Article
Surgery
Laurence Weinberg, Vidhura Ratnasekara, Anthony T. Tran, Peter Kaldas, Tom Neal-Williams, Michael R. D'Silva, Jackson Hua, Sean Yip, Patryck Lloyd-Donald, Luke Fletcher, Ronald Ma, Marcos V. Perini, Mehrdad Nikfarjam, Dong-Kyu Lee
Summary: This retrospective study examined the complications and associated costs of distal pancreatectomy in 62 adult patients at an Australian university hospital. The results showed a high prevalence of postoperative complications, with the number and severity of complications being associated with increased hospital costs.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Stefano Andrianello, Elisa Bannone, Giovanni Marchegiani, Giuseppe Malleo, Salvatore Paiella, Alessandro Esposito, Roberto Salvia, Claudio Bassi
Summary: It was found that postoperative acute pancreatitis is a common event after distal pancreatectomy and it is closely associated with postoperative pancreatic fistula. Factors influencing postoperative acute pancreatitis include neoadjuvant therapy, age, duct size, pancreatic thickness, resection level, and histology type. Postoperative acute pancreatitis may increase the risk of further complications for patients.
Article
Gastroenterology & Hepatology
Rosa Klotz, Constanze Schilling, Charlotte Kuner, Ulf Hinz, Ulla Klaiber, Magdalena Holze, Christine Tjaden, Martin Loos, Markus W. Buechler, Thilo Hackert
Summary: This study compared the short- and long-term outcomes of central pancreatectomy (CP) versus distal pancreatectomy (DP) in the treatment of benign or low-grade malignant lesions located in the neck and body of the pancreas. The results showed that CP was associated with a higher risk of postpancreatectomy hemorrhage (PPH), but had better endocrine long-term outcomes and comparable perioperative mortality compared to DP.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2023)
Article
Surgery
Naoki Ikenaga, Takao Ohtsuka, Kohei Nakata, Yusuke Watanabe, Yasuhisa Mori, Masafumi Nakamura
Summary: The study found a high incidence of postoperative acute pancreatitis after pancreatoduodenectomy and distal pancreatectomy, with different impacts on patients. Patients with clinically relevant postoperative acute pancreatitis were more likely to develop severe complications.
Article
Anesthesiology
Jonathan Gal, Samuel Hunter, David Reich, Eric Franz, Samuel DeMaria, Sean Neifert, Hung-Mo Lin, Xiaoyu Liu, John Caridi, Daniel Katz
Summary: The study found that delayed extubation after spine surgery was associated with an increased incidence of postoperative complications, prolonged length of hospital stay, ICU stay, and higher cost of hospitalization. Anesthesiologist handoff was not independently associated with these adverse outcomes.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Article
Oncology
Jessica Y. Labib, Brendan P. Lovasik, Neha Lad, Julia Saltalamacchia, Shishir K. Maithel, Juan M. Sarmiento, Charles A. Staley, John F. Sweeney, David A. Kooby
Summary: This study investigated the association between white blood cell count (WBC) and infections or major complications (MCs) after distal pancreatectomy splenectomy (DPS). The results showed that patients with infections and MCs had higher postoperative WBC peaks compared to those without complications, and the timing of these peaks also differed. However, no clear thresholds were identified to determine the presence of complications, and clinical suspicion remains the best tool for early identification.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Hiroki Imamura, Hidenori Takahashi, Hiroshi Wada, Yosuke Mukai, Kei Asukai, Shinichiro Hasegawa, Masaaki Yamamoto, Tomohira Takeoka, Naoki Shinno, Hisashi Hara, Takashi Kanemura, Nozomu Nakai, Naotsugu Haraguchi, Keijiro Sugimura, Junichi Nishimura, Chu Matsuda, Masayoshi Yasui, Takeshi Omori, Hiroshi Miyata, Masayuki Ohue, Masato Sakon
Summary: This study found that early and aggressive postoperative diuresis can effectively reduce postoperative tissue edema and decrease the incidence of clinically relevant pancreatic fistula (CR-PF) in pancreatic surgery.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Mushegh A. Sahakyan, Tore Tholfsen, Dyre Kleive, Sheraz Yaqub, Airazat M. Kazaryan, Trond Buanes, Bard Ingvald Rosok, Knut Jorgen Labori, Bjorn Edwin
Summary: This study investigates the impact of prior upper abdominal surgery (PUAS) on laparoscopic distal pancreatectomy (LDP). The results show that while PUAS does not impair the feasibility and safety of LDP, open PUAS increases the burden and severity of postoperative complications.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Urology & Nephrology
Quentin Franquet, Xavier Matillon, Nicolas Terrier, Jean-Jacques Rambeaud, Sebastien Crouzet, Jean-Alexandre Long, Hakim Fassi-Fehri, Ricardo Codas-Duarte, Delphine Poncet, Thomas Jouve, Johan Noble, Paolo Malvezzi, Lionel Rostaing, Jean-Luc Descotes, Lionel Badet, Gaelle Fiard
Summary: In this study evaluating living donor nephrectomy, a high Mayo Adhesive Probability (MAP) score was found to be associated with intra- and postoperative complications. The MAP score could be useful in predicting risks and improving outcomes in potential kidney donors.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Multidisciplinary Sciences
Koki Maeda, Naohisa Kuriyama, Yuki Nakagawa, Takahiro Ito, Aoi Hayasaki, Kazuyuki Gyoten, Takehiro Fujii, Yusuke Iizawa, Yasuhiro Murata, Akihiro Tanemura, Masashi Kishiwada, Hiroyuki Sakurai, Shugo Mizuno
Summary: This study aimed to evaluate the management and outcomes of patients with postoperative pancreatic fistula after distal pancreatectomy. The results showed that patients with grade B postoperative pancreatic fistulas who received therapeutic antibiotics only had better outcomes. Computed tomography values may be useful in predicting peripancreatic fluid collection infection.
Article
Surgery
Nicolo Pecorelli, Giovanni Guarneri, Kemal Alagol, Michele Mazza, Roberto Quattromani, Stefano Partelli, Stefano Crippa, Renato Castoldi, Gianpaolo Balzano, Massimo Falconi
Summary: The study found that hospital readmissions and emergency department visits following DP were not influenced by the surgical approach, while a low preoperative physical status, occurrence of postoperative complications, such as pancreatic fistula and hemorrhage, were significantly associated with post-discharge readmission within 90 days. Laparoscopy was shown to reduce the time to functional recovery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Veterinary Sciences
Anna Cerullo, Marco Gandini, Gessica Giusto
Summary: Laparoscopy is commonly used in equine surgery with various advantages, but it can also lead to complications with significant welfare and economic consequences. However, there is a lack of standardized definitions and classification criteria for intra and postoperative complications, making it difficult to compare complication rates between studies. Therefore, it is important to establish rigorous criteria and conduct more research with high-quality evidence to define and classify complications.
VETERINARY SCIENCES
(2022)
Article
Medicine, General & Internal
Tyler J. Loftus, Matthew M. Ruppert, Tezcan Ozrazgat-Baslanti, Jeremy A. Balch, Philip A. Efron, Patrick J. Tighe, William R. Hogan, Parisa Rashidi, Gilbert R. Upchurch, Azra Bihorac
Summary: This study found that undertriage of patients at increased risk for postoperative complications to low-acuity hospital wards instead of ICU admission may result in higher mortality and morbidity. Automated preoperative and intraoperative data can be used in real-time machine-learning models to identify postoperative undertriage.
Article
Gastroenterology & Hepatology
Jian Shen, Feng Guo, Yan Sun, Dianyun Ren, Jingyuan Zhao, Jin Hu, Yushun Zhang, Xin Jin, Heshui Wu
Summary: This study found that albumin difference (AD) is a new and accessible predictor of overall postoperative complications (OPCs) following pancreatectomy, showing good discrimination and calibration. AD is positively correlated with complication severity and is an independent predictor of postoperative complications after pancreatectomy.
Article
Surgery
J. Wennerblom, Z. Ateeb, C. Jonsson, B. Bjornsson, B. Tingstedt, C. Williamsson, P. Sandstrom, C. Ansorge, J. Blomberg, M. Del Chiaro
Summary: The use of biodegradable reinforcement at the transection line of the pancreas did not reduce postoperative pancreatic fistula compared to regular stapler transection in distal pancreatectomy. Additionally, there was no significant difference in postoperative complications and duration of hospital stay between the two groups.
BRITISH JOURNAL OF SURGERY
(2021)
Article
Oncology
Takaaki Konishi, Masahiko Tanabe, Nobuaki Michihata, Hiroki Matsui, Kotoe Nishioka, Kiyohide Fushimi, Yasuyuki Seto, Hideo Yasunaga
Summary: This study identified several risk factors for postoperative lymphedema in breast cancer surgery, including young age, obesity, smoking, collagen diseases, advanced cancer stage, total mastectomy, axillary dissection, postoperative bleeding, chemotherapy, and radiotherapy. Postoperative chemotherapy and axillary dissection showed the highest odds ratio among the risk factors.
Article
Oncology
Takaaki Konishi, Michimasa Fujiogi, Misuzu Sato, Nobuaki Michihata, Hiroki Matsui, Kotoe Nishioka, Masahiko Tanabe, Yasuyuki Seto, Hideo Yasunaga
Summary: This study investigated the impact of the National Action Plan on antimicrobial resistance on the administration of broad-spectrum antibiotics for mastitis. The results showed that the publication of the plan significantly reduced the use of broad-spectrum antibiotics and increased the use of first-choice antibiotics, but had no effect on surgical drainage treatment.
Article
Geriatrics & Gerontology
Chikako Iwai, Taisuke Jo, Takaaki Konishi, Ryosuke Kumazawa, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: The study aimed to compare the effectiveness and safety profiles of DOACs and warfarin in elderly cancer patients undergoing chemotherapy. The findings suggest that DOACs may be more effective than warfarin in terms of reducing VTE recurrence requiring hospitalization, and these medications may be equivalent in terms of safety.
Article
Surgery
Takashi Shigeno, Masashi Kizuki, Masanori Tokunaga, Kiyohide Fushimi, Yusuke Kinugasa, Takeo Fujiwara
Summary: This study evaluated the short-term outcomes of robotic distal gastrectomy covered by Japanese national health insurance compared to laparoscopic distal gastrectomy. The results showed no difference in postoperative complication rates between the two procedures, but robotic distal gastrectomy had longer anesthesia time and shorter postoperative hospitalization.
Article
Acoustics
Takeshi Takamoto, Satoshi Nara, Daisuke Ban, Takahiro Mizui, Yoshiki Murase, Minoru Esaki, Kazuaki Shimada
Summary: This study aimed to investigate whether real-time virtual sonography (RVS) can enhance intraoperative ultrasound (IOUS) identification of small intrahepatic targets found in preoperative CT. The results showed that after using RVS, the confidence score for identifying small intrahepatic targets significantly increased, and some targets that were undetectable in fundamental IOUS were successfully identified by RVS.
JOURNAL OF ULTRASOUND IN MEDICINE
(2023)
Article
Multidisciplinary Sciences
Yoshito Hirota, Jung-ho Shin, Noriko Sasaki, Susumu Kunisawa, Kiyohide Fushimi, Yuichi Imanaka
Summary: This study aimed to develop and validate prediction models for the discharge destination of elderly patients with aspiration pneumonia. The results showed that the developed models and nomograms could facilitate the early implementation of discharge planning, providing accurate arrangements for patient discharge.
Article
Public, Environmental & Occupational Health
Hiroyuki Nagano, Jung -ho Shin, Susumu Kunisawa, Kiyohide Fushimi, Miki Nagao, Yuichi Imanaka
Summary: A shortage of cefazolin occurred in Japan in 2019. This study compared the impact of the shortage on the selection of parenteral antibiotics at affected and non-affected hospitals. The results showed that hospitals with shortage had a significant increase in the use of broader-spectrum beta-lactams and clindamycin.
JOURNAL OF INFECTION AND PUBLIC HEALTH
(2023)
Article
Psychiatry
Ryuichi Yamazaki, Hiroyuki Ohbe, Yuki Matsuda, Shinsuke Kito, Masahiro Shigeta, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
Summary: This study evaluated the effects of medical fee revisions on the proportion of psychotropic polypharmacy in discharge prescriptions for patients with major depressive disorder (MDD) or bipolar disorder (BD) in Japan. The results showed a significant decrease in polypharmacy after the revisions in October 2014, but no significant changes were observed in April 2016 and April 2018.
ASIAN JOURNAL OF PSYCHIATRY
(2023)
Article
Rheumatology
Yuichi Ishikawa, Kei Tokutsu, Shingo Nakayamada, Aya Kuchiba, Kiyohide Fushimi, Shinya Matsuda, Yoshiya Tanaka
Summary: This study aimed to investigate the short-term effectiveness and safety of rituximab in life-threatening ANCA-associated vasculitis with rapidly progressive glomerulonephritis and/or alveolar haemorrhage. The study found that rituximab and cyclophosphamide had similar short-term effectiveness on mortality and in-hospital incidence of severe renal dysfunction, but rituximab had a lower risk of fungal infections and pneumocystis pneumonia.
ANNALS OF THE RHEUMATIC DISEASES
(2023)
Article
Geriatrics & Gerontology
Akira Yokoyama, Taisuke Jo, Yukiyo Sakamoto, Hirokazu Urushiyama, Hiroyuki Tamiya, Goh Tanaka, Ryosuke Kumazawa, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Takahide Nagase
Summary: This study assessed the effectiveness and safety of co-administration of Yokukan-San (YKS) with atypical antipsychotics in older patients with pneumonia. The results showed that the YKS treatment group had a significantly shorter hospital stay and a higher proportion of patients receiving potassium products.
GERIATRICS & GERONTOLOGY INTERNATIONAL
(2023)
Article
Pediatrics
Naohiro Takamoto, Takaaki Konishi, Michimasa Fujiogi, Mai Kutsukake, Kaori Morita, Yohei Hashimoto, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Jun Fujishiro
Summary: This study retrospectively compared the short-term surgical outcomes and recurrence rates between laparoscopic and open surgery for pediatric intussusception. The results showed no significant differences in these outcomes between the two surgical methods, indicating that laparoscopic surgery is an acceptable treatment option.
JOURNAL OF PEDIATRIC SURGERY
(2023)
Article
Surgery
Takeshi Takamoto, Satoshi Nara, Daisuke Ban, Takahiro Mizui, Yoshiki Murase, Minoru Esaki, Kazuaki Shimada, Takuya Hashimoto, Masatoshi Makuuchi
Summary: The study aimed to assess the prognostic benefit of neoadjuvant chemotherapy (NAC) for resectable advanced colorectal liver metastases (CRLM) and search for optimal indication by establishing an objective definition of biologically borderline resectable (bBR) CRLM. The study found that NAC did not enhance the prognostic impact of liver resection for bBR-CRLM, except for a limited number of optimal candidates experiencing the Biological Conversion.
WORLD JOURNAL OF SURGERY
(2023)
Editorial Material
Surgery
Yuki Hirano, Takaaki Konishi, Hidehiro Kaneko, Satoru Matsuda, Hirofumi Kawakubo, Hiroyuki Daiko, Osamu Itano, Hideo Yasunaga, Yuko Kitagawa
BRITISH JOURNAL OF SURGERY
(2023)
Article
Gastroenterology & Hepatology
Shoko Yoshida, Shinobu Imai, Kiyohide Fushimi
Summary: In Japan, the surgery rate for both ulcerative colitis (UC) and Crohn's disease (CD) decreased over the past five years, while the usage of biologics and JAKi increased for UC and stabilized for CD. The study results showed no significant correlation between the decreasing surgery rate and the expanding treatment options of biologics or JAKi.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2023)