Clinical and anatomical variables associated in the literature to limb graft occlusion after endovascular aneurysm repair compared to the experience of a tertiary referral center.
Authors: Catanese V, Sangiorgi G, Sotgiu G, Saderi L, Settembrini A, Donelli C, Martelli E Abstract BACKGROUND: Limb graft occlusion (LGO) is the third reason for hospital readmission after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm. We reviewed the clinical features, incidence, anatomical and devices related predictive factors for LGO after EVAR, and compared them with our experience. METHODS: EVAR between 2010-2017 were included. Patients with LGO (LGO group) were matched for age and type of endograft with the rest of the entire cohort without LGO (control group). Clinical, anatomical, ...
Source: Minerva Chirurgica - October 31, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Possible role of low magnesium levels in the onset of postoperative hypoparathyroidism following thyroidectomy.
This study aims at verifying the existence of this association in a retrospective series of patients who underwent thyroid surgery. METHODS: Two hundred eighty-five consecutive patients (202F, 83M, mean age 57 years) who underwent at least total thyroidectomy (TT) and had a complete clinical and biochemical pre- and postoperative evaluation were included in the study. Patients were evaluated with regard to: sex, age, indications for surgery, operative time, number of accidentally removed parathyroids, extent and time of surgery, thyroiditis, final histology, pre- and postoperative levels of calcium, magnesium, vitamin ...
Source: Minerva Chirurgica - October 11, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Drain fluid's pH predicts anastomotic leak in colorectal surgery results of a prospective analysis of 173 patients.
Authors: Molinari E, Giuliani T, Andrianello S, Talamini A, Tollini F, Tedesco P, Pirani P, Panzeri F, Sandrini R, Remo A, Laterza E Abstract BACKGROUND: The early risk assessment of anastomotic leak (AL) after colorectal surgery is crucial. Several markers have been proposed, including peritoneal fluid's pH. Aim of the present study is to evaluate the role of drain's fluid pH as predictor of AL. METHODS: All patients undergoing colorectal surgery from January 2015 to December 2017 were considered eligible. Hartmann procedures, procedures including temporary ileostomy and emergency surgery were excluded. Drain'...
Source: Minerva Chirurgica - October 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Abdominoplasty after bariatric surgery: comparison of three different techniques.
Authors: Pilone V, Tramontano S, Cutolo C, Vitiello A, Brongo S Abstract BACKGROUND: Abdominoplasty after massive weight loss is not a cosmetic procedure. The aim of this study was to compare three different techniques for postbariatric abdominoplasty. METHODS: All postbariatric patients that have undergone abdominoplasty from January 2013 to December 2016 were included in the study. Patients were divided into 3 groups: subjects who underwent standard procedure were allocated ingroup A; those cases performed using a synthetic glue were assigned to group B;cases performed with an energy device were inserted in g...
Source: Minerva Chirurgica - October 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Long non-coding RNA SNHG16 promotes cell proliferation and invasion in lung adenocarcinoma via sponging let-7a-5p.
Authors: Guo Y, Zhen H, Chen W, Sun Y, Li K, Feng E Abstract PMID: 31580045 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Pelvic reconstructive surgery combined with substitute implantation in the treatment of elderly patients with pelvic organ prolapse.
Authors: Yi L, Liu Y, Zhang L Abstract PMID: 31580046 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

"Watch and Wait" for complete clinical response after neoadjuvant chemoradiotherapy for rectal cancer.
"Watch and Wait" for complete clinical response after neoadjuvant chemoradiotherapy for rectal cancer. Minerva Chir. 2019 Sep 30;: Authors: Peacock O, Chang GJ Abstract The management of rectal cancer has evolved substantially over recent decades, becoming increasingly complex. This was once a disease associated with high mortality and limited treatment options that typically necessitated a permanent colostomy, has now become a model for multidisciplinary evaluation, treatment and surgical advancement. Despite advances in the rates of total mesorectal excision, decreased local recurrence and ...
Source: Minerva Chirurgica - October 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Procedure and patient selection in bariatric and metabolic surgery.
CONCLUSIONS: This review examines various factors influencing patient and procedure selection in bariatric surgery. Authors feel it is currently not possible to make strict recommendations and surgeons should carefully discuss the pros and cons of bariatric surgery and that of various options available in their practice with the patients before making a final recommendation. PMID: 31359745 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - August 1, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Using thiel embalmed cadavers for training in transoral endoscopic thyroidectomy vestibular approach (TOETVA): is it feasible?
Authors: Camenzuli C, Schembri Wismayer P, Calleja Agius J Abstract PMID: 31280547 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 11, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Liver transplantation in patients with liver metastases from neuroendocrine tumors.
Authors: Spolverato G, Bagante F, Tsilimigras DI, Pawlik TM Abstract The prevalence of metastatic disease in neuroendocrine tumors (NETs) is very high (60-80%) and cancer-related death among these patients is generally due to metastatic disease. Numerous treatment options for cure and disease control have been investigated for patients with neuroendocrine liver metastases (NELM). Despite the success of liver directed therapy on slowing tumor progression and palliating symptoms, the chance of being cured by liver resection is 40-50% and only roughly 20% of patients have potentially resectable disease. As such, there...
Source: Minerva Chirurgica - July 11, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

A nationwide study on the adoption and short-term outcomes of transanal total mesorectal excision in the UK.
CONCLUSIONS: This study reports acceptable nationwide short-term outcomes of TaTME. However, adoption occurred in a rapid and non-standardized manner. A structured TaTME training program is therefore recommended. PMID: 31271276 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 6, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Neoadjuvant therapy versus upfront surgery for borderline-resectable pancreatic cancer.
CONCLUSIONS: It is necessary to demonstrate the efficacy of neoadjuvant therapy and to standardize the regimens through large-scale, multicenter, randomized controlled studies. PMID: 31115240 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 23, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Review of hypoxia inducible factor 1 inhibitors for cancer therapy.
Authors: Qing L, Qing W Abstract PMID: 31115241 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 23, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

What's new in pancreatic surgery.
Authors: Ausania F Abstract PMID: 31066539 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 10, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Laparoscopic splenectomy in malignancies: is it safe and feasible?
This study aims to verify the efficacy and feasibility of LS for hematologic malignancies. METHODS: 145 patients underwent LS for hematologic disease and were retrospectively shared in two groups: Group A (83 patients) patients with preoperative diagnosis of benign hematologic disease and Group B (62 patients) with malignancies. Bipolar spleen diameter, mean operative time, conversion rate and causes, complications and need of transfusion were evaluated. RESULTS: Median splenic diameter was greater in Group B than in Group A with a statistically significant difference (p
Source: Minerva Chirurgica - May 9, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Hypoxic pelvic perfusion with cisplatin and mitomycin C in multidisciplinary palliative treatment of patients with unresectable recurrent rectal cancer: a retrospective study.
Authors: Guadagni S, Fiorentini G, Palumbo P, Masedu F, Ricevuto E, Bruera G, Deraco M, Kusamura S, Sarti D, Fiorentini C, Gailhofer S, Clementi M Abstract BACKGROUND: Patients with unresectable recurrent rectal cancer that progresses after systemic chemotherapy and radiotherapy may be candidates for palliation with hypoxic pelvic perfusion (HPP). The aim of this observational retrospective study was to evaluate if a multimodality treatment including HPP and targeted-therapy may be useful to prolong clinical responses and survival of these patients. METHODS: Thirty-seven patients with unresectable recurrent rec...
Source: Minerva Chirurgica - May 9, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Biliovascuar complications: a price to pay for non operative management of major liver trauma.
CONCLUSIONS: Biliovascular complications are managed by multidisciplinary approach. Lacerations extending to porta and grade IV/V injuries have a higher chance of developing biliovascular complications and should be observed closely. PMID: 31062944 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 9, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Enterotomy single layer closure with Filbloc in laparoscopic right colectomy with intracorporeal anastomosis: a single-center experience.
Authors: Coppola S, Barbieri C, Faillace G, Longoni M Abstract PMID: 31062945 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 9, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Colon surgery: where are we now.
Authors: Bianchi PP Abstract PMID: 30834733 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - March 7, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Complications post-laparoscopic sleeve gastric resection: review of surgical technique.
CONCLUSIONS: The analysed surgical technique seems to decrease the risk of leak without significantly impacting weight loss, and we have noticed in our clinical experience a decrease in the incidence of fistula from the time this measure was adopted. Also the statistical analysis encourage the continuation of experimentation. PMID: 30761827 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 15, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Cholecystectomy for acute cholecystitis in octogenarians: impact of advanced age on post-operative outcome.
Authors: Vaccari S, Lauro A, Cervellera M, Palazzini G, Casella G, Santoro A, Mascagni D, Ursi P, Gulotta E, D'errico U, Ussia A, De Siena N, Bianchini S, D'andrea V, Tonini V Abstract BACKGROUND: The number of surgical operations in elderly patients is increasing due to the aging demographics of western populations. The aim of the present study was to investigate the peri- operative outcome of octogenarian patients undergoing cholecystectomy for acute cholecystitis. METHODS: We performed a retrospective analysis including all patients who underwent cholecystectomy for acute cholecystitis from January 2013 to D...
Source: Minerva Chirurgica - February 15, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Outcomes of laparoscopic surgery for pT3/pT4 colorectal cancer in young vs. old patients.
Authors: Bellio G, Troian M, Pasquali A, De Manzini N Abstract BACKGROUND: Laparoscopy for locally advanced colorectal cancer is not standardized yet and its potential risks and benefits in elderly patients are still under debate. The aim of this study was to evaluate clinical and oncologic results of laparoscopic surgery for pT3/pT4 lesions in both old and young people. METHODS: Between 2006 and 2015, 115 patients aged
Source: Minerva Chirurgica - February 15, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Tracheostomy after total thyroidectomy: indications and results in a series of 3214 operations.
Authors: Pisano G, Canu GL, Erdas E, Medas F, Calò PG Abstract PMID: 30665291 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 24, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Which is the best pancreatic anastomosis?
Authors: Fiorentini G, Tamburrino D, Belfiori G, Crippa S, Partelli S, Falconi M Abstract Post-operative pancreatic fistula is responsible for most of the complications following pancreaticoduodenectomy and several surgical techniques and strategies to prevent it have been suggested. None of these was ever proved to be the safest. Aim of this review is to present existing evidences on the best pancreatic anastomosis. PMID: 30665292 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 24, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Preoperative vitamin D levels do not relate with the risk of hypocalcemia following total thyroidectomy. A cohort study.
Authors: Deffain A, Scipioni F, De Rienzo B, Allal S, Castagnet M, Kraimps JL, Donatini G Abstract BACKGROUND: Hypocalcemia is the most common complication following total thyroidectomy. Few factors may relate with increased risk of postoperative hypocalcemia. Preoperative vitamin D values have been evaluated in few studies, but reports present conflicting data. Aim of our study is to evaluate the association of preoperative vitamin D values and hypocalcemia following total thyroidectomy. METHODS: A retrospective analysis of patients undergoing total thyroidectomy in our department of endocrine surgery between ...
Source: Minerva Chirurgica - January 18, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Prostate cancer surgery: a voyage through time.
Authors: Pansadoro V, Brassetti A Abstract PMID: 30646676 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 18, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Laparoscopic versus open gastrectomy with extended lymph node dissection for gastric carcinoma in a Western series: a Propensity Score Matching analysis.
Authors: Maida P, Marte G, Spedicato GA, Ferronetti A, Mauriello C, Canfora A, Ciorra G, Barra L, Di Maio V Abstract PMID: 30646677 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 18, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Transanal hemorroidal desarterialization: technique developments and mid-terms results.
Authors: Landaluce-Olavarria A, Ugarte-Sierra B, Mugica-Alcorta I, Onandia-Alberdi JR, Portugal-Porras V, Ibañez-Aguirre FJ Abstract PMID: 30646678 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 18, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

The feasibility of individualized prehabilitation for patients undergoing gastrointestinal cancer resections: a pilot study.
Authors: Bingener-Casey J, Bauer BA, Cutshall SM, Skaran PE, Cheville AL, Sloan JA Abstract PMID: 30646679 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 18, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Standard stapled transanal rectal resection vs stapled transanal rectal resection with only one high volume stapler in the prevention of complications in old patient: our experience.
CONCLUSIONS: The STARR technique performed with a single stapler CPH34HV is safe, faster and less expensive than the STARR performed by a double PPH01. Besidas, with the parachute technique, it is possible to resect asymmetric prolapses. PMID: 30620165 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 9, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

External hemorrhoidal thrombosis in the elderly patients: conservative and surgical management.
CONCLUSIONS: The surgical treatment for EHT in elderly is safe and effective, but not the most common choice for fear of complications. Medical treatment or immediate incision of thrombus can be preferred and well accepted by elderly even if followed by a higher rate of recurrences. PMID: 30600960 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Therapeutic effects of anterolateral thigh flap transfer in repairing oral and maxillofacial defects after ablative surgery of neoplasms.
CONCLUSIONS: The results showed that anterolateral thigh flap transfer has similar therapeutic effects to those of forearm flap transfer in repairing oral and maxillofacial defects after ablative surgery of neoplasms and improving food intake and quality of life. But Anterolateral thigh flap transfer can reduce the incidence of postoperative complications, so this treatment should be popularized. PMID: 30600961 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

A study on the impacts of preoperative maximum detrusor pressure on minimally invasive surgery effect on patients with benign prostatic hyperplasia.
This study aims to investigate the impacts of preoperative maximum detrusor pressure (Pdet.max) on minimally invasive surgery effect on patients with benign prostatic hyperplasia. METHODS: The clinical data of a total of 156 patients receiving minimally invasive surgery for benign prostatic hyperplasia in Hospital of Nanchang Institute of Medical Sciences from August 2014 to June 2017 were retrospectively reviewed and summarized. The patients were divided into three groups according to different Pdet.max in the urodynamic examination results before the surgery, namely, group A (Pdet.max
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Ablation treatments in unresectable pancreatic cancer.
Authors: Paiella S, De Pastena M, Romeo F, D'onofrio M, Fontana M, Pea A, De Marchi G, Crinò SF, Bassi C, Salvia R Abstract Ablation treatments have been increasingly applied as an alternative treatment for unresectable locally advanced pancreatic cancer (LAPC). The goal of LAPC therapy is surgical resection with negative margins (R0); however, that can be achieved only in a minority of patients and only following neoadjuvant treatment. Ablation might be useful for those patients with unresectable LAPC that do not progress towards metastatic stage and do not experience a true downstaging. Indeed, some LAPC t...
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Individualized tension-free inguinal hernia repair in elderly patients: a retrospective study of 1652 consecutive cases in one center.
Authors: Qin C, Chen J, Shen Y Abstract PMID: 30600964 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Pancreatoduodenectomy with artery-first approach.
Authors: Mora-Oliver I, Garcés-Albir M, Dorcaratto D, Muñoz-Forner E, Izquierdo Moreno A, Carbonell-Aliaga MP, Sabater L Abstract "Artery-first approach" encompasses different aspects for the surgical treatment of pancreatic cancer. It is a surgical technique or set of techniques which share in common the dissection of the main arterial vasculature involved in pancreatic cancer, before any irreversible surgical step is performed. On the other hand it represents the need for a meticulous dissection of the arterial planes and clearing of the retropancreatic tissue between the superior mesenter...
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

How to close the pancreatic stump and the role of sealants.
Authors: Ausania F, Senra Del Rio P Abstract Postoperative pancreatic fistula (POPF) is the most common and also the most threatening complication following distal pancreatectomy (DP). For this reason, morbidity and mortality of this operation remain still high. Over the last two decades, many different studies have been performed aiming to reduce the rate and the severity of POPF. However, effective treatments to prevent or avoid clinically relevant pancreatic fistula are still unclear. In this review, we discuss the current evidence on such a relevant topic. PMID: 30600966 [PubMed - as supplied by publisher] ...
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Laparoscopic pancreaticoduodenectomy: patient interest should be the goal of health care.
Authors: Pietrasz D, Pittau G, Sa Cunha A Abstract Pancreatic ductal adenocarcinoma (PDAC) is the fourth deadliest malignancy in developed countries and is predicted to become the second one within the 2030. The present work focuses on the state of the art of laparoscopic PD (LPD), including results of recent randomized trials, and discusses technical challenge and patient's interest of this technique. PMID: 30600967 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Surgical resection of liver metastasis in pancreatic and periampullary carcinoma.
CONCLUSIONS: Perioperative chemotherapy is the cornerstone of treatment in patients with liver metastasis from pancreatic and periampullary carcinoma. Liver resection from early liver metastases could be acceptable in selected patients with oligometastasic disease and small single lesions taking into account the individual risk of complications. PMID: 30600968 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

The Video Consulting Emergency (VCE) protocol: a proposition from the World Society of Emergency Surgery members for the initial management of non traumatic acute abdomen.
CONCLUSIONS: Its application could decrease healthcare costs related to unnecessary exams, admissions, surgeries or transfers. PMID: 30484600 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Structured training program in colorectal surgery: the robotic surgeon as a new paradigm.
CONCLUSIONS: A STP in robotic colorectal surgery is feasible and effective. Right colectomy represents a good model as first step of the program in order to develop multiple technical skills. Previous experience in open or laparoscopic colorectal surgery may not be necessary. PMID: 30484601 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Pancreatoscopy in endoscopic treatment of pancreatic duct stones, systematic review.
CONCLUSIONS: POP guided lithotripsy seems to be a promising alternative in a very selected patients cohort. Good powered randomized controlled trials are needed to prove efficiency and safety of the new technique also for large numbers of patients before it can be recommended as general practice. The focus of future studies should not only be on technical success, but also clinical success and patient reported outcomes (quality of life). PMID: 30371042 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Clinical effects of prosthetic mesh in the treatment of incarcerated groin hernias.
CONCLUSIONS: Our experience demonstrates that acutely incarcerated or strangulated groin hernia in adults is a serious neglected problem. The use of mesh could become current practiceeven in case of bowel resection. There was no statistically significant difference in the postoperative complications between TAPP repaic and open mesh repairs except seroma. PMID: 30334396 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass patients.
Authors: Moreels TG Abstract Roux-en-Y gastric bypass surgery remains a popular surgical intervention worldwide to treat morbid obesity. It is effective and relatively safe. However, one of the results related to bariatric surgery-induced rapid weight loss is the development of biliary stones. Endoscopic removal of common bile duct stones is challenging in patients with Roux-en-Y gastric bypass reconstruction. The current review highlights the different endoscopic approaches of the biliopancreatic system to perform endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass. A tr...
Source: Minerva Chirurgica - October 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Perforated vs nonperforated acute appendicitis: evaluation of short-term surgical outcomes in an elderly population.
CONCLUSIONS: Perforated appendicitis, despite requiring a longer mean operative time, in our series is not producing a longer hospital stay or more postoperative complications compared to non perforated appendicitis. The non operative management of uncomplicated appendicitis is a reasonable option in frail patients in order to avoid the burden of morbidity related to operation, nevertheless surgery remains the standard of care in all age groups. PMID: 30306768 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Surgical treatment of acute complicated diverticulitis in the elderly.
CONCLUSIONS: In a septic elderly patient who is hemodynamically unstable, treatment should be as prompt as possible independent of the Hinchey's stage, and could include either a Mickulicz stoma or a DCS strategy. In an elderly patient who is fit and hemodynamically stable, the surgical options are similar to those in a younger patient. If a patient is frail but hemodynamically stable, he should be treated with a Hartmann's procedures. PMID: 30306769 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Peripheral lymphadenopathy: role of excisional biopsy in differential diagnosis based on a five-year experience.
CONCLUSIONS: Excisional biopsy is a diagnostic method that can be applied safely with minimal morbidity and mortality. PMID: 30306770 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Leak after sleeve gastrectomy: how long do we have to be worried?
Authors: Iossa A, Caporilli D, Avallone M, Ciccioriccio MC, Silecchia G PMID: 30227703 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - September 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Right colectomy: a New York state of mind.
Authors: Lee H, Chudner A, Gachabayov M, Dyatlov A, Bergamaschi RC Abstract Although mortality rates attributable to colon cancer have significantly improved over the past decades, it is still one of the leading causes of death in the United States. As newer technology and surgical techniques and concepts are being introduced, substantial confusion and dissenting opinions have come into fray as well. Naturally, different practice patterns emerged in Asia, Western Europe as well as in the United States. In this special article, we focus on the right colon and examine the unique challenges and oddities of practicing ...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research

Indications, surgical technique and long term results of nerve sparing.
Authors: Türkeri L Abstract Radical prostatectomy is frequently performed as a curative approach for clinically localized prostate cancer. In order to reduce the adverse effects of this operation on erectile function, preservation of neurovascular bundles was introduced as part of this operation. The decision of nerve sparing must be carefully tailored in each patient according to the stage of the disease. Patient selection has a critical importance in performing nerve sparing radical prostatectomy. In organ-confined cancers a nerve sparing surgery can be performed in the majority of the cases without jeopardi...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research