Article
Urology & Nephrology
Ronney Abaza, Christopher Murphy, Aya Bsatee, David Hugh Brown Jr, Oscar Martinez
Summary: In our initial experience, the use of single-port robotic surgery resulted in a higher rate of same-day discharge compared to traditional multiport procedures, with a large majority of patients opting to go home on the same day of surgery. Further analysis on pain scores and analgesic usage is needed to understand potential causative factors.
Article
Optics
Kieran B. Wiseman, Thomas Kissinger, Ralph P. Tatam
Summary: A novel multi-dimensional positional encoder approach is proposed using range-resolved interferometry to simultaneously interrogate multiple interferometers, achieving three-dimensional measurements with high bandwidth and low noise densities.
OPTICS AND LASERS IN ENGINEERING
(2021)
Article
Surgery
Sung Eun Park, Tae Ho Hong
Summary: This study presents the initial experience of gasless robotic single-port cholecystectomy (RSPC). A total of 48 patients were reviewed, and the success rate of gasless RSPC was found to be 96%, with no postoperative complications or shoulder pain. The average hospital stay was 2.1 days. Conclusion: Gasless RSPC is feasible and safe, but currently limited to highly selected patients.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
Article
Medicine, General & Internal
Joseph J. Noh, Myeong-Seon Kim, Soo-Young Jeong, Jun-Hyeok Kang, Byung-Kwan Park, Tae-Joong Kim
Summary: This study showed that using an adhesion barrier can prevent postoperative adhesion in single-port access laparoscopic gynecologic surgery. A total of 37 patients did not have any adhesion around the umbilicus during the three-month follow-up period.
Review
Surgery
Haomin Lin, Jinchang Zhang, Xujia Li, Yuanquan Li, Song Su
Summary: Different laparoscopic cholecystectomy (LC) procedures have varying efficacy for benign gallbladder diseases. Three-port LC and four-port LC may be the best options for reducing surgical complications and operative time. Single-incision robotic cholecystectomy (SIRC) is the best option for relieving postoperative pain. SIRC and three-port LC can reduce hospital stay compared to other LCs.
UPDATES IN SURGERY
(2023)
Article
Urology & Nephrology
Antony A. Pellegrino, Grace Chen, Luca Morgantini, Ruben Sauer Calvo, Simone Crivellaro
Summary: The feasibility and safety of the supine anterior retroperitoneal access (SARA) technique with the da Vinci Single-Port (SP) robotic platform were assessed in patients undergoing surgery for renal cancer, urothelial cancer, or ureteral stenosis. The surgical procedure involves a 3-cm incision at the McBurney point and the development of the retroperitoneal space for robotic access. The outcomes of the surgery were favorable.
Article
Surgery
Shahab Hajibandeh, David A. Finch, Ali Yasen Y. Mohamedahmed, Amir Iskandar, Gowtham Venkatesan, Shahin Hajibandeh, Thomas Satyadas
Summary: The outcomes of three-port and four-port laparoscopic cholecystectomy were compared in a meta-analysis, which showed that both techniques were comparable in most aspects, but the three-port technique was associated with lower postoperative pain score, shorter hospital stay, and shorter time to return to normal activities.
UPDATES IN SURGERY
(2021)
Article
Multidisciplinary Sciences
Sung Hyun Park, Youn Nam Kim, Jawon Hwang, Ki-Yoon Kim, Minah Cho, Yoo Min Kim, Woo Jin Hyung, Hyoung-Il Kim
Summary: This study aimed to evaluate the safety and feasibility of single-port robotic distal gastrectomy (SPRDG) using the da Vinci SP system in patients with gastric cancer. The results showed that SPRDG was a safe and feasible option for selected patients, with advantages of fast postoperative recovery and safe discharge.
SCIENTIFIC REPORTS
(2023)
Article
Urology & Nephrology
Nicolas A. Soputro, Ethan L. Ferguson, Roxana Ramos-Carpinteyro, Ruben Sauer Calvo, Jennifer Nguyen, Marcio C. Moschovas, Samantha Wilder, Jaya S. Chavali, Kennedy E. Okhawere, Ruth Sanchez De La Rosa, Indu Saini, James Peabody, Ketan K. Badani, Craig Rogers, Jean Joseph, Vipul Patel, Michael Stifelman, Mutahar Ahmed, Simone Crivellaro, Moses Kim, Jeffrey Nix, Jihad Kaouk
Summary: The study found that single-port robot-assisted radical prostatectomy (SP-RARP) is associated with a low risk of postoperative hernia, especially when performed via the extraperitoneal (EP) and transvesical (TV) approaches. In these approaches, where the peritoneum is preserved, there is a lower incidence of postoperative hernia.
Article
Veterinary Sciences
Ulrike Strohmeier, Gilles Dupre, Barbara Bockstahler, Alexander Tichy, Lea Liehmann
Summary: In this study, the glove port was found to outperform the SILS (TM) port in both MISTELS tasks, with higher scores and better maneuverability. This suggests that the glove port could be a cost-effective alternative for single-port laparoscopic veterinary surgery.
BMC VETERINARY RESEARCH
(2021)
Article
Surgery
Francesco M. Bianco, Nicolas H. Dreifuss, Betty Chang, Francisco Schlottmann, Antonio Cubisino, Alberto Mangano, Yevhen Pavelko, Mario A. Masrur, Pier C. Giulianotti
Summary: The safety and feasibility of the DaVinci Single Port (SP) platform in general surgery were analyzed in this study. The results showed that robotic SP surgery is safe and feasible for transabdominal pre-peritoneal inguinal hernia repairs and cholecystectomies, with no conversions or perioperative complications.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2022)
Article
Hospitality, Leisure, Sport & Tourism
David Tod, Andrew Booth, Brett Smith
Summary: This article aims to define critical appraisal, discuss its benefits, address conceptual issues affecting the adequacy of appraisal, and provide procedures for reviewers to conduct critical appraisals. Critical appraisal involves assessing a study's trustworthiness or methodological rigor to determine the confidence in its findings. Reviewers need to differentiate between quality and bias, understand total quality scores, weigh the pros and cons of standardized checklists, consider the experimental hierarchy of evidence, distinguish between appraisal tools and reporting standards, and handle the challenges of appraising qualitative research.
INTERNATIONAL REVIEW OF SPORT AND EXERCISE PSYCHOLOGY
(2022)
Article
Veterinary Sciences
James Howard, Judith Bertran, Valerie Parker, Jenessa Winston, Adam J. Rudinsky
Summary: In this study, the use of a single-incision laparoscopic surgical port in a cadaveric canine model showed faster intraluminal pressure, higher maximum luminal pressure, and more effective luminal distention and visualization compared to traditional methods. The SILS port was also found to be easier to use, requiring fewer personnel and lower procedural costs, making it a feasible and cost-effective option for procedures.
BMC VETERINARY RESEARCH
(2021)
Letter
Oncology
Bernhard Horsthemke
Summary: Modern epigenetics has rapidly developed in the past 40 years, but has also been accompanied by misconceptions and methodological shortcomings. One misconception is that chromatin modifications are an independent layer of gene regulation directly responsive to the environment, while in reality, environmental factors mainly affect gene expression through transcription factors and signaling cascades. Methodological shortcomings, such as insufficient consideration of genetic variation and cell mixture distribution, also need to be addressed.
CLINICAL EPIGENETICS
(2022)
Article
Health Care Sciences & Services
Joseph J. Noh, Jung-Eun Jeon, Ji-Hee Jung, Tae-Joong Kim
Summary: This study compared the surgical outcomes of single-port access total laparoscopic hysterectomy (SPA-TLH) and hybrid robotic single-site hysterectomy (RSSH). A total of 64 patients underwent either hybrid RSSH or SPA-TLH for benign gynecologic disease. The results showed that there were no significant differences in surgical outcomes between the two groups, but the hybrid RSSH group had a shorter colpotomy time and a longer vaginal cuff closure time.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Oncology
Gaetan-Romain Joliat, David Martin, Ismail Labgaa, Emmanuel Melloul, Emilie Uldry, Nermin Halkic, Ginette Fotsing, Alessandra Cristaudi, Pietro Majno-Hurst, Dionisios Vrochides, Nicolas Demartines, Markus Schafer
Summary: This multicenter randomized controlled trial aims to evaluate whether early postoperative enteral nutrition can reduce complications after pancreatoduodenectomy compared to oral nutrition.
FRONTIERS IN ONCOLOGY
(2022)
Article
Oncology
Penelope St-Amour, Styliani Mantziari, Clarisse Dromain, Michael Winiker, Sebastien Godat, Alain Schoepfer, Nicolas Demartines, Markus Schafer
Summary: This study aimed to assess the impact of pre-existing hiatal hernia on histological response, overall survival, and disease-free survival in patients with esophageal adenocarcinoma after neoadjuvant treatment. The results showed that pre-existing hiatal hernia did not have a significant impact on histological response and survival rates in these patients.
SURGICAL ONCOLOGY-OXFORD
(2023)
Article
Surgery
Melissa Willemin, Clara Schaffer, Amaniel Kefleyesus, Anna Dayer, Nicolas Demartines, Markus Schaefer, Pierre Allemann
Summary: This study compared the incidence of postoperative complications in open mesh repair for incisional hernia with prophylactic wound drainage and without drainage. The results showed that prophylactic drainage did not reduce the rate of postoperative fluid collection, therefore not supporting the routine use of drainage in incisional hernia repair.
WORLD JOURNAL OF SURGERY
(2023)
Article
Oncology
Eric Zandirad, Hugo Teixeira Farinha, Beatriz Barbera-Carbonell, Sandrine Geinoz, Nicolas Demartines, Markus Schaefer, Styliani Mantziari
Summary: The optimal neoadjuvant treatment modality for locally advanced gastroesophageal junction adenocarcinoma remains debated. This study retrospectively compared the outcomes of neoadjuvant chemoradiotherapy versus chemotherapy followed by surgery in patients with locally advanced adenocarcinoma of the esophago-gastric junction. The results showed that chemoradiotherapy offered better histological response, but no benefit in terms of negative resection margins or long-term survival or recurrence.
Article
Anesthesiology
Ismail Labgaa, Luis Cano, Orsalia Mangana, Gaetan-Romain Joliat, Emmanuel Melloul, Nermin Halkic, Markus Schafer, Eric Vibert, Nicolas Demartines, Nicolas Golse, Martin Huebner
Summary: Delta Alb appears to be a promising predictor independently associated with the risk of complications after liver surgery. The study presents a novel decision-tree based on Delta Alb to anticipate complications.
PERIOPERATIVE MEDICINE
(2022)
Article
Oncology
Sergio Gaspar-Figueiredo, Pierre Allemann, Alexander B. J. Borgstein, Gaetan-Romain Joliat, Valentine Luzuy-Guarnero, Christophe Brunel, Christine Sempoux, Suzanne Sarah Gisbertz, Nicolas Demartines, Mark Ivo van Berge Henegouwen, Markus Schafer, Styliani Mantziari
Summary: This study aimed to assess the prognostic value of microscopically positive margins (R1) after gastrectomy on survival and tumor recurrence in diffuse-type gastric cancer (DTGC) patients. It showed that patients with R1 had poorer overall survival and disease-free survival, as well as higher early tumor recurrence rates. Therefore, achieving R0 resection should be pursued whenever possible.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Letter
Surgery
Pierre Allemann, Melissa Willemin, Nicolas Demartines, Markus Schafer
WORLD JOURNAL OF SURGERY
(2023)
Review
Medicine, General & Internal
David Martin, Piero Alberti, Nicolas Demartines, Melanie Phillips, John Casey, Andrew Sutherland
Summary: Whole-organ pancreas and islets transplantations are therapeutic options for type 1 diabetic patients with severe complications. The choice of treatment depends on factors such as kidney function, comorbidities, and treatment goals. Simultaneous pancreas and kidney transplant is often recommended for patients with end-stage kidney disease, but careful selection is necessary. New strategies, including dynamic organ perfusion technologies and stem cell therapies, aim to improve outcomes and reduce immune reactions. This article reviews the indications, surgical techniques, outcomes, and future directions of these transplantations.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Oncology
Styliani Mantziari, Penelope St Amour, Francesco Abboretti, Hugo Teixeira-Farinha, Sergio Gaspar Figueiredo, Caroline Gronnier, Dimitrios Schizas, Nicolas Demartines, Markus Schafer
Summary: Despite recent therapeutical advances, gastric adenocarcinoma remains associated with a poor long-term survival. Diagnosis is often made at advanced stages, affecting prognosis. Factors such as tumor microenvironment, patient ethnicity, and therapeutic strategy play a role in patient outcome. This study aims to review existing knowledge on prognostic factors in gastric adenocarcinoma.
Article
Surgery
Philip Deslarzes, Jonas Jurt, Martin Hubner, Dieter Hahnloser, Daniel Clerc, Laurence Senn, Nicolas Demartines, Fabian Grass
Review
Medicine, General & Internal
David Martin, Piero Alberti, Stephen J. Wigmore, Nicolas Demartines, Gaetan-Romain Joliat
Summary: Pancreatic cancer is a deadly disease with unknown origins and limited treatment options. Surgical resection, the primary curative treatment, is associated with high morbidity and mortality rates and frequent recurrence. Patient-centered care and understanding patient perspectives are crucial for improving outcomes in pancreatic cancer surgery. Standardized patient-reported outcome and experience measures are needed to assess patient perspectives accurately.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Elisa Reitano, Simone Famularo, Bernard Dallemagne, Kohei Mishima, Silvana Perretta, Pietro Riva, Pietro Addeo, Horacio J. Asbun, Claudius Conrad, Nicolas Demartines, David Fuks, Mariano Gimenez, Melissa E. Hogg, Charles Chung-Wei Lin, Jacques Marescaux, John B. Martinie, Riccardo Memeo, Olivier Soubrane, Michel Vix, Xiaoying Wang, Didier Mutter
Summary: This study aims to create a scoring system to calculate the learning curve of laparoscopic cholecystectomy (LC) based on the opinions of hepatobiliopancreatic (HPB) experts. Variables were selected through a questionnaire and ranked by experts. The scoring system can be used to assess the efficacy of LC within educational programs and surgical courses.
MEDICINA-LITHUANIA
(2023)
Article
Surgery
Maximilien Ravenel, Gaetan-Romain Joliat, Nicolas Demartines, Emilie Uldry, Emmanuel Melloul, Ismail Labgaa
BRITISH JOURNAL OF SURGERY
(2023)
Review
Surgery
Didier Roulin, Nicolas Demartines
Summary: This article assesses the current evidence on perioperative management in gastrointestinal surgery, focusing on the impact of surgery-related aspects, the benefits of outcomes, and future directions. It emphasizes the need for continuous improvement in patients' compliance with ERAS to ensure optimal perioperative care. In addition, clinical practice should be based on the latest evidence-based medicine and challenge conventional surgical practices. Surgeons should also lead and support multidisciplinary and collaborative teamwork especially with anesthetists and nursing staff.
LANGENBECKS ARCHIVES OF SURGERY
(2022)