Article
Biochemistry & Molecular Biology
Brittanie R. Partridge, Yukitaka Kani, Melvin F. Lorenzo, Sabrina N. Campelo, Irving C. Allen, Jonathan Hinckley, Fang-Chi Hsu, Scott S. Verbridge, John L. Robertson, Rafael Davalos, John H. Rossmeisl
Summary: Glioblastoma is a deadly malignant brain tumor that is difficult to treat effectively. A novel method called H-FIRE has been discovered to temporarily disrupt the blood-brain barrier, allowing for better delivery of chemotherapy drugs. The study found that H-FIRE can permeate the blood-brain barrier through cytoskeletal-mediated tight junction protein modulation, providing a potential application for localized and long-term enhanced intracranial drug delivery.
Article
Oncology
Bi-Ming He, Wei Xue, Wei-Gang Yan, Lei Yin, Bai-Jun Dong, Zhi-En Zhou, Heng-Zhi Lin, Yi Zhou, Yan-Qing Wang, Zhen-Kai Shi, Hai Zhou, Shuai-Dong Wang, Shan-Cheng Ren, Xu Gao, Lin-hui Wang, Chuan-Liang Xu, Hai-Feng Wang
Summary: H-FIRE is a nonthermal energy used in cancer ablation, known for its tissue-selectivity and reduced side effects. This study aims to evaluate the efficacy and safety of H-FIRE in treating prostate cancer.
FRONTIERS IN ONCOLOGY
(2021)
Article
Biotechnology & Applied Microbiology
Sabrina N. Campelo, Edward J. Jacobs, Kenneth N. Aycock, Rafael Davalos
Summary: A data-driven state-space model was developed to evaluate the feasibility of real-time temperature monitoring during an electroporation-based therapy procedure. The experimental results demonstrated that accurate real-time temperature monitoring can be achieved through real-time impedance monitoring.
BIOENGINEERING-BASEL
(2022)
Article
Oncology
Tiankuan Li, Wei Huang, Zhiyuan Wu, Yong Wang, Qingbing Wang, Ziyin Wang, Qin Liu, Jingjing Liu, Shenjie Wang, Xiaoyi Ding, Zhongmin Wang
Summary: IRE is a safe and effective treatment for hepatic tumors at the hepatocaval confluence, achieving complete ablation. The local and distant recurrence rates are low, but there is a reduction in the size of the ablation area. Further clinical research is needed for better prognosis.
Article
Cardiac & Cardiovascular Systems
Eyal Heller, Tomas Garcia-Sanchez, Yonatan Moshkovits, Raul Rabinovici, Dvora Grynberg, Amit Segev, Samuel J. Asirvatham, Antoni Ivorra, Elad Maor
Summary: This study compared the effects of monophasic pulses and high-frequency electroporation (HF-EP) bursts on myocardial damage in an in vivo animal model. Results showed that HF-EP bursts at different frequencies had varying effects on extent of ablation, with 20 bursts at 100 and 150 kHz causing less damage compared to 10 monophasic pulses. This study demonstrates that HF-EP is feasible and effective, and that pulse frequency plays a significant role in the level of myocardial damage.
JACC-CLINICAL ELECTROPHYSIOLOGY
(2021)
Article
Oncology
Sung-Min Jeon, Enkhzaya Davaa, Yixin Jiang, Ratchapol Jenjob, Ngoc-Thuan Truong, Kyung-Ju Shin, Seok Jeong, Su-Geun Yang
Summary: This study investigated the histological characteristics of early hepatic lesions after irreversible electroporation (IRE) application in animal models. The results showed that the ablation zones had preserved hepatic lobular architecture with a unique hexagonal-like structure, presence of apoptotic cells, sinusoidal dilatation, and blood congestion. The intact hepatic arteries and bile ducts around the ablation zones indicated that IRE had minimal impact on these structures. Therefore, histological assessment of early hepatic lesions can be utilized to predict the effectiveness of IRE ablation.
TECHNOLOGY IN CANCER RESEARCH & TREATMENT
(2023)
Article
Engineering, Biomedical
Michael B. Sano, Christopher C. Fesmire, Ross A. Petrella
Summary: This study investigated active temperature control measures, such as internal electrode cooling and dynamic energy delivery, to mitigate thermal tissue injury during irreversible electroporation treatments. Results showed that active internal cooling of the electrode and temperature-based feedback algorithm could effectively reduce thermal injury volumes and treatment times.
ANNALS OF BIOMEDICAL ENGINEERING
(2021)
Article
Multidisciplinary Sciences
Aleksandra Cvetkoska, Alenka Macek-Lebar, Peter Trdina, Damijan Miklavcic, Matej Rebersek
Summary: This study is the first to examine pain sensation in humans using biphasic high-frequency electroporation pulses. The results confirm that biphasic high-frequency pulses with a pulse width of 1 or 2 microseconds reduce muscle contraction and pain sensation compared to longer monophasic pulses. Additionally, the interphase and interpulse delays play a significant role in reducing muscle contraction and/or pain sensation. These findings are important for optimizing the pulse parameters of electroporation treatments.
SCIENTIFIC REPORTS
(2022)
Article
Surgery
Jordan N. Robinson, Joshua M. K. Davis, Ryan C. Pickens, Allyson R. Cochran, Lacey King, Patrick Salibi, David A. Iannitti, John B. Martinie, Erin H. Baker, Lee M. Ocuin, Dionisios Vrochides
Summary: Advances in perioperative care have increased the frequency of surgical intervention in patients aged 80 and above. This study investigates the impact of Enhanced Recovery After Surgery (ERAS) on octogenarians undergoing major hepatopancreatobiliary (HPB) surgery. The findings suggest that ERAS implementation in HPB surgery for patients aged 80 and above is safe and may lead to reduced readmissions, with no significant difference in postoperative complications, mortality, and length of stay compared to pre-ERAS cases.
Article
Surgery
Christoph Tschuor, Ryan C. Pickens, Erin E. Isenberg, Benjamin M. Motz, Patrick N. Salibi, Jordan N. Robinson, Keith J. Murphy, David A. Iannitti, Erin H. Baker, Dionisios Vrochides, John B. Martinie
Summary: This study compared the outcomes of robotic resection and open resection in the treatment of gallbladder cancer. The results showed that robotic resection had less blood loss and shorter length of hospital stay compared to open resection, but no significant differences were found in operative time and postoperative complications.
Article
Surgery
Jordan Robinson, Christoph Tschuor, Iain H. McKillop, Erin H. Baker, David A. Iannitti, Dionisios Vrochides, John B. Martinie
Summary: This study presents a retrospective review of robotic revision of biliary enteric anastomoses (BEA) for benign strictures. The results showed that robotic intervention in this context is safe and improves the technical feasibility of the complex procedure, with all patients experiencing resolution of clinical signs and symptoms.
Article
Surgery
Guido P. Fiorentini, Yasmin Essaji, David A. Geller, David A. Iannitti, Erin H. Baker, Susanne G. Warner, Iswanto Sucandy, Pablo E. Serrano, Edwin Onkendi, William S. Helton, Adnan Alseidi, Sean P. Cleary
Summary: The aim of this study was to determine the benchmark performance of MILLS throughout the AMILES database. Results showed that among 1665 minimally invasive liver resections, 49% of MILLS cases met all textbook outcomes. Benchmark performance metrics for MILLS included conversion rate, blood loss, OR time, transfusion rate, complication rate, and length of stay.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Osamu Yoshino, Yifan Wang, Frances McCarron, Benjamin Motz, Huaping Wang, Erin Baker, David Iannitti, John B. B. Martinie, Dionisios Vrochides
Summary: Robotic surgery is not commonly used for hepato-pancreato-biliary procedures, but we hypothesized that it would be beneficial for elderly patients undergoing major hepatectomy. Our study found that robotic hepatectomy had advantages over laparoscopic hepatectomy in terms of shorter hospital and ICU stays, potentially overcoming the perceived financial burden.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Joshua M. K. Davis, Patrick N. Salibi, Benjamin M. Motz, Dionisios Vrochides, Iain H. McKillop, David A. Iannitti
Summary: A novel approach called IRE-assisted resection (IRE-AR) has been used to resect locally advanced pancreatic adenocarcinoma by altering tissue plasticity and facilitating tumor removal from underlying vasculature when surgical excision is not feasible.
SURGICAL INNOVATION
(2023)
Article
Nutrition & Dietetics
Allyson Cochran, Bridget A. Cassady, Kirk W. Kerr, Zvonimir Milas, Stephen Riggs, David A. Iannitti, Dionisios Vrochides
Summary: Compliance with ERAS protocols for nutritional care, preoperative oral carbohydrate loading, and postoperative oral nutrition was associated with a significant decrease in hospital length of stay after various surgeries. These findings suggest that ERAS guidelines for perioperative nutrition are a strategic pathway to improved patient recovery and value-based care in surgery.
CLINICAL NUTRITION ESPEN
(2023)
Review
Surgery
Frances N. Mccarron, Osamu Yoshino, Philip C. Mueller, Huaping Wang, Yifan Wang, Ansley Ricker, Rohit Mantha, Michael Driedger, Michael Beckman, Pierre-Alain Clavien, Dionisios Vrochides, John B. Martinie
Summary: In summary, Robotic Pancreaticoduodenectomy (RPD) shows comparable outcomes to open Pancreaticoduodenectomy (OPD) based on international benchmarks for both low-risk and high-risk patients. Through the learning curve, RPD evolved with more high-risk cases included while still meeting benchmarks. The addition of a robotic HPB surgery fellowship did not compromise outcomes, suggesting RPD may be a viable option for high-risk patients at specialized centers.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Frances McCarron, Allyson Cochran, Ansley Ricker, Rohit Mantha, Michael Driedger, Michael Beckman, Dionisios Vrochides, John Martinie
Summary: This study retrospectively evaluated the outcomes of 361 robotic liver procedures, including 100 major hepatectomies. The results showed no significant differences in operative time, estimated blood loss, length of stay, readmission rate, major complications, and mortality between the first 50 cases and the second 50 cases. However, the ICU admission rate and conversion rate were significantly lower in the second group, while the expert level difficulty index was higher.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Fabio Ausania, Filippo Landi, John B. Martinie, Dionisios Vrochides, Matthew Walsh, Shanaz M. Hossain, Steven White, Viswakumar Prabakaran, Laleh G. Melstrom, Yuman Fong, Giovanni Butturini, Laura Bignotto, Valentina Valle, Yuntao Bing, Dianrong Xiu, Gregorio Di Franco, Francisco Sanchez-Bueno, Nicola de'Angelis, Alexis Laurent, Giuseppe Giuliani, Graziano Pernazza, Alessandro Esposito, Roberto Salvia, Francesca Bazzocchi, Ludovica Esposito, Andrea Pietrabissa, Luigi Pugliese, Riccardo Memeo, Ichiro Uyama, Yuichiro Uchida, Jose Rios, Andrea Coratti, Luca Morelli, Pier C. Giulianotti
Summary: This study compared the short-term outcomes of robotic distal pancreatectomy (RDP) and laparoscopic distal pancreatectomy (LDP) in patients with a BMI >= 30. The results showed that, compared to LDP, RDP was associated with a lower complication rate, less blood loss, fewer blood transfusion requirements, and a lower Comprehensive Complications Index in obese patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Fabio Ausania, Filippo Landi, John B. Martinie, Dionisios Vrochides, Matthew Walsh, Shanaz M. Hossain, Steven White, Viswakumar Prabakaran, Laleh G. Melstrom, Yuman Fong, Giovanni Butturini, Laura Bignotto, Valentina Valle, Yuntao Bing, Dianrong Xiu, Gregorio Di Franco, Francisco Sanchez-Bueno, Nicola de'Angelis, Alexis Laurent, Giuseppe Giuliani, Graziano Pernazza, Alessandro Esposito, Roberto Salvia, Francesca Bazzocchi, Ludovica Esposito, Andrea Pietrabissa, Luigi Pugliese, Riccardo Memeo, Ichiro Uyama, Yuichiro Uchida, Jose Rios, Andrea Coratti, Luca Morelli, Pier C. Giulianotti
Summary: In obese patients, RDP is associated with a lower conversion rate, fewer complications, and better short-term outcomes than LDP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)