Chirurgia (Bucharest, Romania : 1990)最新文献_第2页

The Use of a Vascular Roadmap at Surgery Evens out Surgeons Expectations on Operating Time, Blood Loss, Lymph Nodes Harvest and Operative Difficulty when Performing Right Colectomy with Extended D3 Mesenterectomy. 在手术中使用血管路线图平衡了外科医生对手术时间、出血量、淋巴结收获和手术难度的期望，当进行右结肠切除术和扩展D3肠系膜切除术时。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2022-10-01 DOI: 10.21614/chirurgia.2766

Tine Marie Moen, Bojan Stimec, Dejan Ignjatovic

{"title":"The Use of a Vascular Roadmap at Surgery Evens out Surgeons Expectations on Operating Time, Blood Loss, Lymph Nodes Harvest and Operative Difficulty when Performing Right Colectomy with Extended D3 Mesenterectomy.","authors":"Tine Marie Moen, Bojan Stimec, Dejan Ignjatovic","doi":"10.21614/chirurgia.2766","DOIUrl":"https://doi.org/10.21614/chirurgia.2766","url":null,"abstract":"Purpose: To determine how individual vascular road-mapping impacts the surgeonsÃ¢?? expectations in difficulty in D3 right colectomy for cancer, and compare these expectations to the results previously published. Aim/summary background data:Literature still lacks data on surgeons expectations using preoperative 3D roadmap of the vascular system.Method: Surgeons filled out a survey asking expectations about operation time, estimated blood loss, amount of lymph nodes harvested and difficulty. The patients were classified into 4 groups and 2 subgroups according to the crossing pattern of the ileocolic artery and the jejunal veins. SPSS was used for statistical analysis. Results: Twelve surgeons were included. Eight of them expected type 2 anatomy to be least time consuming while 11/12 indicated anatomy group 4 to be the most. Five surgeons expected low blood loss in group 2 anatomy patients while 10/12 expected higher blood loss in group 4 anatomy patients. Three anticipated that group 2 would generate the highest lymph node yield and while 2/12 surgeons expected the lowest in anatomy group 4. Eight surgeons perceived group 2 as the least challenging while 10/12 experienced group 4 as the most difficult. Compared to previously published results only group 4b operating time met surgeons expectations.Conclusion: Using a vascular roadmap at surgery evens out surgeons expectations in operation time, blood loss, lymph node harvested and difficulty. Comparing expectations to previously published data shows operating time in one anatomy group as the only factor where these expectations were met.","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"579-584"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660509","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

Platelet-rich Plasma Gel versus Hyaluronic Acid on Prevention of Peritoneal Abdominal Adhesion Formation in Rats. 富血小板血浆凝胶与透明质酸对大鼠腹腔粘连形成的预防作用。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2022-10-01 DOI: 10.21614/chirurgia.2737

Konstantinos Stratakis, Theofanis Arkoumanis, Aliki Liakea, Nikolaos Nikiteas, David Zargaran, Alexander Zargaran, Konstantinos Kontzoglou, Pelagia Kyriakopoulou, Despoina Perrea

{"title":"Platelet-rich Plasma Gel versus Hyaluronic Acid on Prevention of Peritoneal Abdominal Adhesion Formation in Rats.","authors":"Konstantinos Stratakis, Theofanis Arkoumanis, Aliki Liakea, Nikolaos Nikiteas, David Zargaran, Alexander Zargaran, Konstantinos Kontzoglou, Pelagia Kyriakopoulou, Despoina Perrea","doi":"10.21614/chirurgia.2737","DOIUrl":"https://doi.org/10.21614/chirurgia.2737","url":null,"abstract":"Background: Intra-abdominal adhesion formation is still unavoidable and a cause of significant morbidity in abdominal surgery. Platelet-rich plasma gel and hyaluronic acid have been studied for their protective of therapeutic effects on adhesions. The aim of the present study is to compare Platelet-rich plasma and hyaluronic acid in adhesion prevention. Material and method: Twenty-seven Sprague-Dawley rats were randomly allocated into three equal groups(n=9). Surgical trauma was used to induce adhesion formation. After trauma, 1 ml normal saline was instilled in the peritoneal cavity in control group (n=9), 1 ml liquid Hyaluronic acid (25 mg/ml) was instilled in group A (n= 9) and 1 ml of platelet-rich plasma was instilled in group B (n = 9). Four weeks after the laparotomy, a repetitive laparotomy was performed and adhesions were examined microscopically and macroscopically. Results: Platelet-rich plasma gel and hyaluronic acid both reduce the extent and grade of adhesions macroscopically. Interestingly, PRP turns out to be superior in the reduction of tenacity and adhesion area. Moreover, platelet-rich plasma ameliorates abdominal adhesion formation by reducing neutrophils, fibrosis, and inflammation. Conclusion: The results indicate that platelet-rich plasma gel surpasses hyaluronic acid in abdominal adhesion prevention.","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"585-593"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660510","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

Gossypiboma as a Rare Cause of Small Bowel Obstruction: A Case Report. 棉鞘瘤是一种罕见的小肠梗阻病因:1例报告。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2022-10-01 DOI: 10.21614/chirurgia.2359

Serghei Guţu, Iurie Ţugui, Vasile Guzun, Ala Cerbadji, Eugen Guţu, Gheorghe Rojnoveanu

引用次数: 2

Predictive Factors and Surgical Impact of Colonoscopy Accuracy for Localization of Colorectal Malignancy. 结直肠恶性肿瘤定位的结肠镜准确度预测因素及手术影响。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2022-10-01 DOI: 10.21614/chirurgia.2791

Emanuel Dias, João Santos-Antunes, Diana GonÃ Alves, Guilherme Macedo

{"title":"Predictive Factors and Surgical Impact of Colonoscopy Accuracy for Localization of Colorectal Malignancy.","authors":"Emanuel Dias, João Santos-Antunes, Diana GonÃ Alves, Guilherme Macedo","doi":"10.21614/chirurgia.2791","DOIUrl":"https://doi.org/10.21614/chirurgia.2791","url":null,"abstract":"Background: Colonoscopy is currently the gold-standard for the detection of colorectal lesions, but its accuracy in tumor localization is limited. This study aims to determine the accuracy of colonoscopy in localization of colorectal malignancy, identify possible influencing factors and evaluate the surgical consequences of an incorrect preoperative localization. Methods: A retrospective cross-sectional study of all patients with colorectal malignant lesions diagnosed by colonoscopy who underwent subsequent resection surgery between January 2019 and December 2020 was performed. Colonoscopy accuracy was evaluated in terms of correspondence between endoscopic and intra-operative tumor localization. Results: A total of 115 patients were included, mostly males (63.5%), with mean age of 68.7 years. There was concordance between endoscopic and intra-operative localization in 76 cases, which corresponds to an accuracy of 66.1%. Colonoscopy completeness (p=0.008) and adequate bowel preparation (p=0.023) were significantly associated with greater concordance between endoscopic and intra-operative tumor location. Of the 39 incorrectly localized lesions, 19 (48.7%) required changes in surgical management. Conclusion: Colonoscopy is often inaccurate for localizing malignant colorectal lesions, which may frequently result in intra-operative changes in surgical strategy. Colonoscopy completeness and adequate bowel preparation were significant predictors for a correct endoscopic localization, underscoring the importance of colonoscopy quality for this particular indication.","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"535-543"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660504","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

Postoperative Analgesia after Laparoscopic Cholecystectomy - Prospective, Randomized, Double Blind, Control Trial. 腹腔镜胆囊切除术后镇痛——前瞻性、随机、双盲、对照试验。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2022-10-01 DOI: 10.21614/chirurgia.2769

Caius Breazu, Simona Margarit, Adrian Bartos, Daniela Ionescu

{"title":"Postoperative Analgesia after Laparoscopic Cholecystectomy - Prospective, Randomized, Double Blind, Control Trial.","authors":"Caius Breazu, Simona Margarit, Adrian Bartos, Daniela Ionescu","doi":"10.21614/chirurgia.2769","DOIUrl":"https://doi.org/10.21614/chirurgia.2769","url":null,"abstract":"In this prospective, randomized, double blind control trial we aim to investigate which of the most used analgesic techniques after laparoscopic cholecystectomy is the most efficient. Methods: This study included 81 patients that were randomly distributed into 3 groups using a computer-generated random number which was enclosed in a sealed envelope: group A (control) received classic multimodal iv opioid analgesia, group B received Tap block in oblique subcostal approach (OSTAP) and group C received local anesthetic infiltration of the trocar insertion sites (LAI). The primary outcome of this trial was to evaluate the efficacy of each analgetic technique by measuring VAS pain scores. Secondary outcome included intraoperative opioid requirement and the opioid consumption in the first 24h postoperatively. Intraoperative parameters and outcome data were recorded by an anesthesiologist who was blinded to the study groups. Results: We analyzed a total of 75 patients. For the primary outcome variable, VAS pain scores at rest were significantly reduced in OSTAP group at each time point assessed in the first 24 hours after surgery compared with LAI group and IV opioid analgesia group (p 0.001). Intraoperative fentanyl consumption and 24h pethidine consumption were also significantly reduced in TAP block group compared with LAI group and IV opioid analgesia group (p 0.001). Conclusions: Our study showed that OSTAP block is a more efficient analgesia technique compared with IV opioid analgesia and with local anesthetic infiltration of trocar sites after laparoscopic cholecystectomy surgery. This trial was registered at www.clinicaltrials.gov (NCT02707250).","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"563-571"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660507","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

[Post-surgical eventrations; surgical alloplastic procedure, with supra-aponeurosis fixation]. [例术后腹脏突出;同种异体手术，腱膜上固定]。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2008-05-01

Tr Păitraşcu, H Doran

引用次数: 0

Long-term results of surgical treatment in Graves' disease orbitopathy. Is there a correlation between the extent of thyroidectomy and the course of orbithopathy? Graves眼病手术治疗的远期效果。甲状腺切除术的范围与眼眶病的病程有关系吗?

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2008-05-01

Elisabeth Maurer, R Dănilă, E Dominguez, T Osei-Agymang, A Zielke, I Hassan

{"title":"Long-term results of surgical treatment in Graves' disease orbitopathy. Is there a correlation between the extent of thyroidectomy and the course of orbithopathy?","authors":"Elisabeth Maurer, R Dănilă, E Dominguez, T Osei-Agymang, A Zielke, I Hassan","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The place of thyroidectomy in the management of the Graves' disease patients with endocrine orbitopathy (EO) is still controversial. The aim of this study was to evaluate the course of EO according to the extent of thyroid resection.Methods: A retrospective cross-sectional study was performed on a series of 171 cases of Graves'disease, operated in the period 1987-2002 in the Department of Surgery of the Philipps University, Marburg. The severity of EO at the time of operation was assessed according to NOSPECS classification and a structured telephone interview was conducted in order to appraise the long term results.Results: Complete data acquisition was possible in 153 patients (89%). There were 123 women with a median age of 36 years (range 10-75) and 30 men with a median age of 33 years (range 22-65). Concerning the severity of EO, 70 patients (45.8%) had no ocular symptoms (group I). The 83 patients with clinical eye disease were divided in group II--63 patients (76%) with moderate syndrome and group III--20 patients (24%) with marked symptoms of EO. 12 patients received total thyroidectomy, 96 had Dunhill-resection and in 45 patients subtotal resection was performed. A median follow-up period of 96 months (range 12-216 months) was recorded. Post-operatively, of the 83 patients with EO, 53 patients (63.8%) declared an improvement of EO, in 29 patients (34.9%) the disease was stable and only one patient declared the worsening of EO. The extent of thyroid resection did not correlate with the postoperative course of orbitopathy.Conclusion: Thyroid surgery for GD improves the course of EO, independent of the extent of resection.","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"291-5"},"PeriodicalIF":0.6,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27608931","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

Evaluation and surgical management of the gallstone ileus. A single center experience. 胆结石性肠梗阻的评价与外科治疗。单中心体验。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2008-05-01

M Safioleas, M Stamatakos, C Spyrakos, P Safioleas, C Chatzikonstantinou, R Iannescu, C Safioleas

引用次数: 0

[Experimental left orthotopic mono-pulmonary transplantation swine model]. 实验性左原位单肺移植猪模型。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2008-05-01

Mădălina Grigoroiu, C Scarlat, C Stănescu, Roxana Apriotesei, G Merlusca, Andra Popescu, B Trifan

{"title":"[Experimental left orthotopic mono-pulmonary transplantation swine model].","authors":"Mădălina Grigoroiu, C Scarlat, C Stănescu, Roxana Apriotesei, G Merlusca, Andra Popescu, B Trifan","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The swine model is an orthotopic pulmonary transplantation model often uses in the transplantation experiments. The purpose of this study is to control the transplantation technique on swine model and perform the learning curve of this procedure, as much from surgical than anaesthetic point of view.Methods: 20 orthotopic left pulmonary transplantations were performed on 20 pairs of domestic female pigs, weighting 30-35 kg. Tracheal intubation's time, monitoring time, bronchial, arterial and venous anastomosis time, warm ischemia time, were recorded. The causes of morbidity and mortality were also analyzed.Results: Bronchial anastomosis was a running mattress suture. All bronchial anastomoses were airtight. Arterial anastomosis was a running mattress end-to-end anastomosis. The venous return was carried out by a left atrium-venous running mattress suture anastomosis. Satisfied blood flows in all arterial and venous anastomoses were obtained.Conclusions: We established an experimental swine model of pulmonary transplantation. The anaesthetic and surgical team performed their learning curve. Various anastomoses times and consequently, the total time of the intervention, were shortened.","PeriodicalId":520588,"journal":{"name":"Chirurgia (Bucharest, Romania : 1990)","volume":" ","pages":"313-20"},"PeriodicalIF":0.6,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27609392","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

[Role of the spleen in immunity. Immunologic consequences of splenectomy]. 脾在免疫中的作用。脾切除术的免疫学后果[j]。

IF 0.6

Chirurgia (Bucharest, Romania : 1990) Pub Date : 2008-05-01

Aida Tiron, C Vasilescu

引用次数: 0