Jieying Peng, Guanghao Zhu, Yingna Gao, Xianmin Song, Haojun Yu, Rushi Huang, Mengjie Chen, Yafei Jiang, Guodong Sun, Meng Li, Hongliang Zheng, Wei Wang
PURPOSE: Treating an infiltration of the recurrent laryngeal nerve (RLN) by thyroid carcinoma remains a subject of ongoing debate. Therefore, this study aims to provide a novel strategy for intraoperative phenosurgical management of RLN infiltrated by thyroid carcinoma. METHODS: Forty-two patients with thyroid carcinoma infiltrating the RLN were recruited for this study and divided into three groups. Group A comprised six individuals with medullary thyroid cancer who underwent RLN resection and arytenoid adduction...
April 27, 2024: Langenbeck's Archives of Surgery
Frances Dixon, Parveen Vitish-Sharma, Achal Khanna, Barrie D Keeler
PURPOSE: Minimally invasive surgery benefits patients but poor operating ergonomics causes musculoskeletal injuries in surgeons. This randomised controlled trial aims to assess whether robotic-assisted surgery with the open-console Versius® system can reduce surgeons' ergonomic risks during major colorectal resections. METHODS: Prospectively registered at (NCT05262296) in March 2022. Adult patients requiring a minimally invasive colorectal resection were potentially eligible...
April 27, 2024: Langenbeck's Archives of Surgery
Petre Francois Steyn, Otto Karusseit
PURPOSE: The aim of the study was to test the established hypothesis that biopsies of spontaneous gastric perforations should be taken to rule out cancer. METHODS: A prospective observational study was performed. Consecutive patients with spontaneous gastric perforation were included. Biopsies of the edges of the perforation were submitted for histological evaluation. The epithelial type as well as the nature of the pathology were evaluated. RESULTS: Sixty-eight patients were included...
April 27, 2024: Langenbeck's Archives of Surgery
Gabriela L Aitken, Monique Motta, Shenae Samuels, Christopher J Gannon, Omar H Llaguna
INTRODUCTION: Textbook oncologic outcome (TOO) is attained when all desired short-term quality metrics are met following an oncologic operation. The objective of this study was to determine the impact of race on TOO attainment following colectomy for colon cancer. METHODS: The 2004-2017 National Cancer Database was queried for patients with non-metastatic colon cancer who underwent colectomy. TOO was defined as: negative margins (R0), adequate lymphadenectomy (LAD) (n ≥ 12), no prolonged length of stay (LOS), no 30-day readmission or mortality, and initiation of systemic therapy in ≤ 12 weeks...
April 27, 2024: Langenbeck's Archives of Surgery
Simon Moosburner, Paul M Dahlke, Jens Neudecker, Karl H Hillebrandt, Pia F Koch, Sebastian Knitter, Kristina Ludwig, Can Kamali, Safak Gül-Klein, Nathanael Raschzok, Wenzel Schöning, Igor M Sauer, Johann Pratschke, Felix Krenzien
PURPOSE: Minimal-invasive liver surgery (MILS) reduces surgical trauma and is associated with fewer postoperative complications. To amplify these benefits, perioperative multimodal concepts like Enhanced Recovery after Surgery (ERAS), can play a crucial role. We aimed to evaluate the cost-effectiveness for MILS in an ERAS program, considering the necessary additional workforce and associated expenses. METHODS: A prospective observational study comparing surgical approach in patients within an ERAS program compared to standard care from 2018-2022 at the Charité - Universitätsmedizin Berlin...
April 23, 2024: Langenbeck's Archives of Surgery
José Luis Rodicio Miravalles, Carlos San Miguel Méndez, Javier Lopez-Monclus, María Moreno Gijón, Patricia López Quindós, Sonia Amoza Pais, Antonio López López, Isabel García Bear, Rafael Menendez de Llano Ortega, María Isabel Díez Pérez de Las Vacas, Miguel Angel Garcia-Urena
INTRODUCTION: Prophylactic meshes in high-risk patients prevent incisional hernias, although there are still some concerns about the best layer to place them in, the type of fixation, the mesh material, the significance of the level of contamination, and surgical complications. We aimed to provide answers to these questions and information about how the implanted material behaves based on its visibility under magnetic resonance imaging (MRI). METHOD: This is a prospective multicentre observational cohort study...
April 23, 2024: Langenbeck's Archives of Surgery
Alina-Marilena Bresler, Annalise Panthofer, Yuki Kuramochi, Sydney L Olson, Matthew Eagleton, Darren B Schneider, Sean P Lyden, William C Blackwelder, Christian F Uhl, Moritz S Bischoff, Jon S Matsumura, Dittmar Böckler
OBJECTIVE: Endovascular repair is the preferred treatment for aortoiliac aneurysm, with preservation of at least one internal iliac artery recommended. This study aimed to assess pre-endovascular repair anatomical characteristics of aortoiliac aneurysm in patients from the Global Iliac Branch Study (GIBS, NCT05607277) to enhance selection criteria for iliac branch devices (IBD) and improve long-term outcomes. METHODS: Pre-treatment CT scans of 297 GIBS patients undergoing endovascular aneurysm repair were analyzed...
April 23, 2024: Langenbeck's Archives of Surgery
Rico Wiesenberger, Julian Müller, Mario Kaufmann, Christel Weiß, David Ghezel-Ahmadi, Julia Hardt, Christoph Reissfelder, Florian Herrle
PURPOSE: Early mobilization is an essential component of the Enhanced Recovery after Surgery (ERAS®)-pathway. However, a large percentage of patients fail to achieve the ERAS® recommended goal (360 min out of bed from post-operative day 1/POD1). Motivational Interviewing (MI) is an evidence-based type of patient-centered consultation to promote intrinsic motivation. This study aims to evaluate if MI can improve postoperative mobilization. METHODS: This two-arm, patient-blinded pilot randomized controlled trial included ERAS®-patients undergoing elective bowel resections...
April 22, 2024: Langenbeck's Archives of Surgery
Raphaëlle Brière, André-Guy Martin, François Letarte, François Rouleau Fournier, Philippe Bouchard, Sébastien Drolet
PURPOSE: To assess the safety and efficacy of synchronous treatments for rectal (RC) and prostate (PC) cancers. METHODS: Single-center retrospective study (2007-2021) of patients treated with neoadjuvant radiotherapy (RT) and total mesorectal excision (TME) for RC with synchronous PC treatment. The endpoints were 30-day postoperative severe complications, R0 resection rates, 3-year disease-free survival (DFS) and 3-year overall survival (OS). RESULTS: Among the 16 patients, 15 (93...
April 20, 2024: Langenbeck's Archives of Surgery
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
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
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
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
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
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
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
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
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
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
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
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