Article
Pediatrics
Rebecca A. Saberi, Gareth P. Gilna, Cindy Rodriguez, Walter A. Ramsey, Carlos T. Huerta, Christopher F. O'Neil, Joshua P. Parreco, Amber H. Langshaw, Chad M. Thorson, Juan E. Sola, Eduardo A. Perez
Summary: This study compared the morbidity of open versus laparoscopic colectomy or proctocolectomy for pediatric patients with ulcerative colitis using national readmission outcomes. The results showed that laparoscopic surgery was associated with shorter hospital stay, fewer post-operative complications, and improved readmission outcomes.
JOURNAL OF PEDIATRIC SURGERY
(2022)
Article
Gastroenterology & Hepatology
Larkin B. Harris, Tamara A. Osborn, Judy L. Bennett, Hanna K. Jensen, Emmanouil Giorgakis, Michail N. Mavros
Summary: Concurrent colectomy during pancreatoduodenectomy increases the risk of serious morbidity but does not affect mortality.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2023)
Article
Surgery
Larsa Gawria, Rachel Rosenthal, Harry van Goor, Salome Dell-Kuster
Summary: The study validates the association between intraoperative adverse events and postoperative complications and patient outcomes in visceral surgery. The results show that the severity of intraoperative adverse events is related to the severity of postoperative complications and patient recovery.
Article
Surgery
Nicolas Vinit, Fabrizio Vatta, Aline Broch, Mary Hidalgo, Jules Kohaut, Stefania Querciagrossa, Vincent Couloigner, Naziha Khen-Dunlop, Nathalie Botto, Carmen Capito, Sabine Sarnacki, Thomas Blanc
Summary: This study reports the one-year morbidity of robotic-assisted laparoscopic surgery in a dedicated, multidisciplinary pediatric robotic surgery program. The results suggest that RALS is safe in children with a wide scope of indications, age, and weight.
Article
Oncology
Giorgio Bogani, Violante Di Donato, Giovanni Scambia, Fabio Landoni, Fabio Ghezzi, Ludovico Muzii, Pierluigi Benedetti Panici, Francesco Raspagliesi
Summary: This study evaluated the impact of the LACC Trial on treatment patterns and surgery-related morbidity in early-stage cervical cancer. The results showed a significant decrease in the proportion of minimally invasive surgeries after the publication of the trial, but the 90-day complications did not differ between the two periods.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Luca Benazzato, Manuel Zorzi, Giulio Antonelli, Stefano Guzzinati, Cesare Hassan, Alberto Fantin
Summary: In an organized screening program in Italy, post-colonoscopy adverse events were rare but not negligible. The most frequent event was post-polypectomy bleeding, especially after resection of large (>= 20mm) and proximal lesions.
Article
Oncology
Chieh Yang Koo, Bee-Choo Tai, Dedrick Kok Hong Chan, Li Ling Tan, Ker Kan Tan, Chi-Hang Lee
Summary: Among colorectal cancer patients undergoing surgical resection, there is a high incidence of MACCE. Diabetes mellitus and prior cardiovascular disease are associated with an increased risk of MACCE. Chemotherapy is associated with a lower risk of MACCE, but further research is needed to confirm this association.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Justinn M. Tanem, John P. Scott, George M. Hoffman, Robert A. Niebler, Aoy Tomita-Mitchell, Karl D. Stamm, Huan-Ling Liang, Paula E. North, Rebecca A. Bertrandt, Ronald K. Woods, Viktor Hraska, Michael E. Mitchell
Summary: This study investigates the kinetics of nuclear cell-free DNA (ncfDNA) in children undergoing cardiac surgery with cardiopulmonary bypass (CPB). The results show that elevated preoperative ncfDNA levels are strongly associated with postoperative cardiac arrest and extracorporeal membrane oxygenation. Further research is needed to validate this technology as a predictive tool for morbidity in children after cardiac surgical procedures.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Priyanka Priyanka, Alexander Zarbock, Junichi Izawa, Thomas G. Gleason, Ronny W. Renfurm, John A. Kellum
Summary: This study investigated the relationship of acute kidney injury severity with the risk for major adverse kidney events at 180 days after cardiac surgery, showing that even milder forms of acute kidney injury, such as isolated stage 1 oliguria, are associated with adverse long-term consequences.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Surgery
Omid Madadi-Sanjani, Joachim F. Kuebler, Julia Brendel, Soeren Wiesner, Annika Mutanen, Simon Eaton, Anja Domenghino, Pierre-Alain Clavien, Benno M. Ure
Summary: To address the inconsistent definitions of surgical complications and unexpected events, a multidisciplinary expert group modified the Clavien-Dindo classification and introduced the Clavien-Madadi classification, which includes organizational and management errors. Unexpected events were documented in a cohort of 17,502 children undergoing surgery and compared with procedure complexity. The results showed that the Clavien-Madadi classification identified additional events and had a higher correlation with procedure complexity.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Surgery
Nicolas A. Rotholtz, Mariano Laporte, Mariana Matzner, Francisco Schlottmann, Maximiliano E. Bun
Summary: Relaparoscopy is a safe and feasible approach for managing early postoperative complications, particularly anastomotic leakage after left colectomy. Patients who underwent relaparoscopy had lower rates of severe postoperative complications compared to those who underwent laparotomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Cardiac & Cardiovascular Systems
Maria Rodriguez, Aaron R. Dezube, Carlos E. Bravo-Iniguez, Sam Fox, Luis E. De Leon, Jeffrey Tarascio, Sam Freyaldenhoven, Steven J. Mentzer, Scott James Swanson, Raphael Bueno, Matthew M. Rochefort, M. Blair Marshall, Michael T. Jaklitsch
Summary: The study analyzed 136 patients who underwent bronchial sleeve resection, and found that patients who received neoadjuvant chemoradiation had a higher incidence of postoperative pulmonary and airway complications. Neoadjuvant chemoradiation was identified as a significant risk factor for these complications.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Simonette R. Mallard, Kari A. Clifford, R. Park, Kim Cousins, Ann Patton, John C. Woodfield, Mark Thompson-Fawcett
Summary: This study found that factors such as age, surgical team, surgical approach, and complications were significantly associated with length of stay in postoperative patients. Non-compliance with ERAS guidelines for specific practices was related to suboptimal length of stay.
Article
Surgery
Ryo Maemoto, Hiroshi Noda, Kosuke Ichida, Shota Fukai, Ayano Sakai, Yuki Mizusawa, Ryusuke Morita, Yuuri Hatsuzawa, Yuhei Endo, Taro Fukui, Yuji Takayama, Nao Kakizawa, Yuta Muto, Shimpei Maeda, Fumiaki Watanabe, Yasuyuki Miyakura, Toshiki Rikiyama
Summary: This study aimed to evaluate the effectiveness of preventive measures for incisional surgical site infection after gastroenterological surgery. The use of steroid or immunosuppressant, open surgery, and long operative time were identified as independent risk factors for both incisional and overall surgical site infection. Laparoscopic surgery was recommended to reduce infection risk.
Review
Gastroenterology & Hepatology
P. Fransvea, G. Costa, L. D'Agostino, G. Sganga, A. Serao
Summary: The study found that redo-laparoscopy is an effective and valid approach for managing early postoperative complications following laparoscopic colorectal surgery. Compared to redo-open surgery, redo-laparoscopy was associated with shorter hospital stays and lower mortality rates.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Oncology
Yuchao Liu, Zijia Liu, Liangyan Zhang, Yuelun Zhang, Ningchen Zhang, Yue Han, Le Shen
Summary: This study found an association between preoperative 6-min walk distance and postoperative complications in patients undergoing laparoscopic gastrointestinal cancer surgery.
Review
Oncology
Matteo Pavone, Rosa Autorino, Nicolo Bizzarri, Giuditta Chilorio, Vincenzo Valentini, Giacomo Corrado, Gabriella Ferrandina, Gabriella Macchia, Maria Antonietta Gambacorta, Giovanni Scambia, Denis Querleu
Summary: Ovarian transposition is an established method for protecting the ovaries from radiation, while surgical procedures for protecting the uterus are still under investigation. This study conducted a systematic review of uterine displacement techniques and performed dose simulation to assess the radiation dose received by the uterus. The results showed that the transposition approach was the most protective.
Article
Oncology
Silvia Ministrini, Maria Bencivenga, Federica Filippini, Gianni Mura, Carlo Milandri, Maria Antonietta Mazzei, Giulio Bagnacci, Mattia Berselli, Manlio Monti, Paolo Morgagni, Leonardo Solaini, Daniele Marrelli, Stefania Piccioni, Stefano De Pascale, Luigina Graziosi, Rossella Reddavid, Fausto Rosa, Claudio Belluco, Guido Tiberio
Summary: The Italian Research Group for Gastric Cancer developed a prospective database to evaluate the impact of a pragmatic attitude on the management of stage IV gastric cancer patients. The study found that different metastatic sites did not affect survival rates, but multiple metastatic sites were associated with worse survival. Patients who could undergo curative resection had better survival rates. A more accurate diagnostic workup and staging had a favorable impact on survival.
Article
Oncology
Luca Lambertini, Fabrizio Di Maida, Anna Cadenar, Samuele Nardoni, Antonio Andrea Grosso, Francesca Valastro, Pietro Spinelli, Riccardo Fantechi, Agostino Tuccio, Gianni Vittori, Andrea Mari, Lorenzo Masieri, Andrea Minervini
Summary: The aim of this study was to evaluate the functional outcomes of Florence intracorporeal neobladder (FloRIN) configuration technique performed with a stentless procedure. The results showed that the stentless procedure was associated with shorter console time and lower estimated blood loss compared to the stent group. There were no significant differences in terms of perioperative features and mid-term functional outcomes between the two groups.
Article
Oncology
Geun-Jeon Kim, Jooin Bang, Hyun-Il Shin, Sang-Yeon Kim, Dong -Il Sun
Summary: This study evaluated the outcome of tonsillar cancer managed with neoadjuvant chemotherapy followed by surgery. The results showed that neoadjuvant chemotherapy reduced tumor volume and pathological adverse features, significantly decreasing the need for adjuvant therapy. A greater reduction in tumor volume predicted a complete pathologic response. There was no significant difference in survival rates between the groups.
Article
Oncology
Alexandra Nassar, Stylianos Tzedakis, Ugo Marchese, Gaanan Naveendran, Remy Sindayigaya, Martin Gaillard, Francois Cauchy, Mickael Lesurtel, Brice Gayet, Olivier Soubrane, David Fuks
Summary: This study identified recurrence between the two stages and a larger tumor size in the future liver remnant as critical factors contributing to the failure of two-stage hepatectomy for bilobar colorectal liver metastases. These findings have important clinical implications for the selection and evaluation of TSH surgery.
Letter
Oncology
Michele Fiore, Gian Marco Petrianni, Gabriele D'Ercole, Pasquale Trecca, Sara Ramella
Review
Oncology
Harry Farrow, Oliver J. Pickering, James A. Gossage, Philip H. Pucher
Summary: The inclusion or exclusion of the thoracic duct in radical esophagectomy for esophageal cancer is a controversial issue. While removing the thoracic duct may increase lymph node yield, it may also lead to higher morbidity without any survival benefit.
Article
Oncology
Xiaokun Li, Siyuan Luan, Chi Zhang, Weili Kong, Xin Xiao, Haowen Zhang, Jianfeng Zhou, Yushang Yang, Yang Xu, Yong Qiang, Pinhao Fang, Yi Shen, Yong Yuan
Summary: This study proposes a new staging system based on ypTNM stage and cN status for early stage ESCC patients after nCRT. The new ypTNM-cN staging system demonstrates superior predictive ability and classification efficacy compared to the AJCC 8th ypTNM staging system. It provides new insights for accurately stratifying ypI stage ESCC patients.