Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients
ConclusionFor primary and incisional hernias, mainly defects of 3 –4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-umbilical region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may bene fit from elective surgical treatment. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Sentinel Lymph Node Biopsy in Early Breast Cancer: Magnetic Tracer as the Only Localizing Agent
ConclusionSPIO represents a feasible alternative in sentinel lymph node mapping with comparably high nodal detection rate. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Postoperative Urinary Retention After Laparoscopic Colorectal Resection with Early Catheter Removal: A Prospective Observational Study
ConclusionsCatheter removal within 24  h of surgery using a re-catheterization threshold of 800 ml is safe and reduces unnecessary re-catheterizations following minimally invasive colorectal resection. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set
AbstractBackgroundDay-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables.MethodsData were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoper...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Propensity Score-Matched Analysis of Pure Laparoscopic Versus Hand-Assisted/Hybrid Major Hepatectomy at Two Western Centers
AbstractBackgroundLaparoscopic major hepatectomy is expanding, but little data exist comparing surgical approaches. The aim of this study was to test the hypothesis that pure laparoscopic liver resection (PLAP) has advantages over hand-assisted (HALS) or hybrid (HYB) resection for major hemi-hepatectomy at two western centers.MethodsUsing propensity score matching, 65 cases of HALS  + HYB (18 hand-assisted and 47 hybrid) were matched to 65 cases of PLAP. Baseline characteristics were well matched for gender, age, ASA score, Childs A cirrhosis, right/left hepatectomy, malignancy, tumor size, and type between t...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Clinical and Functional Outcome After Abdominal Wall Incisional Hernia Repair: Evaluation of Quality-of-Life Improvement and Comparison of Assessment Scales
AbstractBackgroundHernias severely impact patient quality of life (QoL), and 80% of patients need surgical operation. The primary outcome of the study is to assess improvements in balance, posture and deambulation after abdominal hernia repair. Moreover, the study investigated the improvement in the postoperative QoL.MethodsPatients operated at the Policlinico “Paolo Giaccone” at Palermo University Hospital between June 2015 and June 2017 were identified in a prospective database. The functional outcome measures and QoL assessment scales used were numeric rating scale for pain, performance-oriented mobility ass...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Perioperative Mortality Rates as a Health Metric for Acute Abdominal Surgery in Low- and Middle-Income Countries: A Systematic Review and Future Recommendations
ConclusionPOMR is an important health metric for quantifications of quality of care of surgical systems. Further validation and standardization are necessary to effectively use this health metric. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Laparoscopic Transcystic Versus Transductal Common Bile Duct Exploration: A Systematic Review and Meta-analysis
AbstractObjectiveTo evaluate comparative outcomes of laparoscopic transcystic (TC) and transductal (TD) common bile duct (CBD) exploration.MethodsWe systematically searched MEDLINE, EMBASE, CINAHL, CENTRAL, the World Health Organization International Clinical Trials Registry, ClinicalTrials.gov, ISRCTN Register, and bibliographic reference lists. CBD clearance rate, perioperative complications, and biliary complications were defined as the primary outcome parameters. Procedure time, length of hospital stay, conversion to open procedure were the secondary outcomes. Combined overall effect sizes were calculated using random-...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Low Preoperative Mental and Physical Health is Associated with Poorer Postoperative Recovery in Patients Undergoing Day Surgery: A Secondary Analysis from a Randomized Controlled Study
ConclusionA clear message from this study is for surgeons, anaesthetists and nurses to consider the fact that postoperative recovery largely depends on patients ’ preoperative mental and psychical status. A serious attempt must be made, as a part of the routine preoperative assessment, to assess and document not only the physical but also the mental status of patients undergoing anaesthesia and surgery.Trial registrationClinicaltrials.gov Identifier: NCT0249219. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

The Benefits of Docetaxel Plus Cisplatin and 5-Fluorouracil Induction Therapy in Conversion to Curative Treatment for Locally Advanced Esophageal Squamous Cell Carcinoma
ConclusionDCF and subsequent esophagectomy achieved R0 resection in 50% of the patients and was associated with better long-term oncological outcomes in patients with initially unresectable esophageal cancer if their systemic status is acceptable. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Spontaneous Retroperitoneal and Rectus Sheath Hemorrhage —Management, Risk Factors and Outcomes
ConclusionsSRRSH is associated with high mortality but is typically not the direct cause. Most SRRSHs are self-limited and require no intervention. Pattern identification of ASI is hard. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

The Efficacy and Safety of High-Intensity Focused Ultrasound (HIFU) Therapy for Benign Thyroid Nodules —A Single Center Experience from Singapore
AbstractBackgroundHigh-intensity focused ultrasound (HIFU) is a recent noninvasive technique of treating thyroid nodules. Our study aims to investigate the efficacy and safety of HIFU in treating benign thyroid nodules.MethodsThis is a retrospective analysis of consecutive patients who underwent HIFU of benign thyroid nodules at our institution from July 2017 –2018. All procedures were performed by a single surgeon. Patients were evaluated immediately post-procedure, and at subsequent intervals of 1 week, 1 month, 3 months, and 6 months. The primary endpoint was thyroid nodule volume reduction at ...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Timing of Parathyroidectomy Does Not Influence Renal Function After Kidney Transplantation
ConclusionsIn this multicenter cohort study, timing of PTx before or after KTx does not independently impact graft function over time. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Small and Laterally Placed Incisional Hernias Can be Safely Managed with an Onlay Repair
ConclusionIn a selected patient collective with small and lateral incisional hernias and with a large proportion of women, outcomes obtained for the onlay and sublay techniques do not differ significantly. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Evaluation of a Novel Bony Landmark-Based Method for Teaching Percutaneous Insertion of Subclavian Venous Catheters in Pediatric Patients
AbstractBackgroundSurgical trainees performing subclavian vein (SCV) cannulation often incorrectly perceive needle trajectory and anatomical relations. As surface landmark-based methods derived from adult surgical practice may be less effective in younger patients, we developed and evaluated a novel bony landmark-based method for teaching SCV cannulation for central venous access device (CVAD) placement in children.MethodsOver 2 sequential 3-year periods, pediatric surgical trainees were taught infraclavicular SCV cannulation via surface- and bony-landmark approaches, respectively. We prospectively recorded patient, surgeo...
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Intraoperative Body Fluid Amylase as a Novel Indicator of Postgastrectomy Pancreatic Fistula
ConclusionsBy measuring the IBAC, surgeons might predict POPF easily and noninvasively during surgery. This method is one of the most effective ways to predict POPF intraoperatively. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Is There an Optimal Time for Parathyroidectomy in Patients with Secondary Hyperparathyroidism?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

Letter to Editor: Can Mainstreaming Surgery Advocacy into NCD Advocacy Help Us Overcome the NCD Epidemic?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

The “Short-Cut” Laparoscopic Reverse Approach: A Novel Strategy for Synchronous Colorectal Cancer and Liver Metastases Requiring Major or Complex Procedures?
ConclusionThe “short-cut” laparoscopic reverse approach may represent an attractive option for patients requiring major liver and colorectal resections for SLM provided expertise in laparoscopic surgery in both fields is ensured. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 1, 2019 Category: Surgery Source Type: research

The Effectiveness of Contralateral Drainage in Reducing Superficial Incisional Surgical Site Infection in Loop Ileostomy Closure: Prospective, Randomized Controlled Trial
ConclusionContralateral drainage does not significantly affect the results of primary ileostomy closure. The rate of incisional SSI was similar in the drainage and non-drainage groups, and the overall rate of 9.1% was in the low range of those reported in the literature. The absence of mortality (0%) and the non-negligible rates of overall and relevant morbidity (28.1% and 9.1%, respectively) in our series suggest that loop ileostomy is a safe procedure. However, the bowel reconstruction involves risks that must be borne in mind.Clinical trial registrationThe study was registered and approved by the clinical research ethic...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Surgical Considerations for Pediatric Snake Bites in Low- and Middle-Income Countries
ConclusionsPatient factors were associated with the fasciotomy. These factors, coupled with clinical examination, may identify those who need early operative intervention. Improving time to treatment and the appropriate administration of anti-venom will minimize the need for surgery.Level of evidenceIII (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Primary Tumor Resection in Patients with Incurable Localized or Metastatic Colorectal Cancer: A Systematic Review and Meta-analysis
AbstractBackgroundTo assess the impact of primary tumor resection (PTR) on survival and morbidity in incurable colorectal cancer.MethodsSystematic literature review and meta-analysis to compare PTR versus primary tumor intact (PTI).ResultsSeventy-seven studies were included, reporting on 159,991 participants (94,745 PTR; 65,246 PTI). PTR improved overall survival (hazard ratio [HR] 0.59,P 
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Effect of High Postoperative Body Temperature on Long-Term Prognosis in Patients with Gastric Cancer After Radical Resection
ConclusionFor stage III gastric cancer patients without complications, high postoperative body temperature can significantly reduce the 5-year DFS. These patients may benefit from more aggressive adjuvant therapy and postoperative surveillance regimens. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Treatment Strategies and Survival Trends for Anorectal Melanoma: Is it Time for a Change?
AbstractBackgroundImmunotherapy advances for the treatment of cutaneous melanoma question its efficacy in treating anorectal mucosal melanoma (ARMM). We aimed to identify the prevalence, current management, and overall survival (OS) for ARMM.MethodsReview of patients with ARMM from 2004 to 2015 National Cancer Database. Factors associated with immunotherapy were identified using multivariable logistic regression. The primary outcome was 2- and 5-year OS. Subgroup analysis by treatment type was performed.ResultsA total of 1331 patients were identified with a significant increase in prevalence (2004: 6.99%, 2015: 10.53%). AR...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Conventional Versus Minimally Invasive Hartmann Takedown: A Meta-analysis of the Literature
AbstractAlthough end colostomy closure following Hartmann ’s procedure is a major surgery that is traditionally performed by conventional celiotomy, over the last decade there has been a growing interest toward the application of different minimally invasive techniques. We aimed at evaluating the relative outcomes of conventional surgery versus minimally invasive surgery by meta-analyzing the available data from the medical literature. The PubMed/MEDLINE, Cochrane Library and EMBASE electronic databases were searched through August 2018. Inclusion criteria considered eligible all comparative studies evaluating open v...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Prehabilitation Before Major Abdominal Surgery: A Systematic Review and Meta-analysis
ConclusionsPrehabilitation can reduce overall and pulmonary morbidity following surgery and could be utilised routinely. The precise protocol of prehabilitation has not been completely established. Further work is required to tailor optimal prehabilitation protocols for specific operative procedures. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

A Perioperative Small Dose of Dexamethasone Enhances Postoperative Recovery by Reducing Volume and Inflammatory Contents in Wound Drainage After Thyroid Surgery: A Double-Blinded, Randomized, Prospective Study
AbstractBackgroundThe aims of this study were to assess the effect of perioperative dexamethasone on postoperative thyroid surgery recovery using measures of wound drainage volume and C-reactive protein (CRP) levels and leukocyte counts.Materials and methodsFrom January to September 2014, healthy patients, aged between 18 and 65  years, had elective thyroid surgery in the tertiary hospital. Eligible patients were randomized into either group D (dexamethasone 0.1 mg/kg IV) or group S (saline IV) after anesthesia induction. At the end of surgery, a drainage tube was placed at the thyroid bed with a negative pressur...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

The Feasibility and Advantages of Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery in Pulmonary Lobectomy
AbstractBackgroundUniportal video-assisted thoracoscopic surgery (VATS) lobectomy has emerged as a promising and exciting approach for minimally invasive thoracic surgeries. However, nearly all reported uniportal VATS lobectomies are performed via an intercostal route, and chest wall trauma remains an issue. Here, we report the use of a novel uniportal VATS technique involving a subxiphoid route for pulmonary lobectomies.MethodsWe retrospectively analyzed perioperative data for patients who underwent subxiphoid uniportal and traditional three-port VATS lobectomies from January 2016 to January 2017 at our hospital.ResultsDu...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

The Effect of Perioperative Iron Therapy in Acute Major Non-cardiac Surgery on Allogenic Blood Transfusion and Postoperative Haemoglobin Levels: A Systematic Review and Meta-analysis
ConclusionsThis review examined perioperative iron therapy in acute major non-cardiac surgery. IV iron showed a lower 30-day mortality, a reduction in postoperative infections and a reduction in ABT largely due to the observational studies. The review primarily consisted of small observational studies and does not have the power to formally recommend this practice. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Prophylactic Intraperitoneal Onlay Mesh Following Midline Laparotomy —Long-Term Results of a Randomized Controlled Trial
AbstractObjectivesIncisional hernia, a serious complication after laparotomy, is associated with high morbidity and costs. This trial examines the value of prophylactic intraperitoneal onlay mesh to reduce the risk of incisional hernia after a median follow-up time of 5.3  years.MethodsWe conducted a parallel group, open-label, single center, randomized controlled trial (NCT01003067). After midline incision, the participants were either allocated to abdominal wall closure according to Everett with a PDS-loop running suture reinforced by an intraperitoneal composite mesh strip (GroupA) or the same procedure without the...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Granulomatous Mastitis and Factors Associated with Recurrence: An 11-Year Single-Centre Study of 113 Patients in Singapore
ConclusionInitial presentation with inflammatory signs and symptoms may confer increased risk of recurrence, warranting closer monitoring.Corynebacterium infection may play a part as a causative factor and risk factor for recurrence. Non-penicillin antibiotics should be considered as first-line antibiotics for patients presenting with inflammatory changes. Further prospective studies with larger patient populations might reveal information on the aetiology of GM and result in the development of a more standardized and effective treatment regimen. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

The Impact of Circular Stapler Size on the Incidence of Cervical Anastomotic Stricture After Esophagectomy
AbstractBackgroundCervical anastomotic stricture after esophagectomy is a serious complication that adversely affects postoperative recovery, nutritional status and quality of life. Cervical anastomosis by a circular stapler (CS) has been widely accepted as a simple and convenient method, but anastomotic strictures are likely to occur. The aim of this study was to investigate an association between CS size and the incidence of anastomotic stricture after cervical esophagogastric anastomosis performed by a CS.MethodsBetween April 2011 and March 2016, 236 consecutive patients underwent cervical esophagogastric anastomosis by...
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Overweight or Obesity is an Unfavorable Long-Term Prognostic Factor for Patients who Underwent Gastrectomy for Stage II/III Gastric Cancer
AbstractBackgroundObesity has been reported to be a prognostic factor for many diseases in epidemiological studies; however, the results of studies examining the relationship between obesity and gastric cancer (GC) prognosis are inconsistent.MethodsA total of 460 patients with Stage II and III GC who underwent open R0 gastrectomy were included. Age, sex, body mass index (BMI classified into  
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

The Modified Semi-lateral Transmesocolic Approach for Laparoscopic Left Adrenalectomy
ConclusionLaparoscopic left adrenalectomy using semi-lateral transperitoneal transmesocolic approach is feasible and safe with acceptable intraoperative and perioperative outcomes. This technique could be considered as a routine approach and should be compared in further studies. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Letter to the Editor: Stenting in Palliation of Unresectable Esophageal Cancer
(Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Correction to: Hypoparathyroidism After Total Thyroidectomy: Importance of the Intraoperative Management of the Parathyroid Glands
In the original version of the article, the last three column headings in Table  3 were mislabeled. The original article has been corrected. Following is the corrected table: (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Welcome New Associate Editor Nancy Baxter of Canada to the World Journal of Surgery
(Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Correction to: Prophylactic Intraperitoneal Onlay Mesh Following Midline Laparotomy —Long-Term Results of a Randomized Controlled Trial
In the original version of the article, Philippe M. Glauser ’s, Philippe Brosi’s, Benjamin Speich’s, Samuel A. Käser’s, Andres Heigl’s, and Christoph A. Maurer’s first and last names were interchanged. The names are correct as reflected here. The original article has been corrected. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Letter to the Editor: Definitive Chemoradiotherapy Versus Trimodality Therapy for Resectable Oesophageal Carcinoma: Meta-analyses and Systematic Review of Literature
(Source: World Journal of Surgery)
Source: World Journal of Surgery - June 3, 2019 Category: Surgery Source Type: research

Evaluation of Parathyroid Glands with Indocyanine Green Fluorescence Angiography After Thyroidectomy
ConclusionsICGA is a novel technique that may improve the assessment of parathyroid gland blood supply compared to visual inspection. ICGA can guide more appropriate autotransplantation without compromising postoperative parathyroid function. At least two vascularized glands on ICGA may predict postoperative parathyroid gland function. (Source: World Journal of Surgery)
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Developing Metrics to Define Progress in Children ’s Surgery
AbstractThere is a need for relevant, valid, and practical metrics to better quantify both need and progress in global pediatric surgery and for monitoring systems performance. There are several existing surgical metrics in use, including disability-adjusted life years (DALYs), surgical backlog, effective coverage, cost-effectiveness, and the Lancet Commission on Global Surgery indicators. Most of these have, however, not been yet applied to children ’s surgery, leaving therefore significant data gaps in the burden of disease, infrastructure, human resources, and quality of care assessments in the specialty. This cha...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Minimally Invasive Parathyroidectomy without Intraoperative PTH Performed after Positive Ultrasonography as the only Diagnostic Method in Patients with Primary Hyperparathyroidism
ConclusionsIf performed by an experienced endocrinologist and/or endocrine surgeon, a positive US could be the only preoperative localization study in patients with pHPT. Moreover, the add-value of intraoperative PTH is limited. Major advantages of US are a very high accuracy, the ease of performance (accessibility) and its cost-effectiveness compared with Sesta-MIBI scintigraphy. (Source: World Journal of Surgery)
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review
ConclusionsIn early series of highly selected patients, LPS appears to be feasible and safe when performed by experienced laparoscopic surgeons. (Source: World Journal of Surgery)
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Association of Medicaid Expansion Policy with Outcomes in Homeless Patients Requiring Emergency General Surgery
ConclusionHomeless patients living in Medicaid expansion states had lower odds of being discharged against medical advice, higher likelihood of receiving home healthcare and overall lower total index hospital charges. (Source: World Journal of Surgery)
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Sign of Life is Associated with Return of Spontaneous Circulation After Resuscitative Thoracotomy: Single Trauma Center Experience of Republic of Korea
In this study, we review our experience of RT after a regional trauma center was constructed.MethodsThis is a retrospective study of RT conducted at a single Korean trauma center from May 2014 to March 2018. The primary outcome was survival, and the secondary outcome was return of spontaneous circulation (ROSC). The clinical characteristics of the patients were compared between the ROSC and non-ROSC groups. Survivors were also reviewed.ResultsA total of 62 patients were reviewed, and 60 patients had experienced blunt injury. Thirty-nine patients had ROSC. The ROSC group had short cardiopulmonary resuscitation (CPR) time (6...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Evidence-Based Management of Postoperative Pain in Adults Undergoing Laparoscopic Sleeve Gastrectomy
ConclusionsThe literature to recommend an optimal analgesic regimen for LSG is limited. The pragmatic view supports acetaminophen and a non-steroidal anti-inflammatory drug, with opioids as rescue analgesics. Gabapentinoids should be used with caution, as they may amplify opioid-induced respiratory depression. Although transversus abdominis plane blocks reduced pain, port-site infiltration may be considered instead, as it is a simple and inexpensive approach that provides adequate somatic blockade. Further RCTs are required to confirm the influence of the recommended analgesic regimen on postoperative pain relief. (Source:...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Short- and Long-term Outcomes after Robotic and Laparoscopic Liver Resection for Malignancies: A Propensity Score-Matched Study
AbstractObjectivesA laparoscopic approach improves short-term outcomes and maintains long-term outcomes compared to an open approach. In turn, the recent development of robotic surgery raises the question whether it performs as well as laparoscopic surgery. The aim of this study was to compare the short- and long-term outcomes of laparoscopic liver resection (LLR) and robotic liver resection (RLR) for malignancies.MethodFrom 2011 to 2017, the study population included 111 patients in the LLR group and 61 in the RLR group. Short- and long-term outcomes were compared before and after propensity score matching (PSM).ResultsOp...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Is Global Pediatric Surgery a Good Investment?
AbstractInvesting in surgery has been highlighted as integral to strengthening overall health systems and increasing economic prosperity in low-income and middle-income countries (LMICs). The provision of surgical care in LMICs not only affects economies on a macro-level, but also impacts individual families within communities at a microeconomic level. Given that children represent 50% of the population in LMICs and the burden of unmet surgical needs in these areas is high, investing pediatric-specific components of surgical and anesthesia care is needed. Implementation efforts for pediatric surgical care include incorpora...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Autofluorescence in Parathyroidectomy: Signal Intensity Correlates with Serum Calcium and Parathyroid Hormone but Routine Clinical Use is Not Justified
ConclusionAutofluorescence intensity correlates with serum calcium, PTH and gland composition. Further refinements would be required for this information to be of value in a clinical setting. Improvements allowing NIR to visualise the additional 9.5% of parathyroids and overcome the variation in signal intensity due to depth of access are required for the routine adoption of this technology. At present, its routine use in a clinical setting cannot be justified. (Source: World Journal of Surgery)
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research

Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era
AbstractBackgroundIn this modern era, laparoscopic distal gastrectomy (LDG) has largely replaced open distal gastrectomy for the treatment of gastric cancer; however, a quantitative review of reconstruction methods applied exclusively using LDG has not yet been published. Thereafter, we compared three reconstruction methods (Billroth I, Billroth II, and Roux-en Y) using the data derived solely from LDG patients.MethodsA systematic search was conducted using electronic bibliographic databases (Google Scholar, PubMed, and Embase), for articles that compared reconstruction methods in LDG, published within the last decade. A s...
Source: World Journal of Surgery - May 2, 2019 Category: Surgery Source Type: research