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The current application and evidence for robotic approach in abdominal surgery: A narrative literature review Scand. J. Surg. (IF 2.4) Pub Date : 2024-03-18 Niclas Dohrn, Stefan Kobbelgaard Burgdorf, Pieter de Heer, Mads Falk Klein, Kristian Kiim Jensen
The current application of robotic surgery is evolving at a high pace in the current years. The technical advantages enable several abdominal surgical procedures to be performed minimally invasive instead of open surgery. Furthermore, procedures previously performed successfully using standard laparoscopy are now performed with a robotic approach, with conflicting results. The present narrative review
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Stoma formation: An underestimated challenge in emergency surgery Scand. J. Surg. (IF 2.4) Pub Date : 2024-03-05 Tom Øresland, Johannes Kurt Schultz
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The impact of metastasectomy on survival of patients with synchronous metastatic renal cell cancer in Finland: A nationwide study Scand. J. Surg. (IF 2.4) Pub Date : 2024-03-04 Lauri Laru, Hanna Ronkainen, Pasi Ohtonen, Markku H. Vaarala
Background and objective:Most of the studies on metastasectomy in renal cell cancer are based on metachronous, often oligometastatic disease. Prior data on the impact of metastasectomy in synchronous metastatic renal cell cancer (mRCC) is, however, very scarce. We aimed to investigate the role of complete and incomplete metastasectomy in a large, nationwide patient population.Methods:We analyzed nationwide
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Clinical characteristics and outcomes of patients operated for primary hyperparathyroidism at Tampere University Hospital in 2017–2018 Scand. J. Surg. (IF 2.4) Pub Date : 2024-03-04 Jussi Tamski, Tommi Hakala, Heini Huhtala, Saara Metso
Background and objective:Studies on the outcomes of parathyroid surgery are scarce. The aim was to report the outcomes and to study the association between pre- and peri-operative information with the outcomes of patients operated for primary hyperparathyroidism.Methods:This was a retrospective, descriptive study with unselected patients treated surgically for primary hyperparathyroidism from a catchment
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Specimen tomosynthesis provides no additional value to specimen ultrasound in ultrasound-visible malignant breast lesions Scand. J. Surg. (IF 2.4) Pub Date : 2024-02-28 Sa’ed Almasarweh, Mazen Sudah, Hidemi Okuma, Sarianna Joukainen, Ritva Vanninen, Amro Masarwah
Background:The aim of this study was to evaluate the accuracy and added value of specimen tomosynthesis (ST) to specimen ultrasound (SUS) in margin assessment of excised breast specimens in breast-conserving therapy for non-palpable US-visible breast lesions.Materials:Between January 2018 and August 2019, all consecutive patients diagnosed with non-palpable breast cancer visible by ultrasound (US)
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Invited commentary: Training and generation of solid evidence are the shoulders of giants in robotic surgery Scand. J. Surg. (IF 2.4) Pub Date : 2024-02-28 José M. Balibrea, Jordi Tarascó, Pau Moreno
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Management and risk of upgrade of atypical ductal hyperplasia in the breast: A population-based retrospective cohort study Scand. J. Surg. (IF 2.4) Pub Date : 2024-02-28 Charlotta Wadsten, Gunilla Rask
Background:International guidelines recommend open surgery for atypical ductal hyperplasia (ADH) in the breast due to risk of underestimating malignant disease. Considering the ongoing randomized trials of active surveillance of low-risk ductal carcinoma in situ (DCIS), it seems reasonable to define a low-risk group of women with ADH where a conservative approach is appropriate. The aim here was to
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A retrospective cohort study on renal morbidity related to stoma type in inflammatory bowel disease patients following colectomy and ileal pouch-anal anastomosis surgery Scand. J. Surg. (IF 2.4) Pub Date : 2024-02-28 Simon Lundström, Pamela Buchwald, Erik Agger
Background and objective:Defunctioning loop ileostomy (DLI) is frequently used to decrease the consequences of anastomotic leak after ileal pouch-anal anastomosis (IPAA) surgery but is controversial because of stoma-associated morbidity. The aim of this study was to describe stoma-associated morbidity in IPAA–DLI patients compared with terminal ileostomy patients.Methods:Patients treated with colectomy
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Short- and long-term outcome after colon cancer resections performed by male and female surgeons: A single-center retrospective cohort study Scand. J. Surg. (IF 2.4) Pub Date : 2024-02-19 Jenny Engdahl, Astrid Öberg, Sandra Bech-Larsen, Henrik Bergenfeldt, Tomas Vedin, Marcus Edelhamre, Stefan Öberg
Background and objective:To assess the effect of surgeon sex on short- and long-term outcomes after colon cancer resections.Methods:Clinical data of patients who underwent colon cancer resections between 2010 and 2020 at Helsingborg Hospital, Sweden, were retrospectively obtained from medical records. The sex of the surgeon of each procedure was recorded. Morbidity, mortality, and long-term survival
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Surveillance after resection of pancreatic ductal adenocarcinoma: How to do it and what are the benefits? Scand. J. Surg. (IF 2.4) Pub Date : 2024-01-30 Roland Andersson, Daniel Ansari, Caj Haglund
Background and objective:Surveillance following resection with curative intent of pancreatic cancer varies widely, and supporting evidence is limited. Recurrence is although frequent, not at least during the first 2 years. Surveillance may be costly, but evidence on how this influences overall survival is not fully elucidated.Methods, Results:There are reports implying that signs of biological recurrence
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Peri-firing compression in prevention of pancreatic fistula after distal pancreatectomy: A systematic review and a cohort study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-11-20 Trond Kjeseth,Sheraz Yaqub,Bjørn Edwin,Dyre Kleive,Mushegh A Sahakyan
BACKGROUND/AIMS Clinically relevant postoperative pancreatic fistula (CR-POPF) after distal pancreatectomy (DP) occurs in 20%-40% of patients and remains a leading cause of morbidity and increased healthcare cost in this patient group. Recently, several studies suggested decreased risk of CR-POPF with the use of peri-firing compression (PFC) technique. The aim of this report was to conduct a systematic
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Current status and outlook of robotic surgery in the Nordic countries. Scand. J. Surg. (IF 2.4) Pub Date : 2023-11-16 John C F Glent,Ebbe B Thorgersen
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Surgical complications requiring late surgical revisions after pancreatoduodenectomy increase postoperative morbidity and mortality. Scand. J. Surg. (IF 2.4) Pub Date : 2023-11-14 Esther A Biesel,Simon Kuesters,Sophia Chikhladze,Dietrich A Ruess,Julian Hipp,Ulrich T Hopt,Stefan Fichtner-Feigl,Uwe A Wittel
BACKGROUND Pancreatoduodenectomies are complex surgical procedures with considerable postoperative morbidity and mortality. Here, we describe complications and outcomes in patients requiring surgical revisions following pancreatoduodenectomy. METHODS A total of 1048 patients undergoing a pancreatoduodenectomy at our institution between 2002 and 2019 were analyzed retrospectively. All patients with
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Recurrence after cytoreductive surgery and HIPEC for pseudomyxoma peritonei: A single-center retrospective cohort study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-10-12 Antti Yrjönen,Laura Koskenvuo,Carola Haapamäki,Anna Lepistö
BACKGROUND AND AIMS Pseudomyxoma peritonei (PMP) is a rare disease characterized by progressive build-up of mucinous deposits inside the abdominal cavity. The aim of this study was to investigate the effect of disease recurrence on overall survival in patients with PMP after cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC). METHODS One-hundred thirty-two consecutive
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Biodegradable biomaterials in orthopedic surgery: A narrative review of the current evidence. Scand. J. Surg. (IF 2.4) Pub Date : 2023-10-10 Arimatias Raitio,Antti J Saarinen,Juha-Jaakko Sinikumpu,Ilkka Helenius
BACKGROUND Biomaterials are routinely used in orthopedic surgery to fill bone defects, improve bone healing, and as degradable fixation material. A wide range of materials are currently in use, and the materials are chosen according to their bioactive properties. Osteoinductive materials stimulate bone healing by promoting osteogenesis. Osteoconductive materials facilitate bone growth on the surface
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Short-term results after robot-assisted surgery for primary rectal cancers requiring beyond total mesorectal excision in multiple compartments. Scand. J. Surg. (IF 2.4) Pub Date : 2023-10-03 Ebbe B Thorgersen,Arne M Solbakken,Tuva K Strøm,Mariusz Goscinski,Milan Spasojevic,Stein G Larsen,Kjersti Flatmark
AIM Rectal cancers requiring beyond total mesorectal excision (bTME) are traditionally operated using an open approach, but the use of minimally invasive robot-assisted procedures is increasing. Introduction of minimal invasive surgery for complex cancer cases could be associated with compromised surgical margins or increased complication rates. Therefore, reporting results both clinical and oncological
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Late cancelations in plastic and reconstructive surgery: A departmental study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-09-27 Liisa Hänninen-Khoda,Virve Koljonen,Tuija Ylä-Kotola
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Risk of appendiceal malignancy in conservatively treated acute appendicitis. Scand. J. Surg. (IF 2.4) Pub Date : 2023-09-13 Shaima Ramadan,Pamela Buchwald,Åsa Olsson
BACKGROUND AND AIMS Appendectomy has historically been the standard treatment of acute appendicitis, but lately, conservative treatment of uncomplicated acute appendicitis with antibiotics has successfully been used in selected patients. Complicated acute appendicitis is often treated conservatively initially, but may benefit from interval appendectomy due to the higher risk of appendiceal malignancy
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Splenic flexure mobilization and anastomotic leakage in anterior resection for rectal cancer: A multicentre cohort study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-09-07 Martin Rutegård,Johan Svensson,Josefin Segelman,Peter Matthiessen,Marie-Louise Lydrup,Jennifer Park,
BACKGROUND AND OBJECTIVE Some colorectal surgeons advocate routine splenic flexure mobilization (SFM) when performing anterior resection for rectal cancer to ensure a tension-free anastomosis. Meta-analyses of smaller studies suggest that this approach does not influence anastomotic leakage rates, but larger multicentre studies are needed to confirm the safety of a selective strategy. The aim of this
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Five-year follow-up of appendiceal neoplasm risk in periappendicular abscess in the Peri-Appendicitis Acuta Randomized Clinical Trial. Scand. J. Surg. (IF 2.4) Pub Date : 2023-09-01 Roosa Salminen,Tero Rautio,Pia Nordström,Tuomo Rantanen,Jari Mällinen,Juha Grönroos,Paulina Salminen
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Laparoscopic cholecystectomy versus antibiotic therapy for acute cholecystitis in patients over 75 years: Randomized clinical trial and retrospective cohort study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-08-12 Antti Kivivuori,Paulina Salminen,Mika Ukkonen,Imre Ilves,Hanna Vihervaara,Kristina Zalevskaja,Jenni Pajari,Hannu Paajanen,Tuomo Rantanen
BACKGROUND AND OBJECTIVE The prevalence of acute cholecystitis among elderly patients is increasing. The aim of this study was to compare laparoscopic cholecystectomy (LC) to antibiotics in elderly patients with acute cholecystitis. METHODS A randomized multicenter clinical trial including patients over 75 years with acute calculous cholecystitis was conducted in four hospitals in Finland between January
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Impact of parastomal hernia on colostomy costs at 1 year: Secondary analysis of a randomized clinical trial (STOMAMESH). Scand. J. Surg. (IF 2.4) Pub Date : 2023-08-10 Christoffer Odensten,Ulf Gunnarsson,Jeaneth Johansson,Pia Näsvall
BACKGROUND AND AIMS Parastomal hernia (PSH) is a common complication after the creation of a colostomy, with a prevalence of approximately 50%. Despite the high frequency, little is known how PSH affects the cost of colostomy care.The hypothesis in this study was that PSH increases the cost of colostomy care compared with not having a PSH. METHODS Two groups with (N = 61) and without (n = 147) PSH
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Robot-assisted pelvic and renal surgery compared with laparoscopic or open surgery: Literature review of cost-effectiveness and clinical outcomes. Scand. J. Surg. (IF 2.4) Pub Date : 2023-08-09 Thomas Davidson,Rune Sjödahl,Åke Aldman,Claes Lennmarken,Ann-Sofi Kammerlind,Elvar Theodorsson
BACKGROUND AND AIM The purpose of this study was to evaluate clinical experiences and cost-effectiveness by comparing robot-assisted surgery with laparoscopic- or open surgery for pelvic and renal operations. METHODS A narrative review was carried out. RESULTS When using robotic-assisted surgery, oncological and functional results are similar to after laparoscopic or open surgery. One exception may
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Preoperative stoma site marking reduces postoperative stoma-related complications in emergency surgery: A single center retrospective cohort study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-07-18 Hiroaki Nozawa,Sanae Sasaki,Chieko Hayashi,Akiko Kawasaki,Kazuhito Sasaki,Koji Murono,Shigenobu Emoto,Soichiro Ishihara
BACKGROUND AND OBJECTIVE Stoma site marking is an important factor in reducing stoma-related complications, thereby influencing the long-term quality of life in the elective setting. The impact of preoperative stoma site marking in emergency stoma creation is largely unknown. We aimed to determine whether preoperative stoma site marking in emergency stoma creation reduces stoma-related complications
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Development of and adherence to an ERAS® and prehabilitation protocol for patients undergoing pancreatic surgery: An observational study. Scand. J. Surg. (IF 2.4) Pub Date : 2023-07-18 Monika Fagevik Olsén,Thomas Andersson,Micheline Al Nouh,Erik Johnson,Linda Block,My Vakk,Johanna Wennerblom
BACKGROUND AND OBJECTIVE There are still gaps in knowledge concerning the adherence to different multimodal pathways in pancreatic surgery. The aim of this trial was to explore and evaluate an Enhanced Recovery After Surgery (ERAS®) and prehabilitation protocol in patients undergoing open pancreatic surgery. METHODS Three groups of patients were included: two prospective series of 75 patients undergoing
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Pelvic bone sarcomas, prognostic factors, and treatment: A narrative review of the literature. Scand. J. Surg. (IF 2.4) Pub Date : 2023-07-12 Minna K Laitinen,Michael C Parry,Guy V Morris,Lee M Jeys
Primary sarcomas of bone are rare malignant mesenchymal tumors. The most common bone sarcomas are osteosarcoma, Ewing's sarcoma, and chondrosarcoma. The prognosis has improved over the years, but bone sarcomas are still life-threatening tumors that need a multidisciplinary approach for diagnosis and treatment. Bone sarcomas arising in the pelvis present a unique challenge to orthopedic oncologists
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Ultrasound-guided closure of the femoral artery during venoarterial decannulation using a large-bore closure device. Scand. J. Surg. (IF 2.4) Pub Date : 2023-07-10 Tasnia Rahman,Johanna Herajärvi,Henri Ahonen,Mikko Jormalainen,Simo Syrjälä,Tommi Järvinen,Tatu Juvonen,Sebastian Dahlbacka
BACKGROUND Peripheral femoro-femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) is viable for fast hemodynamic assistance during cardiogenic shock. Ultrasound-guided closure with a large-bore device (MANTA®) is a feasible option potentially replacing surgical arteriotomy closure in peripheral VA-ECMO decannulation. METHODS This retrospective study included patients weaning from percutaneously
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Practice patterns in diagnostics, staging, and management strategies of gallbladder cancer among Nordic tertiary centers. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-28 Sini Takala,Kristoffer Lassen,Kjetil Søreide,Ernesto Sparrelid,Jon-Helge Angelsen,Erling A Bringeland,Malin S Eilard,Oskar Hemmingsson,Bengt Isaksson,Heikki Karjula,Jukka-Pekka Lammi,Peter N Larsen,Maija Lavonius,Gert Lindell,Frank V Mortensen,Kim Mortensen,Arno Nordin,Torsten Pless,Per Sandström,Oddvar Sandvik,Yrjö Vaalavuo,Christina Villard,Ville Sallinen
BACKGROUND AND OBJECTIVE Gallbladder cancer (GBC) is a rare malignancy in the Nordic countries and no common Nordic treatment guidelines exist. This study aimed to characterize the current diagnostic and treatment strategies in the Nordic countries and disclose differences in these strategies. METHODS This was a survey study with a cross-sectional questionnaire of all 19 university hospitals providing
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Risk for colorectal cancer after computed tomography verified acute diverticulitis: A retrospective cohort study with long-term follow-up. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-22 Leena-Mari Mäntymäki,Juha Grönroos,Markus Riskumäki,Tero Vahlberg,Jukka Karvonen
BACKGROUND AND OBJECTIVE Colorectal cancer (CRC) can mimic acute diverticulitis and can thus be misdiagnosed. Therefore, colonic evaluation is recommended after an episode of acute diverticulitis. The aim of this study was to analyze the risk of CRC after computed tomography (CT) verified uncomplicated and complicated acute diverticulitis in short-term and, particularly, long-term follow-up to ensure
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Non-obstetric surgery during pregnancy and the effects on maternal and fetal outcomes: A systematic review. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-17 Anna Haataja,Hannu Kokki,Outi Uimari,Merja Kokki
BACKGROUND AND OBJECTIVE Non-obstetric surgery is fairly common in pregnant women. We performed a systematic review to update data on non-obstetric surgery in pregnant women. The aim of this review was to evaluate the effects of non-obstetric surgery during pregnancy on pregnancy, fetal and maternal outcomes. METHODS A systematic literature search of MEDLINE and Scopus was conducted in accordance with
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Operable colon cancer: New therapeutic perspectives, same old problems. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-15 Andrea Morini,Maurizio Zizzo,Massimiliano Fabozzi
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Validation of the BODY-Q Chest module in Finnish trans men undergoing chest wall masculinization. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-01 Mirjam Saarinen,Kaisu Ojala,Sinikka Suominen,Jussi Repo
BACKGROUND AND OBJECTIVE The aim of gender affirmation surgery is to ease gender dysphoria. In transgender men, chest wall masculinization is the most common gender affirmation surgery. The BODY-Q Chest module is currently the only instrument developed to measure health-related quality of life (HRQL) in men undergoing chest wall surgery. Linguistic validation and cultural adaption to Finnish were performed
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Outcome following soft tissue coverage with a medial gastrocnemius flap of an exposed or infected total knee arthroplasty. Scand. J. Surg. (IF 2.4) Pub Date : 2023-06-01 Rebecca Wiberg,Camilla Mukka,Olof Backman,Göran Stålhult,David Edmundsson,Sebastian Mukka
BACKGROUND Soft tissue defects or periprosthetic infections after total knee arthroplasty (TKA) are severe complications that may lead to loss of the arthroplasty or the limb. Reconstructions with medial gastrocnemius flaps (MGF) are occasionally used to provide soft tissue coverage around the knee. AIMS The study aimed to establish the rate of implant survivorship after MGF reconstruction for soft
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Prediction of postoperative pancreatic fistula and pancreatitis after pancreatoduodenectomy or distal pancreatectomy: A review Scand. J. Surg. (IF 2.4) Pub Date : 2023-04-21 Akseli Bonsdorff, Ville Sallinen
Background and objective:Postoperative pancreatic fistula (POPF) is the leading cause of morbidity and early mortality in patients undergoing pancreatic resection. In addition, recent studies have ...
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A randomized trial comparing percutaneous endoscopic gastrostomy (PEG) and radiologically inserted percutaneous gastrostomy (RIG) Scand. J. Surg. (IF 2.4) Pub Date : 2023-02-28 Magnus Sundbom, Eladio Cabrera, Rickard Nyman, Charlotte Ebeling Barbier, Ulf Johnson, Mikael Ljungdahl
Background and objective:At present, percutaneous endoscopic gastrostomy (PEG) is the procedure of choice in establishing a permanent feeding tube in patients with chronic severe dysphagia. This is...
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Pancreatoduodenectomy after Roux-en-Y gastric bypass surgery: Single-center experience and literature review Scand. J. Surg. (IF 2.4) Pub Date : 2023-02-21 Sheraz Yaqub, Tore Tholfsen, Anne Waage, Dyre Kleive, Knut Jørgen Labori
Background and objective:Bariatric surgery with Roux-en-Y gastric bypass (RYGB) is widely used to treat morbid obesity and present diagnostic and therapeutic challenges in patients with pancreatic ...
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Radio frequency ablation of dysplastic Barrett’s esophagus: Outcomes of a single-center registry Scand. J. Surg. (IF 2.4) Pub Date : 2023-02-08 Molly Mathiesen, Jakob Holm, Morten Thorsteinsson
Background and objective:Barrett’s esophagus (BE) is associated with an increased risk of esophageal adenocarcinoma. The use of radio frequency ablation (RFA) for complete eradication of BE with co...
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Potential for intestinal transplantation after acute mesenteric ischemia in patients aged less than 70 years: A population-based study Scand. J. Surg. (IF 2.4) Pub Date : 2023-02-08 Aurora Lemma, Sampsa Pikkarainen, Anne Pohju, Matti Tolonen, Panu Mentula, Pirkka Vikatmaa, Ari Leppäniemi, Heikki Mäkisalo, Ville Sallinen
Background and objective:Acute mesenteric ischemia (AMI) has a high mortality rate due to the development of bowel necrosis. Patients are often ruled outside active care if a large proportion of sm...
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Learning curves in robot-assisted minimally invasive liver surgery at a high-volume center in Denmark: Report of the first 100 patients and review of literature Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-31 Daisuke Fukumori, Christoph Tschuor, Luit Penninga, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen
Background and objective:Minimally invasive liver surgery is evolving worldwide, and robot-assisted liver surgery (RLS) can deliver obvious benefits for patients. However, so far no large case seri...
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Measuring the burden of gastroesophageal reflux after per-oral endoscopic myotomy. Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-31 Francisco Tustumi,Edno T Bianchi,Daniel J Szor
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A role for pelvic sentinel lymph nodes in lower extremity melanoma? Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-30 Juulia Laakkonen, Outi Kaarela, Tomi Tervala, Henrik Nuutinen
Background and objective:Consensus on management of pelvic sentinel lymph nodes (PSLNs) has not been reached and thus the extent of sentinel lymph node biopsy (SLNB) of the groin in melanoma patien...
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Management of urolithiasis in pregnancy: A systematic review and meta-analysis Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-24 Hanieh Salehi-Pourmehr, Sona Tayebi, Nooriyeh DalirAkbari, Amir Ghabousian, Fateme Tahmasbi, Fatemeh Rahmati, Amirreza Naseri, Reyhaneh Hajebrahimi, Robab Mehdipour, Mahdi Hemmati-Ghavshough, Ali Mostafaei, Sakineh Hajebrahimi
Purpose:Management of nephrolithiasis is unique in pregnancy and requires multidisciplinary care. To identify the effectiveness or safety of temporary drainage or definitive treatment methods to ma...
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Axillary staging in node-positive breast cancer converting to node negativity through neoadjuvant chemotherapy: Current evidence and perspectives Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-15 Maggie Banys-Paluchowski, Jana de Boniface
Purpose:Over the recent years, axillary staging of initially node-positive breast cancer patients converting to clinical node negativity after neoadjuvant chemotherapy has seen rapid changes. This ...
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Validity of the coding for appendicitis, appendectomy, and diagnostic laparoscopy in the Danish National Patient Registry Scand. J. Surg. (IF 2.4) Pub Date : 2023-01-10 Siv Fonnes, Rune Erichsen, Jacob Rosenberg
Background and objective:We aimed to validate the diagnostic accuracy of appendicitis, its severity, its description, and the surgical approach, including open or laparoscopic appendectomy and diag...
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Fat tissue is a poor predictor of 1 year outcomes after total knee arthroplasty: A secondary analysis of a randomized clinical trial Scand. J. Surg. (IF 2.4) Pub Date : 2022-12-12 Riku Palanne, Mikko Rantasalo, Anne Vakkuri, Klaus T. Olkkola, Tero Vahlberg, Noora Skants
Background and objective:Obesity may increase the risk of adverse events after total knee arthroplasty (TKA). Although body mass index (BMI) is commonly used in categorizing obesity, its accuracy i...
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The outcome of primary per oral endoscopic myotomy (POEM) for treatment of achalasia: Norwegian single-center experience with long-term follow-up Scand. J. Surg. (IF 2.4) Pub Date : 2022-12-09 Khanh Do-Cong Pham, Sigurd Strumse Lauritzen, Erling Tjora, Odd Helge Gilja, Jan Gunnar Hatlebakk, Jörg Aßmus, Roald Flesland Havre
Background and aims:Per oral endoscopic myotomy (POEM) has become an established treatment for achalasia, but no Scandinavian studies with long-term follow-up exist. This study from a tertiary refe...
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Risk factors for 1-year mortality after postoperative deep sternal wound infection Scand. J. Surg. (IF 2.4) Pub Date : 2022-12-01 Eero Hämäläinen, Jari Laurikka, Heini Huhtala, Otso Järvinen
Background and aims:A deep sternal wound infection is a life-threatening complication after cardiac surgery. This study was conducted to describe the mortality associated with postoperative deep st...
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CT is unreliable in locoregional staging of early colon cancer: A nationwide registry-based study Scand. J. Surg. (IF 2.4) Pub Date : 2022-11-15 Erik Wetterholm, Roberto Rosén, Milladur Rahman, Carl-Fredrik Rönnow
Background and objective:The option to treat early colon cancer (CC) with local resection, as well as trials investigating neoadjuvant treatment, has increased the importance of identifying early-s...
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Markers of sarcopenia increase 30-day mortality following emergency laparotomy: A systematic review Scand. J. Surg. (IF 2.4) Pub Date : 2022-11-08 Filip F. Brzeszczyński, Joanna I. Brzeszczyńska
Background and objective:Decreased skeletal muscle mass and quality are one of the several markers used for sarcopenia diagnosis and are generally associated with increased rates of post-operative ...
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Body mass index and pancreatic adenocarcinoma: A nationwide registry-based cohort study Scand. J. Surg. (IF 2.4) Pub Date : 2022-09-29 Usman Saeed, Tor Å. Myklebust, Trude E. Robsahm, Bjørn Møller, Tom Mala, Bjørn S. Skålhegg, Sheraz Yaqub
Background and objective:An association between body mass index (BMI) and pancreatic cancer is suggested in observational studies. However, further studies are required to substantiate available ev...
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Does sex impact outcomes after mitral valve surgery? A systematic review and meta-analysis Scand. J. Surg. (IF 2.4) Pub Date : 2022-09-16 Ryaan EL-Andari, Sabin J. Bozso, Nicholas M. Fialka, Jimmy J.H. Kang, Jeevan Nagendran
Background and objective:The published literature investigating the impact of sex on outcomes after mitral valve (MV) surgery has demonstrated inferior outcomes for females over males. However, the...
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The effect of nonsupervised physical activity before and after breast cancer surgery on quality of life: Results from a randomized controlled trial (PhysSURG-B) Scand. J. Surg. (IF 2.4) Pub Date : 2022-09-15 Jenny Heiman, Aron Onerup, David Bock, Eva Haglind, Roger Olofsson Bagge
Background and objective:The PhysSURG-B trial of prehabilitation before breast cancer surgery randomized patients to a nonsupervised physical activity or a control group. The effects of the interve...
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Geographical variation in orthopedic procedures in Norway: Cross-sectional population-based study Scand. J. Surg. (IF 2.4) Pub Date : 2022-09-14 Maria Holsen, Veronica Hovind, Haji K. Bedane, Knut I. Osvoll, Jan-Erik Gjertsen, Ove N. Furnes, Mary E. Walsh, Tor Ingebrigtsen
Background:Standardized surgery rates for common orthopedic procedures vary across geographical areas in Norway. We explored whether area-level factors related to demand and supply in publicly fund...
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Changes in operative treatment of tibia fractures in Finland between 2000 and 2018: A nationwide study Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Antti A.J. Ylitalo, Kalle A. Dahl, Aleksi Reito, Elina Ekman
Introduction: Incidences of different tibia fractures are not well reported. Possible changes in the operative treatment methods have also not been studied. The aim of this nationwide registry study is to determine the incidence of operatively treated tibia fractures and investigate the possible changes in treatment methods in Finland between 2000 and 2018. Methods: All patients aged 16 years or older
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Blood culture positivity in patients with acute appendicitis: A propensity score–matched prospective cohort study Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Sami Sula, Tatu Han, Harri Marttila, Jussi Haijanen, Eliisa Löyttyniemi, Suvi Sippola, Juha Grönroos, Antti J. Hakanen, Paulina Salminen
Background and objective:The prevalence of bacteremia in acute appendicitis is unknown. We aimed to assess prevalence and predictive factors of bacteremia in adult patients with appendicitis.Method...
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National clinical practice guidelines for the treatment of symptomatic gallstone disease: 2021 recommendations from the Danish Surgical Society Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Daniel Mønsted Shabanzadeh, Dorthe Wiinholdt Christensen, Caroline Ewertsen, Hans Friis-Andersen, Frederik Helgstrand, Lars Nannestad Jørgensen, Anders Kirkegaard-Klitbo, Anders Christian Larsen, Jonas Sanberg Ljungdalh, Palle Nordblad Schmidt, Rikke Therkildsen, Peter Vilmann, Jes Sefland Vogt, Lars Tue Sørensen
Background and objective:Gallstones are highly prevalent, and more than 9000 cholecystectomies are performed annually in Denmark. The aim of this guideline was to improve the clinical course of pat...
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Molecular adsorbent recirculating system treatment in patients with post-hepatectomy liver failure: Long-term results of a pilot study Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Stefan Gilg, Ernesto Sparrelid, Jennie Engstrand, Ruth Baumgartner, Greg Nowak, Per Stål, Melroy D’Souza, Anders Jansson, Bengt Isaksson, Eduard Jonas, Cecilia Stromberg
Background:Post-hepatectomy liver failure (PHLF) is the leading cause of postoperative mortality following major liver resection. Between December 2012 and May 2015, 10 consecutive patients with PH...
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Preoperative antibiotic prophylaxis in mastectomy: A retrospective comparative analysis of 1413 patients with breast cancer Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Anselm Tamminen, Ilkka Koskivuo
Background and objective:The reported rate of surgical site infections (SSIs) in breast cancer surgery varies widely in previous literature. The use of antibiotic prophylaxis is controversial but r...
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Development of upper gastrointestinal cancer in patients with symptomatic gallstones, cholecystectomy, and sphincterotomy: A nationwide cohort study Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Daniel M. Shabanzadeh, Torben Martinussen, Lars T. Sørensen
Background and objective:Exposures of gallstones and treatments thereof in relation to development of cancer have not been explored before in long-term follow-up studies. Our objective was to deter...
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High-dose adenosine versus saline-induced cardioplegic arrest in coronary artery bypass grafting: A randomized double-blind clinical feasibility trial Scand. J. Surg. (IF 2.4) Pub Date : 2022-08-24 Mikko S. Mattila, Kati M. Järvelä, Timo T. Rinne, Kjell C. Nikus, Markku J. Rantanen, Juho A.A. Siltanen, Jenna-Juulia Heleä, Jari O. Laurikka
Background and objective:In this clinical trial, we evaluated if a short-acting nucleoside, adenosine, as a high-dose bolus injection with blood cardioplegia induces faster arrest and provides bett...