Articles

An extremely rare case of an oversized accessory spleen: case report and review of the literature

The accessory spleen is a congenital defect characterized by a separated ectopic splenic parenchyma. The size is rarely more than 4 cm. The preoperative diagnosis is prohibitive preoperatively. The aims of the...

Authors: V. Palumbo, M. Mannino, M. Teodoro, G. Menconi, E. Schembari, G. Corsale, I. Di Carlo and A. Toro

A case report of revision occipital-cervical fusion after atlanto-axial instrumentation failure for neurofibromatosis type I

Neurofibromatosis type 1 is an autosomal dominant genetic disease with characteristic café-au-lait spots, neurofibroma, and dystrophic changes in the bones. However, complications involving atlanto-axial dislo...

Authors: Hayato Kinoshita, Naohisa Miyakoshi, Takashi Kobayashi, Toshiki Abe, Kazuma Kikuchi and Yoichi Shimada

Spontaneous rupture of a parastomal hernia with evisceration of small bowel: a case report

Long standing ostomy related complications such as parastomal hernia and stoma prolapse may be at a higher risk of developing spontaneous rupture and evisceration, especially in patients suffering from chronic...

Authors: Oshan Basnayake, Umesh Jayarajah, Jayan Jayasinghe, Pradeep Kumara Wijerathne and Dharmabandhu Nandadeva Samarasekera

Pseudomyxoma peritonei induced by low-grade appendiceal mucinous neoplasm accompanied by rectal cancer: a case report and literature review

Pseudomyxoma peritonei (PMP) is a disease involving the peritoneum characterized by the production of large quantities of mucinous ascites. PMP has a low incidence, is difficult to diagnose, and has a guarded ...

Authors: Shili Ning, Yanliang Yang, Chen Wang and Fuwen Luo

Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis

Recently, laparoscopic appendectomies (LAs) have been widely performed instead of open appendectomies (OAs) during pregnancy. However, concerns about the safety of LA during pregnancy remain. This systematic r...

Authors: Seung Hwan Lee, Jin Young Lee, Yoon Young Choi and Jae Gil Lee

Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes

laparoscopic adrenalectomy has become the standard treatment for adrenal lesions. The better clinical outcoms of laparoscopic technique are valid for treatment of small benign masses (< 5–6 cm), instead there ...

Authors: Giuseppe Di Buono, Salvatore Buscemi, Attilio Ignazio Lo Monte, Girolamo Geraci, Vincenzo Sorce, Roberto Citarrella, Eliana Gulotta, Vincenzo Davide Palumbo, Salvatore Fazzotta, Leonardo Gulotta, Domenico Albano, Massimo Galia, Giorgio Romano and Antonino Agrusa

Impact of the new guidelines of the American Thyroid Association on the treatment of the differentiated thyroid tumor in an Italian center with medium-high volume thyroid surgery

The therapy for differentiated thyroid tumors is currently built upon two cornerstones: the stage of the disease and the new guidelines of the American Thyroid Association, jointly converging to lobohystmectom...

Authors: Aldo Bove, Paolo Panaccio, Gino Palone, Ludovica Esposito, Lucia Marino and Giuseppe Bongarzoni

Mesenteric lymph nodes as alternative site for pancreatic islet transplantation in a diabetic rat model

Islet transplantation has progressively become a safe alternative to pancreas transplantation for the treatment of type 1 diabetes. However, the long-term results of islet transplantation could be significantl...

Authors: Massimiliano Veroux, Rita Bottino, Roberta Santini, Suzanne Bertera, Daniela Corona, Domenico Zerbo, Giovanni Li Volti, Burcin Ekser, Lidia Puzzo, Marco Raffaele, Salvatore Lo Bianco, Alessia Giaquinta, Pierfrancesco Veroux and Luca Vanella

Advanced hemostasis in axillary lymph node dissection for locally advanced breast cancer: new technology devices compared in the prevention of seroma formation

Breast cancer is the most frequent neoplasm in women. Axillary lymph nodes dissection represents the treatment of choice in locally advanced breast cancer for prognostic and curative purposes. Seroma formation...

Authors: Claudio Gambardella, Guglielmo Clarizia, Renato Patrone, Chiara Offi, Claudio Mauriello, Roberto Romano, Marco Filardo, Alessandra Conzo, Alessandro Sanguinetti, Andrea Polistena, Nicola Avenia and Giovanni Conzo

Intraoperative parathyroid hormone (PTH) testing in patients with primary hyperparathyroidism and PTH levels in the normal range

Primary hyperparathyroidism is a common endocrine disorder. Hypercalcemia with normal PTH levels is very unusual and can lead to diagnostic difficulties. There are very few very few studies in the literature a...

Authors: Fabio Medas, Enrico Erdas, Giulia Loi, Francesco Podda, Lucia Barca, Giuseppe Pisano and Pietro Giorgio Calò

The impact of the ultrasonic, bipolar and integrated energy devices in the adrenal gland surgery: literature review and our experience

The gold standard approach for surgical treatment of benign and malignant adrenal lesion is considered the laparoscopic one, due to a lot of advantages compared to open approach. The rapid propagation of this ...

Authors: Renato Patrone, Claudio Gambardella, Roberto Maria Romano, Clarizia Gugliemo, Chiara Offi, Claudia Andretta, Antonio Vitiello, Ernesto Tartaglia, Luigi Flagiello, Alessandra Conzo, Claudio Mauriello and Giovanni Conzo

May predictors of difficulty in thyroid surgery increase the incidence of complications? Prospective study with the proposal of a preoperative score

Although thyroidectomy is one of the most common surgical procedures performed worldwide, some permanent complications, despite the considerably reducing incidence, may affect dramatically the patients quality...

Authors: Valerio D’Orazi, Andrea Sacconi, Silvia Trombetta, Menelaos Karpathiotakis, Daniele Pichelli, Enrico Di Lorenzo, Alice Ortensi, Paolo Urciuoli, Marco Biffoni and Andrea Ortensi

Stage-related outcome for thymic epithelial tumours

Thymic epithelial tumours (TETs) are characterized by a wide variety of biological behaviors. Radical resection and stage are strong prognostic factors. Aim of this study is to review our Single Center Experie...

Authors: Valentina Tassi, Jacopo Vannucci, Silvia Ceccarelli, Alessio Gili, Alberto Matricardi, Nicola Avenia and Francesco Puma

Skip metastases to lateral cervical lymph nodes in differentiated thyroid cancer: a systematic review

Papillary thyroid carcinoma is a slow-growing cancer with a generally good prognosis that sometimes have an aggressive behaviour. Metastases to neck lymph nodes is the first step of the diffusion. The central ...

Authors: Andrea Attard, Nunzia Cinzia Paladino, Attilio Ignazio Lo Monte, Nicola Falco, Giuseppina Melfa, Giulia Rotolo, Stefano Rizzuto, Eliana Gulotta, Giuseppe Salamone, Sebastiano Bonventre, Gregorio Scerrino and Gianfranco Cocorullo

The role of prophylactic central compartment lymph node dissection in elderly patients with differentiated thyroid cancer: a multicentric study

Prophylactic central neck lymph-nodes dissection is still a topic of major debate in Literature. There is a lack of randomized controlled trials proving advantages in its application in terms of overall surviv...

Authors: Claudio Gambardella, Renato Patrone, Francesco Di Capua, Chiara Offi, Claudio Mauriello, Guglielmo Clarizia, Claudia Andretta, Andrea Polistena, Alessandro Sanguinetti, Pietrogiorgio Calò, Giovanni Docimo, Nicola Avenia and Giovanni Conzo

Effect of unilateral adrenalectomy on the quality of life of patients with lateralized primary aldosteronism

Primary aldosteronism (PA) is associated with an increased prevalence of anxiety and depression. Subnormal quality of life (QoL) scores in PA patients may be improved after surgical treatment. The aim of the s...

Authors: Marilisa Citton, Giovanni Viel, Francesca Torresan, Gian Paolo Rossi and Maurizio Iacobone

Does antithrombotic prophylaxis worsen early outcomes of total thyroidectomy? - a retrospective cohort study

Currently, there is no strong evidence on the effectiveness and safety of pharmacological antithrombotic prophylaxis in thyroid surgery. The aim of this study was to establish whether the prophylactic use of l...

Authors: E. Erdas, F. Medas, S. Sanna, L. Gordini, G. Pisano, G. L. Canu and P. G. Calò

Thyroid disease and cancer in kidney transplantation: a single-center analysis

Thyroid diseases are frequent in patients with end-stage renal disease, but data on renal transplant recipients are conflicting. This study evaluated the incidence of thyroid disease and cancer in a population...

Authors: Massimiliano Veroux, Giuseppe Giuffrida, Salvatore Lo Bianco, Matteo Angelo Cannizzaro, Daniela Corona, Alessia Giaquinta, Chiara Palermo, Fausto Carbone, Anna Carbonaro, Maria Teresa Cannizzaro, Rossella Gioco and Pierfrancesco Veroux

The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction

Postoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.

Authors: Enric Sebastian-Valverde, Ignasi Poves, Estela Membrilla-Fernández, María José Pons-Fragero and Luís Grande

Focus on endocrine surgery

Authors: Giovanni Conzo

Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery

Early Hypocalcemia is the most frequent complication after thyroid surgery. Several studies have tried to identify factors (patient caracteristics or surgical technique variations) affecting hypocalcemia follo...

Authors: Paolo Del Rio, Matteo Rossini, Chiara Montana Montana, Lorenzo Viani, Giuseppe Pedrazzi, Tommaso Loderer and Federico Cozzani

Follicular proliferation TIR3B: the role of total thyroidectomy vs lobectomy

TIR3B thyroid nodules are considered to be at risk of malignancy (15–30%) but guidelines recommend conservative surgery with lobectomy with primary diagnostic porpoise. Risk stratification mainly based on ultr...

Authors: Andrea Polistena, Alessandro Sanguinetti, Roberta Lucchini, Stefano Avenia, Sergio Galasse, Raffaele Farabi, Massimo Monacelli and Nicola Avenia

The axillary flap in oncoplastic resection of breast cancers located in the upper-outer quadrants: a new surgical technique

The combination of breast conserving surgery (BCS) with plastic surgery techniques has provided a useful surgical tool matching the radicality of the oncological excision with the preservation of breast cosmes...

Authors: Daniele Bordoni, Pierfrancesco Cadenelli, Matteo Ornelli, Giuseppe Falco, Antonello Accurso, Antonio Gloria, Saverio Maietta, Nicola Rocco and Cesare Magalotti

Thyroiditis process as a predictive factor of sternotomy in the treatment of cervico-mediastinal goiter

About 10% of cervico-mediastinal goiter need to associate cervicotomy with a total or partial sternotomy to allow a safe removal of the goiter.

Authors: Claudio Casella, Sarah Molfino, Carlo Cappelli, Federica Salvoldi, Mauro Roberto Benvenuti and Nazario Portolani

Transaxillary robotic-assisted thyroid surgery: technique and results of a preliminary experience on the Da Vinci Xi platform

Robotic thyroidectomy by transaxillary approach (RATS) is regarded as a feasible and safe alternative procedure in selected patients with benign disease or thyroid cancer of low risk, facilitating thyroidectom...

Authors: Francesco Paolo Prete, Rinaldo Marzaioli, Serafina Lattarulo, Daniele Paradies, Graziana Barile, Maria Vittoria d’Addetta, Giovanni Tomasicchio, Angela Gurrado and Angela Pezzolla

Rate of intraoperative problems during sacroiliac screw removal: expect the unexpected

The indications for sacroiliac screw (SI) removal have been under debate. Data on complication rates of SI screw removal is missing in the current literature. The objective of this study was to compare the rat...

Authors: Georg Osterhoff, Jonas Noser, Kai Sprengel, Hans-Peter Simmen and Clément M. L. Werner

Survival after lobectomy versus sub-lobar resection in elderly with stage I NSCLC: a meta-analysis

We present a critical comparison of lobectomy and sub-lobar resection in elderly patients with early stage non-small cell lung cancer using meta-analytical techniques.

Authors: Siyuan Dong, Steven A. Roberts, Shuang Chen, Xinwen Zhong, Shize Yang, Xiaohan Qu and Shun Xu

Endoscopic vacuum therapy for postoperative esophageal leak

Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the eff...

Authors: Yang Won Min, Taewan Kim, Hyuk Lee, Byung-Hoon Min, Hong Kwan Kim, Yong Soo Choi, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim, Jae Ill Zo and Young Mog Shim

A modified technique of single-incision laparoscopic hepaticojejunostomy for children with choledochal cysts

To present a modified laparoscopic surgical technique that works to optimize the surgical view in laparoscopic total excision of choledochal cyst in pediatric patients.

Authors: Di Xu, Kunbin Tang and Shaohua He

Successful treatment of pathologic femoral shaft fracture associated with large arteriovenous malformations using a 3-dimensional external fixator and teriparatide: a case report

Arteriovenous malformations (AVMs) are rare congenital vascular lesions associated with early quiescence, late expansion, and, ultimately, infiltration and destruction of local soft tissue and bone. The extrem...

Authors: Akihiko Takeuchi, Hidenori Matsubara, Norio Yamamoto, Katsuhiro Hayashi, Shinji Miwa, Kentaro Igarashi, Hiroyuki Inatani and Hiroyuki Tsuchiya

New dedicated blunt straight needles and sutures for uterine compression sutures: a retrospective study and literature review

We developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpart...

Authors: Shinya Matsuzaki, Masayuki Endo, Takuji Tomimatsu, Satoshi Nakagawa, Satoko Matsuzaki, Tatsuya Miyake, Tsuyoshi Takiuchi, Aiko Kakigano, Kazuya Mimura, Yutaka Ueda and Tadashi Kimura

A scoping review comparing two common surgical approaches to the hip for hemiarthroplasty

Hemiarthroplasty for hip fracture is a common surgical procedure. A number of distinct approaches are used to access the hip joint. The most commonly used are the direct lateral approach (DLA), and the posteri...

Authors: James Fullam, Paraskevas G. Theodosi, John Charity and Victoria A. Goodwin

A phase II study of intraoperative radiotherapy using a low-energy x-ray source for resectable pancreatic cancer: a study protocol

The current standard treatment for resectable pancreatic cancer is surgical resection followed by adjuvant chemotherapy. Local recurrence rates are high even after curative resection; thus, the long-term outco...

Authors: Jun Won Kim, Yeona Cho, Hyung Sun Kim, Won Hoon Choi, Joon Seong Park and Ik Jae Lee

A comparative study of intraoral versus retromandibular approach in the management of subcondylar fracture

The purpose of this study was to compare the outcomes and effectiveness between intraoral approach and retromandibular approach for treatment of subcondylar fracture of mandible.

Authors: Seung Min Nam, Yong Bae Kim, Sun Jae Lee, Eun Soo Park and Jang Hyun Lee

Alveolar soft part sarcoma metastatic to the breast: a case report

Alveolar soft part sarcoma (ASPS) is an extremely rare neoplasm that tends to occur in the lower limbs of children and adolescents. Metastatic breast tumors constitute 0.5–2.0% of all malignant mammary neoplas...

Authors: Yuka Asano, Shinichiro Kashiwagi, Koji Takada, Sadao Tokimasa, Tsutomu Takashima, Masahiko Ohsawa, Kosei Hirakawa and Masaichi Ohira

A three-dimensional printed porous implant combined with bone grafting following curettage of a subchondral giant cell tumour of the proximal tibia: a case report

Subchondral bone is commonly affected in cases of giant cell tumour (GCT) of the proximal tibia. Numerous studies have stated that retaining a sufficient subchondral bone layer could decrease the possibilities...

Authors: Minxun Lu, Jie Wang, Fan Tang, Li Min, Yong Zhou, Wenli Zhang and Chongqi Tu

Therapeutic effect of a temporary transpyloric stent in refractory post-surgical gastroparesis: a case report

Gastroparesis is a syndrome characterized by delayed gastric emptying with associated symptoms. It was reported that the symptoms of diabetic gastroparesis had been greatly improved by transpyloric stent place...

Authors: Guo-Gang Liang, Qing-Kai Zhang, Gui-Xin Zhang and Mu-Cang Liu

Management of subdural effusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: a case report

Subdural effusion with hydrocephalus (SDEH) is a rare complication of traumatic brain injury, especially following decompressive craniectomy (DC) for posttraumatic cerebral infarction. The diagnosis and treatm...

Authors: Ruhong Wu, Yun Ye, Tao Ma, Geng Jia and Huaping Qin

Simultaneous combined anterior and posterior approach for en bloc resection of sciatic notch sarcomas

Monobloc resection of soft tissue sarcomas (STSs) has a major impact on overall survival and local recurrence. Anatomical boundaries, such as the sciatic notch, increase the risk of fragmentation of the lesion...

Authors: Elodie Gaignard, Dimitri Tzanis, Toufik Bouhadiba, David C. Kieser, Fabien Robin, Damien Bergeat, Bernard Meunier and Sylvie Bonvalot

Hepatic hypertrophy and hemodynamics of portal venous flow after percutaneous transhepatic portal embolization

Percutaneous transhepatic portal embolization (PTPE) is useful for safe major hepatectomy. This study investigated the correlation between hepatic hypertrophy and hemodynamics of portal venous flow by ultrasou...

Authors: Shingo Shimada, Toshiya Kamiyama, Hideki Yokoo, Tatsuya Orimo, Kenji Wakayama, Akihisa Nagatsu, Tatsuhiko Kakisaka, Hirofumi Kamachi, Daisuke Abo, Yusuke Sakuhara and Akinobu Taketomi

Emergency inguinal hernioplasties in a tertiary public Hospital in Athens Greece, during the economic crisis

Although the effect of the recent Greek economic crisis and austerity on the population’s health and the health system effectiveness have been discussed a lot recently, data on common surgical conditions affec...

Authors: Ioannis G. Karavokyros, George I. Kirkilessis, Demetrios Schizas, Georgios Chelidonis, Emmanouil Pikoulis and John Griniatsos

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Hepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for l...

Authors: Haimin Chen, Qingsong Wu, Hongcai Fang, Bo Liang and Lu Fang

Intrahepatic bile duct exploration lithotomy is a useful adjunctive hepatectomy method for bilateral primary hepatolithiasis: an eight-year experience at a single centre

To evaluate the perioperative and long-term results of intrahepatic bile duct exploration lithotomy (IHBDIL) combined with hepatectomy for patients with complicated bilateral primary hepatolithiasis.

Authors: En-liang Li, Rong-fa Yuan, Wen-jun Liao, Qian Feng, Jun Lei, Xiang-bao Yin, Lin-quan Wu and Jiang-hua Shao

Effect of restrictive fluid therapy with hydroxyethyl starch during esophagectomy on postoperative outcomes: a retrospective cohort study

To improve prognosis after esophageal surgery, intraoperative fluid optimization is important. Herein, we hypothesized that hydroxyethyl starch administration during esophagectomy reduce the total amount of fl...

Authors: Jun-Young Jo, Wook-Jong Kim, Dae-Kee Choi, Hyeong Ryul Kim, Eun-Ho Lee and In-Cheol Choi

Radiation-induced thoracic necrosis with a pulmonary cutaneous fistula repaired using a free omental flap: a case report

Chest wall necrosis can manifest as a late effect of radiation therapy for breast cancer. Only two cases of fistulas communicating with the respiratory tract as a result of radiation-induced necrosis of the lu...

Authors: Ryuichi Azuma, Masahito Kajita, Satoshi Kubo and Tomoharu Kiyosawa

Bronchial angiolipoma successfully treated by sleeve resection of the right bronchus intermedius: a case report

Angiolipoma is a rare, benign tumor that primarily develops in the limbs and trunk. The occurrence of angiolipoma in the lungs is extremely rare; to date, only two cases of primary bronchial angiolipoma have b...

Authors: Satoshi Kamata, Itaru Ishida, Takafumi Sugawara, Hiroshi Yaegashi and Hiroyuki Oura

Assessement of postoperative long-term survival quality and complications associated with radical antegrade modular pancreatosplenectomy and distal pancreatectomy: a meta-analysis and systematic review

This study evaluated the perioperative complications and the long-term pancreatic survival outcomes in patients treated with radical antegrade modular pancreatosplenectomy (RAMPS) and distal pancreatectomy (DP).

Authors: Quanyu Zhou, Fengwei-Gao, Jie Gong, Qingyun Xie, Yu Liu, Qing Wang and Zehua Lei

Utilizing real-time contrast medium to detect the fistula of giant spinal arachnoid cyst and treat with minimal invasive surgery

Spinal arachnoid cysts are rare and have varied clinical manifestations depending on the affected spinal region and nerve roots. A complete cyst excision with fistula closure is the first choice of treatment. ...

Authors: Guang-Yu Ying, Kai-Sheng Chang, Ya-Juan Tang, Chun-Yuan Cheng, Yong-Jian Zhu and Chien-Min Chen

Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit

Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negativ...

Authors: Ngee-Soon Lau, Nima Ahmadi and Deborah Verran

Technical considerations and outcomes for ileal ureter replacement: a retrospective study in China

Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China.

Authors: Wenlong Zhong, Peng Hong, Guangpu Ding, Kunlin Yang, Xuesong Li, Junsheng Bao, Guochang Bao, Liang Cui, Changping Men, Zhe Li, Peng Zhang, Ning Chu and Liqun Zhou