Complete mesocolic excision for colonic cancer: a review.
CONCLUSIONS: Oncological adequacy can be obtained with laparoscopic CME, with increased lymph node retrieval. However, until now, there is no formal proof that CME improves local recurrence or survival.
PMID: 30037177 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Robot-assisted extended lymphadenectomy in prostate cancer.
CONCLUSIONS: A great deal of evidence supports that an extended template of LND is not only technically feasible but also safe in the context of RARP. It is really promising that in the era of minimally invasive surgery, parameters like the lymph node yield and the detection rates of positive lymph nodes during LND have become highly comparable with open series. The extended approach has already proved its benefits in terms of proper patient staging but more studies are needed with regard to functional outcomes and oncological benefits of this procedure.
PMID: 30037178 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Non-anatomical colonic resections: splenic flexure and transverse colectomy. Central vascular ligation is crucial for survival.
CONCLUSIONS: Limited resections for TC and SF cancers can be performed with the same clinical, oncological and survival outcomes as compared to more extended colectomies if an adequate size of the specimen for the achievement of at least 5 cm of health margin is associated to Central Vascular Ligation.
PMID: 30037179 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Robotic right colectomy with complete mesocolic excision and Indocyanine-green guidance.
CONCLUSIONS: The association of robotic right colectomy with the bottom to up technique and ICG-guided lymphadenectomy is a feasible and safe procedure. ICG lymphatic mapping may help to perform a correct CME, although the independent impact of these procedures on oncologic outcome deserves further investigations.
PMID: 30037180 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
The role of laparoscopic Nissen, Hill, and Nissen-Hill hybrid repairs for uncomplicated gastroesophageal reflux disease.
Authors: Shemmeri E, Aye RW
Abstract
There are several elements that constitute the lower esophageal barrier against reflux. What characterizes the abnormality seen in GERD is the loss of an effective barrier combined with refluxed gastric contents. Several techniques including those described by Nissen, Toupet and Hill have become options for reconstructing the physiologic barrier. In this paper, we describe our technique of performing laparoscopic Nissen, Hill and a combined Nissen + Hill hybrid repair for the management of uncomplicated GERD. In a randomized study comparing 46 laparoscopic Nissen to 46 ...
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Neuro-anatomic basis of potency recovery following radical prostatectomy: an expert's point of view.
CONCLUSIONS: The recovery of potency is one of the most unpredictable outcome after RP. The advent of the robotic surgical system seems to have brought a trend towards a faster recovery of erectile function.
PMID: 30037182 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Endoscopic treatment of early esophageal neoplasia.
Authors: Martinek J
PMID: 30039945 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Sigmoid metastasis from endometrioid cancer.
Authors: Cardella F, Mabilia A, Basile N, Panarese I, Ronchi A, Castellano P, Franco R, Lieto E, Galizia G, Auricchio A
PMID: 30039946 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 25, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Trans anal trans abdominal TME. How far can we push it?
Authors: Rowen RK, Kelly J, Molt J, Monson JR
Abstract
Over many decades, advances in surgical technology, such as the use of the electrocautery Bovie, development of minimally invasive and advanced endoscopic platforms and the ability to create and maintain pneumorectum have propelled surgical techniques forward to today, with development of the transanal TME (taTME) for en bloc resection of rectal cancers. The transanal platform offers, for now, a viable alternative to perform safe and oncologically sound TME, especially favorable in cases of low rectal lesions in a narrow pelvis post neoadjuvant treatme...
Source: Minerva Chirurgica - July 19, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
The "Wandering Spleen" as a rare cause of recurrent abdominal pain: a literature review.
CONCLUSIONS: Surgery is the gold standard strategy, and laparoscopic approach is reccomended, for the treatment of wandering spleen. Both splenopexy or splenectomy are effective and safe surgical options.
PMID: 30019879 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 19, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
One anastomosis gastric bypass: key technical features, and prevention and management of procedure-specific complications.
CONCLUSIONS: This review examines key technical steps of OAGB. We also discuss how to prevent and manage its specific complications.
PMID: 30019880 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 19, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
The main participation of the enterohormone GLP-1 after bariatric surgery.
CONCLUSIONS: Our data indicate that intestinal secretion of GLP-1 and its sensitivity to the pancreatic changes were increased like a response of an adaptive effect to the mechanical aggression of the digestive tube and as alteration of nutrient flow after surgery.
PMID: 29963790 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 4, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Results following laparoscopic sleeve gastrectomy in elderly obese patients: a single center experience with follow up at three years.
CONCLUSIONS: LSG offered cure in geriatric patients affected by morbid obesity for weight loss and comorbidities resolution. Larger studies are necessary to analyze and minimize the incidence of postoperative complications associated to this surgical procedure in elderly patients.
PMID: 29963791 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 4, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
The role of endosonography prior to endoscopic treatment of esophageal cancer.
Authors: Hucl T
Abstract
Esophageal cancer is a common disease with poor survival rates. The treatment and prognosis of patients with esophageal cancer depend on the stage of the disease. Accurate clinical staging is critical for stratifying patients for treatment. While advanced cancers are generally treated by neoadjuvant chemoradiotherapy and surgery, early cancers may be amendable to endoluminal, minimally invasive treatments, thus saving patients from unnecessary surgery. Endoscopic ultrasonography has a major role in loco-regional staging of esophageal cancer and should be performed in all patients a...
Source: Minerva Chirurgica - July 4, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Supplementation with Robuvit ® in post-mastectomy post-radiation arm lymphedema.
CONCLUSIONS: CTD, combined with self-management, can effectively control the excess of limb volume in post-mastectomy lymphedema. Supplementation with Robuvit® is useful to further reduce limb volume. Later stages of lymphedema seem to be more difficult to manage and may require surgery or more invasive treatments.
PMID: 29911794 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - June 19, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
