• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Benefits of Needlescopic Surgery – A Systematic Review of the Evidence

Joseph Shaw, Fatima Haggar, Mehar-Un-Nisa Rashid, Reilly Musselman, MD, Husein Moloo, MD, MSc, Joseph Mamazza, MD. Ottawa Hospital Research Institute.

 Needlescopic surgery may be an alternative to conventional laparoscopic surgery as it uses smaller instruments, thereby potentially reducing postoperative pain, hospital stay and improving cosmesis. We performed a systematic review of published randomised controlled trials (RCTs) and nonrandomised comparative studies (non-RCTs) to assess the efficacy of needlescopic surgery in comparison with conventional laparoscopic surgery in patients undergoing intra-abdominal surgeries. We searched The Cochrane Central Register of Controlled Trials, MEDLINE and EMBASE until June 2013. Reference lists of included citations were screened for potentially relevant articles. Continuous variables were compared as weighted mean differences (WMD) and pooled odds ratios (OR) were calculated for categorical variables using a fixed effects model. We identified 36 studies (16 RCTs and 20 non-RCTs), with a total of 2980 participants. Our review included cholecystectomy procedures (14 RCTs and 10 non-RCTs), appendectomy procedures (2 RCTs and 2 non-RCTs), Nissen Fundoplication procedures (2 non-RCTs), Heller Myotomy procedures (2 non-RCTs), inguinal hernioplasty procedures (3 non-RCTs), adrenalectomies (2 non-RCTs) and 1 non-RCT reported on both splenectomy and sympathectomy procedures. Meta-analysis of the cholecystectomy RCT and non-RCT data demonstrated a significant reduction in postoperative length of stay: WMD = -0.15 days, 95% CI = [-0.22 days, -0.07 days]. Rates of overall complications and conversion to open procedure for needlescopic cholecystectomy were not significantly different from the laparoscopic cholecystectomy group. The overall complication rate seems to favour the laparoscopic cholecystectomy group, with higher complication rates associated with needlescopic procedures, although this result was not statistically significant: OR = 1.38, 95% CI = [0.92, 2.05], p = 0.1079. Meta-analysis of pain and cosmesis outcomes was not possible for any of the studies due to the heterogeneity in reported outcomes. However, results from individual studies seem to suggest that needlescopic cholecystectomy and appendectomy procedures are associated with less postoperative pain and improved cosmesis. The only trade-off appears to be a longer operative time for needlescopic surgery procedures. Meta-analysis of the cholecystectomy studies revealed a significantly longer operative time for needlescopic procedures versus laparoscopic procedures: WMD = 8.52 min, [6.81 min, 10.24 min]. Meta-analysis of the appendectomy studies revealed a significantly longer operative time for needlescopic procedures as well: WMD = 7.24 min, [3.96 min, 10.51 min]. Needlescopic surgery appears to offer some benefits to patients requiring intra-abdominal surgery as compared to the laparoscopic approach, particularly with regard to postoperative pain and cosmetic outcomes. However, larger studies using standardised assessment tools are necessary to confirm or refute these findings.

View Poster

1,082

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2014 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons