European Surgery最新文献

{"title":"Principles of robot-assisted colorectal surgery","authors":"C. Bittermann, M. Berlet, D. Wilhelm","doi":"10.1007/s10353-024-00838-x","DOIUrl":"https://doi.org/10.1007/s10353-024-00838-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Robotic-assisted surgery is gaining popularity and is about to become the leading principle for less invasive procedures in colorectal diseases. Despite the great achievements made in terms of robotic technology and the high ergonomics that current systems offer, the application of these devices still places special demands on the user and requires comprehensive training and knowledge.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This review article combines recommendations from the current literature with personal experience in performing robotic interventions and supplements these with expert knowledge derived from scientific conferences and peer-to-peer meetings.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The two essential aspects of robotic surgery are case-related planning and standardization of the technique, which both consider the special technical possibilities and limitations of the systems used. The article provides comprehensive recommendations in this regard and discusses the essential steps of left- and right-sided interventions.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>This article is aimed at surgeons performing their first robot-assisted procedures in colorectal surgery and aims to help them to optimize their own approach, but it might also feature interesting insights for persons already trained in robotic colorectal surgery.</p>","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"167 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202060","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}

{"title":"Looking back on a gold standard: a systematic literature review of laparoscopic Nissen fundoplication as an anti-reflux treatment option","authors":"Joerg Zehetner, Johanna Hoffsten, Shuchesmita Das, Sebastian F. Schoppmann, John C. Lipham","doi":"10.1007/s10353-024-00836-z","DOIUrl":"https://doi.org/10.1007/s10353-024-00836-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Laparoscopic Nissen fundoplication is considered the gold standard in surgical management of gastroesophageal reflux disease. Therefore, exhaustive scrutiny of the procedure is necessary. The aim of this study was to perform a complete and systematic literature review of laparoscopic Nissen fundoplication to summarize the evidence for safety and efficacy over time.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>MEDLINE, Embase, CINAHL, the Cochrane Library, and Web of Science were searched for randomized controlled trials investigating intra- and postoperative outcomes at follow-ups between 4–6 weeks and 17 years.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Among 1675 screened articles, 63 articles were identified comprising 40 trials with a total of 2619 participants. Intraoperative events included bleeding (2.9%), gastroesophageal injury/perforation (0.9%), and spleen injury/splenectomy (0.9%). One-year clinical follow-up presented the following: dysphagia (22.4%), heartburn or epigastric/sternal pain (15.1%), gas bloating (30.1%), and inability to vomit/belch (16.4%). These outcomes displayed a U-shaped curve with a minimum of symptoms at 1 year. At 10 years postoperatively, clinical outcomes deteriorated, demonstrating dysphagia (45.3%), heartburn or epigastric/sternal pain (30.9%), inability to vomit/belch (48.8%), and gas bloating (44.4%). Furthermore, the surgical benefit seems to dissipate at 17 years. At 1 and 10 years after surgery, reoperation rates were 6.7% and 16.3%, whereas proton pump inhibitor (PPI) use was at 12.3% and 23.3%, respectively.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The performance of Nissen fundoplication declines over time, as demonstrated by increased PPI medication usage for recurrent symptoms and an increased reoperation rate reaching a combined 39.6%, representing failures after 10 years. The complication rates are dominated by dysphagia, gas bloating, inability to belch/vomit, and/or recurrent reflux symptoms with heartburn.</p>","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202042","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}

{"title":"Chronic kidney disease is associated with increased 30-day mortality and morbidities after esophagectomy: a propensity score matched study","authors":"Renxi Li","doi":"10.1007/s10353-024-00835-0","DOIUrl":"https://doi.org/10.1007/s10353-024-00835-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Chronic kidney disease (CKD) is one of the most prevalent comorbid conditions in the US. While prior studies have established a correlation between CKD and increased mortality and complications in surgery, its impact on esophagectomy outcomes remains underexplored. This study aimed to assess the effect of CKD on the 30-day outcomes of esophagectomy using data from a national registry.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) esophagectomy-targeted database was used in this retrospective study. The period considered was from 2016 to 2022. Patients with CKD were selected based on an estimated glomerular filtration rate (eGFR) ≤ 60 mL/min/1.73m². A 1:2 propensity score matching was applied to CKD and non-CKD patients for demographics, baseline characteristics, neoadjuvant therapy, surgical approaches, tumor diagnosis, and staging of the malignancy. The 30-day postoperative outcomes were then compared.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>There were 655 (8.30%) and 7232 patients with and without CKD who underwent esophagectomy, respectively, whereby 1310 non-CKD patients were matched to all CKD patients. After propensity score matching, CKD patients had higher mortality (6.72% vs. 3.44%, <i>p</i> &lt; 0.01), pulmonary complications (28.85% vs. 23.21%, <i>p</i> = 0.01), renal complications (7.18% vs. 2.44%, <i>p</i> &lt; 0.01), sepsis (16.03% vs. 12.14%, <i>p</i> = 0.02), and bleeding requiring transfusion (16.64% vs. 12.06%, <i>p</i> = 0.01).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>CKD can be an independent risk factor for adverse outcomes following esophagectomy. This underscores the importance of thorough preoperative risk stratification and the need for targeted management strategies for patients with CKD to potentially improve their surgical outcomes.</p>","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141884553","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}

{"title":"Robot-assisted fenestration of giant hepatic cysts in posterosuperior segments","authors":"Gaetano Piccolo, Matteo Barabino, Francesca Lecchi, Riccardo Masserano, Paolo Pietro Bianchi","doi":"10.1007/s10353-024-00834-1","DOIUrl":"https://doi.org/10.1007/s10353-024-00834-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>The diffusion of the use of robotic surgical platforms, such as the da Vinci Xi Surgical System® (Intuitive Surgical, Sunnyvale, CA, USA), has been advocated by several authors to overcome the limitations of laparoscopy in hepatobiliary surgery.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We reported our experience of robot-assisted fenestration of giant hepatic cysts in posterosuperior segments with the use of indocyanine green fluorescence imaging. We described step by step our surgical technique including the operative room set-up, port placement and robotic instruments.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>We enrolled 11 patients: nine females and two males with a mean age of 65 years (range 52–80 yrs). All procedures were undertaken successfully without intraoperative or postoperative complications. The mean surgical operating time was 125 min. The mean blood loss was 30 ml. The median postoperative stay was two days (range, 1 to 3 days).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The most significant advantage of the robotic approach was the ability to access hepatic cysts close to the diaphragm.</p>","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529105","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}

{"title":"Surgical training in transition—quality over quantity?","authors":"S. Raab, A. Shamiyeh","doi":"10.1007/s10353-024-00833-2","DOIUrl":"https://doi.org/10.1007/s10353-024-00833-2","url":null,"abstract":"","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"88 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141378395","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}

{"title":"65th Annual Meeting of the Austrian Society of Surgery","authors":"","doi":"10.1007/s10353-024-00831-4","DOIUrl":"https://doi.org/10.1007/s10353-024-00831-4","url":null,"abstract":"","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"16 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140969944","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}

{"title":"Novel concepts for surgical treatment of pancreatic cancer","authors":"U. Klaiber, Oliver Strobel","doi":"10.1007/s10353-024-00827-0","DOIUrl":"https://doi.org/10.1007/s10353-024-00827-0","url":null,"abstract":"","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"39 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024755","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}

{"title":"Surgery plays Harry Bile Theme","authors":"Martin Riegler","doi":"10.1007/s10353-024-00832-3","DOIUrl":"https://doi.org/10.1007/s10353-024-00832-3","url":null,"abstract":"","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"49 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040988","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}

{"title":"Intraoperative strategies and techniques to achieve surgical radicality in pancreatic cancer","authors":"Thomas Hank, Carl-Stephan Leonhardt, Ulla Klaiber, Oliver Strobel","doi":"10.1007/s10353-024-00830-5","DOIUrl":"https://doi.org/10.1007/s10353-024-00830-5","url":null,"abstract":"<p>The treatment of pancreatic cancer presents a challenging task in surgical oncology, demanding innovative approaches to achieve radical resection and improve patient outcomes. This article provides an overview of state-of-the-art surgical principles and techniques for achieving surgical radicality in localized pancreatic cancer, with a particular emphasis on artery-first approaches, the triangle operation, arterial and venous dissection techniques, including arterial divestment, and the significance of R0 resections with complete lymphadenectomy. By applying these techniques and principles of surgical radicality, surgeons are able to enhance resectability, minimize complications, and potentially extend patient survival in the rapidly evolving field of multimodal pancreatic cancer management.</p>","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"627 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140559911","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}

{"title":"Obituary for Univ.-Prof. Dr. med. mult. Jörg Rüdiger Siewert 1940–2024","authors":"Klaus Leonidas Emmanuel","doi":"10.1007/s10353-024-00826-1","DOIUrl":"https://doi.org/10.1007/s10353-024-00826-1","url":null,"abstract":"","PeriodicalId":12253,"journal":{"name":"European Surgery","volume":"133 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140078262","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}