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Langenbeck's Archives of Surgery

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https://www.readbyqxmd.com/read/29150719/preoperative-optimization-for-major-hepatic-resection
#1
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/29116435/increased-perirenal-fat-area-is-not-associated-with-adverse-outcomes-after-laparoscopic-total-mesorectal-excision-for-rectal-cancer
#2
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...
November 7, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29116434/comparison-between-neck-first-approach-and-thoracic-approach-during-thoracoscopic-esophagectomy
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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/29046948/planned-secondary-wound-closure-at-the-circular-stapler-insertion-site-after-laparoscopic-gastric-bypass-reduces-postoperative-morbidity-costs-and-hospital-stay
#10
Diana Vetter, Dimitri Aristotle Raptis, Mira Giama, Hanna Hosa, Markus K Muller, Antonio Nocito, Marc Schiesser, Rudolf Moos, Marco Bueter
PURPOSE: The aims of the present study were to assess whether planned secondary wound closure at the insertion site of the circular stapler reduces wound infection rate and postoperative morbidity after laparoscopic Roux-en-Y gastric bypass (RYGB) and to identify independent predictive factors increasing the risk for wound infections after RYGB. METHODS: This paper is a retrospective single-center analysis of a prospectively collected database of 1400 patients undergoing RYGB surgery in circular technique between June 2000 and June 2016...
October 18, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28986719/2d-vs-3d-imaging-in-laparoscopic-surgery-results-of-a-prospective-randomized-trial
#11
Alexander Buia, Florian Stockhausen, Natalie Filmann, Ernst Hanisch
PURPOSE: 3D imaging is an upcoming technology in laparoscopic surgery, and recent studies have shown that the modern 3D technique is superior in an experimental setting. However, the first randomized controlled clinical trial in this context dates back to 1998 and showed no significant difference between 2D and 3D visualization using the first 3D generation technique, which is now more than 15 years old. METHODS: Positive results measured in an experimental setting considering 3D imaging on surgical performance led us to initiate a randomized controlled pragmatic clinical trial to validate our findings in daily clinical routine...
October 6, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28983781/the-distribution-of-lymph-node-metastases-and-their-size-in-colon-cancer
#12
Yusuke Yamaoka, Yusuke Kinugasa, Akio Shiomi, Tomohiro Yamaguchi, Hiroyasu Kagawa, Yushi Yamakawa, Akinobu Furutani, Shoichi Manabe
PURPOSE: The purpose of this study is to clarify the optimal extent of lymph node dissection for colon cancer by evaluating the distributions of lymph node metastases and lymph node size according to tumor location and T stage. METHODS: This study enrolled 662 patients who underwent curative resection for primary colon cancer between 2013 and 2015. Lymph node regions were classified into pericolic, intermediate, and main nodes. The short-axis diameter of each dissected lymph node was measured...
October 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28983662/radiofrequency-ablation-for-locally-advanced-pancreatic-cancer-smad4-analysis-segregates-a-responsive-subgroup-of-patients
#13
Salvatore Paiella, Giuseppe Malleo, Ivana Cataldo, Clizia Gasparini, Matteo De Pastena, Giulia De Marchi, Giovanni Marchegiani, Borislav Rusev, Aldo Scarpa, Roberto Girelli, Alessandro Giardino, Isabella Frigerio, Mirko D'Onofrio, Erica Secchettin, Claudio Bassi, Roberto Salvia
PURPOSE: SMAD4 mutational status correlates with pancreatic ductal adenocarcinoma (PDAC) failure pattern. We investigated in a subset of locally advanced patients submitted to radiofrequency ablation (RFA) whether the assessment of SMAD4 status is a useful way to select the patients. METHODS: Clinical, radiological, and follow-up details of patients submitted to RFA for locally advanced pancreatic cancer (LAPC), in whom cytohistological material was available at our institution, were retrospectively retrieved...
October 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28975494/significant-decrease-of-mortality-due-to-anastomotic-leaks-following-esophageal-resection-management-makes-the-difference
#14
Anja Schaible, Thorsten Brenner, Ulf Hinz, Thomas Schmidt, Markus Weigand, Peter Sauer, Markus W Büchler, Alexis Ulrich
PURPOSE: Anastomotic leakage is the most frequent cause of postoperative mortality following esophageal surgery. However, no gold standard for diagnosing and managing leakage has been established. Continuous clinical judgment is extremely important; therefore, to optimize the management of leakage, we established a special group for decision-making in cases of suspected leakage in the early postoperative period. METHODS: Between January 2010 and December 2016, 234 consecutive patients underwent elective esophageal resection with a thoracoabdominal incision...
October 3, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28889185/statistical-approach-to-quality-assessment-in-liver-transplantation
#15
Harald Schrem, Sophia Volz, Hans-Friedrich Koch, Jill Gwiasda, Priscila Kürsch, Alon Goldis, Daniel Pöhnert, Markus Winny, Jürgen Klempnauer, Alexander Kaltenborn
PURPOSE: This study investigated the utility of retrospective two one-sided cumulative sum (CUSUM) charts combined with multivariable regression analysis in liver transplantation for transplant center benchmarking. METHODS: One thousand seven hundred and forty-nine consecutive adult primary liver transplants (January 1, 1983 to December 31, 2012) were analyzed retrospectively with two one-sided CUSUM chart analysis of 90-day mortality. RESULTS: Three eras and two subseries in latest era 3 were identified due to graphically delineated relevant shifts in mean 90-day mortality...
September 9, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28875312/indication-of-extrahepatic-bile-duct-resection-for-gallbladder-cancer
#16
Hiroshi Kurahara, Kosei Maemura, Yuko Mataki, Masahiko Sakoda, Satoshi Iino, Yota Kawasaki, Shinichiro Mori, Takaaki Arigami, Yuko Kijima, Hiroyuki Shinchi, Shoji Natsugoe
PURPOSE: Extrahepatic bile duct (EHBD) resection is performed as part of radical cholecystectomy for gallbladder (GB) cancer. However, the indication for EHBD resection is still controversial. The aim of the present study was to evaluate the prognostic value of this procedure. METHODS: Patients who underwent surgical resection for GB cancer with curative intent were enrolled. We divided GB cancer into two categories based on the tumor location: proximal-type and distal-type tumors...
September 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28875302/laparoscopic-approaches-to-complicated-diverticulitis
#17
REVIEW
M Gachabayov, R Essani, R Bergamaschi
BACKGROUND: The objective of this article is to review the evolving role of laparoscopic surgery in the treatment of complicated diverticulitis. PURPOSE: The authors attempted to give readers a concise insight into the evidence available in the English language literature. This study does not offer a systematic review of the topic, rather it highlights the role of laparoscopy in the treatment of complicated diverticulitis. CONCLUSIONS: New level 1 evidence suggest that observation rather than elective resection following nonoperative management of diverticulitis with abscess and/or extraluminal air is not below the standard of care...
September 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28965128/36-th-annual-meeting-of-the-german-association-of-endocrine-surgeons-caek-36-arbeitstagung-der-chirurgischen-arbeitsgemeinschaft-endokrinologie-caek
#18
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28956165/towards-standardized-robotic-surgery-in-gastrointestinal-oncology
#19
REVIEW
Lawrence M Knab, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
PURPOSE: Minimally invasive techniques have revolutionized the field of surgery over the past several decades. Specifically, robotic surgery is increasingly being used for complex operations, although the appreciable learning curve required to become proficient has deterred many surgeons. We describe how use of a proficiency-based training program can decrease the learning curve and lead to standardized robotic surgery. METHODS: The steps of a proficiency-based robotic training program are described, including (1) a proficiency-based virtual reality simulation curriculum, (2) an inanimate biotissue curriculum, (3) a video library training, (4) intraoperative evaluation, and (5) skill maintenance with ongoing assessment...
November 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28840372/persistent-perineal-sinus-after-abdominoperineal-resection
#20
Amélie Chau, Mathieu Prodeau, Hélène Sarter, Corinne Gower, Moshe Rogosnitzky, Yves Panis, Philippe Zerbib
BACKGROUND AND AIMS: Persistent perineal sinus (PPS) defined as a perineal wound remaining unhealed more than 6 months after abdominoperineal resection (APR) is a well-known complication. The aim of our study was (1) to evaluate the incidence of PPS after APR for Crohn's disease (CD) in the era of biotherapy, (2) to determine long-term outcome of PPS, (3) to study risk factors associated with delayed perineal healing, and (4) to compare the results in this CD patient group with patients without CD...
November 2017: Langenbeck's Archives of Surgery
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