Efficacy of different treatment of 134 cases of cesarean scar pregnancy.
Authors: Zhang W, Liu Y, Jiang Y, Yuan X, Sheng X Abstract BACKGROUND: To compare the clinical efficacy of different methods for treating cesarean scar pregnancy (CSP). METHODS: The clinical data of 134 patients diagnosed with CSP in the Third Affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. Grouped by treatment plan: pretreatments +ultrasound guided Curettage group (group A), pretreatments+ laparotomy (group B). Group A was sub-grouped according to the pretreatments: ultrasound guided uterine evacuation (A1), uterine arterial embolism (UAE) + ultrasound guided uterine evacuati...
Source: Minerva Chirurgica - July 18, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

The yield, effectiveness and safety of gastroscopy in management of early postbariatric upper gastrointestinal pain.
Authors: Mari A, Khoury T, Daud G, Lubany A, Safadi M, Sbeit W, Pellicano R, Mahamid M Abstract BACKGROUND: Upper gastrointestinal (GI) symptoms are prevalent among patients after -bariatric surgeries. Gastroscopy is an important procedure to investigate symptoms. Our primary aim was to evaluate the yield, effectiveness and safety of gastroscopy procedure obtained in a 3-months period after bariatric operation for exploring upper GI symptoms origin. METHODS: Single center, retrospective study at the EMMS Nazareth Hospital from 2010 to 2018. All patients who underwent gastric-bypass (either Roux-en-Y[R-en-Y] or ...
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Acute abdominal pain in older adults: a clinical and diagnostic challenge.
CONCLUSIONS: A systematic approach based on the organization of differential diagnoses into categories, may provide a helpful framework by the combined use of history-taking, physical examination, and results of diagnostic studies. In elderly patients admitted to the emergency department, a crucial role is played by a prompt use of radiological investigations in order to discriminate between older subjects admitted to the emergency department with abdominal pain and pathological cases requiring immediate surgical treatment. PMID: 32550726 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Acute diverticulitis: old challenge, current trends, open questions.
Authors: Costi R, Annicchiarico A, Morini A, Romboli A, Zarzavadjian Le Bian A, Violi V Abstract Acute diverticulitis (AD) is an increasing issue for health systems worldwide. As accuracy of clinical symptoms and laboratory examinations is poor, a pivotal role in preoperative diagnosis and severity assessment is played by CT scan. Several new classifications trying to adapt the intraoperative Hinchey's classification to preoperative CT findings have been proposed, but none really entered clinical practice. Treatment of early AD is mostly conservative (antibiotics) and may be administered in outpatients in selected ...
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

The effect of bupivacaine on postoperative pain following thyroidectomy: a systematic review and meta-analysis.
Authors: Jiang Y, Zhang Z, Liang B, Xu S, Ye Y, Chen R, Li Y, Yu M, Zou Z Abstract INTRODUCTION: Thyroid surgery, which is usually followed by moderate postoperative pain, has gained increasing attention in recent years. A systematic review and meta-analysis was conducted to assess the effect of prophylactic bupivacaine on postoperative pain following thyroidectomy. EVIDENCE ACQUISITION: We searched the PubMed, Web of Science, Embase, and Cochrane Library databases for specific keywords. RevMan 5.0 and Stata 12.0 software were used to perform meta-analyses. The endpoints were postoperative pain, rescue analgesi...
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

The effect of a simple simulator on the application of laparoscopic common bile duct exploration in a low volume center.
CONCLUSIONS: LCBDE simulator can improve the application in a low volume center, and help to increase the utilization of this effective, one stage treatment for choledocholithiasis and reduce the need for costlier ERCP. PMID: 32456389 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

The ratio of the length from the incisor to the tumor to the height predict recurrent laryngeal nerve lymph node metastasis in patients with thoracic esophageal squamous cell carcinoma.
CONCLUSIONS: LH is a useful predictive tool in the evaluation of RLN LN metastasis for esophageal cancer. The present findings support the result that LH can be an indicator of RLN LN dissection. PMID: 32456390 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Combined ionized calcium and PTH evaluation in the management of post-thyroidectomy hypocalcaemia.
CONCLUSIONS: Our data show that our protocol, including serum ionized calcium on 1st, 2nd, 7th days and PTH on 7th day after surgery, is safe and low cost and therefore may be useful in the post surgical management of total thyroidectomy. PMID: 32456391 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Rightward shift in colorectal cancer: experience in 1101 patients.
CONCLUSIONS: Data suggest the existence of two different tumor entities in CRC between right-sided colon cancer and left-sided colon cancer. The proximal shift may be a reflection of improved screening programmes, diagnostic accuracy and population aging. Ethnicity, gender, diet, environment, and socioeconomic status contribute to CRC incidence and prevalence in different regions. PMID: 32456392 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Von Meyenburg complexes, a rare intrahepatic bile duct malformation. Review of the literature and reports of a high volume Liver Unit.
Authors: Tarchi P, Di Renzo C, Tabrizian P, Rocha C, Schwartz ME PMID: 32456393 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study.
CONCLUSIONS: Our data show that a primary laparoscopic approach in patients with PPU is associated with postoperative advantages and acceptable rates of morbidity and mortality, essentially related to high Boey score. Therefore, we suggest that the surgical repair of PPU could be always started laparoscopically. PMID: 32456394 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Comparison among Transanal Endoscopic Operation (TEO), Endoscopic Submucosal Dissection (ESD) and Full-Thickness Resection Device (FTRD) based on the Over-the-Scope (OVESCO) Clip System: which is the best technique for en bloc resection of rectal lesions?
CONCLUSIONS: Our study showed that each technique has specific features, so that each one offers advantages and disadvantages. Nevertheless, all of them ensure high en bloc resection rates, whereas no difference exists for R0 resection rate. TEO provides the possibility to remove low rectal large lesions as compared to ESD and FTRD. PMID: 32456395 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Obstructive left side colon cancer: time for a tailored operative approach?
CONCLUSIONS: The various options of treatment should have different indications: primary anastomosis in stable patients, Hartmann in critical cases, SEMS for palliative intent and stoma when neo-adjuvant therapy is needed. PMID: 32456396 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Accuracy and feasibility of SENTIMAG technique for localization of non-palpable breast lesions. Experience from a single institution.
DISCUSSION: The SentiMag represents a fast and safe preoperative marking system of non-palpable breast lesions, cutting the radio exposure for personnel and patients. The marker is not displaced over time and it is rapid to place and easy to locate intraoperatively, allowing a clear dissection plane around the lesion. Thus, this reduces the amount of gland removed, improving the aesthetic result mostly in small breasts. PMID: 32456397 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Appendiceal stump closure in children using polymeric clips is a reliable alternative to endoloops.
Authors: Vuille-Dit-Bille RN, Staerkle RF, Derderian SC, Dewberry LC, Breitenstein S, Soll C PMID: 32456398 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Laparostomy and temporary abdominal closure outcomes in emergency non-trauma surgery and parameters affecting early definite primary fascial closure.
CONCLUSIONS: Although the open abdomen has been demonstrated to improve survival, the precise role in abdominal sepsis has not been elucidated. Current consensus does not support use of open abdomen routinely, however in selected situations it becomes unavoidable. Laparostomy is a valid option in non-trauma emergency surgery and can be managed safely in a district hospital. High closure rates can be achieved if one or two re-look operations are performed with an early attempt for closure. PMID: 32456399 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

The gauze technique: a simple method of dissection in laparoscopic inguinal hernia repair.
CONCLUSIONS: Based on our experience the soft technique is a safe and feasible way to create a preperitoneal flap. Operating time is drastically reduced and the learning curve is reduced even for less experienced surgeons. PMID: 32456400 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Comparison between two different reconstruction techniques after pancreatic head resection.
This study includes 64 patients. The average duration of surgery was 308 mins; it was longer for DJL (p
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Mini-invasive thyroidectomy and Intraoperative Neuromonitoring (IONM): a single high-volume center experience in 215 consecutive cases.
CONCLUSIONS: In our experience we report that the use of IONM in MIVAT is as helpful to improve the safe of procedure. The risk of nerve palsy in literature associated to MIVAT is the same of the related one to classic technique (CT). We haven't identify a statistical positivity to use IONM in MIVAT related to MIVAT without IONM. In our previous experience cases series of MIVAT the percentage of transitory nerve palsy reported was 2,4% (p=ns). The most important IONM effect, in our opinion is the "safety feeling" experienced by the surgeon using IONM in a more challenging procedure. As a University Hospital, trai...
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

A case of Covid19 infection manifesting itself with only abdominal symptoms.
Authors: Caranti A, Budini M, Demagistri D PMID: 32397692 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 15, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Personal protective equipment in eye examination after the coronavirus pandemic: everything like before?
Authors: Actis AG, Brogliatti B PMID: 32329321 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 25, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

In considerations of robotic colorectal surgery within a COVID-19 pandemic.
Authors: Felsenreich DM, Gachabayov M, Dong XD, Cianchi F, Bergamaschi R PMID: 32329322 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 25, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Robotic resection of a large ovarian leiomyoma.
Authors: Mangano A, Valle V, Bustos R, Gruessner S, Masrur M, Aguiluz G, Bianco F, Giulianotti PC Abstract Uterine leiomyomata are the most frequent leiomyomata. However, this benign tumor can also arise in unusual locations (e.g. ovaries, urethra, bladder and vulva). The diagnostic process of ovarian leiomyomata can be difficult, and it is mostly incidental: the lesions are usually small and the clinical presentation is mainly asymptomatic. Since the first case described in 1862, less than 100 cases have been described. Some of these lesions have been treated laparoscopically. To our knowledge, this is the first w...
Source: Minerva Chirurgica - April 9, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Transanal endoscopic microsurgery (tem): indications, tips and long-term results. A single center experience.
Authors: Ortenzi M, Ghiselli R, Gesuita R, Guerrieri M Abstract BACKGROUND: TEM was introduced to combine the curativeness of full thickness excision with minimum morbidity, while traditional rectal surgery is burdened by high morbidity and mortality rates. However, while it is still a matter of considerable debate whether local excision is an adequate approach for curative resection of rectal cancer, new minimally invasive operative techniques have been introduced. The purpose of this paper was to show the indications, the tips and long term results of this technique through the review of the largest single-center...
Source: Minerva Chirurgica - March 20, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Laparoscopic cholecystectomy: which predicting factors of conversion? Two Italian center's study.
Authors: Vaccari S, Cervellera M, Lauro A, Palazzini G, Cirocchi R, Gjata A, Dibra A, Ussia A, Brighi E, Isaj E, Agastra E, Casella G, Di Matteo FM, Santoro A, Falvo L, Tarroni D, D'andrea V, Tonini V Abstract BACKGROUND: Laparoscopic cholecystectomy represents the gold standard technique for the treatment of lithiasic gallbladder disease. Although it has many advantages, laparoscopic cholecystectomy is not risk-free and in special situations there is a need for conversion into an open procedure, in order to minimize postoperative complications and to complete the procedure safely. The aim of this study is to ident...
Source: Minerva Chirurgica - March 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Adjuvant radiotherapy in urothelial neuroendocrine carcinoma.
Authors: Rossi RE, Monteleone M, Altomare M, Cattaneo L, Torchio M, Coppa J, Mazzaferro V PMID: 32083410 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 24, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Transanal endoscopic operation (TEO) for rectal lesion: a rapid initial experience.
CONCLUSIONS: Our initial experience suggests TEO is safe and feasible. Full-thickness resection guarantees adequate deep margins. Moreover, the limited number of cases requires the development of adequate reference centers. PMID: 32083411 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 24, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Enhanced Recovery after Surgery (ERAS) is safe, feasible and effective in elderly patients undergoing laparoscopic colorectal surgery: results of a prospective single center study.
Authors: Crucitti A, Mazzari A, Toniuolo PM, Dionisi P, Diamanti P, Di Flumeri G, Donini LM, Bossola M Abstract BACKGROUND: It remains largely unknown if ERAS program is safe, feasible and effective in elderly patients undergoing laparoscopic colorectal surgery. In addition, the definition of the "old patient"in terms of age varies across the studies and different age cut-off, such as 65, 70, and 75 years have been used worldwide. METHODS: All adult patients undergoing primary, elective colorectal laparoscopic surgery between January 2017 and December 2018 were considered eligible to follow the ERAS p...
Source: Minerva Chirurgica - February 24, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Early and late effects of the sequential transfixed stich technique for the treatment of the symptomatic rectocele without rectal mucosa prolapse.
CONCLUSIONS: The STST is a feasible, safe, and cost-effective technique for the treatment of the rectocele without rectal mucosal prolapse. The method does not increase the risk of postoperative anal incontinence and presents a short hospital stay. STST presents long- term results in line with other trans-vaginal and trans-anal approaches. PMID: 32009331 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Surgical treatment for severe liver injuries: a single-center experience.
CONCLUSIONS: Severe liver trauma, often involving complex liver resections, should be managed in a referral HPB center, thus obtaining the best results in terms of morbidity and mortality. PMID: 32009332 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Transversostomy vs sigmoidostomy.
Authors: Nicolás JL, Giuliani A, Romano L, Morejón PJ, Santana CC PMID: 32009333 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Comparison of cardiac and cognitive functions in patients undergoing hepatocellular carcinoma surgery under intravenous anesthesia and inhalation anesthesia.
Authors: Li H, Duan X, Xing Y, Xing S, Li G, Li Y PMID: 32009334 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Quality of recovery after major emergency abdominal surgery. A prospective observational cohort study.
CONCLUSIONS: Recovery measured by QoR-15 is substantially affected after major emergency abdominal surgery even after 14- and 30 days postoperatively. The patients were poor or only moderately recovered within the first seven postoperative days and only 62% of the patients were fully recovered at postoperative day 30. PMID: 32009335 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Expression and biological behavior of VEGF and TNF- α in oral and maxillofacial squamous cell carcinoma.
Expression and biological behavior of VEGF and TNF-α in oral and maxillofacial squamous cell carcinoma. Minerva Chir. 2020 Jan 29;: Authors: Xiang W, Xiang P, Wang Y, Chen D PMID: 32009336 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - February 7, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Hem-o-Lok clip migration into the duodenum after laparoscopic digestive surgery: a systematic review.
CONCLUSIONS: The application of Hem-o-Lok clip during laparoscopic surgery is safe and effective. Postoperative Hem-o-Lok migration into the duodenum is rare. The treatment could be conservative in the majority of cases. PMID: 31958943 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 23, 2020 Category: Surgery Tags: Minerva Chir Source Type: research

Reduction of postoperative lymphorrhoea in patients undergoing radical lymphadenectomy for stage III melanoma: prospective study using collagen-fibrin patches.
Authors: Covarelli P, Barberini F, Cannavicci D, Cirocchi R, Rulli A, Boselli C, De Giorgi V Abstract BACKGROUND: Radical lymph nodes dissection (RLND) is the standard procedure for regional control of disease in patients with metastatic melanoma (stage III). Because of its aggressiveness, lymphorrhoea is a constant problem in post-operative. METHODS: In this prospective non randomized study with a retrospective analysis of data, patients undergoing surgical treatment of axillary or iliac-inguinal radical lymph-node dissection (RLND) received standard treatment plus a collagen-fibrin sealant patch (TachoSil) (n...
Source: Minerva Chirurgica - December 12, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

Effect of miR-1266 on proliferation, invasion and migration of laryngeal squamous cell carcinoma by targeting CCL18.
Authors: Wang Q, Su B, Li Q, He Q, Li D, Li Q PMID: 31820618 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - December 12, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

The management of intraductal papillary mucinous neoplasms of the pancreas.
Authors: Pollini T, Andrianello S, Caravati A, Perri G, Malleo G, Paiella S, Marchegiani G, Salvia R Abstract Intraductal papillary mucinous neoplasms (IPMN) of the pancreas are one of the most common preneoplastic entities among pancreatic cystic neoplasms (PCN). Their incidence is increasing due to an extensive use of cross-sectional imaging, but management still remains controversial. Among IPMNs, the main duct (MD-IPMN) and mixed (MT-IPMN) types harbor a high risk of malignant degeneration requiring resection in most of cases. The branch duct type (BD-IPMN), on the other side, can be safely surveilled as surgic...
Source: Minerva Chirurgica - December 6, 2019 Category: Surgery Tags: Minerva Chir Source Type: research

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