Needlescopic sleeve gastrectomy: pushing the boundaries of the standard technique

Loureiro, Marcelo; Sultan, Abdulah; Al‐Haddad, Mohannad; Mostafa, Hatem; Nocca, David; Nedelcu, Marius; Buhaimed, Walled

doi:10.1007/s00464-017-5419-y

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…Over the years, many studies have reported preliminary results on the use of percutaneous instruments in different disciples [12][13][14][15]. In particular, the safety and feasibility of percutaneous-assisted hysterectomy (PSS-H) have been described in the treatment of benign and malignant diseases in gynecological surgery [11,16].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous-Assisted versus Laparoscopic Hysterectomy: A Prospective Comparison

Perrone

Rossitto

Fanfani

et al. 2020

Gynecol Obstet Invest

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Objective: To evaluate the feasibility of percutaneous approach, we prospectively compared our experience in percutaneous-assisted hysterectomy (PSS-H) with that in a series of laparoscopic hysterectomies (LPS-Hs). Methods: In this multicentric cohort study, from May 2015 to October 2017, 160 patients affected by benign and malignant gynecological conditions were considered eligible for minimally invasive surgery (MIS): 80 patients received PSS-H and 80 LPS-H. In each group, 30 cases of low-/intermediate-risk endometrial cancer were enrolled. For both groups, we documented preoperative outcomes, postoperative pain, and cosmetic outcomes. Results: No statistically significant differences were noted in baseline characteristics or operative time. We observed significant differences in estimated blood loss: median of 50 cc (PSS-H) and 100 cc (LPS-H) (p = 0.0001). In LPS-H, we reported 4 (5.0%) intraoperative complications and 1 (1.3%) in PSS-H. Thirty-day complications were 4 (5%) in PSS-H and 11 (13.8%) in LPS-H (p = 0.058). No significative differences were found in visual analog scale score, despite a relevant disparity in cosmetic outcome (p = 0.0001). For oncological cases, the 2 techniques had comparable intraand postoperative outcomes and oncological accuracy. Conclusions: In this study, we reported that PSS-H is comparable to LPS-H for intra-and perioperative outcomes and postoperative pain, while PSS-H seems to be superior in cosmetic outcomes and patient satisfaction. PSS-H may represent a valid alternative in ultra-MIS for benign gynecological conditions and low-/intermediate-risk endometrial cancer.

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Section: Introductionmentioning

confidence: 99%

Percutaneous-Assisted versus Laparoscopic Hysterectomy: A Prospective Comparison

Perrone

Rossitto

Fanfani

et al. 2020

Gynecol Obstet Invest

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“…They have been used in other types of operations, such as bariatric, gallbladder, and hernia surgery. [12][13][14][15] Hence; minimal invasive approach was more affective in terms of better operative time and lowered incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Procedure Vs Standard Open Approach For Lumbar Sympathectomy

Haldipur¹,

Naniwadekar²,

Janugade³

2022

Journal of Pharmaceutical Negative Results

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Aim: Peripheral arterial disease (PAD) is chronic arterial occlusive disease of the lower extremities caused by atherosclerosis. Thepresent study was conducted for comparing the efficacy of minimally invasive procedure vs standard open approach for lumbarsympathectomy.Materials & methods: 100 patients were enrolled in the present study (who were scheduled to undergo lumbar sympathectomy) andwere divided broadly and randomly into two study groups: Group 1: Patients undergoing lumbar sympathectomy by minimal invasiveprocedure, and Group 2: Patients undergoing lumbar sympathectomy through standard open approach. Only those patients wereincluded who had Ischemic rest pain that requires continuous analgesia for more than 3 weeks and Ischemic foot ulcers that failed toheal for more than 6 weeks. All the patients underwent surgical procedures according to their respective study groups. All the resultswere recorded in Microsoft excel sheet and were analysed using SPSS software.Results: Mean duration of analgesic consumption for controlling pain postoperatively was 3.9 weeks in group 1 while it was 3.7weeks in group 2. Mean operative time among the patients of group 1 and group 2 was 51 minutes and 83 minutes respectively (pvalue < 0.05). Incidence of complications was significantly higher among the patients of group 2 in comparison to the patients ofgroup 1. Mean recovery time among the patients of group 1 and group 2 was 5.2 days and 7.3 days respectively (p- value < 0.05).Conclusion: Among patients undergoing lumbar sympathectomy, minimally invasive procedure is better in comparison to standardopen procedure.

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“…They have been used in other types of operations, such as bariatric, gallbladder, and hernia surgery. 6,9,10 There are a number of different methods for performing ELS, since some surgeons have developed different approaches and techniques based on their preferences and experience. In view of the long learning curve, the authors recommend that a more experienced surgeon should accompany a beginner in this technique.…”

Section: Discussionmentioning

confidence: 99%

“…They have been used in other types of operations, such as bariatric, gallbladder, and hernia surgery. 6 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

Minilaparoscopic lumbar sympathectomy with 3 mm instruments for plantar hyperhidrosis

et al. 2020

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Severe palmoplantar hyperhidrosis affects about 1.5-2.8% of the general population. Plantar hyperhidrosis (PHH) is related to foot odor, cold feet, skin lesions and infections, and even instability when walking. Endoscopic Lumbar Sympathectomy (ELS) is the treatment of choice for this condition. However, few surgeons have used this technique over the past 20 years because of its technical difficulty. Two and 3 mm instruments, rather than the standard 5 mm instruments, have been used to improve the results of several standard laparoscopic procedures. Use of these minilaparoscopic instruments to perform ELS so far has not yet been published. We describe a technique for ELS using minilaparocopic instruments, which we have used for our last 70 cases and has become our standard technique. The aim of this study is to demonstrate the feasibility of this technique and its advantages compared to the conventional technique.

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Needlescopic sleeve gastrectomy: pushing the boundaries of the standard technique

Abstract: NSG is feasible in selected patients and with few modifications in the standard technique. There might be a benefit in terms of pain. Further studies with large series are necessary to observe these potential benefits.

Cited by 7 publications

References 8 publications

Percutaneous-Assisted versus Laparoscopic Hysterectomy: A Prospective Comparison

Percutaneous-Assisted versus Laparoscopic Hysterectomy: A Prospective Comparison

Minimally Invasive Procedure Vs Standard Open Approach For Lumbar Sympathectomy

Minilaparoscopic lumbar sympathectomy with 3 mm instruments for plantar hyperhidrosis

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