was to find objective parameters to choose the most suitable *** It is a retrospective study containing 6 patients from May 2019 to May 2021 with tumors of the PPS treated in the department of Otolaryngology and Head-Neck surgery at the Hospital of Lucerne,*** The data was analysed in average 53 months after *** resection was completed with TORS in 3 patients and endoscopically in 3 *** operation time was 114 *** major complications *** evidence of tumor was found in magnetic resonance imaging studies postoperatively in all *** We conclude that a resection via TORS or endoscopic technique is safe and ***,we postulate that the further a tumor is located in the upper lateral area of the PPS,an approach via TORS is less possible.

关键词： Oto-rhino-laryngology endoscopic surgery Robotic surgery Parapharyngeal space tumors

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Is there a place for endoscopic management in postcholecystectomy iatrogenic bile duct injuries?

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World Journal of Gastrointestinal surgery 2024年第5期16卷 1218-1222页

作者： Hong-Qiao Cai Guo-Qiang Pan Shou-Jing Luan Jing Wang Yan Jiao department of Hepatobiliary and Pancreatic surgery General Surgery CenterThe First Hospital of Jilin UniversityChangchun 130021Jilin ProvinceChina department of General surgery Qilu HospitalShandong UniversityJinan 250000Shandong ProvinceChina department of Endocrinology and Metabolism Weifang People’s HospitalWeifang 261041Shandong ProvinceChina Shandong Medical College Jinan 250000Shandong ProvinceChina

In this editorial we comment on the article by Emara et al published in the recent issue of the World Journal of Gastrointestinal ***,surgery was the primary treatment for bile duct injuries(BDI).The treatment of BDI has advanced due to technological breakthroughs and minimally invasive *** and percutaneous treatments have largely supplanted surgery as the primary treatment for most instances in recent *** management,including the specific technique,is typically impacted by local knowledge and the kind and severity of the *** therapy is a highly successful treatment for postoperative benign bile duct stenosis and offers superior long-term outcomes compared to surgical *** on the damage features of BDI,therapeutic options include endoscopic duodenal papillary sphincterotomy,endoscopic nasobiliary drainage,and endoscopic biliary stent implantation.

关键词： Post-cholecystectomy Iatrogenic Bile duct injuries endoscopic management Benign bile duct stenosis

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Management of obstructed colorectal carcinoma in an emergency setting:An update

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 598-613页

作者： Efstathios T Pavlidis Ioannis N Galanis Theodoros E Pavlidis 2nd Propedeutic department of surgery Hippokration General HospitalSchool of MedicineAristotle University of ThessalonikiThessaloniki 54642Greece

Colorectal carcinoma is common,particularly on the left *** 20%of patients,obstruction and ileus may be the first clinical manifestations of a carcinoma that has advanced(stage II,III or even IV).Diagnosis is based on clinical presentation,plain abdominal radiogram,computed tomography(CT),CT colonography and positron emission tomography/*** best management strategy in terms of short-term operative or interventional and long-term oncological outcomes re-mains *** the most common left-sided obstruction,the first choice should be either emergency surgery or endoscopic decompression by self-expen-dable metal stents or *** operative plan should be either one-stage or two-stage ***-stage resection with on-table bowel decompression and irrigation can be accompanied or not accompanied by proximal defunctioning stoma(colostomy or ileostomy).Primary anastomosis is more convenient but has increased risks of anastomotic leakage and ***-stage resection(Hart-mann’s procedure)is safer and the most widely used despite temporally affecting quality of *** control surgery in high-risk frail patients is less frequently performed since it can be successfully substituted with endoscopic stenting or *** the less common right-sided obstruction,one-stage surgical resection is more beneficial than endoscopic *** role of minimally invasive surgery(laparoscopic or robotic)is a subject of *** laparoscopic-assisted management is advantageous to some extent but requires much expertise due to inherent difficulties in dissecting the distended colon and the risk of rup-ture and subsequent septic *** decompressing stent as a bridge to elective surgery more substantially decreases the risks of morbidity and mortality than emergency surgery for decompression and has equivalent medium-term overall survival and disease-free survival *** combination with neoadjuvant chemotherapy or radiation may have a p

关键词： Acute abdomen Obstructive ileus Colorectal carcinoma Emergency surgery Colectomy Intraluminal metal stents

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