Weighing the outcomes: the role of BMI in complex robotic esophageal and hepatobiliary operations
ConclusionElevated BMI is associated with longer operative durations in select robotic surgeries, such as trans-hiatal esophagectomy and pancreaticoduodenectomy, and highlights the need for strategic planning in these patients. (Source: Updates in Surgery)
Source: Updates in Surgery - March 9, 2024 Category: Surgery Source Type: research
Three reasons to consider interval appendectomy for the management of complicated appendicitis
(Source: Updates in Surgery)
Source: Updates in Surgery - March 9, 2024 Category: Surgery Source Type: research
Catheter-guided anvil insertion for circular stapler esophagojejunal anastomosis: a novel technique in laparoscopic total gastrectomy
ConclusionThe catheter-guided stapler anvil insertion technique is demonstrated to be a safe and effective method for esophagojejunostomy, potentially reducing the occurrence of anastomotic leakage. (Source: Updates in Surgery)
Source: Updates in Surgery - March 7, 2024 Category: Surgery Source Type: research
Papillary thyroid carcinoma: ≤ 10 mm does not always mean pN0. A multicentric real-world study
AbstractThe incidence of papillary thyroid carcinoma (PTC) is increasing and PTC ≤ 10 mm (PTMC) accounts for most new diagnoses. PTMCs are not always low risk, as detection of lymph nodes metastasis (LNM) may occur. The purpose of the study was to analyze the clinical pattern, frequency, and independent risk factors of patients with PTMC and LNM. From January 2022 to Jun e 2023, PTCs managed at CTO Hospital, Rome; Policlinico Vanvitelli, Naples; and Garibaldi Nesima Hospital, Catania were included. PTC management followed the same diagnostic–therapeutic procedures according to the ATA guidelines. Variables such a...
Source: Updates in Surgery - March 6, 2024 Category: Surgery Source Type: research
Enhanced recovery after surgery from 1997 to 2022: a bibliometric and visual analysis
This study assessed the evolution of clustering of knowledge structures and identified hot trends and emerging topics. Articles and reviews related to ERAS were retrieved through subject search from the Web of Science Core Collection. We used the following strategy: “TS = Enhanced recovery after surgery” OR “Enhanced Postsurgical Recovery” OR “Postsurgical Recoveries, Enhanced” OR “Postsurgical Recovery, Enhanced” OR “Recovery, Enhanced Postsurgical” OR “Fast track surgery” OR “improve surgical outcome”. Bibliometric analyses wer e conducted on Excel 365, CiteSpace, VOSviewer, and Bibliometr...
Source: Updates in Surgery - March 6, 2024 Category: Surgery Source Type: research
Interactive model for predicting the oncological outcome of patients with early-stage huge hepatocellular carcinoma after hepatectomy: a multicenter population-based study
This study was aimed at exploring the independent risk parameters and developing an interactive model for predicting the cancer-specific survival (CSS) of ES-HHCC. Data from patients with ES-HHCC who underwent hepatectomy were collected. The dimensionality of the clinical features was reduced by least absolute shrinkage and selection operator regression and further screened as predictors of CSS by Cox regression. Then, an interactive prediction model was developed and validated. Among the 514 screened patients, 311 and 203 of them were assigned into the training and validation cohort, respectively. Six independent variable...
Source: Updates in Surgery - March 6, 2024 Category: Surgery Source Type: research
Single-port laparoscopic appendectomy using new surgical procedure versus conventional three-port laparoscopic appendectomy
AbstractThe aim of this study was to compare the clinic outcomes between new single-port laparoscopic appendectomy (NSLA) and conventional three-port laparoscopic appendectomy (CTLA) for patients with acute appendicitis. Patients who were diagnosed with acute appendicitis and underwent appendectomy were retrospectively collected from a single clinical center from September 2021 to June 2023. Baseline characteristics, surgical information, and postoperative information were compared between the NSLA group and the CTLA group. Univariate and multivariate logistic regression analyses were used to find out the predictors of ove...
Source: Updates in Surgery - March 5, 2024 Category: Surgery Source Type: research
The impact of SARS-Cov-2 Omicron infection on short-term outcomes after elective surgery in patients with gastrointestinal cancer
In conclusion, reducing waiting time for elective surgery was safe for gastrointestinal cancer patients in the context of an increased transmissibility and milder il lness severity with Omicron variant. (Source: Updates in Surgery)
Source: Updates in Surgery - March 4, 2024 Category: Surgery Source Type: research
The prognostic value of combined preoperative PLR and CA19-9 in patients with resectable gallbladder cancer
AbstractThe platelet to lymphocyte ratio (PLR) is the marker of host inflammation and it is a potential significant prognostic indicator in various different tumors. The serum carbohydrate antigen 19 –9 (CA19-9) is a tumor-associated antigen and it is associated with poor prognosis of gallbladder cancer (GBC). We aimed to analyze the prognostic value of the combination of preoperative PLR and CA19-9 in patients with GBC. A total of 287 GBC patients who underwent curative surgery in our institu tion was included. To analyze the relationship between PLR and CA19-9 and clinicopathological features. A receiver operating char...
Source: Updates in Surgery - March 4, 2024 Category: Surgery Source Type: research
Laparoscopic necrosectomy for acute necrotizing pancreatitis: mesocolon-preserving approach and outcomes
AbstractThe surgical treatment of acute necrotizing pancreatitis has significantly evolved in recent years with the advent of enhanced imaging techniques and minimally invasive surgery. Various minimally invasive techniques, such as video-assisted retroperitoneal debridement (VARD) and endoscopic transmural necrosectomy (ETN), have been employed in the management of acute necrotizing pancreatitis and are often part of step-up approaches. However, almost all reported step-up approaches only employ a fixed minimally invasive technique prior to open surgery. In contrast, we implemented different minimally invasive techniques ...
Source: Updates in Surgery - March 1, 2024 Category: Surgery Source Type: research
Ileoanal pouch revision and excision surgery in a newly established pouch center: requirements and costs for service provision
AbstractComplications of ileoanal pouch surgery affecting function and quality of life may require surgical correction or pouch excision. The management of patients with pouch dysfunction requires a multidisciplinary approach and demand for service provision include multiple healthcare professionals and resources. The aim of this study is to present the service requirements, and surgical outcomes for redo pouch surgery and pouch excision, with cost analysis of the required resources. All patients undergoing surgery for revision or excision of the ileoanal pouch from June 2021 to May 2023 were prospectively included. Patien...
Source: Updates in Surgery - February 29, 2024 Category: Surgery Source Type: research
Major vascular reconstructions in thoracic oncological surgery
This study reflects a single-surgeon, retrospective experience spanning 6 years (2017–2023). We reviewed data from patients undergoing early anticoagulant therapy after superior vena cava or thoracic outlet vessels bypass and from patients undergoing early antiaggregation therapy following pulmonary artery reconstruction or resection. This series comprises 41 patients treated by a single surgeon. Fourteen patients underwent superior vena cava and thoracic outlet vessel procedures. Among these, eight patients received superior vena cava replacement (six for thymic malignancies and two for lung cancer), and six patients ...
Source: Updates in Surgery - February 29, 2024 Category: Surgery Source Type: research
The prognostic significance of right paratracheal lymph node dissection numbers in right upper lobe non-small cell lung cancer
ConclusionsResection of 6 or more right paratracheal lymph nodes may be associated with an improved prognosis in patients with right upper non-small cell lung cancer, especially in patients with stage II or III disease. (Source: Updates in Surgery)
Source: Updates in Surgery - February 28, 2024 Category: Surgery Source Type: research
Intrapancreatic common hepatic artery in pancreatoduodenectomy: a technical note on how to deal with this exceedingly rare arterial variation
In conclusion, this case underscores the significance of navigating rare arterial variations in liver supply during PD, highlighting the necessity for meticulous surgical planning and execution. (Source: Updates in Surgery)
Source: Updates in Surgery - February 28, 2024 Category: Surgery Source Type: research
Efficacy of antibiotic prophylaxis for reducing capsular contracture in prosthesis-based breast surgery: a systemic review and meta-analysis
AbstractAntibiotics Prophylaxis to prevent capsular contracture in prosthesis-based breast surgery is common in clinical practice. However, there is currently a dearth of high-quality evidence concerning the effectiveness of antibiotic usage in this field. To identify all pertinent studies prior to January 2023, a comprehensive literature search was conducted in the PubMed, Embase, Web of Science, Cochrane Library, and Medline databases. The extracted data was then subjected to meta-analysis. Fourteen studies were retained in the analysis. According to the results, perioperative antibiotic prophylaxis did not reduce the ri...
Source: Updates in Surgery - February 23, 2024 Category: Surgery Source Type: research
