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Updates in Surgery

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https://www.readbyqxmd.com/read/27766595/a-literature-review-of-associating-liver-partition-and-portal-vein-ligation-for-staged-hepatectomy-alpps-so-far-so-good
#1
Martin de Santibañes, Luis Boccalatte, Eduardo de Santibañes
Recently, associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) emerged as a novel surgical strategy to induce a rapid and large hypertrophy of the future liver remnant (FLR). We conducted a computerized search using PubMed and Google Scholar for reports published between March 2012 and July 2016 using mesh headings and key words relating to the ALPPS surgical procedure. The promising results obtained up to date are difficult to interpret due to the heterogeneous group of patients with different underlying pathologies and different chemotherapy schemes...
October 20, 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
#2
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...
October 20, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27696276/risk-factors-for-postoperative-complications-in-robotic-general-surgery
#3
Giovanni Fantola, Laurent Brunaud, Phi-Linh Nguyen-Thi, Adeline Germain, Ahmet Ayav, Laurent Bresler
The feasibility and safety of robotically assisted procedures in general surgery have been reported from various groups worldwide. Because postoperative complications may lead to longer hospital stays and higher costs overall, analysis of risk factors for postoperative surgical complications in this subset of patients is clinically relevant. The goal of this study was to identify risk factors for postoperative morbidity after robotic surgical procedures in general surgery. We performed an observational monocentric retrospective study...
September 30, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27677470/t-drain-reduces-the-incidence-of-biliary-leakage-after-liver-resection
#4
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...
September 27, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27677469/pulmonary-metastasectomy-in-elderly-colorectal-cancer-patients-a-retrospective-single-center-study
#5
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...
September 27, 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
#6
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...
September 20, 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
#7
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...
September 15, 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
#8
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
#9
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
#10
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
#11
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/27592356/large-retrorectal-leiomyosarcoma-case-report-and-considerations-about-a-rare-and-challenging-disease
#12
Luca Turati, Alfio Alessandro Russo, Giovanni Sgroi
No abstract text is available yet for this article.
September 3, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27832445/pancreatic-cancer-and-liver-metastases-state-of-the-art
#13
REVIEW
Eugen Bellon, Florian Gebauer, Michael Tachezy, Jakob R Izbicki, Maximilian Bockhorn
Pancreatic cancer is still one of the most aggressive oncological diseases with a 5-year mortality rate below 10%. Surgery remains the only curative treatment; however, most patients present with late-stage disease deemed unresectable, either due to extensive local vascular involvement or the presence of distant metastasis. In the detection of hepatic metastases, the current standard is palliative chemotherapy with fluorouracil, leucovorin, irinotecan, and oxaliplatin (FOLFIRINOX) or nab-paclitaxel with gemcitabine...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27815783/laparoscopic-pancreatoduodenectomy-current-status-and-future-directions
#14
REVIEW
Alessandro Coppola, John A Stauffer, Horacio J Asbun
In recent years, laparoscopic pancreatoduodenectomy (LPD) has been gaining a favorable position in the field of pancreatic surgery. However, its role still remains unclear. This review investigates the current status of LPD in high-volume centers. A literature search was conducted in PubMed, and only papers written in English containing more than 30 cases of LPD were selected. Papers with "hybrid" or robotic technique were not included in the analysis. Out of a total of 728 LPD publications, 7 publications matched the review criteria...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27807815/eras-and-pancreatic-surgery-a-review
#15
REVIEW
J Perinel, M Adham
Pancreatic surgery is still considered as a high-risk abdominal surgery. While the mortality rate is low, the morbidity remains high ranging from 30 to 60%. In 2012, the ERAS study group published the official recommendations to implement the enhanced recovery after surgery (ERAS) program in patients undergoing PD. Non-randomized studies have shown that ERAS was safe and feasible. They reported a significantly shortened LOS with lower morbidity in ERAS group. However, the level of evidence remains low due to absence of randomized study and because of a substantial heterogeneity in the content of ERAS protocols...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27778242/surgical-margins-for-duodenopancreatectomy
#16
R Coppola, M Cartillone, D Borzomati, G Nappo, S Valeri, T Petitti, G Perrone
Microscopic residual tumor (R1) affects prognosis of resected pancreatic head cancer patients. Surgeon's ability, caseload and accuracy of pathological staging affect the rate of R1 resections. The goal of this study was to verify if a standardized histopathological workup of the specimen affects the rate of microscopic residual tumor after PD for cancer. Two groups of specimens were managed with (Group 1, Standardized Group, SG) or without (Group 2, Non Standardized Group, NSG) a standardized histopathological workup reported by the Royal College of Pathologists...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27766593/pancreatic-surgery
#17
EDITORIAL
Jakob R Izbicki, Marco Montorsi
No abstract text is available yet for this article.
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27709476/parenchyma-sparing-surgery-for-pancreatic-endocrine-tumors
#18
Fara Uccelli, F Gavazzi, G Capretti, M Virdis, M Montorsi, A Zerbi
Enucleation (EN) and middle pancreatectomy (MP) have been proposed as a treatment for G1 and G2 pancreatic neuroendocrine tumors (PNET). The aim of this study is to analyze the outcomes of parenchyma-sparing surgery (PSS) for PNET in an Italian high-volume center. All patients with a histological diagnosis of PNET who underwent surgical resection in our center between January 2010 and January 2016 were included in the study. Demographic, perioperative, and discharge data were collected in a prospective database...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27651335/management-of-the-splenic-vein-during-a-pancreaticoduodenectomy-with-venous-resection-for-malignancy
#19
REVIEW
Pietro Addeo, Gennaro Nappo, Emanuele Felli, Constantin Oncioiu, François Faitot, Philippe Bachellier
Nowadays, pancreaticoduodenectomies (PD) with an "en-bloc" resection of the spleno-mesenterico-portal (SMP) venous axis are safely performed at tertiary centers for patients presenting venous invasion. However, for tumors infiltrating the SMP confluence optimal management of the splenic vein (SV) remains a matter of debate. Simple SV ligation has been associated with the development of sinistral portal hypertension, gastrointestinal bleeding and hypersplenism over the long term. To avoid these complications, reconstructive methods such as the direct implantation of the SV into a SMP "neoconfluence", the inferior mesenteric vein-SV anastomosis and the distal spleno-renal shunt have been reported...
September 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27631168/indications-and-results-of-pancreatic-stump-duct-occlusion-after-duodenopancreatectomy
#20
Sergio Alfieri, Giuseppe Quero, Fausto Rosa, Dario Di Miceli, Antonio Pio Tortorelli, Giovanni Battista Doglietto
Severe post-operative complications after pancreaticoduodenectomy (PD) are largely due to pancreatic fistula onset. The occlusion of the main pancreatic duct using synthetic glue may prevent these complications. Aim of this study is to describe this technique and to report short- and long-term results as well as the post-operative endocrine and exocrine insufficiency. Two hundred and four patients who underwent PD with occlusion of the main pancreatic duct in a period of 15 years were retrospectively analyzed...
September 2016: Updates in Surgery
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