Minerva Surgery最新文献_第6页

The study of tumor regression mode, Ki67 expression and neoadjuvant chemotherapy on prognosis of different molecular breast cancer. 肿瘤消退方式、Ki67表达和新辅助化疗对不同分子乳腺癌预后的影响研究

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2023-12-21 DOI: 10.23736/S2724-5691.23.10187-0

Xiangjuan Liu, Jun Zhao, Jian Li, Yuan Wang, Hongyan Zang

引用次数: 0

Advances in minimally invasive diagnostic techniques for pulmonary diseases. 肺部疾病的微创诊断技术进展。

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2025-07-22 DOI: 10.23736/S2724-5691.25.10867-8

Wei Liu, Li Jian, Qiquan Zhao

引用次数: 0

Inframesocolic pancreatic anastomosis after pancreatoduodenectomy: description and initial experience with a novel technique. 胰十二指肠切除术后结肠下胰吻合：一种新技术的描述和初步经验。

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2025-09-12 DOI: 10.23736/S2724-5691.25.10942-8

Tiziana Marchese, Valentina Valle, Stefano D'Ugo, Erika Delos, Norma Depalma, Annarita Libia, Farshad Manoochehri, William Sergi, Marcello G Spampinato

{"title":"Inframesocolic pancreatic anastomosis after pancreatoduodenectomy: description and initial experience with a novel technique.","authors":"Tiziana Marchese, Valentina Valle, Stefano D'Ugo, Erika Delos, Norma Depalma, Annarita Libia, Farshad Manoochehri, William Sergi, Marcello G Spampinato","doi":"10.23736/S2724-5691.25.10942-8","DOIUrl":"10.23736/S2724-5691.25.10942-8","url":null,"abstract":"Background: Pancreatoduodenectomy (PD) is one of the most challenging surgical procedures among abdominal surgeries. The most common complication after PD is postoperative pancreatic fistula (POPF), which can be severe and entail other complications, such as post-pancreatectomy hemorrhage (PPH), which can be fatal. Several surgical techniques have been proposed to reduce the incidence of POPF and PPH.Methods: In this study, we describe inframesocolic pancreatic anastomosis, which involves segregating the pancreatic anastomosis into the inframesocolic area by mobilizing the pancreatic remnant and creating a small window into the transverse mesocolon.Results: This surgical technique was performed in 17 patients, with promising results in terms of delayed PPH prevention. In particular, we had only one case of PPH that was successfully treated by placing a stent into the SMA. No other bleeding events were reported, even in cases of anastomotic leakage.Conclusions: In the context of mitigation strategies, this technique might be efficient in reducing the incidence of delayed PPH due to leakage of pancreatic juice into the supramesocolic area and consequent vascular erosion.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"423-430"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041581","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

Pressure-controlled tube ileostomy after lower anterior resection of rectal cancer: a new type of protective stoma in rectal anastomosis. 直肠癌下前切除术后压力控制管式回肠造口：一种新型的直肠吻合术保护性造口。

IF 1.3 4区医学

Minerva Surgery Pub Date : 2025-12-01 DOI: 10.23736/S2724-5691.25.10981-7

Jun Chen, Rushan Fei, Feixia Wang, Weizhen Li, Hanju Hua

{"title":"Pressure-controlled tube ileostomy after lower anterior resection of rectal cancer: a new type of protective stoma in rectal anastomosis.","authors":"Jun Chen, Rushan Fei, Feixia Wang, Weizhen Li, Hanju Hua","doi":"10.23736/S2724-5691.25.10981-7","DOIUrl":"10.23736/S2724-5691.25.10981-7","url":null,"abstract":"Background: Tube ileostomy can prevent anastomotic leakage (AL) on the patients underwent lower anterior resection. However, it has one major disadvantage: the inability to control fecal diversion efficacy (FDE). In this single-center, prospective randomized controlled trial (RCT), we evaluated a novel technique, pressure-controlled tube ileostomy (PCTI), which uses cuff-pressure adjustment to maintain reliable FDE, and assessed its safety and effectiveness.Methods: This study was conducted as a single-center prospective RCT. Patients were randomly allocated (1:1) to PCTI or LI (Ll) using a computer-generated sequence with allocation concealment via sealed opaque envelopes; blinding of surgeons/patients was not feasible.Results: Baseline characteristics were comparable between groups. The anastomotic leakage rates were 9.2% (23/250) in the PCTI group and 9.7% (24/248) in the LI group received the initial surgery (P=0.85). The rates of stoma-related complications including infections, irritant dermatitis, herniation and so on, were 8.8% in PCTI group and 16.2% in LI group (P=0.0133), respectively. Fifteen patients received LI retained their stoma, compared with 2 in the PCTI group (P=0.0013). In PCTI group, the time of cannula extubation and stoma closure after cannula extubation were 20.5±4.6 and 7.2±4.4 days, respectively.Conclusions: The PCTI can effectively inhibit the occurrence of grade C anastomotic leakage and reduce the occurrence of serious complications caused by anastomotic leakage through the FDE control by adjusting the cuff pressure and can avoid secondary reversal surgery. We consider that the improved PCTI is a safe and practical-surgical technique in protecting the anastomosis.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 6","pages":"442-451"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100714","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

Progress in the treatment and pregnancy of precancerous lesions and borderline tumors of reproductive system in pregnant women. 孕妇生殖系统癌前病变和交界性肿瘤的治疗及妊娠进展。

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2023-11-28 DOI: 10.23736/S2724-5691.23.10051-7

Xiangyi Cao, Yi Zhang

引用次数: 0

Clinical application of nursing risk management in nursing management of surgical patients. 护理风险管理在外科患者护理管理中的临床应用。

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2024-03-04 DOI: 10.23736/S2724-5691.23.10177-8

Jian L Guo

引用次数: 0

External application of chicken eggs on delayed healing of tendon bone in mice with rotator cuff injury. 鸡卵外敷对肩袖损伤小鼠肌腱骨延迟愈合的影响

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2024-01-22 DOI: 10.23736/S2724-5691.23.10016-5

Xingxing Zhang, Hao Ren, Chuankai Shi, Xian-Pei Wang, Qing Zhang, Ming Xiang

引用次数: 0

Effect of acupoint conditioning nursing technology based on holistic view of traditional Chinese medicine on cancer-related fatigue of patients with lung cancer after chemotherapy. 基于中医整体观的穴位调理护理技术对肺癌患者化疗后癌症相关性疲劳的影响

IF 0.8 4区医学

Minerva Surgery Pub Date : 2025-12-01 Epub Date: 2024-03-13 DOI: 10.23736/S2724-5691.23.10015-3

Jianghong Zhou, Fangjiang Zheng, Jing Chen, Tao Chen, Juan Wang, Xiaoyan Peng, Zhanping Jing, Fujuan Wang, Haijun Li

引用次数: 0

Comparing palliative gastrectomy and gastrojejunostomy for advanced gastric cancer: impact on survival and postoperative outcomes. 晚期胃癌姑息性胃切除术与胃空肠吻合术的比较：对生存和术后预后的影响。

IF 1.3 4区医学

Minerva Surgery Pub Date : 2025-12-01 DOI: 10.23736/S2724-5691.25.11028-9

Yonatan Lessing, Tal Inbar-Weissman, Ron Cohen, Nir Messer, Orr Erlich-Feingold, Fahim Kanani, Guy Lahat, Lior Orbach

{"title":"Comparing palliative gastrectomy and gastrojejunostomy for advanced gastric cancer: impact on survival and postoperative outcomes.","authors":"Yonatan Lessing, Tal Inbar-Weissman, Ron Cohen, Nir Messer, Orr Erlich-Feingold, Fahim Kanani, Guy Lahat, Lior Orbach","doi":"10.23736/S2724-5691.25.11028-9","DOIUrl":"10.23736/S2724-5691.25.11028-9","url":null,"abstract":"Background: Palliative surgical management of advanced gastric cancer with gastric outlet obstruction remains controversial. While both palliative gastrectomy (PG) and gastrojejunostomy (PGJ) offer symptom relief, their impact on survival and postoperative outcomes is debated.Methods: We conducted a retrospective cohort study of 70 patients with advanced gastric cancer and symptomatic gastric outlet obstruction, treated at a single tertiary center between 2017 and 2024. Patients underwent either PG or PGJ after being deemed unsuitable for endoscopic intervention. Clinical and surgical parameters, complications, nutritional support, and survival outcomes were analyzed.Results: Of the 70 patients, 46 underwent PG and 24 underwent PGJ. Median survival was significantly longer in the PG group (344 vs. 117 days, P<0.001), and PG was an independent predictor of improved survival (HR 0.083, P<0.001). PG was associated with higher rates of anastomotic leaks and ICU admissions, while PGJ showed higher rates of delayed gastric emptying and need for post-discharge nutritional support (33.3% vs. 6.7%, P=0.009). Return to oral intake was more common after PG (95.7% vs. 79.2%, P=0.042). Postoperative chemotherapy significantly improved survival (HR=0.152, P=0.003).Conclusions: PG offers a significant survival benefit over PGJ in selected patients with advanced gastric cancer, but at the cost of increased surgical morbidity. Careful patient selection based on disease extent, performance status, and likelihood of postoperative recovery is essential for optimizing outcomes.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 6","pages":"452-460"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100640","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

Acute cholecystitis in older adults: a national registry-based study of patient outcomes. 老年人急性胆囊炎：一项基于患者结局的全国登记研究。

IF 1.3 4区医学

Minerva Surgery Pub Date : 2025-12-01 DOI: 10.23736/S2724-5691.25.11037-X

Robert M O'Connell, David Moloney, Fiona Hand, Tom Gallagher, Emir Hoti

{"title":"Acute cholecystitis in older adults: a national registry-based study of patient outcomes.","authors":"Robert M O'Connell, David Moloney, Fiona Hand, Tom Gallagher, Emir Hoti","doi":"10.23736/S2724-5691.25.11037-X","DOIUrl":"10.23736/S2724-5691.25.11037-X","url":null,"abstract":"Background: Acute cholecystitis (AC) is a common general surgical emergency. Older age is associated with higher incidence of gallstones and increasing severity of AC. Data on outcomes for older adults with AC remain sparse however.Methods: All patients with AC presenting to public hospitals in Ireland between January 2017 and July 2023 were identified using the National Quality Assurance and Improvement System (NQAIS). Data were collected on patient demographics, comorbidities, length of stay, clinical management, in-patient mortality, and readmissions. Patients were grouped into cohorts by age range.Results: Overall, 20,886 admission episodes were identified, with a median age of 59 years (IQR 43-73) and 11,747 (56%) female patients; 3745 patients were in the 65-74 year group, 3239 in the 75-84 year, and 1478 in the over 85 year group. Older adults had more co-morbidities (Charlson Co-morbidity Index >3 in 440 (30%) of the over 85s, 689 (21%) of 75-84 years, 429 (11%) 65-74 years, and 421 (3%) under 65s (P<0.0001). In the over 85 years group, patients had the highest in-patient mortality rate (96 [6.5%]; P<0.0001), lowest rate of cholecystectomy (49 [3%]; P<0.0001), highest rate of percutaneous cholecystostomy use (140 [9%]; P<0.0001), and lowest rates of discharge to home (947 [64%]). Patients in the 65-74 year and 75-84 year groups also experienced poorer outcomes than those in the under 65 year group.Conclusions: Increasing age is associated with worsening outcomes for patients with AC. For the oldest adults, AC is associated with significant risks of morbidity and potential loss of independence.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 6","pages":"461-467"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100666","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