Review
Surgery
Michel Adamina, Anthoula Andreou, Alberto Arezzo, Christos Christogiannis, Nicola Di Lorenzo, Meropi Gioumidou, Julie Glavind, Christos Iavazzo, Dimitrios Mavridis, Filip E. Muysoms, Daniel Preda, Neil J. Smart, Aggeliki Syropoulou, Alexander A. Tzanis, Marc Van de Velde, Joeri Vermeulen, Stavros A. Antoniou
Summary: The study aims to develop an evidence-based guideline on the management of acute appendicitis during pregnancy. The recommendations include surgical treatment for complicated appendicitis or appendicolith, and laparoscopic or open surgery depending on the gestational week or the position of the uterus.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Dermatology
Guojun Xue, Yunbo Liu, Xuhui Ji, Haiyun Zhang
Summary: A meta-analysis was conducted to assess the impact of enhanced recovery after radical cystectomy on wound dehiscence. The findings show that enhanced recovery significantly reduces the risk of wound dehiscence.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Surgery
Pan Li, Chunyang Meng, Lei Peng, Lijian Gan, Ye Xie, Yi Liu, Yunxiang Li
Summary: This study aimed to compare the efficacy and safety of laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) in the treatment of bladder cancer (BC). The results showed no significant differences between RARC and LRC in terms of operative time, estimated intraoperative blood loss, intraoperative blood transfusion, length of hospital stay, and other factors. However, RARC had a higher lymph node yield than LRC.
ASIAN JOURNAL OF SURGERY
(2023)
Review
Surgery
Naichun Zhou, Fengyan Tian, Yongjie Feng, Keyuan Zhao, Long Chen, Ruixin Fan, Wei Lu, Chaohui Gu
Summary: In comparison with open radical cystectomy, intracorporeal robot-assisted radical cystectomy was associated with lower estimated blood loss, lower blood transfusion rates, and lower major postoperative complication rates. However, it had a longer operative time and showed no significant difference in terms of other outcomes.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Review
Oncology
Hongquan Liu, Zhongbao Zhou, Huibao Yao, Qiancheng Mao, Yongli Chu, Yuanshan Cui, Jitao Wu
Summary: Even though there isn't enough clinical evidence to demonstrate that robot-assisted radical cystectomy (RARC) is preferable to open radical cystectomy (ORC), RARC has become a widely used alternative. The study compared the oncologic, pathological, perioperative, and complication-related outcomes as well as health-related quality of life (QOL) between RARC and ORC.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Review
Medicine, General & Internal
Vincent D. D'Andrea, Kevin Melnick, Kendrick Yim, John Ernandez, Nnamdi Onochie, Timothy N. Clinton, Graeme S. Steele, Mark A. Preston, Adam S. Kibel, Matthew Mossanen
Summary: The study analyzed and reviewed the critical steps of open radical cystectomy and developed a concise guide. Through evidence-based assessment, valuable information for optimizing surgical techniques and patient outcomes is provided.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Oncology
Chengyu You, Qingchao Li, Yongjin Yang, Liangliang Qing, Shuai Liu, Yanan Wang, Zhilong Dong
Summary: This study compared the perioperative and oncologic outcomes of extraperitoneal radical cystectomy (EPRC) and transperitoneal radical cystectomy (TPRC). The results showed that although EPRC had a higher incidence of lymphoceles, it had similar oncologic outcomes and fewer early complications, particularly in terms of postoperative gastrointestinal complications and ileus.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Health Care Sciences & Services
Yan Luo, Edoardo G. Ostinelli, Ethan Sahker, Anna Chaimani, Yuki Kataoka, Yusuke Ogawa, Andrea Cipriani, Georgia Salanti, Toshi A. Furukawa
Summary: The study found that most drugs recommended by clinical practice guidelines demonstrated favorable efficacy and acceptability in network meta-analyses. However, guidelines often recommended drug classes rather than specific drugs, while meta-analyses showed distinct differences between drugs within the same class. The update intervals for all guidelines were longer than 5 years. Commonly prescribed antidepressants in the United States were all recommended by guidelines, but changes in prescriptions did not align with guideline updates or changes indicated by meta-analyses, possibly influenced by factors such as marketing efforts, regulations, or patient values.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2021)
Review
Surgery
Marco Milone, Michel Adamina, Alberto Arezzo, Nona Bejinariu, Luigi Boni, Nicole Bouvy, F. Borja de Lacy, Raphaela Dresen, Konstantinos Ferentinos, Nader K. Francis, Joe Mahaffey, Marta Penna, George Theodoropoulos, Katerina Maria Kontouli, Dimitris Mavridis, Per Olav Vandvik, Stavros A. Antoniou
Summary: This study aims to summarize the best evidence and develop a rapid guideline on the use of transanal total mesorectal excision (TaTME) for rectal cancer, using transparent, trustworthy, and standardized methodology.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Surgery
Sheraz R. Markar, Nainika Menon, Nadia Guidozzi, Katerina-Maria Kontouli, Dimitrios Mavridis, Alexandros Andreou, Felix Berlth, Luigi Bonavina, Alfred Cushieri, Lana Fourie, James Gossage, Caroline Gronnier, Eric J. Hazebroek, Sheila Krishnadath, Donald E. Low, Mimi Mccord, Roos E. Pouw, David I. Watson, Francesco Maria Carrano, Monica Ortenzi, Stavros A. Antoniou
Summary: This study provides evidence-informed clinical practice recommendations on the management of paraesophageal hernias. The recommendations suggest surgery over conservative management for asymptomatic/minimally symptomatic hernias, and conservative management over surgery for frail patients. The study also provides recommendations on the use of mesh and sutures for hiatal closure in hernia repair, as well as different surgical options based on patient conditions.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Yongheng Zhou, Rongyang Li, Zhifeng Liu, Wenqiang Qi, Guangda Lv, Minglei Zhong, Xigao Liu, Meikai Zhu, Zhiwen Jiang, Shouzhen Chen, Benkang Shi, Yaofeng Zhu
Summary: This systematic review and meta-analysis examined the impact of the enhanced recovery after surgery (ERAS) program on radical cystectomy patients. The results showed that the ERAS group had significantly reduced complications, transfusion rate, readmission rate, length of stay, and time to first flatus. However, there was no significant difference in 90-day mortality and urine leakage.
FRONTIERS IN SURGERY
(2023)
Article
Multidisciplinary Sciences
Masaki Nakamura, Ibuki Tsuru, Taro Izumi, Akihiro Ono, Yasushi Inoue, Yasuko Muraki, Yumi Yamada, Yuko Tsuji, Junko Watanabe, Mutsuko Fujimura, Shunsuke Kihara, Akihiro Naito, Taichi Shiratori, Ryo Amakawa, Hiroki Inatsu, Tadashi Yoshimatsu, Masanori Kashiwagi, Akira Fukuda, Teppei Morikawa, Masashi Kusakabe, Motofumi Suzuki, Shuji Kameyama, Haruki Kume, Yoshiyuki Shiga
Summary: Robot-assisted radical cystectomy (RARC) with perioperative enhanced recovery after surgery (ERAS) is a safe and effective treatment option for muscle-invasive bladder cancer, reducing perioperative complications and lowering medical costs.
SCIENTIFIC REPORTS
(2023)
Review
Oncology
Junhao Long, Li Wang, Ni Dong, Xiaoli Bai, Siyu Chen, Shujun Sun, Huageng Liang, Yun Lin
Summary: The meta-analysis shows that robotic-assisted radical cystectomy (RARC) is as safe and effective as laparoscopic radical cystectomy (LRC) in the treatment of bladder cancer. Patients who undergo RARC experience less blood loss and fewer long-term complications related to surgery compared to LRC. RARC should be considered as a viable alternative to LRC. However, further high-quality, larger sample, multi-centric, long-term follow-up randomized controlled trials (RCTs) are still needed to confirm these findings.
FRONTIERS IN ONCOLOGY
(2022)
Article
Oncology
Haiwen Huang, Zhenan Zhang, Han Hao, Haixin Wang, Meixia Shang, Zhijun Xi
Summary: This study aims to report the 90-day complications of elderly patients after radical cystectomy, and compare the validity of the Comprehensive Complication Index (CCI) and Clavien-Dindo classification (CDC). The results show that CCI is more accurate in predicting postoperative stay and identifying risk factors for major complications.
FRONTIERS IN ONCOLOGY
(2022)
Article
Computer Science, Interdisciplinary Applications
Gregor Lichtner, Brian S. Alper, Carlo Jurth, Claudia Spies, Martin Boeker, Joerg J. Meerpohl, Falk von Dincklage
Summary: This study proposes a FHIR-based format that uses computer-interpretable representations of knowledge artifacts to directly generate evidence-based recommendations. An information model and corresponding representation based on FHIR resources were developed, allowing for the transparent evaluation of evidence and the facilitation of computer-interpretable guideline recommendations.
JOURNAL OF BIOMEDICAL INFORMATICS
(2023)
