Articles tagged with Endoscopic Surgery
Endoscopic sinus surgery rates increased by 20% among Medicare beneficiaries from 1998 to 2006, while open sinus surgery rates declined 40%. This trend suggests a shift towards minimally invasive procedures for managing chronic rhinosinusitis in the elderly population.
Researchers have made significant advancements in diagnosing and treating Barrett's esophagus and inflammatory bowel disease. A new study found that endoscopic radiofrequency ablation can effectively eliminate the condition in most instances, with five-year durability outcomes showing 46 of 50 patients remained free of disease.
Researchers confirm a link between pancreatic cancer and inflammatory bowel disease, finding that EUS is as effective as surgery in treating pancreatic pseudocysts. Additionally, studies suggest that intra-abdominal fat can predict survival in pancreatic cancer patients, while new technology shows promise for improved surgical procedures.
Laparoscopic adjustable gastric banding surgery may be a better alternative to gastric bypass surgery for treating obesity in teens. While studies show greater weight loss with the bands, complication rates and cost-effectiveness remain concerns.
A new study found that increased Medicare payments for outpatient bladder cancer surgeries led to a significant rise in procedure numbers and overall healthcare costs. The study suggests that some Medicare policies may actually contribute to an increase in healthcare expenditures rather than reducing costs.
A comprehensive survey of 317 laparoscopic surgeons found that 87% experience physical symptoms or discomfort due to minimally invasive techniques. The study highlights the need for ergonomic solutions to address the risks associated with these procedures, which have already benefited millions of patients worldwide.
A new study by Oregon Health & Science University found that up to 76% of participants experienced significant improvement in quality of life following endoscopic sinus surgery. The study included 302 adults with chronic rhinosinusitis and was funded by the National Institute on Deafness and Other Communication Disorders.
Researchers at Duke University Medical Center found that adding ethyl nitrite to carbon dioxide gas used in laparoscopy preserves normal blood flow and organ function. The use of ENO could improve outcomes and reduce recovery time by increasing nitric oxide bioactivity.
A study at Henry Ford Hospital found that robotic surgery is effective in removing uterine fibroids regardless of patient weight. Obesity was not shown to be a risk factor for poor surgical outcome, contradicting previous concerns.
New surgical instruments include a disposable multi-instrument access port, curved hand instruments, and laparoscopic videoscope. These devices help advance single-incision surgical procedures with increased maneuverability and reduced risk.
Researchers at Mayo Clinic have achieved an impressive 93% success rate in animal tests of non-incision, endoscopic ulcer repair using Natural Orifice Translumenal Endoscopic Surgery (NOTES). The technique, which minimizes physical impact on the patient, may soon be tested in human clinical trials.
The study investigates proficiency level in laparoscopic splenectomy using the learning curve method, finding a horizontal lazy S-shape with two distinct slopes. Surgeons can be accepted as proficient after performing at least 25 cases, contrary to the widely accepted 'L' shape.
The periurethral suspension technique results in significantly greater continence rates at 3 months after robot-assisted laparoscopic radical prostatectomy (RALP). The median/mean interval to recovery of continence was also statistically significantly shorter in the suspension group.
A randomized controlled study found that laparoscopic uterosacral nerve ablation (LUNA) did not improve chronic pelvic pain, painful menstruation or quality of life compared to laparoscopic surgery without pelvic denervation. The study involved 487 women with chronic pelvic pain and followed them for up to five years.
Researchers at UT Southwestern and UT Arlington are developing magnetically controlled surgical instruments to enhance maneuverability and reduce entry ports in laparoscopic surgeries. The Magnetic Anchoring and Guidance System (MAGS) uses magnets outside the abdomen to attract instruments inserted inside, allowing for greater range of...
Researchers from Boston University School of Medicine found that endoscopic surgery is a valid option for treating esthesioneuroblastoma, with better survival rates than open surgery. The study also showed that endoscopic surgery produced more disease-free outcomes than nonsurgical treatment modalities.
Researchers present latest advances in Natural Orifice Translumenal Endoscopic Surgery (NOTES), eliminating incisions and reducing recovery time. Studies show promising results for procedures like cholecystectomy, appendectomy, and gastrectomy with fewer complications.
The Olympus platform enables surgeons to perform gallbladder removal, hernia repair, appendectomy, and urological or gynecological surgery through a single incision in the belly button. The TriPort access system and EndoEYE technology provide high-quality images and flexibility for minimal trauma.
A study published in the Journal of the American College of Surgeons found that robotic-assisted laparoscopic surgery (RALS) allows inexperienced surgeons to learn and perform suturing more efficiently than traditional methods. The study showed RALS resulted in shorter procedural times and improved outcomes compared to freehand laparos...
Researchers at NewYork-Presbyterian/Weill Cornell Hospital found hand-assisted laparoscopic surgery (HALS) to be as safe and effective as standard laparoscopy. The procedure allows for a human touch, facilitating complex surgical maneuvers and reducing post-operative complications.
A new study led by Memorial Sloan-Kettering Cancer Center compares traditional 'open' surgery to laparoscopic gastrectomy, a minimally invasive procedure. The findings demonstrate that laparoscopic surgeries yielded shorter hospital stays and fewer complications after surgery while maintaining similar rates of recurrence-free survival.
Research shows that surgeons operating on prostate cancer patients face a steep learning curve when switching to laparoscopic surgery. Patients may be at increased risk of cancer recurrence if treated by inexperienced surgeons. To minimize this risk, specialist cancer centers with experienced surgeons are recommended.
A pioneering surgical technique developed in Spain has successfully removed benign tumors from the pancreas using laparoscopic central pancreatectomy, preserving a large part of the gland. The procedure reduces complications, hospitalization periods, and risk of post-operative diabetes.
A retrospective study of 235,473 patients found that traditional open appendectomies may be preferable to laparoscopic surgeries due to higher costs and increased risks. The study suggests that the benefits of laparoscopic surgery are limited in most cases, contradicting recent trends.
Research suggests that excessive technology use may lead to a decline in critical thinking and analysis skills, while visual skills improve. Experts recommend a balanced media diet and encouraging reading for pleasure to develop essential skills.
A study published in the Journal of the American College of Surgeons found that laparoscopic removal of gastrointestinal stromal tumors (GISTs) is safe and effective. The disease-free survival rate for patients who underwent laparoscopic treatment was nearly 80% after an average follow-up time of three and a half years.
A recent study compared two gastric bypass techniques for severe obesity, finding that proximal bypass resulted in greater weight loss and fewer complications. The distal technique had some advantages but also more drawbacks, leading the surgical team to adopt proximal bypass as their first choice.
A recent study published in the Journal of Robotic Surgery found that robotic surgery can significantly lower the risk of a rare but serious complication in patients who undergo gastric bypass surgery. The robotic-assisted procedure resulted in zero gastrointestinal leaks, compared to six leaks in the laparoscopic group.
A new study led by Georgetown University Medical Center researchers finds that sinusitis can cause severe bodily pain, often misdiagnosed as other conditions. Endoscopic sinus surgery has been shown to provide significant pain relief for these patients.
A new case report reveals the successful use of ERCP to diagnose biliary rhabdomyosarcoma in a child, obviating the need for surgery. The treatment involves chemotherapy and radiotherapy, with ERCP providing an effective alternative for some patients.
A team of urologists has successfully used robot-assisted laparoscopic surgery to repair abnormal openings between the bladder and vagina, known as fistulas. The procedure resulted in less blood loss and faster recovery times compared to traditional abdominal surgery, offering a promising alternative for women with this condition.
The American Society for Gastrointestinal Endoscopy (ASGE) has issued guidelines on the role of endoscopy in bariatric surgery patients. The guidelines emphasize the importance of preoperative endoscopy to detect lesions that may affect surgery and postoperative symptoms or conditions, such as nausea, vomiting, and abdominal pain.
Patients undergoing laparoscopic fundoplication have low re-operation rates and high patient satisfaction rates, with most achieving near normal GERD-HRQL scores at long-term follow-up. BMI appears to be an important factor in predicting long-term outcomes for these patients.
A study at Massachusetts General Hospital confirms the benefits of surgery for patients with persistent gastroesophageal reflux disease (GERD) symptoms. Most patients reported improved quality-of-life scores and high satisfaction rates with their long-term results, suggesting that antireflux surgery is an excellent treatment alternative.
Researchers presented preliminary results of a prospective randomized controlled trial showing NOTES to be equally successful as traditional laparoscopic surgery, but taking longer. The study also demonstrated complex surgeries can be performed via the mouth using flexible endoscopes.
A study of over 660 operations found that minimally invasive pancreas surgery resulted in fewer complications, shorter hospital stays, and lower blood loss compared to traditional surgery. The approach has also been shown to be viable for the surgical care of other organs.
A new study reveals that patients with kidney cancer often receive less optimal surgical care based on the surgeon's practice style rather than medical factors. The study found significant variation in surgeons' preferences for partial nephrectomy and laparoscopic surgery, despite their benefits.
Researchers at Penn State developed a novel surgical technique using a Z-shaped incision to access the stomach, promising reduced bleeding and complication rates. The technique has potential applications in minimally invasive surgeries, such as intestinal bypass surgery and organ biopsies.
The study found that patients at 5-star hospitals had a 64% lower chance of developing major complications compared to those at 1-star hospitals. High-volume hospitals also performed laparoscopic procedures more frequently, resulting in shorter hospital stays.
A new study published in the Journal of the American College of Surgeons found that robotic telerounding significantly reduced the length-of-stay for patients undergoing laparoscopic gastric bypass surgery. The robot-assisted care reduced hospital stay by 34% and saved $219,578 per year.
Researchers at the University of Texas Medical Branch have developed a technique to close accidental colonoscopy wounds using small metal clips inserted through an endoscope. The new method has shown promising results in animal studies, with successful closure of perforations and reduced adhesions compared to surgical closure.
Researchers evaluated a new flexible endoscopic suturing method for gastrointestinal perforations and used wireless capsule endoscopy to detect small intestine pathology in young children. The studies found the suturing method to be easy to employ and successful in closing perforations without laparoscopic or open surgery.
Researchers at UT Southwestern Medical Center have developed a Magnetic Anchoring and Guidance System that uses magnets to attract and manipulate laparoscopic surgical tools. This new technique allows for magnetically maneuvering laparoscopic instruments inserted into the abdominal cavity through the bellybutton or throat.
Researchers found that surgeons who played video games regularly made fewer errors and worked faster during the Top Gun course. Video game players scored better overall than non-players, with those in the top one-third of gaming skill performing even more impressively.
A study published at the University of Pittsburgh Medical Center found that endoscopic brain surgery is effective in removing life-threatening tumors in children, with minimal complications and no neurological damage. The minimally invasive approach allows for faster recovery times and a shorter hospital stay.
Mayo Clinic researchers found robot-assisted, laparoscopic surgery to be effective in repairing vaginal vault prolapse. The procedure resulted in less recovery time, lower risk of bleeding and pain, and higher patient satisfaction compared to traditional open surgery.
Researchers found that bariatric surgery significantly reduced health complications and improved symptoms for adolescents (83% reduction) and older adults (51% reduction) with obesity-related conditions. This study suggests that surgical intervention may be a safer alternative to medication for treating GI disorders.
A new 3D ultrasound scanner is being developed to improve minimally invasive surgeries, offering a more precise view of the target area in real-time. The technology has shown promise in animal testing, particularly for monitoring heart function during cardiac surgery without general anesthesia.
A minimally invasive approach to thyroid surgery has been shown to be safe and effective for many patients, reducing surgical trauma and recovery time. The study found that careful selection of patients based on factors such as the size of the diseased organ and the patient's anatomy enables surgeons to use this approach in most cases.
Between 1998 and 2002, laparoscopic bariatric surgery operations increased from 2.1% to 17.9% of total procedures, while Roux-en-Y gastric bypass rose from 78% to 92%. This growth is attributed to surgeons' increased use of the minimally invasive technique and patients' greater acceptance of the procedure.
A retrospective survey of 2,353 patients with acute cholecystitis found that laparoscopic procedure use varied widely between hospitals and years. Younger female patients in selected hospitals were more likely to receive LC for acute cholecystitis.
A study of laparoscopic anti-reflux surgery found that it is an effective long-term procedure for treating severe gastroesophageal reflux disease (GERD), with patients reporting high satisfaction rates and minimal complications. The results also suggest that the surgery can be well-tolerated and is a viable option for GERD treatment.
Australia's Director of Obesity Research highlights lack of access to life-saving bariatric surgery for those who need it most. Over 2.6 million Australians struggle with obesity, a growing public health crisis requiring urgent attention and action from hospitals and governments.
Researchers report on the first 10 patients to undergo totally robotic laparoscopic Roux-en-Y gastric bypass surgery, achieving comparable surgical times and complication rates with a short learning curve. The study suggests that robotic technology is feasible and safe for this procedure, potentially offering a superior alternative.
A new robotic technique in weight-loss surgery, developed by Stanford Medicine, offers several advantages over traditional methods. The da Vinci robotic surgical system provides improved visualization and precise maneuvers, reducing surgical time by approximately 30 minutes compared to conventional laparoscopic procedures.
Patients undergoing laparoscopic surgery had lower levels of inflammatory markers CRP and IL-6 compared to conventional surgery. The levels of natural killer cells were also significantly higher in laparoscopic surgery patients.
Researchers developed guidelines for surgeons to assess whether patients are candidates for a sinus-saving modified Lothrop procedure. By analyzing CT scans and anatomy of seven cadavers, they identified critical measurements that determine the feasibility of the procedure.
A new technique called laparoscopic inversion esophagectomy (LIE) has been developed to improve the removal of diseased tissue from the esophagus. LIE eliminates technical obstacles that plagued the original procedure, allowing for faster recovery and fewer complications.
Researchers explore new and existing obesity surgery options, including the use of endoscopic suturing kits to reduce stomach size and improve weight loss outcomes. The study found that vertical gastroplasty was the best bariatric operation for older patients, resulting in significant weight loss with minimal complications.
A study of 750 consecutive morbidly obese patients found that complication rates decreased significantly after the first 100 cases, with a mean complication rate of 13% and stable death rate of 0.3%. High-volume programs demonstrated better patient outcomes due to significant experience with the procedure.