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Early identification of patients with potential failure of nonoperative management for gastroduodenal peptic ulcer perforation. Dig. Surg. (IF 2.7) Pub Date : 2023-11-25 Toshimichi Kobayashi,Satoshi Tabuchi,Itsuki Koganezawa,Masashi Nakagawa,Kei Yokozuka,Shigeto Ochiai,Takahiro Gunji,Yosuke Ozawa,Toru Sano,Koichi Tomita,Naokazu Chiba,Eiji Hidaka,Shigeyuki Kawachi
INTRODUCTION We aimed to identify objective factors associated with failure of nonoperative management (NOM) of gastroduodenal peptic ulcer perforation (GDUP) and establish a scoring model for early identification of patients in whom NOM of GDUP may fail. METHODS A total of 71 patients with GDUP were divided into NOM (cases of NOM success) and operation groups (cases requiring emergency operation or
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Serum creatinine and amylase in drain to predict pancreatic fistula risk after pancreatoduodenectomy. Dig. Surg. (IF 2.7) Pub Date : 2023-10-20 Yunda Song,Subo Zhang
INTRODUCTION The identification of patients with low risk of clinically relevant postoperative pancreatic fistula (CR-POPF) and postoperative hemorrhage (PPH) can guide drain removal after pancreatoduodenectomy (PD). However, drain fluid amylase (DFA) ≤ 5000 U/L on postoperative day (POD) 1 does not robustly predict the absence of CR-POPF. METHODS Consecutive patients undergoing PD at Sun Yat-sen University
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The Role of Hepatobiliary Scintigraphy as the Initial Investigative Modality for Significant Bile Leak following Laparoscopic Cholecystectomy. Dig. Surg. (IF 2.7) Pub Date : 2023-09-25 Amitai Bickel,Ron Lagrissi,Jacqueline Jerushalmi,Wisam Sbeit,Michael Weiss,Moshe Shiller,Samer Ganam,Eli Kakiashvili
INTRODUCTION Currently, the rate of bile duct injury and leak following laparoscopic cholecystectomy (LC) is still higher than for open surgery. Diverse investigative algorithms were suggested for bile leak, shifting from hepatobiliary scintigraphy (HBS) toward invasive and more sophisticated means. We aimed to analyze the use of biliary scan as the initial modality to investigate significant bile
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CT-defined body composition as prognostic parameter in acute mesenteric ischemia. Dig. Surg. (IF 2.7) Pub Date : 2023-09-14 Christoph Schwartner,Matthias Mehdorn,Ines Gockel,Manuel Florian Struck,Jakob Leonhardi,Markus Rositzka,Sebastian Ebel,Timm Denecke,Hans-Jonas Meyer
INTRODUCTION Body composition comprising Low-skeletal muscle mass (LSMM) and subcutaneous and visceral adipose tissue (SAT and VAT) can be assessed by using cross-sectional imaging modalities. Aim of this study was to analyze possible associations of body composition parameters on mortality in patients with clinically suspected acute mesenteric ischemia (AMI). METHODS Overall, 137 patients (52 female
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Proposal of the second cutoff of serum carcinoembryonic antigen levels to stratify patients into low, intermediate, and high risks at recurrences after curative resection of gastric cancer. Dig. Surg. (IF 2.7) Pub Date : 2023-09-12 Bin Sato,Mitsuro Kanda,Seiji Ito,Yoshinari Mochizuki,Hitoshi Teramoto,Kiyoshi Ishigure,Toshifumi Murai,Takahiro Asada,Akiharu Ishiyama,Hidenobu Matsushita,Koki Nakanishi,Dai Shimizu,Chie Tanaka,Michitaka Fujiwara,Kenta Murotani,Yasuhiro Kodera
INTRODUCTION Carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) are widely used for various cancers, with the cut-off values of 5.0 ng/mL and 37.0 IU/mL, respectively. However, these cutoff values are not for specific diseases or purposes but are uniformly used for any disease and any purpose . It is also unclear as to whether patients are at equal risk of recurrence if they are
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Hepatic Artery Anomalies in Pancreaticoduodenectomy: Outcomes from a High-Volume Center. Dig. Surg. (IF 2.7) Pub Date : 2023-09-12 Isabella Frigerio,Giulia Capelli,Valentina Chiminazzo,Gaya Spolverato,Giulia Lorenzoni,Silvia Mancini,Alessandro Giardino,Paolo Regi,Roberto Girelli,Giovanni Butturini
Introduction Hepatic artery anomalies (HAA) and may have an impact on surgical and oncological outcomes of patients undergoing pancreaticoduodenectomy (PD). Methods Patients undergone PD at our Institution between July 2015 and January 2020 were retrospectively reviewed and classified into two groups: Group 1, presence of HAA and Group 2, no HAA. A weighted logistic regression model employed to assess
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Thyroid incidentalomas; incidence and oncological implication in patients with esophageal cancer. Dig. Surg. (IF 2.7) Pub Date : 2023-09-07 Jasmijn R van Doesburg,Marianne C Kalff,Daan M Voeten,Anton F Engelsman,Saskia Jol,Mark I van Berge Henegouwen,Freek Daams,Suzanne S Gisbertz
Thyroid incidentalomas are often encountered during imaging performed for the workup of esophageal cancer. Their oncological significance is unknown. This study aimed to establish incidence and etiology of thyroid incidentalomas found during the diagnostic workup of esophageal cancer. All esophageal cancer patients referred to or diagnosed in the Amsterdam UMC between January 2012 and December 2016
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Level of Inferior Mesenteric Artery Ligation in Sigmoid Colon and Rectal Cancer Surgery: Analysis of Apical Lymph Node Metastasis and Recurrence. Dig. Surg. (IF 2.7) Pub Date : 2023-08-07 Yuya Nakamura,Tadayoshi Yamaura,Yousuke Kinjo,Kazu Harada,Makoto Kawase,Yusuke Kawabata,Satoshi Kanto,Yasumasa Ogo,Nobukazu Kuroda
INTRODUCTION Whether high or low ligation of the inferior mesenteric artery (IMA) is optimal for treating sigmoid colon and rectal cancers is controversial. The present study aimed to compare outcomes of high and low ligation of the IMA and determine the adequate extent of IMA lymph node dissection. METHODS Subjects were 455 consecutive stage I-III colorectal cancer patients who underwent curative
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Impact of Sarcopenic Obesity on Severe Postoperative Complications in Patients with Gastric Cancer Undergoing Gastrectomy. Dig. Surg. (IF 2.7) Pub Date : 2023-08-01 Shunsuke Yamagishi,Yukiyasu Okamura,Woodae Kang,Masataka Shindate,Mitsugu Kochi,Yusuke Mitsuka,Megumu Watabe,Nao Yoshida,Masahito Ikarashi,Shintaro Yamazaki,Osamu Aramaki,Hisashi Nakayama,Masamichi Moriguchi,Tokio Higaki,Hiroharu Yamashita
INTRODUCTION Several studies have indicated that sarcopenia affects the short- and long-term outcomes of cancer patients, including those with gastric cancer. In recent years, sarcopenic obesity and its effects have been reported in cancer patients. This study aimed to evaluate the impact of sarcopenic obesity on postoperative complications in patients with gastric cancer undergoing gastrectomy. METHODS
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The Evaluation of Sarcopenia before Neoadjuvant Chemotherapy Is Important for Predicting Postoperative Pneumonia in Patients with Esophageal Cancer. Dig. Surg. (IF 2.7) Pub Date : 2023-07-27 Satoshi Nishi,Yuichiro Miki,Takumi Imai,Mikio Nambara,Hironari Miyamoto,Tatsuro Tamura,Mami Yoshii,Takahiro Toyokawa,Hiroaki Tanaka,Shigeru Lee,Kiyoshi Maeda
INTRODUCTION Sarcopenia is often observed in patients with esophageal cancer (EC). However, the influence of sarcopenia during neoadjuvant chemotherapy (NAC) on complications has not been fully investigated. Thus, we aimed to investigate the best way of evaluating sarcopenia for predicting complications, especially postoperative pneumonia (PP), in patients with EC undergoing NAC and esophagectomy.
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The Role of Biologic Mesh and Fundoplication in the Surgical Management of Hiatal Hernias: A Multicenter Evaluation. Dig. Surg. (IF 2.7) Pub Date : 2023-07-26 Cassandra Mohr,Hailie Ciomperlik,Naila Dhanani,Oscar A Olavarria,Craig Hannon,William Hope,Scott Roth,Mike K Liang,Julie L Holihan
INTRODUCTION Hiatal hernia repair is associated with substantial recurrence of both hiatal hernia and symptoms of gastroesophageal reflux (GER). While small randomized controlled trials demonstrate limited differences in outcomes with use of mesh or fundoplication type, uncertainty remains. METHODS A multicenter, retrospective review of patients undergoing surgical treatment of hiatal hernias between
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Other Pathologies Were Rarely Reported after Laparoscopic Surgery for Suspected Appendicitis: A Systematic Review and Meta-Analysis. Dig. Surg. (IF 2.7) Pub Date : 2023-07-18 Siri Rønholdt Henriksen,Jacob Rosenberg,Siv Fonnes
BACKGROUND Diagnostic laparoscopy is often used when a patient is suspected of having acute appendicitis. The aim of this study was to assess the rate of other pathologies found during diagnostic laparoscopy for suspected acute appendicitis. METHODS This systematic search included studies with ≥100 patients who received laparoscopy for suspected acute appendicitis and reported on the histopathologic
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Identifying Risk Factors of Complications following Total Gastrectomy for Gastric Cancer: Comparison between Splenectomy and Spleen-Preserving Surgery - A Supplementary Analysis of JCOG0110. Dig. Surg. (IF 2.7) Pub Date : 2023-07-17 Seiji Ito,Takeshi Sano,Junki Mizusawa,Masanori Tokunaga,Tadayoshi Hashimoto,Hiroshi Imamura,Shin Teshima,Koei Nihei,Makoto Yamada,Yasuhiro Choda,Kazuhiro Imamura,Shinji Hato,Masanori Terashima,Mitsuru Sasako
INTRODUCTION Splenectomy for proximal gastric cancer was found to offer no survival benefit in a randomized trial clarifying the role of splenectomy (JCOG0110 study). Although many studies have explored risk factors for morbidities following total gastrectomy, none have assessed the risk factors for postoperative complications in spleen-preserving total gastrectomy. METHODS Using data from 505 patients
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The "Weekday Effect" on Enhanced Recovery after Surgery Protocol for Gastrectomy. Dig. Surg. (IF 2.7) Pub Date : 2023-07-03 Jacopo Weindelmayer,Valentina Mengardo,Lorena Torroni,Maria Clelia Gervasi,Selma Hetoja,Carlo Alberto De Pasqual,Davide Simion,Simone Giacopuzzi
INTRODUCTION While enhanced recovery after surgery (ERAS) protocol demonstrated to improve outcomes after gastrectomy, some papers evidenced a detrimental effect on postoperative morbidity related to the "weekday effect." We aimed to understand whether the day of gastrectomy could affect postoperative outcomes and compliance with ERAS items. METHODS We included all patients that underwent gastrectomy
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Updating the Predictive Models for Mortality and Morbidity after Low Anterior Resection Based on the National Clinical Database. Dig. Surg. (IF 2.7) Pub Date : 2023-06-13 Kazushige Kawai,Shinya Hirakawa,Hisateru Tachimori,Taro Oshikiri,Hiroaki Miyata,Yoshihiro Kakeji,Yuko Kitagawa
INTRODUCTION We previously developed risk models for mortality and morbidity after low anterior resection using a nationwide Japanese database. However, the milieu of low anterior resection in Japan has undergone drastic changes since then. This study aimed to construct risk models for 6 short-term postoperative outcomes after low anterior resection, i.e., in-hospital mortality, 30-day mortality, anastomotic
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Usefulness of Preoperative Predictors of Pathological Complicated Appendicitis. Dig. Surg. (IF 2.7) Pub Date : 2023-06-07 Masahiro Shiihara,Yasuhiro Sudo,Norimasa Matsushita,Takeshi Kubota,Yasuhiro Hibi,Harushi Osugi,Tatsuo Inoue
INTRODUCTION Complicated appendicitis (CA) is often indicated for emergency surgery; however, preoperative predictors of pathological CA (pCA) remain unclear. Furthermore, characteristics of CA that can be treated conservatively have not yet been established. METHODS 305 consecutive patients diagnosed with acute appendicitis were reviewed. The patients were divided into two groups: an emergency surgery
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External Validation of Two Scoring Tools to Predict the Operative Duration and Open Conversion of Elective Laparoscopic Cholecystectomy in a Mexican Population. Dig. Surg. (IF 2.7) Pub Date : 2023-05-22 Gustavo Martínez-Mier,Daniel Mendez-Rico,José Manuel Reyes-Ruiz,Pedro Ivan Moreno-Ley,Victor Bernal-Dolores,Octavio Avila-Mercado
INTRODUCTION This study aimed to evaluate the use of laparoscopic cholecystectomy (LC) operative time (CholeS score) and conversion to an open procedure (CLOC score) outside their validation dataset in Mexican population. METHODS Patients >18 years who underwent elective LC were analyzed in a single-center retrospective chart review study. Association between scores (CholeS and CLOC) with operative
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Omentectomy as Part of Radical Surgery for Gastric Cancer: 5-Year Follow-Up Results of a Multicenter Prospective Cohort Study. Dig. Surg. (IF 2.7) Pub Date : 2023-05-10 Kammy Keywani,Alexander B J Borgstein,Djamila Boerma,Stijn van Esser,Wietse J Eshuis,Mark I Van Berge Henegouwen,Johanna van Sandick,Suzanne S Gisbertz
INTRODUCTION Curative therapy for gastric cancer usually consists of perioperative chemotherapy combined with a radical (R0) gastrectomy. In addition to a modified D2 lymphadenectomy, a complete omentectomy is recommended. However, there is little evidence for a survival benefit of omentectomy. This study presents the follow-up data of the OMEGA study. METHODS This multicenter prospective cohort study
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Significantly lower physical activity participation in individuals with chronic pancreatitis compared to controls: An exploratory study of objectively assessed physical activity levels Dig. Surg. (IF 2.7) Pub Date : 2023-04-21 Brenda Monaghan, Ann Monaghan, Qurat Ul Ain, Sinead N Duggan, Kevin C Conlon, John Gormley
Abstract Introduction The beneficial effects of exercise and physical activity (PA) have been demonstrated in many chronic inflammatory diseases. Knowledge on physical activity levels is unknown in the chronic pancreatitis population and there are currently no specific PA recommendations for this condition. Methods Physical activity was measured objectively over a 7- day period in 17 individuals with
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The effects of hospital volume on short-term outcomes of laparoscopic surgery for rectal cancer: A large-scale analysis of 37,821 cases on a nationwide administrative database Dig. Surg. (IF 2.7) Pub Date : 2023-03-22 Takuya Oba, Shinichi Tomioka, Norihiro Sato, Makoto Otani, Akiko Sakurai, Yasuki Akiyama, Jun Nagata, Takayuki Torigoe, Shinya Matsuda, Keiji Hirata
Introduction Laparoscopic low anterior resection (L-LAR) has become widely accepted for the treatment of rectal cancer. However, little is known about the superiority of L-LAR in a real-world setting (including low-volume hospitals) and the association between the short-term outcomes and hospital volume focusing on L-LAR. Methods This is a retrospective cohort study. A total of 37,821 patients who
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High Preoperative Platelet to Lymphocyte Ratio is Associated with a Greater Risk of Postoperative Complications and Hematogenous Recurrences in Esophageal Squamous Cell Carcinoma Patients Receiving Neoadjuvant Treatment Dig. Surg. (IF 2.7) Pub Date : 2023-03-09
Background. Neoadjuvant treatment is currently the gold standard for advanced esophageal squamous cell carcinoma (ESCC). Several studies have examined the value of blood count-based indexes for predicting short- and long-term outcomes after esophagectomy for ESCC, but the relative predictive value of pretreatment, preoperative, and postoperative indexes has not yet been examined. Methods. This study
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High Preoperative Platelet to Lymphocyte Ratio Is Associated with a Greater Risk of Postoperative Complications and Hematogenous Recurrences in Esophageal Squamous Cell Carcinoma Patients Receiving Neoadjuvant Treatment. Dig. Surg. (IF 2.7) Pub Date : 2023-03-09 Masahiro Sasahara,Mitsuro Kanda,Dai Shimizu,Hideki Takami,Yoshikuni Inokawa,Norifumi Hattori,Masamichi Hayashi,Chie Tanaka,Michitaka Fujiwara,Goro Nakayama,Yasuhiro Kodera
INTRODUCTION Neoadjuvant treatment is currently the gold standard for advanced esophageal squamous cell carcinoma (ESCC). Several studies have examined the value of blood count-based indexes for predicting short- and long-term outcomes after esophagectomy for ESCC, but the relative predictive value of pretreatment, preoperative, and postoperative indexes has not yet been examined. METHODS This study
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The impact of paratracheal lymphadenectomy on lymph node yield and short-term outcomes in esophagectomy for cancer: a nation-wide propensity score matched analysis Dig. Surg. (IF 2.7) Pub Date : 2023-03-07 B. Feike Kingma, Eliza R.C. Hagens, Mark I. Van Berge Henegouwen, Alicia S. Borggreve, Jelle P. Ruurda, Suzanne S. Gisbertz, Richard van Hillegersberg
Introduction: The balance between potential oncological merits and surgical risks is unclear for the additional step of performing paratracheal lymphadenectomy during esophagectomy for cancer. This study aimed to investigate the impact of paratracheal lymphadenectomy on lymph node yield and short-term outcomes in patients who underwent this procedure in The Netherlands. Methods: Patients who underwent
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Pathologic complete response after chemotherapy with atezolizumab plus bevacizumab for hepatocellular carcinoma with tumor thrombus in the main portal trunk Dig. Surg. (IF 2.7) Pub Date : 2023-02-27 Ken Kurisaki, Akihiko Soyama, Takanobu Hara, Hajime Matsushima, Hajime Imamura, Takayuki Tanaka, Tomohiko Adachi, Shinichiro Ito, Kengo Kanetaka, Masaaki Hidaka, Shinji Okano, Susumu Eguchi
We report a case of pathologic complete response after successful treatment for advanced hepatocellular carcinoma (HCC) complicated with portal venous tumor thrombus by atezolizumab and bevacizumab followed by radical resection. The patient was a male in his 60s. During follow-up for chronic hepatitis B, abdominal ultrasonography revealed a huge tumor located in the right lobe of the liver with the
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SYSTEMATIC REVIEW AND METANALYSIS OF CLINICAL OUTCOMES AFTER ENUCLEATION OF PANCREATIC METASTASES FROM RENAL CELL CARCINOMA. Dig. Surg. (IF 2.7) Pub Date : 2023-02-21 STEFANIA BROZZETTI, MARIAVITTORIA CARATI, Antonio V. Sterpetti
ABSTRACT. Introduction: A systematic review of the literature was carried out to determine the clinical and oncological outcome of patients who had enucleation of solitary pancreatic metastases from renal cell carcinoma. Methods: Operative mortality, postoperative complications, observed survival and disease free survival were analyzed. The clinical outcomes of patients who had enucleation were compared
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Revision of Vertical Banded Gastroplasty to Roux-En-Y Gastric Bypass with Two Years Follow Up Dig. Surg. (IF 2.7) Pub Date : 2023-02-15 Medhat Mohamed Helmy Khalil, Gad Behairy, Ahmed Farrag, Mohab G Elbarbary
Background Due to weight regain and GIT symptoms associated with Vertical banded gastroplasty (VBG) revisional surgery is necessary, Roux-en-Y gastric bypass (RYGB) is one of the best options as a revision procedure but comes with a high complication rate. Methods This prospective study included eighty patients undergoing Roux-en-Y gastric bypass surgery at Ain Shams University Hospitals after failed
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Early versus delayed minimally invasive intervention for acute necrotizing pancreatitis: An updated systematic review and meta-analysis Dig. Surg. (IF 2.7) Pub Date : 2023-02-07 Leilei Zhu, Jingyi Shen, Rongrong Fu, Xiaozhen Lu, Liwen Du, Ruihao Jiang, Mengting Zhang, Yetan Shi, Ke Jiang, Yongwei Shi
Background: Nowadays, minimally invasive intervention (MII) has largely replaced delayed open surgery in acute necrotizing pancreatitis (ANP). However, the timing of MII remains unclear. The present study investigated the effect of early versus delayed MII on complications in ANP. Methods: Studies evaluating the impact of the timing of MII on complications in ANP patients were thoroughly searched on
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Intake of acetylsalicylic acid and high age are risk factors for iron deficiency anemia in patients with large diaphragmatic hernias Dig. Surg. (IF 2.7) Pub Date : 2023-02-07 Christoph G. Dietrich, Tanja Kottmann, Annette Holtdirk, Joachim W. Heise
Introduction: In 15% of patients with iron deficiency anemia, large diaphragmatic hernias are found as the cause of chronic iron loss. Conversely, iron deficiency anemia is present in 10-40% of diaphragmatic hernia patients. However, it is unclear why some patients with large diaphragmatic hernias develop anemia and others do not. Methods: We retrospectively analyzed 116 patients with diaphragmatic
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Treatment of EGJ Cancer within or outside clinical trials: Does the setting matter? A monocentric prospective observational study. Dig. Surg. (IF 2.7) Pub Date : 2023-01-25 Simone Giacopuzzi, Lorena Torroni, Maria Bencivenga, Jacopo Weindelmayer, Maria Clelia Gervasi, Giuseppe Verlato, Michele Pavarana, Gabriella Rossi, Giovanni de Manzoni
Introduction. RCTs support neoadjuvant chemoradiotherapy (nCRT) followed by surgery in Locally Advanced Esophago-Gastric Junction (LA-EGJ) adenocarcinoma. However, RCTs are performed in highly controlled settings with limited representativeness of real-life patients (RLS). Aim: To compare the outcomes in RLS and clinical trial settings. Methods. The outcomes of RLS, which comprised 125 patients consequently
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Management strategy for gallbladder polypoid lesions: results of a 5-year single-centre cohort study Dig. Surg. (IF 2.7) Pub Date : 2023-01-25
Introduction: Controversy remains about the classification, differential diagnosis, and treatment strategy for gallbladder polypoid lesions (GPLs). This study sought to explore the individualized treatment strategy for GPLs. Methods: We retrospectively studied 642 consecutive patients with GPLs from January 2015 to May 2020. Univariate and multivariable analyses were performed to explore the potential
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Safety and efficacy of laparoscopic surgery versus open surgery in elderly patients with colon cancer: a propensity score matching cohort study Dig. Surg. (IF 2.7) Pub Date : 2023-01-25 Chao Wang, Lin Gan, Kewei Jiang, Zhidong Gao, Yingjiang Ye
Introduction: The safety of laparoscopic surgery (LS) and its effect on survival have not been sufficiently assessed in elderly colon cancer patients. Methods: Clinicopathologic data of patients aged ≥ 75 years who underwent colectomies for primary colon cancer, between January 2018 and June 2021, were reviewed. Patients were divided into LS and open surgery (OS) groups according to the intention-to-treat
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Pancreatic anastomosis in robotic-assisted pancreaticoduodenectomy: different surgical techniques Dig. Surg. (IF 2.7) Pub Date : 2023-01-20 Matteo De Pastena, Elisa Bannone, Elena Andreotti, Chiara Filippini, Marco Ramera, Alessandro Esposito, Roberto Salvia
Robot-assisted pancreatoduodenectomy (R-PD) may provide challenges but potential benefits for pancreatic-enteric anastomosis fashioning. Despite numerous trials comparing different pancreatic-enteric anastomosis techniques, an ideal method is still missing. This study aims to describe different management strategies and surgical techniques of standardized pancreatic-enteric anastomoses during an R-PD
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Laparoscopic versus open approach for Siewert-type II/III adenocarcinoma of the esophagogastric junction: A systematic review and meta-analysis Dig. Surg. (IF 2.7) Pub Date : 2023-01-04 Ming Wu, Wei Zhang, Yan-Yang Song
Introduction Due to the specific location, the potential advantages of laparoscopic gastrectomy (LG) compared with open gastrectomy (OG) for Siewert II/III adenocarcinoma of the esophagogastric junction (AEG) remain uncertain. The current study aimed to compare the short- and long-term outcomes of LG versus OG in treating Siewert type II/III adenocarcinoma. Methods We searched PubMed, Embase, Web of
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Endoscopic Stenting for Malignant Left-Sided Large-Bowel Obstruction in Patients with Colorectal Cancer: Evaluation According to Pathological Stage Dig. Surg. (IF 2.7) Pub Date : 2022-11-21 Yoon Oh, Sunseok Yoon, Sun Gyo Lim, Seung Yeop Oh
Introduction: Self-expanding metallic stents (SEMS) are widely used in patients with malignant left-sided large-bowel obstruction (MLLO) to convert an emergency situation to an elective one. However, the effects of endoscopic stenting on oncologic outcomes remain unclear. This study aimed to analyze the oncologic outcomes of SEMS placement in patients with MLLO stratified by pathological stage. Methods:
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Endoscopic Stenting for Malignant Left-Sided Large-Bowel Obstruction in Patients with Colorectal Cancer: Evaluation According to Pathological Stage Dig. Surg. (IF 2.7) Pub Date : 2022-11-21
Introduction: Self-expanding metallic stents (SEMS) are widely used in patients with malignant left-sided large-bowel obstruction (MLLO) to convert an emergency situation to an elective one. However, the effects of endoscopic stenting on oncologic outcomes remain unclear. This study aimed to analyze the oncologic outcomes of SEMS placement in patients with MLLO stratified by pathological stage. Methods:
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Hybrid laparo-endoscopic resection of submucosal cardial tumors assisted by flexible articulated instruments Dig. Surg. (IF 2.7) Pub Date : 2022-11-15 Federico Llanos, Matias Turchi, Mauricio Ramirez, Franco Badaloni, Fabio Nachman, Alejandro Nieponice
We report a new surgical method in 10 patients that underwent hybrid laparo-endoscopic resection (HLER) of submucosal tumors with the combination of flexible articulated laparoscopic instruments (FALI). We have assessed technical reproducibility, safety and morbidity. Resection was completed in all cases. Mean surgical time was 60 minutes (30-85). Median tumor size was 16 mm (12-30). The more frequent
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Hybrid laparo-endoscopic resection of submucosal cardial tumors assisted by flexible articulated instruments Dig. Surg. (IF 2.7) Pub Date : 2022-11-15
We report a new surgical method in 10 patients that underwent hybrid laparo-endoscopic resection (HLER) of submucosal tumors with the combination of flexible articulated laparoscopic instruments (FALI). We have assessed technical reproducibility, safety and morbidity. Resection was completed in all cases. Mean surgical time was 60 minutes (30-85). Median tumor size was 16 mm (12-30). The more frequent
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Reply to letter to the editor “Re: Identification of Preoperative Risk Factors for Poor Survival in Patients with Resectable Pancreatic Cancer Treated with Upfront Surgery” Dig. Surg. (IF 2.7) Pub Date : 2022-10-31 Naru Kondo
Preoperative biliary drainage is commonly performed in Japan for patients with cancer of the pancreatic head accompanied by obstructive jaundice due to concerns about liver dysfunction, susceptibility to infection, and hemorrhagic tendency. Therefore, biliary drainage was performed for all patients with preoperative obstructive jaundice in this study. Given the purpose of identifying preoperative risk
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Reply to letter to the editor “Re: Identification of Preoperative Risk Factors for Poor Survival in Patients with Resectable Pancreatic Cancer Treated with Upfront Surgery” Dig. Surg. (IF 2.7) Pub Date : 2022-10-31
Preoperative biliary drainage is commonly performed in Japan for patients with cancer of the pancreatic head accompanied by obstructive jaundice due to concerns about liver dysfunction, susceptibility to infection, and hemorrhagic tendency. Therefore, biliary drainage was performed for all patients with preoperative obstructive jaundice in this study. Given the purpose of identifying preoperative risk
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Enterotomy closure after minimally invasive distal gastrectomy with intracorporeal anastomosis: a multicentric study. Dig. Surg. (IF 2.7) Pub Date : 2022-10-05 Marco Milone, Sara Vertaldi, Marie Sophie Alfano, Antonino Agrusa, Gabriele Anania, Gian Luca Baiocchi, Pietro Paolo Bianchi, Alberto Biondi, Umberto Bracale, Salvatore Buscemi, Matteo Chiozza, Francesco Corcione, Domenico D'Ugo, Maurizio Degiuli, Giuseppe De Simone, Ugo Elmore, Federica Galli, Giuseppe Giuliani, Pietro Maida, Francesco Maione, Michele Manigrasso, Giampaolo Marte, Stefano Olmi, Stefano
Introduction: Despite progressive improvements in technical skills and instruments have facilitate surgeons to perform intracorporeal gastro-jejunal and jejuno-jejunal anastomoses, one of the big challenging task is handsewn knot tying. We analysed the better way to fashion an handsewn intracorporeal enterotomy closure after a stapled anastomosis. Methods: All 579 consecutive patients from January
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Enterotomy closure after minimally invasive distal gastrectomy with intracorporeal anastomosis: a multicentric study. Dig. Surg. (IF 2.7) Pub Date : 2022-10-05
Introduction: Despite progressive improvements in technical skills and instruments have facilitate surgeons to perform intracorporeal gastro-jejunal and jejuno-jejunal anastomoses, one of the big challenging task is handsewn knot tying. We analysed the better way to fashion an handsewn intracorporeal enterotomy closure after a stapled anastomosis. Methods: All 579 consecutive patients from January
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Robotic Spleen-Preserving Distal Pancreatectomy with Preservation of Splenic Vessels Using the Gastrohepatic Ligament Approach: The Superior Window Approach in the Kimura Technique Dig. Surg. (IF 2.7) Pub Date : 2022-09-28 Kosei Takagi, Ryuichi Yoshida, Yuzo Umeda, Tomokazu Fuji, Kazuya Yasui, Takahito Yagi, Toshiyoshi Fujiwara
Minimally invasive spleen-preserving distal pancreatectomy (SPDP) is technically challenging, and only a few reports have described surgical approaches for minimally invasive SPDP. This report demonstrates our novel gastrohepatic ligament approach in robotic SPDP with preservation of the splenic vessels (the superior window approach in the Kimura technique). Our gastrohepatic ligament approach for
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Robotic Spleen-Preserving Distal Pancreatectomy with Preservation of Splenic Vessels Using the Gastrohepatic Ligament Approach: The Superior Window Approach in the Kimura Technique Dig. Surg. (IF 2.7) Pub Date : 2022-09-28
Minimally invasive spleen-preserving distal pancreatectomy (SPDP) is technically challenging, and only a few reports have described surgical approaches for minimally invasive SPDP. This report demonstrates our novel gastrohepatic ligament approach in robotic SPDP with preservation of the splenic vessels (the superior window approach in the Kimura technique). Our gastrohepatic ligament approach for
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Quality of life after minimally invasive esophagectomy: a cross-sectional study Dig. Surg. (IF 2.7) Pub Date : 2022-09-01 Elke Van Daele, Eefje Stuer, Hanne Vanommeslaeghe, Wim Ceelen, Piet Pattyn, Eva Pape
Introduction: Surgery remains essential in the curative treatment of esophageal cancer (EC), but it is known for its high morbidity and impaired health-related QoL. Minimally invasive esophagectomy (MIE) was introduced to reduce surgical trauma and improve QoL. Methods: This cross-sectional study aimed to evaluate long-term HRQoL after MIE in comparison to the general population. HRQoL assessment was
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Quality of Life after Minimally Invasive Esophagectomy: A Cross-Sectional Study Dig. Surg. (IF 2.7) Pub Date : 2022-09-01
Introduction: Surgery remains essential in the curative treatment of esophageal cancer (EC), but it is known for its high morbidity and impaired health-related QoL. Minimally invasive esophagectomy (MIE) was introduced to reduce surgical trauma and improve QoL. Methods: This cross-sectional study aimed to evaluate long-term HRQoL after MIE in comparison with the general population. HRQoL assessment
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Postoperative antibiotics and time to reach discharge criteria after appendectomy for complex appendicitis Dig. Surg. (IF 2.7) Pub Date : 2022-08-30 Anne Loes van den Boom, Elisabeth M.L. de Wijkerslooth, Louis J.X. Giesen, Charles C. van Rossem, Boudewijn R. Toorenvliet, Bas P.L. Wijnhoven
Introduction Postoperative antibiotic treatment is indicated for 3 – 5 days following appendectomy for complex appendicitis. However, meeting discharge criteria may allow for safe discontinuation of antibiotics and discharge. This study assessed the association between time to reach discharge criteria and duration of postoperative antibiotic use and length of stay. Methods This is a multicenter retrospective
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Postoperative Antibiotics and Time to Reach Discharge Criteria after Appendectomy for Complex Appendicitis Dig. Surg. (IF 2.7) Pub Date : 2022-08-30
Introduction: Postoperative antibiotic treatment is indicated for 3–5 days following appendectomy for complex appendicitis. However, meeting discharge criteria may allow for safe discontinuation of antibiotics and discharge. This study assessed the association between time to reach discharge criteria and duration of postoperative antibiotic use and length of stay. Methods: This is a multicenter retrospective
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Long-term follow-up after surgery for chronic pancreatitis – a bicentric retrospective experience. Dig. Surg. (IF 2.7) Pub Date : 2022-08-02 Niccolò Surci, Claudio Bassi, Roberto Salvia, Giovanni Marchegiani, Luca Casetti, Giacomo Deiro, Christina Bergmann, Klaus Walenta, Dietmar Tamandl, Martin Schindl, Klaus Sahora, Jakob Mühlbacher
Introduction The impact of surgery on nutritional status, pancreatic function and symptoms of patients affected by chronic pancreatitis (CP) has not been unequivocally determined. This study aims to evaluate clinical follow-up after surgery for CP in an Italian-Austrian population. Materials and Methods Patients operated for CP at two high-volume centers between 2000 and 2018 were analysed. The following
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Long-Term Follow-Up after Surgery for Chronic Pancreatitis: A Bicentric Retrospective Experience Dig. Surg. (IF 2.7) Pub Date : 2022-08-02
Introduction: The impact of surgery on nutritional status, pancreatic function, and symptoms of patients affected by chronic pancreatitis (CP) has not been unequivocally determined. This study aimed to evaluate clinical follow-up after surgery for CP in an Italian-Austrian population. Materials and Methods: Patients operated for CP at two high-volume centers between 2000 and 2018 were analyzed. The
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Effect of First Assistant on Anastomotic Leakage after Rectal Cancer Surgery with Double-Stapling Anastomosis: A Propensity Score Matching Analysis Dig. Surg. (IF 2.7) Pub Date : 2022-07-26 Soo Young Lee, Sola Lee, Ook Song, Jaram Lee, Hyeong-min Park, Chang Hyun Kim, Hyeong Rok Kim
Background: Proper handling and firing of the circular stapler are important for secure anastomosis in rectal cancer surgery. This study aimed to investigate the association between the first assistant and anastomotic leakage (AL) after rectal cancer surgery with double-stapling anastomosis. Methods: Patients with primary rectal cancer who underwent low anterior resection with double-stapling anastomosis
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Effect of the First Assistant on Anastomotic Leakage after Rectal Cancer Surgery with Double-Stapling Anastomosis: A Propensity Score Matching Analysis Dig. Surg. (IF 2.7) Pub Date : 2022-07-26
Introduction: Proper handling and firing of the circular stapler are important for secure anastomosis in rectal cancer surgery. This study aimed to investigate the association between the first assistant and anastomotic leakage (AL) after rectal cancer surgery with double-stapling anastomosis. Methods: Patients with primary rectal cancer who underwent low anterior resection with double-stapling anastomosis
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Letter to “Identification of Preoperative Risk Factors for Poor Survival in Patients with Resectable Pancreatic Cancer Treated with Upfront Surgery” Dig. Surg. (IF 2.7) Pub Date : 2022-07-07 Harshit Verma, Ashesh Kumar Jha, Manoj Kumar, Prashant Kumar Singh, Anil Kumar, Shiv Shankar Paswan, Deepak Kumar
We read with great interest the article published recently in your esteemed journal. We would like to congratulate the authors on such an outstanding study to address the issue and attempt to objectify the high risk factors for poor survival. While reading this article, we came across few observations which require further elaboration for the benefit of the readers.
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Letter to “Identification of Pre-Operative Risk Factors for Poor Survival in Patients with Resectable Pancreatic Cancer Treated with Upfront Surgery” Dig. Surg. (IF 2.7) Pub Date : 2022-07-07
Dig Surg
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Measurement of body composition in pancreatic cancer: a systematic review, meta-analysis and recommendations for future study design. Dig. Surg. (IF 2.7) Pub Date : 2022-05-17 Oonagh M. Griffin, Yasir Bashir, Donal O'Connor, Joseph Peakin, Jean McMahon, Sinead Noelle Duggan, Justin Geoghegan, Kevin C. Conlon
Background/Objectives: Sarcopenia in pancreatic cancer may increase the risk of chemotherapy-related toxicity and post-operative morbidity. This systematic review and meta-analysis aimed to quantify the prevalence of sarcopenia in early stage pancreatic cancer. Methods: Relevant studies were identified using Ovid Medline and Elsevier Embase. Pooled estimates of prevalence rates (percentages) and corresponding
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The association between surgical patient selection and hospital variation in failure to cure in esophageal cancer surgery. A nation-wide cohort study. Dig. Surg. (IF 2.7) Pub Date : 2022-05-11 Daan M. Voeten, Pauline A.J. Vissers, Rob H.A. Verhoeven, Richard van Hillegersberg, Mark Ivo Van Berge Henegouwen
Introduction; Failure to cure describes: 1)non-resectional(‘open-close’) surgery, 2)non-radical surgery(R1-R2) and/or 3)postoperative mortality. This study aims to investigate whether hospitals offering surgery to a large proportion of patients have higher failure-to-cure rates than hospitals operating fewer patients. Methods; From the Netherlands Cancer Registry, all cT1-cT4a/cTx-any cN-cM0 esophageal