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Digestive Surgery

Yeong-Chan Kim, Jun-Won Chung, Jeong-Heum Baek, Won-Suk Lee, Doojin Kim, Yeon-Ho Park, Jun-Young Yang, Woon-Kee Lee
BACKGROUND: Right colonic diverticulitis (RCD) is more common in Asian countries than in Western countries, and the risk factors for recurrence of RCD are not fully understood. The objective of this study was to assess the risk factors for recurrence of RCD. METHODS: We analyzed 296 patients admitted for treatment of RCD in the Gachon University Gil Medical Center from December 2001 to October 2014. Gender, age, BMI, obesity, hypertension, diabetes mellitus, alcohol consumption, smoking, Hinchey classification, and hospital stay were investigated as risk factors for recurrence...
November 8, 2018: Digestive Surgery
Benedikt Kaufmann, Daniel Hartmann, Jan G D'Haese, Pavel Stupakov, Dejan Radenkovic, Beat Gloor, Helmut Friess
One of the main reasons for the dismal prognosis of pancreatic ductal adenocarcinoma (PDAC) is its late diagnosis. At the time of presentation, only approximately 15-20% of all patients with PDAC are considered resectable and around 30% are considered borderline resectable. A surgical approach, which is the only curative option, is limited in borderline resectable patients by local involvement of surrounding structures. In borderline resectable pancreatic cancer (BRPC), neoadjuvant treatment regimens have been introduced with the rationale to downstage and downsize the tumor in order to enable resection and eliminate -microscopic distant metastases...
November 8, 2018: Digestive Surgery
Yuki Ushimaru, Kiyokazu Nakajima, Tsuyoshi Takahashi, Makoto Yamasaki, Masaki Mori, Yuichiro Doki
BACKGROUND: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate. METHODS: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained...
October 10, 2018: Digestive Surgery
Jeremy Meyer, Nicolas C Buchs, Frédéric Ris
No abstract text is available yet for this article.
October 10, 2018: Digestive Surgery
Mingzhe Ma, Jun Wang, YiRen Hu, Mingzhe Weng, Xiaowen Liu, YaNong Wang
BACKGROUND: It is known that inflammation promotes cancer development. However, a few studies have evaluated the prognostic significance of inflammatory biomarkers in gastric cancer (GC). METHODS: In this study, 2,334 patients who underwent gastrectomy for GC at Fudan University Shanghai Cancer Center between 2003 and 2007 were retrospectively analyzed, and 1,227 patients were found to be eligible. The preoperative serum neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio (LMR), and albumin/globulin ratio (AGR) levels were analyzed...
October 9, 2018: Digestive Surgery
Artem Dyatlov, Mahir Gachabayov, Roberto Bergamaschi
No abstract text is available yet for this article.
October 2, 2018: Digestive Surgery
George Ramsay, Duncan T Ritchie, Craig MacKay, Craig Parnaby, Graeme Murray, Leslie Samuel
BACKGROUND: Outcomes in locally advanced rectal cancer are improved by neoadjuvant therapy followed by surgical resection. Some patients respond completely to preoperative treatment. Therefore, predicting the pathological response to preoperative therapy is of clinical importance. Accurate prediction would allow for tailored approaches to neoadjuvant therapy. METHODS: All patients undergoing resection of rectal adenocarcinoma after neoadjuvant therapy between 2006 and 2015 were included in this cohort study...
September 28, 2018: Digestive Surgery
Frederike A B Grimme, Maarten F J Seesing, Richard van Hillegersberg, Frits van Coevorden, Koert P de Jong, Iris D Nagtegaal, Cornelis Verhoef, Johannes H W de Wilt
BACKGROUND: This study aims to evaluate the feasibility and safety of resection of sarcoma liver metastases, and to identify possible prognostic factors for long-term survival. METHODS: All patients who underwent resection of liver metastases of sarcoma in the Netherlands from 1998 to 2014 were included. Study data was retrospectively collected from patient files. Survival rates were calculated using Kaplan-Meier survival analysis. RESULTS: Some 38 patients treated in 16 hospitals were included (15 male, 23 female)...
September 25, 2018: Digestive Surgery
Yoshito Tomimaru, Hidetoshi Eguchi, Hiroshi Wada, Yuichiro Doki, Masaki Mori, Hiroaki Nagano
BACKGROUND/AIM: Inferior vena cava (IVC) resection and reconstruction with concomitant liver resection sometimes represent the only chance for patients with liver tumors involving the IVC to get cured. However, surgical outcomes of liver resection with IVC resection and reconstruction using an artificial vascular graft have not been well investigated. METHODS: Out of a total of 1,179 cases, only 12 involving liver resection between 1998 and 2016 at our institution included IVC resection and reconstruction using an artificial vascular graft...
September 25, 2018: Digestive Surgery
Berend Jan van der Wilk, Ben M Eyck, Manon C W Spaander, Roelf Valkema, Sjoerd M Lagarde, Bas P L Wijnhoven, J Jan B van Lanschot
BACKGROUND: Active surveillance after neoadjuvant therapies has emerged among several malignancies. During active surveillance, frequent assessments are performed to detect residual disease and surgery is only reserved for those patients in whom residual disease is proven or highly suspected without distant metastases. After neoadjuvant chemoradiotherapy (nCRT), nearly one-third of esophageal cancer patients achieve a pathologically complete response (pCR). Both patients that achieve a pCR and patients that harbor subclinical disseminated disease after nCRT could benefit from an active surveillance strategy...
September 18, 2018: Digestive Surgery
Manabu Yamamoto, Hiroaki Saito, Chihiro Uejima, Akimitsu Tanio, Seigo Takaya, Keigo Ashida, Yoshiyuki Fujiwara
BACKGROUND: Although preoperative lymphopenia is reportedly a prognostic factor in cancer patients, the association between postoperative lymphopenia and patient prognosis has not been widely studied. METHODS: We enrolled 379 patients who underwent surgery for colorectal cancer (CRC) to analyze correlations among pre- and postoperative lymphocyte counts (LCs) and prognosis in patients with CRC. RESULTS: Pre- and postoperative LCs were significantly correlated (r = 0...
September 14, 2018: Digestive Surgery
Kazunosuke Yamada, Shunsuke Tsukamoto, Hiroki Ochiai, Dai Shida, Yukihide Kanemitsu
INTRODUCTION: The clinical benefit of extended lymphadenectomy for synchronous extraregional lymph node metastasis, such as para-aortic lymph node (PALN) metastasis in colorectal cancer, remains highly controversial. AIM: To evaluate the clinical benefit of PALN dissection in colorectal cancer patients with synchronous PALN metastasis with or without multiorgan metastases. METHODS: Thirty-six patients with pathologically positive PALN metastasis below the renal veins who underwent concurrent PALN dissection and primary colorectal cancer resection from January 1984 through September 2011 at the National Cancer Center Hospital in Tokyo, Japan, were included in this retrospective cohort study...
July 25, 2018: Digestive Surgery
Rüdiger Braun, Hans-Peter Bruch, Tobias Keck, Claudia Benecke, Martin Hoffmann
BACKGROUND: Despite multimodal treatment strategies, locoregional recurrence rates are still significant in colorectal carcinoma (CRC). METHODS: Clinical, pathological, perioperative, and survival data of 203 patients with recurrent CRC enlisted in a prospective database from 1990 to 2011 were analyzed. RESULTS: Median disease-free survival in our cohort of 203 patients was 23 months after resection of the primary tumor. In total, 113 of these patients had surgical therapy with resection of the recurrent tumor...
July 20, 2018: Digestive Surgery
Simone Conci, Andrea Ruzzenente, Francesca Bertuzzo, Tommaso Campagnaro, Alfredo Guglielmi, Calogero Iacono
BACKGROUND: Total dorsal pancreatectomy (TDP) is a conservative pancreatic resection that should be considered in cases of benign or low malignant tumors confined to the dorsal pancreas to preserve the viability of both digestive and biliary tracts, and to avoid the endocrine and metabolic consequences of total pancreatectomy. We report a new case of TDP and provide a literature review of this procedure. METHODS: The case reported was a 35-year-old female patient with a solid pseudopapillary tumor...
July 13, 2018: Digestive Surgery
Chinock Cheong, Seung Yeop Oh, Soo Jeong Choi, Kwang Wook Suh
BACKGROUNDS/AIMS: On the basis of acceptable oncologic results, ultralow anterior resection (ULAR) and colo-anal anastomosis plus hand-sewn coloanal anastomosis have been performed for treating very low-lying rectal cancer. However, many patients experience bowel dysfunction after ULAR. Studies have provided inadequate data on bowel dysfunctions and only a few functional studies have focused on low rectal cancer. Therefore, we aimed to elucidate the severity of bowel dysfunction after ULAR in a single-surgeon cohort...
July 10, 2018: Digestive Surgery
Fortuné M K Elekonawo, Manon M D van der Meeren, Geert A Simkens, Johannes H W de Wilt, Ignace H de Hingh, Andreas J A Bremers
BACKGROUND: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is associated with considerable postoperative morbidity, including ileus and infectious complications. Perioperative care is believed to be an important factor for the development and treatment of postoperative morbidity. PATIENTS AND METHODS: Data on case-matched patients from a retrospective database of 2 Dutch HIPEC centres was compared. Patient selection and procedures were identical in both hospitals although perioperative management items differ slightly...
July 6, 2018: Digestive Surgery
Hiroaki Niitsu, Hiroaki Tsumura, Tetsuya Kanehiro, Hiroaki Yamaoka, Hiroyuki Taogoshi, Naoki Murao
AIM: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. METHODS: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck's canal (type I), round ligament (type II), or subcutaneous area (type III)...
July 5, 2018: Digestive Surgery
Alberto Biondi, Domenico D'Ugo, Ferdinando Cananzi, Stefano Rausei, Federico Sicoli, Francesco Santullo, Antonio Laurino, Laura Ruspi, Francesco Belia, Vittorio Quagliuolo, Roberto Persiani
INTRODUCTION: The role of gastric resection in treating metastatic gastric adenocarcinoma is controversial. In the present study, we reviewed the short- and long-term outcomes of stage IV patients undergoing surgery. METHODS: A retrospective review was conducted that assessed patients undergoing elective surgery for incurable gastric carcinoma. Short- and long-term results were evaluated. RESULTS: A total of 122 stage IV gastric cancer patients were assessed...
June 26, 2018: Digestive Surgery
Shinya Hayami, Masaki Ueno, Manabu Kawai, Toshiyuki Kuriyama, Tomoyuki Kawamata, Hiroki Yamaue
BACKGROUND/AIMS: Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal. METHODS: Between September and December 2014, a retrospective cohort study was conducted on 120 patients who underwent epidural anesthesia and major abdominal surgery. To observe trends in incidence of POUR, we analyzed the order and interval of removal of epidural and urethral catheters using Cochran-Armitage trend test...
June 26, 2018: Digestive Surgery
Kosei Takagi, Yuzo Umeda, Ryuichi Yoshida, Daisuke Nobuoka, Takashi Kuise, Takuro Fushimi, Toshiyoshi Fujiwara, Takahito Yagi
BACKGROUND/AIMS: Postoperative mortality and morbidity rates after hepato-pancreato-biliary (HPB) surgery remain high, and the number of elderly patients requiring such surgery has been increasing. This study aimed to investigate postoperative outcomes of complex HPB surgery for elderly patients. METHODS: We retrospectively reviewed perioperative data of 721 patients who underwent complex HPB surgery between 2010 and 2015. The patients were divided into 2 groups: elderly (≥75 years) and non-elderly (< 75 years)...
June 26, 2018: Digestive Surgery
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