Article
Surgery
Ming-Ru Lee, Wei-Ming Li, Ching-Chia Li, Yii-Her Chou, Wen-Jeng Wu, Yung-Shun Juan, Hung-Lung Ke, Sheng-Chen Wen, Hsiang-Ying Lee, Tsu-Ming Chien
Summary: This study analyzed the learning curve of extraperitoneal laparoendoscopic single-site robot-assisted radical prostatectomy. The results showed that the learning curve for operative time stabilized after approximately 80 cases, and a learning curve for blood loss was observed after 36 cases. The use of the da Vinci Si system for this procedure was found to be safe and feasible.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Yuanyuan Lu, Fan Yang, Longxia Tong, Ying Zheng
Summary: This study aimed to compare the learning curves of two surgeons with different endoscopic bases when performing laparoendoscopic single-site myomectomy (LESS-M). The results showed that both surgeons were able to successfully perform LESS-M, with one of them having no prior experience in multi-port laparoscopic surgery. The proficiency in LESS-M could be achieved after approximately 20 cases.
Article
Surgery
Ye Yang, Yu Qin Pan, Qi Lu, Wei Bao, Min Wang, Wei Liu, Su Fang Wu
Summary: This study investigates the key ergonomic methodologies for gynecologic LESS based on the surgeon's hands-on performance. It provides a special ergonomic LESS operating methodology and emphasizes the importance of hand-eye coordination, multiport laparoscopy surgery skills, and posture control. The findings can serve as a guide for future training and education in LESS.
Article
Multidisciplinary Sciences
Xiaoping Jia, Jing Zhou, Yanyan Fu, Hui Wang, Cailing Ma
Summary: This study explores the clinical application of laparoendosopic single-site surgery (LESS) in the treatment of benign ovarian masses. The results show that LESS surgery has advantages in treating larger benign ovarian masses, with shorter operation time and better incision aesthetic score.
JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES
(2022)
Article
Surgery
Shogo Inoue, Kenichiro Ikeda, Keisuke Goto, Keisuke Hieda, Tetsutaro Hayashi, Jun Teishima
Summary: The study demonstrates that feelings of physical fatigue are roughly equivalent between laparoendoscopic single-site adrenalectomy (LESS-A) and conventional laparoscopic adrenalectomy (CLA) procedures, despite LESS-A being considered a technically difficult procedure.
WORLD JOURNAL OF SURGERY
(2021)
Article
Obstetrics & Gynecology
Qiuyu Chen, Sennan Zhu, Danhan Wang, Miaomiao Chen, Yu Zhao, Qiong Zhang
Summary: The study found that the volume of hidden blood loss in ovarian cystectomy surgery is significant and varies between conventional laparoscopic surgery (CLS) and laparoendoscopic single-site surgery (LESS). Identifying the different risk factors for HBL in these techniques can improve patient safety and prognosis.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2022)
Article
Medicine, Research & Experimental
Danni Jiang, Yang Yang, Xinxin Zhang, Fang He, Yanxia Wu, Jumin Niu, Xiaocui Nie
Summary: This study aimed to assess the safety and feasibility of laparoendoscopic single-site surgery (LESS) in pregnant patients with acute abdomen. Results showed that compared to conventional laparoscopic surgery, single-port surgery may lead to less postoperative pain, shorter hospital stays, and lower anxiety levels.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)
Article
Urology & Nephrology
Hakushi Kim, Kazuya Oda, Takato Uchida, Tatsuo Kano, Soichiro Yuzuriha, Izumi Hanada, Tatsuya Otaki, Satoshi Kuroda, Tatsuya Umemoto, Takahiro Ogawa, Taro Higure, Masayoshi Kawakami, Mayura Nakano, Masahiro Nitta, Masanori Hasegawa, Yoshiaki Kawamura, Sunao Shoji, Hidenori Zakoji, Akira Miyajima
Summary: The study demonstrated that transumbilical laparoendoscopic single-site surgery is feasible for treating urachal remnant patients, and it provides better postoperative cosmesis compared to conventional laparoscopic surgery. The procedure type was found to be an independent predictor of higher postoperative esthetic satisfaction.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2021)
Article
Oncology
Xiaolin You, Yanyun Wang, Ying Zheng, Fan Yang, Qiao Wang, Ling Min, Kana Wang, Na Wang
Summary: This study compared the perioperative outcomes and survival of endometrial cancer patients undergoing transumbilical laparoendoscopic single-site surgery (TU-LESS) with multi-port laparoscopic surgery (MLS). The results showed comparable perioperative outcomes and survival rates between the two surgical methods.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Emily L. Lin, Agustin Sibona, Jiahao Peng, Pramil N. Singh, Esther Wu, Marcos J. Michelotti
Summary: This study evaluated the learning curve for robotic-assisted hiatal hernia repairs using CUSUM analysis, finding that the training phase is achieved after 40 cases and a high level of mastery is reached after approximately 85 cases. The three distinct phases identified provide valuable insights for surgical competency assessment during robotic surgery training.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Medicine, General & Internal
Anisha Ranjan, Ketav S. Joshi, Sandhya Pajai, Shazia Mohammad
Summary: Laparoscopy has become the preferred approach for gynecological conditions due to its less invasive nature compared to laparotomy. Further advancements, such as laparoendoscopic single-site surgery (LESS) and vaginal natural orifice transluminal endoscopic surgery (vNOTES), offer even more minimally invasive options with reduced post-operative complications and scarless results.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Oncology
Tetsuo Ishizaki, Junichi Mazaki, Kenta Kasahara, Ryutaro Udo, Tomoya Tago, Yuichi Nagakawa
Summary: This study aimed to determine the number of cases required for laparoscopic surgeons to master the technique of intracorporeal anastomosis in right side colon cancer. The study found that it took about 20 cases for surgeons to achieve proficiency in intracorporeal anastomosis. Moreover, proficiency in this technique was associated with a reduced incidence of surgical site infections and shorter hospital stays.
ANTICANCER RESEARCH
(2023)
Article
Medicine, Research & Experimental
Daniela Lucidi, Giulia Molinari, Marella Reale, Matteo Alicandri-Ciufelli, Livio Presutti
Summary: This study compared hearing outcomes and complications of endoscopic and microscopic stapes surgery performed by the same surgeon over a 10-year period. It found that both techniques showed similar results in terms of safety and efficacy. While endoscopic surgery had a steeper learning curve, with experience, surgical duration became adequate from the initial cases.
Article
Surgery
Pedro J. Gil, Juan Jose Ruiz-Manzanera, David Ruiz de Angulo, Vicente Munitiz, David Ferreras, Victor Lopez, Ana Conesa, Angeles Ortiz, Luisa F. Martinez de Haro, Pablo Ramirez
Summary: This study analyzed the learning curve for laparoscopic sleeve gastrectomy (LSG) and identified three distinct phases. It was found that about 25 patients are needed to demonstrate an improvement in surgical skill.
Article
Medicine, General & Internal
Wei-Quen Tee, Yen-Ting Wu, Hung-Jen Wang, Yao-Chi Chuang, Wei-Chia Lee, Chia-Hung Tsai, Long-Yuan Lee, Chien-Hsu Chen
Summary: This study retrospectively evaluated the perioperative characteristics and outcomes of 233 patients who underwent laparoendoscopic single-site total extraperitoneal approach (LESS-TEP) herniorrhaphy. The results showed that the mean operative time was 66 min for unilateral hernias and 100 min for bilateral hernias. Postoperative complications occurred in 11% of cases, with only one mesh infection. The study concluded that LESS-TEP herniorrhaphy is a safe and feasible operation with excellent cosmetic results and a low rate of complications.
JOURNAL OF CLINICAL MEDICINE
(2023)