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Foix-Alajouanine syndrome caused by MRI occult thoracic ventral perimedullary arteriovenous fistula: illustrative case.
[BACKGROUND] Foix-Alajouanine syndrome (FAS) is a subacute, progressive spinal cord disorder that usually shows abnormalities on spinal cord MRI. Here, the authors report a case of FAS that showed no abnormalities on MRI and was treated. […
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The visuo-operative angle: computational 3D assessment of surgical trajectories toward irregular target areas in skull base corridors.
[OBJECTIVE] The aim of this study was to introduce the visuo-operative angle (VOA) as a novel neuroanatomical metric for quantifying surgical exposure and visibility in skull base microsurgery. The VOA measures the alignment between surgica…
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Diagnostic accuracy of 1,000 endorectal ultrasounds before transanal endoscopic microsurgery for rectal neoplastic lesions.
[INTRODUCTION] Endorectal ultrasound (EUS) is an essential tool for local staging of rectal neoplasia; however, its diagnostic accuracy in distinguishing non-invasive from invasive lesions before transanal endoscopic microsurgery (TEM) rema…
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A Novel Robot-Assisted Access in Endodontic Microsurgery Combined with Sinus Floor Elevation for Maxillary First Molar.
Endodontic microsurgery (EMS) is an important treatment option for endodontic disease when the nonsurgical endodontic treatment fails. However, EMS for maxillary molars often presents a clinical challenge due to the root apex close to the m…
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Flexible Endoscopic Laser Surgery for Glottic Carcinoma After Radiotherapy Failure: A First Experience.
[BACKGROUND] Surgery is the only salvage treatment for radiotherapy (RT) failures in glottic carcinoma management, and total laryngectomy is performed in the majority of cases, resulting in a substantial decline in the quality of life for …
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Trends in management and healthcare resource utilization for achalasia following adoption of per-oral endoscopic myotomy.
[BACKGROUND] Per-oral endoscopic myotomy (POEM), Heller myotomy (HM), and pneumatic dilation (PD) offer definitive interventions of achalasia, but comparative analysis of long-term healthcare resource utilization is not well described. This…
- Endoscopic ultrasound-guided botulinum toxin injection to prevent mis-injection: improving safety and potential efficacy in spastic esophageal disorders.
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Atypical Respiratory Presentation of Pediatric Achalasia: A Case Report.
Esophageal achalasia is a rare smooth muscle disorder characterized by the absence of peristalsis and impaired relaxation of the lower esophageal sphincter (LES), ultimately leading to obstruction and impaired bolus transit. Pediatric achal…
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Naltrexone as an Antipruritic Agent for Surgical Scar Pruritus.
Naltrexone is a competitive opioid receptor antagonist that is FDA-approved for the treatment of alcohol and opioid use disorders. It is also used as an off-label treatment for a plethora of conditions spanning multiple specialties, includi…
- Endoscopic Submucosal Dissection (ESD) vs Transanal Minimally Invasive Surgery (TAMIS) is not ESD vs Transanal Endoscopic Microsurgery (TEM).
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Which prognostic factors for recurrence after transanal endoscopic microsurgery for early rectal cancer?
[BACKGROUND] Transanal endoscopic microsurgery (TEM) enables the local excision of rectal neoplasms with minimal invasiveness; however, the long-term oncologic safety for pTis and pT1 lesions, as well as the significance of traditional hist…
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Electromagnetic Actuated Single-Element Ultrasonic Imaging for Minimally Invasive Spine Surgery.
[OBJECTIVE] transkeyhole microsurgery for spinal cord tumors requires intraoperative imaging guidance to ensure safe and effective tumor resection. Although optical endoscopy has been widely adopted in clinical settings, it's limited to vis…
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Achalasia in Geriatric Patients: A Comprehensive Overview.
[PURPOSE] Achalasia is an uncommon primary esophageal motility disorder characterized by impaired relaxation of the lower esophageal sphincter and esophageal body peristalsis, with a rising prevalence among the elderly due to global populat…
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Transanal endoscopic microsurgery (TEM) for rectal GI stromal tumour.
[BACKGROUND] Rectal gastrointestinal stromal tumours (GIST) are uncommon and technically challenging to treat due to the confined pelvic anatomy and proximity to the anal sphincter complex. The oncological goal of surgery is R0 resection, b…
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Peritoneal opening during transanal endoscopic microsurgery: can preoperative positioning assessment improve intraoperative management?
[BACKGROUND] Peritoneal opening (PO) during transanal endoscopic microsurgery (TEM) can cause the pneumorectum to collapse and complicate the procedure. As indications expand to larger, more proximal rectal lesions, understanding the real-w…
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Stepwise organ-preserving management of incidental pT1 rectal adenocarcinoma: outcomes after completion transanal endoscopic microsurgery (TEM).
[BACKGROUND] Accurate in vivo assessment of rectal lesion invasion remains challenging despite advances in high-definition endoscopy and AI-assisted diagnostics. Some lesions resected endoscopically for presumed superficial pathology are ul…
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Single-port robotic-assisted colorectal surgery using the da Vinci SP system: a preliminary noncomparative exploratory cohort study.
[BACKGROUND] Minimally invasive surgery, particularly robotic-assisted platforms like the da Vinci systems, has revolutionized colorectal surgery by improving precision and recovery. The novel da Vinci Single-Port (SP) system enables proced…
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Minimally invasive approaches for early-stage rectal cancer: A comparative analysis from the TriNetX network.
[BACKGROUND] Minimally invasive approaches to manage early-stage rectal cancer have become popular, offering effective treatment with reduced morbidity. Among them, transanal endoluminal surgery (TES) and endoscopic submucosal dissection (E…
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Endoscopic Endonasal Approach Versus Transcranial Microsurgery in the Management of Skull Base Tumors With Optic Chiasm Compression: A Systematic Review and Meta-Analysis.
Skull base tumors, which compress the optic chiasm, include meningiomas, craniopharyngiomas, and pituitary macroadenomas and pose a serious neurosurgical problem. The best surgical route, that is, endoscopic endonasal (EEA) versus microsurg…
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The Effectiveness of Botulinum Toxin Injection for Cricopharyngeal Dysfunction-Related Dysphagia in Nasopharyngeal Carcinoma Patients.
To evaluate the effectiveness of botulinum toxin injection in improving swallowing function in patients with cricopharyngeal muscle dysfunction (CPMD) following radiotherapy for nasopharyngeal carcinoma (NPC). Cohort study. Outpatients with…