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Langenbeck's Archives of Surgery

Isaac Cheruiyot, Vincent Kipkorir, Brandon Michael Henry, Jeremiah Munguti, Roberto Cirocchi, Paul Odula, Linda M Wong, Beda Olabu, Jerzy Walocha
PURPOSE: To provide a comprehensive evidence-based assessment of the anatomical characteristics of the external branch of the superior laryngeal nerve (EBSLN). MATERIALS AND METHODS: A thorough systematic search was performed on the major electronic databases PubMed, EMBASE, Cochrane library, and ScienceDirect to identify eligible studies. Data were extracted and pooled into a meta-analysis. The primary outcomes were the EBSLN identification rate (total number of EBSLN identified divided by the total number of dissected hemilarynges) and the prevalence of various EBSLN types...
November 14, 2018: Langenbeck's Archives of Surgery
Arianeb Mehrabi, Elias Khajeh, Martin Zeier
No abstract text is available yet for this article.
November 12, 2018: Langenbeck's Archives of Surgery
Mushegh A Sahakyan, Dyre Kleive, Airazat M Kazaryan, Davit L Aghayan, Dejan Ignjatovic, Knut Jørgen Labori, Bård Ingvald Røsok, Bjørn Edwin
PURPOSE: Extended resection is required for pancreatic adenocarcinoma infiltrating adjacent organs and structures. The role of laparoscopy in this setting is unclear. In this study, the outcomes of extended laparoscopic distal pancreatectomy (ELDP) for pancreatic body/tail adenocarcinoma were examined. METHODS: Perioperative and oncologic data were analyzed in patients undergoing laparoscopic distal pancreatectomy (LDP) for adenocarcinoma at Oslo University Hospital...
November 11, 2018: Langenbeck's Archives of Surgery
Willemijn Y van der Plas, Rorderick R Dulfer, Ezra Y Koh, Liffert Vogt, Natasha M Appelman-Dijkstra, Abbey Schepers, Joris I Rotmans, Robert A Pol, Tessa M van Ginhoven, Ewout J Hoorn, Els J M Nieveen van Dijkum, Anton F Engelsman, Martin H de Borst, Schelto Kruijff
PURPOSE: Hyperparathyroidism (HPT) is a common abnormality in patients with end-stage renal disease (ESRD). Since the introduction of cinacalcet in 2004, a shift from surgery toward predominantly medical treatment has occurred. Surgery is thought to be associated with more complications than oral medication. The aim of this retrospective study was to evaluate 30-day outcomes and effectiveness of parathyroidectomy (PTx) in ESRD patients in the Netherlands. METHODS: A national database containing data from four academic medical centers in the Netherlands of patients with ESRD-related HPT, who had undergone PTx and kidney transplantation between 1994 and 2015, was established...
November 10, 2018: Langenbeck's Archives of Surgery
Dagfinn Gleditsch, Wilhelm Andreas Wexels, Arild Nesbakken
PURPOSE: Many different operations have been proposed for treating rectal prolapse, with varying recurrence rates and functional outcome. The main purpose of this study was to assess long-term results of surgery for prolapse of the rectum. METHODS: We carried out a retrospective study to evaluate changing trends in surgical strategies and outcome in all patients treated in our hospital over 19 years. RESULTS: Ninety-three patients were operated and 30 (32%) experienced recurrence of external prolapse during a median (range) follow-up time of 82 (2-231) months...
November 10, 2018: Langenbeck's Archives of Surgery
Yuji Akiyama, Takeshi Iwaya, Fumitaka Endo, Haruka Nikai, Kei Sato, Shigeaki Baba, Takehiro Chiba, Toshimoto Kimura, Takeshi Takahara, Koki Otsuka, Hiroyuki Nitta, Masaru Mizuno, Yusuke Kimura, Keisuke Koeda, Akira Sasaki
PURPOSE: We investigated the operative outcomes of thoracoscopic esophagectomy (TE) in the prone position, using the concept of total meso-esophageal excision for esophageal cancer. METHODS: The medical records of 140 consecutive patients with esophageal cancer who underwent radical esophagectomy by TE were reviewed retrospectively, and operative outcomes were compared between patients treated before (non-meso-esophagus; non-ME group) and after (ME group) the introduction of total meso-esophageal excision (ME)...
November 9, 2018: Langenbeck's Archives of Surgery
André Mihaljevic, Mohammed Al-Saeedi, Thilo Hackert
BACKGROUND: Pancreatic surgery has undergone substantial changes during the last decades. Improved surgical techniques and perioperative care have contributed to improved outcomes and allow safe surgery with mortality rates below 5% in specialized centers today. In parallel, surgical indications and procedures have been continuously extended especially with regard to pancreatic cancer surgery including vascular resections and multivisceral approaches for advanced findings. PURPOSE: With the growing awareness of the need to report outcomes scientifically, it has become obvious that only standardized definitions allow a reasonable description and comparability with regard to indications, procedures, and especially complications...
November 6, 2018: Langenbeck's Archives of Surgery
Ulla Klaiber, Carl-Stephan Leonhardt, Oliver Strobel, Christine Tjaden, Thilo Hackert, John P Neoptolemos
BACKGROUND: Only 15-20% of patients with pancreatic ductal adenocarcinoma (PDAC) have a resectable tumor at the time of diagnosis. Effective multimodal treatment concepts including neoadjuvant chemotherapy are therefore needed. Following upfront resection, adjuvant chemotherapy has become mandatory to prevent early tumor recurrence. PURPOSE: The aim of this article was to summarize existing evidence on neoadjuvant and adjuvant chemotherapy in PDAC with a focus on high-level evidence based on randomized controlled phase III clinical trials...
November 5, 2018: Langenbeck's Archives of Surgery
Dyre Kleive, Mushegh Sahakyan, Kjetil Søreide, Kristoffer W Brudvik, Pål-Dag Line, Ivar P Gladhaug, Knut Jørgen Labori
PURPOSE: No consensus exists on the optimal anticoagulation therapy after pancreatoduodenectomy with venous resection (PDVR). The aim of the study was to analyze perioperative outcomes of patients receiving low- vs high-dose anticoagulation therapy and to identify risk factors for postpancreatectomy hemorrhage in patients undergoing PDVR. METHODS: Retrospective study of patients undergoing PDVR at a tertiary referral center between January 2006 and April 2017. Patients were investigated according to the dose of postoperative anticoagulation given (low- or high-dose low-molecular-weight heparin)...
November 5, 2018: Langenbeck's Archives of Surgery
Akihiko Okamura, Masayuki Watanabe, Ryotaro Kozuki, Tasuku Toihata, Masami Yuda, Yu Imamura, Shinji Mine
PURPOSE: Squamous cell carcinoma of the middle thoracic esophagus (SCC-ME) often metastasizes to the neck, mediastinum, and abdomen. This study aims to assess the prognostic impact of supraclavicular (SC) and celiac (CE) lymph node (LN) metastases in patients with SCC-ME. METHODS: We examined 210 patients who underwent curative esophagectomy with three-field LN dissection for SCC-ME. The clinicopathological features and survival outcomes of patients with and without SC and/or CE metastases were compared to assess the prognostic significance of SC and/or CE metastases...
October 25, 2018: Langenbeck's Archives of Surgery
Marcel André Schneider, Andreas Rickenbacher, Lukas Frick, Daniela Cabalzar-Wondberg, Samuel Käser, Pierre-Alain Clavien, Matthias Turina
BACKGROUND AND PURPOSE: Controversy exists whether surgical treatment is influenced by insurance status. American studies suggest higher morbidity and decreased survival in uninsured patients with colorectal cancer (CRC). It remains elusive, however, whether these findings apply to European countries with mandatory, government-driven insurance systems. We aimed to analyze whether operative techniques, quality of surgery, and complication rates differ among patients covered by statutory (SI) versus private (PI) healthcare insurance...
October 25, 2018: Langenbeck's Archives of Surgery
Mohammed Al-Saeedi, Muhammed H Barout, Pascal Probst, Elias Khajeh, Karl Heinz Weiss, Markus K Diener, Arianeb Mehrabi
PURPOSE: This review investigated survival and alcoholic relapse following liver transplantation (LT) in patients with severe acute alcoholic hepatitis (AH) without 6 months of alcohol abstinence. METHODS: All studies comparing acute AH patients undergoing LT with a control group were included. CENTRAL, MEDLINE, and Web of Science databases were searched. Survival benefits or odds ratios (OR) and 95% confidence intervals (CI) were assessed by meta-analyses using a random effects model...
October 22, 2018: Langenbeck's Archives of Surgery
Mahdi Eskandarlou, Alireza Nemati, Mohammad Ali Seif-Rabiei
PURPOSE: We aimed to introduce a new surgical method for open appendectomy including a right groin incision with adipocutaneous flap and to compare its feasibility, safety, and cosmetic outcomes with classic McBurney's incision. METHODS: Patients with the diagnosis of acute appendicitis who were candidates for appendectomy surgery at General Surgery Department, Besat Hospital, Hamadan University of Medical Sciences, Iran, in 2016 and 2017, were enrolled in a randomized controlled clinical study...
October 20, 2018: Langenbeck's Archives of Surgery
Antonio Vitiello, Pilone Vincenzo, Antonio Formato, Giuliano Izzo, Luca Ferraro, Pietro Forestieri
BACKGROUND: Bilio-intestinal bypass (BIBP) is an uncommon bariatric procedure. In 1999, a prospective trial was started at our institution to evaluate the effectiveness of BIBP. Trial was interrupted in 2006 due to high rate of complications. The aim of the present paper was to retrospectively review 10-year outcomes of BIBP. METHODS: Retrospective review of bariatric database was performed to find patients that had undergone BIBP from 1999 to 2006. Data collected were as follows: age, gender, body weight, body mass index (BMI), percentage of excess weight loss (%EWL), remission from weight-related diseases, complications, and deaths at 1,3, 5, 7, and 10 years...
October 20, 2018: Langenbeck's Archives of Surgery
Matei Dordea, U Moore, J Batty, T W J Lennard, S R Aspinall
BACKGROUND: Ultrasound localisation of parathyroid glands correlates with gland weight. We hypothesise that gland identification is also dependent on anatomical location. Perrier et al. have described a uniform and reliable nomenclature for parathyroid locations. We aimed to correlate surgeon-performed ultrasound (SUS) with intra-operative Perrier classification and gland weight. METHODS: Review of a prospectively maintained single operator SUS database of 194 patients referred with non-familial primary hyperparathyroidism (PHPT) at a tertiary centre between 2010 and 2015...
October 20, 2018: Langenbeck's Archives of Surgery
Katharina S Zorn, Simon Littbarski, Ysabell Schwager, Alexander Kaltenborn, Jan Beneke, Jill Gwiasda, Thomas Becker, Felix Braun, Benedikt Reichert, Jürgen Klempnauer, Harald Schrem
PURPOSE: The widening gap between demand and supply of organs for transplantation provides extraordinary challenges for ethical donor organ allocation rules. The transplant community is forced to define favorable recipient/donor combinations for simultaneous kidney-pancreas transplantation. The aim of this study is the development of a prognostic model for the prediction of kidney function 1 year after simultaneous pancreas and kidney transplantation using pre-transplant donor and recipient variables with subsequent internal and external validation...
October 18, 2018: Langenbeck's Archives of Surgery
Nikolaj Nerup, Linea Landgrebe Ring, Rune Broni Strandby, Charlotte Egeland, Morten Bo Søndergaard Svendsen, Jane Preuss Hasselby, Gro Linno Willemoe, Bolette Hartmann, Lars Bo Svendsen, Michael Patrick Achiam
PURPOSE: Despite exhaustive research and improvement of techniques, anastomotic leakage remains a frequent complication in gastrointestinal surgery. As leakage is associated with poor perfusion, reliable objective methods to assess anastomotic perfusion are highly demanded. In addition, such methods enable evaluation of interventions that may improve anastomotic perfusion. Glucagon-like peptide 2 (GLP-2) is an enteroendocrine hormone that regulates mid-gut perfusion. In the present study, we aimed to explore if quantitative perfusion assessment with indocyanine green (q-ICG) could detect an increase in porcine anastomotic perfusion after treatment with GLP-2...
October 18, 2018: Langenbeck's Archives of Surgery
Thomas M Hemmerling
BACKGROUND: Abdominal surgery has undergone major changes during the last two decades with a general shift from open, invasive surgery to closed minimally invasive surgery. Accordingly, pain management strategies have also changed, especially with the introduction of ultrasound-guided abdominal wall blocks. Despite laparoscopic abdominal surgery classified as minimal, pain can be quite significant and needs to be addressed appropriately. PURPOSE: This narrative review focuses on adequate pain strategies for various types of surgery...
October 3, 2018: Langenbeck's Archives of Surgery
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2018: Langenbeck's Archives of Surgery
Meghan Garstka, Emad Kandil, Lachin Saparova, Maroun Bechara, Rebecca Green, Antoine B Haddad, Sang-Wook Kang, Patrick Aidan
PURPOSE: Thyroid surgery for Graves' disease is known to be associated with higher risk of complications. We seek to compare outcomes between robotic-assisted and open cervical approach thyroid surgery in patients with Graves' disease in the Western population. METHODS: We performed a retrospective cohort study using prospectively collected databases for patients undergoing robotic-assisted or conventional cervical approach thyroid surgery for Graves' disease at two academic medical centers, one in North America (New Orleans, LA) and one in Europe (Paris, France)...
September 29, 2018: Langenbeck's Archives of Surgery
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