Articles

Robotic-assisted versus conventional laparoscopic-assisted total gastrectomy with D2 lymphadenectomy for advanced gastric cancer: short-term outcomes at a mono-institution

Robotic-assisted surgery, a developed technology, is becoming more and more accepted by surgeons. However, the comparison between robotic-assisted total gastrectomy (RATG) and conventional laparoscopy-assisted...

Authors: Shan-ping Ye, Jun Shi, Dong-ning Liu, Qun-guang Jiang, Xiong Lei, Hua Qiu and Tai-yuan Li

Is suturing of the bladder defect in benign Enterovesical fistula necessary?

Enterovesical fistula (EVF) is a abnormal connection between the intestine and the bladder. The aim of the study was to analyze whether closure of the defect in the bladder wall during surgery is always necess...

Authors: Ł. Dziki, M. Włodarczyk, A. Sobolewska-Włodarczyk, M. Mik, R. Trzciński, A. G. Hill and A. Dziki

The value of combined vein resection in pancreaticoduodenectomy for pancreatic head carcinoma: a meta-analysis

Although pancreaticoduodenectomy with vein resection (PDVR) is widely performed in selected patients with indications, its benefits remain controversial. In this meta-analysis, we evaluate the safety and effic...

Authors: Cheng Peng, Di Zhou, Lingjun Meng, Yanlong Cao, Hanwen Zhang, Zheng Pan and Chao Lin

Risk of pancreatic cancer in patients undergoing surgery for chronic pancreatitis

Chronic pancreatitis (CP) is considered to be a risk factor for pancreatic cancer. A retrospective study was conducted to evaluate the incidence of pancreatic cancer after surgery for CP and to determine the r...

Authors: Zhenjiang Zheng, Yonghua Chen, Chunlu Tan, Nengwen Ke, Binqing Du and Xubao Liu

A new device to prevent fascial retraction in the open abdomen – proof of concept in vivo

An open abdomen is often necessary for survival of patients after peritonitis, compartment syndrome, or in damage control surgery. However, abdominal wall retraction relieves delays and complicates abdominal w...

Authors: Roman Eickhoff, Maria Guschlbauer, Alexandra C. Maul, Christian D. Klink, Ulf P. Neumann, Michael Engel, Martin Hellmich, Anja Sterner-Kock and Christian F. Krieglstein

Impact of wound closure on fibular donor-site morbidity: a meta-analysis

Vascularized free fibular flaps have been the “workhorses” for reconstruction of many kinds of bone defects. Nevertheless, there is no consensus regarding the optimal wound closure method for fibular donor sit...

Authors: Hui Fang, Fayu Liu, Changfu Sun and Pai Pang

Multiple giant coronary artery aneurysms combined with right coronary artery-pulmonary artery fistula: a case report

The combination of multiple giant coronary artery aneurysms (CAAs) and right coronary artery (RCA) to pulmonary artery (PA) fistula is extremely rare and the patients with CAAs may suffer from several fatal co...

Authors: Jiayu Shen, Yang Zhou, Zhi Fang and Jia Hu

Functional outcomes after resections for low rectal tumors: comparison of Transanal with laparoscopic Total Mesorectal excision

Aim of this study was to evaluate functional outcomes of transanal total mesorectal excision (TaTME) in comparison to conventional laparoscopic approach (LaTME) in terms of low anterior resection syndrome (LARS).

Authors: Mateusz Rubinkiewicz, Piotr Zarzycki, Jan Witowski, Magdalena Pisarska, Natalia Gajewska, Grzegorz Torbicz, Michał Nowakowski, Piotr Major, Andrzej Budzyński and Michał Pędziwiatr

Identifying risk factors of recurrence for clinically node negative papillary thyroid carcinoma with pathologic N1a

Whether or not to perform prophylactic central lymph node dissection (CLND) in the case of clinically node-negative papillary thyroid cancer (PTC) is controversial. The purpose of this study was to investigate...

Authors: Young Jae Ryu, Jin Seong Cho, Min Ho Park and Jung Han Yoon

Pancreatitis following bariatric surgery

The laparoscopic Roux-en-Y gastric bypass (LRYGBP) is the second most performed bariatric surgical procedure. With the increasing number of patients undergoing bariatric surgery, the number of complications is...

Authors: Kiran Chandni Baran and Maurits de Brauw

An unusual case of intra orbital foreign body; diagnosis, management, and outcome: a case report

An orbitocranial injury with a penetrating Intraorbital Foreign Body (IOFB) is listed as a rare cause of penetrating trauma. Since this type of trauma is considered a surgical emergency, taking a thorough hist...

Authors: Farhad Mirzaei, Firooz Salehpour, Ghaffar Shokuhi, Touraj Asvadi Kermani, Sana Salehi and Sina Parsay

A score model based on pancreatic steatosis and fibrosis and pancreatic duct diameter to predict postoperative pancreatic fistula after Pancreatoduodenectomy

To establish a scoring model for the risk of postoperative pancreatic fistula (POPF) following pancreatoduodenectomy (PD).

Authors: Guo Xingjun, Zhu Feng, Yang Meiwen, Jiang Jianxin, He Zheng, Gao Jun, Huang Tao, Zhao Rui, Zhang Leida, Wang Min and Qin Renyi

A case of intussusception developed at the site of ileocolic anastomosis after laparoscopic right hemicolectomy

Intussusception is a relatively common condition seen in children. In comparison, adult intussusception is rare and usually occurs as a complication in patients with organic diseases. It is responsible for 1% ...

Authors: Tamuro Hayama, Yojiro Hashiguchi, Kohei Ohno, Yuka Okada, Kentaro Nemoto, Takahiro Yagi, Mitsuo Tsukamoto, Yoshihisa Fukushima, Tsuyoshi Ozawa, Ryu Shimada, Koichi Okamoto, Takeshi Tsuchiya, Keijiro Nozawa and Keiji Matsuda

A rare case of laparoscopy towards SLE with lupus mesenteric vasculitis induced ascites

Diagnosis and management of acute abdomen secondary to systematic lupus erythematosus (SLE) has always been a clinical challenge.

Authors: Kamleshsingh Shadhu, Dadhija Ramlagun and Xiaochun Ping

A standardized suprapubic bottom-to-up approach in robotic right colectomy: technical and oncological advances for complete mesocolic excision (CME)

Several studies have demonstrated a direct correlation between lymph node yield and survival after colectomy for cancer. Complete mesocolic excision (CME) in right colectomy (RC) reduces local recurrence but i...

Authors: Jan Schulte am Esch, Sergio-I. Iosivan, Fabian Steinfurth, Ammar Mahdi, Christine Förster, Ludwig Wilkens, Alaa Nasser, Hülya Sarikaya, Tahar Benhidjeb and Martin Krüger

Dementia in elderly patients undergoing early cholecystectomy for acute cholecystitis: a retrospective observational study

Dementia often adversely affects postoperative outcomes in surgical patients. This study evaluated postoperative outcomes among elderly patients with and without dementia undergoing early cholecystectomy for a...

Authors: Yasunori Nishida, Noriaki Otagiri, Seijiro Yoshifuku, Kenji Misawa, Kenju Ko, Kotaro Sasahara, Hirofumi Kishimoto, Osamu Mishima and Katsunori Tauchi

Arteriovenous malformations within jejunal diverticulosis: case report and literature review

Jejunal diverticula are the rarest of all small bowel diverticula. Most patients with jejunal diverticula are asymptomatic. Major complications include diverticulitis, gastrointestinal hemorrhage, intestinal o...

Authors: Tagleb S. Mazahreh, Abdelwahab J. Aleshawi, Mohammed S. Alorjani, Rasheed Elayyan and Nabil A. Al-Zoubi

Patterns and outcomes of patients with abdominal trauma on operative management from northern Tanzania: a prospective single centre observational study

The abdomen is one of the most commonly injured regions in trauma patients. Abdominal injury surgeries are common in Tanzania and in many parts of the world.

Authors: Shilanaiman Hilary Ntundu, Ayesiga M. Herman, Alfred Kishe, Heri Babu, Ola F. Jahanpour, David Msuya, Samuel G. Chugulu and Kondo Chilonga

Abdominal skin tensile strength in aesthetic and massive weight loss patients and its role in ventral hernia repair

Clarifying the biomechanics of abdominal skin could lead to different uses for this tissue such as the ventral repair of hernias in patients with excess skin and incisional hernias. The objective of this study...

Authors: Guilherme Barreiro, Vinícius S. de Lima and Leandro T. Cavazzola

Vascularized scapula and latissimus dorsi flap for CAD/CAM assisted reconstruction of mandibular defects including the mandibular condyle: technical report and clinical results

Reconstruction of mandibular continuity and function after tumor resection is challenging, particularly in cases including the mandibular condyle. Various approaches for reconstruction after disarticulation re...

Authors: Pit Jacob Voss, David Steybe, Marc Anton Fuessinger, Wiebke Semper-Hogg, Marc Metzger, Rainer Schmelzeisen and Philipp Poxleitner

Intradural non-calcified thoracic disc herniation causing spontaneous intracranial hypotension: a case report

Spontaneous intracranial hypotension (SIH) is a rare pathology caused by a cerebrospinal fluid (CSF) leak. If intractable by conventional methods (i.e. bedrest, analgesics, or epidural blood patching) it may l...

Authors: Michael Fiechter, Alexander Ott, Jürgen Beck, Astrid Weyerbrock and Jean-Yves Fournier

Treatment of large avulsion injury in perianal, sacral, and perineal regions by island flaps or skin graft combined with vacuum assisted closure

Traumatic avulsion injuries to the anus, although uncommon, can result in serious complications and even death. Management of anal avulsion injuries remains controversial and challenging. This study aimed to i...

Authors: Fu Xing Hu, Xiao Xuan Hu, Xue Lin Yang, Xing Hai Han, Yong Bo Xu, Kun Li, Li Yan and Hai Bo Chu

A case report of ectopic pancreatitis in an isolated enteric duplication cyst

Isolated enteric duplication cyst is an intestinal duplication cyst found in a distant location from the intestinal tract and it is said to have its own blood supply. Meckel’s diverticulm is considered as an a...

Authors: Yoshikazu Tanaka, Go Nakai, Hideki Tomiyama, Yoshitaka Kurisu and Yoshifumi Narumi

Resection of the urinary bladder for locally advanced colorectal cancer: a retrospective comparison of partial versus total cystectomy

The postoperative and survival outcomes of patients with primary advanced colorectal cancer who undergo partial versus total cystectomy have not been adequately compared, as studies of this topic are rare and ...

Authors: Akihiro Kondo, Takeshi Sasaki, Daichi Kitaguchi, Yuichiro Tsukada, Yuji Nishizawa and Masaaki Ito

Intraoperative tumor lysis syndrome in a giant teratoma: a case report

Tumor lysis syndrome is an unusual metabolic emergency in solid tumors. Perioperative occurrence of this syndrome is extremely rare but may have fatal consequences if not detected and treated on time.

Authors: Daniel Pindak, Katarina Rejlekova, Miroslav Tomas, Ramadan Aziri, Eva Rovenska, Judita Puskacova and Michal Mego

Analysis of outcomes and predictors of long-term survival following resection for retroperitoneal sarcoma

Retroperitoneal sarcomas (RPS) include a heterogeneous group of rare malignant tumours, and various treatment algorithms are still controversially discussed until today. The present study aimed to examine post...

Authors: Thomas Malinka, Maxim Nebrig, Fritz Klein, Johann Pratschke, Marcus Bahra and Andreas Andreou

Randomized controlled trial on Pringle Maneuver to reduce blood loss during stapler hepatectomy - PriMal StHep

Extended liver resections still bear the risk of severe haemorrhage. Moreover, the amount of blood loss during liver resection determines the need for perioperative blood transfusions and is of prognostic rele...

Authors: Philipp Houben, Ulf Hinz, Phillip Knebel, Markus K. Diener, Arianeb Mehrabi and Peter Schemmer

Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report

Bezoars are rare but may cause gastrointestinal obstruction and ulcers. To the best of our knowledge, only two cases of bezoars in the reconstructed gastric conduit have been reported, but there has been no re...

Authors: Keiichiro Hatoyama, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Chiaki Sato, Hiroshi Okamoto, Kai Takaya, Yu Onodera and Takashi Kamei

Laparoscopic fenestration for a large ruptured splenic cyst combined with an elevated serum carbohydrate antigen 19–9 level: a case report

Non-parasitic splenic cysts are associated with elevated serum carbohydrate antigen (CA) 19–9 levels. We report a case in which a 23-year-old female exhibited a large ruptured splenic cyst and an elevated seru...

Authors: Yoshitaka Imoto, Takahiro Einama, Makiko Fukumura, Keita Kouzu, Hiromi Nagata, Ayano Matsunaga, Mayumi Hoshikawa, Makoto Nishikawa, Akifumi Kimura, Takuji Noro, Suefumi Aosasa, Hideyuki Shimazaki, Hideki Ueno and Junji Yamamoto

Limb salvage surgery with joint preservation for malignant humeral bone tumors: operative procedures and clinical application

However, the application of limb salvage with joint preservation is controversial. The purpose of this study is to propose a selection strategy of joint-sparing operative procedures for humeral malignancies ba...

Authors: Jie Zhao, Ming Xu, Kai Zheng and Xiuchun Yu

Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature

Duodenal stump fistula (DSF) remains one of the most serious complications following subtotal or total gastrectomy, as it endangers patient’s life. DSF is related to high mortality (16–20%) and morbidity (75%)...

Authors: Maurizio Zizzo, Lara Ugoletti, Lorenzo Manzini, Carolina Castro Ruiz, Gabriela Elisa Nita, Magda Zanelli, Loredana De Marco, Giulia Besutti, Rocco Scalzone, Romano Sassatelli, Valerio Annessi, Antonio Manenti and Claudio Pedrazzoli

Laparoscopy versus open appendectomy for elderly patients, a meta-analysis and systematic review

Appendicitis in elderly patients is associated with increased risk of postoperative complications. The choice between laparoscopy and open appendectomy remains controversial in treating elderly patients with a...

Authors: Dayun Wang, Ting Dong, Yue Shao, Tingting Gu, You Xu and Yuan Jiang

Age-adjusted Charlson Comorbidity Index (ACCI) is a significant factor for predicting survival after radical gastrectomy in patients with gastric cancer

To assess the ability of the Age-Adjusted Charlson Comorbidity Index (ACCI) to predict survival after radical gastrectomy in patients with gastric cancer (GC).

Authors: Jian-Xian Lin, Ying-Qi Huang, Jian-Wei Xie, Jia-bin Wang, Jun Lu, Qi-Yue Chen, Long-long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ju-Li Lin, Ping Li, Chang-Ming Huang and Chao-Hui Zheng

Patterns of internet and social media use in colorectal surgery

Surgeons use the Internet and social media to provide health information, promote their clinical practice, network with clinicians and researchers, and engage with journal clubs and online campaigns. While sur...

Authors: Leonora E. Long, Christopher Leung, Jonathan S. Hong, Caroline Wright and Christopher J. Young

Treatment of late solidified hematoma in back donor site after breast reconstruction with latissimus dorsi flap: report of three cases

Late solidified hematoma is a rare complication of breast reconstruction with latissimus dorsi (LD) flap. The majority of hematomas occur in the immediate postoperative period; however, some cases can occur at...

Authors: Joon Seok Lee, Hyeon Jun Jeon, Jeeyeon Lee, Ho Yong Park and Jung Dug Yang

The benefits of extrinsic ligament release for potentially hemodynamically unstable pancreaticoduodenal arcade aneurysm with median arcuate ligament syndrome: a case report

A pancreaticoduodenal artery aneurysm (PDAA) occurring in close association with median arcuate ligament syndrome (MALS) is rare. A surgical procedure, such as median arcuate ligament (MAL) release, should be ...

Authors: Takero Terayama, Yoshihiro Tanaka, Shigeyoshi Soga, Hironori Tsujimoto, Yuya Yoshimura, Yasumasa Sekine, Shinji Akitomi and Hisashi Ikeuchi

Acute burst fracture in Kummell’s disease with acute onset neurological deficit: a case report on role of spinal stability and technical notes on “pivot ligamentotaxis”

Kummell’s Disease has insidious progression. Neurological deficit is usually slow in onset and progression and only few cases of acute neurological deficit have been reported. We came across a case of Kummell’...

Authors: Hyeun Sung Kim, Ravindra Singh, Nitin Maruti Adsul, Sung Woon Oh, Jung Hoon Noh, Jun Hwan Park, I. L. Tae Jang and Seong Hoon Oh

Clinical analysis of prophylactic cholecystectomy during gastrectomy for gastric cancer patients: a retrospective study of 1753 patients

Performance of gastrectomy in gastric cancer patients can lead to an increased incidence of cholecystolithiasis (CL) and a higher morbidity rate. However, the value of prophylactic cholecystectomy performed du...

Authors: Zhenhua Tan, Ping Xie, Hai Qian and Xing Yao

Prospective international multicenter observational study of Novosyn® Quick for skin closures in adults and children (SKINNOQ)

This clinical trial evaluated the performance of a newly released fast-absorbable braided synthetic suture (Novosyn® Quick) in adults and paediatric patients undergoing elective skin closures.

Authors: Stefan Gfroerer, Petra Baumann, Anne-Kathrin Schwalbach and Alexandre Smirnoff

Subxiphoid vs transthoracic approach thoracoscopic surgery for spontaneous pneumothorax: a propensity score-matched analysis

The transthoracic thoracoscopic surgery is currently accepted as a favorable technique for bullectomy for primary spontaneous pneumothorax. Recently, uniportal subxiphoid thoracoscopic surgery has been propose...

Authors: Liang Chen, Feng Liu, Bin Wang and Keping Wang

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

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

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

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

Focus on endocrine surgery

Authors: Giovanni Conzo

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