Mongardini Federico Maria, Vanella Serafino, Iuorio Angela, Torretta Giacomo, Storti Angelo, Docimo Giovanni, Docimo Ludovico, Francesco Crafa
Difficult airway is a major life-threatening complication during induction of general anesthesia. In thyroid surgery, intubation could be complicated by airway distortion because of the enlarged thyroid gland. Recently, ultrasonography has been proposed as a potential modality for airway assessment and management. The aim of the study is to evaluate ultrasound-based measurement of airway parameters in 13 selected patients with compressive goiter and tracheal deviation scheduled for thyroidectomy before induction of general anesthesia...
June 18, 2024: Updates in Surgery
Vo Duy Long, Doan Thuy Nguyen, Dang Quang Thong, Tran Quang Dat, Nguyen Viet Hai, Nguyen Lam Vuong, Nguyen Hoang Bac
Evidence of implementation of laparoscopic total gastrectomy (LTG) for surgical T4a stage (sT4a) gastric cancer (GC) remains inadequate. This study aimed to compare short- and long-term outcomes of LTG versus open total gastrectomy (OTG) for sT4a GC. This retrospective cohort study was conducted using data from patients with sT4a GC underwent total gastrectomy from 2014 to 2020. Short-term outcomes included operative characteristics and postoperative complications. Long-term oncological outcomes focused on 3-, and 5-year overall survival (OS) and disease-free survival (DFS)...
June 16, 2024: Updates in Surgery
Marco Casaccia, Giovanni Alemanno, Paolo Prosperi, Graziano Ceccarelli, Stefano Olmi, Alberto Oldani, Mauro Santarelli, Roberta Tutino, Franco De Cian
To date, no reports have indicated laparoscopic lymph node biopsies using Indocyanine green (ICG) in cases of lymphoproliferative disease. Preliminary data of patients undergoing fluorescence-guided laparoscopic lymph node biopsy (FGLLB) using ICG was retrospectively analysed from the multicentre registry FLABILY study. Between June 2022 and February 2024, 50 patients underwent FGLLB. The surgical biopsy aimed to re-stage lymphoproliferative disease for 25 patients and to establish a diagnosis in 25 patients...
June 14, 2024: Updates in Surgery
Shun-Mao Yang, Shwetambara Malwade, Wen-Yuan Chung, Lun-Che Chen, Ling-Kai Chang, Hao-Chun Chang, Pak-Si Chan, Shuenn-Wen Kuo
Lung nodule localization using conventional image-guided video-assisted thoracoscopic surgery involves lung puncture, which increases the risk of needle-related complications. We aimed to evaluate the feasibility and safety of a single-stage non-invasive laser-guided stamping localization technique followed by resection under general anesthesia in a hybrid operating room. We retrospectively reviewed consecutive patients who underwent thoracoscopic surgery for small pulmonary nodules using laser-guided dye-stamping localization methods in a hybrid operating room between June 2023 and October 2023...
June 13, 2024: Updates in Surgery
Muhammed Said Dalkılıç, Mehmet Gençtürk, Abdullah Şişik, Hasan Erdem
Bariatric surgery has become a leading treatment for obesity, with techniques such as Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) demonstrating notable success in sustained weight loss and improved quality of life. Technological advancements and improved techniques have enhanced the safety of these procedures. The surgical procedures of Jehovah's Witnesses, who refuse blood transfusions as part of their beliefs, pose unique challenges and have rarely been addressed in the context of bariatric surgery...
June 12, 2024: Updates in Surgery
Margarita Afonina, Claudia Collà Ruvolo, Giorgia Gaia, Marco Paciotti, Giovanni Leva, Anna Maria Marconi, Koen Traen, Alexandre Mottrie
The HUGO™ robotic-assisted surgery system (RAS, Medtronic, CA) consists of a 3D open console, four independent carts, and an integrated laparoscopic and robotic tower. Approved in 2021, it represents a novel alternative platform for robotic procedures. The aim of our study is to report the first-year experience with this system for gynecological procedures at two tertiary referral robotic centers. We prospectively collected and retrospectively analyzed data from patients underwent gynecological robot-assisted surgery with the HUGO™ RAS, at San Paolo University Hospital (Milan, Italy), and Onze Lieve Vrouw (OLV) Hospital (Aalst, Belgium), March 2022-April 2023...
June 10, 2024: Updates in Surgery
Xiao-Wen Lin, Hao Chen, Xiu-Ying Xie, Can-Tong Liu, Yi-Wei Lin, Yi-Wei Xu, Xin-Jia Wang, Fang-Cai Wu
No abstract text is available yet for this article.
June 8, 2024: Updates in Surgery
Rammohan A, Rela M
No abstract text is available yet for this article.
June 8, 2024: Updates in Surgery
Xu-Rui Liu, Bing-Lan Zhang, Dong Peng, Fei Liu, Zi-Wei Li, Chun-Yi Wang
The current study aimed to investigate whether previous abdominal surgery (PAS) could affect the outcomes of colorectal cancer (CRC) surgery. We conducted the search strategy in three databases (PubMed, Embase, and the Cochrane Library) from inception to May 26, 2022. The short-term and long-term outcomes were compared between the PAS group and the non-PAS group. Odds ratios (ORs) and 95% confidence intervals (CIs) were pooled up. Stata (V.16.0) software was used for data analysis. We included 34,827 patients from 14 studies in the current study...
June 5, 2024: Updates in Surgery
Agostino Fernicola, Giuseppe Palomba, Marianna Capuano, Giovanni Domenico De Palma, Giovanni Aprea
Artificial Intelligence (AI) is playing an increasing role in several fields of medicine. AI is also used during laparoscopic cholecystectomy (LC) surgeries. In the literature, there is no review that groups together the various fields of application of AI applied to LC. The aim of this review is to describe the use of AI in these contexts. We performed a narrative literature review by searching PubMed, Web of Science, Scopus and Embase for all studies on AI applied to LC, published from January 01, 2010, to December 30, 2023...
June 5, 2024: Updates in Surgery
Xiaojie Wang, Yangyang Wang, Zhifang Zheng, Zhiping Chen, Zhongdong Xie, Xingrong Lu, Shenghui Huang, Ying Huang, Pan Chi
To compare the oncological survival outcome between extended resections (ER) and segmental resection (SR) for non-metastatic splenic flexure tumors. A total of 10,063 splenic flexure colon cancers patients who underwent ER (n = 5546) or SR (n = 4517) from 2010 to 2018 were included from the Surveillance, Epidemiology, and End Results (SEER)-registered database. Additionally, we included 135 patients from our center who underwent ER (n = 54) or SR (n = 81) between 2011 and 2021...
May 31, 2024: Updates in Surgery
Antonio Di Cataldo, Rosalia Latino, Gaetano La Greca
No abstract text is available yet for this article.
May 31, 2024: Updates in Surgery
Giacomo Cusumano, Elisa Meacci, Gaetano Romano, Marco Cavaleri, Maria Teresa Congedo, Federico Davini, Stefano Margaritora, Alberto Terminella, Franca Melfi
Thymic cysts are rare, radiological diagnosis is often incidental, and cysts seldom assume clinical relevance for symptoms of compression. Thymoma were occasionally found inside both complex and simple thymic cysts. Given the challenges in accurately clinical diagnosing and since the occasionally discovering of thymoma inside both complex and simple thymic cysts, the management of thymic cysts remains controversial. Advancements in surgical tools such as robotics, applied to thymic conditions, could potentially transform the approach to thymic cysts...
May 30, 2024: Updates in Surgery
Nicola Clemente, Vipul D Yagnik, Pankaj Garg
No abstract text is available yet for this article.
May 29, 2024: Updates in Surgery
Andrés Sánchez-Pernaute, Bibiana Lasses, Leyre López Antoñanzas, Miguel Ángel Rubio, Clara Marcuello, Natalia Pérez Ferré, Antonio Torres, Elia Pérez-Aguirre
KEY POINTS: SADIS with short common limb (< 250 cm) is a malabsorptive operation. Reoperation is advised in patients requiring admission for severe malnutrition. Elongation of the common channel is the preferred revisional technique Introduction: Single-Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy (SADI-S) is a modification of the duodenal switch. Initial common channel's length was 200, and after malnutrition was detected in some patients, it was elongated to 250 or 300 cm...
May 28, 2024: Updates in Surgery
Ellen de Bock, Eline S Herman, Vincent Meij, Thijs A Burghgraef, Bas Oldenburg, Paul M Verheijen, Apollo Pronk, Mando D Filipe, Menno R Vriens, Milan C Richir
Postponement of surgical inflammatory bowel disease (IBD) care may lead to disease progression. This study aims to determine the influence of delayed surgical IBD procedures on clinical outcomes. This multicenter retrospective cohort study included IBD patients who underwent a surgical procedure during the Coronavirus disease 2019 (COVID-19) pandemic from March 16, 2020, to December 31, 2020, and were compared to a pre-COVID-19 cohort. The primary endpoint was determining the number of (major) postoperative complications...
May 28, 2024: Updates in Surgery
María Elena García-Manzanares, Ignacio Zaragoza-García, Mercedes Avilés-Escudero, Beatriz Alonso-Cortés Fradejas
PURPOSE: The aim of this study was to analyse the complications and problems associated with the use of an experimental prototype designed for the prevention of parastomal hernia (PSH), one of the most frequent complications in ostomates. METHODS: A single-centre, non-comparative, proof-of-concept interventional pilot study of an experimental prototype designed to be used in conjunction with an abdominal compression binder to prevent PSH was conducted. The "Ostomy Fixation Device for Hernia Prevention" (patent P201531826) is a semi-rigid ostomy protector, to be used in conjunction with a compression binder...
May 27, 2024: Updates in Surgery
Virginia Viti, Michael Ginesini, Allegra Ripolli, Ugo Boggi
Internal hernia through the Treitz fossa following robotic pancreatoduodenectomy is a rare but potentially serious complication. In our review of 328 cases of robotic pancreatoduodenectomies, two patients (0.6%) required repeat surgery due to internal herniation of the entire small bowel through the Treitz fossa. This complication can present as afferent loop syndrome, with symptoms including nausea, vomiting, and abdominal distension, possibly leading to cholangitis and pancreatitis. Timely diagnosis and intervention are paramount, as conservative management often fails...
May 27, 2024: Updates in Surgery
Belinda De Simone, Fikri M Abu-Zidan, Sara Saeidi, Genevieve Deeken, Walter L Biffl, Ernest E Moore, Massimo Sartelli, Federico Coccolini, Luca Ansaloni, Salomone Di Saverio, Fausto Catena
Fluorescence imaging is a real-time intraoperative navigation modality to enhance surgical vision and it can guide emergency surgeons while performing difficult, high-risk surgical procedures. The aim of this study is to assess current knowledge, attitudes, and practices of emergency surgeons in the use of indocyanine green (ICG) in emergency settings. Between March 08, 2023 and April 10, 2023, a questionnaire composed of 27 multiple choice and open-ended questions was sent to 200 emergency surgeons who had previously joined the ARtificial Intelligence in Emergency and trauma Surgery (ARIES) project promoted by the WSES...
May 27, 2024: Updates in Surgery
F Ascari, G Barugola, G Ruffo
There are three types of complications stoma related: ones related to its construction, ones related to its function and related to closure. The aim of this study was to assess the risk of complications related to the stoma presence and to identificate variables related to complications. We conducted a retrospective study of patients who underwent sphincter-preserving elective surgery for benign condition between January 2013 and December 2020 at IRCCS Sacro Cuore Don Calabria Hospital in Negrar, Verona. Data were collected regarding demographics and complications associated with primary surgery, stoma closure and the interval period...
May 27, 2024: Updates in Surgery
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