Review
Surgery
Himam Murad, Biying Huang, Nelson Ndegwa, Ioannis Rouvelas, Fredrik Klevebro
Summary: The risk of post-esophagectomy hiatal hernia is significantly higher after minimally invasive esophagectomy compared to the open technique. Future studies should focus on exploring preventive measures to reduce PEHH after minimally invasive esophagectomy.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Surgery
Tomo Horinouchi, Naoya Yoshida, Tasuku Toihata, Kazuto Harada, Kojiro Eto, Katsuhiro Ogawa, Hiroshi Sawayama, Masaaki Iwatsuki, Yoshifumi Baba, Yuji Miyamoto, Hideo Baba
Summary: Respiratory morbidities are associated with prognosis after thoracoscopic esophagectomy (TE) for esophageal cancer and may serve as an independent prognostic factor. Various prophylaxes can help improve the short-term and long-term outcomes of TE.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Yuto Kubo, Koji Tanaka, Makoto Yamasaki, Kotaro Yamashita, Tomoki Makino, Takuro Saito, Kazuyoshi Yamamoto, Tsuyoshi Takahashi, Yukinori Kurokawa, Masaaki Motoori, Yutaka Kimura, Kiyokazu Nakajima, Hidetoshi Eguchi, Yuichiro Doki
Summary: This study demonstrates that fluid overload, especially on postoperative day 1, is a significant factor in postoperative complications for patients with esophageal cancer. Strict control of fluid balance during early postoperative management is crucial.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Oncology
Imad Kamaleddine, Alexander Hendricks, Magdalena Popova, Clemens Schafmayer
Summary: Despite advances in multimodal therapy, postoperative complications remain a challenge for esophageal cancer patients. In this review, we focus on the up-to-date approaches to prevent and treat major complications after esophagectomy, such as anastomotic leak, esophago-respiratory fistula, and chylothorax. The tumor biology does not affect the outcome of postoperative complications. Centralization of medical care and advancements in endoscopy and radiology have positively influenced the management of these complications.
Article
Medicine, General & Internal
Jasmina Kuvendjiska, Robert Jasinski, Julian Hipp, Mira Fink, Stefan Fichtner-Feigl, Markus K. Diener, Jens Hoeppner
Summary: This study retrospectively analyzed patients who underwent Ivor Lewis esophagectomy and found that the incidence of postoperative hiatal hernia was significantly higher after hybrid minimally invasive surgery compared to open surgery. Although most patients were asymptomatic, surgical repair is recommended to avoid potentially fatal outcomes. Innovative techniques for prevention and repair of postoperative hiatal hernia are urgently needed.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Koichi Ogawa, Yoshimasa Akashi, Katsuji Hisakura, Jaejeong Kim, Yohei Owada, Yusuke Ohara, Tsuyoshi Enomoto, Kinji Furuya, Shoko Moue, Yoshihiro Miyazaki, Manami Doi, Osamu Shimomura, Kazuhiro Takahashi, Shinji Hashimoto, Tatsuya Oda
Summary: This study compared the efficacy of transmediastinal esophagectomy (TME) and open transthoracic esophagectomy (TTE) in terms of postoperative respiratory complications. The results showed that TME had a significantly lower incidence of respiratory complications compared to TTE, as well as shorter operation time and less blood loss.
INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Surgery
Mikio Nambara, Yuichiro Miki, Tatsuro Tamura, Mami Yoshii, Takahiro Toyokawa, Hiroaki Tanaka, Shigeru Lee, Kazuya Muguruma, Toshihiko Shibata, Masaichi Ohira
Summary: This study aimed to identify high-risk patients for postoperative pneumonia after esophagectomy by evaluating skeletal muscle mass index using bioelectrical impedance analysis, and set an appropriate cut-off value for this purpose.
WORLD JOURNAL OF SURGERY
(2021)
Review
Oncology
Malika Kengsakul, Gatske M. Nieuwenhuyzen-de Boer, Suwasin Udomkarnjananun, Stephen J. Kerr, Christa D. Niehot, Heleen J. van Beekhuizen
Summary: This study evaluated factors for postoperative morbidity after extensive cytoreductive surgery for primary epithelial ovarian cancer (EOC). It found that age, ECOG score, albumin level, presence of ascites on CT scan, disease stage, and the extent of surgery were significant risk factors for postoperative complications. Additionally, patients who underwent neoadjuvant chemotherapy followed by interval debulking surgery had a lower risk of severe complications compared to those who underwent primary debulking surgery.
JOURNAL OF GYNECOLOGIC ONCOLOGY
(2022)
Article
Medicine, General & Internal
Sebastian Recknagel, Sebastian Rademacher, Claudia Hoehne, Andri A. Lederer, Undine G. Lange, Toni Herta, Daniel Seehofer, Robert Sucher, Uwe Scheuermann
Summary: This study analyzed perioperative lactate levels and their predictive value for postoperative mortality and morbidity in patients after liver resection. The results showed that lactate levels on day 1 and day 0 after surgery were good predictors of postoperative complications and mortality.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Law Cho Kwan Connie, Seung Soo Hong, Incheon Kang, Seung Yoon Rho, Ho Kyoung Hwang, Woo Jung Lee, Chang Moo Kang
Summary: This study evaluated the adverse clinical impact of intraoperative conversion during LPD and identified age and pancreatic texture as independent predictive factors for conversion. The cPD group had longer operation time, higher postoperative hemorrhage rate, reoperation rate, and cost compared to the OPD group, indicating the negative impact of intraoperative conversion on postoperative course following LPD.
YONSEI MEDICAL JOURNAL
(2021)
Article
Surgery
Tali Shaltiel, Elizabeth M. Gleeson, Eric R. Pletcher, Benjamin J. Golas, Deepa R. Magge, Umut Sarpel, Daniel M. Labow, Noah A. Cohen
Summary: This study demonstrates that postoperative hypophosphatemia on postoperative day 5-7 after cytoreductive surgery and heated intraperitoneal chemotherapy (CRS/HIPEC) is associated with severe postoperative complications and anastomotic leak.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Cardiac & Cardiovascular Systems
Sikandar H. Khan, Heidi Lindroth, Yameena Jawed, Sophia Wang, Jason Nasser, Sarah Seyffert, Kiran Naqvi, Anthony J. Perkins, Sujuan Gao, Kenneth Kesler, Babar Khan
Summary: This study aimed to investigate the correlation between the changes in serum biomarker concentrations and the incidence and severity of delirium in patients undergoing esophagectomy. The results showed that the changes in IL-8 and IL-10 concentrations were associated with delirium, and higher levels of S100 calcium-binding protein B and lower levels of insulin-like growth factor 1 were correlated with greater delirium severity. In addition, the change in CRP levels was associated with delirium incidence.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Flavio Roberto Takeda, Rafael Tutihashi, Francisco Tustumi, Rubens Antonio Aissar Sallum, Fabio de Freitas Busnardo, Ulysses Ribeiro, Ivan Cecconello
Summary: This study evaluated the complications of supercharged cervical anastomosis for esophagectomy in 80 patients. Results show that patients who underwent the supercharged procedure had lower rates of anastomotic leakage and stricture, along with improved perfusion in the anastomotic area.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Oncology
Longlong Shao, Bin Li, Yihua Sun, Hong Hu, Yawei Zhang, Jiaqing Xiang, Haiquan Chen
Summary: This study aimed to understand small bowel necrosis after esophagectomy, a rare but fatal complication. A retrospective review was conducted on patients who underwent esophagectomy for esophageal cancer, and 11 patients (0.2%) underwent reoperation due to bowel necrosis. The study collected and analyzed clinical information on the demographics, presenting features, and outcomes of these cases.
Article
Otorhinolaryngology
Hanna Gerhardsson, Joacim Stalfors, Ola Sunnergren
Summary: This study investigated the morbidity and mortality of pediatric adenoidectomy. The results showed that adenoidectomy is a safe surgical procedure with few postoperative complications. No deaths related to adenoidectomy were found. Severe complications, such as late postoperative hemorrhage after adenoidectomy, were rare, and hemorrhage resulting in return to theatre (RTT) was even rarer. The highest rate of postoperative hemorrhage was observed on the first day after surgery, and most hemorrhagic complications occurred within a week. Compared with tonsil surgery, adenoidectomy is associated with substantially lower postoperative morbidity.
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
(2022)
Article
Surgery
Angela Hill, Franklin Olumba, William Chapman
Summary: Transplantation for HCC is a complex topic, requiring considerations of multiple factors. Balancing tumor size with post-transplant outcome is still an ongoing challenge. Tumor downstaging and the use of new technologies have increased the number of HCC transplants, and these advances can also be applied to other liver tumors.
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Olanrewaju A. Eletta, Guergana G. Panayotova, Keri E. Lunsford
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Brianna Ruch, Kayla Kumm, Sandra Arias, Nitin N. Katariya, Amit K. Mathur
Summary: DCD liver transplantation is an underutilized method that can increase access to liver transplantation. With proper donor and recipient selection, matching, surgical technique, and perioperative management, these transplants can achieve similar patient and graft survival rates as DBD liver transplantation. The main limitations in the further growth of DCD liver transplantation are driven by risk aversion, and the current experience is mainly concentrated in large centers. With the advancement of regional and machine perfusion techniques, the definition of a viable DCD liver allograft may be redefined, encouraging wider usage and acceptance.
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Lauren Matevish, Madhukar S. Patel, Parsia A. Vagefi
Summary: Downstaging has been shown to be feasible within UNOS-DS criteria, with successful long-term outcomes. Interventional liver-directed therapies have been the standard, but systemic therapies are becoming more effective. Immunotherapy holds promise in downstaging, but further trials are needed to assess feasibility and safety. Individual expertise will continue to guide treatment until more data is available.
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Hassan Aziz, Paramita Nayak, David C. Mulligan
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Catherine G. Pratt, Jenna N. Whitrock, Shimul A. Shah, Zhi Ven Fong
Summary: hCCA is a biologically aggressive disease and surgical resection is the only curative treatment. Factors such as patient's physical condition, tumor involvement, residual liver volume, and assessment of metastatic disease heavily influence the feasibility of surgical resection. A multidisciplinary, holistic, and individualized approach is critical for accurately determining resectability and optimizing clinical outcomes for patients with hCCA.
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Sara-Catherine Whitney Zingg, Kristina Lemon
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Christopher J. Sonnenday
SURGICAL CLINICS OF NORTH AMERICA
(2024)
Article
Surgery
Alban Longchamp, Tsukasa Nakamura, Korkut Uygun, James F. Markmann
SURGICAL CLINICS OF NORTH AMERICA
(2024)
