Introduction and historical perspective. From the prehistoric era to the future.
Authors: Fichera A
PMID: 29658676 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Acute complications following endoscopic intragastric balloon insertion for treatment of morbid obesity in elderly patients. A single center experience.
CONCLUSIONS: Our results underline that IGB treatment in elderly patients is safe and effective in terms of weight loss and improvement in comorbidities. IGB can cause complications which, sometimes, can be severe such as esophageal damage and gastric perforation. For the management of complications, we highly recommend a close follow-up in all patients and a deepened instrumental study in every suspect case.
PMID: 29658677 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Emergency surgery for bowel obstruction in extremely aged patients.
CONCLUSIONS: Despite the high surgical risk, early diagnosis and treatment of the obstructive disease can lead to achieve encouraging outcomes also in extremely advanced age; an aggressive evaluation of comorbidies and the cardio - respiratory risks reduction, when possible, could be useful in improve postoperative outcomes in terms of mortality.
PMID: 29658678 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Iatrogenic spleen injury during minimally invasive left colonic flexure mobilization: the quest for evidence-based results.
CONCLUSIONS: The routine mobilization of the left colonic flexure is a debated topic. However, according to some authors (including our experience), this procedure is not a risk factor and it may be advantageous: a) it doesn't excessively prolong the total operative time; b) better surgical skills development; c) the tension-related ischemia is avoided; d) wider oncological dissection. Technical accuracy with cautious dissection/visualization can reduce the rate of iatrogenic splenic damage. Laparoscopy decreases the rate of splenic injury by almost 3,5 times. Robotic surgery may have the potential to further reduce this c...
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Rectal cancer and the pathologist.
CONCLUSIONS: Meticulous macro- and microscopic evaluation of specimens for rectal carcinoma by pathologist is needed to determine an accurate assessment of staging and other prognostic factors. The modern pathologists play a pivotal part in the care and management of patients suffering from rectal adenocarcinoma. That role goes from the initial histological diagnosis to the gross and microscopic examination of the excised specimens. Based on that examination pathologists issue statements that not only evaluate the quality of the surgical procedure, but also through the application of molecular tests they give light on prog...
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Laparoscopic radical prostatectomy in 2018: 20 years of worldwide experiences, experimentations, researches and refinements.
CONCLUSIONS: Thanks to several technical improvements, LRP provides brilliant oncologic and functional outcomes and it is now considered the treatment of choice in many institutions worldwide. Although it is a technically demanding procedure, the recent introduction of 3D systems will reduce the steepness of its learning curve.
PMID: 29658681 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Sphincter-saving proctectomy for rectal cancer with transanal tube NO COIL and without ostoma: clinical outcomes, cost effectiveness and quality of life in elderly.
CONCLUSIONS: Although advanced age is associated with higher morbidity and mortality, in our experience, itself is not a contraindication for surgical sphincter-saving proctetomy in rectal cancer patients. The absence of a stoma improve also, in both groups, the cost-effectiveness and the patients quality of life: psychological morbidity, sexuality, levels of anxiety and depression, body image.
PMID: 29658682 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Extrafascial robot-assisted laparoscopic radical prostatectomy (EF-RALP) in locally advanced prostate cancer.
CONCLUSIONS: Robot-assisted RP is an option in patients with LA-PCa. Removing the prostate gland and the seminal vesicles still contained inside their aponeurotic covering, minimize the risk of positive surgical margins and clinical recurrence.
PMID: 29658683 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Role of adjuvant chemoradiotherapy after endoscopic treatment of early-stage esophageal cancer: a systematic review.
CONCLUSIONS: This review demonstrates that the current available literature lacks large prospective adequately powered studies and does not allow any firm conclusion regarding the role of endoscopic treatment combined with adjuvant CRT for patients with high-risk early-stage esophageal cancer.
PMID: 29658684 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 18, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Mucopexy-Recto Anal Lifting (Mu-RAL): a standardized minimally invasive method of managing symptomatic hemorrhoids, with an innovative suturing technique and the HemorPex System ®.
DISCUSSION: In our experience the standardization of MuRAL operation with HPS, turned out to be a safe and effective minimally invasive approach in managing symptomatic III and IV degree hemorrhoids , avoiding the risk of severe complications, with the possibility to perform a redo-MuRAL in the event of recurrence. In our series up to 88% of the patients reported a good, or excellent one-year satisfaction score. Further comparative randomized studies with longer follow-up period are needed.
PMID: 29652112 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 15, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Neutrophil to lymphocyte ratio (NLR) predicts risk of nodal involvement in T1 colorectal cancer patients.
CONCLUSIONS: NLR < 3.7 was associated with lower risk of lymph-node metastases in T1 colorectal cancer patients. NLR could be used with histopathological data to identify patients at lower risk of nodal metastases.
PMID: 29652113 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 15, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Centella asiatica (Centellicum ®) facilitates the regular healing of surgical scars in subjects at high risk of keloids.
CONCLUSIONS: Supplementation with Centellicum® is safe and does not interfere with other concomitant treatments. It is well tolerated and compliance to treatment is optimal.
PMID: 29623705 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 8, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Sigmoid diverticulitis in elderly patients: a rare cause of right iliac fossa pain.
Authors: Grassi V, Tabola R, Basile E, DE Sol A, Polistena A, Sanguinetti A, Avenia N, Popivanov G, Burattini MF, Cirocchi R, Ursi P
PMID: 29600833 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 1, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Colovesical fistula complicating diverticular disease: diagnosis and surgical management in elderly.
Authors: Biffoni M, Urciuoli P, Eberspacher C, Santoro A, Pironi D, Sorrenti S
PMID: 29600834 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - April 1, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: risk factors for morbidity and postoperative outcome.
CONCLUSIONS: The risks of perioperative morbidity and mortality after CRS and HIPEC are analogous to any other major gastrointestinal surgery. CRS and HIPEC should remain a treatment option for highly selected patients in whom a curative or life prolonging treatment is a pursuit and should be performed in high volume specialized institutions.
PMID: 29589675 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - March 30, 2018 Category: Surgery Tags: Minerva Chir Source Type: research
