Minerva chirurgica最新文献_第7页

Updates in bariatric surgery guidelines. What's new? 减肥手术指南的更新。有什么新鲜事吗?

IF 1.3

Minerva chirurgica Pub Date : 2020-08-06 DOI: 10.23736/S0026-4733.20.08447-3

A. Iossa, F. Carrano, Francesco De Angelis, C. Boru, Nicola Di Lorenzo, G. Silecchia

引用次数: 0

Outcomes of reoperation for hepatolithiasis with 3D imaging individualized preoperative planning technique: a single-center experience. 肝内胆管再手术的三维成像个体化术前规划技术:单中心经验。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-06 DOI: 10.23736/S0026-4733.20.08250-4

Tianchong Wu, Yuehua Guo, Jiangang Bi, Baochun He, Shiyun Bao

{"title":"Outcomes of reoperation for hepatolithiasis with 3D imaging individualized preoperative planning technique: a single-center experience.","authors":"Tianchong Wu, Yuehua Guo, Jiangang Bi, Baochun He, Shiyun Bao","doi":"10.23736/S0026-4733.20.08250-4","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08250-4","url":null,"abstract":"BACKGROUND\u0000A detailed assessment of biliary tract anatomy is necessary for the successful reoperation for hepatolithiasis. This study aimed to evaluate the feasibility of preoperative individualized surgical planning with three-dimensional (3D) imaging technique for reoperation of hepatolithiasis.\u0000\u0000\u0000METHODS\u0000This was a retrospective matched case-control study. From January 2011 to December 2018, 56 patients receiving reoperation according to the individualized preoperative plan based on 3D imaging at our center were included (group A). Meanwhile, 54 patients receiving traditional imaging guided reoperation matched by age, gender and distribution of hepatobiliary stones to each case were selected as controls (group B). The perioperative and long-term follow-up outcomes were compared between the two groups.\u0000\u0000\u0000RESULTS\u0000There was no significant difference in demographic characteristics between groups. Compared with group B, the group A had a significantly shorter operation time (245.7±56.2min vs. 305.2±79.9min, P<0.001), a significantly higher surgical plan implementation rate (SPIR, 92.9% vs. 66.7%, P=0.001) and a lower incidence of severe complications (Clavien-Dindo grade>II, 1.8% vs. 14.8%, P=0.015). The incidences of initial residual stone (7.1% vs. 44.4%, P<0.001) and repeated cholangitis (3.6% vs. 33.3%, P<0.001) were significantly lower in group A than in group B. After postoperative choledochoscopic lithotripsy, the incidence of final residual stones was significantly lower in group A than in group B. (1.8% vs. 20.4%, P=0.002).\u0000\u0000\u0000CONCLUSIONS\u0000The preoperative 3D imaging assisted surgical planning is feasible and safe for reoperation of hepatolithiasis which can effectively improve surgical plan implementation rate and reduce the incidence of postoperative complications as compared with conventional surgical planning.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44599089","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

Laparoscopic diastasis recti abdominis and midline hernia repair. 腹腔镜下腹直、中线疝移位修补术。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-06 DOI: 10.23736/S0026-4733.20.08404-7

G. Barbato, S. Rollo, C. Maggioni, F. Cianchi, F. Coratti

{"title":"Laparoscopic diastasis recti abdominis and midline hernia repair.","authors":"G. Barbato, S. Rollo, C. Maggioni, F. Cianchi, F. Coratti","doi":"10.23736/S0026-4733.20.08404-7","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08404-7","url":null,"abstract":"BACKGROUND\u0000Diastasis Recti Abdominis DRA is defined as an abnormally wide distance separates the two rectus muscles. Thinning and widening of the linea alba is an important risk factor for development midline hernia. In patient with DRA there is an increase rate of hernia recurrence.\u0000\u0000\u0000METHODS\u0000We perform a retrospective study to assess the outcome of laparoscopic intraperitoneal hernia repair and linea alba plication combined with mesh placement to obtain an adequate overlap of midline hernia associated to an abdominal wall support. The inclusion criteria were patients who has a clinical diagnosis of primary midline hernias of any size with associated diastasis recti. The exclusion criteria were incisional hernias, hernias outside of the midline. A total of 12 patients fulfilled the inclusion criteria. No complication was observed over the follow up period. The rates for recurrence were 0% over the follow up period.\u0000\u0000\u0000RESULTS\u0000Despite the limited data some assumptions can be drawn from this study. The presence of DRA and coexisting hernia involves a challenging choice of the surgical treatment. Whichever approach is taken, in order to achieve an effective correction, plication of the linea alba is required. The major goal of any abdominal wall repair is not only reduction of hernia sac and prevention of further herniation but also restoration of the integrity and restitution of abdominal wall functionality.\u0000\u0000\u0000CONCLUSIONS\u0000A laparoscopic approach to midline hernias associated to DRA is feasible and reproducible. It is necessary future prospective studies on larger numbers to improve knowledge on the management of DRA.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47473962","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: 3

Frequency of postoperative atrial fibrillation and related parameters in patients who underwent sleeve gastrectomy for obesity. 肥胖患者行袖胃切除术后心房颤动的频率及相关参数。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-06 DOI: 10.23736/S0026-4733.20.08358-3

Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç

{"title":"Frequency of postoperative atrial fibrillation and related parameters in patients who underwent sleeve gastrectomy for obesity.","authors":"Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç","doi":"10.23736/S0026-4733.20.08358-3","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08358-3","url":null,"abstract":"BACKGROUND\u0000In this study, we planned to determine the frequency of post-operative AF and its related parameters in morbidly obese patients who underwent bariatric surgery.\u0000\u0000\u0000METHODS\u0000The study included 300 patients with morbidly obese who had no history of AF and underwent successful bariatric surgery. Routine anamnesis, physical examination and laboratory parameters of the patients were recorded. Patients with post-operative AF were detected. The participants were grouped as patients with and without AF.\u0000\u0000\u0000RESULTS\u0000Postoperative AF occurred in 19 (6.3%) patients. Age, BMI and LAd diameter parameters independently determined the presence of AF. When the ROC curve was performed to identify patients with AF, the area under the ROC curve was found to be 0.841, 0.785 and 0.902 for age, BMI and LAd diameter, respectively. According to this analysis, 50 years for age, 43kg/m2 for BMI and 40mm for LAd were used to determine patients with AF with acceptable sensitivity and specificity (>70% each).\u0000\u0000\u0000CONCLUSIONS\u0000The most important determinants of postoperative AF are age, LAd and basal BMI. Therefore, morbidly obese patients with LAd >40mm, BMI >43kg/m2 and >50-years of age should be followed up more closely for postoperative AF development and preoperative precautions should be taken to prevent AF development.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46797559","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

Comparison among different techniques for en-bloc resection of rectal lesions: transanal endoscopic surgery vs. endoscopic submucosal dissection vs. full-thickness resection device with Over-The-Scope Clip® System. 直肠病变整体切除不同技术的比较:经肛门内镜手术与内镜粘膜下剥离与全层切除装置与超镜夹®系统。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 DOI: 10.23736/S0026-4733.20.08298-X

Damiano Bisogni, Roberto Manetti, Luca Talamucci, Francesco Coratti, Riccardo Naspetti, Andrea Valeri, Jacopo Martellucci, Fabio Cianchi

{"title":"Comparison among different techniques for en-bloc resection of rectal lesions: transanal endoscopic surgery vs. endoscopic submucosal dissection vs. full-thickness resection device with Over-The-Scope Clip® System.","authors":"Damiano Bisogni, Roberto Manetti, Luca Talamucci, Francesco Coratti, Riccardo Naspetti, Andrea Valeri, Jacopo Martellucci, Fabio Cianchi","doi":"10.23736/S0026-4733.20.08298-X","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08298-X","url":null,"abstract":"Background: The aim of our retrospective study is to compare the efficacy and indications of transanal endoscopic microsurgery (TEM), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection device (FTRD) with Over-The-Scope Clip (OTSC®) System for en-bloc resection of rectal lesions.Methods: This study collected 76 cases of rectal neoplasms from a single hospital institution. Primary endpoints were complete en-bloc resection, intraprocedural adverse events, R0 en-bloc resection and an early discharge of the patient. Secondary endpoints included procedure-related adverse events.Results: Mean tumor sizes were statistically significant smaller among patients treated with FTRD rather than TEM and ESD. TEO and FTRD treated patients experienced a higher en-bloc resection rate, with a shorter procedure time and hospital stay. No significant difference concerning the R0 resection was found. TEO and FTRD recorded lower perforation rates as compared to ESD, whereas no difference emerged concerning the bleeding rate and the post-polypectomy syndrome rate.Conclusions: Our study showed that each technique has specific features, so that each one offers advantages and disadvantages. Nevertheless, all of them ensure high en-bloc resection rates, whereas no difference exists for R0 resection rate. TEO provides the possibility to remove low rectal large lesions as compared to ESD and FTRD.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":"75 4","pages":"234-243"},"PeriodicalIF":1.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756047","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: 1

Rightward shift in colorectal cancer: experience in 1101 patients. 结直肠癌右移:1101例患者的经验

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08263-2

Paolo Del Rio, Matteo Rossini, Mario Giuffrida, Federico Cozzani, Elena Guarnieri, Paolo Dell'abate

{"title":"Rightward shift in colorectal cancer: experience in 1101 patients.","authors":"Paolo Del Rio, Matteo Rossini, Mario Giuffrida, Federico Cozzani, Elena Guarnieri, Paolo Dell'abate","doi":"10.23736/S0026-4733.20.08263-2","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08263-2","url":null,"abstract":"Background: In the past decades the right colon cancer showed a higher incidence rate than left colon cancer. This trend is known as \"proximal shift\" or \"rightwards shift.\" We evaluated rightward shift phenomenon in our region.Methods: We collected data from 1101 colorectal cancer patients who underwent curative surgery at Parma University Hospital from 01 January 2004 through 01 January 2018. We divided patients into seven subgroups according to the time of surgery to evaluate epidemiological changes through the years of colon cancer.Results: We found a non-linear rightward shift trend of CRC. The incidence of RCC was the 40% between 2004-2005 and 51% in the biennium 2016-2017 (60% in 2012-2013 and 57% in 2014-2015). The patients with RCC were significantly older than patients with LCC. RCCs have poor differentiated tumors. Metastatic disease showed a similar distribution both in left and right CRCs. Peritoneum was the most common metastasis location from right-sided colon cancer.Conclusions: Data suggest the existence of two different tumor entities in CRC between right-sided colon cancer and left-sided colon cancer. The proximal shift may be a reflection of improved screening programs, diagnostic accuracy and population aging. Ethnicity, gender, diet, environment, and socioeconomic status contribute to CRC incidence and prevalence in different regions.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":" ","pages":"225-233"},"PeriodicalIF":1.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37978001","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

Considerations on robotic colorectal surgery during a COVID-19 pandemic. COVID-19大流行期间机器人结肠直肠手术的考虑

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 Epub Date: 2020-04-24 DOI: 10.23736/S0026-4733.20.08348-0

Daniel M Felsenreich, Mahir Gachabayov, Xiang D Dong, Fabio Cianchi, Roberto Bergamaschi

引用次数: 0

Accuracy and feasibility of SentiMag technique for localization of non-palpable breast lesions. SentiMag技术定位乳腺不可触及病灶的准确性和可行性。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 DOI: 10.23736/S0026-4733.20.08303-0

Antonio Rulli, Piero Covarelli, Alessandra Servoli, Andrea Saracini, Paola Panzarola, Renato Colella, Carlo Boselli, Francesco Barberini

{"title":"Accuracy and feasibility of SentiMag technique for localization of non-palpable breast lesions.","authors":"Antonio Rulli, Piero Covarelli, Alessandra Servoli, Andrea Saracini, Paola Panzarola, Renato Colella, Carlo Boselli, Francesco Barberini","doi":"10.23736/S0026-4733.20.08303-0","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08303-0","url":null,"abstract":"Background: Non-palpable breast lesions are more frequent now than in the past due to the attention toward the mammary pathology and the screening diffusion; the marking of such lesions is very important for a successful surgery. The SentiMag System uses a magnetic marker that is inoculated transdermal in the breast through an 18-gauge needle.Methods: Between April 1st and June 30th, 2018, 16 patients with non-palpable breast lesions were selected and subjected to surgery using the SentiMag System in our Unit. They were women with a mean age of 52 years (range 30-84 years). Seven of 16 (43.7%) had a borderline preoperative histological or cytological diagnosis (C3/B3), and nine (56.3%) a diagnosis of carcinoma (C5/B5). Six (37.5%) were marked on ultrasound guidance and 10 (62.5%) on a mammography stereotaxic guide.Results: The time for the marker positioning ranged from 2 to 10 minutes. The radiological control of the surgical specimen always showed the presence of both the lesion and the marker, both centered within the specimen and intact. The pathology revealed seven benign lesions, one in-situ, and eight infiltrating carcinomas.Conclusions: The SentiMag represents a fast and safe preoperative marking system of non-palpable breast lesions, cutting the radio exposure for personnel and patients. The marker is not displaced over time and it is rapid to place and easy to locate intraoperatively, allowing a clear dissection plane around the lesion. Thus, this reduces the amount of gland removed, improving the aesthetic result mostly in small breasts.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":"75 4","pages":"255-259"},"PeriodicalIF":1.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756048","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: 2

The effect of a simple simulator on the application of laparoscopic common bile duct exploration in a low volume center. 简易模拟器在小容积中心腹腔镜胆总管探查中的应用效果。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08243-7

Yongfeng Lv, Haiming Sun, Zhangxuan Qian, Weikun Mao, Weiyun Yao, Chencheng Ding, Zhiran Jin, Rui Li

{"title":"The effect of a simple simulator on the application of laparoscopic common bile duct exploration in a low volume center.","authors":"Yongfeng Lv, Haiming Sun, Zhangxuan Qian, Weikun Mao, Weiyun Yao, Chencheng Ding, Zhiran Jin, Rui Li","doi":"10.23736/S0026-4733.20.08243-7","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08243-7","url":null,"abstract":"Background: The purpose of this study was to investigate the effect of a simple laparoscopic common bile duct exploration (LCBDE) simulator and corresponding practicing program on the application of performing LCBDE in a low volume center.Methods: A retrospective review was performed by analyzing data from the electronic medical record for 4118 patients with choledocholithiasis in Changxing County Hospital (Huzhou, Zhejiang, China) between January 2013 and December 2018. From January 2016, we have developed a simple LCBDE-specific simulator and corresponding practicing program in our hospital. The percentage of patients with choledocholithiasis managed by LCBDE before and after the introduction of a simple LCBDE-specific simulator and corresponding practicing program was compared.Results: There were 8.9% (367/4118) patients with a diagnosis of choledocholithiasis confirmed by MRCP. Single-stage management with LC+LCBDE was performed in 23.7% (87/367) patients. Among them, 23 cases were performed between January 2013 and December 2015, and 64 cases were performed between January 2016 and December 2018. The introduction of simulator-enhanced practicing program in January 2016 has resulted in an increase in the percentage of performed LCBDE, from 12.9% to 33.9%. In addition, there was an 29.5% reduction in the mean operating time (from 193 min to 136 min) needed for LCBDE with T-tube when compared these two periods.Conclusions: LCBDE simulator can improve the application in a low volume center, and help to increase the utilization of this effective, one stage treatment for choledocholithiasis and reduce the need for costlier ERCP.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":" ","pages":"260-265"},"PeriodicalIF":1.3,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37978498","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: 2

Von Meyenburg complexes: a rare intrahepatic bile duct malformation. Von Meyenburg复合物:一种罕见的肝内胆管畸形。

IF 1.3

Minerva chirurgica Pub Date : 2020-08-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08285-1

Paola Tarchi, Chiara Di Renzo, Parissa Tabrizian, Chiara Rocha, Myron E Schwartz

引用次数: 0