Minerva Surgery最新文献_第6页

Relevance of indeterminate pulmonary nodules in predicting distant metastasis in colorectal cancer. 不确定肺结节与预测结直肠癌远处转移的相关性。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-04-01 DOI: 10.23736/S2724-5691.25.10760-0

María Sánchez-Rodríguez, María Camarena-Gea, Lucía Marcos-Cortés, María Fernández-Martínez, Luis M Jiménez-Gómez, Jaime Zorrilla-Ortuzar, Paula Dujovne-Lindenbaum, Patricia Tejedor

{"title":"Relevance of indeterminate pulmonary nodules in predicting distant metastasis in colorectal cancer.","authors":"María Sánchez-Rodríguez, María Camarena-Gea, Lucía Marcos-Cortés, María Fernández-Martínez, Luis M Jiménez-Gómez, Jaime Zorrilla-Ortuzar, Paula Dujovne-Lindenbaum, Patricia Tejedor","doi":"10.23736/S2724-5691.25.10760-0","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10760-0","url":null,"abstract":"Background: The detection of indeterminate pulmonary nodules (IPN) at diagnosis of colorectal cancer (CRC) has increased. However, there is limited information on predictive factors for its progression (pPF) to pulmonary metastases (PM). This study aims to identify these pPF to select appropriate management strategies.Methods: Single-center observational retrospective study including patients who underwent elective surgery for first non-metastatic CRC episode (January 2016- June 2019) with IPN at diagnosis. Patients were divided into those who developed PM in the same location as previous IPN (LM group) and those who did not (FM group).Results: One hundred twenty-one patients were included; 4.9% developed PM in the same location as previous IPN. Univariate analysis revealed a significant difference in IPN size between groups with 8 (5, 10) mm in LM versus 3 (1, 5) mm in FM (P=0.006). ROC curve showed a size of ≥5 mm as the best cutoff point to predict IPN progression. Multivariate analysis identified size ≥5mm as the only independent pPF (OR 11.9, 95%CI 1.3-105.8, P=0.026). The median time to diagnose PM in LM group was 13.8(SD 5.2) months.Conclusions: We recommend a closer follow-up for patients with CRC and IPN ≥5 mm at diagnosis so they will have a higher risk of developing PM.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 2","pages":"121-130"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049410","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

An analysis of the effect of mechanical devices on compliance in prevention of deep vein thrombosis. 机械装置对预防深静脉血栓形成依从性的影响分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-03-07 DOI: 10.23736/S2724-5691.25.10798-3

Chengxing Yang, Weilong Lu, Wanli Sun

引用次数: 0

Cohort study of skin contact on growth and development of premature infants and mother-infant relationship in neonatal intensive care unit. 皮肤接触对新生儿重症监护病房早产儿生长发育及母婴关系的队列研究。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10392-9

Denglan Chu, Xueping Zhu, Xueping Zhang

引用次数: 0

Nursing strategies and effect evaluation of postoperative pain management in patients undergoing laparoscopic gynecological surgery. 腹腔镜妇科手术患者术后疼痛管理的护理策略及效果评价。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10591-6

Yan Li, Lijun Xia, Fei Ren, Zhongping Liu

引用次数: 0

Risk factors analysis of patients with non-small cell lung cancer complicated with chronic obstructive pulmonary disease after surgery. 非小细胞肺癌合并慢性阻塞性肺疾病患者术后危险因素分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10673-9

Haitian Li, Xinwei Lu, Ping Wang, Ning Wang, Wenjing Liu, Yamei Song, Jing Wang

引用次数: 0

Comparison of effects of breast-conserving surgery and modified radical surgery on complications and survival prognosis of patients with breast cancer. 保乳手术与改良根治术对乳腺癌并发症及生存预后的影响比较。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10660-0

Yuyan Cao, Yingchun LE, Xiaofang Tan, Baoqin Lu, Yongqiang Xia, Wenjing Sun

引用次数: 0

The diagnostic value and safety of transbronchial frozen lung biopsy compared with transbronchial clamp biopsy in peripheral lung lesions. 经支气管冷冻肺活检与经支气管钳夹活检对周围性肺病变的诊断价值及安全性比较。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10646-6

Suxian Jing, Ying Shen, Beilei Zhang, Jingyu Mao

引用次数: 0

Enhancing postoperative care and nursing education through internet-based continuity of care for surgical patients. 通过基于互联网的手术患者持续护理，加强术后护理和护理教育。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10743-5

Manli DU, Junrong Tang, Wen Sun

引用次数: 0

Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review. 近红外成像与吲哚菁绿荧光在直肠癌手术中的淋巴评估：系统综述。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10731-4

Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola

{"title":"Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review.","authors":"Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola","doi":"10.23736/S2724-5691.25.10731-4","DOIUrl":"10.23736/S2724-5691.25.10731-4","url":null,"abstract":"Introduction: At present, harvesting more lymph nodes is considered more conducive to the prognosis of colorectal cancer surgery. The recent development of enhanced surgical visualization has led to the wide employment of indocyanine green (ICG) to assist minimally invasive surgery. This systematic review aims to provide a wide and critical overview of the current state of the art of ICG lymphography during rectal surgery, by focusing on the most relevant literature on this topic.Evidence acquisition: After validation and registration in the PROSPERO international prospective register of systematic reviews on the 5th May 2024 (ID: CRD42024539426), 8 publications have been considered relevant for the research query and have been divided into two groups: lateral pelvic lymph node dissection (LPLND) and lateral pelvic sentinel lymph node biopsy (LPSLNB). A meta-analysis has not been performed due to the low statistical significance.Evidence synthesis: ICG lymphography seems to improve the number of harvested lateral pelvic lymph nodes, to reduce intraoperative blood loss and hospital length of stay during LPLND. In LPSLNB the detection rate of lateral pelvic sentinel lymph nodes ranged from 91.3% to 92%.Conclusions: ICG lymphography for fluorescence guidance for LLND is a feasible and safe technique, with promising application in terms of the number of harvested lymph nodes and post-operative outcomes improvement during rectal oncological surgery. As some of these benefits have been already suggested by the current literature, they need to be confirmed in larger and randomized clinical.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"86-94"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587323","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

Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials. 评估重大非心脏手术围手术期白蛋白给药的有效性和安全性：随机对照试验的系统回顾和荟萃分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10712-0

Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau

{"title":"Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau","doi":"10.23736/S2724-5691.25.10712-0","DOIUrl":"10.23736/S2724-5691.25.10712-0","url":null,"abstract":"Introduction: Studies suggested that restrictive fluid therapy during major surgery could be associated with better post-operative outcomes. The albumin uses in the perioperative period has been the subject of numerous studies with a still controversial efficacy and safety profile. This study aimed to assess the efficacy and safety of perioperative albumin use during major non-cardiac surgery.Evidence acquisition: This study was registered in PROSPERO (ID: CRD42022353278). We performed an electronic search of the relevant literature from 2000 until 2023. The primary endpoint was the incidence of moderate postoperative complications (defined by a Clavien-Dindo classification grade ≥2). Secondary endpoints were intraoperative fluid balance, intraoperative blood loss, postoperative wound infection and acute kidney injury (AKI).Evidence synthesis: We identified four relevant studies involving 426 patients (213 patients in the albumin group versus 213 patients in the control group). The meta-analysis did not reveal any significant difference between both group regarding the incidence of postoperative moderate complications even after subgroup analyses based on intraoperative or postoperative albumin administration (OR=1.23, 95% CI 0.73, 2.08, P=0.44). No difference was found for intraoperative fluid balance (MD=-190.83, 95% CI -408.67, 27.02, P=0.09), intraoperative blood loss (MD=-27.54, 95% CI -225.55, 170.48, P=0.79) and postoperative wound infection (OR=1.91, 95% CI 0.98, 3.73, P=0.06). Moreover, albumin administration was not associated with a significant increase of AKI incidence (OR=2.02, 95% CI 0.90, 4.53, P=0.09).Conclusions: Perioperative use of albumin during major non-cardiac surgery did not result in an increased incidence of moderate postoperative complications.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"76-85"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587372","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