Exploring 6 Â years of colorectal cancer surgery in rural Italy: insights from 648 consecutive patients unveiling successes and challenges
AbstractThe multidisciplinary management of patients suffering from colorectal cancer (CRC) has significantly increased survival over the decades and surgery remains the only potentially curative option for it. However, despite the implementation of minimally invasive surgery and ERAS pathway, the overall morbidity and mortality remain quite high, especially in rural populations because of urban  − rural disparities. The aim of the study is to analyze the characteristics and the surgical outcomes of a series of unselected CRC patients residing in two similar rural areas in Italy. A total of 648 consecutive patients o...
Source: Updates in Surgery - April 17, 2024 Category: Surgery Source Type: research
Patients ’ perception of using telehealth for consultation: insights after pandemic and development of an online calculator platform to predict acceptance of remote consultation: the TELEMED international study
AbstractThe COVID-19 pandemic has led to a change in healthcare models. The aim of this study was to evaluate patient acceptance of telehealth as an alternative to physical consultations, and to identify factors predicting higher satisfaction. This was an observational, cross-sectional, multi-center, international study. All consecutive patients for whom telehealth was used in consultations between April and July 2020 were considered for inclusion. The validated Telehealth Usability Questionnaire (TUQ) was used as a model to measure patient acceptance. Overall, 747 patients were observed, of whom 721 agreed to participate ...
Source: Updates in Surgery - April 15, 2024 Category: Surgery Source Type: research
Management of surgical diseases of Primary Hyperparathyroidism: indications of the United Italian Society of Endocrine Surgery (SIUEC)
The objective of this publication was to support surgeons with modern rational protocols of treatment that can be shared by health-care profes sionals, taking into account important clinical, healthcare and therapeutic aspects, as well as potential sequelae and complications. The task force consists of 12 members of the SIUEC highly trained and experienced in thyroid and parathyroid surgery. The main topics concern diagnostic test and loca lization studies, mode of admission and waiting time, therapeutic pathway (patient preparation for surgery, surgical treatment, postoperative management, management of major complication...
Source: Updates in Surgery - April 15, 2024 Category: Surgery Source Type: research
Use of a vessel-sealing device compared with Jaboulay's technique for adult hydrocelectomy surgery: a retrospective cohort study
We report our experience with a novel surgical technique that includes hydrocelectomy w ith the use of VSD. Our findings demonstrated shorter surgery time and length of hospitalizations, which may indicate improved patient’s postoperative outcomes with the use of the VSD for hydrocelectomy. (Source: Updates in Surgery)
Source: Updates in Surgery - April 12, 2024 Category: Surgery Source Type: research
Outcomes of 6000 living donor liver transplantation procedures: a pioneering experience at ASAN Medical Center
This study demonstrated outstanding long-term outcomes, with patient survival rat es at 1, 5, 10, and 20 years of 92.7%, 85.9%, 82.1%, and 70.9%, respectively, in LDLT group for adults aged 50 and under at the time of LDLT, and 92.9%, 89.0%, 88.1%, and 81.9%, respectively, in the pediatric group. The in-hospital mortality rate of adult recipients was 3.8% (n = 214/5688). This study demonstrates the importance of refined surgical techniques, selection of grafts tailored to the recipient, and comprehensive multidisciplinary perioperative patient care in expanding the scope of LDLT and improving recipient outcomes. (Sour...
Source: Updates in Surgery - April 10, 2024 Category: Surgery Source Type: research
Delayed gastric emptying after pancreatoduodenectomy: an analysis of risk factors
This study aims to identify associated factors related to this complication in the Colombian population.MethodsA retrospective review of a prospectively collected database was conducted. All patients over 18  years of age who underwent pancreaticoduodenectomy were included. Associations with DGE syndrome were evaluated with logistic regression analysis, Odds ratio, and b-coefficient were provided when appropriate.Results205 patients were included. Male patients constituted 54.15% (n = 111). 53 patients (25.85%) were diagnosed with DGE syndrome. Smoking habit (OR 17.58p 0.00 95% CI 7.62 –40.51), hydromorphone use &...
Source: Updates in Surgery - April 10, 2024 Category: Surgery Source Type: research
Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy
In conclusion, the main indications for revision after LSG are weight regain, insufficient weight loss, and intractable GERD. Revision al OAGB emerges as a viable surgical alternative for unsuccessful LSG, presenting notable weight loss outcomes; however, it may be linked to an increased incidence of complications.Graphical abstract (Source: Updates in Surgery)
Source: Updates in Surgery - April 9, 2024 Category: Surgery Source Type: research
Correction: Laparoscopic partial splenectomy for symptomatic benign cystic lesions: technical notes
(Source: Updates in Surgery)
Source: Updates in Surgery - April 9, 2024 Category: Surgery Source Type: research
Indications to LDLT: a changing pathway?
AbstractLiver transplantation (LT) revolutionized the outlook for cirrhotic patients, offering a potential cure with over 80% life expectancy after 5 Â years. Cirrhosis, with or without hepatocellular carcinoma (HCC), is the primary LT indication. Living donor LT (LDLT) initially explored as an alternative, declined due to poorer outcomes. Studies on LDLT improved outcomes through precise recipient selection, emphasizing the importance of careful donor/recipient matching. Emerging concepts like left lobe preference and minimally invasive donor approaches enhance LDLT outcomes. The RAPID technique shows promise in both cirr...
Source: Updates in Surgery - April 9, 2024 Category: Surgery Source Type: research
Evolution of transplant oncology indications: a single-institution experience over 40 Â years
AbstractLiver transplantation (LT) for uncommon tumoral indications has changed across the decades, with impaired results reported in the first historical series mainly for non-tumoral-related causes. Recently, renewed interest in liver transplant oncology has been reported. The study aims to analyze a mono-center experience exploring the evolution and the impact on patient survival of LT in uncommon tumoral indications. A retrospective analysis of 851 LT performed during 1982 –2023 was investigated. 33/851 (3.9%) uncommon tumoral indications were reported: hepatocellular carcinoma (HCC) on non-cirrhotic liver (n = 1...
Source: Updates in Surgery - April 8, 2024 Category: Surgery Source Type: research
Patients undergoing liver resection for non-alcoholic fatty liver disease-related hepatocellular carcinoma and those for viral hepatitis-related hepatocellular carcinoma have similar survival outcomes
AbstractNumerous studies have compared outcomes of liver resection (LR) of patients with non-alcoholic fatty liver disease (NAFLD)-related hepatocellular carcinoma (HCC) to those of patients with non-NAFLD-related HCC. However, results have been inconsistent. We aim to clarify this issue. We enrolled 801 patients with hepatitis B virus (HBV)-related HCC, 433 patients with hepatitis C virus (HCV)-related HCC, and 128 patients with NAFLD-related HCC undergoing LR. Overall survival (OS) and disease-free survival (DFS) of patients with different etiologies of chronic liver disease was compared using the Kaplan –Meier estimat...
Source: Updates in Surgery - April 7, 2024 Category: Surgery Source Type: research
Recent advances in lung cancer research: unravelling the future of treatment
AbstractLung cancer, a multifaceted disease, demands tailored therapeutic approaches due to its diverse subtypes and stages. This comprehensive review explores the intricate landscape of lung cancer research, delving into recent breakthroughs and their implications for diagnosis, therapy, and prevention. Genomic profiling and biomarker identification have ushered in the era of personalised medicine, enabling targeted therapies that minimise harm to healthy tissues while effectively combating cancer cells. The relationship between pulmonary tuberculosis and lung cancer is examined, shedding light on potential mechanisms lin...
Source: Updates in Surgery - April 6, 2024 Category: Surgery Source Type: research
Extraperitoneal lateral pelvic sidewall excision: a novel rectal-sparing approach for lateral locally recurrent rectal cancer
AbstractLocally recurrent rectal cancer (LRRC) involving the lateral pelvic sidewall requires a complex approach to maximize the likelihood of R0 resection, which is the only predictor of survival. The purpose of this report is to describe a novel technique to resect a localized lateral pelvic sidewall LRRC. A 63-year-old male patient was referred for a 15-mm LRRC near the right internal iliac vessels. Endoscopic ultrasound and magnetic resonance imaging excluded any involvement of the pelvic colon or residual rectum. A combined extraperitoneal antero-lateral approach and gluteal access were used to optimize vascular contr...
Source: Updates in Surgery - April 6, 2024 Category: Surgery Source Type: research
Retrospective observational cohort study of laparoscopic surgical strategies for gastrointestinal stromal tumors
This study involved 55 patients who underwent laparoscopic surgery between April 2014 and March 2021. We classified the patients into two groups: laparoscopy-assisted surgery group (non-LECS group,n = 30) and LECS group (n = 25). LECS was performed in the upper stomach, in the greater curvature of the lower stomach, and in both intraluminal and intramural locations in the middle stomach. Non-LECS was selected for extraluminal and intramural tumors in the greater curvature of the upper stomach. There were no sever e complications associated with the operation. There was one postoperative complication in the LECS gro...
Source: Updates in Surgery - April 5, 2024 Category: Surgery Source Type: research
A modified pancreaticojejunostomy anastomotic technique using double U-sutures for laparoscopic pancreaticoduodenectomy
AbstractAlthough recent advances in laparoscopic technology have popularized laparoscopic pancreatoduodenectomy (LPD), laparoscopic pancreaticojejunostomy anastomosis (PJA) still presents a major technical challenge. From February 2021 to January 2023, 42 patients underwent LPD with modified double U-suture PJA. Data on the demographic characteristics and clinical results of these patients were investigated. The median operation time was 316  min (249–596 min). The median PJA time was 32 min (25–40 min). The median intraoperative blood loss was 150 mL (50–500 mL). The median postoperative stay was 12 days (7â€...
Source: Updates in Surgery - April 5, 2024 Category: Surgery Source Type: research
