journal
https://read.qxmd.com/read/38413412/risk-factors-for-anastomotic-leakage-after-low-anterior-resection-for-obese-patients-with-rectal-cancer
#21
JOURNAL ARTICLE
Ai Sadatomo, Hisanaga Horie, Koji Koinuma, Naohiro Sata, Yutaka Kojima, Takatoshi Nakamura, Jun Watanabe, Takaya Kobatake, Tomonori Akagi, Kentaro Nakajima, Masafumi Inomata, Seiichiro Yamamoto, Masahiko Watanabe, Yoshiharu Sakai, Takeshi Naitoh
PURPOSE: We aimed to analyze the risk factors for anastomotic leakage (AL) after low anterior resection (LAR) in obese patients (body mass index [BMI] ≥ 25 kg/m2 ) with rectal cancer. METHODS: Data were collected from four hundred two obese patients who underwent LAR for rectal cancer in 51 institutions. RESULTS: Forty-six (11.4%) patients had clinical AL. The median BMI (27 kg/m2 ) did not differ between the AL and non-AL groups...
February 28, 2024: Surgery Today
https://read.qxmd.com/read/38411770/practical-methods-to-differentiate-thymic-malignancies-by-positron-emission-tomography-and-tumor-markers
#22
JOURNAL ARTICLE
Takahiro Yanagihara, Tomoyuki Kawamura, Naoki Maki, Naohiro Kobayashi, Shinji Kikuchi, Yukinobu Goto, Hideo Ichimura, Yukio Sato
PURPOSE: An accurate diagnosis of thymic malignancies is important, but challenging due to the broad range of differential diagnoses. This study aims to evaluate the efficacy of PET/CT and tumor markers for diagnosing thymic malignancies. METHODS: Patients admitted to our department between January 2012 and December 2021 with primary anterior mediastinal tumors were retrospectively evaluated. We evaluated the relationship between the maximum standardized uptake value (SUVmax), tumor markers, and pathological diagnosis in four groups: thymic carcinoma, thymoma, lymphoma, and others...
February 27, 2024: Surgery Today
https://read.qxmd.com/read/38402328/impact-of-treatment-guidelines-and-pivotal-clinical-trial-results-on-a-surgeon-s-decision-regarding-treatment-for-gastric-cancer-a-retrospective-cohort-study-using-the-national-clinical-database
#23
JOURNAL ARTICLE
Souya Nunobe, Hideki Endo, Michitaka Honda, Masayuki Watanabe, Hiroyuki Yamamoto, Shingo Kanaji, Yoshihiro Kakeji, Yasuhiro Kodera, Yuko Kitagawa
PURPOSES: The present study evaluated the impact of clinical guidelines for gastric cancer surgery on surgeons' choice of procedure in real-world practice. We focused on the 2014 guideline revision recommending laparoscopic surgery and the evidence concerning splenectomy for prophylactic lymphadenectomy reported in 2015 using the National Clinical Database, which is the most comprehensive database in Japan. METHODS: We investigated the monthly percentages of laparoscopic distal gastrectomies performed for stage I gastric cancer (LDG%) and splenectomies performed during total gastrectomy for advanced cancer (TGS%) between 2014 and 2017...
February 24, 2024: Surgery Today
https://read.qxmd.com/read/38388906/incidence-of-atrial-fibrillation-after-esophageal-cancer-surgery-with-l-carnitine-use-a-preliminary-single-group-interventional-study
#24
JOURNAL ARTICLE
Yasushige Shingu, Isao Yokota, Toshiaki Shichinohe, Soichi Murakami, Yuma Ebihara, Yo Kurashima, Satoshi Hirano, Satoru Wakasa
PURPOSE: We aimed to investigate the POAF rate and blood FABP4 levels after perioperative L-carnitine administration in patients with esophageal cancer. METHODS: L-carnitine (3 g in three divided doses) was administered to 15 patients 2 days before and 3 days after surgery. POAF during the study period and blood FABP4 levels (ELISA) before and after L-carnitine administration were evaluated. Accurate 95% confidence intervals (CI) for POAF incidence and changes in blood FABP4 levels were calculated...
February 23, 2024: Surgery Today
https://read.qxmd.com/read/38381178/safety-and-efficacy-of-new-staple-line-reinforcement-in-lung-resection-a-prospective-study-of-48-patients
#25
JOURNAL ARTICLE
Suguru Mitsui, Yugo Tanaka, Megumi Nishikubo, Takefumi Doi, Shinya Tane, Daisuke Hokka, Yuji Mitomo, Yoshimasa Maniwa
PURPOSE: To evaluate the safety and efficacy of new staple-line reinforcement (SLR) in pulmonary resection through a prospective study and to compare the results of this study with historical control data in an exploratory study. METHODS: The subjects of this study were 48 patients who underwent thoracoscopic lobectomy. The primary endpoint was air leakage from the staple line. The secondary endpoints were the location of air leakage, duration of air leakage, and postoperative pulmonary complications...
February 21, 2024: Surgery Today
https://read.qxmd.com/read/38356076/salivary-metabolites-as-potential-predictive-biomarkers-for-lung-surgery-complications-a-retrospective-cross-sectional-study
#26
JOURNAL ARTICLE
Satoshi Takamori, Shigeo Ishikawa, Kaito Sato, Hikaru Watanabe, Jun Suzuki, Hiroyuki Oizumi, Satoshi Shiono, Tetsuro Uchida, Naoki Okuyama, Kaoru Edamatsu, Mitsuyoshi Iino, Masahiro Sugimoto
PURPOSE: Saliva is often used as a tool for identifying systemic diseases because of the noninvasive nature of its collection. Moreover, salivary metabolites can be potential predictive factors for postoperative survival. We conducted the present study to establish whether salivary metabolites can function as predictive biomarkers for lung surgery complications. METHODS: Unstimulated salivary samples were collected from 412 patients before lung surgery. Salivary metabolites were analyzed comprehensively by capillary electrophoresis mass spectrometry...
February 15, 2024: Surgery Today
https://read.qxmd.com/read/38349404/impact-of-the-novel-coronavirus-infection-on-pediatric-surgery-an-analysis-of-data-from-the-national-clinical-database
#27
JOURNAL ARTICLE
Kazuya Ise, Hisateru Tachimori, Jun Fujishiro, Hirofumi Tomita, Kan Suzuki, Hiroyuki Yamamoto, Hiroaki Miyata, Yasushi Fuchimoto
PURPOSE: The coronavirus disease 2019 (COVID-19) pandemic limited the delivery of medical resources. Although surgeries are triaged according to disease severity and urgency, a delay in diagnosis and surgery can be detrimental. We conducted this study to analyze data on the impact of the COVID-19 pandemic on pediatric surgery for different diseases or disorders. METHODS: We compiled and compared data on pediatric surgical cases from 2018 to 2020, using the National Clinical Database...
February 13, 2024: Surgery Today
https://read.qxmd.com/read/38334800/factors-affecting-the-short-term-outcomes-of-robotic-assisted-thoracoscopic-surgery-for-lung-cancer
#28
JOURNAL ARTICLE
Yugo Tanaka, Shinya Tane, Takefumi Doi, Suguru Mitsui, Megumi Nishikubo, Daisuke Hokka, Yoshimasa Maniwa
PURPOSE: Robotic-assisted thoracoscopic surgery (RATS) is a relatively new approach to lung cancer surgery. To promote the development of RATS procedures, we investigated the factors related to short-term postoperative outcomes. METHODS: We analyzed the records of patients who underwent RATS lobectomy for primary lung cancer at our institution between June, 2018 and January, 2023. The primary outcome was operative time, and the estimated value of surgery-related factors was calculated by linear regression analysis...
February 9, 2024: Surgery Today
https://read.qxmd.com/read/38307970/venous-reconstruction-using-a-round-ligament-covered-prosthetic-vascular-graft-in-right%C3%A2-lobe-living%C3%A2-donor-liver-transplantation-a-technical-report
#29
JOURNAL ARTICLE
Takahiro Tomino, Shinji Itoh, Takeo Toshima, Shohei Yoshiya, Yoshihiro Nagao, Noboru Harada, Tomoharu Yoshizumi
PURPOSE: To evaluate the short term-outcomes of venous reconstruction using a round ligament-covered prosthetic vascular graft and assess its effectiveness in the prevention of prosthetic vascular graft migration in right‑lobe living donor liver transplantation (LDLT). METHODS AND RESULTS: Thirty patients underwent reconstruction of the middle hepatic vein (MHV) tributaries during right lobe LDLT between January, 2021 and October, 2022. These patients were divided into the autologous vascular graft group (A group, n = 24) and the round ligament-covered prosthetic vascular graft group (RP group, n = 6)...
February 2, 2024: Surgery Today
https://read.qxmd.com/read/38253896/the-effect-of-a-low-preoperative-albumin-level-on-the-long-term-mortality-a-meta-regression-analysis
#30
LETTER
I-Wen Chen, Wei-Ting Wang, Kuo-Chuan Hung
No abstract text is available yet for this article.
January 23, 2024: Surgery Today
https://read.qxmd.com/read/38227021/percent-vital-capacity-predicts-postoperative-sarcopenia-after-esophagectomy-in-initially-nonsarcopenic-esophageal-cancer-patients-a-retrospective-cohort-study
#31
JOURNAL ARTICLE
Shinichiro Shiomi, Yasuhiro Okumura, Kosuke Nakane, Tetsuro Toriumi, Koichiro Kawasaki, Shoh Yajima, Koichi Yagi, Sachiyo Nomura, Yasuyuki Seto
PURPOSE: The development of sarcopenia after esophagectomy is reported to affect the outcomes of patients with esophageal cancer (EC); however, the characteristics of patients likely to be predisposed to postoperative sarcopenia have not been defined. This study explores the associations between preoperative respiratory function and surgery-induced sarcopenia in EC patients confirmed as nonsarcopenic preoperatively. METHODS: The subjects of this retrospective review were 128 nonsarcopenic patients who underwent esophagectomy for EC...
January 16, 2024: Surgery Today
https://read.qxmd.com/read/38193909/exacerbated-prognostic-impact-of-multiple-intramural-metastasis-versus-single-intramural-metastasis-of-thoracic-esophageal-squamous-cell-carcinoma-evidence-from-an-uzbekistan-cohort
#32
JOURNAL ARTICLE
Abrorjon Yusupbekov, Takahiro Shinozuka, Elyor Juraev, Bekzod Usmanov, Mitsuro Kanda, Junichi Sakamoto, Otabek Tuychiev
PURPOSE: Intramural metastasis (IM) is a poor prognostic factor for patients with esophageal squamous cell carcinoma (ESCC). We conducted this study to assess the prognostic impact of IM in an Uzbekistan cohort and to identify the factors associated with the poor prognosis of patients with ESCC and IM. METHODS: The subjects of this retrospective analysis were 1083 patients with thoracic ESCC, who underwent curative esophagectomy between 2001 and 2021 at the National Cancer Center of Uzbekistan...
January 9, 2024: Surgery Today
https://read.qxmd.com/read/38175292/the-association-of-perioperative-blood-transfusion-with-survival-outcomes-after-major-cancer-surgery-a-population-based-cohort-study-in-south-korea
#33
JOURNAL ARTICLE
Saeyeon Kim, In-Ae Song, Tak Kyu Oh
PURPOSE: The correlation between perioperative blood transfusions and the prognosis after major cancer surgery remains controversial. We investigated the association between perioperative blood transfusion and survival outcomes following major cancer surgeries and analyzed trends in perioperative blood transfusions. METHODS: Data for this population-based cohort study were obtained from the National Health Insurance Service of South Korea. Adult patients who underwent major cancer surgery between January 1, 2016, and December 31, 2020, were included...
January 4, 2024: Surgery Today
https://read.qxmd.com/read/38170224/feasibility-of-venous-cuff-using-an-open-round-ligament-or-inferior-mesenteric-vein-around-the-hepatic-vein-for-a-left-lobe-graft-in-living-donor-liver-transplantation
#34
JOURNAL ARTICLE
Takeo Toshima, Shinji Itoh, Kazutoyo Morita, Yoshihiro Nagao, Takeshi Kurihara, Takahiro Tomino, Yukiko Kosai-Fujimoto, Takahiro Tomiyama, Katsuya Toshida, Noboru Harada, Tomoharu Yoshizumi
Living-donor liver transplantation (LDLT) is an established treatment for patients with end-stage liver disease or acute liver failure, and outflow reconstruction is considered one of the most vital techniques in LDLT. To date, many strategies have been reported to prevent outflow obstruction, which can be refractory to liver dysfunction and can cause life-threatening graft loss or mortality. In addition, in this era of laparoscopic hepatectomy in donor surgery, especially LDLT using a left liver graft, it has been predicted that cutting the hepatic vein with automatic linear staplers will lead to more outflow-related problems than with conventional open hepatectomy because of the short neck of the anastomosis orifice...
January 3, 2024: Surgery Today
https://read.qxmd.com/read/38170223/incidence-and-risk-factors-of-bowel-dysfunction-after-minimally-invasive-rectal-cancer-surgery-and-discrepancies-between-the-wexner-score-and-the-low-anterior-resection-syndrome-lars-score
#35
JOURNAL ARTICLE
Emi Ota, Toshiya Nagasaki, Takashi Akiyoshi, Toshiki Mukai, Yukiharu Hiyoshi, Tomohiro Yamaguchi, Yosuke Fukunaga
PURPOSE: Bowel dysfunction after sphincter-preserving-surgery (SPS) impacts quality of life. The Wexner score (WS) and the low anterior resection syndrome (LARS) score (LS) are instruments for assessing postoperative bowel dysfunction. We analyzed the incidence of and risk factors for each symptom and examined the discrepancies between the two scores. METHODS: A total of 142 patients with rectal cancer, who underwent minimally invasive SPS between May, 2018 and July, 2019, were included...
January 3, 2024: Surgery Today
https://read.qxmd.com/read/38150018/effectiveness-of-long-term-tube-feeding-intervention-in-preventing-skeletal-muscle-loss-after-minimally-invasive-esophagectomy
#36
JOURNAL ARTICLE
Takashi Kato, Taro Oshikiri, Yasufumi Koterazawa, Hironobu Goto, Ryuichiro Sawada, Hitoshi Harada, Naoki Urakawa, Hiroshi Hasegawa, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yoshihiro Kakeji
PURPOSE: Esophageal cancer is a lethal tumor typically treated by neoadjuvant chemotherapy and surgery. For patients undergoing esophagectomy, postoperative enteral nutrition is important in preventing complications. Sarcopenia is associated with poor postoperative outcomes in esophageal cancer. In this study, we evaluated the benefits of tube feeding intervention and compared its short- and long-term outcomes in patients who underwent esophagectomy. METHODS: Propensity score matching was performed in 303 patients who underwent esophagectomy at Kobe University Hospital between 2010 and 2020...
December 27, 2023: Surgery Today
https://read.qxmd.com/read/38133829/impact-of-the-coronavirus-disease-2019-pandemic-on-20-representative-surgical-procedures-in-japan-based-on-the-national-clinical-database-annual-surveillance-of-2021-by-the-japan-surgical-society
#37
JOURNAL ARTICLE
Taizo Hibi, Hiroyuki Yamamoto, Takahiro Miyoshi, Norihiko Ikeda, Akinobu Taketomi, Minoru Ono, Masakazu Toi, Hisato Hara, Hiroaki Nagano, Yuko Kitagawa, Masaki Mori
PURPOSE: The volume of surgical services has significantly reduced globally due to the coronavirus disease 2019 (COVID-19) pandemic. This study evaluated the level of recovery in terms of the number of operations performed in Japan in 2021, based on nationwide periodic surveillance. METHODS: Information on the weekly and annual volumes of 20 representative procedures in 6 surgical subspecialties in 2021 was extracted from the National Clinical Database. Statistical data for 2018 and 2019 (pre-pandemic era) were compared with those for 2020...
December 22, 2023: Surgery Today
https://read.qxmd.com/read/38112860/the-survival-in-octogenarians-undergoing-surgery-for-pancreatic-cancer-and-its-association-with-the-nutritional-status
#38
JOURNAL ARTICLE
Suguru Yamada, Kenji Oshima, Kosuke Nomoto, Yuki Sunagawa, Yukiko Oshima, Akimasa Nakao
PURPOSES: This study explored the association between the nutritional status and survival outcomes after pancreatic cancer surgery and reconsidered surgical indications in octogenarians. METHODS: Three hundred and ninety-three consecutive pancreatic cancer patients who underwent resection were analyzed and grouped according to age (< 70 years old; septuagenarians [70-79 years old], and octogenarians [80-89 years old]). The Charlson age comorbidity index and nutritional parameters were recorded...
December 19, 2023: Surgery Today
https://read.qxmd.com/read/38110619/appropriate-concentration-setting-for-the-intraoperative-administration-of-indocyanine-green-for-fluorescence-imaging-to-identify-the-sentinel-lymph-node-in-early-gastric-cancer-a-clinical-pilot-study
#39
JOURNAL ARTICLE
Masami Yuda, Naoto Takahashi, Yuta Takano, Kenji Takeshita, Muneharu Fujisaki, Naoki Toya, Fumiaki Yano, Ken Eto
PURPOSE: Some prospective trials have demonstrated the feasibility of sentinel node (SN) biopsy in gastric cancer (GC) surgery. This study aimed to identify the appropriate concentration settings for the intraoperative injection of indocyanine green (ICG) for SN biopsy. METHODS: Before the clinical studies, porcine model experiments explored the optimal concentration of ICG injected intraoperatively. Next, nine GC patients were enrolled in the clinical research...
December 18, 2023: Surgery Today
https://read.qxmd.com/read/38103076/clinical-utility-of-the-carcinoembryonic-antigen-level-in-patients-with-stage-iii-colon-cancer-after-surgery-and-adjuvant-chemotherapy
#40
JOURNAL ARTICLE
Shohei Udagawa, Hiroki Osumi, Ryotaro Kozuki, Akira Ooki, Takeru Wakatsuki, Nozomi Kurihara, Toshiki Mukai, Tomohiro Yamaguchi, Takashi Akiyoshi, Yosuke Fukunaga, Kensei Yamaguchi, Eiji Shinozaki
PURPOSE: The association between perioperative and post-adjuvant carcinoembryonic antigen (CEA) levels and recurrence and prognosis remains unclear. We aimed to evaluate whether perioperative CEA levels are an integral component of the assessment of recurrence and prognosis of patients with stage III colon cancer (CC). METHODS: This retrospective study was conducted at the Cancer Institute Hospital of the Japanese Foundation for Cancer Research from 2005 to 2013...
December 16, 2023: Surgery Today
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