Laparoscopic sleeve gastrectomy (LSG) is being performed more frequently and is currently very “trendy” among laparoscopic surgeons involved in bariatric surgery. Laparoscopic sleeve gastrectomy is associated with a marked reduction of ghrelin secretion, which is produced by the gastric fundus involved in mealtime hunger regulation, and it is also known to extend several diabetogenic effects.

The aim of this study is to assess the short- and long-term effects of LSG on body weight and glucose homeostasis in morbidly obese diabetic patients.

This is a prospective study that was conducted on 40 diabetic patients randomly selected suffering from morbid obesity that had type II diabetes mellitus (T2DM). Patients were managed by LSG in AL-Zahraa Hospital, Faculty of Medicine for girls, Al-Azhar University, from January 2012 to December 2015, to assess the short- and long-term effects of the procedure on glucose homeostasis.

The study was conducted on 40 patients of morbid obesity that had T2DM. The preoperative mean fasting blood glucose (FBG) level was 209.3 ± 36.6 (156–299) mg/dL and postoperatively was 172.5 ± 29 (130–250) mg/dL, 125.6 ± 16.7 (99–169) mg/dL, 111.7 ± 20.9 (77–167) mg/dL, 105 ± 18.3 (73–137) mg/dL, and 102.9 ± 21 (70–145) mg/dL at 1 day and 3, 6, 9, and 12 months respectively. Postoperatively, the FBG levels were improved with significant declining at 1 day (p < 0.001), 3 months (p < 0.001), and 6 months (p < 0.004) but nonsignificant declining at 9 months (p < 0.25) and 12 months (p = 1).

Laparoscopic sleeve gastrectomy is an effective surgical treatment for most severely or morbidly obese patients with DM. Weight loss is effective treatment for patients with these medical problems. The SG is associated with a high rate of resolution of T2DM at 12 months after surgery in severely obese patients with T2DM.

Abdelmohsen M, Badr H. Short- and Long-term Effects of Laparoscopic Sleeve Gastrectomy on Body Weight and Glucose Homeostasis in Diabetic Patients. World J Lap Surg 2017;10(2):45-50.

Bagadia R, Kanabar V. Can Laparoscopic Chromopertubation with Methylene Blue Dye cause Anaphylactic Reactions like Pulmonary Edema? World J Lap Surg 2017;10(2):51-53.

Prasad BT. LINX Magnetic Esophageal Sphincter Augmentation vs Laparoscopic Nissen Fundoplication for Gastroesophageal Reflux Disease. World J Lap Surg 2017;10(2):54-56.

Krishna JR. Telerobotic Surgery: Transcending Barriers. World J Lap Surg 2017;10(2):57-60.

The purpose of our systematic review is to clarify the current data in the domain of colorectal surgery regarding minimally invasive surgery (MIS).

Two new methods have been recently introduced in the MIS arena. Most of the studies are in favor of robotic surgery (RS), whereas the literature lacks statistically significant results.

Totally, only 19 articles fulfilled the prerequisites and our research was mainly based on meta-analyses. Some parameters were established, in order to investigate the oncologic and clinical outcomes. Heterogeneity is the existing condition, which means that robotics is more beneficial than laparoscopic surgery in some parameters in a specific procedure and the opposite.

There is no clear conclusion in the literature whether RS is indeed more advantageous than laparoscopic ones, so it is recommended that long-term meta-analyses and reviews be conducted, in order to specify the effectiveness of each method in every surgical procedure.

It would be really beneficial for the patients to be informed in detail of the clinical and oncologic outcomes for each method.

Kirmanidis MA, Keskinis C. Reviewing the Comparison of Robotic Colectomy with the Laparoscopic Ones of All the Procedures based on Determined Parameters. World J Lap Surg 2017;10(2):61-65.

This review describes the role of laparoscopy in patients with blunt abdominal trauma.

Keywords, such as laparoscopy, blunt, abdominal, trauma were entered into PubMed search engine and filtered for peer-reviewed articles written in the last 5 years.

The findings from these articles are collated and discussed.

Laparoscopy is a safe approach both for diagnosis and treatment of patients with blunt abdominal trauma and is associated with the benefits of laparoscopic approach.

Nnamonu MI. Laparoscopy in Blunt Abdominal Trauma. World J Lap Surg 2017;10(2):66-68.

Osseous metaplasia of endometrium is a rare disorder characterized by the presence of mature or immature bone in the endometrium. The rarity of the case and high probability of missing out, which may lead to delay in appropriate treatment, makes this case of interest.

A 37-year-old lady, married for 10 years P2L2 with previous two lower-segment cesarean section, presented to the gynecology outpatient department with complaints of secondary infertility for past 7 years, irregular menstrual cycles, dysmenorrhea, and dyspareunia. Her general examination and bimanual exploration were normal. On ultrasonography, an echogenic foci was seen casting posterior acoustic shadow. On diagnostic laparohysteroscopy, multiple small coral-like white plaques–bony spicules were seen. They were removed using hysteroscopic forceps and submitted for histopathological study. A histological diagnosis of osseous metaplasia of endometrium was made. She is on follow-up for infertility treatment.

Endometrial ossification is a rare finding, which can be misdiagnosed and requires higher degree of suspicion to diagnose the condition properly. Hysteroscopy has been shown to be effective in the diagnosis and treatment of cases of osseous metaplasia of the endometrium associated with infertility.

Gupta G, Mahindru D, D’Souza A, Goyal S. Osseous Metaplasia of Endometrium: A Very Rare Entity. World J Lap Surg 2017;10(2):69-72.

Situs inversus totalis (SIT) is an entity in which there is transposition of both the abdominal and thoracic organs. Presentation of acute abdomen in a case of SIT poses a challenge to the treating surgeon. We present a rare case report in which we identify the role of laparoscopy in confirming acute appendicitis with a simultaneous left paraovarian hemorrhagic cyst as a cause of left iliac fossa pain.

A 17-year-old female presented with pain in the left lower abdominal quadrant. Ultrasonography and computed tomography confirmed a left-sided inflamed appendix and a left paraovarian hemorrhagic cyst along with transposition of other organs. A diagnostic laparoscopy was done to confirm the diagnosis with subsequent appendectomy and cyst enucleation as a definitive treatment for left iliac fossa pain.

Management of acute abdomen in a case of SIT can be challenging, keeping in mind the transposed organs and also that the nervous supply may still be normal in up to 50% of the cases. The role of diagnostic laparoscopy is pertinent in arriving at diagnosing and treatment of the underlying pathology or pathologies as in our case.

Deolekar SS, Mohare D, Sharma A. Management of Acute Appendicitis and Left Paraovarian Cyst in a Case of Situs Inversus Totalis by Laparoscopy. World J Lap Surg 2017;10(2):73-76.

Alhomoud H, Abdelmohsen M. Xanthogranulomatous Cholecystitis. World J Lap Surg 2017;10(2):77-79.

Alhomoud H, Abdelmohsen M. Gastric Fistula as a Complication of Splenectomy: Case Report and Literature Review. World J Lap Surg 2017;10(2):80-81.