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Langenbeck's Archives of Surgery

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https://www.readbyqxmd.com/read/29294178/predictors-of-multiglandular-disease-in-primary-hyperparathyroidism
#1
Mark Thier, Sébastien Daudi, Anders Bergenfelz, Martin Almquist
BACKGROUND: Primary hyperparathyroidism (pHPT) is caused by single- or multiglandular disease (MGD). Patients with MGD have an increased risk of complications at surgery and for persistence and recurrence after surgery. The study evaluated whether preoperative clinical and biochemical characteristics could predict MGD in patients with pHPT. METHODS: We retrospectively evaluated patients operated 1989-2013 for first-time, non-hereditary pHPT. MGD was defined in patients with more than one pathological gland excised at surgery or with persistent hypercalcemia after the excision of a single pathological parathyroid gland, confirmed by histopathology...
January 2, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29282535/percutaneous-versus-surgical-strategy-for-tracheostomy-a-systematic-review-and-meta-analysis-of-perioperative-and-postoperative-complications
#2
Rosa Klotz, Pascal Probst, Marlene Deininger, Ulla Klaiber, Kathrin Grummich, Markus K Diener, Markus A Weigand, Markus W Büchler, Phillip Knebel
PURPOSE: Tracheostomy is one of the most frequently performed procedures in intensive care medicine. The two main approaches are open surgical tracheostomy (ST) and percutaneous dilatational tracheostomy (PDT). This systematic review summarizes and analyzes the existing evidence regarding perioperative and postoperative parameters of safety. METHODS: A systematic literature search was conducted in the Cochrane Library, EMBASE, LILACS, and MEDLINE to identify all randomized controlled trials (RCTs) comparing complications of ST and PDT and to define the strategy with the lower risk of potentially life-threatening events...
December 27, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29234886/recovery-after-intracorporeal-anastomosis-in-laparoscopic-right-hemicolectomy-a-systematic-review-and-meta-analysis
#3
Marco Milone, Ugo Elmore, Andrea Vignali, Nicola Gennarelli, Michele Manigrasso, Morena Burati, Francesco Milone, Giovanni Domenico De Palma, Paolo Delrio, Riccardo Rosati
PURPOSE: Although intracorporeal anastomosis (IA) appears to guarantee a faster recovery compared to extracorporeal anastomosis (EA), the data are still unclear. Thus, we performed a systematic review of the literature with meta-analysis to evaluate the recovery benefits of intracorporeal anastomosis. MATERIALS AND METHODS: A systematic search was performed in electronic databases (PubMed, Web of Science, Scopus, EMBASE) using the following search terms in all possible combinations: "laparoscopic," "right hemicolectomy," "right colectomy," "intracorporeal," "extracorporeal," and "anastomosis...
December 12, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29230539/use-of-methylene-blue-and-near-infrared-fluorescence-in-thyroid-and-parathyroid-surgery
#4
Sarah L Hillary, Stephanie Guillermet, Nicola J Brown, Sabapathy P Balasubramanian
PURPOSE: Intraoperative localisation and preservation of parathyroid glands improves outcomes following thyroid and parathyroid surgery. This can be facilitated by fluorescent imaging and methylene blue; a fluorophore is thought to be taken up avidly by parathyroid glands. This preliminary study aims to identify the optimum dose of methylene blue (MB), fluorescent patterns of thyroid and parathyroid glands and develop a protocol for the use of intravenous MB emitted fluorescence to enable parathyroid identification...
December 11, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29218397/can-we-better-predict-the-biologic-behavior-of-incidental-ipmn-a-comprehensive-analysis-of-molecular-diagnostics-and-biomarkers-in-intraductal-papillary-mucinous-neoplasms-of-the-pancreas
#5
Kiara A Tulla, Ajay V Maker
PURPOSE: Predicting the biologic behavior of intraductal papillary mucinous neoplasm (IPMN) remains challenging. Current guidelines utilize patient symptoms and imaging characteristics to determine appropriate surgical candidates. However, the majority of resected cysts remain low-risk lesions, many of which may be feasible to have under surveillance. We herein characterize the most promising and up-to-date molecular diagnostics in order to identify optimal components of a molecular signature to distinguish levels of IPMN dysplasia...
December 7, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29214543/comparison-of-biological-and-alloplastic-meshes-in-ventral-incisional-hernia-repair
#6
A Koscielny, S Widenmayer, T May, J Kalff, P Lingohr
PURPOSE: The aim of our retrospective analysis was to compare the results of incisional hernia repair by porcine small intestinal submucosa-derived (SIS) meshes with those obtained by alloplastic polypropylene-based (PP) meshes in comparable surgical indications by matched-pair design. We hypothesized that in incisional hernia, SIS mesh repair is associated with fewer recurrences and SSO than PP mesh repair in incisional hernias. METHODS: Twenty-four matched pairs (SIS vs...
December 6, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29209758/optimal-literature-search-for-systematic-reviews-in-surgery
#7
Käthe Goossen, Solveig Tenckhoff, Pascal Probst, Kathrin Grummich, André L Mihaljevic, Markus W Büchler, Markus K Diener
BACKGROUND: The aim of the present study was to determine empirically which electronic databases contribute best to a literature search in surgical systematic reviews. METHODS: For ten published systematic reviews, the systematic literature searches were repeated in the databases MEDLINE, Web of Science, CENTRAL, and EMBASE. On the basis of these reviews, a gold standard set of eligible articles was created. Recall (%), precision (%), unique contribution (%), and numbers needed to read (NNR) were calculated for each database, as well as for searches of citing references and of the reference lists of related systematic reviews (hand search)...
December 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29199380/liver-resection-for-hcc-outside-the-bclc-criteria
#8
Manish S Bhandare, Shraddha Patkar, Nitin Shetty, Ashwin Polnaya, Suyash Kulkarni, Rohit R Dusane, Shailesh V Shrikhande, Mahesh Goel
PURPOSE: Surgical resection still remains the mainstay of management of hepatocellular carcinoma (HCC). At present, Barcelona clinic liver cancer (BCLC) staging is the most widely used tool to guide treatment; however, criteria for offering surgery as curative treatment are restrictive. We aimed to evaluate short-term and long-term outcomes of HCC after resection, even for patients outside BCLC criteria for resection. METHODS: Data was collected from a prospective database from GI and HPB Department, Tata Memorial Hospital, Mumbai...
December 4, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29196841/implication-of-visceral-obesity-in-patients-with-esophageal-squamous-cell-carcinoma
#9
Akihiko Okamura, Masayuki Watanabe, Kotaro Yamashita, Masami Yuda, Masaru Hayami, Yu Imamura, Shinji Mine
PURPOSE: Visceral obesity is considered to be associated not only with chronic systemic inflammation but also with aggressive cancer behavior. However, the implication of visceral obesity in patients with esophageal squamous cell carcinoma (ESCC) is unclear. METHODS: Computed tomography volumetry was performed in 364 patients who underwent esophagectomy for ESCC. We calculated the ratio of the visceral fat area to the subcutaneous fat area (VS ratio), which is a valuable parameter of visceral obesity...
December 2, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29196840/conception-of-the-l%C3%A3-beck-toolbox-curriculum-for-basic-minimally-invasive-surgery-skills
#10
Tilman Laubert, Hamed Esnaashari, Paul Auerswald, Anna Höfer, Michael Thomaschewski, Hans-Peter Bruch, Tobias Keck, Claudia Benecke
PURPOSE: Difficulties at the beginning of the learning curve in minimally invasive surgery (MIS) can well be overcome by simulation outside the operating room. Despite a great number of available devices, standardized, structured, and validated training curricula for video simulators are scarce. METHODS: The Lübeck Toolbox (LTB) video trainer provides six training modules and online video tutorials. Proficiency levels for the tasks were defined by performance analysis of MIS experts (n = 15)...
December 1, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29150719/preoperative-optimization-for-major-hepatic-resection
#11
REVIEW
Sarah Walcott-Sapp, Kevin G Billingsley
PURPOSE: Major hepatic resections are performed for primary hepatobiliary malignancies, metastatic disease, and benign lesions. Patients with chronic liver disease, including cirrhosis and steatosis, are at an elevated risk of malnutrition and impaired strength and exercise capacity, deficits which cause increased risk of postoperative complications and mortality. The aims of this report are to discuss the pathophysiology of changes in nutrition, exercise capacity, and muscle strength in patient populations likely to require major hepatectomy, and review recommendations for preoperative evaluation and optimization...
November 18, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29116434/comparison-between-neck-first-approach-and-thoracic-approach-during-thoracoscopic-esophagectomy
#12
Hiroyuki Kitagawa, Tsutomu Namikawa, Jun Iwabu, Kazune Fujisawa, Michiya Kobayashi, Kazuhiro Hanazaki
PURPOSE: This study aimed to compare the outcomes of the prior cervical and thoracic approaches of thoracoscopic esophagectomy in the prone position for esophageal cancer. METHODS: We reviewed the records of 103 consecutive patients who underwent thoracoscopic esophagectomy in the prone position for esophageal cancer. Seventy-four patients underwent the prior cervical approach (Cervical group); the other 29 underwent the thoracic approach (Thoracic group). The perioperative outcomes of the two groups were compared...
November 7, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29110082/continuous-monitoring-of-the-recurrent-laryngeal-nerve
#13
Aitor De la Quintana Basarrate, Arantza Iglesias Martínez, Iciar Salutregui, Leire Agirre Etxabe, Ainhoa Arana González, Izaskun Yurrebaso Santamaría
OBJECTIVE: The objective of this study was to assess the safety and utility of continuous intraoperative neuromonitoring for the prevention of recurrent laryngeal nerve injury during thyroidectomy. METHODS: A prospective cohort study was conducted in consecutive patients undergoing thyroidectomy. Variations in amplitude and distal latency of the electromyogram (EMG) were assessed. In the case of suspicious events, restorative manoeuvers were performed to attempt to recover the potentials...
November 6, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29103084/reinforced-staplers-for-distal-pancreatectomy
#14
Manabu Kawai, Seiko Hirono, Ken-Ichi Okada, Sohei Satoi, Hiroaki Yanagimoto, Masanori Kon, Yoshiaki Murakami, Naru Kondo, Masayuki Sho, Takahiro Akahori, Hirochika Toyama, Takumi Fukumoto, Tsutomu Fujii, Ippei Matsumoto, Hidetoshi Eguchi, Hisashi Ikoma, Yutaka Takeda, Jiro Fujimoto, Hiroki Yamaue
PURPOSE: The safety and efficacy of reinforced staplers during distal pancreatectomy (DP) remain controversial because of the small sample size. This multicenter single-arm prospective study aims to evaluate the safety and efficacy of reinforced staplers with bioabsorbable material during DP. METHODS: Between October 2014 and August 2015, 121 patients scheduled for DP were enrolled in this study at 11 institutions in Japan. The primary endpoint was the incidence of clinically relevant pancreatic fistula...
November 4, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29098385/incidental-appendectomy-during-robotic-laparoscopic-prostatectomy-safe-and-worth-to-perform
#15
C Hüttenbrink, G Hatiboglu, T Simpfendörfer, J P Radtke, R Becker, D Teber, B Hadaschik, S Pahernik, M Hohenfellner
PURPOSE: The purpose of this study is to investigate the safety and patients' benefit of incidental appendectomy during robot-assisted laparoscopic radical prostatectomy (RALRP). METHODS: Fifty-three patients, who had incidental appendectomy during RALRP between January 2012 and March 2014, were enrolled to this study. To evaluate the safety of the procedure, following parameters were evaluated: patient age, duration of surgery, perioperative complications (classified by Clavien-Dindo), time to bowel movement, and length of hospital stay...
November 2, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29086013/unnecessary-preoperative-biliary-drainage-impact-on-perioperative-outcomes-of-resectable-periampullary-tumors
#16
Jean-Baptiste Cazauran, Julie Perinel, Vahan Kepenekian, Michel El Bechwaty, Gennaro Nappo, Mathieu Pioche, Thierry Ponchon, Mustapha Adham
OBJECTIVE: Routine preoperative endoscopic biliary drainage (PEBD) is not recommended for malignant periampullary tumors (MPT) with uncomplicated obstructive cholestasis, yet many patients still receive routine PEBD. Herein were assessed perioperative outcomes of routine PEBD in resectable MPT with uncomplicated biliary obstruction. METHODS: From 2008 to 2014, we identified three groups among patients undergoing surgery for resectable MPT: "unnecessary-PEBD" (despite recommendations), "necessary-PEBD" (following recommendations), and "upfront-surgery groups...
October 31, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29075846/postoperative-outcome-and-quality-of-life-after-surgery-for-fap-associated-duodenal-adenomatosis
#17
Petra Ganschow, Thilo Hackert, Marcel Biegler, Pietro Contin, Ulf Hinz, Markus W Büchler, Martina Kadmon
INTRODUCTION: Prophylactic colon surgery has increased life expectancy of familial adenomatous polyposis patients. Extracolonic manifestations are life limiting, above all duodenal adenomas. Severe duodenal adenomatosis or cancer may necessitate pancreas-preserving total duodenectomy or partial pancreatico-duodenectomy, mostly after previous proctocolectomy and often after limited local resections of duodenal adenomas. Scarce information on long-term postoperative outcome and quality of life after surgery for duodenal adenomatosis is available...
October 26, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29063245/transparenchymal-glissonean-approach-a-novel-surgical-technique-for-advanced-perihilar-bile-duct-cancer
#18
Hirofumi Kamachi, Toshiya Kamiyama, Yousuke Tsuruga, Tatsuya Orimo, Kenji Wakayama, Shingo Shimada, Tatsuhiko Kakisaka, Hideki Yokoo, Kenichiro Yamashita, Akinobu Taketomi
PURPOSE: To increase the surgical opportunities for locally advanced perihilar bile duct cancers that require left-sided hepatectomies, we developed the transparenchymal glissonean approach (TGA); it comprises intra-hepatic exposure and dissection of the Glisson's sheath to gain access to the hepatic artery and portal vein for reconstruction. METHODS: Following skeletonization of the hepatoduodenal ligament, the proximal portions of invaded vessels are exposed. If extra-hepatic attempts to access the distal portions of the invaded vessels fail, TGA can be used...
October 23, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29116435/increased-perirenal-fat-area-is-not-associated-with-adverse-outcomes-after-laparoscopic-total-mesorectal-excision-for-rectal-cancer
#19
Katarina Levic, Orhan Bulut, Mette Schødt, Thue Bisgaard
INTRODUCTION: Intraabdominal visceral obesity may increase technical challenges during laparoscopic rectal resection and hypothetically therefore increase the risk of perioperative complications. The aim of this study was to analyze intraabdominal obesity by means of perirenal fat against risk of adverse outcomes in patients undergoing laparoscopic rectal cancer surgery. METHODS: This study was a single-institution retrospective analysis of consecutive patients undergoing laparoscopic total mesorectal surgery for rectal cancer between January 2009 and January 2013...
December 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28828685/modern-diagnosis-and-treatment-of-hiatal-hernias
#20
REVIEW
Steve R Siegal, James P Dolan, John G Hunter
PURPOSE: Hiatal hernias are a common finding on radiographic or endoscopic studies. Hiatal hernias may become symptomatic or, less frequently, can incarcerate or become a volvulus leading to organ ischemia. This review examines latest evidence on the diagnostic workup and management of hiatal hernias. METHODS: A literature review of contemporary and latest studies with highest quality of evidence was completed. This information was examined and compiled in review format...
December 2017: Langenbeck's Archives of Surgery
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