Current Issue

  • Review Article 2023-12-15

    0 434 236

    Mastering data visualization with Python: practical tips for researchers

    Soyul Han , Il-Youp Kwak

    Journal of Minimally Invasive Surgery 2023; 26(4): 167-175

    Big data have revolutionized the way data are processed and used across all fields. In the past, research was primarily conducted with a focus on hypothesis confirmation using sample data. However, in the era of big data, this has shifted to gaining insights from the collected data. Visualizing vast amounts of data to derive insights is crucial. For instance, leveraging big data for visualization can help identify and predict characteristics and patterns related to various infectious diseases. When data are presented in a visual format, patterns within the data become clear, making it easier to comprehend and provide deeper insights. This study aimed to comprehensively discuss data visualization and the various techniques used in the process. It also sought to enable researchers to directly use Python programs for data visualization. By providing practical visualization exercises on GitHub, this study aimed to facilitate their application in research endeavors.

  • Editorial 2023-12-15

    0 210 123

    Laparoscopic emergency surgery in Korea: a comprehensive analysis of current practices

    Min Hyeong Jo , Heung-Kwon Oh

    Journal of Minimally Invasive Surgery 2023; 26(4): 176-177
  • Editorial 2023-12-15

    0 176 72

    Advancements and challenges in minimally invasive surgery training among general-surgery residents in Thailand

    Gyung Mo Son

    Journal of Minimally Invasive Surgery 2023; 26(4): 178-179
  • Original Article 2023-12-15

    0 276 191

    Single-incision versus conventional multiport laparoscopic cholecystectomy in acute cholecystitis according to disease severity: single center retrospective study in Korea

    Seung Jae Lee , Ju Ik Moon , Sang Eok Lee , Nak Song Sung , Seong Uk Kwon , In Eui Bae , Seung Jae Rho , Sung Gon Kim , Min Kyu Kim , Dae Sung Yoon , Won Jun Choi , In Seok Choi

    Journal of Minimally Invasive Surgery 2023; 26(4): 180-189

    Purpose: The safety of single-incision laparoscopic cholecystectomy (SILC) for acute cholecystitis (AC) has not yet been confirmed.
    Methods: This single-center retrospective study included patients who underwent laparoscopic cholecystectomy (LC) for AC between April 2010 and December 2020. Propensity scores were used to match patients who underwent SILC with those who underwent conventional multiport LC (CMLC) in the entire cohort and in the two subgroups.
    Results: A total of 1,876 patients underwent LC for AC, and 427 (22.8%) underwent SILC. In the propensity score-matched analysis of the entire cohort (404 patients in each group), the length of hospital stay (2.9 days vs. 3.5 days, p = 0.029) was shorter in the SILC group than in the CMLC group. No significant differences were observed in other surgical outcomes. In grade I AC (336 patients in each group), the SILC group showed poorer surgical outcomes than the CMLC group, regarding operation time (57.6 minutes vs. 52.4 minutes, p = 0.001) and estimated blood loss (22.9 mL vs. 13.1 mL, p = 0.006). In grade II/III AC (58 patients in each group), there were no significant differences in surgical outcomes between the two groups. Postoperative pain outcomes were also not significantly different in the two groups, regardless of severity.
    Conclusion: This study demonstrated that SILC had similar surgical and pain outcomes to CMLC in patients with AC; however, subgroup analysis showed that SILC was associated with poor surgical outcomes than CMLC in grade I AC. Therefore, SILC should be carefully performed in patients with AC by experienced hepatobiliary surgeons.

  • Original Article 2023-12-15

    0 207 94

    Perioperative complications of laparoscopic inguinal hernia repair in India: a prospective observational study

    Vikram Saini , Amrutha Varshini R , Yashwant Singh Rathore , Sunil Chumber , Kamal Kataria , Richa Garg

    Journal of Minimally Invasive Surgery 2023; 26(4): 190-197

    Purpose: These days laparoscopic inguinal hernia surgery, both totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP), is a commonly performed procedure due to advancements in laparoscopic instruments and the availability of skilled laparoscopic surgeons. The purpose of this study was to compare the perioperative complications of these two procedures.
    Methods: This was a prospective observational study between July 2019 and December 2020. Perioperative complications were compared with a 6-month follow-up. It included 144 patients, of whom 71 underwent TAPP repair and 73 underwent TEP repair. The selection was based on the surgeon’s choice.
    Results: Early postoperative complications were scrotal edema (12 cases in TEP and 16 in TAPP), urinary retention (one case in TEP), ecchymosis (six cases in TEP and two in TAPP), and scrotal subcutaneous emphysema (two cases in TEP). On follow-up, seroma was found in a total of 22 cases, of which 12 were TEP and 10 were TAPP. While only one case of TAPP developed surgical site infection. There was no statistically significant difference in hospital stay between the two groups (p = 0.58). The pain scores significantly decreased throughout recovery and were comparable between the groups. Neither group experienced a recurrence during the 6-month follow-up. Fifty-eight patients developed Clavien-Dindo grade I complications, one had grade II, and three had grade IIIa complications.
    Conclusion: With the increasing experience of the surgical fraternity in laparoscopic surgery, TEP and TAPP were proven to be comparable in terms of duration of surgery, postoperative complications, hospital stay, pain scores, and recurrence during the 6-month follow-up.

  • Original Article 2023-12-15

    0 270 162

    Robotic versus laparoscopic revisional bariatric surgeries: a systematic review and meta-analysis

    Karim Ataya , Hussein El Bourji , Ayman Bsat , Amir Al Ayoubi, Al Moutuz Al Jaafreh , George Abi Saad

    Journal of Minimally Invasive Surgery 2023; 26(4): 198-207

    Purpose: In recent years, the need for revisional bariatric surgery (RBS) procedures has experienced a noteworthy surge to confront complexities and weight recidivism. Despite being a subject of controversy for many, the utilization of the Da Vinci robotic platform (Intuitive Surgical, Inc.) may present benefits in RBS. This study aimed to evaluate the outcomes of robotic RBS in comparison to Laparoscopic RBS.
    Methods: A meticulous and thorough analysis was ensured through a comprehensive exploration of the literature, which included PubMed, Medline, Scopus, and Cochrane. This exploration was conducted in adherence to the directives outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Newcastle-Ottawa scale was used for quality assessment.
    Results: A total of 11 studies were included in this meta-analysis, comprising 55,889 in the laparoscopic group and 5,809 in the robotic group. No significant differences were observed in the leak, bleeding, operative time, or length of stay across both groups. However, the robotic group showed higher rates of conversion to open surgery (odds ratio [OR], 0.65; 95% confidence interval [CI], 0.53–0.79; p < 0.0001; I2 = 0%), reoperation (OR, 0.70; 95% CI, 0.57–0.87; p = 0.0009; I2 = 6%), and readmission (higher rate of readmission in the robotic group; OR, 0.76; 95% CI, 0.62–0.92; p = 0.005; I2 = 30%)
    Conclusion: Robotic-assisted bariatric surgery has no significant advantage over conventional laparoscopic surgery. Further research is warranted to explore and evaluate surgeons’ methodology and proficiency differences.

  • Video/Multimedia Article 2023-12-15

    0 271 140

    Initial experience of abdominal total mesorectal excision for rectal cancer using the da Vinci single port system

    Wed Alshalawi , Chul Seung Lee , In Kyeong Kim , Yoon Suk Lee

    Journal of Minimally Invasive Surgery 2023; 26(4): 208-214

    From November 2021 to February 2022, 15 patients underwent total abdominal mesorectal excision for rectal cancer using the da Vinci single port system. The clinical and pathological results were analyzed retrospectively. All surgeries were performed without conversion. The mean distance from the tumor to the anal verge was 10 cm (range, 2–15 cm). The mean operative time was 191 minutes, the median docking time was 4 minutes (range, 2–10 minutes), and the estimated blood loss was 20 mL (range, 20–50 mL). The mean number of lymph nodes harvested was 16.5, the mean distal resection margin was 3.52 cm, and all patients had circumferential and distal tumor-free resection margins. One patient had minor anastomotic leakage. The mean length of hospital stay was 5.8 ± 2.5 days. Abdominal total mesorectal excision using the da Vinci single port system for rectal cancer is technically feasible and safe, with acceptable pathological and short-term clinical outcomes.

  • Video/Multimedia Article 2023-12-15

    0 261 190

    Simultaneous laparoscopic liver metastasectomy and intersphincteric resection for neuroendocrine tumor of the rectum by natural orifice specimen extraction surgery

    Mufaddal Kazi , Shraddha Patkar , Avanish Saklani

    Journal of Minimally Invasive Surgery 2023; 26(4): 215-217

    Neuroendocrine tumors (NET) are relatively uncommon rectal neoplasms, and the liver is the most common site of distant metastasis. Simultaneous liver and colorectal resections by minimally invasive surgery and natural orifice specimen extraction are gaining popularity, reducing morbidity. We describe a case of rectal NET with liver metastasis operated simultaneously by laparoscopy with both specimens extracted via the anal canal. Transanal or transvaginal natural orifice specimen extraction surgery for suitable cases is underutilized and only isolated case reports for simultaneous resections exist.

  • Case Report 2023-12-15

    0 187 116

    Laparoscopic cholecystectomy and common bile duct exploration for gallstone and common bile duct stone in a patient with a left-sided gallbladder: a case report

    Takeshi Ueda , Tetsuya Tanaka , Yuki Kirihataya , Chisato Hara , Atsushi Yoshimura

    Journal of Minimally Invasive Surgery 2023; 26(4): 218-221

    Left-sided gallbladder is a rare finding that is mostly discovered incidentally during surgery and is often associated with anatomic anomalies. We herein report a case in which laparoscopic cholecystectomy and common bile duct exploration were achieved for an 89-year-old female patient with left-sided gallbladder. Surgery was carried out using our usual trocar position. Calot triangle was covered by the body of the gallbladder and could not be detected. We dissected the gallbladder from the fundus towards the neck. The cystic duct joined the common bile duct from the right side, and common bile duct exploration was performed routinely without perioperative comorbidities. Although the preoperative diagnosis rate is low and the risk of intraoperative bile duct injuries in patients with left-sided gallbladder is high, laparoscopic cholecystectomy and common bile duct exploration can be safely performed by understanding the location and bifurcation of the cystic duct.

  • Letter To The Editor 2023-12-15

    1 147 97

    In reference to ‘Directed acyclic graphs for clinical research: a tutorial

    Anjali Rajkumar , Vishak MS

    Journal of Minimally Invasive Surgery 2023; 26(4): 222-223
  • Letter To The Editor 2023-12-15

    0 127 111

    A reply to the letter on ‘Directed acyclic graphs for clinical research: a tutorial

    Woojoo Lee

    Journal of Minimally Invasive Surgery 2023; 26(4): 224-225
Dec 15, 2023 Vol.26 No.4
pp. 167~225

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Journal of Minimally Invasive Surgery

pISSN 2234-778X
eISSN 2234-5248