journal
https://read.qxmd.com/read/38639899/surgical-management-of-duodenal-crohn-s-disease
#1
JOURNAL ARTICLE
Nicholas P McKenna, Katherine A Bews, Maxwell D Mirande, Franciso M Abarca Rendon, Asya Ofshteyn, Thomas Peponis, Sherief F Shawki, Scott R Kelley, Kellie L Mathis
BACKGROUND: Operative options for duodenal Crohn's disease include bypass, stricturoplasty, or resection. What factors are associated with operation selection and whether differences exist in outcomes is unknown. METHODS: Patients with duodenal Crohn's disease requiring operative intervention across a multi-state health system were identified. Patient and operative characteristics, short-term surgical outcomes, and the need for future endoscopic or surgical management of duodenal Crohn's disease were analyzed...
April 19, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38634929/improving-early-cholecystectomy-rate-in-acute-cholecystitis-with-an-evidence-based-local-multidisciplinary-protocol-and-a-surgical-audit-single-center-experience-through-an-acute-care-surgery-division
#2
JOURNAL ARTICLE
J M Aranda-Nárvaez, P Fernández-Galeano, L Romacho-López, I Cabrera-Serna, A Titos-García, I Mirón-Fernández, J Santoyo-Santoyo
PURPOSE: To analyze if, after implementation of an evidence-based local multidisciplinary protocol for acute cholecystitis (AC), an intermediate surgical audit could improve early cholecystectomy (EC) rate and other therapeutic indicators. METHODS: Longitudinal cohort study at a tertiary center. The local protocol, promoted, created, and periodically revised by the Acute Care Surgery Unit (ACSu) was updated and approved on March 2019. A specific registry was prospectively fulfilled with demographics, comorbidity, type of presentation, diagnostic items, therapeutic decision, and clinical course, considering both non-operative management (NOM) or cholecystectomy, early and delayed (EC and DC)...
April 18, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38634913/prognostic-impact-of-osteosarcopenia-in-patients-undergoing-pancreatic-resection-for-pancreatic-ductal-adenocarcinoma
#3
JOURNAL ARTICLE
Mitsuru Yanagaki, Shinji Onda, Takeshi Gocho, Yosuke Igarashi, Yoshihiro Shirai, Norimitsu Okui, Michinori Matsumoto, Taro Sakamoto, Koichiro Haruki, Toru Ikegami
BACKGROUND: We investigated the prognostic impact of osteosarcopenia, defined as the combination of osteopenia and sarcopenia, in patients undergoing pancreatic resection for pancreatic ductal adenocarcinoma (PDAC). METHODS: The relationship of osteosarcopenia with disease-free survival and overall survival was analyzed in 183 patients who underwent elective pancreatic resection for PDAC. Computed tomography was used to measure the pixel density in the midvertebral core of the 11th thoracic vertebra for evaluation of osteopenia and in the psoas muscle area of the 3rd lumbar vertebra for evaluation of sarcopenia...
April 18, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38632147/pancreatic-head-resection-for-carcinoma-of-the-ampulla-vateri-better-long-term-prognosis-but-more-postoperative-complications
#4
JOURNAL ARTICLE
Simon Kuesters, Johanna Sundheimer, Uwe A Wittel, Sophia Chikhladze, Stefan Fichtner-Feigl, Esther A Biesel
BACKGROUND: Pancreatoduodenectomies are complex surgical procedures with a considerable morbidity and mortality even in high-volume centers. However, postoperative morbidity and long-term oncological outcome are not only affected by the surgical procedure itself, but also by the underlying disease. The aim of our study is an analysis of pancreatoduodenectomies for patients with pancreatic ductal adenocarcinoma (PDAC) and ampullary carcinoma (CAMP) concerning postoperative complications and long-term outcome in a tertiary hospital in Germany...
April 17, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38627302/one-anastomosis-gastric-bypass-oabg-vs-single-anastomosis-duodeno-ileal-bypass-sadi-as-revisional-procedure-following-sleeve-gastrectomy-results-of-a-multicenter-study
#5
JOURNAL ARTICLE
Pierpaolo Gallucci, Giuseppe Marincola, Francesco Pennestrì, Priscilla Francesca Procopio, Francesca Prioli, Giulia Salvi, Luigi Ciccoritti, Francesco Greco, Nunzio Velotti, Vincenzo Schiavone, Antonio Franzese, Federica Mansi, Matteo Uccelli, Giovanni Cesana, Mario Musella, Stefano Olmi, Marco Raffaelli
PURPOSE: Sleeve Gastrectomy (SG) is the most performed bariatric surgery, but a considerable number of patients may require revisional procedures for suboptimal clinical response/recurrence of weight (SCR/RoW). Conversion options include One-Anastomosis Gastric Bypass (OAGB) and Single Anastomosis Duodeno-Ileal Bypass (SADI). The study aims to compare SADI vs. OAGB as revisional procedures in terms of early and mid-term complications, operative time, postoperative hospital stay and clinical outcomes...
April 16, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38625602/defining-distal-splenopancreatectomy-by-the-mesopancreas
#6
JOURNAL ARTICLE
S-A Safi, A Alexander, W Neuhuber, L Haeberle, A Rehders, T Luedde, I Esposito, G Fluegen, W T Knoefel
BACKGROUND: The implementation of the pathologic CRM (circumferential resection margin) staging system for pancreatic head ductal adenocarcinomas (hPDAC) resulted in a dramatic increase of R1 resections at the dorsal resection margin, presumably because of the high rate of mesopancreatic fat (MP) infiltration. Therefore, mesopancreatic excision (MPE) during pancreatoduodenectomy has recently been promoted and has demonstrated better local disease control, fueling the discussion of neoadjuvant downsizing regimes in MP + patients...
April 16, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38619665/correction-to-necessity-of-routine-perioperative-epidural-catheter-placement-in-laparoscopic-colorectal-resections-a-retrospective-data-analysis
#7
A Koehler, F Koch, M El-Ahmar, M Ristig, K Lehmann, J-P Ritz
No abstract text is available yet for this article.
April 15, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38619630/preoperative-nun-score-serves-as-a-robust-predictor-of-overall-and-disease-specific-survivals-following-radical-surgery-for-gastric-cancer
#8
JOURNAL ARTICLE
Masayuki Urabe, Yasuhiro Okumura, Asami Okamoto, Shoh Yajima, Koichi Yagi, Hiroharu Yamashita, Yasuyuki Seto
PURPOSE: Methods to preoperatively stratify oncological risks associated with gastric cancer (GC) are limited. Host inflammatory parameters, i.e., serum C-reactive protein (CRP) and albumin levels, are known to be associated with outcomes. We examined the relationships between disease-specific mortality and four CRP-albumin-based indices (CRP-albumin ratio [CAR], modified Glasgow prognostic score [mGPS], Osaka prognostic score [OPS], and NUn score) preoperatively measured in cases with resectable GC...
April 15, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38615148/the-mesenteric-entry-site-as-a-potential-weak-point-in-gastrointestinal-anastomoses-findings-from-an-ex-vivo-biomechanical-analysis
#9
JOURNAL ARTICLE
Kamacay Cira, Saskia Nicole Janett, Carina Micheler, Stephan Heller, Andreas Obermeier, Helmut Friess, Rainer Burgkart, Philipp-Alexander Neumann
PURPOSE: Gastrointestinal disorders frequently necessitate surgery involving intestinal resection and anastomosis formation, potentially leading to severe complications like anastomotic leakage (AL) which is associated with increased morbidity, mortality, and adverse oncologic outcomes. While extensive research has explored the biology of anastomotic healing, there is limited understanding of the biomechanical properties of gastrointestinal anastomoses, which was aimed to be unraveled in this study...
April 13, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38613567/hazard-function-analysis-of-prognosis-after-recurrent-colorectal-cancer
#10
JOURNAL ARTICLE
Ichiro Ise, Kazushige Kawai, Daisuke Nakano, Misato Takao, Soichiro Natsume, Hiroki Kato, Sakiko Nakamori, Akira Dejima, Tatsuro Yamaguchi
BACKGROUND AND OBJECTIVES: Mean survival time (MST) is used as the indicator of prognosis in patients with a colorectal cancer (CRC) recurrence. The present study aimed to visualize the changes in death risk after a CRC recurrence using hazard function analysis (HFA) to provide an alternative prognostic indicator to MST. METHODS: The medical records of 725 consecutive patients with a recurrence following R0 radical surgery for CRC were retrospectively reviewed. RESULTS: The five-year, post-recurrence survival rate was 37...
April 13, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38607450/the-impact-of-vascular-margin-invasion-on-local-recurrence-after-pancreatoduodenectomy-in-pancreatic-adenocarcinoma
#11
JOURNAL ARTICLE
Julio Cuesta López, Benedetto Ielpo, Mar Iglesias, Fernando Burdío Pinilla, Patricia Sánchez-Velázquez
PURPOSE: Pancreatic ductal adenocarcinoma (PADC) still has nowadays a very impaired long-term survival. Most studies are focused on overall survival; however, local recurrence occurs about up to 50% of cases and seems to be highly related with margin resection status. We aim to analyze the impact of vascular resection margins on local recurrence (LR) and to assess its impact on overall and disease-free survival. METHODS: Eighty out of 191 patients who underwent pancreatoduodenectomy in a university hospital between 2006 and 2021 with PDAC diagnosis were analyzed and vascular margin status specifically addressed...
April 12, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38605271/survival-outcome-following-surgical-versus-non-surgical-treatment-of-colorectal-lung-metastasis-a-retrospective-cohort-study
#12
JOURNAL ARTICLE
Axel Denz, Veronika Hahn, Klaus Weber, Georg F Weber, Robert Grützmann, Christian Krautz, Maximilian Brunner
PURPOSE: The optimal management of colorectal lung metastases (CRLM) is still controversial. The aim of this study was to compare surgical and non-surgical treatment for CRLM regarding the prognostic outcome. METHODS: This retrospective single-center cohort study included 418 patients, who were treated from January 2000 to December 2018 at a German University Hospital due to their colorectal carcinoma and had synchronous or metachronous lung metastases. Patients were stratified according the treatment of the CRLM into two groups: surgical resection of CRLM versus no surgical resection of CRLM...
April 12, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38602565/comparative-analysis-of-linear-and-circular-stapled-gastrojejunostomies-in-roux-en-y-gastric-bypass-a-focus-on-postoperative-morbidity-using-the-comprehensive-complication-index
#13
JOURNAL ARTICLE
Floni Sadiku, Daniela Alceste, Michele Serra, Stefanie Josefine Hehl, Daniel Gero, Andreas Thalheimer, Marco Bueter, Jeannette Widmer
PURPOSE: The linear-stapled (LSA) and the circular-stapled anastomosis (CSA) are the two most commonly performed techniques for the gastrojejunostomy (GJ) during laparoscopic Roux-en-Y gastric bypass (RYGB). This study compared the outcome after both techniques with special focus on postoperative morbidity using the comprehensive complication index (CCI). METHODS: Five hundred eighty-eight patients operated between 01/2010 and 12/2019 were included in the final analysis and divided in two cohorts according to the surgical technique of the GJ (LSA (n = 290) or CSA (n = 298))...
April 11, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38602554/preoperative-anaemia-in-distal-pancreatectomy-a-propensity-score-matched-analysis
#14
JOURNAL ARTICLE
Olga Radulova-Mauersberger, Felix von Bechtolsheim, Christian Teske, Sebastian Hempel, Louisa Kroesen, Mathieu Pecqueux, Christoph Kahlert, Jürgen Weitz, Marius Distler, Florian Oehme
BACKGROUND: Preoperative anaemia is a prevalent morbidity predictor that adversely affects short- and long-term outcomes of patients undergoing surgery. This analysis aimed to investigate preoperative anaemia and its detrimental effects on patients after distal pancreatectomy. MATERIAL AND METHODS: The present study was a propensity-score match analysis of 286 consecutive patients undergoing distal pancreatectomy. Patients were screened for preoperative anaemia and classified according to WHO recommendations...
April 11, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38600407/long-term-quality-of-life-after-hybrid-robot-assisted-and-open-ivor-lewis-esophagectomy-for-esophageal-cancer-in-a-single-center-a-comparative-analysis
#15
JOURNAL ARTICLE
Kerstin J Neuschütz, Lana Fourie, Nicolas Germann, Anouk Pieters, Silvio Däster, Fiorenzo V Angehrn, Jennifer M Klasen, Beat P Müller-Stich, Daniel C Steinemann, Martin Bolli
PURPOSE: Due to improved survival of esophageal cancer patients, long-term quality of life (QoL) is increasingly gaining importance. The aim of this study is to compare QoL outcomes between open Ivor Lewis esophagectomy (Open-E) and a hybrid approach including laparotomy and a robot-assisted thoracic phase (hRob-E). Additionally, a standard group of healthy individuals serves as reference. METHODS: With a median follow-up of 36 months after hRob-E (n = 28) and 40 months after Open-E (n = 43), patients' QoL was assessed using the European Organization for Research and Treatment of Cancer (EORTC) QoL Questionnaire Core 30 (QLQ-C30) and the EORTC Esophagus specific QoL questionnaire 18 (QLQ-OES18)...
April 11, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38598044/oncologic-outcomes-and-surgical-completeness-of-remote-access-thyroidectomy-a-systematic-review-and-network-meta-analysis
#16
JOURNAL ARTICLE
Van Cuong Nguyen, Dong Won Lee, Chang Myeon Song, Yong Bae Ji, Jeong Seon Park, Kyung Tae
BACKGROUND: The oncologic safety and surgical completeness of remote-access thyroidectomies are not yet clearly established. This study evaluates the oncologic outcomes and surgical completeness of three prevalent remote-access thyroidectomies: the gasless transaxillary approach (GTAA), bilateral axillo-breast approach (BABA), and transoral approach (TOA), in comparison with conventional transcervical thyroidectomy (CTT). METHODS: Literature searches were conducted in PubMed, EMBASE, and the Cochrane Library databases, covering the period from 2000 to 2023...
April 10, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38592545/a-retrospective-multicentre-clinical-study-on-management-of-isolated-splenic-vein-thrombosis-risks-and-benefits-of-anticoagulation
#17
MULTICENTER STUDY
A M Eltweri, M Basamh, Y Y Ting, M Harris, G Garcea, L L Kuan
INTRODUCTION: Isolated splenic vein thrombosis (iSVT) is a common complication of pancreatic disease. Whilst patients remain asymptomatic, there is a risk of sinistral portal hypertension and subsequent bleeding from gastric varices if recanalisation does not occur. There is wide variation of iSVT treatment, even within single centres. We report outcomes of iSVT from tertiary referral hepatobiliary and pancreatic (HPB) units including the impact of anticoagulation on recanalisation rates and subsequent variceal bleeding risk...
April 9, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38589648/interpretation-of-mebrofenin-and-etifenin-hepatobiliary-scintigraphy-before-major-liver-resection
#18
LETTER
P B Olthof, P J W Arntz, J I Erdmann, R J Bennink
No abstract text is available yet for this article.
April 9, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38589572/risk-factors-for-bariatric-surgery-in-patients-over-65%C3%A2-years-of-age-a-multicenter-retrospective-cohort-study
#19
MULTICENTER STUDY
Natalia Dowgiałło-Gornowicz, Paweł Lech, Bartosz Katkowski, Maciej Walędziak, Monika Proczko-Stepaniak, Michał Szymański, Izabela Karpińska, Piotr Major
PURPOSE: Societies are aging, life expectancy is increasing, and as a result, the percentage of elderly people in the population is constantly increasing. When qualifying patients over 65 years of age for bariatric surgery, the benefits and risks should be carefully assessed. Weighing risk factors against each other to improve the quality of life and better control of obesity-related diseases. The study aimed to determine risk factors for bariatric surgery among patients over 65 years of age...
April 9, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38589714/the-role-of-cytoreductive-surgery-and-hipec-for-the-treatment-of-primary-and-secondary-peritoneal-malignancies-experience-from-a-tertiary-care-center-in-germany
#20
JOURNAL ARTICLE
Mikko Reese, Ann-Kathrin Eichelmann, Tobias M Nowacki, Andreas Pascher, Judith C Sporn
PURPOSE: Peritoneal surface malignancies (PSM) are commonly known to have a dismal prognosis. Over the past decades, novel techniques such as cytoreductive surgery (CRS), hyperthermic intraperitoneal chemotherapy (HIPEC), and pressurized intraperitoneal aerosol chemotherapy (PIPAC) have been introduced for the treatment of PSM which could improve the overall survival and quality of life of patients with PSM. The decision to proceed with CRS and HIPEC is often challenging due the complexity of the disease, the extent of the procedure, associated side effects, and potential risks...
April 8, 2024: Langenbeck's Archives of Surgery
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