Dysphagia aortica
ConclusionDysphagia aortica is a  rare clinical entity with high morbidity and mortality rates and no standardized management. Early recognition of dysphagia and a high suspicion of aortoesophageal fistula may be lifesaving in this patient population. (Source: European Surgery)
Source: European Surgery - November 9, 2021 Category: Surgery Source Type: research

Ten lessons for positive spacetime
(Source: European Surgery)
Source: European Surgery - October 14, 2021 Category: Surgery Source Type: research

Towards a  zero percent anastomotic leak rate using a defined risk reduction strategy
ConclusionsA  predefined risk reduction strategy may help improve patient selection and reduce anastomotic leak rates. A prospective comparative study is warranted. (Source: European Surgery)
Source: European Surgery - October 14, 2021 Category: Surgery Source Type: research

Ten lessons for positive spacetime
(Source: European Surgery)
Source: European Surgery - October 14, 2021 Category: Surgery Source Type: research

Towards a  zero percent anastomotic leak rate using a defined risk reduction strategy
ConclusionsA  predefined risk reduction strategy may help improve patient selection and reduce anastomotic leak rates. A prospective comparative study is warranted. (Source: European Surgery)
Source: European Surgery - October 14, 2021 Category: Surgery Source Type: research

Comparing predicted and observed morbidity and mortality between emergency laparotomies conducted during the day and overnight at a  district general hospital
ConclusionThere was no statistically significant difference between predicted or observed morbidity and mortality between emergency laparotomies conducted during the day and those conducted overnight. (Source: European Surgery)
Source: European Surgery - October 13, 2021 Category: Surgery Source Type: research

Trends in the presentation of patients with esophageal diverticula in the era of endoscopy
ConclusionNowadays, the majority of ED are endoscopically diagnosed and these are less likely to be symptomatic than radiographically diagnosed ED. ED patients are older than previously reported and older patients are less likely to undergo esophageal manometry or surgery. Gastroenterologists and surgeons should be aware of these emerging trends. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Requirements for a  successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses
ConclusionDespite heterogeneity in coordination and management, the ERAS program is evaluated as successful from a  nurse’s perspective. Continuous staff education and coordination beyond the implementation period appear to be of the utmost importance for a sustained program. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Surgery shares fruitful possibilities
(Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Functional and sexual outcome of laparoscopic ventral mesh rectopexy vs transperineal mesh repair in the treatment of rectocele: a  retrospective analysis
This study aimed to compare functional outcomes and quality of life, between transperineal mesh repair (TPMR) and laparoscopic ventral mesh rectopexy (LVMR) in the treatment of rectocele.MethodsConsecutive women with symptomatic rectocele without associated internal rectal prolapse or enterocele who underwent TPMR (n = 15) or LVMR (n = 20) from January 2013 to February 2019 were included. This study was a retrospective review of a prospectively maintained database. Patient demographics and postoperative complications were evaluated. Altomare’s obstructed defecation (OD) and Cleveland Clini...
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Ist Turkish International Colorectal Surgery Congress, XVIIIth Turkish Colon and Rectal Surgery Congress
(Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

The impact of COVID-19 on surgical training at a  tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons?
ConclusionsIt is imperative for surgical educators to design and implement new alternative ways to assist surgical trainees in their education and also avoid their undertraining during the pandemic. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Laparoscopic intersphincteric resection with hand-sewn coloanal anastomosis in the treatment of low rectal cancer: 10-year experience
ConclusionLaparoscopic ISR with hand-sewn CAA is feasible, safe and has good long-term outcomes for low rectal cancer and might be a  good alternative to APR. More studies are required to better improve long-term outcomes of this surgery. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Presentation of a  rare, highly aggressive peritoneal disease: desmoplastic small round cell tumor and its therapeutic options
ConclusionOur case report demonstrates a  very rare cause of recurrent abdominal pain. Desmoplastic small round cell tumor is a rare and highly aggressive undifferentiated sarcoma, which mainly affects young men. Treatment options include chemotherapy, radiotherapy, cytoreductive surgery, and/or hyperthermic intraperitoneal chemotherapy. Standardized treatment protocols are still lacking because only a few cases have been described so far. Differential diagnoses include all malignancies with peritoneal masses. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Breaking down barriers to surgical learning in times of COVID-19: an initiative of future surgeons
(Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Hypothyroidism as a  cause of ileus after laparoscopic appendectomy
ConclusionHypothyroidism should be considered in patients with protracted postoperative ileus after abdominal surgery. (Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Ist Turkish International Colorectal Surgery Congress, XVIIIth Turkish Colon and Rectal Surgery Congress
(Source: European Surgery)
Source: European Surgery - October 1, 2021 Category: Surgery Source Type: research

Surgery shares fruitful possibilities
(Source: European Surgery)
Source: European Surgery - September 23, 2021 Category: Surgery Source Type: research

Trends in the presentation of patients with esophageal diverticula in the era of endoscopy
ConclusionNowadays, the majority of ED are endoscopically diagnosed and these are less likely to be symptomatic than radiographically diagnosed ED. ED patients are older than previously reported and older patients are less likely to undergo esophageal manometry or surgery. Gastroenterologists and surgeons should be aware of these emerging trends. (Source: European Surgery)
Source: European Surgery - September 7, 2021 Category: Surgery Source Type: research

Esophageal resection in Austria —preparing a national registry
ConclusionThis first publication of the Austrian Society of Esophageal Surgery shows that the outcome of esophageal surgery for cancer in Austria compares well with that of renowned international centers. However, a  more comprehensive approach including as many national centers as possible will improve outcome research, offer quality management, and improve patient safety. The study group invites all Austrian institutions performing esophagectomy to participate in the initiative. (Source: European Surgery)
Source: European Surgery - August 11, 2021 Category: Surgery Source Type: research

Robotic repair of lateral incisional hernias using intraperitoneal onlay, preperitoneal, and retromuscular mesh placement: a  comparison of mid-term results and surgical technique
SummaryBackgroundGiven the paucity of evidence surrounding lateral incisional hernias (LIH), optimal techniques remain elusive. We aim to compare perioperative and mid-term outcomes of patients who underwent robotic LIH repair using three techniques.MethodsPatients were grouped as intraperitoneal onlay (IPOM), transabdominal preperitoneal (TAPP), or retromuscular (RM). Clavien –Dindo classification and Comprehensive Complication Index (CCI®; University of Zurich, Zurich, Switzerland) were used to report postoperative complications and morbidity scores. Surgical site events (SSEs), including surgical site occurren...
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Robot-assisted laparoscopic rectal surgery: operative technique and initial experiences
ConclusionTaking all aspects into consideration, robotic surgery might be a  good prognostic factor for oncologic and functional outcome. Further technical developments like robotic single-port platforms might even expand the possibilities of dissection. Superior or equal oncological results and long-term outcomes compared to conventional open or laparoscopic techniques ha ve yet to be examined and should be the subject of future randomized clinical trials. (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Robotic liver surgery —advantages and limitations
ConclusionThe robotic platform is not appropriate for all liver operations at this time. Benefits of robotic surgery are most clearly realized when approaching lesions in the posterior and superior segments, and when a  large incision would be required to remove a small amount of liver parenchyma were the operation to be performed in an open fashion. (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Abdominal wall reconstruction: new technology for new techniques
ConclusionRobot-assisted TAR for complex ventral hernia repair is a  viable option in our setting with low complication and recurrence rates. (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Robotic resection for esophageal cancer
ConclusionsAvailable studies suggest that RAMIE is associated with benefits regarding length of stay, clinical outcomes, and quality of life —if patients are treated in an experienced center with a standardized technique for robotic esophagectomy—making it a potentially beneficial tool in the treatment of esophageal cancer. However, center-wide standardization and prospective data collection will be a necessity to prove superiorit y of robotic esophagectomy. (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Complete mesocolic excision in minimally invasive surgery of colonic cancer: do we need the robot?
ConclusionThe current data do not allow for a  reliable conclusion on the need of robotic surgery for CME, but show results which hypothesize an equivalence if not superiority to laparoscopy. Due to recently published technical improvements for robotic CME and supplementary features of this method, we suppose that this approach will gain in im portance in the future. (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Minimally invasive pancreatic surgery —will robotic surgery be the future?
SummaryDue to the complexity of the procedures and the texture of the organ itself, pancreatic surgery remains a  challenge in the field of visceral surgery. During the past decade, a minimally invasive approach to pancreatic surgery has gained distribution in clinical routine, extending from left-sided procedures to pancreatic head resections. While a laparoscopic approach has proven beneficial for many pa tients with left-sided pancreatic pathologies, the complex reconstruction in pancreas head resections remains worrisome with the laparoscopic approach. The robotic technique was established to overcome su...
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Robotic surgery for thoracic surgery
SummaryIndications for the use of RATS vary between the facilities but correspond as far as possible to other minimally invasive surgical findings. In general, RATS is currently a  therapeutic option for the management of early-stage NSCLC without mediastinal lymph node involvement in oncological surgery, although depending on the planned intervention and the surgical facility, hilar lymph node involvement may be accepted (Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Surgery reunites the world for the benefit of our health
(Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Robotic surgery 2021
(Source: European Surgery)
Source: European Surgery - August 1, 2021 Category: Surgery Source Type: research

Surgery reunites the world for the benefit of our health
(Source: European Surgery)
Source: European Surgery - July 28, 2021 Category: Surgery Source Type: research

Robotic surgery 2021
(Source: European Surgery)
Source: European Surgery - July 28, 2021 Category: Surgery Source Type: research

Author self-citation policies, the influence on journals ’ impact factors, and self-citation rate in general surgery
(Source: European Surgery)
Source: European Surgery - July 26, 2021 Category: Surgery Source Type: research

Ventral hernia repair under neuraxial anesthesia
ConclusionAlthough some anesthetists and surgeons may be reluctant to use regional anesthesia for both emergent and elective ventral hernia repair, this may represent an excellent option in obese patients with a  high respiratory risk. (Source: European Surgery)
Source: European Surgery - July 20, 2021 Category: Surgery Source Type: research

Robot-assisted laparoscopic rectal surgery: operative technique and initial experiences
ConclusionTaking all aspects into consideration, robotic surgery might be a  good prognostic factor for oncologic and functional outcome. Further technical developments like robotic single-port platforms might even expand the possibilities of dissection. Superior or equal oncological results and long-term outcomes compared to conventional open or laparoscopic techniques ha ve yet to be examined and should be the subject of future randomized clinical trials. (Source: European Surgery)
Source: European Surgery - July 19, 2021 Category: Surgery Source Type: research

Wound myiasis in Western Europe: prevalence and risk factors in a  changing climate scenario
ConclusionMyasis is rare and possibly under-reported in Europe. The epidemiology of this infestation may be changing in the future due to climate variability, a  rise in travel to tropical areas, and the migration of fly species. (Source: European Surgery)
Source: European Surgery - June 29, 2021 Category: Surgery Source Type: research

Reply to letter to the editor
(Source: European Surgery)
Source: European Surgery - June 25, 2021 Category: Surgery Source Type: research

Robotic versus laparoscopic splenectomy: a systematic review of perioperative outcomes
ConclusionThe RS approach may be associated with lower blood loss and a  lower risk of conversions. There was no statistical difference between RS and LS with regards to length of stay (LOS) and cost. RS takes longer to perform in comparison to LS. (Source: European Surgery)
Source: European Surgery - June 23, 2021 Category: Surgery Source Type: research

Myocardial infarction after esophagectomy for esophageal cancer: A  systematic review
ConclusionMyocardial infarction remains an important complication after esophageal surgery. Further investigations are needed to better understand the risk factors and optimum management for post-esophagectomy myocardial infarction. (Source: European Surgery)
Source: European Surgery - June 22, 2021 Category: Surgery Source Type: research

Delayed presentation of inflammatory breast carcinoma during the COVID-19 pandemic
ConclusionThe COVID-19 pandemic has disrupted the entire spectrum of oncological care including breast cancer. Hopefully, telemedicine will contribute to increase patients ’ confidence and will provide earlier diagnosis and treatment while minimizing the risk of contagion. (Source: European Surgery)
Source: European Surgery - June 15, 2021 Category: Surgery Source Type: research