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Upper GIT

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5 papers 0 to 25 followers
M Abu Hilal, J R C Richardson, T de Rooij, E Dimovska, H Al-Saati, M G Besselink
BACKGROUND: Laparoscopic left pancreatectomy has been well described for benign pancreatic lesions, but its role in pancreatic adenocarcinoma remains open to debate. We report our results adopting a laparoscopic technique that obeys established oncologic principles of open distal pancreatosplenectomy. METHODS: This is a post hoc analysis of a prospectively kept database of 135 consecutive patients undergoing laparoscopic left pancreatectomy, performed across two sites in the UK and the Netherlands (07/2007-07/2015 Southampton and 10/2013-07/2015 Amsterdam)...
September 2016: Surgical Endoscopy
Sari Räty, Jukka Pulkkinen, Isto Nordback, Juhani Sand, Mikael Victorzon, Juha Grönroos, Heli Helminen, Pekka Kuusanmäki, Pia Nordström, Hannu Paajanen
OBJECTIVE: The aim of the present trial was to ascertain whether laparoscopic cholecystectomy (LCC) can prevent recurrent attacks of idiopathic acute pancreatitis (IAP). SUMMARY: Up to 50% to 75% of IAP may be due to microlithiasis, which is undetectable by conventional imaging methods. METHODS: This randomized, prospective trial included 85 patients (39 in the LCC and 46 in the control group) in 8 hospitals in Finland. We included adult patients (over 18 years) with their first attack of IAP...
November 2015: Annals of Surgery
Steven M Strasberg, Michael J Pucci, L Michael Brunt, Daniel J Deziel
Less than complete cholecystectomy has been advocated for difficult operative conditions for more than 100 years. These operations are called partial or subtotal cholecystectomy, but the terms are poorly defined and do not stipulate whether a remnant gallbladder is created. This article briefly reviews the history and development of the procedures and introduces new terms to clarify the field. The term partial is discarded, and subtotal cholecystectomies are divided into "fenestrating" and "reconstituting" types...
January 2016: Journal of the American College of Surgeons
Rahul Gadde, Leonardo Tamariz, Mena Hanna, Eli Avisar, Alan Livingstone, Dido Franceschi, Danny Yakoub
BACKGROUND: Prognosis with current management strategies continues to be dismal in metastatic gastric cancer (MGC) patients. We aimed to evaluate the role of metastasectomy in improving survival. METHODS: A comprehensive search of MEDLINE, EMBASE, SCOPUS, and Cochrane central databases (1965 to present) was performed. All comparative studies measuring survival in MGC patients undergoing metastasectomy versus other therapies were included. Pooled risk ratios with corresponding 95% confidence intervals (CI) were calculated for survival at 1, 3, and 5 years...
July 2015: Journal of Surgical Oncology
Zhanlong Shen, Yingjiang Ye, Qiwei Xie, Bin Liang, Kewei Jiang, Shan Wang
BACKGROUND: The effect of the number of lymph nodes harvested on the long-term survival of gastric cancer according to Tumor, Node, and Metastasis (TNM) stage and tumor location remains unclear. METHODS: Patients who underwent gastrectomy for gastric cancer (1998 to 2009) were evaluated retrospectively (1,637 patients). The patients' clinicopathological variables, overall survival (OS), and progression-free survival (PFS) were recorded. The effect of the number of lymph nodes harvested on survival was analyzed according to TNM stage and tumor location...
September 2015: American Journal of Surgery
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