The Surgical Approach Combined With Minimally Invasive Surgery for Sacral Chordoma

ObjectiveTo investigate the prevalence of positive peritoneal cytology and lymph-vascular invasion by surgical approach among patients with early stage endometrioid endometrial carcinoma undergoing hysterectomy.MethodsThe National Cancer Database was accessed and patients with FIGO stage I endometrioid endometrial carcinoma (with no history of another tumor diagnosed) who underwent simple hysterectomy (open or minimally invasive) between January 2010 and December 2015 and had available data on the presence of lymph-vascular invasion and/or status of peritoneal cytology were selected for further analysis. The impact of a surgical approach on the odds of lymph-vascular invasion and positive peritoneal cytology was calculated after controlling for tumor grade, size, and depth of myometrial invasion.ResultsA total of 74 732 patients who met the inclusion criteria were identified. The rate of minimally invasive hysterectomy was 75.7%. Data on peritoneal cytology status and lymph-vascular invasion were available for 50 185 and 71 641 patients, respectively. A higher proportion of patients who had minimally invasive hysterectomy had positive peritoneal cytology (4.4% vs 2.3%, p<0.001), and presence of lymph-vascular invasion (10.4% vs 9.2%, p<0.001). After controlling for tumor size, tumor grade, and disease substage, the performance of minimally invasive surgery was associated with higher odds of positive peritoneal cytology (OR 2.08, 95% CI 1.83 to 2.37) and presence of lymph-vascular invasion (OR 1.33, 95% CI 1.25 to 1.41). After controlling for confounders there was no difference in survival between open and minimally invasive surgery groups (HR 0.93, 95% CI 0.85 to 1.004).ConclusionsMinimally invasive surgery may be associated with a higher incidence of positive peritoneal cytology and lymph-vascular invasion among patients with early stage endometrioid endometrial cancer. There was no difference in overall survival between patients who had laparotomy or minimally invasive surgery.

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Minimally invasive surgery for cervico-mediastinal tumors: the choice of surgical approach

Khirurgiya Zhurnal im N I Pirogova ◽

10.17116/hirurgia202111147 ◽

2021 ◽

pp. 47

Author(s):

A.V. Podobed

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Surgical Approach ◽

Mediastinal Tumors

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New surgical approach of retrorectal cystic hamartoma using transanal minimally invasive surgery (TAMIS)

Journal of Coloproctology ◽

10.1016/j.jcol.2014.08.004 ◽

2014 ◽

Vol 34 (4) ◽

pp. 260-264 ◽

Cited By ~ 3

Author(s):

Pablo Colsa Gutiérrez ◽

Mahgol Kharazmi Taghavi ◽

Rocío Daniela Sosa ◽

Angel Pelayo Salas ◽

Victor Jacinto Ovejero ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Surgical Approach ◽

Transanal Minimally Invasive Surgery ◽

Retrorectal Cystic Hamartoma ◽

Cystic Hamartoma

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Population perception of surgical approach in minimally invasive surgery

Canadian Urological Association Journal ◽

10.5489/cuaj.2116 ◽

2015 ◽

Vol 9 (1-2) ◽

pp. 1 ◽

Cited By ~ 3

Author(s):

Shogo Inoue ◽

Mitsuru Kajiwara ◽

Jun Teishima ◽

Akio Matsubara

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Surgical Approach ◽

Young Female ◽

Surgical Approaches ◽

Paramedical Staff ◽

The Impact

Introduction: The aim of this study was to better understand the impact that public opinion might have on surgical approaches in urologic minimally invasive surgery (MIS).Methods: We collected surveys from 400 participants, including the general population (n = 220) and paramedical staff (n = 180). Participants were anonymous. The survey included 16 questions on the characteristics and preference for the surgical approach if a urologic MIS were performed on them.Results: The responders preferred the transumbilical approach (57.0%) to the subcostal approach (43.0%). In particular, the preference for a transumbilical approach was significantly higher in females (65.1% vs. 49.3%, p = 0.0014). Similarly, when participants were divided into two groups (<50 years and >50 years), the preference for the transumbilical approach was significantly higher in the younger group (60.8% vs. 48.0%, p = 0.0187). Logistic regression analysis revealed that preference for this approach was about 2 times more likely to rise in the females (p = 0.032).Conclusions: Preference for the transumbilical approach was significantly higher young female respondents. This patient subset most values the cosmetic benefits of transumbilical approach in urologic MIS.

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Minimally invasive surgery to improve time to chemotherapy in colon cancer: Compliance to the American College of Surgeons Commission on Cancer quality metrics.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.4_suppl.712 ◽

2017 ◽

Vol 35 (4_suppl) ◽

pp. 712-712

Author(s):

Sinziana Dumitra ◽

Rebecca A. Nelson ◽

Vasilena Zheleva ◽

Mustafa Raoof ◽

Lily L. Lai

Keyword(s):

Colon Cancer ◽

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Surgical Approach ◽

Quality Metrics ◽

Stage Iii ◽

Factors Associated ◽

Stage Iii Colon Cancer ◽

American College Of Surgeons

712 Background: One of the American College of Surgeons Commission on Cancer (ACS CoC) quality measures in colon cancer is receipt of chemotherapy (CT) in Stage III disease within 120 days of diagnosis. Minimally invasive surgery (MIS) has been associated with faster recovery times. The aim of this study is to assess whether MIS improves compliance to this metric. Methods: Stage III colon cancer patients 80 years old and younger from 2010 to 2012 were identified in the National Cancer Database. Demographic, tumor and treatment characteristics were evaluated including receipt of CT and surgical approach. Uni- and multi-variate logistic regression was used to assess factors associated with CT compliance. Results: Of the 19,963 patients identified, 14,901(74.6%) were compliant while 5,062 (25.3%) were not. Of the patients who were non-compliant, 956 (4.8%) received CT after 120 days. Surgical approach was significantly different between CT compliant and non-compliant groups (MIS 28% vs 32%,p < 0.000). Uni- and multi-variate analyses identified MIS as a significant factor associated with improved compliance to CT with an OR of 1.31 (95%CI 1.22-1.41). Other factors associated with CT compliance were nodal and tumor stage and treatment in an academic program. Non-compliance was associated with age 50-64 (OR 0.76; 95%CI 0.68-0.86), age 65-79 (OR 0.49; 95%CI 0.43-0.56) and increased co-morbidities (OR 0.60; 95%CI 0.53-0.67). Lack of insurance (OR 0.69; 95%CI 0.58-0.81) or Medicaid (OR 0.54; 95%CI 0.47-0.62) and Medicare (OR 0.69; 95%CI 0.63-0.77) as well as distance to hospital of more than 44 miles were also associated with non-compliance to CT (OR 0.86; 95%CI 0.76-0.97). Conclusions: This is the first study to demonstrate that MIS for Stage III colon cancer improves compliance to receipt of CT within the 120 days. Given the potential survival benefits as a result of adherence to ACS CoC cancer care quality metrics, MIS may benefit patients not only in faster return to recovery but also in improved cancer outcomes.

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Minimally invasive surgery in treatment of congenital heart diseases

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2019.1.4 ◽

2019 ◽

Vol 9 (1) ◽

Author(s):

Công Hiếu Lương ◽

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Congenital Heart Defects ◽

Invasive Surgery ◽

Surgical Approach ◽

Congenital Heart ◽

Heart Defects ◽

Video Assisted ◽

Group 2 ◽

Group 1

Tóm tắt Đặt vấn đề: Phẫu thuật tim ít xâm lấn phát triển mạnh trên thế giới và đã được chứng minh đem lại nhiều lợi ích cho người bệnh. Chúng tôi thực hiện nghiên cứu này nhằm đánh giá tính khả thi và an toàn của kĩ thuật phẫu thuật ít xâm lấn điều trị các dị tật tim bẩm sinh. Phương pháp nghiên cứu: Đây là nghiên cứu mô tả hàng loạt ca được thực hiện tại khoa Phẫu thuật tim mạch Bệnh viện Đại học Y Dược thành phố Hồ Chí Minh. Tất cả các người bệnh có dị tật tim bẩm sinh được phẫu thuật ít xâm lấn sửa chữa dị tật từ tháng 7/2014 đến 7/2018 được thu thập số liệu. Kết quả: Tổng cộng có 134 trường hợp: mở ngực phải có nội soi hỗ trợ (nhóm 1): 62 ca (46%), mở ngực nhỏ giữa xương ức (nhóm 2): 72 ca (54%). Nhóm 1: tuổi trung bình 27.6 ± 14,7 tuổi (6 – 63 tuổi), tỷ lệ nam : nữ là 1:2,1, cân nặng trung bình 47,0 ± 9,9 kg (16 – 60kg). Nhóm 2 : tuổi trung bình 6,5 ± 4,3 tuổi (1 – 24 tuổi), tỷ lệ nam: nữ là 1,4:1, cân nặng trung bình 12 kg (7,5 – 54 kg). Các dị tật bẩm sinh được phẫu thuật: thông liên nhĩ, thông liên thất, kênh nhĩ thất bán phần, tim ba buồn nhĩ, bất thường hồi lưu tĩnh mạch phổi. Các kỹ thuật phẫu thuật được thực hiện: vá thông liên nhĩ, vá thông liên thất, sửa van 2 lá, sửa van 3 lá, sửa chữa bất thường hồi lưu tĩnh mạch phổi. Trong 2 nhóm, người bệnh được rút nội khí quản sớm (3-6 giờ sau mổ), thời gian nằm hồi sức tim trung bình 2 ngày, thời gian nằm viện sau mổ trung bình là 5 ngày và không có trường hợp tử vong. Kết luận: Phẫu thuật ít xâm lấn sửa chữa dị tật bẩm sinh khả thi và an toàn. Đường mổ ít xâm lấn ngực phải có sự hỗ trợ của nội soi cũng như đường mở ngực giữa nửa xương ức giúp tiếp cận tốt các tổn thương bẩm sinh: thông liên nhĩ, thông liên thất, tổn thương van nhĩ thất … để thực hiện các thao tác sửa chữa. Abstract Introduction: The concept of minimally invasive surgery for congenital heart disease in pediatric surgery is accepted worldwide with the aim to reduce trauma during operation. Since 2014, we have adopted a minimally surgical approach to manage the congenital heart defects. We conduct the study to identify the effectiveness and the safety of this approach. Material and Methods: Between July 2014 and July 2018, all patients who underwent a minimally invasive surgical approach at the University Medical center HCMC, were enrolled. The database including the outcomes, patients clinical conditions and satisfaction at follow-up were collected and analyzed. Results: There were 134 patients with congenital heart defects underwent minimally invasive repair. Group 1 (right video-assisted minithoracotomy): 62 patients (46%), group 2 (midline ministernotomy): 72 patients (54%). Group 1: mean age 27.6 ± 14.7ys (6 – 63 ys), male/ female ratio was : 1:2.1. Group 2: mean age 6.5 ± 4.3ys (1 – 24 ys), male/ female ration was : 1.4:1. The congenital heart defects are ASD, VSD, AVSD, Cor-triatristum, PAPVR, etc. Procedure performed are ASD closure, VSD closure, pulmonary veins rerouting, AV valve repair, etc. In both groups, all patients were removed the endotracheal tube within 3-6 hours, and discharged within 5-7 days. There was no mortality in this series. Conclusion: Approach and repair the congenital heart defects via right video- assisted thoracotomy and minimally midline sternotomy are safe and effective. Keyword: Minimally invasive approach; Congenital heart defects.

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