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Updates in Surgery

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https://read.qxmd.com/read/30747374/colorectal-surgery-in-italy-a-snapshot-from-the-icral-study-group
#1
(no author information available yet)
During a recent prospective trial on early diagnosis of anastomotic leakage (AL) after colorectal surgery, we gathered a large database on more than 1500 procedures performed in 19 surgical centers in Italy over a 12-month period. Main purpose of the present paper is to show the epidemiological data about colorectal procedures and anastomotic leakage. Prospective enrollment for all elective colorectal resections with anastomosis (September 2017-September 2018). Primary endpoint was AL; secondary endpoints were morbidity and mortality rates, readmission and reoperation rates, and length of post-operative hospital stay (ClinicalTrials...
February 11, 2019: Updates in Surgery
https://read.qxmd.com/read/30737637/hyponatremia-could-identify-patients-with-intrabdominal-sepsis-and-anastomotic-leak-after-colorectal-surgery-a-systematic-review-of-the-literature
#2
REVIEW
Ahmad Alsaleh, Gianluca Pellino, Natasha Christodoulides, George Malietzis, Christos Kontovounisios
Anastomotic leak (AL) is a serious post-operative complication in colorectal surgery. It can lead to devastating morbidity and mortality. Clinicians usually depend on a combination of clinical, biochemical and radiological findings to diagnose this problem. In our article, we tried to look if electrolyte disturbances could be indicators for intra-abdominal sepsis due to AL. Systematic review of the literature identifies a potential correlation between electrolyte alterations and AL in digestive surgery. The following databases were searched: PubMed, EMBASE and MIDLINE...
February 8, 2019: Updates in Surgery
https://read.qxmd.com/read/30734896/transanal-total-mesorectal-excision-tatme-current-status-and-future-perspectives
#3
REVIEW
Andrea Vignali, Ugo Elmore, Marco Milone, Riccardo Rosati
Total mesorectal excision (TME) is the gold standard surgical treatment for mid- and low rectal cancer; however, it is associated with specific technical hurdles. Transanal TME (TaTME) is a new procedure developed to overcome these difficulties, through an enhanced visualization of the dissection plane. This potentially could result in a more accurate distal dissection with a lower rate of positive circumferential resection margins, increasing the rate of sphincter-saving procedures. The indications for TaTME are currently expanding, despite not being yet standardized, and structured training programs are ongoing to help overcome the steep learning curve related to the technique...
February 8, 2019: Updates in Surgery
https://read.qxmd.com/read/30719624/comparison-between-robotic-and-open-liver-resection-a-systematic-review-and-meta-analysis-of-short-term-outcomes
#4
REVIEW
Nikolaos Machairas, Dimetrios Papaconstantinou, Diamantis I Tsilimigras, Dimitrios Moris, Anastasia Prodromidou, Anna Paspala, Eleftherios Spartalis, Ioannis D Kostakis
Minimally invasive liver surgery has evolved significantly during the last 2 decades. A growing number of published studies report outcomes from robotic liver resections (RLR). The aim of our meta-analysis was to evaluate short-term outcomes after RLR vs. open liver resection (OLR). A systematic search of Medline, Scopus, Google Scholar, Cochrane CENTRAL Register of Controlled Trials and Clinicaltrials.gov databases for articles published from January 2000 until November 2018 was performed. Ten non-randomized retrospective clinical studies comprising a total of 1248 patients were included in our meta-analysis...
February 4, 2019: Updates in Surgery
https://read.qxmd.com/read/30712254/the-role-of-the-mesentery-in-reducing-recurrence-after-surgery-in-crohn-s-disease
#5
EDITORIAL
Dakshitha Wickramasinghe, Janindra Warusavitarne
No abstract text is available yet for this article.
February 2, 2019: Updates in Surgery
https://read.qxmd.com/read/30710244/the-impact-of-experience-on-short-and-long-term-outcomes-on-gastric-esd-a-western-series
#6
F Catalano, V Mengardo, A Trecca, A Tomezzoli, L Rodella, A Cerofolini, G Verlato, G de Manzoni
Endoscopic submucosal dissection (ESD) represents the standard of care for early gastric cancer in Eastern countries. Nevertheless, in the West, this procedure is not widespread. Aim of the study was to confirm the feasibility and the efficacy of ESD in the West. A total of 60 ESD were performed between January 2005 and December 2014 by two expert endoscopists. The analysis, based on a retrospective collected database, was conducted by dividing the study period in three subgroups. Clinical and technical outcomes have been compared...
February 1, 2019: Updates in Surgery
https://read.qxmd.com/read/30673978/impact-of-enhanced-recovery-after-surgery-protocol-on-immediate-surgical-outcome-in-elderly-patients-undergoing-pancreaticoduodenectomy
#7
Lileswar Kaman, Karikal Chakarbathi, Ashish Gupta, Divya Dahiya, Kaptan Singh, Krishna Ramavath, Arunanshu Behera, Kamal Kajal
The numbers of patients undergoing pancreaticoduodenectomy are increasing and considerable percentage is elderly patients. Pancreaticoduodenectomy is a major and complicated surgery. The morbidity and mortality following pancreaticoduodenectomy have significantly reduced in recent times; it still remains unclear in elderly patients. Applications of Enhanced Recovery after Surgery protocol have contributed for this better outcome. In this retrospective study, patients who underwent pancreaticoduodenectomy with Enhanced Recovery after Surgery protocol were included and divided into two groups (< 60 years vs ≥ 60 years)...
January 23, 2019: Updates in Surgery
https://read.qxmd.com/read/30659479/senhance-robotic-platform-for-gynecologic-surgery-a-review-of-literature
#8
REVIEW
Valerio Rumolo, Andrea Rosati, Alessandro Tropea, Antonio Biondi, Giovanni Scambia
The advantages of endoscopic procedures are well demonstrated in various surgical procedures. In this field, the technological improvement has been significant. One of the most relevant was made by the introduction of robotic surgery that, thanks to the instruments articulation and the precision of movement, made possible to perform even the most complex procedures. The terms "Alf-X" OR "Senhance" OR "robot" OR "robotic" were systematically used to search the PubMed and Scopus databases...
January 18, 2019: Updates in Surgery
https://read.qxmd.com/read/30659478/gastric-cancer-surgery-clinical-outcomes-and-prognosis-are-influenced-by-perioperative-blood-transfusions
#9
Marica Grasso, Giulia Pacella, Nicola Sangiuliano, Maurizio De Palma, Alessandro Puzziello
Gastric cancer in patients is often associated with bleeding; when it occurs, especially in the presence of an anemia, a transfusion is necessary to avoid further deterioration of the patient's clinical state. The aim of this study was to evaluate the relationship between the administration of peri-operative transfusions due to the anemia or the clinical status and the post-operative clinical outcomes. 188 patients diagnosed with of gastric cancer were recruited at Surgery 2 of the Department of General and Specialist Surgery of the Tertiary Care Hospital "A...
January 18, 2019: Updates in Surgery
https://read.qxmd.com/read/30644060/laparoscopic-cholecystectomy-after-endoscopic-treatment-of-choledocholithiasis-a-retrospective-comparative-study
#10
Mario Trejo-Ávila, Danilo Solórzano-Vicuña, Ricardo García-Corral, Orlando Bada-Yllán, Adolfo Cuendis-Velázquez, Roberto Delano-Alonso, Jesus Herrera-Esquivel, Carlos Valenzuela-Salazar
Patients with combined choledocholithiasis and cholecystitis require treatment of both diseases. The aim of our study was to analyze perioperative results of next-day (< 24 h) vs. early (> 24 h) laparoscopic cholecystectomy (LC) after endoscopic clearance of common bile duct stones. We conducted a retrospective study of patients that underwent LC after endoscopic treatment of choledocholithiasis, with combined diagnoses of common bile duct stones (with or without acute cholangitis) and gallbladder stones (with acute or chronic cholecystitis)...
January 14, 2019: Updates in Surgery
https://read.qxmd.com/read/30623295/alternative-uses-of-virtual-simulators-for-laparoscopy-and-robot-assisted-surgery-for-medical-students
#11
LETTER
Gregorio Di Franco, Desirée Gianardi, Raffaella Berchiolli
No abstract text is available yet for this article.
January 8, 2019: Updates in Surgery
https://read.qxmd.com/read/30604044/the-need-to-diminish-mastectomy-rates-in-patients-with-breast-cancer-eligible-for-breast-conservation
#12
LETTER
Alessandro Fancellu
No abstract text is available yet for this article.
January 2, 2019: Updates in Surgery
https://read.qxmd.com/read/30604043/preoperative-ultrasound-evaluation-of-laterocervical-lymph-nodes-timing-and-experience-modify-the-treatment-of-patients-with-differentiated-thyroid-cancer
#13
Marica Grasso, Alessandro Puzziello, Maurizio De Palma
Since laterocervical lymphadenectomy is never routinely performed, all patients who undergo thyroidectomy for differentiated cancer must have an ultrasound examination (US). The aim of this study is to assess the accuracy of the preoperative US conducted at the time of surgery as a staging US (time 0) compared to the US performed sometime before in a location other than the surgical department as screening/diagnostic US (time - 1), to determine the necessity of always performing a preoperative US before surgery...
January 2, 2019: Updates in Surgery
https://read.qxmd.com/read/30588566/the-use-of-da-vinci-xi-and-the-increased-surgeon-s-experience-could-change-the-perspective-over-the-cost-benefit-ratio-of-robot-assisted-surgery
#14
LETTER
Desirée Gianardi, Matteo Palmeri, Luca Morelli
No abstract text is available yet for this article.
December 26, 2018: Updates in Surgery
https://read.qxmd.com/read/30588565/outcomes-and-indications-for-emergency-thoracotomy-after-adoption-of-a-more-liberal-policy-in-a-western-european-level-1-trauma-centre-8-year-experience
#15
Edoardo Segalini, Luca Di Donato, Arianna Birindelli, Alice Piccinini, Alberto Casati, Carlo Coniglio, Salomone Di Saverio, Gregorio Tugnoli
The role of emergency thoracotomy (ET) in blunt trauma is still a matter of debate and in Europe only a small number of studies have been published. We report our experience about ET both in penetrating and blunt trauma, discussing indications, outcomes and proposing an algorithm for patient selection. We retrospectively analysed patients who underwent ET at Maggiore Hospital Trauma Center over two periods: from January 1st, 2010 to December 31st, 2012, and from January 1st, 2013 to May 31st, 2017. Demographic and clinical data, mechanism of injury, Injury Severity Score, site of injury, time of witnessed cardiac arrest, presence/absence of signs of life, length of stay were considered, as well as survival rate and neurological outcome...
December 26, 2018: Updates in Surgery
https://read.qxmd.com/read/30569347/patient-selection-criteria-for-an-effective-laparoscopic-intraperitoneal-ventral-hernia-repair-in-day-surgery
#16
Luca Domenico Bonomo, Michele Giaccone, Alice Caltagirone, Alex Bruno Bellocchia, Mariateresa Grasso, Antonella Nicotera, Nicolò Lano, Sergio Sandrucci
The laparoscopic treatment of abdominal wall defects is currently a valid alternative to the open technique, given the possibility to significantly reduce the length of hospital stay and, consequently, to allow its carrying out in a day surgery setting. The comparison between the two methods has also been the subject of a Cochrane meta-analysis performed by Sauerland et al. (Cochrane Database Syst Rev 3: CD007781, 2011), which pointed out how, in spite of many clinical trials indicating the superiority of laparoscopy in terms of invasiveness and postoperative pain control, the quality of evidence is low due to the excessive variability among the different series in terms of reported complications...
December 19, 2018: Updates in Surgery
https://read.qxmd.com/read/30569346/pain-control-in-laparoscopic-surgery-a-case-control-study-between-transversus-abdominis-plane-block-and-trocar-site-anesthesia
#17
Sarah Molfino, Emanuele Botteri, Paolo Baggi, Luigi Totaro, Michela Huscher, Gian Luca Baiocchi, Nazario Portolani, Nereo Vettoretto
Local anesthesia in laparoscopic operations is gaining increasing consensus. To standardize analgesia, a prospective case-control study was created over a 1-year period, in collaboration with the anesthesiology service in our community hospital. Starting from February 2016, we prospectively enrolled adult patients (more than 16 years old) undergoing laparoscopic appendectomy or cholecystectomy, either in emergency or elective setting. Patients were preoperatively assigned (based on the chart-admission number) either to transversus abdominis plane (TAP) block treatment (Group 1-experimental arm) or trocar-site anesthesia (TSA) (Group 2-experimental arm), and then compared with group of patients not submitted to treatment (Group 3-control arm)...
December 19, 2018: Updates in Surgery
https://read.qxmd.com/read/30560527/never-put-equipoise-in-appendix-final-results-of-asaa-antibiotics-vs-surgery-for-uncomplicated-acute-appendicitis-in-adults-randomized-controlled-trial
#18
Marco Ceresoli, Michele Pisano, Niccolò Allievi, Elia Poiasina, Federico Coccolini, Giulia Montori, Paola Fugazzola, Luca Ansaloni
Acute appendicitis is the most common surgical emergency; however, its etiology and diagnosis are still discussed with a considerable proportion of wrong diagnosis resulting in appendectomies for non inflamed appendix. Moreover, the biologic function of the appendix is still unclear. For uncomplicated acute appendicitis the conservative treatment with antibiotics has been proposed with interesting results. The aim of this study was to compare surgical treatment vs. antibiotics in uncomplicated acute appendicitis...
December 17, 2018: Updates in Surgery
https://read.qxmd.com/read/30542957/video-assisted-ablation-of-pilonidal-sinus-vaaps-versus-sinusectomy-for-treatment-of-chronic-pilonidal-sinus-disease-a-comparative-study
#19
Marco Milone, Nunzio Velotti, Michele Manigrasso, Francesco Milone, Loredana Maria Sosa Fernandez, Giovanni Domenico De Palma
Since its first description in 1883, different treatments for pilonidal sinus disease have been proposed, but we are still far from the identification of an ideal approach. The objective of this study is to determine if video-assisted ablation of pilonidal sinus (VAAPS) could be considered superior/non-inferior to standard sinusectomy for treatment of pilonidal sinus disease. After applying propensity score analysis, data from 40 patients who underwent sinusectomy and 40 patients who underwent VAAPS, from March 2011 to August 2013, were collected...
December 12, 2018: Updates in Surgery
https://read.qxmd.com/read/30542956/isolated-thoracic-perfusion-in-lung-metastases-from-breast-cancer-a-retrospective-observational-study
#20
Stefano Guadagni, Karl Aigner, Odisseas Zoras, Francesco Masedu, Giammaria Fiorentini, Enrico Ricevuto, Marcello Deraco, Marco Clementi
The median overall survival of metastatic breast cancer (MBC) patients is still approximately 2 years. This is even lower in triple-negative breast cancer (TNBC) patients with concomitant lung metastases. These patients are often not suitable for surgery and not responsive to systemic chemotherapy. Isolated thoracic perfusion (ITP) followed by chemofiltration has been used for palliation in selected specialised centres. A retrospective observational study evaluating 162 MBC patients who underwent 407 ITP procedures was performed...
December 12, 2018: Updates in Surgery
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