Advances in Robotic Transaxillary Thyroidectomy in Europe
AbstractPurpose of reviewThe robotic surgical approach for minimally invasive thyroid surgery has been well described from the Korean surgeons and shows a wide spread diffusion in Asian area. This paper gives a systematic review aiming to pointed out the interest and the way of behaving of the European surgeons about the role of the robotic thyroidectomy (RT).Recent findingsA literature search was performed using Pubmed, MEDLINE, Cochrane and ClinicalTrials.gov databases, including only papers wrote from european surgeons enrolling patients operated in Europe. Outcomes of interest included patients characteristics, patient...
Source: Current Surgery Reports - June 26, 2017 Category: Surgery Source Type: research
Minimizing Deterioration of Simulator-Acquired Skills During Transfer to the Operating Room: A Novel Approach
AbstractPurpose of ReviewSurgical skill deteriorates due to stress, but mental skills may negate this skill deterioration. We recently developed a mental skills curriculum (MSC) to address this, and present findings of its effectiveness compared to historical controls.Recent FindingsThe MSC was implemented with surgical novices during simulator training, and results were compared to historical controls who had no mental skills training. The groups were comparable at baseline. Compared with the MSC group, historical controls trained longer and achieved higher performance on the simulator but without appreciable differences ...
Source: Current Surgery Reports - June 22, 2017 Category: Surgery Source Type: research
Intentional Segmentectomies for Stage I Lung Cancer: An Up-to-Date Systematic Review
AbstractPurpose of ReviewThe role of this systematic review is to analyse and compare with a meta-analytic approach the outcomes of lobectomy versus intentional segmentectomy in the surgical treatment of stage I non-small cell lung cancer (NSCLC) as reported in the largest studies on the subject published to date.Recent FindingsRegarding the results, most of these studies were based on the retrospective data. The size of the cohorts varied from 17 to 11,520 with a total number of 31,684 patients. The pooled hazard ratio was 1.08 (95% CI = 0.97–1.21;p = 0.16).SummaryThe survival in the lobectomy group was not superio...
Source: Current Surgery Reports - June 12, 2017 Category: Surgery Source Type: research
Autologous Fat Grafts: Can We Match the Donor Fat Site and the Host Environment for Better Postoperative Outcomes and Safety?
AbstractPurpose of ReviewAutologous fat grafting is the gold standard for soft tissue repair. The donor fat depot is chosen where a surplus of subcutaneous fat is found. However, the adipose tissues from different parts of the body are not equivalent. Despite the heterogeneity in fat depots, it is still considered that any adipose tissue site is a suitable fat depot donor for transplantation.Recent FindingsMatching embryonic origins andHox code between transplanted stem cells and the host microenvironment emerges as a critical parameter to achieve correct repair in different preclinical models. It has also recently been re...
Source: Current Surgery Reports - May 30, 2017 Category: Surgery Source Type: research
Nutrition in the Post-surgical Patient: Myths and Misconceptions
This article addresses myths and misconceptions of enteral nutrition in surgical patients. (Source: Current Surgery Reports)
Source: Current Surgery Reports - May 27, 2017 Category: Surgery Source Type: research
Transoral Robotic Surgery for Obstructive Sleep Apnea Syndrome: 9 Years of Experience
ConclusionIn selected patients, using a robot for tongue base resection or partial epiglottectomy, is really useful for treatment of patients with OSA and these areas of the human body are very difficult to visualize and operate, unless a robot is used. It was found that using a robot is not only useful , but also safe with proper training and better techniques can be developed in future. (Source: Current Surgery Reports)
Source: Current Surgery Reports - May 13, 2017 Category: Surgery Source Type: research
Fat Grafting: Its Role in Breast Reconstruction
AbstractPurpose of ReviewFat grafting is a useful adjunct to both implant and autologous reconstruction, in both immediate and delayed settings. More recently it has also been used as a standalone method of breast reconstruction. Herein we discuss the recent literature and experience with autologous fat grafting for breast reconstruction.Recent FindingsThere are multiple methods of fat harvest, and preparation. More recently, new techniques have been developed for larger volume fat grafting, as well as external volume expansion of the breast. In general the procedure is safe with few complications —however, some such as ...
Source: Current Surgery Reports - May 11, 2017 Category: Surgery Source Type: research
Pediatric Small Bowel Transplantation
AbstractPurpose of ReviewSmall bowel transplantation is the only currently available option for children with permanent intestinal failure that can allow for full enteral nutrition. The aim of this article is to provide a comprehensive review of the indications, surgical technique, allograft types, perioperative management, and outcomes of children who undergo intestinal transplantation.Recent FindingsAdvancements in the management of immunosuppression and associated complications have been the most recent contributor to improved patient outcomes following intestinal transplantation. Most centers have adopted protocols tha...
Source: Current Surgery Reports - April 21, 2017 Category: Surgery Source Type: research
The Shifting Microbiome in Surgical Stress
AbstractPurpose of Review The development of rapid gene sequencing and analytical techniques over the past few decades has enabled researchers to enhance their understanding of the immensely complicated microbiota living within the human gut, including the role microbes play in the pathogenesis of several surgical disease states as well as the perioperative period. The purpose of this review is to summarize recent findings regarding the changing microbiome within presurgical conditions and during surgical stress states.Recent FindingsOur close and constant contact with these microbial organisms has wide-ranging implication...
Source: Current Surgery Reports - April 20, 2017 Category: Surgery Source Type: research
An Update on Ex Vivo Lung Perfusion in Pulmonary Transplantation
AbstractPurpose of ReviewLung transplantation provides quality of life and survival benefits for patients with end-stage lung disease. However, the demand for donor lungs continues to exceed the supply. Using standard selection criteria, only 20% of lungs from solid organ donors are currently used for lung transplant. Ex vivo lung perfusion may provide a means to evaluate and to potentially rehabilitate marginal donor lungs prior to transplantation.Recent FindingsOutcomes after transplantation of marginal lungs evaluated using ex vivo lung perfusion, after initially being declined using standard criteria, have been reporte...
Source: Current Surgery Reports - February 26, 2017 Category: Surgery Source Type: research
Hilar Cholangiocarcinoma: Resection or Transplantation?
AbstractPurpose of ReviewThis is a review of the current status of surgical resection and liver transplantation in the treatment of hilar cholangiocarcinoma (CCA).Recent FindingsFor patients with hilar CCA and underlying parenchymal disease, specifically those with primary sclerosing cholangitis, liver transplantation is generally favored as there is risk of hepatic insufficiency and multicentric disease with extended resection. For de novo patients with no underlying liver disease, the decision between resection and transplantation proves to be more difficult. Results have shown that when margin- and node-negative resecti...
Source: Current Surgery Reports - February 12, 2017 Category: Surgery Source Type: research
Using Video Analysis to Understand and Improve Technical Quality in Bariatric Surgery
AbstractPurpose of ReviewBariatric surgery is the most effective and durable treatment for severe obesity. Operative technique for some bariatric procedures can be technically challenging and requires an advanced skill set. Variation in procedure type, operative technique, and surgeon skill can affect outcomes.Recent FindingsMost bariatric surgery is performed laparoscopically, allowing for video recording and thus an opportunity to study videos for quality improvement.SummaryCurrent strategies for utilizing surgical videos are discussed herein, along with our early experience and specific areas for future growth. (Source:...
Source: Current Surgery Reports - February 10, 2017 Category: Surgery Source Type: research
Adipose-Derived Stem Cells in Peripheral Nerve Regeneration
AbstractPurpose of the ReviewPeripheral nerve injuries are common, debilitating, and costly. The human body ’s innate regenerative capacity is slow, and nerves are often misguided. The purpose of this article is to review a specific cellular, regenerative engineering technique that holds promise for the treatment of peripheral nerve injuries.Recent FindingsOver the past several decades, research has focused on the utilization of stem cells for peripheral nerve repair. More recently, stem cells collected from adipose tissue (adipose-derived stem cells or ADSCs) have gained traction due to their relative ease of collection...
Source: Current Surgery Reports - February 6, 2017 Category: Surgery Source Type: research
Novel Technologies in Bariatric Surgery
This article will review the current state of these novel surgical and endoscopic therapies. (Source: Current Surgery Reports)
Source: Current Surgery Reports - January 17, 2017 Category: Surgery Source Type: research
Renal Artery Stenosis: Recent Evidence, Evidence Gaps, and Practical Approaches to Diagnosis and Management
This article will review the pathophysiology, epidemiology, clinical presentation, diagnostic evaluation, and clinical management of renal artery stenosis in adults, focusing on atherosclerosis and fibromuscular dysplasia (the most common etiologies in adults). Review of clinical trials will focus on the most recent studies, including their outcomes, inclusion and exclusion criteria, and limitations. (Source: Current Surgery Reports)
Source: Current Surgery Reports - January 16, 2017 Category: Surgery Source Type: research
