How I do it: robotic hiatal hernia repair with stapled conversion from Nissen to Toupet fundoplication
AbstractThe purpose of this paper is to describe a robotic surgical technique for converting a slipped Nissen fundoplication to a Toupet fundoplication.  Our technique utilizes four 8 mm robotic ports placed in a horizontal pattern above the umbilicus. The robotic tools we used are a vessel sealer, bipolar forceps, and Cadière forceps. In addition, an esophagogastroduodenoscopy (EGD) is placed through the esophagus into the stomach to be used as a bougie. If a hernia is present, we dissect it from the mediastinum until the posterior confluence is identified. Next sutures from the previous Nissen fundoplication are ident...
Source: Updates in Surgery - December 9, 2023 Category: Surgery Source Type: research
First report of robotic-assisted total hysterectomy using the Hugo â„¢ RAS system
This study describes the first reported treatment of a benign gynecological disease with the Medtronic ’s Hugo™ RAS System, the first robot-assisted device used in the field of gynecology in Japan. Patients who underwent robot-assisted total laparoscopic hysterectomy with the Hugo™ RAS System at the Tottori University Hospital between March 2023 and June 2023 were included in this study. In the first case, the patient was in her 40 s and had uterine fibroids. We describe our experience and compare the device with the conventional da Vinci surgical system. We discuss the key features of the Hugo system (including the...
Source: Updates in Surgery - December 9, 2023 Category: Surgery Source Type: research
Intraoperative bacterial cultures fail to reliably predict the bacterial spectrum encountered during infectious complications after appendicitis
AbstractAcute appendicitis is a common surgical emergency. Complicated appendicitis usually warrants perioperative antibiotic treatment in order to prevent infectious complications. Whether routine microbiological testing benefits the individual patient is a topic of debate. The goal of our study was to assess perioperative antibiotic prescriptions as well as the benefit of microbiological testing during the appendectomy as a predictor for bacteria encountered in infectious complications. This is a retrospective analysis of 1218 consecutive patients that underwent appendectomy at a tertiary referral center between 2014 and...
Source: Updates in Surgery - December 7, 2023 Category: Surgery Source Type: research
Perioperative outcomes comparison of robotic and video-assisted thoracoscopic thymectomy for thymic epithelial tumor: a single-center experience
ConclusionsThe early clinical efficacy of robotic thymectomy was proven comparable to the established VATS approach, and such a modality might have strength when obtaining larger specimens, which could contribute to improving long-term efficacy. Despite the longer procedural duration recorded in the early stage of conducting robotic thymectomy, further accumulation would help decrease the time. (Source: Updates in Surgery)
Source: Updates in Surgery - December 7, 2023 Category: Surgery Source Type: research
Effect of different bariatric surgery methods on metabolic syndrome in patients with severe obesity
AbstractBariatric surgery (BS) has been as a currently developed treatment of choice for metabolic syndrome (MetS). Which, in turn, is well-known as serious public health concern. Therefore, this study assessed the outcomes of different procedures of BS and possible predictors for improving MetS. This single-center retrospective cohort analysis included bariatric candidates between 2009 and 2017. The operational approach was chosen based on the patient ’s condition, as well as the patient’s metabolic profile and the surgeon’s experience. All desired information was evaluated at baseline and 6, 12, and 24 months afte...
Source: Updates in Surgery - December 5, 2023 Category: Surgery Source Type: research
The effects of surgical resection in the treatment of limited-stage small cell lung cancer: a multicenter retrospective study
This study aimed to examine the effects of surgical resection on the treatment of limited-stage small cell lung cancer and identify patient characteristics that may indicate a benefit from surgical resection. Â We retrospectively reviewed medical data from patients diagnosed with small cell lung cancer between January 2013 and December 2020 at three hospitals. A total of 478 patients were included in the study, 153 patients received surgery treatment and 325 patients received non-surgery treatment. Survi val differences between the surgical resection group and the nonsurgical resection group were analyzed using the Kaplanâ...
Source: Updates in Surgery - December 3, 2023 Category: Surgery Source Type: research
Correction to: Prospective minimally invasive pancreatic resections from the IGOMIPS registry: a snapshot of daily practice in Italy on 1191 between 2019 and 2022
(Source: Updates in Surgery)
Source: Updates in Surgery - December 2, 2023 Category: Surgery Source Type: research
Trans-fissure and trans-lobar coil insertion technique for small lesions positioned inside the fissure
The objective of this study is to present a technique of localization of difficult-to-locate lesions inside the fissure by deploying a coil with one of its ends left inside the fissure, and also, to evaluate the safety and the efficiency of this localization technique. Ten (10) patients with lesions in the fissure were identified during discussion at the multidisciplinary team meeting (MDT) and were recruited in the study. Attending surgeons verified that the lesions were unable to be located with minimally invasive approaches. These patients underwent localization of their lesion/s inside the fissure with a coil which was...
Source: Updates in Surgery - December 1, 2023 Category: Surgery Source Type: research
Early outcomes of one-anastomosis gastric bypass in the elderly population at high-volume bariatric centers
AbstractThe increasing rate of obesity and life expectancy will lead to increasing numbers of bariatric procedures in the elderly. We aim to report the early ( ≤ 30 days) adverse events of One-Anastomosis Gastric Bypass (OAGB) in this patient population. Assuta Bariatric Centers in Israel. Retrospective review of perioperative OAGB outcomes between elderly group (≥ 65 years) and non-elderly group (18–64 years) at high-volume bariatric centers between January 2017–December 2021. Operative time, length of stay (LOS), and overall ≤ 30 days complication rates, as ranked by the Clavien–Dindo Classificati...
Source: Updates in Surgery - November 28, 2023 Category: Surgery Source Type: research
Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications
AbstractChest tube management represents a major issue after lung surgery as no protocol is widely accepted and tube management is generally based on local or personal habits. Aim of this study is to evaluate the impact of a standardized protocol for chest tube management after pulmonary resections on the post-operative outcomes. We performed a single center retrospective analysis of all adult patients undergoing thoracoscopic pulmonary resection from January 2020 to December 2021. Starting from January 2021 a standardized protocol of chest tube management was applied after all procedures. Patients were divided into two gr...
Source: Updates in Surgery - November 26, 2023 Category: Surgery Source Type: research
Surgery-related outcomes from a close-knit surgeons ’ team in thoracic oncology
AbstractReducing morbidity, length of hospital stay, and readmission rate are of paramount importance to improve patients ’ care. In the present paper, we aim to describe our experience in managing major oncologic thoracic surgery in clinical practice. This is a retrospective experience over the last 7 years. Data from 215 consecutive patients (performed by a single-team of two surgeon) undergoing thoracic surgery w ere reviewed and evaluated. The total hospital mean stay was 3,3 days. Complications were represented by 4 hemothorax, 1 pleural empyema without fistula, 3 arrhythmias (atrial fibrillation), 2 pnuemonias an...
Source: Updates in Surgery - November 25, 2023 Category: Surgery Source Type: research
Repair of radiation-induced rectovaginal fistula with rectal stricture by a combined Tuttle, Turnbull-Cutait and Singapore flap approach
AbstractRadiation-induced rectovaginal fistula (RI-RVF) with associated rectal stricture represents a challenging problem in management. The aim of the present technical note is to describe a surgical technique aimed at minimizing disease recurrence by avoiding radiated tissue in the reconstruction: 1. Tuttle longitudinal incision of posterior vaginal wall with sharp excision of proximally located fistula; 2. Resection of strictured rectum via a combined transvaginal/laparotomy access, reconstruction with Turnbull-Cutait colon pull-through, and delayed handsewn coloanal anastomosis with loop ileostomy; 3. Bridge closure of...
Source: Updates in Surgery - November 25, 2023 Category: Surgery Source Type: research
Association of hemicolectomy with survival in stage II colorectal cancer: a retrospective cohort study
AbstractTo compare the oncological survival outcomes of partial colectomy (PC) and hemicolectomy (HC) in patients with stage II colon cancer. A total of 18,795 patients with stage II colon cancer who underwent hemicolectomy (n  = 12,022) or partial colectomy (n = 6773) from 2010 to 2019 were included in the the Surveillance, Epidemiology, and End Results (SEER) database. Overall survival (OS) and cancer-specific survival (CSS) were compared between the two groups, and the threshold of harvested lymph nodes was det ermined. The results showed that age, gender, race, tumor site, scope of regional lymph nodes, postope...
Source: Updates in Surgery - November 24, 2023 Category: Surgery Source Type: research
Correction to: The role of transanal compared to laparoscopic total mesorectal excision (taTME vs. lapTME) for the treatment of mid ‑low rectal cancer in obese patients: outcomes of a multicentre propensity‑matched analysis
(Source: Updates in Surgery)
Source: Updates in Surgery - November 22, 2023 Category: Surgery Source Type: research
The impact of obesity on thyroidectomy outcomes: a case-matched study
AbstractObesity is a well-known public health concern in Western World. Accordingly, an elevated number of obese patients undergo thyroidectomy every year. We aim to assess the impact of obesity on intraoperative and postoperative outcomes of patients who undergo thyroidectomy. 1228 patients underwent thyroidectomy at our department between January 2021 and September 2021. We divided patients into two groups according to body mass index (BMI): non-obese (BMI  <  30 kg/m2) and obese (BMI  ≥ 30 kg/m2). A propensity score approach was performed to create 1:1 matched pairs (matching according to age, gender, diagn...
Source: Updates in Surgery - November 21, 2023 Category: Surgery Source Type: research
