Title: Percutaneous Endoscopy in the Management of Intra-abdominal Complex Disorders
Version: 1 Date: 21 May 2025
Reviewer's report:
This manuscript is an article of percutaneous endoscopy for intra-abdominal complex disorder.
Intra-abdominal procedures using a flexible endoscope are interesting. Observing the abdominal
cavity and a biopsy-like procedure seems feasible. However, it does not seem to be superior
to a conventional laparoscope. Author should revise this manuscript according to reviewer’s
comments following below.
1. The authors should provide a theoretical explanation of the advantages of percutaneous
endoscopy compared to laparoscopy. Although the comparison with laparoscopy is mentioned
on page 9, line 23 to page 10, line 3, it is not sufficient. It is believed that laparoscopy is
more maneuverable and has better visibility in the abdominal cavity. Previously, laparoscopy
was performed under local anesthesia. In addition, with needle forceps, the destruction of the
abdominal wall is not much different.
2. The author needs to explain how much more costly and time consuming it would be to perform
this procedure laparoscopically.
3. The author needs to explain why general anesthesia is not used.
Wouldn't the patient suffer if the pneumoperitoneal pressure is 10-13 mmHg?
4. The author needs to describe the diseases for which this technique is not indicated.
Title: Percutaneous Endoscopy in the Management of Intra-abdominal Complex Disorders
Version: 1 Date: 21 May 2025
Reviewer's report:
This manuscript is an article of percutaneous endoscopy for intra-abdominal complex disorder.
Intra-abdominal procedures using a flexible endoscope are interesting. Observing the abdominal
cavity and a biopsy-like procedure seems feasible. However, it does not seem to be superior
to a conventional laparoscope. Author should revise this manuscript according to reviewer’s
comments following below.
1. The authors should provide a theoretical explanation of the advantages of percutaneous
endoscopy compared to laparoscopy. Although the comparison with laparoscopy is mentioned
on page 9, line 23 to page 10, line 3, it is not sufficient. It is believed that laparoscopy is
more maneuverable and has better visibility in the abdominal cavity. Previously, laparoscopy
was performed under local anesthesia. In addition, with needle forceps, the destruction of the
abdominal wall is not much different.
2. The author needs to explain how much more costly and time consuming it would be to perform
this procedure laparoscopically.
3. The author needs to explain why general anesthesia is not used.
Wouldn't the patient suffer if the pneumoperitoneal pressure is 10-13 mmHg?
4. The author needs to describe the diseases for which this technique is not indicated.
Please review this paper.
user
Title: Percutaneous Endoscopy in the Management of Intra-abdominal Complex Disorders
Version: 1 Date: 21 May 2025
Reviewer's report:
This manuscript is an article of percutaneous endoscopy for intra-abdominal complex disorder.
Intra-abdominal procedures using a flexible endoscope are interesting. Observing the abdominal
cavity and a biopsy-like procedure seems feasible. However, it does not seem to be superior
to a conventional laparoscope. Author should revise this manuscript according to reviewer’s
comments following below.
1. The authors should provide a theoretical explanation of the advantages of percutaneous
endoscopy compared to laparoscopy. Although the comparison with laparoscopy is mentioned
on page 9, line 23 to page 10, line 3, it is not sufficient. It is believed that laparoscopy is
more maneuverable and has better visibility in the abdominal cavity. Previously, laparoscopy
was performed under local anesthesia. In addition, with needle forceps, the destruction of the
abdominal wall is not much different.
2. The author needs to explain how much more costly and time consuming it would be to perform
this procedure laparoscopically.
3. The author needs to explain why general anesthesia is not used.
Wouldn't the patient suffer if the pneumoperitoneal pressure is 10-13 mmHg?
4. The author needs to describe the diseases for which this technique is not indicated.
assistant