Robotic surgery: a time of change
(Source: Updates in Surgery)
Source: Updates in Surgery - June 13, 2023 Category: Surgery Source Type: research
Effect of anastomotic configuration on Crohn ’s disease recurrence after primary ileocolic resection: a comparative monocentric study of end-to-end versus side-to-side anastomosis
AbstractThere is ongoing debate whether the type of anastomosis following intestinal resection for Crohn ’s disease (CD) can impact on complications and postoperative recurrence. The aim of the present study is to describe the outcomes of side-to-side (S–S) vs end-to-end (E–E) anastomosis after ileocecal resection for CD. A retrospective comparative study was conducted in consecutive CD patients who underwent primary ileocecal resection between 2005 and 2013. All patients underwent colonoscopy 6 months postoperatively to assess endoscopic recurrence, defined as Rutgeerts’ score (RS) ≥ i2. Surgical recurrence ...
Source: Updates in Surgery - June 12, 2023 Category: Surgery Source Type: research
Should multifocality be an indication for prophylactic neck dissection in papillary thyroid cancer?
(Source: Updates in Surgery)
Source: Updates in Surgery - June 10, 2023 Category: Surgery Source Type: research
Correction to: Practice of proctology among general surgery residents and young specialists in Italy: a snapshot survey
(Source: Updates in Surgery)
Source: Updates in Surgery - June 9, 2023 Category: Surgery Source Type: research
Better survival was found in patients treated with breast-conserving surgery compared with mastectomy in malignant phyllodes tumor of the breast
This study found the survival benefit of BCS over mastectomy in patients with early-stage MPTB. BCS should be recommended as a priority in MPTB patients when both surgical approaches are feasible. (Source: Updates in Surgery)
Source: Updates in Surgery - June 8, 2023 Category: Surgery Source Type: research
Jejunal stenosis as a sequela after laparoscopic sleeve gastrectomy for morbid obesity: a case series
AbstractPorto-mesenteric venous thrombosis (PMVT) is a rare complication that is encountered in less than 1% of patients following laparoscopic sleeve gastrectomy (LSG). This condition could be conservatively managed in stable patients with no evidence of peritonitis or bowel wall ischemia. Nonetheless, conservative management may be followed by ischemic small bowel stricture, which is poorly reported in the literature. Herein, we present our experience regarding three patients who presented with manifestations of jejunal stricture after initial successful conservative management of PMVT. Retrospective analysis of patients...
Source: Updates in Surgery - June 6, 2023 Category: Surgery Source Type: research
Neuraxial anesthesia for abdominal surgery, beyond the pandemic: a feasibility pilot study of 70 patients in a suburban hospital
AbstractThe aim of this study is to establish the feasibility of awake laparotomy under neuraxial anesthesia (NA) in a suburban hospital. A retrospective analysis of the results of a consecutive series of 70 patients undergoing awake abdominal surgery under NA at the Department of Surgery of our Hospital from February 11th, 2020 to October 20th, 2021 was conducted. The series includes 43 cases of urgent surgical care (2020) and 27 cases of elective abdominal surgery on frail patients (2021). Seventeen procedures (24.3%) required sedation to better control patient discomfort. Only in 4/70 (5.7%) cases, conversion to general...
Source: Updates in Surgery - June 6, 2023 Category: Surgery Source Type: research
Structured postoperative handover protocol improves efficiency and quality of interdisciplinary communication and nursing care in surgical intensive care unit: a randomized controlled trial
This study aimed to evaluate the effectiveness of a structured postoperative handover protocol for postoperative transfer to the SICU. This study was a randomized controlled trial conducted in a comprehensive teaching hospital in China. Patients who were transferred to the SICU after surgery were randomly divided into two groups. The intervention group underwent postoperative structured handover protocol, and the control group still applied conventional oral handover. A total of 101 postoperative patients and 50 clinicians were enrolled. Although the intervention group did not shorten the handover duration (6.18 ± 1....
Source: Updates in Surgery - June 5, 2023 Category: Surgery Source Type: research
Robotic pancreas-preserving total duodenectomy: first-world experience
AbstractPancreas sparing total duodenectomy (PSTD) is an exceedingly rare procedure that is performed mostly for benign disease, widely involving the duodenum, that cannot be treated otherwise. PSTD requires meticulous dissection as well as reconstruction of both biliary and pancreatic drainage. Despite these technical aspects appear to be ideal for robotic assistance, robotic PSTD has not been described yet.Robotic PSTD was successfully performed in two patients. In both patients biliary and pancreatic drainage were reconstructed on the second jejunal loop, which was pulled in the duodenal bed. In the first patient, gastr...
Source: Updates in Surgery - June 5, 2023 Category: Surgery Source Type: research
Proctological disorders: psychometrics assessment of personality features and clinical evaluation
AbstractPatients with gastrointestinal diseases have been shown to report greater stress, anxiety, depression and obsessive –compulsive characteristics. The aim of our study is to investigate personality characteristics and general distress of adult patients suffering from common coloproctological conditions. We conducted a retrospective observational study including patients aged 18 years or older, with diagnosis of haemorrhoidal disease (HD group) or anal fissure (AF group). The final sample was composed of 64 participants, who were asked to complete a battery of questionnaires. They were compared with a control group...
Source: Updates in Surgery - June 3, 2023 Category: Surgery Source Type: research
Laparoscopic surgical technique for left intrahepatic cholangiocarcinoma with lymph node metastasis after conversion therapy (with video)
AbstractIntrahepatic cholangiocarcinoma (ICC) with lymph node metastasis has a poor clinical prognosis. Comprehensive surgical treatment based on surgery is critical for improving the prognosis. Conversion therapy provides an opportunity for radical surgery in such patients but also increases the difficulty of surgery. The technical barrier to laparoscopic lymph node dissection is determining the extent of regional lymph node dissection after conversion therapy and formulating a suitable procedure to ensure the quality of lymph node dissection and oncological safety. One patient with initially unresectable left ICC underwe...
Source: Updates in Surgery - June 3, 2023 Category: Surgery Source Type: research
Living donor liver transplantation: an Italian single-center reappraisal
(Source: Updates in Surgery)
Source: Updates in Surgery - June 1, 2023 Category: Surgery Source Type: research
Correction to: Feasibility of a smartphone application for inguinal hernia care: a prospective pilot study
(Source: Updates in Surgery)
Source: Updates in Surgery - June 1, 2023 Category: Surgery Source Type: research
Measurement of gastric wall thickness after laparoscopic sleeve gastrectomy: obesity comorbidities and gastric wall in Chinese patients with obesity
This study showed that the anatomical location of the gastric wall is a major predicting factor of GWT. Furthermore, gastritis, reflux esophagitis, male gender, BMI > 40 kg/m2, body weight > 100 kg, and hypertension may increase the GWT at the antrum and fundus in Chinese patients with obesity. (Source: Updates in Surgery)
Source: Updates in Surgery - May 31, 2023 Category: Surgery Source Type: research
Subcarinal lymph node dissection facilitated by applying suture passer in uniportal video-assisted thoracoscopic surgery
AbstractWith the advancement of surgical skills and instrumentation, uniportal video-assisted thoracoscopic surgery (UniVATS) has become a popular option for the treatment of early stage lung cancer surgery. However, performing subcarinal lymph node dissection remains technically challenging under UniVATS view. We introduce a novel technique that utilized a suture passer to improve the exposure of the subcarinal area and simplify lymph node dissection, which has the potential for widespread adoption in clinical practice. There were 13 lung cancer patients who underwent UniVATS lobectomy with mediastinal lymphadenectomy in ...
Source: Updates in Surgery - May 26, 2023 Category: Surgery Source Type: research
