Chirurgia最新文献_第10页

Intrahepatic Cholangiocarcinoma - Where Do We Stand Today? Literature Review. 肝内胆管癌--我们的现状如何？文献综述。

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.21614/chirurgia.2023.v.118.i.6.p.553

Catalin Savin, Luiza Tarca, Mihai Eftimie, Irina Balescu, Sorin Petrea, Camelia Diaconu, Bogdan Gaspar, Lucian Pop, Valentin Varlas, Adrian Hasegan, Cristina Martac, Ciprian Bolca, Cezar Stroescu, Marilena Stoian, Gabriel Petre Gorecki, Nicolae Bacalbasa

{"title":"Intrahepatic Cholangiocarcinoma - Where Do We Stand Today? Literature Review.","authors":"Catalin Savin, Luiza Tarca, Mihai Eftimie, Irina Balescu, Sorin Petrea, Camelia Diaconu, Bogdan Gaspar, Lucian Pop, Valentin Varlas, Adrian Hasegan, Cristina Martac, Ciprian Bolca, Cezar Stroescu, Marilena Stoian, Gabriel Petre Gorecki, Nicolae Bacalbasa","doi":"10.21614/chirurgia.2023.v.118.i.6.p.553","DOIUrl":"10.21614/chirurgia.2023.v.118.i.6.p.553","url":null,"abstract":"Intrahepatic cholangiocarcinomas represent rare and aggressive malignancies developing from the second order bile ducts to the smaller biliary branches. The aim of this narrative review is to discuss about the main diagnostic and therapeutic challenges in order to help medical and surgical oncologists to gain familiarity in regard to this subject. Articles discussing about epidemiology, histology, diagnostic, perioperative management and surgery which were published from January 2000 to September 2023 included in Cochrane Library, PubMed, Embase, MedLine, Web of Science, Elsevier, Google Scholar databases were reviewed. Articles reviewed in the current paper came to demonstrate that the main problem in such cases is related to the fact that most cases remain asymptomatic for a long period of time and therefore are diagnosed in advanced stages of the disease when curative procedures are feasible after performing extended visceral sacrifice or even worse, are no longer possible; however, the most efficient therapeutic strategy in order to improve the long term outcomes remains radical surgery. In this respect, attention was focused on improving the accuracy of the diagnostic tools and on identifying non-surgical therapeutic options which might increase the chances of achieving complete resection. Intrahepatic cholangiocarcinoma represent rare aggressive tumors with poor outcomes especially if radical surgery is not feasible.","PeriodicalId":10171,"journal":{"name":"Chirurgia","volume":"118 6","pages":"553-567"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Periprosthetic joint infection: current concepts 假体周围关节感染：当前概念

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.23736/s0394-9508.23.05652-8

Rosalba Tortia, Domenico C. Aloj, Silvio Borrè, R. Rostagno, Giuseppe Basile, Massimiliano Leigheb

引用次数: 0

Risk factors affecting anal fistula incidence: a single hospital study 影响肛瘘发病率的风险因素：一项单一医院研究

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.23736/s0394-9508.23.05542-0

Fadhli Azhimi, Samuel Sampetoding, M. I. Kusuma, Firdaus Hamid, S. Laidding, P. Prihantono, Muhammad Faruk

引用次数: 0

Comparison of Different Laparoscopic Sacrocolpopexy Procedures: A Retrospective Dual Center Analysis. 不同腹腔镜骶骨整形术的比较：双中心回顾性分析

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.21614/chirurgia.2023.v.118.i.6.p.666

Marian Botoncea, Catalin Molnar, Valeriu Surlin, Daniel Preda, Claudiu Varlam Molnar

{"title":"Comparison of Different Laparoscopic Sacrocolpopexy Procedures: A Retrospective Dual Center Analysis.","authors":"Marian Botoncea, Catalin Molnar, Valeriu Surlin, Daniel Preda, Claudiu Varlam Molnar","doi":"10.21614/chirurgia.2023.v.118.i.6.p.666","DOIUrl":"10.21614/chirurgia.2023.v.118.i.6.p.666","url":null,"abstract":"Introduction: Pelvic organ prolapse (POP) affects up to 50% of women and has a significant impact on quality of life. Abdominal sacrocolpopexy is the gold standard treatment for vault prolapse and laparoscopic sacrocolpopexy has many advantages. This study aimed to compare the results of two laparoscopic sacrocolpopexy procedures performed at two different surgical centers. Materials and Methods: The primary objective of this retrospective study was to assess surgical feasibility and complication rates associated with sacrocolpopexy procedures performed at Center A (using self-fixating mesh) and Center B (using sutured mesh). Secondary objectives included assessment of length of hospital stay, readmission rates, and surgical outcomes. The study included patients treated between January 2019 and October 2023. Results: Thirteen patients, six from Center A and seven from Center B, were included. Patient characteristics, such as age and body mass index, were similar between the two groups. Operative time and length of stay were not significantly different. Center A reported one postoperative complication (mesh erosion), which occurred two years after surgery and required laparoscopic intervention. Center B also reported one conversion to laparotomy because of metabolic acidosis and hypercapnia. Conclusion: The two laparoscopic sacrocolpopexy techniques were safe and effective for treating POP and our study confirmed the importance of mesh and fixation choices. Further research is needed to improve understanding of these surgical techniques.","PeriodicalId":10171,"journal":{"name":"Chirurgia","volume":"118 6","pages":"666-672"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Screening and Surgery on Life Expectancy in Breast Cancer - A Mathematical Model Case Study in the European Union. 乳腺癌筛查和手术对预期寿命的影响--欧盟数学模型案例研究》。

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.21614/chirurgia.2023.v.118.i.6.p.624

Iuliana Pantelimon, Victor Platon, Laurentia Nicoleta Gales, Corina-Elena Minciuna, Dragos Eugen Georgescu, Loredana Sabina Cornelia, Andreea Constantinescu

{"title":"The Impact of Screening and Surgery on Life Expectancy in Breast Cancer - A Mathematical Model Case Study in the European Union.","authors":"Iuliana Pantelimon, Victor Platon, Laurentia Nicoleta Gales, Corina-Elena Minciuna, Dragos Eugen Georgescu, Loredana Sabina Cornelia, Andreea Constantinescu","doi":"10.21614/chirurgia.2023.v.118.i.6.p.624","DOIUrl":"10.21614/chirurgia.2023.v.118.i.6.p.624","url":null,"abstract":"Background: In the last 20 years in European Union states, the life expectancy did not change much. In the period 2012-2021 the average life expectancy remained almost constant at 82 years. Breast cancer represents the main cause of death by cancer in women The purpose of this research is to identify o identify and measure the influence of some medical interventions and procedures related to breast cancer on life expectancy. In our article, the target group is the feminine population from 27 EU countries. Methodology: For the analysis several indicators provided by Eurostat were considered: life expectancy for female population as a dependent variable and breast cancer screenings, surgical operations and procedures performed in hospitals (partial and total excision) were used as independent variables. The research used a mathematical model (regression panel) for 27 EU countries, for a 10 year period, to evaluate the impact of each independent variable on the life expectancy in EU as a whole. Results: From a statistical point of view, screening has a significant effect on life expectancy. On the other hand, surgical interventions have a role in the overall medical process and positively influence life expectancy. The panel model has shown that partial interventions contribute less than screening procedures to increase life expectancy. Conclusion: The development of mathematical models in health care is useful in the process of improving health care quality. In our days, the measurement and quantification of some medical methods is particularly difficult due to so many variables and observations. In these difficult circumstances, the mathematical models could bring some clarifications and structure.","PeriodicalId":10171,"journal":{"name":"Chirurgia","volume":"118 6","pages":"624-641"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

3D printing in orthopedic surgery 骨科手术中的 3D 打印

IF 0.6

Chirurgia Pub Date : 2023-12-01 DOI: 10.23736/s0394-9508.23.05642-5

Francesco Mordà, Giuseppe Basile, Jorge H. Villafañe, Federico A. Grassi, Massimiliano Leigheb

引用次数: 0

Primary splenic carcinosarcoma: case report of a rare finding and review of the literature 原发性脾癌肉瘤一例罕见病例报告及文献复习

Chirurgia Pub Date : 2023-11-01 DOI: 10.23736/s0394-9508.22.05490-0

Markus P. WEIGL, Jürgen FRICK, Thomas BROCK, Branislav ZAGRAPAN, Stefan DIRNHOFER, Ingmar KÖNIGSRAINER, Peter TSCHANN

引用次数: 0

A case of a giant mediastinal thymic atypical carcinoid tumor 巨大纵隔胸腺不典型类癌1例

Chirurgia Pub Date : 2023-11-01 DOI: 10.23736/s0394-9508.22.05500-0

Georgi YANKOV, Silvia IVANOVA, Magdalena ALEXIEVA, Evgeni MEKOV

引用次数: 0

Postcircumcision surgical site infection is not related to antibiotic use: a retrospective cohort in an indonesian teaching hospital 包皮环切术后手术部位感染与抗生素使用无关:印度尼西亚一家教学医院的回顾性队列研究

Chirurgia Pub Date : 2023-11-01 DOI: 10.23736/s0394-9508.22.05486-9

Ridho A. SYAIFUL, Tri H. RAHAYATRI, Nina D. PUTRI, Muhammad L. PRASETYO, Azhar F. KURNIAWAN

{"title":"Postcircumcision surgical site infection is not related to antibiotic use: a retrospective cohort in an indonesian teaching hospital","authors":"Ridho A. SYAIFUL, Tri H. RAHAYATRI, Nina D. PUTRI, Muhammad L. PRASETYO, Azhar F. KURNIAWAN","doi":"10.23736/s0394-9508.22.05486-9","DOIUrl":"https://doi.org/10.23736/s0394-9508.22.05486-9","url":null,"abstract":"BACKGROUND: Male child circumcision is commonly practiced among male children in Indonesia, and broad-spectrum antibiotics, either oral or topical, are often used to prevent surgical site infections. However, various guidelines suggest not using oral antibiotics as a prophylactic in male child circumcision. This study aimed to determine the incidence of surgical site infection after circumcision without oral antibiotics, following the guidelines, at the Universitas Indonesia Hospital.METHODS: This study included all male child circumcision with and without antibiotics at RSUI between 2018 and 2019. The circumcisions were followed up for 30 days to assess whether or not the post-circumcision infection occurred. A total of 92 patients with 0-12 years old range of age and 28 patients with an abnormal penis undergoing circumcision were required to assess the association between antibiotic uses in circumcision and the postoperative infection incidence. In addition, the associations were tested with Chi-square tests and relative risk.RESULTS: Of the 92 male children undergoing circumcision, 69 took antibiotics, and 23 did not; 7 patients (7.6%) had post-circumcision surgical site infections. Of those with infections, most infections occurred within 7-30 postoperative days (5.4%) and remained for 1-2 weeks (4.3%). The infection developed in 13% of children with oral and topical antibiotics and 5.7% of children who received topical antibiotics alone. There was no significant association between antibiotic use for circumcision and the incidence of surgical site infection (P=0.35; RR = 0,25; 95% CI = 0.54 -12.67).CONCLUSIONS: Post-circumcision surgical site infection is not significantly related to oral antibiotic use. Therefore, oral antibiotics following male children’s circumcision should be limited to only those at risk of developing an infection.","PeriodicalId":10171,"journal":{"name":"Chirurgia","volume":"20 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of a fibrovascular polyp of the esophagus 食道纤维血管息肉1例

Chirurgia Pub Date : 2023-11-01 DOI: 10.23736/s0394-9508.22.05508-5

Georgi S. YANKOV, Radostina V. CHERNEVA, Silvia I. IVANOVA, Borislav B. VLADIMIROV

引用次数: 0