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http://dx.doi.org/10.1016/j.cireng.2022.11.002 | DOI Listing |
Eur J Surg Oncol
July 2025
General Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, PISA, Italy.
Introduction: Surgery for resectable gallbladder cancer (GbC) encompasses complex operative management, and evaluating surgical quality through textbook outcome (TO) is crucial. This study aimed to assess TO incidence and impact in a global cohort, identify independent predictors, and evaluate TO rates of minimally invasive (MI) techniques, including robotic (ROB) and laparoscopic (LPS).
Materials And Methods: This cohort study included patients undergoing curative-intent hepatectomy and lymphadenectomy for GbC (T1b-T3) from 2012 to 2023 in 41 hospitals.
Surg Endosc
September 2025
Veterans Health Administration, Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Background: Robotic surgery has been proposed as an approach to mitigate open surgery, which is associated with increased morbidity and worse outcomes when compared to minimally invasive cholecystectomies. The study objective was to determine the effect on conversion rates and outcomes following the adoption of robotic surgery for benign gallbladder disease in a high-risk population.
Methods: Patients ≥ 18 years of age who underwent cholecystectomy for benign gallbladder disease from January 1, 2013 to April 18, 2025 at a Veterans Affairs hospital were retrospectively identified.
Quant Imaging Med Surg
September 2025
Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: The fusion of intraoperative 2D laparoscopic images with preoperative 3D scans offers significant advantages in minimally invasive surgery, such as improved spatial understanding and enhanced navigation. This study aims to enable augmented reality for deformable organs through accurate 2D-3D registration. However, achieving real-time and precise alignment remains a major challenge due to organ deformation, occlusion, and the difficulty of estimating camera parameters from monocular images.
View Article and Find Full Text PDFWorld J Clin Cases
October 2025
Department of Surgery, Good Samaritan Hospital, Mt Vernon, IL 62864, United States.
Background: Mirizzi syndrome is a rare complication of chronic gallstone disease in which an impacted stone causes compression or erosion of the common hepatic duct. Accurate preoperative diagnosis is crucial but often challenging. We report a case that was preoperatively diagnosed as type 1 Mirizzi syndrome but was found intraoperatively to be type 4, involving a cholecysto-biliary fistula and complete erosion of the common hepatic duct.
View Article and Find Full Text PDFJ Robot Surg
August 2025
Department of General Surgery, Queen Alexandra Hospital, Portsmouth, UK.
Emergency general surgery (EGS) represents a significant global healthcare burden. While minimally invasive techniques such as laparoscopy have become standard in elective and emergency settings, the adoption of robot-assisted approaches in EGS (REGS) has been more gradual. The expanding interest in REGS necessitates a comprehensive evaluation of its current role, outcomes, cost implications, and implementation strategies.
View Article and Find Full Text PDF