How to close the pancreatic stump and the role of sealants.
Authors: Ausania F, Senra Del Rio P
Abstract
Postoperative pancreatic fistula (POPF) is the most common and also the most threatening complication following distal pancreatectomy (DP). For this reason, morbidity and mortality of this operation remain still high. Over the last two decades, many different studies have been performed aiming to reduce the rate and the severity of POPF. However, effective treatments to prevent or avoid clinically relevant pancreatic fistula are still unclear. In this review, we discuss the current evidence on such a relevant topic.
PMID: 30600966 [PubMed - as supplied b...
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research
Laparoscopic pancreaticoduodenectomy: patient interest should be the goal of health care.
Authors: Pietrasz D, Pittau G, Sa Cunha A
Abstract
Pancreatic ductal adenocarcinoma (PDAC) is the fourth deadliest malignancy in developed countries and is predicted to become the second one within the 2030. The present work focuses on the state of the art of laparoscopic PD (LPD), including results of recent randomized trials, and discusses technical challenge and patient's interest of this technique.
PMID: 30600967 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research
Surgical resection of liver metastasis in pancreatic and periampullary carcinoma.
CONCLUSIONS: Perioperative chemotherapy is the cornerstone of treatment in patients with liver metastasis from pancreatic and periampullary carcinoma. Liver resection from early liver metastases could be acceptable in selected patients with oligometastasic disease and small single lesions taking into account the individual risk of complications.
PMID: 30600968 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 4, 2019 Category: Surgery Tags: Minerva Chir Source Type: research
The Video Consulting Emergency (VCE) protocol: a proposition from the World Society of Emergency Surgery members for the initial management of non traumatic acute abdomen.
CONCLUSIONS: Its application could decrease healthcare costs related to unnecessary exams, admissions, surgeries or transfers.
PMID: 30484600 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Structured training program in colorectal surgery: the robotic surgeon as a new paradigm.
CONCLUSIONS: A STP in robotic colorectal surgery is feasible and effective. Right colectomy represents a good model as first step of the program in order to develop multiple technical skills. Previous experience in open or laparoscopic colorectal surgery may not be necessary.
PMID: 30484601 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Pancreatoscopy in endoscopic treatment of pancreatic duct stones, systematic review.
CONCLUSIONS: POP guided lithotripsy seems to be a promising alternative in a very selected patients cohort. Good powered randomized controlled trials are needed to prove efficiency and safety of the new technique also for large numbers of patients before it can be recommended as general practice. The focus of future studies should not only be on technical success, but also clinical success and patient reported outcomes (quality of life).
PMID: 30371042 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Clinical effects of prosthetic mesh in the treatment of incarcerated groin hernias.
CONCLUSIONS: Our experience demonstrates that acutely incarcerated or strangulated groin hernia in adults is a serious neglected problem. The use of mesh could become current practiceeven in case of bowel resection. There was no statistically significant difference in the postoperative complications between TAPP repaic and open mesh repairs except seroma.
PMID: 30334396 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass patients.
Authors: Moreels TG
Abstract
Roux-en-Y gastric bypass surgery remains a popular surgical intervention worldwide to treat morbid obesity. It is effective and relatively safe. However, one of the results related to bariatric surgery-induced rapid weight loss is the development of biliary stones. Endoscopic removal of common bile duct stones is challenging in patients with Roux-en-Y gastric bypass reconstruction. The current review highlights the different endoscopic approaches of the biliopancreatic system to perform endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric byp...
Source: Minerva Chirurgica - October 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Perforated vs nonperforated acute appendicitis: evaluation of short-term surgical outcomes in an elderly population.
CONCLUSIONS: Perforated appendicitis, despite requiring a longer mean operative time, in our series is not producing a longer hospital stay or more postoperative complications compared to non perforated appendicitis. The non operative management of uncomplicated appendicitis is a reasonable option in frail patients in order to avoid the burden of morbidity related to operation, nevertheless surgery remains the standard of care in all age groups.
PMID: 30306768 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Surgical treatment of acute complicated diverticulitis in the elderly.
CONCLUSIONS: In a septic elderly patient who is hemodynamically unstable, treatment should be as prompt as possible independent of the Hinchey's stage, and could include either a Mickulicz stoma or a DCS strategy. In an elderly patient who is fit and hemodynamically stable, the surgical options are similar to those in a younger patient. If a patient is frail but hemodynamically stable, he should be treated with a Hartmann's procedures.
PMID: 30306769 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Peripheral lymphadenopathy: role of excisional biopsy in differential diagnosis based on a five-year experience.
CONCLUSIONS: Excisional biopsy is a diagnostic method that can be applied safely with minimal morbidity and mortality.
PMID: 30306770 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - October 13, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Leak after sleeve gastrectomy: how long do we have to be worried?
Authors: Iossa A, Caporilli D, Avallone M, Ciccioriccio MC, Silecchia G
PMID: 30227703 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - September 20, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Right colectomy: a New York state of mind.
Authors: Lee H, Chudner A, Gachabayov M, Dyatlov A, Bergamaschi RC
Abstract
Although mortality rates attributable to colon cancer have significantly improved over the past decades, it is still one of the leading causes of death in the United States. As newer technology and surgical techniques and concepts are being introduced, substantial confusion and dissenting opinions have come into fray as well. Naturally, different practice patterns emerged in Asia, Western Europe as well as in the United States. In this special article, we focus on the right colon and examine the unique challenges and oddities of pr...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Indications, surgical technique and long term results of nerve sparing.
Authors: Türkeri L
Abstract
Radical prostatectomy is frequently performed as a curative approach for clinically localized prostate cancer. In order to reduce the adverse effects of this operation on erectile function, preservation of neurovascular bundles was introduced as part of this operation. The decision of nerve sparing must be carefully tailored in each patient according to the stage of the disease. Patient selection has a critical importance in performing nerve sparing radical prostatectomy. In organ-confined cancers a nerve sparing surgery can be performed in the majority of the cases without jeo...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Technical details to achieve perfect early continence after radical prostatectomy.
Authors: Manfredi M, Fiori C, Amparore D, Checcucci E, Porpiglia F
Abstract
Urinary incontinence after radical prostatectomy (RP) is still an issue and may compromise patient quality of life and psychosocial behaviour, regardless of oncologic outcomes. As this condition usually resolves by the end of the first postoperative year, many surgeons focused their attention on "early" return of urinary continence (UC). The aim of this non-systematic review is to present an overview of the current knowledge on the anatomy and the surgical techniques addressed to early functional recovery of continence after RP. Th...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
