Article
Surgery
Li Zheng-yan, Zhao Yong-liang, Qian Feng, Shi Yan, Yu Pei-wu
Summary: This study compared the outcomes of robotic distal gastrectomy (RDG) and laparoscopic distal gastrectomy (LDG) in treating gastric cancer. It found no significant differences in postoperative complications and mortality between RDG and LDG, with RDG showing less blood loss and more retrieved lymph nodes. Age over 65 and ASA III were identified as major risk factors for complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Zheng-yan Li, Yong-liang Zhao, Feng Qian, Bo Tang, Jun Chen, Fan Zhang, Ping-ang Li, Zi-yan Luo, Yan Shi, Pei-wu Yu
Summary: The study found that RG is a safe and feasible surgical procedure for treating gastric cancer, with an acceptable postoperative complication rate. Elderly patients and lack of surgeon experience were identified as major risk factors for postoperative complications. Surgeons are advised to select patients in good condition during the learning phase to reduce complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Oncology
Lianne Triemstra, Cas de Jongh, Fabrizio Tedone, Lodewijk A. A. Brosens, Misha D. P. Luyer, Jan H. M. B. Stoot, Sjoerd M. Lagarde, Richard van Hillegersberg, Jelle P. Ruurda
Summary: This study evaluated the additional value of the Comprehensive Complication Index (CCI) in assessing complications after gastric cancer surgery compared to the Clavien-Dindo Classification (CDC). The results showed that both CCI and CDC showed moderate positive correlations for hospitalization and reoperations, and weak correlations for ICU-stay. However, implementing CCI did not provide any clinically relevant benefit compared to CDC and caused additional workload.
Article
Oncology
Nicolo Tamini, Davide Bernasconi, Lorenzo Ripamonti, Giulia Lo Bianco, Marco Braga, Luca Nespoli
Summary: The study showed that the Comprehensive Complication Index (CCI) is more effective than the Clavien-Dindo classification in predicting hospital stay for colon cancer patients, especially those with multiple postoperative complications. These findings support the routine use of CCI in grading postoperative complications in colonic surgery.
Article
Multidisciplinary Sciences
Xiang Xia, Zizhen Zhang, Chunchao Zhu, Bo Ni, Shuchang Wang, Shuofei Yang, Fengrong Yu, Enhao Zhao, Qing Li, Gang Zhao
Summary: Postoperative abdominal infectious complications are associated with metastasis in gastric cancer, and the release of neutrophil extracellular traps (NETs) by neutrophils can facilitate the extravasation and metastasis formation of gastric cancer cells.
NATURE COMMUNICATIONS
(2022)
Article
Surgery
Luca Degrate, Maria Francesca Chiappetta, Alice Nigro, Luca Fattori, Stefano Perrone, Mattia Garancini, Fabrizio Romano, Marco Braga
Summary: Appendectomy is the most frequently performed emergent procedure in paediatric patients. Postoperative complications are rare, with major complications seen in only 1.1% of patients. Using standardized definitions and severity-based grading of complications is crucial for outcome analysis.
UPDATES IN SURGERY
(2022)
Article
Surgery
Makoto Hikage, Keiichi Fujiya, Satoshi Kamiya, Yutaka Tanizawa, Etsuro Bando, Masanori Terashima
Summary: This study compared the short- and long-term outcomes of robotic total gastrectomy (RTG) and conventional laparoscopic total gastrectomy (LTG) in patients with clinical stage I/IIA gastric cancer. The results showed that RTG reduced the risk of complications compared to LTG, although the operative time was longer. Overall survival was equivalent between the two approaches.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Shuyan Wei, Aiat Radwan, Krislynn M. Mueck, Charlie Wan, David Q. Wan, Stefanos G. Millas, Tien C. Ko, John B. Holcomb, Charles E. Wade, David N. Naumann, Lillian S. Kao
Summary: This study validates the adapted Clavien-Dindo in trauma (ACDiT) tool as a novel outcome measure for patients with acute diverticulitis managed both operatively and nonoperatively. The ACDiT tool, graded from 0 to 5b, was successfully applied to acute diverticulitis patients and showed associations with known risk factors for adverse outcomes. ACDiT may be considered a meaningful outcome measure for comparing strategies for acute diverticulitis.
Article
Surgery
Zheng-Yan Li, Yong-Liang Zhao, Feng Qian, Bo Tang, Zi-Yan Luo, Yan Wen, Yan Shi, Pei-Wu Yu
Summary: RTG is a safe and feasible surgical procedure for the treatment of GC with acceptable morbidity and mortality. More complications were observed for RTG, indicating that RTG is more invasive than RDG. Age >= 70 years and surgeons' experience <= 25 cases were identified as independent risk factors for overall complication in patients undergoing robotic gastrectomy for gastric cancer.
SURGICAL INNOVATION
(2022)
Article
Pediatrics
Philipp Arens, Juliane Hardt, Julie Charlotte Angrick, Heidi Olze, Annekatrin Coordes
Summary: This study investigated perioperative complications in a clinical cohort of children with adenotonsillar hyperplasia undergoing adenotonsillectomy using the standardized Dindo-Clavien reporting system. The results showed associations between complications and additional diagnoses, long-term medication intake, duration of hospitalization, duration of surgery, different surgical procedures, ASA score differences, and OSA-18 score differences. Severe complications were associated with premature birth, additional diagnoses, long-term medication intake, and ASA score differences.
FRONTIERS IN PEDIATRICS
(2022)
Article
Oncology
Haihao Jin, Jianshan Geng
Summary: The incidence of postoperative complications after dual-port laparoscopic distal gastrectomy (DPLDG) is lower than that of hand-assisted laparoscopic gastrectomy (HALG), but age not less than 60 years old and intraoperative blood loss not less than 180 ml are independent risk factors for postoperative complications.
JOURNAL OF ONCOLOGY
(2021)
Article
Urology & Nephrology
K. F. Kowalewski, D. Mueller, J. Muehlbauer, J. D. Hendrie, T. S. Worst, F. Wessels, M. T. Walach, J. von Hardenberg, P. Nuhn, P. Honeck, M. S. Michel, M. C. Kriegmair
Summary: The study validates the use of Comprehensive Complication Index (CCI) in urological surgery and demonstrates its superiority over the Clavien-Dindo classification. CCI was more accurate in predicting length of stay after radical cystectomy (RC) compared to Clavien, and also resulted in reduction of required sample sizes for future hypothetical trials for all procedures.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Surgery
Wenwu Yan, Lei Zhu, Jinguo Wang
Summary: This study analyzed the impact of postoperative complications on long-term survival in patients with advanced gastric cancer after radical resection. Severe complications were found to reduce survival outcomes, and older age, combined excision, and comorbidities were identified as independent risk factors for complications.
Article
Oncology
Chang Seok Ko, Jin Ho Jheong, Seong-A. Jeong, Byung Sik Kim, Jeong Hwan Yook, Beom Su Kim, In-Seob Lee, Chung Sik Gong, Na Young Kim, Moon-Won Yoo
Summary: This study compared the surgical and oncological outcomes between gastric cancer patients who underwent liver transplantation and curative gastrectomy, and those who only received curative gastrectomy. The results showed that there were no significant differences in overall complications between the two groups, but the liver transplantation group had longer operative time, higher transfusion frequency, and lower 5-year overall survival rate. This suggests that curative gastrectomy can be a safe treatment for gastric cancer, but further research is needed to identify the reasons for the lower survival rate in gastric cancer patients who underwent liver transplant surgery.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Benedict Kinny-Koster, Joseph R. Habib, Floortje van Oosten, Ammar A. Javed, John L. Cameron, Richard A. Burkhart, William R. Burns, Jin He, Christopher L. Wolfgang
Summary: This study aimed to establish the safety of conduit reconstructions in vascular pancreatic surgery by analyzing successes and failures. The study found that arterial and venous conduits were used in pancreatoduodenectomies, distal pancreatectomies, and total pancreatectomies. The median postoperative survival was 2 years, and a significant proportion of patients experienced severe complications. The patency rates of the conduits decreased over time.