Effects of Daikenchuto on postoperative gastrointestinal motility in colorectal carcinoma patients with abdominal pain and distension: a prospective, randomized trial
ConclusionsDKT could potentially inhibit diarrhea and reduce the number of bowel movements per day and the sensation of incomplete bowel evacuation after colorectal surgery. Thus, the perioperative use of DKT may be safe for colorectal cancer patients with abdominal pain and distention, who undergo surgery. (Source: Surgery Today)
Source: Surgery Today - October 20, 2020 Category: Surgery Source Type: research

Incisional hernia after liver transplantation: mesh-based repair and what else?
ConclusionMesh-based hernia repair using the inlay/onlay technique represents an effective and safe method for patients with an IH after LT, without additional risk from continuous immunosuppression. (Source: Surgery Today)
Source: Surgery Today - October 16, 2020 Category: Surgery Source Type: research

Predictive value of tumor-infiltrating lymphocytes for pathological response to neoadjuvant chemotherapy in breast cancer patients with axillary lymph node metastasis
AbstractPurposeWe investigated the role of tumor-infiltrating lymphocytes (TILs) in pretreatment primary breast cancer to predict pathological response to neoadjuvant chemotherapy (NAC) in patients with clinical node-positive disease (cN  +).MethodsThe subjects of this study were 60 patients with cN  + , who received NAC followed by breast surgery with axillary lymph node dissection (ALND). We conducted a semi-quantitative assessment of TILs in pretreatment primary tumors and their association with clinicopathological factors and axillary lymph node metastasis.ResultsWe observed a higher number of TILs...
Source: Surgery Today - October 14, 2020 Category: Surgery Source Type: research

Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report
ConclusionsOur preliminary study suggested that the above described energy device records reflected surgical competency, and thereby may improve surgical education. (Source: Surgery Today)
Source: Surgery Today - October 11, 2020 Category: Surgery Source Type: research

Postoperative inguinal pain and disability after Lichtenstein versus ONSTEP hernia repair: analysis of responses to the inguinal pain questionnaire in Spanish
ConclusionsThe Spanish version of the IPQ measures postoperative inguinal pain adequately. Based on our findings, the ONSTEP technique was not superior to the Lichtenstein technique. The simplified version of the IPQ is not significantly different from the full version and it is easier to complete.Clinical trial registrationNCT04138329, registered on October 24, 2019. (Source: Surgery Today)
Source: Surgery Today - October 11, 2020 Category: Surgery Source Type: research

Optimal timing of surgery in infants with prenatally diagnosed isolated left-sided congenital diaphragmatic hernia: a multicenter, cohort study in Japan
This study aimed to establish the optimal timing of surgery in neonates with isolated left-sided CDH.MethodsThis multicenter cohort study enrolled 276 patients with isolated left-sided CDH at 15 institutions. Based on the timing of surgery, the patients were classified into four groups [
Source: Surgery Today - October 10, 2020 Category: Surgery Source Type: research

Utility of the powered stapler for radical pulmonary resection: a propensity score-matched analysis
ConclusionUsing a powered stapler to divide the incomplete interlobular fissure decreased the need for additional intraoperative management using fibrin glue and reduced postoperative air leakage in radical pulmonary resection. (Source: Surgery Today)
Source: Surgery Today - October 9, 2020 Category: Surgery Source Type: research

Criteria for liver resection for metastasis from bile duct cancer
This study aimed to validate our criteria and to analyze which factors impact on survival.ResultBetween 2003 and 2017, 164 patients underwent pathologically curative resection for bile duct cancer. Recurrence developed in 98 of these patients, as liver-only metastasis in 25. Eleven of these 25 patients underwent liver resection (liver resection group), and 14 did not (non-liver resection group). The median overall survival was longer in the liver resection group than in all the patients (44  months vs. 17.8 months, respectivelyp = 0.040). The median overall survival was better in the liver resection...
Source: Surgery Today - October 9, 2020 Category: Surgery Source Type: research

Bowel obstruction as a serious complication of patients with femoral hernia
ConclusionFemoral hernias causing bowel obstruction are associated with greater time between the development of symptoms, hospitalization, and with a longer hospital stay. (Source: Surgery Today)
Source: Surgery Today - October 8, 2020 Category: Surgery Source Type: research

Transvaginal peritoneocele repair with anterior levatorplasty for patients with a rectocele and an enterocele
We report a new and simple procedure for repairing an enterocele during a transvaginal anterior levatorplasty with posterior colporrhaphy for a rectocele repair. This technique involves making an excision in the peritoneal sac, with high ligation, and attaching the uterine cervix and/or cardinal ligament to the upper most part of the approximation of the levator muscles, to reinforce and lift the deep peritoneal sac. This procedure allows for transvaginal repair of both an enterocele and a rectocele. The enterocele is visualized by applying barium to the posterior vaginal wall during defecography. (Source: Surgery Today)
Source: Surgery Today - October 8, 2020 Category: Surgery Source Type: research

Oncoplastic breast surgery combining partial mastectomy with V-rotation mammoplasty for breast cancer on the upper inner area of the breast
AbstractThe treatment of early breast cancer using breast conservation therapy (BCT) commonly ensures local control and acceptable cosmetic results. We herein report a useful technique for obtaining symmetry of the breast shape and a level inframammary line and nipple-areola that achieved excellent results. Four Japanese patients with early breast cancer located on the upper inner area of the breast were enrolled into this study. De-epithelialized skin close to the resected area and skin from the epigastric area with subdermal fatty tissue were moved to repair the defect. Oncoplastic breast surgery (OBS) combining partial ...
Source: Surgery Today - October 8, 2020 Category: Surgery Source Type: research

Chondrotomy and sternotomy combined with the Nuss procedure for severe asymmetric pectus excavatum: how to do it
AbstractThe correction of severe asymmetric pectus excavatum is still challenging, especially for adults with a rigid thorax. For the repair of asymmetric cases, we introduce our surgical techniques added to the Nuss procedure. Chondrotomy of the depressed and deformed costal cartilage to elevate the depressed side was performed in a 42-year-old female patient. The depressed chest wall was directly elevated using pectus bars. Her sternal rotation angle improved from 27 ° to 15° after bar removal. In a 26-year-old male patient, oblique sternotomy and chondrotomy were performed. The sternal rotation angle improved fr...
Source: Surgery Today - October 5, 2020 Category: Surgery Source Type: research

Determining the protective characteristics and risk factors for the development of anastomotic leakage after low anterior resection for rectal cancer
ConclusionThe construction of a covering stoma was a possible protective factor. However, a longer operation time, higher intraoperative blood loss, and larger pelvic inlet dimensions were possible risk factors for developing anastomotic leakage after low anterior resection in patients with rectal cancer. (Source: Surgery Today)
Source: Surgery Today - October 1, 2020 Category: Surgery Source Type: research

Packing procedure effective for liver transplantation in hemophilic patients with HIV/HCV coinfection
AbstractWe herein report an effective procedure for liver transplantation (LT) for severe cirrhotic patients with hemophilia. Three hemophilic patients suffering from liver cirrhosis due to human immunodeficiency virus (HIV)/hepatitis C virus (HCV) coinfection underwent deceased donor LT in our institute. Basic clotting parameters were measured and evaluated during LT to determine the optimal packing procedure. All patients were treated with a gauze packing procedure to ensure stable hemostasis in relation to hemophilia during the peri-transplant period. The graft function of all patients recovered well upon gauze removal ...
Source: Surgery Today - September 18, 2020 Category: Surgery Source Type: research

Indications for laparoscopic surgery for older rectal cancer patients with comorbidities
ConclusionThe safety of laparoscopic surgery is acceptable among older rectal cancer patients with comorbidities. (Source: Surgery Today)
Source: Surgery Today - September 16, 2020 Category: Surgery Source Type: research

Surgical anatomy of the pelvis for total pelvic exenteration with distal sacrectomy: a cadaveric study
ConclusionThe anatomical features of the presacral venous plexus, the dorsal vein complex, and the internal iliac vein make them highly potential sources of bleeding. Surgical management strategies must consider the anatomy and hemodynamics of these veins carefully to perform this procedure safely. (Source: Surgery Today)
Source: Surgery Today - September 16, 2020 Category: Surgery Source Type: research

Management options for post-esophagectomy chylothorax
AbstractChylothorax, although an uncommon complication of esophagectomy, is associated with high morbidity and mortality if not treated promptly. Consequently, knowledge of the thoracic duct (TD) anatomy is essential to prevent its inadvertent injury during surgery. If the TD is injured, early diagnosis and immediate intervention are of paramount importance; however, there is still no universal consensus about the management of post-operative chylothorax. With increasing advances in the spheres of interventional radiology and minimally invasive surgery, there are now several options for managing TD injury. We review this t...
Source: Surgery Today - September 16, 2020 Category: Surgery Source Type: research

Troubleshooting in thoracoscopic anatomical lung resection for lung cancer
AbstractVideo-assisted thoracoscopic surgery (VATS) anatomical lung resection (ALR) has been gaining popularity in the treatment of lung cancer in line with remarkable advances in both equipment and technique. The development and refinement of its technique have allowed thoracic surgeons to perform a wide variety of challenging and complex procedures in a minimally invasive fashion. Careful and meticulous preparation may shift in the future with the increasing sophistication and capabilities of VATS ALR. Moreover, constant awareness and a structured plan of the procedure are imperative to reducing or preventing complicatio...
Source: Surgery Today - September 16, 2020 Category: Surgery Source Type: research

Single-incision laparoscopic totally extraperitoneal inguinal hernia repair with tumescent local anesthesia: report of more than 2000 procedures at a day-surgery clinic
ConclusionSILS-TEP with TLA can be performed safely at a day-surgery clinic. (Source: Surgery Today)
Source: Surgery Today - September 15, 2020 Category: Surgery Source Type: research

Improvement in home-staging three-dimensional virtual surgical planning via webinar during the COVID-19 pandemic
(Source: Surgery Today)
Source: Surgery Today - September 15, 2020 Category: Surgery Source Type: research

Less intensive surveillance after radical surgery for stage I –III colorectal cancer by focusing on the doubling time of recurrence
AbstractPurposeTo propose a new and improved surveillance schedule for colorectal cancer (CRC) patients by focusing on the recurrence rate, resectability, and especially, the tumor doubling time (DT) of recurrent tumors.MethodsThe subjects of this retrospective review were 1774 consecutive patients who underwent radical surgery for stage I –III CRC between January, 2004 and December, 2015. We calculated the DT by measuring the tumor diameter using computed tomography (CT).ResultsThe median DT for recurrences in the liver, lung, peritoneum, and other locations were 35, 72, 85, and 36  days, respectively, (p 
Source: Surgery Today - September 14, 2020 Category: Surgery Source Type: research

A method to identify pulmonary intersegmental planes with intravenous vitamin B 2 injection
ConclusionsThe visualization of fluorescence after the intravenous injection of vitamin B2 using a fluorescent camera was a simple, safe, and accurate method for detecting intersegmental planes in a pig model. This method can be an alternative to the inflation –deflation technique and the intravenous ICG method. (Source: Surgery Today)
Source: Surgery Today - September 13, 2020 Category: Surgery Source Type: research

Migrating contractions of the afferent and Roux limbs show peristaltic movement independently of each other in conscious dogs after Roux-en-Y reconstruction after distal gastrectomy
ConclusionsEach proximal part of the Roux and afferent limbs has an independent motility pacemaker in conscious dogs after gastrectomy with RY reconstruction. (Source: Surgery Today)
Source: Surgery Today - September 13, 2020 Category: Surgery Source Type: research

Surgeon fatigue does not affect surgical outcomes: a systematic review and meta-analysis
ConclusionSurgeon fatigue does not affect the rates of postoperative mortality or total postoperative complications after elective surgeries and may have little to no effect on the rates of postoperative mortality or total postoperative complications after non-elective surgeries. (Source: Surgery Today)
Source: Surgery Today - September 12, 2020 Category: Surgery Source Type: research

The evaluation of the safety and efficacy of intravenously administered allogeneic multilineage-differentiating stress-enduring cells in a swine hepatectomy model
ConclusionsAllogeneic Muse cell administration may provide a reparative effect and functional recovery in a 70% hepatectomy swine model and thus may contribute to the treatment of PHLF. (Source: Surgery Today)
Source: Surgery Today - September 10, 2020 Category: Surgery Source Type: research

Prognostic nutrition index affects the prognosis of patients undergoing trimodality therapy for locally advanced non-small cell lung cancer
ConclusionsMeasuring the PNI before trimodality therapy is important for predicting the clinical outcome of patients with LA-NSCLC, with differing predictive ability according to the disease extent. Perioperative intensive nutritional intervention must be considered for patients who undergo trimodality therapy for LA-NSCLC. (Source: Surgery Today)
Source: Surgery Today - September 9, 2020 Category: Surgery Source Type: research

Staging laparoscopy is mandatory for the treatment of pancreatic cancer to avoid missing radiologically negative metastases
This study aimed to evaluate the safety of staging laparoscopy and its usefulness for detecting distant metastases in patients with pancreatic cancer.MethodsA total of 146 patients with pancreatic cancer who underwent staging laparoscopy between 2013 and 2019 were analyzed. Staging laparoscopy was performed in all pancreatic cancer patients in whom surgery was considered possible.ResultsIn this cohort, 42 patients (29%) were diagnosed with malignant cells on peritoneal lavage cytology, 9 (6%) had peritoneal dissemination, and 11 (8%) had liver metastases. A total of 48 (33%) had radiologically negative metastases. On a mul...
Source: Surgery Today - September 7, 2020 Category: Surgery Source Type: research

How pregnancy and childbirth affect the working conditions and careers of women surgeons in Japan: findings of a nationwide survey conducted by the Japan Surgical Society
ConclusionsJapanese women who choose a career as a surgeon face obstacles during pregnancy and childbirth. It is vital to share the findings of this study and understand the issues associated with pregnancy and childbirth regardless of gender. Interventions are essential to ensure that every pregnant surgeon has a safe working environment to allow unobstructed development of her career. (Source: Surgery Today)
Source: Surgery Today - September 7, 2020 Category: Surgery Source Type: research

Kono-S anastomosis for Crohn ’s disease: a systemic review, meta-analysis, and meta-regression
AbstractThe Kono-S anastomosis was introduced in 2011 as an alternative anastomosis in Crohn ’s disease (CD) surgery. Since then, prevailing evidence of the favorable results of the Kono-S anastomosis has been published from around the world. We conducted this study to analyze the effectiveness of the Kono-S anastomosis, by searching Medline, Embase, CNKI, and google scholar. Binominal da ta were analyzed after Freeman–Tukey double-arcsine transformation. Comparative data were analyzed using the Mantel–Haenszel model for dichotomous outcomes and the mean difference for continuous outcomes. We identified 6...
Source: Surgery Today - September 6, 2020 Category: Surgery Source Type: research

Issues to be considered to address the future liver remnant prior to major hepatectomy
AbstractAn accurate preoperative evaluation of the hepatic function and application of portal vein embolization in selected patients have helped improve the safety of major hepatectomy. In planning major hepatectomy, however, several issues remain to be addressed. The first is which cut-off values for serum total bilirubin level and prothrombin time should be used to define post-hepatectomy liver failure. Other issues include what minimum future liver remnant (FLR) volume is required; whether the total liver volume measured using computed tomography or the standard liver volume calculated based on the body surface area sho...
Source: Surgery Today - September 6, 2020 Category: Surgery Source Type: research

Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan
AbstractPurposeTo analyze the impact of postoperative remote infections (PRIs) on medical expenditure.MethodsThe subjects of this retrospective study were 338 patients who had undergone gastroenterological surgery at one of the 20 Japanese institutions within the Japan Society for Surgical Infection (JSSI) and mainly authorized as educational institutions. The patients were allocated to 169 pairs of those with a PRI (PRI (+) group) matched with those without a PRI (PRI ( −) group). PRIs included pneumonia, urinary tract infection (UTI), catheter-associated blood stream infection (CA-BSI), and antibiotic-associated en...
Source: Surgery Today - September 4, 2020 Category: Surgery Source Type: research

A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure
ConclusionThe combination of subcuticular sutures and subcutaneous closed-suction drainage may be a promising way of preventing incisional SSI in loop ileostomy closure. (Source: Surgery Today)
Source: Surgery Today - September 3, 2020 Category: Surgery Source Type: research

Progress in the diagnosis and treatment of COVID-19 and the role of surgeons in the front line of the pandemic
AbstractThe current struggle to control and contain COVID-19 is critical and surgeons are on the front line in the fight against this virus. Surgeons, and other medical workers in the field of surgery, have a solid foundation and experience in medical treatment and intensive care, and an understanding of the support of respiratory, circulatory, digestive, and other systemic organs. Furthermore, the operative standards of aseptic technique in their daily work enable surgeons to adapt to the working environment in infected areas. As surgeons in the anti-pandemic front line in China, we describe our experience with the diagno...
Source: Surgery Today - September 3, 2020 Category: Surgery Source Type: research

FoundationOne ® CDx gene profiling in Japanese pancreatic ductal adenocarcinoma patients: a single-institution experience
ConclusionsCurrently, FoundationOne ® CDx might be difficult to use on PDAC patients, although further investigations with larger study populations are called for. (Source: Surgery Today)
Source: Surgery Today - September 3, 2020 Category: Surgery Source Type: research

Prophylactic efficacy of enteral antifungal administration of miconazole for intestinal perforation, especially for necrotizing enterocolitis: a historical cohort study at a single institution
AbstractPurposeDespite improvements in neonatal intensive care, the outcomes of extremely-low-birth-weight infants (ELBWIs) with surgical diseases remain to be improved. We started administering enteral miconazole (MCZ) to ELBWIs from 2002 to prevent fungal infection. Since then, the incidence of intestinal perforation has significantly decreased. We investigated this prophylactic effect of MCZ against necrotizing enterocolitis (NEC) and focal intestinal perforation (FIP) and explored a new prophylactic concept against intestinal perforation.MethodsWe designed a historical cohort study to evaluate the effect of MCZ for int...
Source: Surgery Today - September 3, 2020 Category: Surgery Source Type: research

Pancreatic atrophy after gastrectomy for gastric cancer
ConclusionThe pancreatic volume continued to decrease after DG and TG for gastric cancer 5  years after treatment. TG was associated with a significantly greater incidence of pancreatic atrophy than DG 5 years postoperatively, as was RY reconstruction vs. BI reconstruction after DG. (Source: Surgery Today)
Source: Surgery Today - September 2, 2020 Category: Surgery Source Type: research

The surgical technique for complete resection of lung cancer invading the intrapericardial pulmonary vein and left atrium
AbstractIn patients with lung cancer invading the left atrium, performing complete resection is difficult. In many cases of complete resection, pneumonectomy is performed. We herein report two techniques in which complete resection with negative margins at the intrapericardial pulmonary vein and left atrium was achieved without pneumonectomy. In the first technique, the groove of the pericardium between the right and left atrium was dissected and an atrial cuff was made in a manner that elongated the intrapericardial pulmonary vein. In the second technique, traction was applied to the atrial cuff, and only the middle lobe ...
Source: Surgery Today - September 2, 2020 Category: Surgery Source Type: research

Correction to: Left upper lobectomy is a risk factor for cerebral infarction after pulmonary resection: a multicentre, retrospective, case –control study in Japan
The original article can be found online. (Source: Surgery Today)
Source: Surgery Today - September 2, 2020 Category: Surgery Source Type: research

Effectiveness of scheduled intravenous acetaminophen in the postoperative pain management of video-assisted thoracic surgery
ConclusionsScheduled-IV-AcA administration is a safe and effective multimodal analgesic approach in patients undergoing VATS pulmonary resection via an 8-cm access window. (Source: Surgery Today)
Source: Surgery Today - September 1, 2020 Category: Surgery Source Type: research

A novel method for isolating lymphatic endothelial cells from lymphatic malformations and detecting PIK3CA somatic mutation in these isolated cells
ConclusionsWe established a novel technique for isolating LM-LECs from LM tissue by “lumen digestion” without whole-tissue disaggregation. The limited incorporation of non-LM LECs in the isolate in our method could make it an important tool for investigating the heterogeneity of gene expression as well as mutations in LM-LECs. (Source: Surgery Today)
Source: Surgery Today - September 1, 2020 Category: Surgery Source Type: research

The usefulness and utilization of a detachable steel wire-rimmed retractor (KN retractor) for endoscopic thyroid and parathyroid surgery
ConclusionsThe KN retractor is suitable for both the gasless lifting method and gas insufflation surgery in a narrow space. We believe that the KN retractor is a new device that will greatly improve the safety and shorten the operation time in endoscopic surgery. (Source: Surgery Today)
Source: Surgery Today - September 1, 2020 Category: Surgery Source Type: research

Early implementation of protective measures defines surgical outcomes in the COVID-19 pandemic
AbstractQuick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID-19 outbreak in this country until the time of writing, 14 patients in our hospital underwent surgery with COVID-19, or COVID-19 developed postoperatively. Their postoperative outcomes did not differ from those in our routine clinical practice, with a 0% respiratory failure rate and a 7.14% mortality rate, in contrast with other published series. COVID-19 did not dev...
Source: Surgery Today - August 20, 2020 Category: Surgery Source Type: research

Pulmonary contusion during the COVID-19 pandemic: challenges in diagnosis and treatment
AbstractManaging patients with pulmonary contusion safely and effectively during the coronavirus disease 2019 (COVID-19) pandemic is challenging. This retrospective study analyzes the clinical data of 29 consecutive patients with pulmonary contusion, including two with COVID-19, at Tongji Hospital, Wuhan, China, in January and February, 2020. We analyzed the clinical manifestations, laboratory test results, computed tomography (CT) images, treatment, and clinical outcomes. The two patients with pulmonary contusion and COVID-19 had increased leukocyte and neutrophil counts, similar to the patients with pulmonary contusion a...
Source: Surgery Today - August 20, 2020 Category: Surgery Source Type: research

Elemental diet therapy plays a significant role in preventing surgical recurrence of Crohn ’s disease in the era of biologics
ConclusionsAlthough univariate analyses revealed that all three treatment strategies had significant effects on surgical recurrence in patients with CD, multivariate analysis revealed that only ED therapy was significantly associated with surgical recurrence rates. Thus, ED therapy plays an important role in the management of CD, even in the era of biological therapies. (Source: Surgery Today)
Source: Surgery Today - August 17, 2020 Category: Surgery Source Type: research

Endobronchial ultrasound-guided transbronchial needle aspiration in patients with previously treated lung cancer
ConclusionPerforming EBUS-TBNA during lung cancer treatment showed a high diagnostic yield. Samples obtained by EBUS-TBNA were helpful in determining when to perform repeat biomarker testing as well as for making pathological re-evaluations. (Source: Surgery Today)
Source: Surgery Today - August 16, 2020 Category: Surgery Source Type: research

What are the important prognostic factors in gastric cancer with positive duodenal margins? A multi-institutional analysis
ConclusionThe patients who underwent post-operative chemotherapy showed a significantly better OS compared with those who did not undergo post-operative chemotherapy, regardless of the existence of distant metastasis. Postoperative chemotherapy may, therefore, improve the prognosis of surgically treated gastric cancer patients with positive duodenal margins. (Source: Surgery Today)
Source: Surgery Today - August 13, 2020 Category: Surgery Source Type: research

Risk factors for acute kidney injury in an enhanced recovery pathway for colorectal surgery
AbstractPurposesEnhanced recovery pathways (ERPs) have been disseminated worldwide to improve the perioperative patient outcomes while lowering direct healthcare costs. Recent evidence has revealed a potential association between ERPs for colorectal surgery and acute kidney injury (AKI). We, therefore, sought to identify the risk factors associated with postoperative AKI among patients in an ERP for colorectal surgery.MethodsWe analyzed the data resulting from a large multicenter, prospective cohort study of patients in an ERP for colorectal surgery. A multivariable analysis was performed to identify factors independently ...
Source: Surgery Today - August 11, 2020 Category: Surgery Source Type: research

Early detection of infectious complications using C-reactive protein and the procalcitonin levels after laparoscopic colorectal resection: a prospective cohort study
ConclusionThe CRP and PCT levels on POD4 are both considered to be useful for the early detection of infectious complications after laparoscopic resection of CRC. (Source: Surgery Today)
Source: Surgery Today - August 11, 2020 Category: Surgery Source Type: research

Liver resections in patients with prior bilioenteric anastomosis are predisposed to develop organ/space surgical site infections and biliary leakage: results from a propensity score matching analysis
AbstractPurposeThe aims of this study were to compare the perioperative outcomes after hepatectomy with prior bilioenteric anastomosis to those without prior anastomosis, and to elucidate the mechanisms and preventative measures of its characteristic complications.MethodsThe demographic data and perioperative outcomes of 525 hepatectomies performed between January 2007 and December 2018, including 40 hepatectomies with prior bilioenteric anastomosis, were retrospectively analyzed.ResultsA propensity score matching analysis demonstrated that hepatectomies with prior bilioenteric anastomosis were associated with a higher fre...
Source: Surgery Today - August 11, 2020 Category: Surgery Source Type: research

Closure of enterotomy after side-to-side ileocolic anastomosis with two barbed sutures in totally laparoscopic colectomy for right-sided colon cancer
AbstractGood short-term outcomes of intracorporeal ileocolic anastomosis (IIA) in totally laparoscopic colectomy for right-sided colon cancer (TLRC) have been shown in many reports, but no standardized technique for enterotomy closure after stapled side-to-side ileocolic anastomosis has so far been established. We retrospectively compared the short-term outcomes between 13 consecutive patients receiving either TLRC with IIA by conventional enterotomy closure (n = 6) or closure of the enterotomy using two barbed sutures (CEBAS) (n = 7) from July 2019 to April 2020. No anastomotic bleeding or leak...
Source: Surgery Today - August 10, 2020 Category: Surgery Source Type: research