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Since laparoscopic surgery became the gold standard for colorectal procedures, specific skills are required to achieve good outcomes. The best way to acquire basic and advanced skills and reach the learning curve plateau is by using dedicated simulators: box-trainers, video-trainers and virtual reality simulators. Laparoscopic skills training outside the operating room is cost-beneficial, faster and safer, and does not harm the patient.

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Short-term gut microbiota's shift after laparoscopic Roux-en-Y vs one anastomosis gastric bypass: results of a multicenter randomized control trial.

Surg Endosc

November 2024

General Surgery Division, Sant'Andrea Hospital, Department of Medical Surgical Sciences and Translational Medicine and Department of Medical-Surgical Sciences and Biotechnologies, University "La Sapienza" of Rome, Via Di Grottarossa N. 1035, 00189, Rome, Italy.

Article Synopsis
  • This study compares two popular weight loss surgeries, Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB), focusing on how these procedures affect gut microbiota over a two-year period.
  • Researchers collected fecal and blood samples from 54 severely obese patients before and after surgery, finding that both procedures led to significant changes in the gut microbiome and overall nutritional parameters.
  • The study concludes that while both surgeries resulted in substantial shifts in gut bacteria composition, the specific technique used did not significantly affect these changes, suggesting that gut microbiota could be a potential indicator of post-surgery outcomes.
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Vaginal natural orifice transluminal endoscopic surgery (vNOTES) for colorectal cancer utilizes transvaginal access for bowel mobilization, vascular pedicle ligation, oncological resection, and bowel anastomosis, along with subsequent transvaginal natural orifice specimen extraction (NOSE), reducing or eliminating the need for transabdominal access. In this report, we describe the technique of vNOTES right hemicolectomy for cecal cancer, with intracorporeal anastomosis and transvaginal NOSE, including a step-by-step operative video. The patient was a 59-year-old Chinese female (body mass index 32.

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Background: Minimally invasive treatments for spinal cord tumours are common. The aim of this study was to compare the perioperative outcomes of patients with thoracic extramedullary spinal tumours (TEST) treated by microendoscopic minimally invasive surgery-hemilaminectomy through a homemade tubular retractor (MIS-TR) and microscopic full laminectomy (open surgery).

Methods: Between February 2016 and February 2021, 51 patients with TEST were included.

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