Anterograde jejunojejunal intussusception through the distal anastomosis as complication after Roux-en-Y gastric bypass.
CONCLUSIONS: Small bowel intussusception is a rare long-term complication after RYGB. The underlying causative mechanism remains unclear. This rare condition may cause obstruction and lead to bowel necrosis if not recognized and treated promptly. PMID: 29879867 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 10, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

AO principles of fracture management.
Authors: An S PMID: 29801425 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 1, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Analysis of failed discharge after ambulatory surgery: unanticipated admission.
CONCLUSIONS: Unanticipated admissions following day surgery occur mainly due to social/organisational and surgical reasons. However, medical and anaesthetic reasons also explain 15.86% of the unanticipated admissions. PMID: 29848193 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 1, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

The impact of surgical resection of the primary tumor on the development of synchronous colorectal liver metastasis: a systematic review.
CONCLUSIONS: Some limited evidence supports the hypothesis that colorectal surgery might stimulate the growth and development of synchronous colorectal liver metastases. PMID: 29783886 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 24, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Images in surgery - gallstone ileus.
Authors: Stiennon L, Detry O PMID: 29779475 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Time and life management for medical students and residents.
Authors: Somville F PMID: 29772962 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 21, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Myasthenia gravis appearing after thymectomy heralding recurrent thymoma.
CONCLUSIONS: New-onset MG postthymectomy heralds recurrent disease in 3% of cases. Thorough screening is needed in such patients. PMID: 29768973 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 18, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Impact of a prehospital discrimination between trauma patients with or without early acute coagulopathy of trauma and the need for damage control resuscitation: rationale and design of a multicenter randomized phase II trial.
DISCUSSION: Many data suggest that a very early flagging of trauma patients in need for DCR would be beneficial but this need to be proved. Do we improve our quality of care by an earlier diagnosis? Does a prehospital discrimination between trauma patients with or without a potential need for DCR has a positive impact? PMID: 29745298 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 11, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intraoperative radiation therapy for rectal cancer and recurrent intra-abdominal sarcomas.
CONCLUSIONS: The results of our study show that HDR-IORT could be a valuable asset in the multimodality management of LARC, LRRC and RS. PMID: 29745309 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 11, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Para-anal lipoma as a rare consequence to perineal trauma. Case-report and review of the literature.
CONCLUSION: Perineal lipomas are extremely rare, pathological examination of imaging guided biopsies are needed to exclude malignancy especially a well-differentiated liposarcoma. MRI remains the first option and radical surgical excision is the gold standard treatment. PMID: 29734868 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 10, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Pelvic lymph node dissection in prostate cancer staging: evaluation of morbidity and oncological outcomes.
Authors: Van Huele A, Poelaert F, Fonteyne V, Decaestecker K, Ost P, Lumen N Abstract BACKGROUND: To evaluate the morbidity of different surgical approaches for pelvic lymph node dissection (PLND), to evaluate the influence of morbidity on radiotherapy (RT) planning and to evaluate a possible therapeutic effect of a more extensive yield of PLND. METHODS: From 2000-2016, 228 patients received staging PLND before primary RT in a single tertiary care center. Nine patients were excluded for the evaluation of morbidity. Fifty patients were operated in an open approach, 96 laparoscopic and 73 robot-assisted (RA). Cla...
Source: Acta Chirurgica Belgica - May 10, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Pancreaticopleural fistula: a rare cause of pleural empyema.
CONCLUSION: PPF is a rare complication of pancreatitis. The diagnosis is difficult to make and can be confirmed by thoracocentesis and proper imaging, preferably MRCP. Treatment options include conservative, endoscopic (ERCP) or surgical measures. Omentoplasty positioned against the diaphragmatic hiatus is a feasible technique for closure of PPF. PMID: 29716451 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 4, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Does surgical technique influence the postoperative hemodynamic disturbances and neurological outcomes in carotid endarterectomy?
Authors: Deşer SB, Demirag MK, Kolbakir F Abstract INTRODUCTION: The carotid endarterectomy is already well established in patients with symptomatic or asymptomatic internal carotid artery (ICA) stenosis. The aim of this study was to determine whether there is a difference in postoperative blood pressure changes, stroke rate and postoperative complications following eversion carotid endarterectomy (E-CEA) and conventional carotid endarterectomy (C-CEA). METHODS: From 1 January 2010 to 31 March 2017 consecutive patients admitted to our department with symptomatic or asymptomatic ICA stenosis were included in th...
Source: Acta Chirurgica Belgica - April 28, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Outcomes of laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation: a single center retrospective study.
CONCLUSION: LASC with cecorectal anastomosis is a safe and effective surgical approach for STC, with the majority of patients being satisfied with the outcome of surgery. PMID: 29701506 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 28, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Handbook of pain surgery.
Authors: Berrevoet F PMID: 29681229 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 24, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Different laparoscopic treatment modalities for splenic artery aneurysms: about 3 cases with review of the literature.
CONCLUSIONS: Despite the variations in the adopted operative techniques, the laparoscopic approach seems to be harmless. However, no treatment algorithm or consensus has been published. PMID: 29631508 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Systematic review of surgical training on reperfused human cadavers.
CONCLUSIONS: Various reperfused human cadaver models exist, enabling practise of mainly vascular procedures. Preservation method determines the level of simulation fidelity. Thorough evaluation of these models as surgical training tools and transfer effectiveness is still lacking. PMID: 29653497 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Hepatic alveolar echinococcosis.
Authors: Detry O, Meurisse N, Delwaide J, Giot JB, Leonard P, Losson B, Hayette MP, Bletard N, Meunier P, Honoré P PMID: 29653501 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Treatment with troxerutin protects against cisplatin-induced kidney injury in mice.
CONCLUSIONS: Our results demonstrated that Tro has protective effects against CP-induced nephrotoxicity through improving the biochemical indices and the oxidative stress parameters. PMID: 29653502 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Ellagic acid as a potential antioxidant, alleviates methotrexate-induced hepatotoxicity in male rats.
CONCLUSION: In sum, the current study supports the hypothesis that EA may be used as a promising pre-therapy to prevent the MIH. PMID: 29587597 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 29, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Unilateral adrenal hematoma with associated giant mass: a report of two cases.
CONCLUSION: An accurate diagnosis of idiopathic adrenal hematoma is quite difficult to make prior to surgery. Some imaging modalities are useful in generating a differential diagnosis. PMID: 29560790 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Acute pelvic inflammatory disease as a rare cause of acute small bowel obstruction.
Authors: Haumann A, Ongaro S, Detry O, Meunier P, Meurisse M Abstract INTRODUCTION: Small bowel obstruction (SBO) is a common presentation to emergency abdominal surgery. The most frequent causes of SBO are congenital, postoperative adhesions, abdominal wall hernia, internal hernia and malignancy. PATIENTS: A 27-year-old woman was hospitalized because of acute abdominal pain, blockage of gases and stools associated with vomiting. Abdominal computed tomography showed an acute small bowel obstruction without any obvious etiology. In view of important abdominal pain and the lack of clear diagnosis, an explorative ...
Source: Acta Chirurgica Belgica - March 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Internal herniation through the falciform ligament of the liver: a case report.
CONCLUSION: Small bowel herniation through an iatrogenic defect in the falciform ligament is very rare. However, it can lead to severe complications such as small bowel necrosis. To prevent internal herniation, we strongly suggest immediate repair or division of the falciform ligament when an iatrogenic defect is created during laparoscopic procedures. PMID: 29560798 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Gastric cancer: factors affecting survival.
Authors: Orman S, Cayci HM Abstract BACKGROUND AND AIM: The present multicenter, retrospective study aimed at determining the factors affecting survival in patients who were operated on due to gastric cancer (GC). PATIENTS AND METHODS: The data of 234 patients, who underwent elective surgery due to GC were retrospectively analyzed. The demographic characteristics, tumor localization and diameter, type of resection and lymph node dissection, experience of the operating surgeon (senior or junior), tumor grade, pT stage, number of lymph nodes harvested, number of lymph nodes with and without metastasis, tumor stag...
Source: Acta Chirurgica Belgica - March 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Robotic pancreatic surgery: old concerns, new perspectives.
CONCLUSION: The robotic pancreatic surgery in a highly selected group of patients seems safe and feasible. The cost-effectiveness and long-term oncologic outcomes need further investigations. PMID: 29514548 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 9, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

A contemporary and a historical patient with an ectopic meningioma.
CONCLUSIONS: The cases we report are at different ends of the clinical and prognostic spectrum. Therapeutic options for different clinical scenarios are discussed. PMID: 29490576 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 2, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Deep inferior epigastric artery perforator flap harvest after full abdominoplasty.
Authors: Zeltzer AA, De Baerdemaeker RA, Hendrickx B, Seidenstücker K, Brussaard C, Hamdi M Abstract Abdominal scars are no longer a contra-indication for abdominal perforator flap harvesting. Few research data exists about the regeneration potential of the abdominal wall's perforator system. Therefore, previous abdominoplasty with umbilical transposition is an absolute contra-indication for a DIEaP-flap (deep inferior epigastric artery perforator flap). A 50-year-old patient required a breast reconstruction of the right breast, 10 years after an abdominoplasty with undermining of the superior abdomen and...
Source: Acta Chirurgica Belgica - March 2, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

The role of oral fluvastatin on postoperative peritoneal adhesion formation in an experimental rat model.
Authors: Yue Y, Yan S, Li H, Zong Y, Yue J, Zeng L Abstract BACKGROUND: Postoperative peritoneal adhesions are a momentousness complication after abdominal surgery. Although varied means have been used to prevent and treat adhesions, the effects have not been satisfactory. Fluvastatin, a HMG-CoA reductase inhibitors, exhibits a variety of pharmacological effects. Aim of this study was to evaluate the effect of fluvastatin on postoperative peritoneal adhesion formation. METHODS: Seventy-five male Wistar rats weighting 220-250g were randomly assigned equally to three groups. Group A was given sham operation witho...
Source: Acta Chirurgica Belgica - March 1, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma.
CONCLUSION: The lack of apparent causes, the unexplained puncture marks and psychiatric comorbidity suggests the possibility of subcutaneous emphysema due to factitious manipulations. Patients with subcutaneous emphysema who remain clinically stable, have minimal pain and no significant inflammatory changes could be treated conservatively. Close clinical monitoring is essential to avoid delayed intervention in case of a necrotizing soft tissue infection. PMID: 29475402 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 26, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Urological approach for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in a clinical care center.
CONCLUSIONS: In our study, intraoperative UT events and postoperative complications, although not neglectable, were infrequent. Due to the high complexity of these cases, a multidisciplinary approach is mandatory. However, randomized clinical trials are necessary to clarify current data on the need and efficacy of prophylactic ureteral catheterization in patients undergoing CRS-HIPEC. PMID: 29475412 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 26, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Cephalic pancreaticoduodenectomy with preservation of a right coronary artery bypass graft using the right gastro-epiploic artery: a case report.
CONCLUSION: We have been able to preserve a right gastro-epiploic artery as a coronary bypass during a cephalic pancreaticoduodenectomy for a cephalic pancreatic adenocarcinoma. We have successfully been able to preserve and re-implant the right gastro-epiploic artery to the origin of the gastroduodenal artery while insuring R0 resection of the tumor. A coronary artery bypass using the right gastro-epiploic artery should therefore not be considered as an obstacle to a Whipple's procedure if total oncological resection is obtainable. PMID: 29463197 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 23, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Double superior vena cava: presentation of two cases and review of the literature.
CONCLUSIONS: Double SVC can be fortuitously discovered during catheter insertion, thoracic or cardiac imaging and surgery. In most cases it drains into the left atrium, through the coronary sinus. This entity is significant to the physician because of its importance in differential diagnosis as a cause of a widened mediastinum, as well as any difficulty that can occur in the placement of a central venous catheter or a pace maker. PMID: 29458311 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 22, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Image of the month: cyst of the canal of Nuck.
Authors: Karapolat B, Ata Korkmaz HA, Kocak G, Bulut E PMID: 29433378 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Acute abdominal pain due to internal herniation of the sigmoid colon, fallopian tube and left ovary, a rare presentation of Allen Masters syndrome.
Authors: Mazzetti CH, Hock N, Taylor S, Lemaitre J, Crener K, Lebrun E Abstract In 1955, Allen and Masters describe a painful syndrome which associates traumatic delivery to laceration found on the posterior leaf of the broad ligament. Herniation through this defect is a rare entity, accounted for about 4-7% of all internal hernias. Normally, it involves the small bowel. The authors present the case of a multiparous woman admitted at emergency for constipation and abdominal pain. The CT scan showed an extremely rare case of internal hernia of the sigmoid colon, fallopian tube and left ovary through a large defect o...
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Variations in the vascular and biliary structures of the liver: a comprehensive anatomical study.
CONCLUSIONS: We describe vascular and biliary variations in the livers of our patients. PMID: 29433396 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Chest wall metastasis of endometrial cancer: case report and review of the literature.
CONCLUSION: Here in, a case with a distant organ metastasis due to an endometrioid-type adenocarcinoma is presented accompanied by literature data. PMID: 29433406 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Thoracoscopic total esophagogastrectomy with supercharged colon interposition for the treatment of esophageal adenocarcinoma in situs inversus.
CONCLUSION: In long-segment esophageal reconstruction with supercharged colon, although thoracoscopy is feasible, laparoscopy is found unsafe. Careful preoperative planning and colon assessment via computed tomography(CT) colonography/angiography and a multidisciplinary team approach is recommended. Adjuncts to assess conduit perfusion like the Spy system are helpful. Supercharging the long colonic conduit is a way of minimizing ischemia-related complications. PMID: 29436979 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Impact of age on postoperative outcomes in bariatric surgery.
Authors: Major P, Wysocki M, Janik M, Stefura T, Walędziak M, Pędziwiatr M, Kowalewski P, Paśnik K, Budzyński A Abstract BACKGROUND: Age is often related to the increase of perioperative complications and reoperation rates. The authors aimed to determine the influence of age on outcomes of most commonly performed bariatric procedures. METHODS: The retrospective study included patients qualified for primary Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) in two academic hospitals. Patients were divided into two groups: ≥50 (21.2-26.9%) and
Source: Acta Chirurgica Belgica - February 7, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

History of Cardiac Surgery in Belgium.
Authors: Suy R PMID: 29384044 [PubMed] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Letter to the Editor.
Authors: Peeters G, Himpens J, Leman G PMID: 29384045 [PubMed] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Inflammatory Myofibroblasts Tumour (IMT) of the Liver: A Report of Two Cases.
Authors: Sevinç AI, Ünek T, Astarcioglu H Abstract Inflammatory myofibroblastic tumour (IMT) is an uncommon mass lesion composed of myofibroblasts and mixed inflammatory infiltrate that rarely undergoes malignant transformation. Although IMT was originally reported in the lung, it is now recognised that it can occur in a variety of organs. Hepatic localisation of IMT is less frequent. Here we report two cases of IMT in the liver. They underwent hepatic resections with the diagnosis of FNH and Klatskin tumour. The pathological diagnosis of the tumour was IMT. We conclude that in the management of IMT in ...
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

In Memoriam Professor Dr. Albert Lacquet (1904-2003).
Authors: Gruwez JA, Lerut T PMID: 29388509 [PubMed] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Limberg flap in management of pilonidal sinus disease: systematic review and a local experience.
CONCLUSIONS: Limberg flap presents a safe and effective method that can be offered for patients with primary or recurrent PSD. PMID: 29390948 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

The death of the Byzantine Emperor John II Komnenos (1087-1143).
CONCLUSION: The death of the emperor John Komnenos was caused by a severe infection of the hand of unknown agent leading to septicaemia. This conclusion is based on the fact that death came a week or more after the injury of the hand and it was not caused by the poison of the arrow which would have been fatal within several hours. PMID: 29390951 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 3, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Mycotic aortic aneurysms treated by endovascular repair: initial experience in a single center.
CONCLUSION: EVAR is an effective and safe option and might be a suitable alternative to OR in the absence of predictors of poor prognosis for the treatment of non-complicated forms of MAA. PMID: 29382272 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 2, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Health-related quality of life and cost-effectiveness analysis of gum chewing in patients undergoing colorectal surgery: results of a randomized controlled trial.
CONCLUSION: Reducing POI and AL via gum chewing reduced costs for ward stay, but did not affect overall in-hospital costs, HRQoL, or mapped utilities. More studies with adequate sample sizes using validated questionnaires at standardized time points are needed. PMID: 29378476 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 31, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Neutrophil-to-lymphocyte ratio and mural nodule height as predictive factors for malignant intraductal papillary mucinous neoplasms.
Authors: Watanabe Y, Niina Y, Nishihara K, Okayama T, Tamiya S, Nakano T Abstract BACKGROUND: Accurate preoperative prediction for malignant IPMN is still challenging. The aim of this study was to investigate the validity of neutrophil-to-lymphocyte ratio (NLR) and mural nodule height (MNH) for predicting malignant intraductal papillary mucinous neoplasm (IPMN). METHODS: The medical records of 60 patients who underwent pancreatectomy for IPMN were retrospectively reviewed. RESULTS: NLR tended to be higher in malignant IPMN (median: 2.23) than in benign IPMN (median: 2.04; p = .14). MNH was sig...
Source: Acta Chirurgica Belgica - January 18, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

How to implement an enhanced recovery programme after colorectal surgery?
CONCLUSIONS: Large-scale implementation of ERP continues to face mainly lack of trust and communication. Solutions exist and are based particularly on team work and interdisciplinary collaboration. PMID: 29334849 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 18, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Labelling as reference Centre of GRACE (Groupe francophone de R éhabilitation Améliorée après ChirurgiE) for colorectal surgery: its impact on the implementation of enhanced recovery programme at the University Hospital of Liège.
Labelling as reference Centre of GRACE (Groupe francophone de Réhabilitation Améliorée après ChirurgiE) for colorectal surgery: its impact on the implementation of enhanced recovery programme at the University Hospital of Liège. Acta Chir Belg. 2018 Jan 15;:1-5 Authors: Daenen C, Coimbra C, Hans G, Joris J Abstract BACKGROUND: Enhanced recovery programme (ERP) has been used in our hospital since 2005 for selected colorectal surgeries. Since October 2015, after labelling as GRACE reference centre, we included all patients scheduled for elective colorectal surgery in th...
Source: Acta Chirurgica Belgica - January 18, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Successful operative treatment of uterine leiomyoma with extensive intravenous extension to the IVC, right heart, and pulmonary arteries.
CONCLUSIONS: Total abdominal hysterectomy and bilateral salpingo-oophorectomy combined with exploration of the sub-hepatic IVC and heart under deep hypothermic circulatory arrest achieved its successful macroscopic clearance. PMID: 29338669 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 18, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research