Review
Surgery
Christoph Kuemmerli, Christoph Tschuor, Meidai Kasai, Adnan A. Alseidi, Gianpaolo Balzano, Stefan Bouwense, Marco Braga, Marielle Coolsen, Sara K. Daniel, Christos Dervenis, Massimo Falconi, Dae Wook Hwang, Daniel J. Kagedan, Song Cheol Kim, Harish Lavu, Tingbo Liang, Daniel Nussbaum, Stefano Partelli, Michael J. Passeri, Nicolo Pecorelli, Sastha Ahanatha Pillai, Venu G. Pillarisetty, Michael J. Pucci, Wei Su, Robert P. Sutcliffe, Bobby Tingstedt, Marion van der Kolk, Dionisios Vrochides, Alice Wei, Caroline Williamsson, Charles J. Yeo, Sabino Zani, Efstratios Zouros, Mohammed Abu Hilal
Summary: This study demonstrates the positive impact of enhanced recovery after surgery (ERAS) protocols on postoperative outcomes in patients undergoing pancreatoduodenectomy, including shorter time to food intake, earlier bowel activity, fewer complications, and a shorter hospital stay.
BRITISH JOURNAL OF SURGERY
(2022)
Article
Surgery
Gonzalo P. Rodriguez-Laiz, Paola Melgar-Requena, Candido F. Alcazar-Lopez, Mariano Franco-Campello, Celia Villodre-Tudela, Sonia Pascual-Bartolome, Pablo Bellot-Garcia, Maria Rodriguez-Soler, Cayetano F. Miralles-Macia, Patricio Mas-Serrano, Jose A. Navarro-Martinez, Francisco J. Martinez-Adsuar, Luis Gomez-Salinas, Francisco A. Jaime-Sanchez, Miguel Perdiguero-Gil, Maria Diaz-Cuevas, Jose M. Palazon-Azorin, Jose Such-Ronda, Felix Lluis-Casajuana, Jose M. Ramia-Angel
Summary: This study conducted a prospective cohort study of liver transplants performed in the institution for the first six years. Various strategies were used, including balanced general anesthesia, fluid restriction, thromboelastometry, and others. The fast-track group had a significantly lower 30-day readmission rate compared to the non-fast-track group.
WORLD JOURNAL OF SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Paolo Berretta, Veronica De Angelis, Jacopo Alfonsi, Michele D. Pierri, Pietro Giorgio Malvindi, Hossein M. Zahedi, Christopher Munch, Marco Di Eusanio
Summary: This study compared the 30-day outcomes of ultra-fast-track minimally invasive valve surgery (UFT-MIVS) with conventional MIVS (c-MIVS) in cardiac surgery. The results showed that UFT-MIVS reduces the occurrence of postoperative respiratory insufficiency and agitation/delirium, and patients receiving UFT-MIVS had shorter intensive care unit length of stay and hospital stay.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Review
Medicine, General & Internal
Caroline Tresch, Marine Lallemant, Rajeev Ramanah
Summary: This study aimed to review the influence of enhanced rehabilitation on outcomes of pelvic organ prolapse surgery. The findings showed no significant difference in operating time, complications, blood loss, and pain scores before and after the adoption of the enhanced recovery after surgery (ERAS) program. However, there was a noticeable decrease in intravenous intakes, opioid administration, length of stay, and overall hospital costs with the adoption of ERAS. Patients were also able to mobilize more rapidly and reported higher satisfaction levels.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Deeksha Kapoor, Azhar Perwaiz, Amanjeet Singh, Arun N. Kumar, Adarsh Chaudhary
Summary: Age is not a barrier in safe implementation of postoperative elements of ERPs after PD. Compliance of various postoperative elements is similar between different age groups.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Review
Oncology
Giorgio Bogani, Giuseppe Sarpietro, Gabriella Ferrandina, Valerio Gallotta, Violante Di Donato, Antonino Ditto, Ciro Pinelli, Jvan Casarin, Fabio Ghezzi, Giovanni Scambia, Francesco Raspagliesi
Summary: ERAS is a pathway designed to promote early recovery for patients undergoing major surgery, with three important components: preoperative, intraoperative, postoperative program. Adoption of ERAS can lead to lower complication rates, shorter hospital stays, improved patient outcomes, and reduced overall cost of care.
Review
Nursing
Bente Thoft Jensen, Nora Love Retinger, Susanne Vahr Lauridsen
Summary: This narrative review summarizes the establishment of enhanced recovery after surgery (ERAS) pathways in radical cystectomy (RC), with a focus on the role of nursing. The review discusses the current status of implementation and adherence to ERAS protocols in RC and the impact on primary outcomes. Nursing has been at the forefront of ERAS and plays a crucial role in supporting patients throughout their recovery journey. Implementation of ERAS has shown reduced hospitalization and improved patient care, but more research is needed to identify factors that can further reduce post-operative complications.
ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING
(2022)
Article
Oncology
Bradley White, Fadi Dahdaleh, Samer A. Naffouje, Neerav Kothari, Jessica Berg, Wendy Wiemann, George Salti
Summary: After implementing an enhanced recovery after surgery (ERAS) program for CRS-HIPEC, patients received less intraoperative fluids, had shorter hospital stays, and lower rates of severe postoperative complications.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Oncology
Qianyun Pang, Liping Duan, Yan Jiang, Hongliang Liu
Summary: Enhanced recovery after surgery (ERAS) shows potential benefits in cancer surgeries by improving the initiation and completion of adjuvant chemotherapy after surgery, with higher adherence leading to better outcomes. However, the association between ERAS protocol and long-term overall survival or cancer-specific survival remains inconclusive based on current evidence.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Giuseppe Marinari, Mirto Foletto, Carlo Nagliati, Giuseppe Navarra, Vincenzo Borrelli, Vincenzo Bruni, Giovanni Fantola, Roberto Moroni, Luigi Tritapepe, Roberta Monzani, Daniela Sanna, Michele Carron, Rita Cataldo
Summary: This article presents the official statement on enhanced recovery after bariatric surgery (ERABS) in Italy. Through the research and discussion of an expert task force, a series of evidence-based recommendations are proposed, stating that ERABS reduces hospital stay, does not increase complications or surgical costs compared to the conventional approach.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Urology & Nephrology
Amelio Ercolino, Matteo Droghetti, Riccardo Schiavina, Lorenzo Bianchi, Francesco Chessa, Federico Mineo Bianchi, Umberto Barbaresi, Andrea Angiolini, Carlo Casablanca, Angelo Mottaran, Enrico Molinaroli, Cristian Pultrone, Hussam Dababneh, Alessandro Bertaccini, Eugenio Brunocilla
Summary: Comparing perioperative outcomes of patients undergoing radical cystectomy followed by Fast Track (FT) protocol or standard management, it was found that FT group had shorter time to defecation, hospital stay, and lower readmission rates, with a higher achievement rate of the Trifecta.
MINERVA UROLOGY AND NEPHROLOGY
(2021)
Article
Surgery
Joseph A. Attard, Bilal Al-Sarireh, Ricky Harminder Bhogal, Alexia Farrugia, Giuseppe Fusai, Simon Harper, Camila Hidalgo-Salinas, Asif Jah, Gabriele Marangoni, Matthew Mortimer, Michail Pizanias, Andreas Prachialias, Keith J. Roberts, Chloe Sew Hee, Fiammetta Soggiu, Parthi Srinivasan, Nikolaos A. Chatzizacharias
Summary: This study evaluated postoperative clinical outcomes of octogenarians undergoing pancreatoduodenectomy (PD) and provided evidence on current UK practice. The results showed higher 90-day mortality rates in octogenarians, but comparable rates of postoperative complications and 30-day readmission between octogenarians and younger patients.
BRITISH JOURNAL OF SURGERY
(2022)
Article
Surgery
Ari Sapin, Patrick Hilden, Luciana Cinicolo, Jenifer Stein, Amber Turner, Richard Pitera, Paul Yodicei, Prakash R. Paragi
Summary: The study implemented a standardized ERAS pathway to improve postoperative outcomes for patients undergoing laparoscopic sleeve gastrectomy, resulting in reduced opioid usage.
SURGERY FOR OBESITY AND RELATED DISEASES
(2021)
Article
Surgery
Charbel El-Kefraoui, Uyen Do, Andrew Miller, Araz Kouyoumdjian, David Cui, Elahe Khorasani, Tara Landry, Alexandre Amar-Zifkin, Lawrence Lee, Liane S. Feldman, Julio F. Fiore Jr
Summary: This systematic review aimed to evaluate the impact of enhanced recovery pathways on patient-reported outcomes after abdominal surgery. The study found that enhanced recovery pathways may have a positive impact on patients' overall health status and symptom experience, but the data were primarily derived from low-quality trials.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Oncology
Yinin Hu, Annie W. Hsu, Vivian E. Strong
Summary: This review summarizes recent data relevant to the preoperative, perioperative, and postoperative management of gastrectomy patients along an ERAS pathway.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Surgery
N. Pujol-Cano, A. Bianchi, A. Pagan-Pomar, R. Ramos-Asensio, M. A. Martinez-Ortega, J. A. Martinez-Corcoles, X. F. Gonzalez-Argente
Summary: This case report describes a patient with the largest mesenteric fibromatosis tumor ever excised, concomitant with non-Hodgkin lymphoma unrelated to any known risk factors. Further research is needed to determine the type of association this presentation may indicate.
ACTA CHIRURGICA BELGICA
(2022)
Article
Surgery
Cristina Pineno-Flores, David Ambrona-Zafra, Jose Carlos Rodriguez-Pino, Carla Soldevila-Verdeguer, Elias Palma-Zamora, Francesc Xavier Molina-Romero, Jose Miguel Moron-Canis, Francesc Xavier Gonzalez-Argente, Rafael Morales-Soriano
Summary: This retrospective study focused on patients aged 75 and above who underwent PDC for pancreatic cancer. The study found that elderly patients had higher postoperative mortality and more non-surgical complications. However, there were no significant differences in overall survival and disease-free survival between the elderly group and the younger group. Therefore, age itself should not be considered a contraindication for PDC, as long as patients are carefully selected.
Article
Surgery
Alessandro Bianchi, Alberto Pagan-Pomar, Marina Jimenez-Segovia, Francesc Xavier Gonzalez-Argente
Summary: This study retrospectively analyzed the impact of laparoscopic surgery on weight loss parameters in morbid obese patients who underwent BPD, finding that laparoscopic surgery resulted in significantly shorter hospital stays and reduced incidence of incisional hernias compared to open surgery, with no significant difference in early postoperative complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Biochemistry & Molecular Biology
Jessica Lombardo, Antonia Solomando, Amanda Cohen-Sanchez, Samuel Pinya, Silvia Tejada, Pere Ferriol, Guillem Mateu-Vicens, Antonio Box, Caterina Faggio, Antoni Sureda
Summary: Pollution in the seas and oceans, especially microplastics, has a significant impact on marine organisms. This study evaluated the effects of human activity on Holothuria tubulosa by analyzing biomarkers. The results showed higher microplastics presence in sediments and digestive tracts from highly urbanized areas. The study also revealed an antioxidant response in H. tubulosa in the most impacted areas.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Biochemistry & Molecular Biology
Margalida Monserrat-Mesquida, Magdalena Quetglas-Llabres, Cristina Bouzas, Sofia Montemayor, Catalina M. Mascaro, Miguel Casares, Isabel Llompart, Jose M. Gamez, Silvia Tejada, J. Alfredo Martinez, Josep A. Tur, Antoni Sureda
Summary: This study found that the reduction of intrahepatic fat content in NAFLD patients is associated with improvements in antioxidant and inflammatory status, as well as increased cardiorespiratory fitness.
Article
Environmental Sciences
Maria Febrer-Serra, Nil Lassnig, Victor Colomar, Gabriela Pico, Silvia Tejada, Antoni Sureda, Samuel Pinya
Summary: Stressful situations lead to an increase in reactive oxygen species, while the introduction of new potential predators induces physiological stress in native fauna. This study found that the moorish gecko exhibited behavioral responses and changes in oxidative stress biomarkers when exposed to the invasive predator horseshoe whip snake, indicating its ability to recognize and adapt to the snake.
SCIENCE OF THE TOTAL ENVIRONMENT
(2023)
Letter
Gastroenterology & Hepatology
A. Garcia-Granero, G. Pellino, A. Spinelli, X. Gonzalez-Argente
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Environmental Sciences
Marcello Cerrato, Pere M. Mir-Rossello, Pere Ferriol, Lorenzo Gil, Margalida Monserrat-Mesquida, Silvia Tejada, Samuel Pinya, Antoni Sureda
Summary: This study evaluated the potential competition between the invasive Penicillus capitatus and Halimeda incrassata and the native Padina pavonica by using biomarkers. The presence of the invasive algae significantly decreased the densities of native algae and resulted in an antioxidant response in P. pavonica, indicating a context of stress. However, there was no evidence of oxidative damage. Therefore, the presence of the invasive H. incrassata and P. capitatus can be considered a source of competitive stress for P. pavonica.
Article
Gastroenterology & Hepatology
Sebastian Jeri-McFarlane, Alvaro Garcia-Granero, Aina Ochogavia-Segui, Gianluca Pellino, Anai Oseira-Reigosa, Alejandro Gil-Catalan, Leandro Brogi, Daniel Ginard-Vicens, Margarita Gamundi-Cuesta, Francisco Xavier Gonzalez-Argente
Summary: The aim of this study is to demonstrate the added value of 3D reconstruction models and artificial intelligence for preoperative planning in complex perianal Crohn's disease. MRI is the gold standard for diagnosis, but lacks high specificity. This study found that using 3D reconstruction models from MRI can provide a more visual representation of perianal disease and assist with preoperative planning.
COLORECTAL DISEASE
(2023)
Article
Ecology
Amanda Cohen-Sanchez, Jose Maria Valencia, Antonio Box, Antonia Solomando, Silvia Tejada, Samuel Pinya, Gaetano Catanese, Antoni Sureda
Summary: This study aimed to identify the parasite affecting Xyricthys novacula, determine its abundance in different areas, and evaluate the immune and antioxidant responses in the fish. The parasite was identified as Scaphanocephalus sp. and had a higher abundance in the non-protected area compared to the marine protected area. The presence of the parasite resulted in increased immune and antioxidant responses in both the mucus and liver of X. novacula.
JOURNAL OF EXPERIMENTAL MARINE BIOLOGY AND ECOLOGY
(2023)
Article
Medicine, General & Internal
Rafael Morales-Soriano, Cristina Pineno-Flores, Jose Miguel Moron-Canis, Francisco Javier Molina-Romero, Jose Carlos Rodriguez-Pino, Julia Loyola-Miro, Francisco Xavier Gonzalez-Argente, Elias Palma-Zamora, Monica Guillot-Morales, Sandra Gimenez, Melchor Alvarez-Mon, Miguel A. Ortega, Juan Jose Segura-Sampedro
Summary: This study analyzed the postoperative outcomes and survival of patients with advanced metastatic colon cancer who underwent simultaneous liver resection and peritoneal cytoreduction with HIPEC. The results showed that simultaneous peritoneal and liver resection was associated with increased postoperative morbidity and hospital stay, but with similar postoperative mortality and overall and disease free survival. These findings reflect the evolution of these patients and support the incorporation of this surgical strategy in highly selected patients within a multimodal therapeutic plan.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Alessandro Bianchi, Alberto Pagan-Pomar, Rafael Ramos-Asensio, Pablo Luna-Fra, Marina Jimenez-Segovia, Natalia Pujol-Cano, Aina Ochogavia-Segui, Jose Antonio Martinez-Corcoles, Francesc Xavier Gonzalez-Argente
Summary: This observational study examines overall survival and disease-free survival in patients with primary liposarcoma. The study found that compartment surgery does not provide benefits in terms of overall survival and disease-free survival. The ASA classification (>= 3) predicts a poor prognosis in both overall survival and disease-free survival. Resection with free margins, defined as R0 in this study, shows better disease-free survival.
Correction
Surgery
Natalia Pujol-Cano, Francesc Xavier Molina-Romero, Elias Palma-Zamora, Jaume Bonnin-Pascual, Magdalena Coll-Sastre, Francesc Xavier Gonzalez-Argente, Jose Miguel Moron-Canis
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Natalia Pujol-Cano, Francesc Xavier Molina-Romero, Elias Palma-Zamora, Jaume Bonnin-Pascual, Magdalena Coll-Sastre, Francesc Xavier Gonzalez-Argente, Jose Miguel Moron-Canis
Summary: This study aimed to demonstrate that near-infrared fluorescence cholangiography (NIRF-C) with a very low dose of indocyanine green (ICG) provides good visualization of the biliary tract while avoiding hepatic hyperluminescence. The results showed that NIRF-C with 0.25mg ICG during laparoscopic cholecystectomy (LC) allows real-time identification of biliary ducts and avoids hepatic hyperluminescence, even in obese patients or those with gallbladder inflammation.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
