EDS Society News
Dig Surg 2022;39:203 –203 (Source: Digestive Surgery)
Source: Digestive Surgery - January 20, 2023 Category: Surgery Source Type: research

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Dig Surg 2022;39:203 –203 (Source: Digestive Surgery)
Source: Digestive Surgery - January 20, 2023 Category: Surgery Source Type: research

Laparoscopic versus Open Approach for Siewert Type II/III Adenocarcinoma of the Esophagogastric Junction: A Systematic Review and Meta-Analysis
Conclusions: Compared with OG, LG is associated with better surgical and long-term outcomes in Siewert type II/III AEG. LG is a safe and feasible option for treating Siewert type II/III AEG. However, studies with large sample sizes, long follow-up periods, and rigorous designs are needed for verification. (Source: Digestive Surgery)
Source: Digestive Surgery - January 4, 2023 Category: Surgery Source Type: research

Laparoscopic versus open approach for Siewert-type II/III adenocarcinoma of the esophagogastric junction: A systematic review and meta-analysis
Conclusions Compared with OG, LG is associated with better surgical and long-term outcomes in Siewert type II/III AEG. LG is a safe and feasible option for treating Siewert type II/III AEG. However, studies with large sample sizes, long follow-up periods, and rigorous designs are needed for verification. (Source: Digestive Surgery)
Source: Digestive Surgery - January 4, 2023 Category: Surgery Source Type: research

Endoscopic Stenting for Malignant Left-Sided Large-Bowel Obstruction in Patients with Colorectal Cancer: Evaluation According to Pathological Stage
Conclusion: The oncologic benefit of endoscopic stenting was more significant than that of emergency surgery in patients with stage III MLLO. (Source: Digestive Surgery)
Source: Digestive Surgery - November 21, 2022 Category: Surgery Source Type: research

Hybrid laparo-endoscopic resection of submucosal cardial tumors assisted by flexible articulated instruments
We report a new surgical method in 10 patients that underwent hybrid laparo-endoscopic resection (HLER) of submucosal tumors with the combination of flexible articulated laparoscopic instruments (FALI). We have assessed technical reproducibility, safety and morbidity. Resection was completed in all cases. Mean surgical time was 60 minutes (30-85). Median tumor size was 16 mm (12-30). The more frequent location was gastroesophageal junction. No complications were observed during the procedure. Length of stay was 1 day in all cases. We have found HLER to be a safe procedure allowing margin resection and organ preservation. T...
Source: Digestive Surgery - November 15, 2022 Category: Surgery Source Type: research

Reply to letter to the editor “Re: Identification of Preoperative Risk Factors for Poor Survival in Patients with Resectable Pancreatic Cancer Treated with Upfront Surgery”
Preoperative biliary drainage is commonly performed in Japan for patients with cancer of the pancreatic head accompanied by obstructive jaundice due to concerns about liver dysfunction, susceptibility to infection, and hemorrhagic tendency. Therefore, biliary drainage was performed for all patients with preoperative obstructive jaundice in this study. Given the purpose of identifying preoperative risk factors for poor prognosis, separate evaluation of cancers of the pancreatic head versus body/tail might have decreased the statistical power because of the small number of eligible patients. Therefore, we did not separate da...
Source: Digestive Surgery - October 31, 2022 Category: Surgery Source Type: research

Enterotomy closure after minimally invasive distal gastrectomy with intracorporeal anastomosis: a multicentric study.
Conclusions: Our study found that double-layer sutures using barbed suture thread both in first and second layer to fashion enterotomy closure results in lower intraluminal bleeding and anastomotic leak rates. (Source: Digestive Surgery)
Source: Digestive Surgery - October 5, 2022 Category: Surgery Source Type: research

Robotic Spleen-Preserving Distal Pancreatectomy with Preservation of Splenic Vessels Using the Gastrohepatic Ligament Approach: The Superior Window Approach in the Kimura Technique
This report demonstrates our novel gastrohepatic ligament approach in robotic SPDP with preservation of the splenic vessels (the superior window approach in the Kimura technique). Our gastrohepatic ligament approach for robotic SPDP included four steps. First, the gastrohepatic ligament was divided extensively, and the pancreas was confirmed (step 1). In this step, we did not lift the stomach, nor did we divide the gastrocolic ligament. Next, the superior and inferior borders of the pancreas were dissected, and tunneling of the pancreas on the superior mesenteric vein was performed (step 2). Following the division of the p...
Source: Digestive Surgery - September 28, 2022 Category: Surgery Source Type: research

Quality of life after minimally invasive esophagectomy: a cross-sectional study
Introduction: Surgery remains essential in the curative treatment of esophageal cancer (EC), but it is known for its high morbidity and impaired health-related QoL. Minimally invasive esophagectomy (MIE) was introduced to reduce surgical trauma and improve QoL. Methods: This cross-sectional study aimed to evaluate long-term HRQoL after MIE in comparison to the general population. HRQoL assessment was based on three questionnaires: the European Organisation for Research and Treatment of Cancer (EORTC) Core 30 (QLQ-C30, version 3), the EORTC QLQ Oesophago Gastric 25 (QLQ-OG25), and the Supportive Care Needs Survey-Short For...
Source: Digestive Surgery - September 1, 2022 Category: Surgery Source Type: research

Postoperative antibiotics and time to reach discharge criteria after appendectomy for complex appendicitis
This study assessed the association between time to reach discharge criteria and duration of postoperative antibiotic use and length of sta y. Methods This is a multicenter retrospective cohort study including patients who underwent appendectomy for complex appendicitis and received postoperative antibiotics for>24 hours. Main outcome measures were time to reach discharge criteria, duration of postoperative antibiotic use, length of hospital stay and postoperative infectious complications. Discharge criteria were defined as absence of fever (temperature ≤38°C) for 24 hours, ability to tolerate oral intake and pain con...
Source: Digestive Surgery - August 30, 2022 Category: Surgery Source Type: research

Long-Term Follow-Up after Surgery for Chronic Pancreatitis: A Bicentric Retrospective Experience
Conclusion: Despite the good results observed in terms of pain relief, the surgical approach led to a consistent worsening of the global pancreatic function. No significant influence of surgery on the nutritional status of patients was detected.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - August 2, 2022 Category: Surgery Source Type: research

Long-term follow-up after surgery for chronic pancreatitis – a bicentric retrospective experience.
This study aims to evaluate clinical follow-up after surgery for CP in an Italian-Austrian population. Materials and Methods Pati ents operated for CP at two high-volume centers between 2000 and 2018 were analysed. The following parameters were compared between the pre- and post-operative period: nutritional status, endocrine and exocrine pancreatic functions and chronic pain. Results Overall, 186 patients underwent surgery for CP. Among these, 68 (40%) answered a specific follow-up questionnaire. The body mass index showed a significant increase between pre-and post-operative assessments (21.1 vs 22.5 p = 0.003). Fur...
Source: Digestive Surgery - August 2, 2022 Category: Surgery Source Type: research

Effect of the First Assistant on Anastomotic Leakage after Rectal Cancer Surgery with Double-Stapling Anastomosis: A Propensity Score Matching Analysis
Conclusion: The first assistant ’s sex and experience level were not associated with AL after rectal cancer surgery with double-stapling anastomosis. These findings may justify resident participation in rectal cancer surgeries in which circular staplers are used. (Source: Digestive Surgery)
Source: Digestive Surgery - July 26, 2022 Category: Surgery Source Type: research

Effect of First Assistant on Anastomotic Leakage after Rectal Cancer Surgery with Double-Stapling Anastomosis: A Propensity Score Matching Analysis
Conclusion: The first assistant’s sex and experience level were not associated with AL after rectal cancer surgery with double-stapling anastomosis. These findings may justify resident parti cipation in rectal cancer surgeries in which circular staplers are used. (Source: Digestive Surgery)
Source: Digestive Surgery - July 26, 2022 Category: Surgery Source Type: research