{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T15:41:06Z","timestamp":1740152466909,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T00:00:00Z","timestamp":1649030400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Technical Research and Development Project of Shenzhen","award":["No. JCYJ20170307100911479","No. 81800489"],"award-info":[{"award-number":["No. JCYJ20170307100911479","No. 81800489"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No. JCYJ20170307100911479","No. 81800489"],"award-info":[{"award-number":["No. JCYJ20170307100911479","No. 81800489"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Oncology"],"published-print":{"date-parts":[[2022,4,4]]},"abstract":"<jats:p>Background. Ascites is a common clinical finding caused by many different diseases, so we developed a technique termed single orifice percutaneous endoscopic surgery (SOPES) which can access peritoneal cavity through the contralateral McBurney\u2019s point or umbilicus to seek the underlying causes. In this study, we describe the initial clinical experience of SOPES and compare the application of two accesses. Methods. This is a retrospective study performed between 2007 and 2018. Patients with ascites of unknown origin who underwent these two kinds of SOPES were included. Main outcomes were measured by diagnostic accuracy, complication rate, procedure time, time till stitches removal, length of hospital stay, and hospital cost. Results. 148 patients successfully undergone SOPES via the contralateral McBurney\u2019s point (IM group, <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>n<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>70<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>) or the umbilicus (UM group, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>n<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>78<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). 63 patients in the IM group and 71 patients in the UM group reached clear diagnosis (90.0% vs. 91.0%, <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>p<\/e:mi>\n                        <e:mo>=<\/e:mo>\n                        <e:mn>0.831<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). The overall complication rate was 5.4%, while the UM group was higher than the IM group (10.3% vs. 0%, <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>p<\/g:mi>\n                        <g:mo>=<\/g:mo>\n                        <g:mn>0.017<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>). All complications were resolved after medical treatment, and no mortality resulted from this procedure. The procedure time and the time until stitches removal in the UM group were longer than that in the IM group. There were no significant differences in length of hospital stay and hospital cost between the two groups. Conclusions. SOPES, which combines the strength of minimally invasive single orifice incision and flexible angles of examination and instrumentation, is a newly developed flexible endoscopic surgical modality that provides new important clinical valuable in evaluation of ascites of unknown origin. Moreover, SOPES via the contralateral McBurney\u2019s point was safer than the umbilicus approach.<\/jats:p>","DOI":"10.1155\/2022\/1127400","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T03:35:39Z","timestamp":1649129739000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Two Different Accesses Single Orifice Percutaneous Endoscopic Surgery in Diagnosis of Ascites of Unknown Origin: A Retrospective Study"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1521-6245","authenticated-orcid":true,"given":"Li-liangzi","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"},{"name":"Department of Gastroenterology, The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9392-9470","authenticated-orcid":true,"given":"Ben-hua","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5123-9191","authenticated-orcid":true,"given":"Zhi-Chao","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5056-3421","authenticated-orcid":true,"given":"Ming-han","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7426-1372","authenticated-orcid":true,"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Christus Trinity Mother Frances Hospital and Clinic, Tyler, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4021-0817","authenticated-orcid":true,"given":"Feng","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6373-1826","authenticated-orcid":true,"given":"Cheng","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9123-2103","authenticated-orcid":true,"given":"Rui-yue","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1533-5220","authenticated-orcid":true,"given":"Ting-ting","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7728-9672","authenticated-orcid":true,"given":"Ding-guo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3118-6840","authenticated-orcid":true,"given":"De-feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5413-7390","authenticated-orcid":true,"given":"Zheng-lei","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-9089","authenticated-orcid":true,"given":"Hui-ming","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7418-6114","authenticated-orcid":true,"given":"Li-sheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3472-1602","authenticated-orcid":true,"given":"Jun","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shenzhen People\u2019s Hospital (the Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03482.x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(94)70057-5"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3639-y"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1177\/1553350610370968"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2872-0"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0086-7"},{"key":"7","first-page":"199","article-title":"ASGE\/SAGES working group on natural orifice translumenal endoscopic surgery white paper October 2005","volume":"63","author":"S. Asge","year":"2006","journal-title":"Gastrointestinal Endoscopy"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-117-3-215"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200105000-00019"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0117"},{"issue":"1","key":"11","first-page":"109","article-title":"Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy","volume":"87","author":"D. K. Bhargava","year":"1992","journal-title":"The American Journal of Gastroenterology"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.4067\/S0034-98872014000200016"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800801056"},{"issue":"GD01-02","key":"14","article-title":"Laparoscopy-pneumothorax and ocular emphysema, a rare complication-a case report","volume":"8","author":"Y. V. 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