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Updates in Surgery

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https://www.readbyqxmd.com/read/28108938/preoperative-work-up-for-definition-of-lymph-node-risk-involvement-in-early-stage-endometrial-cancer-5-year-follow-up
#1
Pietro Cignini, Salvatore Giovanni Vitale, Antonio Simone Laganà, Antonio Biondi, Valentina Lucia La Rosa, Giuseppe Cutillo
This prospective cohort study aimed to analyze the accuracy of magnetic resonance imaging (MRI) and hysteroscopic excisional biopsy (HEB) for predicting the low- and high-risk patients with endometrial carcinoma for nodal involvement at preoperative evaluation. From January 2005 to December 2006, all patients with a diagnosis of endometrial carcinoma were prospectively included in the study and underwent pelvic MRI and HEB. The pelvic MRI (without contrast) was aimed to evaluate the extent of myometrial invasion (MI < 50%, MI ≥ 50%), the possible involvement of cervical stroma, the ovarian, and lymph nodes status...
January 20, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28097502/should-we-routinely-use-debtace-for-unresectable-hcc-ctace-versus-debtace-a-single-center-survival-analysis
#2
M Massani, T Stecca, C Ruffolo, N Bassi
Conventional trans-arterial chemoembolization (cTACE) for intermediate stage hepatocellular carcinoma (HCC) achieves a partial response in up to 72% of patients and improves median survival. Drug-eluting-beads-TACE (DEBTACE) improves treatment efficacy and tolerance as compared to cTACE. Our aim was to retrospectively evaluate our experience in the treatment of intermediate/advanced HCC with cTACE versus DEBTACE. Overall survival (OS) was the first endpoint. We retrospectively considered our department register data between 2006 and 2012...
January 17, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28078548/all-that-glitters-are-not-gold-reactive-lymphoid-hyperplasia-mimicking-colorectal-liver-metastases-description-of-a-case-and-literature-review
#3
LETTER
Damiano Caputo, Mariacristina Cartillone, Roberto Coppola
No abstract text is available yet for this article.
January 11, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28013455/laparoscopic-appendectomy-hem-o-lok-versus-endoloop-in-stump-closure
#4
Andrea Lucchi, Pierluigi Berti, Michele Grassia, Luca Maria Siani, Carlo Gabbianelli, Gianluca Garulli
There are several techniques described to close the appendicular stump during laparoscopic appendectomy. The aim of this study was to investigate the safety and usefulness of the Hem-o-lok clip for the closure of appendicular stump, comparing these data with those concerning the endo-loop. We conducted a retrospective study that compared two groups of patients who underwent laparoscopic appendectomy from 2010 to 2015 at our institution. We used the Endoloop to close the stump in the first group (group I) and the Hem-o-lok in the second group (group II)...
December 24, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/28012148/ultrasonic-energy-device-versus-monopolar-energy-device-in-laparoscopic-transabdominal-preperitoneal-tapp-inguinal-hernia-repair
#5
Shimpei Otsuka, Yuji Kaneoka, Atsuyuki Maeda, Yuichi Takayama, Yasuyuki Fukami, Shunsuke Onoe
Laparoscopic transabdominal preperitoneal (TAPP) is gaining popularity as an approach to repairing of inguinal hernia. In many institutions, a disposable ultrasonic energy device is used in the TAPP repair procedure. However, the benefit and necessity of an ultrasonic device are unclear. We have switched to use of a reusable monopolar energy device, and we conducted a retrospective study comparing the surgical results obtained with each of the energy devices. Our study group comprised 241 adults who underwent TAPP repair for inguinal hernia between November 2012 and December 2014...
December 23, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27854081/commentary-to-paper-feasibility-of-laparoscopic-cholecystectomy-for-acute-cholecystitis-beyond-72-hours-of-symptom-onset
#6
EDITORIAL
Dario Borreca, Andrea Borasi, Paolo De Paolis
No abstract text is available yet for this article.
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27807814/the-european-network-of-coloproctology-a-strategy-towards-the-european-research-and-healthcare-system
#7
Michele Rubbini
Many documents from the International Institutions point out that Health represents an engine of economic and social development. Based on these documents and concepts, the European Parliament decided to create a system of European Reference Networks as a synthesis of clinical and research activities, particularly in the field of rare diseases. This initiative, properly implemented, could be first step towards a new European health system. This article instead, wanting to deepen this perspective, postulates that the ERNs may also be related to widespread diseases, such as those of coloproctological interest, with the aim of setting up a European Network of Coloproctology (ENCP)...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27807813/a-simple-and-safe-technique-to-decompress-a-large-bowel-obstruction
#8
LETTER
Gianluca Pellino, Alistair A P Slesser, Dotun Ojo, Filipe Carvalho, Christos Kontovounisios, Paris P Tekkis
No abstract text is available yet for this article.
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27785732/feasibility-of-laparoscopic-cholecystectomy-for-acute-cholecystitis-beyond-72%C3%A2-h-of-symptom-onset
#9
Shunsuke Onoe, Yuji Kaneoka, Atsuyuki Maeda, Yuichi Takayama, Yasuyuki Fukami
Laparoscopic cholecystectomy (LC) performed for acute cholecystitis (AC) is usually advised within 72 h of symptom onset. This study aimed to evaluate the outcomes of LC beyond 72 h after presentation. A total of 94 patients underwent LC for AC between January 2012 and February 2015: 70 underwent early LC (ELC, operation within 72 h of symptom onset) and 24 underwent late LC (LLC, beyond 72 h). The outcomes of the groups were compared. Preoperative C-reactive protein (CRP) levels were significantly higher in the LLC group [9...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27766594/prospective-survey-to-study-factors-which-could-influence-same-day-discharge-after-elective-laparoscopic-cholecystectomy-in-a-tertiary-care-hospital-of-a-developing-country
#10
Samina Ismail, Aliya Ahmed, Muhammad Qamarul Hoda, Muhammad Sohaib, Zia-Ur-Rehman
All laparoscopic cholecystectomy (LC) patients in our hospital setting are admitted overnight. This article assesses the contribution of factors like postoperative nausea and vomiting (PONV), postoperative pain and surgical complications to overnight stay after elective LC. This 1-year observational study included patients having normal liver functions undergoing elective LC before 1400 h. The collected data included patient demographics, co-morbidities, PONV, pain scores, complications, surgical time, anesthesia technique, use of prophylactic antiemetics, analgesics, patient satisfaction and desire to have this surgery as day case or in-patient procedure...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27677470/t-drain-reduces-the-incidence-of-biliary-leakage-after-liver-resection
#11
Dennis Eurich, S Henze, S Boas-Knoop, J Pratschke, D Seehofer
Biliary leakage is a serious complication after liver resection and represents the major cause of post-operative morbidity. In spite of already identified risk factors, little is known about the role of intra-biliary pressure following liver surgery in the development of biliary leakage. Biliary decompression may have a positive impact and reduce the incidence of biliary leakage at the parenchymal resection site. 397 patients undergoing liver resection without bilioenteric anastomosis were included in the retrospective analysis of the risk factors for the development of biliary leakage focusing on the intra-operative reduction of the biliary pressure by T-tube and liver histology...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27677469/pulmonary-metastasectomy-in-elderly-colorectal-cancer-patients-a-retrospective-single-center-study
#12
Mirko Barone, Marco Prioletta, Decio Di Nuzzo, Giuseppe Cipollone, Pierpaolo Camplese, Felice Mucilli
Colorectal cancer (CRC) is one of the most common malignancies worldwide and the lung is one of the most frequent sites for CRC metastasis. The geriatric population is increasing, but clinical decision making is often influenced by the effect of aging. For this reason, the elderly population does not often receive potentially curative cancer treatments as offered to younger ones. From January 2000 to March 2016, 21 elderly patients (older than 75 years) underwent pulmonary resections for colorectal cancer pulmonary metastases...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27651334/recurrent-laryngeal-nerve-management-in-thyroid-surgery-consequences-of-routine-visualization-application-of-intermittent-standardized-and-continuous-nerve-monitoring
#13
Angkoon Anuwong, Matteo Lavazza, Hoon Yub Kim, Che-Wei Wu, Stefano Rausei, Vincenzo Pappalardo, Cesare Carlo Ferrari, Davide Inversini, Andrea Leotta, Antonio Biondi, Feng-Yu Chiang, Gianlorenzo Dionigi
The objective is to compare the consequences of routine visualization (RV) and the application of intermitted (I-IONM), standardized (S-IONM), and continuous monitoring (C-IONM) of recurrent laryngeal nerve (RLN) management. RV includes that 698 RLNs managed solely with visual identification. In a second period 777, RLNs were handled by the I-IONM. The third period 768 RLNs monitoring was performed according to the standards. C-IONM via VN stimulation included 626 RLNs. The following issues were analyzed and compared per each period study: RLN identification rate, branching detection, assessment of NRLN, intraoperative recognizable nerve damage, stage thyroidectomy rate, transient or definitive lesions, bilateral nerve palsy, and recovery time...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27629484/changes-in-oncological-outcomes-comparison-of-the-conventional-and-minimally-invasive-esophagectomy-a-single-institution-experience
#14
Misbah Khan, Anam Muzaffar, Aamir Ali Syed, Shahid Khatak, Ali Raza Khan, Muhammad Ijaz Ashraf
Minimally invasive esophagectomy is becoming the routine procedure for resectable esophageal cancer. The aim of this retrospective study is to analyze the oncologic adequacy of these two procedures at our Centre. Out of 1252 registered esophageal cancer patients at our institute from 2006 to 2015, 206 patients who underwent a surgical resection with curative intent and a complete medical record were retrospectively evaluated thru hospital medical record system (HIS). Patients were allocated into the conventional open OE, and minimally invasive MIE and Hybrid esophagectomy groups...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27592356/large-retrorectal-leiomyosarcoma-case-report-and-considerations-about-a-rare-and-challenging-disease
#15
LETTER
Luca Turati, Alfio Alessandro Russo, Giovanni Sgroi
No abstract text is available yet for this article.
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27522612/salvage-anastomosis-for-postoperative-chronic-pancreatic-fistula
#16
Shoji Kawakatsu, Yuji Kaneoka, Atsuyuki Maeda, Yasuyuki Fukami
Salvage anastomosis for postoperative chronic pancreatic fistula is challenging, and its safety and surgical outcomes remain unclear. Four patients with postoperative chronic pancreatic fistulas who underwent surgical interventions in our institute were retrospectively reviewed. A re-pancreatojejunostomy was performed in two patients with a disruption of the pancreatojejunostomy and a dilated main pancreatic duct of the remnant pancreas. A fistulojejunostomy was performed in the remaining two patients with a duct disruption after necrosectomy for necrotic severe acute pancreatitis and non-dilated main pancreatic duct...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27338243/a-comparison-between-modified-alvarado-score-and-ripasa-score-in-the-diagnosis-of-acute-appendicitis
#17
Anand Singla, Satpaul Singla, Mohinder Singh, Deeksha Singla
Acute appendicitis is a common but elusive surgical condition and remains a diagnostic dilemma. It has many clinical mimickers and diagnosis is primarily made on clinical grounds, leading to the evolution of clinical scoring systems for pin pointing the right diagnosis. The modified Alvarado and RIPASA scoring systems are two important scoring systems, for diagnosis of acute appendicitis. We prospectively compared the two scoring systems for diagnosing acute appendicitis in 50 patients presenting with right iliac fossa pain...
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27312931/the-italian-society-of-surgical-oncology-sico-survey-on-the-minimum-requirements-of-rare-cancers-referral-centers
#18
EDITORIAL
Alessandro Gronchi, Paolo Delrio, Vittorio Quagliuolo, Sergio Sandrucci
No abstract text is available yet for this article.
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27264266/laparoscopic-surgery-for-colorectal-cancer-advantages-and-challenges
#19
LETTER
Marco Vacante, Erika Cristaldi
No abstract text is available yet for this article.
December 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27263101/suicide-attempt-with-a-kitchen-knife
#20
Muhammad Tipu Rishi, Abdul Rishi, Alexander Palesty
Penetrating trauma to the abdomen can be a potential diagnostic dilemma for the trauma surgeon, and a formal exploratory laparotomy may result in the detection of occult injuries. We report a very unusual case of penetrating trauma to the abdomen resulting in pericardio-diagphragmatic rupture. We have also highlighted the technical aspects of clinical care in this specific scenario.
December 2016: Updates in Surgery
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