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https://www.readbyqxmd.com/read/29679437/preoperative-platelet-count-is-associated-with-increased-risk-of-posthepatectomy-grade-a-liver-failure-in-right-lobe-donors-for-liver-transplantation
#1
Kenji Yoshino, Kojiro Taura, Yoshinobu Ikeno, Yukihiro Okuda, Takahiro Nishio, Gen Yamamoto, Satoru Seo, Shintaro Yagi, Koichiro Hata, Toshimi Kaido, Hideaki Okajima, Shinji Uemoto
Living donor right hepatectomy (LDRH) is a common procedure in adult-to-adult living donor liver transplantation (LDLT), but is associated with a higher risk of posthepatectomy liver failure (PHLF) compared with left hepatectomy because of a smaller remnant. We identified risk factors for PHLF and other complications in LDRH, verified the appropriateness of the criteria, and explored the possibility of adjusting the minimum RLV based on individual risk. Between October 2005 and November 2017, 254 donors undergoing LDRH at Kyoto University Hospital were enrolled...
April 20, 2018: Liver Transplantation
https://www.readbyqxmd.com/read/29663766/kirurgisk-behandling-av-pylorusstenose
#2
Kaja Mørk, Hans Skari, Ole Schistad, Pål Aksel Næss
BACKGROUND: Pyloric stenosis is one of the most common surgical conditions in infants. This study aims to investigate diagnostics and results of surgical treatment for pyloric stenosis at Oslo University Hospital Ullevål. MATERIAL AND METHOD: A retrospective review of patient records for those undergoing surgery for pyloric stenosis in the period 2004-2016 was conducted. Preoperative symptoms and findings, diagnostics, treatment and postoperative results were recorded...
April 17, 2018: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://www.readbyqxmd.com/read/29629218/safety-of-laparoscopic-sentinel-basin-dissection-in-patients-with-gastric-cancer-an-analysis-from-the-senorita-prospective-multicenter-quality-control-trial
#3
Ji Yeong An, Jae Seok Min, Young Joon Lee, Sang Ho Jeong, Hoon Hur, Sang Uk Han, Woo Jin Hyung, Gyu Seok Cho, Gui Ae Jeong, Oh Jeong, Young Kyu Park, Mi Ran Jung, Ji Yeon Park, Young Woo Kim, Hong Man Yoon, Bang Wool Eom, Keun Won Ryu
Purpose: We investigated complications after laparoscopic sentinel basin dissection (SBD) for patients with gastric cancer who were enrolled in a quality control study, prior to the phase III trial of sentinel lymph node navigation surgery (SNNS). Materials and Methods: We analyzed prospective data from a Korean multicenter prerequisite quality control trial of laparoscopic SBD for gastric cancer and assessed procedure-related and surgical complications. All complications were classified according to the Clavien-Dindo Classification (CDC) system and were compared with the results of the previously published SNNS trial...
March 2018: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/29589675/cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy-risk-factors-for-morbidity-and-postoperative-outcome
#4
Manuela Robella, Marco Vaira, Armando Cinquegrana, Alice Borsano, Michele DE Simone
BACKGROUND: Cytoreductive surgery (CRS) followed by hyperthermic intraperitoneal chemotherapy (HIPEC) represents a treatment option for peritoneal surface malignancies. Even if it has been reported that this new approach improved survival of selected patients, it's still associated with high morbidity and mortality rates. METHODS: From October 1995 to December 2017, over 450 patients patients affected by peritoneal carcinomatosis (PC) underwent in our Institute to CRS associated with HIPEC...
March 28, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29580734/morbidity-of-rectosigmoid-resection-in-cytoreductive-surgery-for-ovarian-cancer-risk-factor-analysis
#5
M Fournier, C Huchon, C Ngo, C Bensaid, A S Bats, P Combe, M A le FrèreBelda, L Fournier, A Berger, F Lecuru
AIM: Rectosigmoid resection is often performed during cytoreductive surgery for ovarian cancer, to achieve the goal of no residual tumour. Here, we evaluated the morbidity associated with rectosigmoid resection and the underlying risk factors. METHODS: We retrospectively assessed consecutive patients managed with rectosigmoid resection during cytoreductive surgery for ovarian cancer at our centre in Paris, France, between 2005 and 2013. All previously identified risk factors were analysed...
January 13, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29579329/prediction-of-morbidity-following-cytoreductive-surgery-for-metastatic-gastrointestinal-stromal-tumour-in-patients-on-tyrosine-kinase-inhibitor-therapy
#6
M Fairweather, M J Cavnar, G Z Li, M M Bertagnolli, R P DeMatteo, C P Raut
BACKGROUND: Although cytoreductive surgery has been shown to be beneficial in carefully selected patients with metastatic gastrointestinal stromal tumours (GISTs) treated with tyrosine kinase inhibitors (TKIs), factors predictive of postoperative morbidity have not been investigated previously. METHODS: A surgical complexity score for GIST metastasectomy (GM-SCS) composed of patient-related and surgical factors was assigned retrospectively to patients with metastatic GIST treated with TKI therapy and surgery at two institutions between 2002 and 2014...
March 26, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29577555/transanal-endoscopic-surgery-is-effective-and-safe-after-endoscopic-polypectomy-of-potentially-malignant-rectal-polyps-with-questionable-margins
#7
Xavier Serra-Aracil, Anna Pallisera-Lloveras, Laura Mora-Lopez, Sheila Serra-Pla, Valentí Puig-Diví, Àlex Casalots, Eva Martínez-Bauer, Salvador Navarro-Soto
AIM: To determine the percentage of residual lesion observed in the pathology study of transanal endoscopic surgery (TEM) specimens after endoscopic polypectomy of malignant rectal polyps with questionable margins, and the need for further surgery. Secondary aims: to determine the morbidity and mortality associated with this procedure and to identify the percentage of recurrence after excision by TEM. METHODS: Observational study with prospective data collection of all patients undergoing TEM after endoscopic polypectomy for malignant rectal polyps or non-invasive high-grade neoplasia, from January 2004 to December 2016...
March 25, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29576348/value-of-sarcopenia-assessed-by-computed-tomography-for-the-prediction-of-postoperative-morbidity-following-oncological-colorectal-resection-a-comparison-with-the-malnutrition-screening-tool
#8
G van der Kroft, Dr M J L Bours, Dr M Janssen-Heijnen, Dr C L H van Berlo, Dr J L M Konsten
BACKGROUND: Computed tomography (CT) can be used for accurate estimation of whole-body muscle mass and muscle density and for detection of sarcopenia. The goal of this study was to evaluate the additional value of CT measured sarcopenia and muscle attenuation alongside the Malnutrition Universal Screening Tool (MUST) for the prediction of post-operative morbidity after oncological colorectal resection, whilst correcting for known risk factors. METHODS: A prospective cohort study of 80 patients undergoing elective colorectal surgery in the Netherlands...
April 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29570929/multicenter-international-experience-of-532-nm-laser-photo-vaporization-with-greenlight-xps-in-men-with-extremely-large-prostates-prostate-volume-200-cc
#9
Roger Valdivieso, Pierre-Alain Hueber, Malek Meskawi, Eric Belleville, Khaled Ajib, Franck Bruyere, Alexis E Te, Bilal Chughtai, Dean Elterman, Vincent Misrai, Kevin C Zorn
INTRODUCTION AND OBJECTIVES: According to EAU and AUA guidelines on management of male non-neurogenic lower urinary tract symptoms (LUTS), PVP XPS is superior to TURP with regard to intra-operative safety and postoperative complication rates such as bleeding. The experience of the GL system with very large glands (>200mL) is very limited. In the present study, we aimed to describe perioperative results as well as functional outcomes and complications of photo-vaporization of prostate glands bigger than 200 mL using the GL system...
March 23, 2018: BJU International
https://www.readbyqxmd.com/read/29562374/single-incision-laparoscopic-surgery-for-locally-advanced-colorectal-cancer-feasibility-short-term-and-oncologic-outcomes
#10
F Famiglietti, D Leonard, R Bachmann, C Remue, N Abbes Orabi, A van Maanen, M van den Eynde, A Kartheuser
BACKGROUND AND STUDY AIMS: Data about single-incision laparoscopic surgery (SILS) in locally advanced colorectal cancers are scarce. This study aimed to evaluate perioperative and shortterm oncologic outcomes of SILS in pT3-T4 colorectal cancer. PATIENTS AND METHODS: From 2011 to 2015 data from 249 SILS performed in our Colorectal Unit were entered into a prospective database. Data regarding patients with a pT3-T4 colorectal adenocarcinoma were compared to those with pTis-pT2...
January 2018: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/29553104/neither-ischemic-parenchymal-volume-nor-severe-grade-complication-correlate-transient-high-transaminase-elevation-after-liver-resection
#11
Tokio Higaki, Shintaro Yamazaki, Yusuke Mitsuka, Masaru Aoki, Nao Yoshida, Yutaka Midorikawa, Hisashi Nakayama, Tadatoshi Takayama
To clarify whether high transient elevation of serum transaminase predicts severe complications and is related to the ischemic area on CT. Postoperative laboratory data and ischemia area on CT were analyzed on the basis of the presence of high transaminase elevation (aspartate aminotransferase (AST) > 1,000 IU/L within postoperative day (POD) 2 after liver resection. In the high elevation group, volume of ischemic areas was assessed by CT on POD2. The 538 patients were divided into a high transaminase group (n = 51) and a control group (n = 487)...
2018: Bioscience Trends
https://www.readbyqxmd.com/read/29544735/the-impact-of-implementation-of-the-european-association-of-urology-guidelines-panel-recommendations-on-reporting-and-grading-complications-on-perioperative-outcomes-after-robot-assisted-radical-prostatectomy
#12
Giorgio Gandaglia, Carlo Andrea Bravi, Paolo Dell'Oglio, Elio Mazzone, Nicola Fossati, Simone Scuderi, Daniele Robesti, Francesco Barletta, Luca Grillo, Steven Maclennan, James N'Dow, Francesco Montorsi, Alberto Briganti
The rate of postoperative complications might vary according to the method used to collect perioperative data. We aimed at assessing the impact of the prospective implementation of the European Association of Urology (EAU) guidelines on reporting and grading of complications in prostate cancer patients undergoing robot-assisted radical prostatectomy (RARP). From September 2016, an integrated method for reporting surgical morbidity based on the EAU guidelines was implemented at a single, tertiary center. Perioperative data were prospectively and systematically collected during a patient interview at 30 d after surgery as recommended by the EAU Guidelines Panel Recommendations on Reporting and Grading Complications...
March 12, 2018: European Urology
https://www.readbyqxmd.com/read/29541824/impact-of-jaundice-on-outcomes-following-emergency-laparoscopic-cholecystectomy-in-patients-with-choledocholithiasis
#13
Benjamin R Poh, Paul A Cashin, Daniel G Croagh
INTRODUCTION: Traditional teaching dictates that it may not be prudent to take the jaundiced patient to theatre for emergency laparoscopic cholecystectomy as they may experience worse outcomes following surgery. METHODS: A prospective cohort of 104 patients undergoing emergency laparoscopic cholecystectomy was stratified into two groups using a serum total bilirubin of above 50 μmol/L (2.9 mg/dL) to define the jaundiced group. Primary outcomes were morbidity and mortality rate...
March 14, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29537330/limited-post-chemotherapy-retroperitoneal-resection-of-residual-tumour-in-non-seminomatous-testicular-cancer-complications-outcome-and-quality-of-life
#14
Anna Hartmann Schmidt, Morten Høyer, Bent Frode Skov Jensen, Mads Agerbaek
BACKGROUND: Resection of residual masses after chemotherapy plays a crucial role in management of patients with germ cell tumours (GCTs). The extent of surgery is controversial and we present the experiences from Aarhus University Hospital over a 20-year period. The aim was to evaluate survival, complications, working ability and quality of life (QOL) following a limited surgical procedure performed to resect residual masses in non-seminomatous testicular cancer patients after chemotherapy...
March 14, 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29536239/elective-vs-early-elective-surgery-in-diverticular-disease-a-retrospective-study-on-the-optimal-timing-of-non-emergency-treatment
#15
Felix Benjamin Warwas, Berthold Schneider
PURPOSE: This study set out to compare the in-hospital outcomes of early elective and elective laparoscopic sigmoidectomy due to diverticulitis. METHODS: We examined the data for 378 diverticulitis patients who received an elective laparoscopic sigmoid resection between 2008 and 2012. We divided the patients into two groups: elective (group A, n = 278) and early elective (group B, n = 100). Patients in group A received surgery during the inflammation-free interval, and those in group B immediately after treating the attack with IV antibiotics for a mean period of 8 days (IQR = 3)...
March 13, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29536237/impact-of-surgical-proficiency-levels-on-postoperative-morbidity-a-single-centre-analysis-of-558-ileostomy-reversals
#16
S Löb, K Luetkens, K Krajinovic, A Wiegering, C-T Germer, F Seyfried
PURPOSE: Defunctioning ileostomies reduce the consequences of distal anastomotic leakage following bowel resections. Ileostomy reversal in itself, however, is associated with appreciable morbidity (3-40%) and mortality (0-4%). Despite being a common teaching procedure, there is limited information on the impact of surgical proficiency levels on postoperative outcome. METHODS: Adult patients undergoing closure of a defunctioning ileostomy between September 2008 and January 2017 were identified from a surgical administrative database that was collected prospectively (n = 558)...
March 13, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29532141/preoperative-smoking-cessation-is-integral-to-the-prevention-of-postoperative-morbidities-in-minimally-invasive-esophagectomy
#17
Naoya Yoshida, Kenichi Nakamura, Daisuke Kuroda, Yoshifumi Baba, Yuji Miyamoto, Masaaki Iwatsuki, Yukiharu Hiyoshi, Takatsugu Ishimoto, Yu Imamura, Masayuki Watanabe, Hideo Baba
BACKGROUND: Preoperative smoking cessation is considered integral to decreasing postoperative morbidities after esophagectomy. To our knowledge, the association of the duration of smoking cessation with the occurrence of postoperative morbidity has never been investigated in minimally invasive esophagectomy (MIE). METHODS: A total of 198 consecutive MIEs for esophageal cancer between June 2011 and December 2017 were eligible for the study. According to the length of smoking cessation, patients were separated into three groups: ≤ 30, 31-90, and ≥ 91 days...
March 12, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29530829/the-impact-of-major-postoperative-complications-on-long-term-outcomes-following-curative-resection-of-colon-cancer
#18
Javier A Cienfuegos, Jorge Baixauli, Carmen Beorlegui, Patricia Martínez Ortega, Lucía Granero, Gabriel Zozaya, José Luis Hernández Lizoáin
PURPOSE: The objective is to analyze the impact of severe postoperative complications in patients undergoing curative surgery for colon cancer. MATERIAL AND METHODS: From a prospective database, we identified patients with stage I-III disease (AJCC) who underwent surgery between 2000 and 2014. Patients were selected with major complications (IIIb on the Clavien-Dindo classification) and with no major complications. Variables were analyzed in both groups. Local, peritoneal and distant recurrence together with overall survival and disease-free survival were analyzed...
March 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29520207/outcomes-of-the-surgical-treatment-for-adenocarcinoma-of-the-cardia-single-institution-experience
#19
Stojan Potrc, Arpad Ivanecz, Bojan Krebs, Urska Marolt, Bojan Iljevec, Tomaz Jagric
Background: Adenocarcinomas at the cardia are biologically aggressive tumors with poor long-term survival following curative resection. For resectable adenocarcinoma of the cardia, mostly esophagus extended total gastrectomy or esophagus extended proximal gastric resection is performed; however, the surgical approach, transhiatal or transthoracic, is still under discussion. Postoperative morbidity, mortality and long-term survival were analyzed to evaluate the potential differences in clinically relevant outcomes...
March 2018: Radiology and Oncology
https://www.readbyqxmd.com/read/29520206/impact-factors-for-perioperative-morbidity-and-mortality-and-repercussion-of-perioperative-morbidity-and-long-term-survival-in-pancreatic-head-resection
#20
Stojan Potrc, Arpad Ivanecz, Vid Pivec, Urska Marolt, Sasa Rudolf, Bojan Iljevec, Tomaz Jagric
Background: The focus of the present study was to reveal any impact factors for perioperative morbidity and mortality as well as repercussion of perioperative morbidity on long-term survival in pancreatic head resection. Patients and methods: In a retrospective study, clinic-pathological factors of 240 patients after pancreatic head (PD) or total resection were analyzed for correlations with morbidity, 30- and 90-day mortality, and long-term survival. According to Clavien-Dindo classification, all complications with grade II and more were defined as overall complications (OAC)...
March 2018: Radiology and Oncology
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