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https://www.readbyqxmd.com/read/28631160/role-of-imaging-in-the-follow-up-of-t2-t3-glottic-cancer-treated-by-transoral-laser-microsurgery
#1
Filippo Marchi, Cesare Piazza, Marco Ravanelli, Giovanna Gaggero, Giampiero Parrinello, Alberto Paderno, Pietro Perotti, Marta Filauro, Roberto Maroldi, Giorgio Peretti
An unblinded retrospective analysis of prospectively collected data was carried out on 138 patients affected by glottic pT2 and selected pT3 squamous cell carcinomas (SCC) treated by transoral laser microsurgery (TLM). The entire cohort was divided into two groups: Group A included 78 "high-risk" patients (pT2 with impaired vocal cord mobility, pT3 for anterior paraglottic and/or pre-epiglottic space invasion, presence of angioembolization, perineural spread, and positive lymph nodes in the neck) who underwent postoperative surveillance by endoscopy and imaging (CT or MR), while Group B included 60 "low-risk" patients (pT2 with absence of the above-mentioned features) who underwent endoscopic follow-up alone...
June 19, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28624552/-watering-can-ureterocele-puncture-technique-leads-to-decreased-rates-of-de-novo-vur-and-subsequent-surgery-with-durable-results
#2
Joseph Haddad, Bhalaajee Meenakshi-Sundaram, Nathan Rademaker, Hubert Greger, Christopher Aston, Blake W Palmer, Bradley P Kropp, Dominic Frimberger
OBJECTIVE: To assess the outcomes of 'Watering Can' ureterocele puncture, a technique previously associated with decreased incidence of de novo VUR, as a durable option for management of ureteroceles and to determine the need for subsequent surgery for VUR following 'Watering Can' puncture. MATERIALS AND METHODS: We retrospectively reviewed records of 55 consecutive endoscopic ureterocele procedures done at our institution from 1999 to 2015. The WCP was performed using a holmium laser fiber to make 10-20 puncture holes through the ureterocele...
June 14, 2017: Urology
https://www.readbyqxmd.com/read/28607648/the-treatment-of-vesicoureteral-reflux-in-children-by-endoscopic-sub-mucosal-intra-ureteral-injection-of-dextranomer-hyaluronic-acid-a-case-series-multi-centre-study
#3
Osama Bawazir
BACKGROUND: Vesicoureteral reflux is a risk factor for progressive renal damage. In addition to long-term antibiotic prophylaxis and open surgical re-implantation, endoscopic sub-mucosal intra-ureteral injection of implant material is a therapeutic alternative that gained a world-wide preference. OBJECTIVE: The aim of this study was to determine the effectiveness and safety of the implant material, dextranomer/hyaluronic acid, in a cohort of Saudi children with vesicoureteral reflux...
April 2017: Electronic Physician
https://www.readbyqxmd.com/read/28605483/vedolizumab-in-pediatric-inflammatory-bowel-disease-a-retrospective-multi-center-experience-from-the-paediatric-ibd-porto-group-of-espghan
#4
Oren Ledder, Amit Assa, Arie Levine, Johanna C Escher, Lissy de Ridder, Frank Ruemmele, Neil Shah, Ron Shaoul, Victorien M Wolters, Astor Rodrigues, Holm H Uhlig, Carsten Posovsky, Kaija-Leena Kolho, Christian Jakobsen, Shlomi Cohen, Dror S Shouval, Tim de Meij, Javier Martin-de-Carpi, Lisa Richmond, Jiri Bronsky, Mira Friedman, Dan Turner
Background: Vedolizumab, an anti-integrin antibody, has proven to be effective in adults with Inflammatory Bowel Disease (IBD), but the data in pediatrics are limited. We describe the short-term effectiveness and safety of vedolizumab in a European multi-center pediatric IBD cohort. Method: Retrospective review of children (2-18 years) treated with vedolizumab from 19 centers affiliated with the Paediatric IBD Porto group of ESPGHAN. Primary outcome was week 14 corticosteroid-free remission (CFR)...
June 9, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28600044/transvaginal-endoscopic-surgery-assisted-versus-conventional-laparoscopic-adnexectomy-tvea-vs-cla-a-propensity-matched-study-and-literature-review
#5
Yi-Chieh Li, Fei-Chun Ku, Hsin-Hong Kuo, Hsiao-Jung Tseng, Chin-Jung Wang
OBJECTIVE: Natural orifice transluminal endoscopic surgery (NOTES) may be useful in gynecologic endoscopic surgery. This study evaluated the efficacy, safety, and perioperative outcomes of combined NOTES and vaginal approach, transvaginal endoscopic surgery-assisted adnexectomy (TVEA), for the surgical treatment of presumed benign ovarian tumors. MATERIALS AND METHODS: Records were reviewed for 33 consecutive TVEA procedures performed between May 2011 and March 2014...
June 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28599434/the-role-of-microvessel-density-lymph-node-metastasis-and-tumor-size-as-prognostic-factors-of-distant-metastasis-in-colorectal-cancer
#6
Tomonari Cho, Eisuke Shiozawa, Fumihiko Urushibara, Nana Arai, Toshitaka Funaki, Yusuke Takehara, Sakiko Tazawa, Masashi Misawa, Mayumi Homma, Tomoko Norose, Mutsuko Omatsu, Hideyuki Miyachi, Toshiko Yamochi, Toshiaki Kunimura, Genshu Tate, Fumio Ishida, Shin-Ei Kudo, Masahumi Takimoto
Angiogenesis is essential for tumor growth and metastasis. CD105 is reportedly a specific marker for tumor angiogenesis. It has been demonstrated that monoclonal antibodies to CD105 have high affinity for activated endothelial cells. A relationship between metastasis and microvessel density (MVD), as an indicator of neovascularization, has been identified in patients with colorectal cancer as shown by the presence of monoclonal antibodies to CD105. However, data on potentially confounding factors such as lymphatic and vascular infiltration and tumor size are lacking...
June 2017: Oncology Letters
https://www.readbyqxmd.com/read/28598276/risk-factors-associated-with-postoperative-cerebrospinal-fluid-leak-after-endoscopic-endonasal-skull-base-surgery
#7
Shannon Fraser, Paul A Gardner, Maria Koutourousiou, Mark Kubik, Juan C Fernandez-Miranda, Carl H Snyderman, Eric W Wang
OBJECTIVE The aim in this paper was to determine risk factors for the development of a postoperative CSF leak after an endoscopic endonasal approach (EEA) for resection of skull base tumors. METHODS A retrospective review of patients who underwent EEA for the resection of intradural pathology between January 1997 and June 2012 was performed. Basic demographic data were collected, along with patient body mass index (BMI), tumor pathology, reconstruction technique, lumbar drainage, and outcomes. RESULTS Of the 615 patients studied, 103 developed a postoperative CSF leak (16...
June 9, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28597129/transcanal-surgery-for-vestibular-schwannomas-a-pictorial-review-of-radiological-findings-surgical-anatomy-and-comparison-to-the-traditional-translabyrinthine-approach
#8
Matteo Alicandri-Ciufelli, Gaia Federici, Lukas Anschuetz, Giacomo Pavesi, Alessandra Todeschini, Livio Presutti, Daniele Marchioni
The most popular approaches for vestibular schwannoma (VS) removal are retrosigmoid, middle cranial fossa and translabyrinthine (TL). All require a certain degree of invasivity, bone removal, or brain manipulation. Recently, the authors described the transcanal transpromontorial approaches (TTA), which allow the inner ear to be accessed directly through the external auditory canal (EAC), either with a microscopic (Expanded TTA, or ExpTTA) or even an exclusive endoscopic technique (Endoscopic TTA, or EndoTTA)...
June 9, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28596984/use-of-a-novel-shorter-minimum-caliber-needle-for-creating-endoscopic-tattoos-for-preoperative-localization-a-comparative-ex-vivo-study
#9
Kenichiro Imai, Kinichi Hotta, Sayo Ito, Yuichiro Yamaguchi, Takeshi Kawakami, Takuya Wada, Kimihiro Igarashi, Yoshihiro Kishida, Yusuke Kinugasa, Noboru Kawata, Masaki Tanaka, Naomi Kakushima, Kohei Takizawa, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Hiroyuki Ono
BACKGROUND AND STUDY AIMS : In colorectal cancer surgery, inadvertent deep injections during endoscopic tattooing can cause India ink leakage into the peritoneum, leading to complications or to poor visualization of the surgical plane. This ex vivo animal study compared the use of novel shorter, minimum caliber needles versus conventional injection needles for endoscopic tattooing. ANIMALS AND METHODS : Four endoscopists used the novel needles and conventional needles to make ten endoscopic tattoos (five tattoos/needle type/endoscopist) in harvested porcine rectum using a saline test-injection method...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28594922/the-learning-curve-of-endoscopic-total-mastectomy-in-taiwan-a-multi-center-study
#10
Chin-Sheng Hung, Sheng-Wei Chang, Li-Min Liao, Cheng-Chiao Huang, Shih-Hsin Tu, Shou-Tung Chen, Dar-Ren Chen, Shou-Jen Kuo, Hung-Wen Lai, Ting-Mao Chou, Yao-Lung Kuo
INTRODUCTION: Laparoscopic techniques are commonly used in abdominal and gynecologic surgery, while breast cancer surgery has remained largely unchanged. In Asia, especially in Japan, many surgeons have started to use endoscopic surgery for breast cancer. In Taiwan, endoscopy-assisted breast surgery started in 2010. The benefits of this surgical method include smaller incisions, an axillary anatomic approach, clear vision, no oncologic compromise, and good cosmetic outcomes. This is the first report to discuss the learning curve of endoscopy-assisted breast surgery, including the difficulties experienced...
2017: PloS One
https://www.readbyqxmd.com/read/28584351/the-effects-of-dexmedetomidine-and-magnesium-sulphate-in-adult-patients-undergoing-endoscopic-transnasal-transsphenoidal-resection-of-pituitary-adenoma-a-double-blind-randomised-study
#11
Rabie Soliman, Eman Fouad
BACKGROUND AND AIM: Transnasal transsphenoidal resection of pituitary tumours is associated with blood loss and wide fluctuations in haemodynamic parameters. The aim of the present study was to compare the effect of dexmedetomidine and magnesium sulphate during the transsphenoidal resection of pituitary tumours. METHODS: The study was a double-blind, randomised study and included 152 patients classified randomly into two groups: Group D: Dexmedetomidine was given as a loading dose 1 μg/kg over 10 min before induction followed by an infusion at 0...
May 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28583497/safety-of-endoscopic-sinus-surgery-in-children-with-cystic-fibrosis
#12
Dmitry Tumin, Don Hayes, Stephen E Kirkby, Joseph D Tobias, Christopher McKee
INTRODUCTION: Data on the safety of endoscopic sinus surgery (ESS) are limited in children with cystic fibrosis (CF). We used a multi-institutional surgical registry to examine ESS outcomes in children with CF. METHODS: The 2014-2015 American College of Surgeons' National Surgical Quality Improvement Program-Pediatric database was queried for patients age <18 years undergoing elective ESS. Prolonged hospital stay (>1 day), 30-day readmission, and 30-day unplanned reoperation were compared according to presence of CF diagnosis...
July 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28579348/ten-year-survival-after-endoscopic-stenting-as-a-bridge-to-surgery-in-obstructing-colon-cancer
#13
Bram Verstockt, Annelien Van Driessche, Marc De Man, Pieter van der Spek, Koen Hendrickx, Veerle Casneuf, Pieter Dobbels, Yves Van Molhem, Jo Vandervoort
BACKGROUND AND AIMS: Self-expandable metallic stents are increasingly used in the treatment of obstructing colorectal cancer (CRC). Although endoscopic colonic stenting is widely accepted in palliation, disagreement exists about its role in a curative setting. This study aims to describe long-term survival data in a large patient group, treated with colonic stenting as a bridge to surgery (BTS) for CRC. PATIENTS AND METHODS: This prospective study included 97 patients who presented in a Belgian hospital between 1998 and 2013 with an obstructing, though potentially curable, CRC...
June 1, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28564715/two-stage-endoscopic-mucosal-resection-is-a-safe-and-effective-salvage-therapy-after-a-failed-single-session-approach
#14
David J Tate, Lobke Desomer, Luke F Hourigan, Alan Moss, Rajvinder Singh, Michael J Bourke
Background and study aims Endoscopic mucosal resection (EMR) of laterally spreading colonic lesions ≥ 20 mm (LSLs) is ideally performed in a single session (ssEMR) and avoids surgery in > 90 % of patients. We investigated whether a second attempt is safe or useful when ssEMR fails at a tertiary center. Patients and methods In a multicenter prospective observational study of patients with LSL treated by EMR at four tertiary centers over 8 years, incompletely resected LSLs were referred for surgery or underwent two-stage EMR (tsEMR)...
May 31, 2017: Endoscopy
https://www.readbyqxmd.com/read/28562541/preoperative-flap-site-injection-with-ropivacaine-and-epinephrine-in-baba-robotic-and-endoscopic-thyroidectomy-safely-reduces-postoperative-pain-a-consort-compliant-double-blinded-randomized-controlled-study-pain-brekor-trial
#15
Joon-Hyop Lee, Yong Joon Suh, Ra-Yeong Song, Jin Wook Yi, Hyeong Won Yu, Hyungju Kwon, June Young Choi, Kyu Eun Lee
BACKGROUND: Clinical trials on bilateral axillo-breast approach (BABA) thyroidectomy show that levobupivacaine and ropivacaine significantly reduce postoperative pain, but they focused on BABA robotic thyroidectomy only and did not identify specific sites of significant pain relief. Our objective was to assess the pain reduction at various sites and safety of ropivacaine-epinephrine flap injection in BABA thyroidectomy. METHODS: This prospective double-blinded randomized controlled trial was conducted in compliance with the revised CONSORT statement (ClinicalTrials...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28560099/a-retrospective-analysis-of-postoperative-hypokalemia-in-pituitary-adenomas-after-transsphenoidal-surgery
#16
Lili You, Wenpeng Li, Tang Chen, Dongfang Tang, Jinliang You, Xianfeng Zhang
BACKGROUND: Pituitary adenoma is one of the most common intracranial neoplasms, and its primary treatment is endoscopic endonasal transsphenoidal tumorectomy. Postoperative hypokalemia in these patients is a common complication, and is associated with morbidity and mortality. This study aimed to analyze the etiopathology of postoperative hypokalemia in pituitary adenomas after endoscopic transsphenoidal surgery. METHODS AND MATERIALS: This retrospective study included 181 pituitary adenomas confirmed by histopathology...
2017: PeerJ
https://www.readbyqxmd.com/read/28555595/endoscopic-vs-microscopic-approach-in-stapes-surgery-advantages-in-the-middle-ear-structures-visualization-and-trainee-s-point-of-view
#17
Giannicola Iannella, Dario Marcotullio, Massimo Re, Alessandra Manno, Benedetta Pasquariello, Diletta Angeletti, Vincenzo Falasca, Giuseppe Magliulo
OBJECTIVE: Comparing the endoscopic and microscopic approaches in stapes surgery, and establishing the surgical approach that allows better results in terms of visualization of the middle ear structures and aids assistant's training. MATERIALS AND METHODS: Twenty-one residents from the first to the fifth year of training in Otolaryngology were enrolled in this prospective study. A questionnaire specifically designed to investigate the understanding of middle ear anatomy, the surgical steps, and a personal opinion about endoscopic stapes surgery was submitted to each resident...
April 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28554673/secondary-sclerosing-cholangitis-in-cardiac-surgical-patients-a-complication-with-a-dismal-prognosis
#18
Ina Schade, Dejan Radakovic, Jörg Hoffmann, Sebastian-Patrick Sommer, Ullrich Stefenelli, Christoph Schimmer, Rainer G Leyh, Ivan Aleksic
OBJECTIVES: Secondary sclerosing cholangitis in critically ill patients is a rapidly progressing disease leading to biliary fibrosis and cirrhosis. We describe the course of sclerosing cholangitis in critically ill patients after cardiac surgery and compare this with matched patients. METHODS: A retrospective search for "secondary sclerosing cholangitis" and "liver and/or hepatic failure" in all adult patients (aged 18-93 years) who underwent cardiac surgery from April 2007 to March 2016 identified 192 of 8625 patients...
April 27, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28544520/safety-and-perioperative-adverse-events-in-pediatric-endoscopic-sinus-surgery-an-acs-nsqip-p-analysis
#19
Christopher R Roxbury, Lilun Li, Daniel Rhee, Kris R Jatana, Rahul K Shah, Emily F Boss
INTRODUCTION: This study describes safety outcomes of pediatric endoscopic sinus surgery (ESS) to identify risk factors for 30-day postoperative adverse events using the National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database. METHODS: We performed a retrospective cohort study involving patients in the 2012-2015 NSQIP-P database who underwent ESS. Predictors included demographics, comorbidities and surgical acuity. Outcomes included 30-day complications, reoperations, and readmissions...
May 23, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28543174/endoscopic-transcanal-approach-to-the-middle-ear-for-management-of-pediatric-cholesteatoma
#20
Saied Ghadersohi, John M Carter, Stephen R Hoff
OBJECTIVES: To describe outcomes for endoscopic ear surgery (EES) for pediatric cholesteatoma at a tertiary pediatric hospital. METHODS: Retrospective case series of 65 pediatric cholesteatoma cases in 38 ears. Subgrouping based on cholesteatoma type and EES type. Surgical findings, outcomes, and demographic data were evaluated. RESULTS: Endoscopes were used in 65 pediatric cholesteatoma cases in 38 primary ears (34 patients), followed for an average of 2...
May 23, 2017: Laryngoscope
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