Articles tagged with Endoscopic Surgery
A randomized clinical trial published in JAMA found that laparoscopic surgery for rectal cancer has not yet been established as a routine procedure. The ALaCaRT trial showed similar success rates and fewer complications compared to open surgery, but with some concerns about margin involvement.
Two studies found that minimally invasive laparoscopic-assisted resection did not provide better cancer outcomes compared to open resection for patients with stage II or III rectal cancer. Laparoscopic resection was also shown to be inferior in terms of cancer control and adequacy of removal.
A recent study published in JAMA Surgery found that patients who underwent laparoscopic sleeve gastrectomy experienced significant weight regain and a decrease in remission rates for type 2 diabetes and other obesity-related disorders over time. The study collected data from 443 patients who underwent the procedure between 2006 and 201...
A new review article analyzes five interventional approaches to gallbladder disease, including laparoscopic cholecystectomy, NOTES, and endoscopic transmural drainage. The authors highlight the potential benefits of these minimally invasive procedures, which offer alternatives to traditional surgery and can improve patient outcomes.
A new technique developed by Prof. Abraham Katzir uses a fiber-optic laser to seamlessly bond corneal tissue without causing damage or leaving stitches, offering a major breakthrough in corneal transplant procedures. The system has shown promising results in clinical trials, with wounds treated successfully and minimal scar tissue.
A study found that many medical tests are performed before low-risk surgeries despite guidelines, leading to surgical delays and patient anxiety. The Choosing Wisely campaign aims to raise awareness of unnecessary tests among physicians and patients.
A 16-year-old patient underwent a novel approach to diagnosis, where the spinal tumor was removed endoscopically while awake and under local anesthesia. Pathology confirmed Ewings sarcoma diagnosis, enabling effective treatment.
A study by University Hospitals Cleveland Medical Center found that laparoscopic colectomy procedures resulted in $6,689 lower costs compared to open surgery, with patients experiencing fewer days of health care utilization. The study also showed a significant difference in healthcare expenditures and patient workdays after the procedure.
A new study published in the American Journal of Obstetrics & Gynecology found that laparoscopic hysterectomy with morcellation is associated with fewer postoperative complications and improved quality of life compared to abdominal surgery. The study used decision-tree analysis to compare outcomes according to the probability of compli...
Researchers at Vanderbilt University developed a new approach to laparoscopic surgery using magnetic force, allowing for up to 100 times more mechanical power and improved organ retraction. The system consists of an external unit and an internal unit with powerful permanent magnets, enabling accurate positioning and precise control.
A prospective randomized controlled trial found that laparoscopic shunt placement reduced distal shunt failures, a common complication of ventriculoperitoneal shunt surgery. The study also showed comparable overall shunt malfunction rates and hospitalization times between the two groups.
A large study found that laparoscopic radical cystectomy leads to reliable cancer control even years after surgery, with 66% of patients free from recurrence after 5 years. The minimally invasive procedure can be as safe as open surgery for cancer control, supporting its use in bladder cancer management
A study comparing gastric bypass procedures found that RYGB resulted in greater weight loss than AGB but had a higher risk of short-term complications. The average maximum BMI loss was 14.8 for RYGB patients, while AGB patients lost an average of 8.0 pounds.
A study published in Obstetrics & Gynecology found that robotic-assisted surgery for benign ovarian surgery has more complications and is significantly more expensive than conventional laparoscopic surgery. The median total cost of robot-assisted oophorectomy was $7,426, compared to $4,922 for conventional laparoscopic oophorectomy.
Surgeons in France have successfully replaced aortic valves without opening the chest in two patients. This innovative technique, known as TEAVR, shows promise for improving quality of life by reducing chest trauma and enabling faster recovery times.
A new study reports that most colon polyps referred for surgery can be successfully resected endoscopically. The procedure had low adverse event rates and high recurrence rates, but recurrences were treatable. The findings suggest a shift towards outpatient repeat colonoscopy in patients with polyps without cancer.
A recent Johns Hopkins study found that robotic colon surgery has similar outcomes to traditional laparoscopic surgery but comes at a higher cost. The study analyzed data from over 244,000 surgeries and revealed that robotic surgery costs nearly $3,000 more than laparoscopy.
Arthur L. Day, M.D., professor of neurosurgery at UTHealth, received the Founders' Laurel Award for his exceptional service and meritorious accomplishments in medical education. He is recognized internationally for his expertise in cerebrovascular and skull base neurosurgery, particularly in treating pituitary tumors.
A Johns Hopkins study reveals that only 245 robotic surgery complications were reported to the FDA out of 1 million procedures since 2000. The researchers found that many incidents went unreported, and a standardized reporting system is needed to improve safety.
A McMaster University study found that financial incentives for Ontario surgeons led to an increase in the use of laparoscopic colon cancer surgery. The research suggests that this may not result in significant improvements in patient outcomes, despite potential benefits such as shorter hospital stays and smaller visible scars.
A new minimally invasive procedure called CELS allows doctors to remove large and hard-to-reach polyps while keeping the colon intact. The procedure has been shown to have lower complication rates and shorter hospital stays compared to standard surgery.
A study found that robot-assisted partial nephrectomy is a safe operation with superior results compared to open and laparoscopic surgery. However, it also involves more excessive hospital charges, despite no cost-savings.
A study reports that flexible endoscopic treatment of Zenker's diverticulum using a soft diverticuloscope achieves clinical remission in the majority of cases. The technique demonstrates long-term efficacy and has a lower risk of adverse events compared to open surgery or other endoscopic stapling techniques.
A new study suggests that transgastric appendicectomy, a minimally invasive procedure through the stomach, may offer an alternative to traditional appendectomies. The procedure causes less pain than classical surgical methods and avoids external incisions, reducing wound infections and incisional hernias.
A Texas physician has successfully performed a groundbreaking robotic laparoscopic procedure to tighten a pregnant patient's incompetent cervix. The innovative technique, which utilizes the da Vinci Si robotic surgical system, allowed for precise stitching with minimal scars.
A panel of surgical experts identified 10 symptoms that may indicate complications in colorectal surgical patients, including wound drainage issues, lack of bowel movement, and abdominal swelling. The study aims to provide a standardized warning system for hospital discharge instructions.
Patients who underwent weight loss surgery reported an initial decrease in substance use, but improvements were short-lived. By 24 months post-surgery, there was a significant increase in substance use, including drug use, alcohol consumption, and cigarette smoking.
Researchers at UC San Diego School of Medicine found that single-site laparoscopic surgery reduced pain and narcotic use in kidney cancer patients. The study compared LESS with traditional multiport laparoscopy in 74 patients, showing a 40% reduction in pain rating and 50% less medication need.
Advances in laparoscopic surgery have improved the care of patients with gallbladder disease, offering a less invasive alternative to open surgery. New tools and techniques have enhanced surgical outcomes, including reduced recovery times and fewer complications.
A recent study published in JAMA found that endoscopic vein harvesting during coronary artery bypass surgery (CABG) has similar mortality rates and lower infection and wound complication rates compared to traditional open incision methods. The study, conducted on a large population of Medicare patients, refutes previous concerns about ...
A study of over 200,000 patients found no long-term increased risk of death with endoscopic vein graft harvesting compared to open vein-graft harvesting, while also showing a significant reduction in wound complications.
A large systematic review of 12,000 papers found that improved endoscopy equipment, more endoscopic surgery, and larger tissue samples are crucial for effective management. The review used the Delphi process to reach consensus on key findings, which should guide clinical practice and inform future research.
Researchers at Brown University have developed a new system that allows surgeons to control their own views during laparoscopic surgery, leading to faster and more accurate performance. In a small in vitro trial, surgeons with individual views outperformed those with shared views, completing tasks up to 3 times faster.
A Stanford University Medical Center study found that minimally invasive weight-loss surgery is safer and more effective than open surgery, with lower mortality rates, complication rates, and hospital stays. The study examined 156,271 Roux-en-Y gastric bypass cases and confirmed the superiority of minimally invasive techniques.
A recent study suggests that laparoscopic Roux-en-Y gastric bypass is associated with greater safety and lower resource use compared to open Roux-en-Y gastric bypass. The minimally invasive approach resulted in shorter hospital stays, fewer complications, and lower total charges.
A new study at the University of Gothenburg found that laparoscopic procedures reduce the risk of small-bowel obstructions by up to four times compared to open surgery. The study, published in Archives of Surgery, analyzed 108,141 operations and showed that surgical technique is a key factor in adhesive small-bowel obstruction.
A study found that open surgery is associated with a higher risk of small-bowel obstruction (SBO) compared to laparoscopic surgery. The authors analyzed data from 108,141 patients and found that the incidence of SBO ranged from 0.4% to 13.9%, depending on the type of operation.
A new endoscope has been developed to locate and clear out gallstones and lesions without removing the entire gallbladder. The device uses a tiny ultrasonic probe to detect small stones and a horn-shaped 'absorbing box' to suck out fine, difficult-to-remove sludge-like gallstones.
The ASGE and ASMBS have issued a white paper exploring the role of EBTs in treating obesity. EBTs, such as laparoscopic gastric bypass, adjustable gastric banding, and sleeve gastrectomy, may offer patients an outpatient alternative to traditional bariatric procedures.
Researchers at Henry Ford Hospital found that adult living donor liver transplants are safe with a 100% donor survival rate and low-grade complications. The study, which looked at 54 living donor liver transplants over 10 years, also found minor complications in 61% of donors.
The number of laparoscopic bariatric procedures rose from 20% in 2003 to over 90% in 2008, while inhospital mortality rates decreased from 0.21% to 0.10%. The study also found a significant increase in the number of bariatric surgeons during this period.
The NOSCAR study compares NOTES cholecystectomy to conventional laparoscopic cholecystectomy, with approximately 200 patients enrolled. Covidien's funding supports the development of this minimally invasive technique, aiming to improve patient outcomes and reduce hospital stays.
A new minimally invasive procedure called hidden incision endoscopic surgery (HIdES) eliminates visible scarring in kidney surgeries. The technique, developed by Dr. Patricio Gargollo, offers greater technical flexibility than laparoscopic surgery and has been shown to provide higher satisfaction rates among patients.
Researchers at Rensselaer Polytechnic Institute are developing a touch-sensitive virtual reality simulator for next-generation natural orifice translumenal endoscopic surgery (NOTES). The simulator aims to accelerate the development of scarless procedures, which show promise for reducing pain and post-operative complications.
Patients undergoing open colorectal surgery may be at nearly twice the risk of developing venous thromboembolism compared to those undergoing laparoscopic procedures. A recent study analyzed data from over 149,000 patients and found a significant difference in VTE rates between the two methods.
A study comparing transarterial embolization to surgery in patients with uncontrolled peptic ulcer bleeding after endoscopy found TAE is a safe procedure with high technical success rate. It reduces the need for surgery and overall complications without increasing mortality.
A Johns Hopkins study found that hospitals in the US publicize robotic surgery's clinical superiority despite a lack of scientific evidence, and overstate its benefits, ignoring risks. The study highlights the need for hospitals to ensure accurate information on their websites.
A study published in JAMA found that both proton pump inhibitor therapy and laparoscopic antireflux surgery are effective in achieving long-term remission for most patients with GERD. At 5 years, estimated 92% of esomeprazole patients remained in remission, compared to 85% of laparoscopic surgery patients.
Research at Digestive Disease Week 2011 explores bariatric surgery benefits and risks, including increased hospitalization times and mortality rates in the elderly. Adolescents also show marked improvement in biochemical cardiac risk factors after Roux-en-Y gastric bypass.
A recent study at UCSD found that NOTES sleeve gastrectomy was effective and safe for morbidly obese patients, with no reported complications. The procedure eliminated the need for a large incision, resulting in shorter hospital stays.
The new videojournal complements the peer-reviewed monthly publication Journal of Laparoendoscopic & Advanced Surgical Techniques, publishing fully peer-reviewed surgical and microinvasive demonstrations. The videos can be easily searched and shared to provide education and discussion among surgeons.
A study published in Archives of Surgery found that excessive alcohol consumption the previous day can affect surgical skills performed on a virtual reality simulator. The researchers discovered persistent detrimental performance effects, highlighting the importance of abstinence for practicing surgeons.
A study of 82 patients found gastric banding resulted in a mean excess weight loss of 42.8%, with 40% experiencing major complications and nearly half requiring band removal, despite a 60.3% patient satisfaction rate.
Robotic surgery shows comparable or superior results to traditional laparoscopic procedures for treating kidney disease, benefiting more patients due to reduced learning curve. More surgeons may master the technique, expanding access to minimally invasive treatment.
A study involving 30 patients found that robotic-assisted surgery can be performed safely with minimal blood loss and no significant long-term complications. The surgeries took an average of 512 minutes, but the rates of postoperative deaths, fistulas, and complications were comparable to those in open procedures.
New study confirms laparoscopic surgery is as safe and effective as traditional open surgery for removing bowel tumors. Long-term follow-up data shows no increase in recurrence risk or compromised outcomes.
The USGI medical tissue anchors have demonstrated long-term durability beyond 1 year in various incisionless gastrointestinal procedures. The anchors enable surgeons to perform scarless surgeries through the mouth, reducing pain and hospital stays. No serious adverse events were reported during the 24-month follow-up endoscopies.
A team of researchers led by Rensselaer Professor Suvranu De has won a $2.3 million federal grant to develop a touch-sensitive virtual reality simulator for training and certifying laparoscopic surgeons. The new system will employ haptic technology to realistically replicate the sensation a surgeon would feel during an actual procedure.
A landmark study in the US has compared natural orifice translumenal endoscopic surgery (NOTES) to traditional laparoscopic surgery for gallbladder removal. The trial aims to assess safety, efficacy, pain levels, and cosmetic outcomes of NOTES, which may reduce post-operative infection, hernia, scarring, and pain.
A literature review suggests that surgery is not the first line of treatment for low back pain caused by herniated disks, and that alternative options such as physical therapy and medications can provide relief. The review also found that patients with larger herniations are more likely to experience a recurrence of pain after surgery.