Article
Surgery
Eivind Gottlieb-Vedi, Joonas H. H. Kauppila, Fredrik Mattsson, Mats Lindblad, Magnus Nilsson, Pernilla Lagergren, Ioannis Rouvelas, Jesper Lagergren, FINEGO Grp
Summary: This study suggests that minimally invasive esophagectomy (MIE) is associated with higher 5-year survival compared to open esophagectomy (OE) in patients with esophageal cancer, especially total MIE.
Article
Oncology
Shigeru Tsunoda, Kazutaka Obama, Shigeo Hisamori, Tatsuto Nishigori, Ryosuke Okamura, Hisatsugu Maekawa, Yoshiharu Sakai
Summary: This retrospective study compared 165 esophageal carcinoma patients who underwent esophagectomy with either RAMIE or conventional MIE. RAMIE had longer operative times but showed better outcomes in terms of postoperative complications and pulmonary complications compared to conventional MIE.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Oncology
Keouna Pather, Erin M. Mobley, Christina Guerrier, Rhemar Esma, Heather Kendall, Ziad T. Awad
Summary: The objective of this study was to determine the long-term survival outcomes and factors associated with overall survival in esophageal cancer patients undergoing a minimally invasive Ivor Lewis esophagectomy. The results showed that MILE offers favorable long-term overall and disease-free survival outcomes, and age, Karnofsky performance status score, stage IV disease, and disease recurrence were identified as prognostic factors for overall survival.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Oncology
I. L. Defize, S. van der Horst, M. Bulbul, N. Haj Mohammad, S. Mook, G. J. Meijer, L. A. A. Brosens, J. P. Ruurda, R. van Hillegersberg
Summary: In patients with cT4b esophageal cancer treated with dCRT followed by a salvage RAMIE, a radical resection rate of 92% was achieved, with acceptable complications and promising survival rates. These results demonstrate the feasibility of a curative surgical treatment for patients with initially irresectable esophageal cancer but underscore the importance of proper preoperative patient selection.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Innocent Byiringiro, Sarah J. Aurit, Kalyana C. Nandipati
Summary: Based on the analysis of the National Cancer Database (NCDB), it was found that overall survival was significantly longer in patients with esophageal cancer who underwent robotic-assisted minimally invasive esophagectomy (RAMIE) compared to those who underwent minimally invasive esophagectomy (MIE) or open esophagectomy (OE).
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Koshiro Ishiyama, Junya Oguma, Kentaro Kubo, Kyohei Kanematsu, Daisuke Kurita, Hiroyuki Daiko
Summary: Salvage minimally invasive esophagectomy (S-MIE) is more feasible and advantageous than salvage open esophagectomy (S-OE), with lower rates of postoperative pneumonia and total complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Editorial Material
Oncology
Michael Latzko, Bestoun Ahmed, Ziad Awad
Summary: The increasing prevalence of morbid obesity in the United States has led to a rise in bariatric surgery. This report presents a case study of a 55-year-old woman with previous Roux-en-Y gastric bypass surgery who was diagnosed with invasive adenocarcinoma, highlighting the need for minimally invasive techniques and the safety and feasibility of esophagectomy in this patient population.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Oncology
Anas Dabsha, Ismail A. M. H. Elkharbotly, Mohammad Yaghmour, Amr Badr, Fady Badie, Sherif Khairallah, Yomna M. Esmail, Shon Shmushkevich, Mohamed Hossny, Amr Rizk, Amgad Ishak, Jessica Wright, Abdelrahman Mohamed, Mohamed Rahouma
Summary: Minimally invasive surgery is a growing field that has replaced many open surgical techniques. Mediastinoscope-assisted esophagectomy is a promising technique that aims to decrease the surgical burden and enhance recovery.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Review
Oncology
Kian C. Banks, Diana S. Hsu, Jeffrey B. Velotta
Summary: This article reviews the current state of research on minimally invasive esophagectomy, comparing outcomes of minimally invasive surgery, robot-assisted surgery, and open surgery, and discussing how surgeons can select the most appropriate method based on these outcomes.
Article
Cardiac & Cardiovascular Systems
Paul L. Feingold, Darren S. Bryan, John Kuckelman, Lee Kennedy-Shaffer, Vivian Wang, Ashley Deeb, Jon Wee, Michael Jaklitsch, Margaret Blair Marshall
Summary: Despite improved outcomes, anastomotic strictures are still associated with minimally invasive esophagectomy (MIE), especially in North America where there is limited research on this topic.
ANNALS OF THORACIC SURGERY
(2023)
Article
Surgery
Yajie Zhang, Dong Dong, Yuqin Cao, Maosheng Huang, Jian Li, Jiahao Zhang, Jules Lin, Inderpal S. Sarkaria, Lerut Toni, Rice David, Jie He, Hecheng Li
Summary: This article provides a comprehensive review of the literature comparing perioperative outcomes and long-term survival between robotic-assisted minimally invasive esophagectomy (RAMIE) and minimally invasive esophagectomy (MIE) for esophageal cancer. The results suggest that RAMIE is comparable to MIE in perioperative outcomes, but may have advantages in lymph node dissection in the abdominal cavity, lymph nodes dissected along the left recurrent laryngeal nerve, and 3-year disease-free survival.
Article
Surgery
Marianne C. Kalff, Laura F. C. Fransen, Eline M. de Groot, Suzanne S. Gisbertz, Grard A. P. Nieuwenhuijzen, Jelle P. Ruurda, Rob H. A. Verhoeven, Misha D. P. Luyer, Richard van Hillegersberg, Mark I. van Berge Henegouwen
Summary: This study compared long-term survival between minimally invasive esophagectomy (MIE) and open surgery (OE) for esophageal cancer. The results showed that the long-term survival rates were similar for MIE and OE in patients undergoing transthoracic or transhiatal procedures. MIE resulted in a more extensive lymphadenectomy, but transhiatal MIE had more postoperative complications.
Article
Surgery
Ahmed M. Ali, Katelynn C. Bachman, Stephanie G. Worrell, Kelsey E. Gray, Yaron Perry, Philip A. Linden, Christopher W. Towe
Summary: While RMIE and tMIE showed no difference in 90-day mortality and readmission rates, RMIE demonstrated better outcomes in terms of positive surgical margins, number of lymph nodes evaluated, and conversion to open rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Zhenhua Li, Chunyue Gai, Yuefeng Zhang, Shiwang Wen, Huilai Lv, Yanzhao Xu, Chao Huang, Bo Zhao, Ziqiang Tian
Summary: This study compared the differences in lymph node dissection (LND) between minimally invasive esophagectomy (MIE) and open esophagectomy (OE) in thoracic esophageal cancer patients. The results suggest that MIE may have an advantage in lymph node dissection of the upper mediastinum 2L and 4L groups, but is similar to OE in other LND stations.
CHINESE MEDICAL JOURNAL
(2022)
Review
Oncology
Stepan M. Esagian, Ioannis A. Ziogas, Konstantinos Skarentzos, Ioannis Katsaros, Georgios Tsoulfas, Daniela Molena, Michalis V. Karamouzis, Ioannis Rouvelas, Magnus Nilsson, Dimitrios Schizas
Summary: Robot-assisted minimally invasive esophagectomy (RAMIE) is a safe and feasible procedure that can reduce cardiopulmonary complications, wound infections, blood loss, and hospital stays compared to open esophagectomy.
Article
Allergy
Yusuke Okubo, Kenta Horimukai, Nobuaki Michihata, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: The study indicates that early antibiotic treatment for children with asthma exacerbation in the absence of bacterial infection may lead to prolonged hospital stay, increased hospitalization costs, and higher risk of probiotic use without improving treatment failure and readmission.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
(2021)
Article
Critical Care Medicine
Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: This study found that in septic patients requiring mechanical ventilation, the use of dexmedetomidine was associated with lower all-cause 28-day mortality compared to midazolam or propofol, and with a shorter duration of mechanical ventilation.
JOURNAL OF INTENSIVE CARE MEDICINE
(2021)
Article
Oncology
Takaaki Konishi, Michimasa Fujiogi, Nobuaki Michihata, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Masahiko Tanabe, Yasuyuki Seto, Hideo Yasunaga
Summary: This study found an association between BMI and the localization of breast cancer, with higher BMI potentially related to the occurrence of breast cancer in certain quadrants of the breast, and lower BMI related to a different quadrant. The side of breast cancer did not show significant differences among different BMI groups.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Cardiac & Cardiovascular Systems
Hidetaka Itoh, Hidehiro Kaneko, Hiroyuki Kiriyama, Tatsuya Kamon, Katsuhito Fujiu, Kojiro Morita, Haruki Yotsumoto, Nobuaki Michihata, Taisuke Jo, Norifumi Takeda, Hiroyuki Morita, Hideo Yasunaga, Issei Komuro
Summary: This study explored the relationship between BMI and in-hospital mortality of patients hospitalized for heart failure in Japan, finding that underweight patients had higher mortality while pre-obese and obese patients had lower mortality. Furthermore, a restricted cubic spline analysis revealed a reverse J-shaped relationship between BMI and in-hospital mortality.
Article
Peripheral Vascular Disease
Katsuhiko Naruse, Daisuke Shigemi, Mikio Hashiguchi, Masatoshi Imamura, Hideo Yasunaga, Takanari Arai
Summary: This retrospective cohort study in Japan investigated the relationship between hypertensive disorders of pregnancy (HDP) and placental abruption, revealing that earlier gestational age on admission could be a risk factor for placental abruption. Hospitalization and careful management of such patients are recommended to improve prognosis.
HYPERTENSION RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Daisuke Sato, Tadahiro Goto, Kazuaki Uda, Ryosuke Kumazawa, Hiroki Matsui, Hideo Yasunaga
Summary: The study found that despite the issuance of national guidelines to promote appropriate antibiotic use, there were no significant changes in antibiotic use trends for outpatients with ARTI or gastroenteritis between the pre-issue and post-issue periods.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Yuki Miyamoto, Hiroyuki Ohbe, Miho Ishimaru, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: Although tranexamic acid treatment was not significantly associated with in-hospital mortality, it may reduce severe bleeding, blood transfusions, length of stay, and hospitalization costs in patients with colonic diverticular bleeding.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Surgery
T. Sakamoto, M. Fujiogi, M. Ishimaru, H. Matsui, K. Fushimi, H. Yasunaga
Summary: The study evaluated the safety of synthetic non-absorbable mesh repair in patients with incarcerated or strangulated inguinal hernia requiring enterectomy, compared to non-mesh repair. The results showed no significant differences in surgical-site infection and other secondary outcomes between the mesh repair and non-mesh repair groups.
Review
Gastroenterology & Hepatology
Takashi Sakamoto, Tadao Kubota, Hiraku Funakoshi, Alan Kawarai Lefor
Summary: Acute mesenteric ischemia is a rare condition characterized by impaired blood flow to the intestine, requiring restoration of perfusion and resection of necrotic tissue for treatment. Both surgery and endovascular intervention are complementary approaches, with potential to improve patient prognosis when combined judiciously. Treatment strategies need to be tailored for each facility due to the urgent nature of the condition.
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Review
Surgery
Takashi Sakamoto, Tadahiro Goto, Michimasa Fujiogi, Alan Kawarai Lefor
Summary: Machine learning (ML) has been widely used in gastrointestinal surgery to analyze big data, with applications in predicting surgical risk, performing safe surgery, and predicting patient prognosis. The main challenge lies in the availability of ML models, which can be addressed through the development of information systems integrating ML into electronic health records. The accumulating data is fundamentally changing the nature of surgical practice, with artificial intelligence (AI) increasingly incorporated into daily surgical practice.
Article
Medicine, General & Internal
Tetsuro Takasaki, Takashi Sakamoto, Akira Saito, Yasuaki Motomura
Summary: An 82-year-old man presented with abdominal pain and febrile symptoms for 4 days. Examination revealed elevated liver enzymes and white blood cell count, as well as a cystic lesion in the left lateral liver lobe. Further investigation showed contiguous bile duct dilatation and internal nodules, leading to the diagnosis of intraductal papillary neoplasm of the bile duct (IPNB) with cystic infection. Despite the patient's age, there were no contraindications for surgery, and resection was performed, revealing invasive carcinoma.
Article
Gastroenterology & Hepatology
Yukiharu Hiyoshi, Takashi Sakamoto, Toshiki Mukai, Toshiya Nagasaki, Tomohiro Yamaguchi, Takashi Akiyoshi, Yosuke Fukunaga
Summary: This study compared the treatment outcomes of laparoscopic colectomy with complete mesocolic excision and D3 lymphadenectomy for right-sided colon cancer using different approaches. The results showed that there were no significant differences in short- and long-term outcomes between the inferior and medial approaches. Both approaches were safe and feasible, with the inferior approach having the advantage of reduced intra-operative blood loss.
COLORECTAL DISEASE
(2022)
Article
Surgery
Emiko Kono, Sachiyo Nomura, Takashi Sakamoto, Kae Okoshi, Chie Tanaka, Ken Shirabe, Sang-Woong Lee, Yuko Kitagawa
Summary: This study investigated the satisfaction levels and ergonomic problems of female surgeons while using laparoscopic forceps with ring-handles. The results showed that female surgeons rated the ergonomics of these instruments lower and reported negative impacts on surgical manipulation and discomfort in their hands and fingers.
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
(2023)
Article
Medicine, General & Internal
Takashi Sakamoto, Alan Kawarai Lefor, Tetsuro Takasaki
Summary: A 78-year-old female post subarachnoid hemorrhage developed abdominal pain and obstructive jaundice. Medical examinations revealed acute cholecystitis and dilation of the intrahepatic ducts. Improvement was achieved through the placement of a biliary drain and subsequent treatment.