Article
Oncology
Alessandro Parente, Joseph P. Thompson, Charlotte Crook, Paul Bassett, Sebastian Aspinall, Ross Melvin, Michael J. Stechman, Helen Perry, Sabapathy P. Balasubramanian, Arslan Pannu, Fausto F. Palazzo, Klaas Van Den Heede, Fiona Eatock, Hannah Anderson, Helen Doran, Kelvin Wang, Johnathan Hubbard, Abdulaziz Aldrees, Susannah L. Shore, Clare Fung, Alison Waghorn, John Ayuk, Davinia Bennett, Robert P. Sutcliffe, UK Phaeo Study Grp
Summary: This study developed a clinical risk score to assess the risk of postoperative hypotension after adrenalectomy for phaeochromocytoma. Female sex, high preoperative catecholamine level, open surgery, and low preoperative mean arterial blood pressure were identified as independent risk factors for postoperative hypotension. Low-risk patients can be managed on a surgical ward, while high-risk patients should undergo invasive monitoring.
Article
Urology & Nephrology
Jinyao Wang, Bin Yang, Shiwei Sun, Yangang Zhang
Summary: The study found that age, tumor size, DAK, and DARP were predictors of the difficulty of retroperitoneal laparoscopic adrenalectomy (RLA). Older age, lower DARP and DAK, and a larger tumor size were associated with a longer operating time. DARP and tumor size were independent predictors of surgical difficulty.
Review
Medicine, General & Internal
Fumihiko Urabe, Shoji Kimura, Kosuke Iwatani, Kazuhiro Takahashi, Kagenori Ito, Kojiro Tashiro, Shunsuke Tsuzuki, Jun Miki, Takahiro Kimura, Nozomu Furuta, Shin Egawa
Summary: Through systematic search and meta-analysis, this study identified tumor size and urinary norepinephrine as important predictors and risk factors for perioperative hemodynamic instability in pheochromocytoma patients undergoing adrenalectomy.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Surgery
Lijian Gan, Chunyang Meng, Kangsen Li, Lei Peng, Jinze Li, Ji Wu, Yunxiang Li
Summary: This systematic review and meta-analysis compared the safety and effectiveness of minimally invasive adrenalectomy (MIA) with open adrenalectomy (OA) in patients with large adrenal tumors (>= 5 cm). The results showed that MIA was superior to OA in terms of length of stay, drainage time, fasting time, estimated blood loss, and transfusion, while operative time and complications were not statistically different.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Surgery
Laura Alberici, Alessandro M. Paganini, Claudio Ricci, Andrea Balla, Zeno Ballarini, Monica Ortenzi, Giovanni Casole, Silvia Quaresima, Guido Di Dalmazi, Pietro Ursi, Marie Sophie Alfano, Saverio Selva, Riccardo Casadei, Carlo Ingaldi, Giovanni Lezoche, Mario Guerrieri, Francesco Minni, Guido Alberto Massimo Tiberio
Summary: A difficulty score for laparoscopic adrenalectomy (LA) was developed using patient data from multiple Italian tertiary centers, with different models predicting postoperative complications. The models were validated and found to have predictive value, especially in identifying complicated postoperative courses.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Surgery
Lijian Gan, Lei Peng, Jinze Li, Chunyang Meng, Kangsen Li, Ji Wu, Zongping Zhang, Yunxiang Li
Summary: This study compared the safety and effectiveness of robot-assisted adrenalectomy (RA) and laparoscopic adrenalectomy (LA). The results showed that the robotic technique was superior to laparoscopy in terms of reducing blood loss, shortening the length of stay, and decreasing the conversion to open surgery. Complications and readmissions were comparable between the two surgical modalities. The retroperitoneal route robotic technique took longer, while the mixed surgical modality required less time. For pheochromocytoma, RA was superior to LA in terms of length of stay, with no difference in other indicators.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Surgery
Rajshri M. Gartland, Eva Fuentes, Jessica Fazendin, Zhi Ven Fong, Antonia Stephen, John R. Porterfield, Richard Hodin, Brenessa Lindeman
Summary: Outpatient adrenalectomy has the potential to decrease costs, improve inpatient capacity, and decrease patient exposure to hospital-acquired conditions. This study found that outpatient adrenalectomy can be performed safely in appropriately selected candidates without an increased risk of 30-day complications or readmission.
Article
Endocrinology & Metabolism
Shiwei Sun, Jinyao Wang, Bin Yang, Yue Wang, Wei Yao, Peng Yue, Xiangnan Niu, Anhao Feng, Lele Zhang, Liang Yan, Wei Cheng, Yangang Zhang
Summary: This study developed a radiological-clinical prediction model for evaluating the surgical difficulty of retroperitoneal laparoscopic adrenalectomy (RPLA) based on computed tomography (CT). The model showed high accuracy and reliability in predicting the surgical outcomes.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Surgery
Donatien Fouche, Gabrielle Chenais, Magalie Haissaguerre, Damien Bouriez, Caroline Gronnier, Denis Collet, Antoine Tabarin, Haythem Najah
Summary: This study found that intraoperative complications, postoperative complications, and prolonged length of stay were associated with laparoscopic adrenalectomy. Postoperative complications were positively associated with age, intraoperative complications, and negatively associated with non functional adenomas and right adrenalectomy. Severe postoperative complications were positively associated with chronic obstructive pulmonary disease (COPD), and negatively associated with right adrenalectomy. Prolonged length of stay was associated with age and COPD.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Endocrinology & Metabolism
Toshikazu Takeda, Kyohei Hakozaki, Yoshinori Yanai, Tsukasa Masuda, Yota Yasumizu, Nobuyuki Tanaka, Kazuhiro Matsumoto, Shinya Morita, Takeo Kosaka, Ryuichi Mizuno, Isao Kurihara, Hiroshi Asanuma, Hiroshi Itoh, Mototsugu Oya
Summary: The study investigated risk factors for haemodynamic instability (HDI) during pheochromocytoma surgery and found that diabetes mellitus was an independent predictor of HDI, with higher levels of urinary epinephrine and metanephrine in the HDI group. Therefore, surgeons and anaesthesiologists need to be aware of the increased risk of HDI in diabetic patients during laparoscopic adrenalectomy for pheochromocytoma.
CLINICAL ENDOCRINOLOGY
(2021)
Article
Urology & Nephrology
Yong-sheng Huang, Lei Yan, Ze-yan Li, Zhi-qing Fang, Zhao Liu, Zhong-hua Xu, Gang-Li Gu
Summary: This study identified tumor size and previous history of hypertension as predictive factors for hemodynamic instability during laparoscopic resection of pheochromocytoma.
Article
Surgery
Alessandro Parente, Sivesh K. Kamarajah, Joseph P. Thompson, Charlotte Crook, Sebastian Aspinall, Ross Melvin, Michael J. Stechman, Helen Perry, Sabapathy P. Balasubramanian, Arslan Pannu, Fausto F. Palazzo, Klaas van den Heede, Fiona Eatock, Hannah Anderson, Helen Doran, Kelvin Wang, Johnathan Hubbard, Abdulaziz Aldrees, Susannah L. Shore, Clare Fung, Alison Waghorn, John Ayuk, Davinia Bennett, Robert P. Sutcliffe
Summary: Adrenalectomy for phaeochromocytoma has a low mortality rate, but postoperative complications are common. Risk factors for postoperative complications and prolonged hospitalization include age-adjusted Charlson co-morbidity index ≥3, laparoscopic converted to open surgery, and open surgery.
Article
Surgery
Caitlin T. Yeo, Janice L. Pasieka, Golpira Elmi Assadzadeh, Adrian Harvey
Summary: This study reviewed the practice of adrenalectomy and found that retroperitoneoscopic approach had shorter operative time and length of stay. Body mass index and radiographic body measurements may increase the risk of conversion, operative time, length of stay, and emergency department visits. Preoperative radiographic body measurements may help in selecting appropriate patients for a retroperitoneoscopic approach.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Ergonomics
Fuma Kochi, Yuichi Saito, Nobuyuki Uchida, Makoto Itoh
Summary: This study investigated the influence of driving experience on drivers' perceptions and behaviors in preparation for traffic conflicts. The results showed that experienced drivers were better able to accurately perceive task difficulty and adjust their driving behavior accordingly. Therefore, when designing effective measures such as driver assistance systems, the underestimation of task difficulty by inexperienced drivers should be taken into consideration.
ACCIDENT ANALYSIS AND PREVENTION
(2023)
Article
Oncology
Shijie Li, Zeyu Li, Jianyi Zheng, Xiaonan Chen
Summary: This study aimed to investigate risk factors for intraoperative hemodynamic instability (HDI) and construct a clinical model for predicting intraoperative HDI for large pheochromocytomas and paragangliomas (PPGLs) patients. Independent risk factors were identified and a predictive model was constructed, which showed good predictive power in the training and validation cohorts. This model can help in individualized pre-treatment decision-making.
Article
Orthopedics
Agnieszka Stanuszek, Adrian Jedrzejek, Eliza Gancarczyk-Urlik, Izabela Kolodziej, Magdalena Pisarska-Adamczyk, Olga Milczarek, Jacek Trompeta, Wojciech Chrobak
Summary: The study found that fatty degeneration of the paraspinal muscles is correlated with better outcomes 1 and 6 months after microdiscectomy. Patients with higher relative cross-sectional areas of the paraspinal and psoas major muscles achieved better results on the EURO EQ-5D scale.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Surgery
Izabela A. Karpinska, Jan Kulawik, Magdalena Pisarska-Adamczyk, Michal Wysocki, Michal Pedziwiatr, Piotr Major
Summary: This study aimed to validate various prediction models for weight reduction after bariatric surgery. While there was reasonable correlation between predicted and observed BMI, the models tended to overestimate the outcome, highlighting the need for accurate tools for weight loss prediction.
Article
Medicine, General & Internal
Magdalena Pisarska-Adamczyk, Piotr Tylec, Natalia Gajewska, Julia Wierzbicka, Krzysztof Przeczek, Piotr Malczak, Michal Wysocki, Michal Pedziwiatr, Mateusz Wierdak, Piotr Major
Summary: This study aimed to investigate the impact of bariatric surgery on olfactory changes in the short postoperative period. The results showed a deterioration of odor threshold in the bariatric surgery group compared to the control group 24 hours after surgery, with this change primarily occurring in patients undergoing LSG.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Magdalena Pisarska-Adamczyk, Karolina Zawadzka, Krzysztof Wieckowski, Krzysztof Przeczek, Piotr Major, Michal Wysocki, Piotr Malczak, Michal Pedziwiatr
Summary: This study analyzed data from 96 patients who underwent laparoscopic adrenalectomy for pheochromocytoma, and found that adrenal tumor size and diabetes were significant factors for hemodynamic instability during the resection. The intraoperative use of vasopressors was identified as an independent risk factor for both all-cause mortality and cardiovascular morbidity.
Article
Surgery
Magdalena Pisarska-Adamczyk, Piotr Tylec, Natalia Przytula, Julia Wierzbicka, Michal Wysocki, Piotr Malczak, Piotr Budzynski, Piotr Major, Michal Pedziwiatr
Summary: The aim of this study was to assess the safety of thyroidectomy performed by general surgery residents. The results showed that thyroidectomy performed by residents under the supervision of experienced general surgery specialists can be as safe as those performed by specialists.
ACTA CHIRURGICA BELGICA
(2023)
Review
Endocrinology & Metabolism
Karolina Zawadzka, Krzysztof Wieckowski, Piotr Malczak, Michal Wysocki, Piotr Major, Michal Pedziwiatr, Magdalena Pisarska-Adamczyk
Summary: A systematic review with meta-analysis was conducted to compare the effects of selective and non-selective alpha-blockade, revealing that non-selective alpha-blockade was more effective in preventing intraoperative blood pressure fluctuations while maintaining comparable risk of both intraoperative and postoperative hypotension and overall morbidity.
EUROPEAN JOURNAL OF ENDOCRINOLOGY
(2021)
Article
Nutrition & Dietetics
Stanislaw Klek, Jerzy Salowka, Ryszard Choruz, Tomasz Cegielny, Joanna Welanyk, Mariusz Wilczek, Kinga Szczepanek, Magdalena Pisarska-Adamczyk, Michal Pedziwiatr
Summary: The study evaluated the clinical value of the ERAS protocol in ECF patients and found that appropriate modifications to the ERAS program can improve surgical outcomes, reduce postoperative complications and nausea and vomiting rates, and shorten hospital stay.
Article
Surgery
Piotr Malczak, Michal Wysocki, Magdalena Pisarska-Adamczyk, Piotr Major, Michal Pedziwiatr
Summary: In laparoscopic right hemicolectomy, intracorporeal ileocolic anastomosis results in slightly faster bowel recovery compared to extracorporeal anastomosis, with no significant differences in morbidity and duration of surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Marcin Strzalka, Marek Winiarski, Marcin Dembinski, Michal Pedziwiatr, Andrzej Matyja, Michal Kukla
Summary: This study evaluated the usefulness of admission venous lactate level in predicting clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). The results showed a significant association between venous lactate levels and mortality, bleeding recurrence, surgical intervention, and intensive care. Lactate levels had a high predictive value for all outcomes, especially mortality and intensive care.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Wojciech Polom, Marcin Migaczewski, Jaroslaw Skokowski, Maciej Swierblewski, Tomasz Cwalinski, Leszek Kalinowski, Michal Pedziwiatr, Marcin Matuszewski, Karol Polom
Summary: This study demonstrates the potential of using two different fluorophores in colorectal surgery. Visualisation with fluorophores aids in intraoperative localization and angiography, optimizing surgical outcomes. The use of two separate dyes may represent a direction for the development of image-guided surgery, showcasing advancements in optical technologies.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Katarzyna Kolodziejska, Jan Witowski, Piotr Tylec, Anna Grochowska, Natalia Przytula, Maciej Lis, Michal Pedziwiatr, Mateusz Rubinkiewicz
Summary: This study evaluated the efficacy of various imaging features for frailty assessment in patients undergoing emergency laparotomy. The results showed that osteopenia was the best parameter for perioperative mortality risk stratification, while other imaging features such as sarcopenia, sarcopenic obesity, aortic calcifications, and mean kidney volume did not predict poor outcomes. None of the radiological markers appeared to be useful for the prediction of perioperative morbidity.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Piotr Zarzycki, Justyna Rymarowicz, Piotr Malczak, Magdalena Pisarska-Adamczyk, Rafal Mulek, Artur Binda, Natalia Dowgiallo-Gornowicz, Piotr Major
Summary: Although laparoscopic sleeve gastrectomy is technically simple, there are variations in different parts of the procedure among bariatric surgeons, which may impact postoperative outcomes. A multicenter observational study found that there were no significant differences in certain parameters before revisional surgery, but weight regain and staple line oversewing were significantly different in some patients.
MEDICINA-LITHUANIA
(2023)
Article
Gastroenterology & Hepatology
M. Wierdak, M. Pisarska-Adamczyk, M. Wysocki, P. Major, K. Kolodziejska, M. Nowakowski, T. Vongsurbchart, M. Pedziwiatr
Summary: Protective negative-pressure wound therapy (NPWT) after diverting ileostomy closure in colorectal cancer patients reduces the incidence of wound healing complications (WHC) and surgical site infections (SSI), leading to shorter time for complete wound healing.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Surgery
Magdalena Mizera, Michal Wysocki, Katarzyna Bartosiak, Paula Franczak, Hady Razak Hady, Piotr Kalinowski, Piotr Mysliwiec, Michal Orlowski, Rafal Paluszkiewicz, Jerzy Piecuch, Jacek Szeliga, Maciej Waledziak, Piotr Major, Michal Pedziwiatr
Summary: Through a study of 240 patients undergoing laparoscopic sleeve gastrectomy, it was found that 46% of patients achieved remission of type 2 diabetes mellitus (T2DM) after 5 years. The remission group had better weight loss results, were younger, had shorter duration of T2DM, lower insulin requirement, and fewer diabetes-related complications. The study suggests that factors such as patient age, duration, and severity of T2DM may affect mid-term diabetes remission after surgery.