Minerva Surgery最新文献_第3页

Metabolic and bariatric surgery in vegetarians and vegans. 素食者和纯素食者的代谢和减肥手术。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-24 DOI: 10.23736/S2724-5691.24.10446-7

Yossi Maman, Adam Abu-Abeid, Shai M Eldar, Andrei Keidar

{"title":"Metabolic and bariatric surgery in vegetarians and vegans.","authors":"Yossi Maman, Adam Abu-Abeid, Shai M Eldar, Andrei Keidar","doi":"10.23736/S2724-5691.24.10446-7","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10446-7","url":null,"abstract":"Background: Vegetarianism is constantly increasing worldwide. However, the role of metabolic and bariatric surgery (MBS) in vegetarians/vegans is unclear as there is very limited data on this topic. The aim of this study was to evaluate MBS outcomes in vegetarians or vegans.Methods: Retrospective analysis of a prospectively maintained database of a single-bariatric surgeon was carried out. All patients with a vegetarian or vegan lifestyle undergoing MBS were included.Results: Eleven patients were included; none were lost to follow-up. Ten patients were women, the mean age and Body Mass Index (BMI) were 40.8±14 years and 43.5±4.9 kg/m2, respectively. Five patients (45%) were lacto-ovo-vegetarians, one (9%) was ovo-vegetarian, two (18%) were lacto-ovo-pesco-vegetarians, and three (27%) were vegans. Eight patients consumed vitamin supplements preoperatively, the mean albumin level was 4.1±0.2, 3/11 patients had vitamin D deficiency, 2/11 patients had vitamin-B12 deficiency, and 2/11 patients had iron deficiency. Eight patients (73%) underwent one anastomosis gastric bypass (OAGB), 2/11 patients (18%) underwent single anastomosis duodeno-ileal bypass with sleeve gastrectomy, and one patient (9%) underwent sleeve gastrectomy, the mean biliopancreatic limb length in OAGB was 225 cm. The median follow-up time was 17 months, the mean BMI and percentage of total weight loss during follow-up were 28.2±5 kg/m2 and 35.3±10.7%, respectively. The mean albumin level was 3.82±0.27, 3/11 patients had vitamin D deficiency, and 3/11 patients had iron deficiency.Conclusions: This study reports preliminary data on MBS outcomes in vegetarian/vegan patients. It was shown to be safe, effective, and an acceptable rate of nutritional deficiencies during follow-up. Further large cohort studies are required to clarify this data.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antegrade in-situ needle assisted fenestration during thoracic endovascular aortic repair for preserving left subclavian artery. 胸腔内血管主动脉修补术中保留左锁骨下动脉的前向原位针辅助瘘。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-24 DOI: 10.23736/S2724-5691.24.10478-9

Zhiyu Guo, Lei Lu

引用次数: 0

The impact of early cardiac rehabilitation nursing on cardiac function and quality of life in patients after emergency PCI. 早期心脏康复护理对急诊 PCI 术后患者心脏功能和生活质量的影响。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10525-4

Lin Zhang, Chunrong Ma, Guoyong Zhang

引用次数: 0

The application value of the multidisciplinary team model led by specialist nurses in pressure ulcer management. 专科护士领导的多学科团队模式在压疮管理中的应用价值。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10440-6

Jianan Xu, Lilin Ma, Linghuan Zhan

引用次数: 0

Analysis of the influence of different surgical methods on the gynecological endocrine status of uterine fibroids. 不同手术方法对子宫肌瘤妇科内分泌状况的影响分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10479-0

Yafang Wang, Guixia Dong, Liping Zhao, Ying Ni

引用次数: 0

Analysis of the value of combined measurement of serum immunoglobulin G and subtype immunoglobulin G4 in adult autoimmune glomerulonephritis. 成人自身免疫性肾小球肾炎血清免疫球蛋白 G 和亚型免疫球蛋白 G4 联合测量的价值分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10526-6

Min Zhao, Shubin Wei, Feiting Yue, Fangcao Lu, Hen Xue, Feili Yue

引用次数: 0

Laparoscopic adrenalectomy performed with the Endo GIA™ Stapler as an easy and safe approach. 使用 Endo GIA™ 缝合器进行腹腔镜肾上腺切除术是一种简单安全的方法。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10060-3

Ohjoon Kwon, Kwang Y Paik

{"title":"Laparoscopic adrenalectomy performed with the Endo GIA™ Stapler as an easy and safe approach.","authors":"Ohjoon Kwon, Kwang Y Paik","doi":"10.23736/S2724-5691.24.10060-3","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10060-3","url":null,"abstract":"Background: The purpose of this study was to determine whether the application of the Endo GIA™ Stapler (Medtronic, Dublin, Ireland) could be helpful in the dissection of adrenal tumors in complicated cases.Methods: We retrospectively reviewed the records of patients who underwent laparoscopic adrenalectomy between 2012 and 2022 at the College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea (Seoul, Republic of Korea). We adopted the Endo GIA™ Stapler (Medtronic) to seal vessels around adrenal gland and separate adrenal gland completely when it was difficult to perform meticulous dissection and isolation with laparoscopic instruments. Thirteen patients who underwent laparoscopic adrenalectomy with Endo GIA™ staplers were reviewed and compared with 45 other patients who underwent laparoscopic adrenalectomy without Endo GIA™ staplers.Results: There were no statistical differences between the two groups in demographic, tumor-related, and diagnostic variables. Surgical outcomes such as margin involvement, bleeding, operation duration, rate of conversion to open surgery, blood transfusion, complications, and recurrence were not different between the two groups.Conclusions: In our experience, applying of the Endo GIA™ Stapler (Medtronic) in laparoscopic adrenalectomy is a feasible and acceptable approach.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between serum tumor markers and immune response in patients with lung cancer. 肺癌患者血清肿瘤标志物与免疫反应之间的关系。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10517-5

Xiaojun Zhang, Wei Sun

引用次数: 0

Effect of preoperative visit combined with comfort nursing in operating room nursing and postoperative hypothermia incidence and its application. 手术室护理中术前访视结合舒适护理对术后低体温发生率的影响及其应用。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-02 DOI: 10.23736/S2724-5691.24.10519-9

Xiaomin Gao, Hui Xian

引用次数: 0

Sentinel lymph node biopsy versus axillary lymph node dissection in breast cancer patients undergoing mastectomy. 对接受乳房切除术的乳腺癌患者进行前哨淋巴结活检与腋窝淋巴结清扫。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2024-10-01 DOI: 10.23736/S2724-5691.24.10485-6

Damiano Gentile, Corrado Tinterri

{"title":"Sentinel lymph node biopsy versus axillary lymph node dissection in breast cancer patients undergoing mastectomy.","authors":"Damiano Gentile, Corrado Tinterri","doi":"10.23736/S2724-5691.24.10485-6","DOIUrl":"10.23736/S2724-5691.24.10485-6","url":null,"abstract":"Axillary lymph node dissection (ALND) has been a cornerstone of breast cancer (BC) treatment, traditionally ensuring loco-regional control but associated with significant morbidity. Recent advancements suggest sentinel lymph node biopsy (SLNB) as a less invasive alternative. This review examines the outcomes of omitting ALND in BC patients with positive sentinel lymph nodes (SLNs) undergoing mastectomy. We conducted a comprehensive review of historical comparative studies and pivotal randomized clinical trials. Key sources included the ACOSOG Z0011 and SINODAR-ONE trials, alongside retrospective studies and ongoing trials like SENOMAC and POSNOC. Historical studies predominantly focused on patients undergoing breast-conserving surgery, revealing low recurrence rates and comparable survival outcomes between SLNB alone and ALND. Retrospective analyses of mastectomy patients indicated that omitting ALND did not significantly impact recurrence-free survival (RFS) or overall survival (OS). The SINODAR-ONE trial sub-analysis, involving 218 mastectomy patients, found no significant differences in 5-year OS and RFS between ALND and SLNB groups. The SENOMAC trial similarly showed non-inferior outcomes for mastectomy patients treated without ALND. The ongoing POSNOC trial aims to provide further insights, particularly focusing on the subgroup of mastectomy patients. Emerging evidence supports the feasibility of omitting ALND in BC patients with positive SLNs undergoing mastectomy, potentially reducing surgical morbidity without compromising oncological outcomes. However, further randomized clinical trials are essential to confirm these findings and refine treatment guidelines, ensuring optimal patient care.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"79 5","pages":"545-557"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0