Acta Chirurgica Belgica最新文献

Cervico-thoracic paraganglioma associated with Horner's syndrome: a case report. 颈胸副神经节瘤合并霍纳综合征1例。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-06-09 DOI: 10.1080/00015458.2025.2512488

Naïla El Nakadi, Jâd Abi-Khalil, Sarah Landenne, Isabelle De Quin, Jean Lemaitre

{"title":"Cervico-thoracic paraganglioma associated with Horner's syndrome: a case report.","authors":"Naïla El Nakadi, Jâd Abi-Khalil, Sarah Landenne, Isabelle De Quin, Jean Lemaitre","doi":"10.1080/00015458.2025.2512488","DOIUrl":"10.1080/00015458.2025.2512488","url":null,"abstract":"Background: Cervico-thoracic paragangliomas are rare hypervascular neuroendocrine tumors, with high morbidity and mortality due to locally invasive growth. They are often misdiagnosed in patients with cervical masses. Horner's syndrome, in this case, results from a lesion of the stellate ganglion. Only a few cases in the literature describe paragangliomas affecting the stellate ganglion.Case report: We report the case of a 61-year-old female with a cervico-thoracic paraganglioma associated with Horner's syndrome. She had no significant medical history. Cervical computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large, highly vascularized antero-superior mediastinal mass measuring 6.8 cm x 5 cm x 9 cm, surrounding the left subclavian and carotid arteries, and slightly compressing the trachea, esophagus, and innominate vein. Surgery provided the definitive diagnosis through histopathological analysis. We highlight the different types of paragangliomas and the challenges in diagnosis. A 2-year follow-up with CT and PET-CT scans confirmed no recurrence of the lesion.Conclusions: Paragangliomas are rare, slow-growing neuroendocrine tumors that may appear wherever autonomic ganglia are present. Clinical presentations vary, including lesions of the stellate ganglion causing ipsilateral Horner's syndrome. Paragangliomas should be considered in the differential diagnosis of cervico-thoracic masses. Treatment involves complete surgical resection while preserving neurovascular structures.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-4"},"PeriodicalIF":0.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141102","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

Downstaging and R0 resection of initially unresectable metastatic well-differentiated grade-3 pancreatic neuroendocrine tumor: a case report. 最初不可切除的转移性高分化3级胰腺神经内分泌肿瘤的降期和R0切除：1例报告。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-06-06 DOI: 10.1080/00015458.2025.2515325

Arthur Houbiers, Joseph Weerts, Ghislain Houbiers, Roland Materne, Nancy Witvrouw, Noella Blétard, Benoit Monami, Christian Focan, Ivan Borbath

{"title":"Downstaging and R0 resection of initially unresectable metastatic well-differentiated grade-3 pancreatic neuroendocrine tumor: a case report.","authors":"Arthur Houbiers, Joseph Weerts, Ghislain Houbiers, Roland Materne, Nancy Witvrouw, Noella Blétard, Benoit Monami, Christian Focan, Ivan Borbath","doi":"10.1080/00015458.2025.2515325","DOIUrl":"10.1080/00015458.2025.2515325","url":null,"abstract":"Introduction: High-grade pancreatic neuroendocrine tumors are rare, and most of them are well differentiated. Management of this type of tumor is not yet well established.Methods: A 28-year-old woman was referred to our hospital for a well-differentiated grade-3 pancreatic neuroendocrine tumor with multiple liver metastases. The patient received neoadjuvant therapy consisting of combination of Capecitabine/Temozolomide chemotherapy and somatostatin analogue.Results: An excellent regression was observed on both pancreatic and hepatic lesions, and therefore, an aggressive surgical management could be performed with a two-step scheme. Adjuvant hormono-chemotherapy was administered between the two surgeries. The patient achieved six years of disease-free survival following the last therapy.Discussion and conclusion: We highlight the difference between well and poorly differentiated high-grade neuroendocrine neoplasia and report that aggressive surgery is a valid option even in metastatic presentation at diagnosis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214525","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

A prospective diagnostic accuracy study of the Alvarado score in a Croatian hospital - is it time for a final conclusion? 克罗地亚一家医院对阿尔瓦拉多评分的前瞻性诊断准确性研究——是得出最终结论的时候了吗？

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-06-03 DOI: 10.1080/00015458.2025.2512279

Branko Bakula, Ante Bogut, Andrija Karačić, Maja Bakula, Antonio Marić, Vanja Radišić Biljak

{"title":"A prospective diagnostic accuracy study of the Alvarado score in a Croatian hospital - is it time for a final conclusion?","authors":"Branko Bakula, Ante Bogut, Andrija Karačić, Maja Bakula, Antonio Marić, Vanja Radišić Biljak","doi":"10.1080/00015458.2025.2512279","DOIUrl":"10.1080/00015458.2025.2512279","url":null,"abstract":"Background: The diagnosis of acute appendicitis (AA) still represents a considerable problem for surgeons, with a relatively high rate of false positive findings still present. Thus, the aim of our study was to evaluate the diagnostic accuracy of the Alvarado scoring system based on the prospectively included subjects who presented to the emergency department with suspected AA.Methods: From June 2018 to May 2020, 176 adult patients examined in the Emergency surgical department of University Hospital Sveti Duh with suspicion of AA were prospectively included in the study. The decision on the need for surgery in all patients was made by the same surgeon based only on clinical judgment and remained independent of any diagnostic scoring system.Results: Fifty-eight (33.0%) of them were operated with negative appendectomy rate of 17.2%. Results showed that the surgeon's decision-making process is superior to the Alvarado scoring system (sensitivity and specificity were 96 and 92.06% vs. 84 and 87.30%, respectively).Conclusion: The Alvarado scoring system proved to be a worse predictor of the diagnosis of AA compared to the assessment of an experienced surgeon and is not an adequate diagnostic tool for confirming the diagnosis. Only in a narrow group of patients in whom, based on the clinical examination, an indication for surgery has already been established, the Alvarado scoring system can potentially be useful in excluding the diagnosis with considerable caution in terms of close follow-up of the patient.Abbreviations: MSCT: multislice computed tomography; AA: acute appendicitis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141100","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

Surgical management of pseudomyxoma peritonei: low-volume center experience. 腹膜假性黏液瘤的外科治疗：小容积中心经验。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-05-26 DOI: 10.1080/00015458.2025.2510121

Charif Khaled, Lina Safar, Alain Hendlisz, Maria Gomez Galdon, Paulus Kristanto, Michel Moreau, Ana Veron Sanchez, Gabriel Liberale

{"title":"Surgical management of pseudomyxoma peritonei: low-volume center experience.","authors":"Charif Khaled, Lina Safar, Alain Hendlisz, Maria Gomez Galdon, Paulus Kristanto, Michel Moreau, Ana Veron Sanchez, Gabriel Liberale","doi":"10.1080/00015458.2025.2510121","DOIUrl":"10.1080/00015458.2025.2510121","url":null,"abstract":"Introduction: Pseudomyxoma peritonei (PMP) is a rare disease characterized by diffuse peritoneal invasion of multifocal mucinous deposits. Gold standard treatment involves cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC). We aimed to compare the outcomes of operated PMP patients in a low-volume center, with those of high-volume centers and using other regimens.Materials and methods: Retrospective analysis was conducted for PMP patients treated by CRS + HIPEC (using the Elias high-dose Oxaliplatin HIPEC regimen) over a 15-year period (January 2007 - December 2021) at the Jules Bordet Institute - H.U.B.Results: 32 patients were included. Pathology results were: 21.9% acellular mucin, 34.4% low-grade, and 43.7% high-grade. The median peritoneal cancer index was 24 (range 3-36). The median follow-up was 58 months. The rate of major complications (Clavien-Dindo III/IV) was 41% and postoperative mortality was 3%. Mean disease-free survival (DFS) was estimated at 40 +/- 4 months (standard deviation (SD)) while overall survival (OS) was 122 +/- 9 months (SD). DFS reached a plateau of 44.5% at 5 and 10 years and OS was 92.3% and 76.2% respectively. Statistical analysis showed low-grade PMP to be predictive of better DFS and OS (p = 0.0111 and p = 0.0293 respectively). We also found that female gender was predictive of better DFS (p = 0.0262).Conclusion: Our postoperative morbidity and mortality rates, DFS, and OS were similar to those reported in the literature for high-volume PMP centers. Our theory is that surgical proficiency can be more attributed to the surgeon's CRS experience, regardless of the nature of the disease.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109197","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

Adrenal cortical carcinoma - a case series and literature review of aggressive adrenal incidentalomas. 肾上腺皮质癌：侵袭性肾上腺偶发瘤的病例系列及文献回顾。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-05-17 DOI: 10.1080/00015458.2025.2506935

Liesbeth Verlinde, Sam Kinet, Klaas Van Den Heede, Nele Brusselaers, Sam Van Slycke

{"title":"Adrenal cortical carcinoma - a case series and literature review of aggressive adrenal incidentalomas.","authors":"Liesbeth Verlinde, Sam Kinet, Klaas Van Den Heede, Nele Brusselaers, Sam Van Slycke","doi":"10.1080/00015458.2025.2506935","DOIUrl":"10.1080/00015458.2025.2506935","url":null,"abstract":"Objective: Adrenal cortical carcinoma (ACC) is a rare and aggressive endocrine malignancy. Clinical symptoms are mainly related to excess hormone secretion. Hypercortisolism and virilisation are among the most common presentations.Methods: We report a case series of five patients with ACC, three of which presented as adrenal incidentalomas. Additionally, a literature review on current diagnosis and management of ACC was performed.Results: ACCs are often incidentally detected because of the liberal use of medical imaging. Management of ACC remains challenging, and the poor prognosis makes early diagnosis of crucial importance to increase chances of a better outcome. Biochemical evaluation should be performed to diagnose hormonally active tumours.Conclusion: Surgery is the main and only potentially curative treatment option. Adjuvant treatment with mitotane may improve survival and is indicated for patients with a perceived high risk of recurrence. Aggressive cytotoxic therapy should be given to patients with an unfavourable prognosis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-9"},"PeriodicalIF":0.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075318","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

Plain versus drug-eluting balloon angioplasty in the treatment of non-thrombotic hemodialysis arteriovenous fistula stenosis: results from a single center comparative retrospective analysis. 普通与药物洗脱球囊血管成形术治疗非血栓性血液透析动静脉瘘狭窄：来自单中心比较回顾性分析的结果。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-05-13 DOI: 10.1080/00015458.2025.2503647

Merve Horoz, Murat Yoğurtçu, Anıl Hüvez, Ömür Ballı, Serkan Gür

{"title":"Plain versus drug-eluting balloon angioplasty in the treatment of non-thrombotic hemodialysis arteriovenous fistula stenosis: results from a single center comparative retrospective analysis.","authors":"Merve Horoz, Murat Yoğurtçu, Anıl Hüvez, Ömür Ballı, Serkan Gür","doi":"10.1080/00015458.2025.2503647","DOIUrl":"https://doi.org/10.1080/00015458.2025.2503647","url":null,"abstract":"Purpose: To compare the mid-term primary and assisted-primary patency results of plain balloon angioplasty (PBA) versus drug-eluting balloon angioplasty (DEB) with non-thrombotic arteriovenous fistula (AVF) stenosis in hemodialysis (HD) patients.Subject and methods: A total of 128 consecutive HD patients, who underwent endovascular treatment with DEB or PBA between October 2015 and December 2021, were investigated in this retrospective study. Color Doppler examination was performed for follow-up after 1, 3, 6, 12, 18, 24, and 36 months. Survival curves for primary and assisted primary vein patencies of the PTA and DEB group were generated with Kaplan-Meier survival analysis and were compared with the log-rank test.Results: 78 patients (60.9%) underwent PBA (45 men, 33 women; mean age: 64.2 ± 13.9, range: 29-82 years) and 50 (39%) patients underwent DEB (36 men, 14 women; mean age: 65.6 ± 12.8, range: 28-87 years). The estimated primary patency rates at 6, 12,18, 24, and 36 months for the DEB group (95.5%, 92.8%, 88.6%, 77.1% and 54.0%, respectively) were significantly higher than those in the PBA group (84.5%, 76.9%, 73.9%, 66.4% and 59.0%, respectively) (p = .048). Assisted primary patency rates at 6, 12, 18, 24, and 36 months were higher in the DEB group (97.9%, 95.4%, 90.2%, 87.3% and 75.5%, respectively) than PBA group (94.7%, 86.9%, 85.0%, 78.0%, and 66.9%, respectively) but they were not statistically significant (p = .187).Conclusion: Our study confirms DEB is a safe and effective treatment of dysfunctional AVF. We demonstrate higher primary patency rates in DEB than PBA at 6, 12, 18, 24 and 36 months. However, no statistically significant were detected between the two groups in mid-term follow-up.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957166","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

Common trunk between V^1 + 2 and V³ of the left superior pulmonary vein. 左上肺静脉V1 + 2和V3之间的总干。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-05-08 DOI: 10.1080/00015458.2025.2502777

Dario Amore, Dino Casazza, Pasquale Imitazione, Umberto Caterino, Lucio Cagini

引用次数: 0

Historical perspectives on the surgical treatment of hernias in Greece: from 18th century's attempts to late 19th century's innovations in hernia surgery. 希腊疝气手术治疗的历史观点：从18世纪的尝试到19世纪晚期疝气手术的创新。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-05-03 DOI: 10.1080/00015458.2025.2499843

Laios Konstantinos, Pavlos Lytsikas-Sarlis, Lazaros Vladimiros, Dimitrios Filippou, Stylianos Kykalos, Irina Noskova, Dimitrios Zisiadis, Tsoucalas Gregory, Dimitrios Schizas

{"title":"Historical perspectives on the surgical treatment of hernias in Greece: from 18th century's attempts to late 19th century's innovations in hernia surgery.","authors":"Laios Konstantinos, Pavlos Lytsikas-Sarlis, Lazaros Vladimiros, Dimitrios Filippou, Stylianos Kykalos, Irina Noskova, Dimitrios Zisiadis, Tsoucalas Gregory, Dimitrios Schizas","doi":"10.1080/00015458.2025.2499843","DOIUrl":"https://doi.org/10.1080/00015458.2025.2499843","url":null,"abstract":"Purpose: To understand the possibilities and the limitations of the modern Greek surgeons during nineteenth century on hernia surgery.Methods: Research on the authentic medical writings of the Greek physicians during nineteenth century. The majority of them is brought to light for the first time.Results: The Greek surgeons of the nineteenth century tried a lot to be updated according to the achievements of the European surgeons regarding the surgery of hernias. Many prominent Greek surgeons contributed to the formation of a scientific method in order this to be taught to the medical students and to the other Greek physicians of the time.Conclusion: In Greece, it was Spyridon Kontoleon who adopted Lister's method to prevent infections, while his team of physicians contributed further in hernia surgery. The earliest documented with a figure hernia case was that of Pavlos Ioannou in 1882. Theodoros Aretaios recorded his cases, demonstrating an interest in hydroceles. Many of his cases may be found in his archive in the National Library of Greece. Procedures' description and vivid depictions paved the way of hernia surgery's evolution in the newly formed Greek state.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-9"},"PeriodicalIF":0.6,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959248","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

Surgical training; destination unknown? A survey on surgical employment in Flanders. 外科培训；去向不明？

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-29 DOI: 10.1080/00015458.2024.2391176

Niels Komen, Marian Vanhoeij, Paul De Leyn, Frederik Berrevoet, Piet Pattyn, Guy Hubens

{"title":"Surgical training; destination unknown? A survey on surgical employment in Flanders.","authors":"Niels Komen, Marian Vanhoeij, Paul De Leyn, Frederik Berrevoet, Piet Pattyn, Guy Hubens","doi":"10.1080/00015458.2024.2391176","DOIUrl":"10.1080/00015458.2024.2391176","url":null,"abstract":"Background: A surgical fellowship allows both additional training as well as maintenance of surgical skills while searching for a steady job. As the presence of fellows usually does not result in a measurably higher productivity, fellowships may be considered a form of disguised unemployment. The aim of this study is to evaluate the career flow of a surgical trainee to a staff position and to determine the number of surgeons working on temporary basis within the general surgery workforce in Flanders.Methods: All surgeons graduated in Flanders between 2000 and 2022 were invited to fill out a web-based survey concerning their current and past employment. Reminders were sent out after 2 and 4 weeks. Statistical analysis was performed with SPSS version 27.0 (IBM Inc., Chicago, IL).Results: Response rate was 64% (292/457) with 76% of respondents currently working as surgeons, 14% (38) as fellows and 10% working outside the surgical domain. Eighty-two percent of current fellows graduated in 2019 or later. Thirty-one percent of surgeons graduated in 2019 are still working as fellows. For surgeons graduated in 2020, 2021 and 2022, this is 45%, 80% and 90%, respectively. Compared to staff surgeons, the number of additional training years (2.8 ± 1.0 vs. 2.2 ± 1.3; p = .009) and the number of applications (6.6 ± 5 vs. 3.3 ± 3; p < .001) are significantly higher for current fellows.Conclusion: This study shows that disguised unemployment is present in the general surgical community in Flanders. The status of 'fellow' should be incorporated in calculations concerning future needs of the surgical workforce in order to prevent open unemployment.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905506","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

Safety analysis of a multispecialty surgical volunteerism mission over 13 years - age alone is not a contraindication. 十三年来多专科外科志愿服务任务的安全分析--年龄本身并不矛盾。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-28 DOI: 10.1080/00015458.2021.1920669

Shekhar Gogna, Mahir Gachabayov, Rifat Latifi

{"title":"Safety analysis of a multispecialty surgical volunteerism mission over 13 years - age alone is not a contraindication.","authors":"Shekhar Gogna, Mahir Gachabayov, Rifat Latifi","doi":"10.1080/00015458.2021.1920669","DOIUrl":"10.1080/00015458.2021.1920669","url":null,"abstract":"Introduction: About five billion people worldwide lack access to safe surgery and multispecialty surgical volunteerism missions (SVMs) offer a plausible solution to this problem. This study aimed to evaluate the outcomes of elderly patients operated on over 13 surgical missions between 2006 and 2019 from 'Operation Giving Back Bohol' (OGBB) Tagbilaran, Philippines.Patients and methods: This was a retrospective analysis of prospectively collected data on all patients treated during SVM over 13 years (2006-2019). Non-elderly (age 16-64 years) were compared with the elderly (age ≥ 65 years) for pre-, intra-, and postoperative variables. Multivariable logistic regression was utilized to identify independent predictors of postoperative complications.Results: Of 1184 patients, the majority (1030) was in the non-elderly group and 154 in the elderly. The mean age was 36 ± 13.6 and 68.3 ± 3.8 years in the non-elderly and elderly groups, respectively. Comorbidities, type of surgery, type of anesthesia, operating time, estimated blood loss, estimated blood loss, need for blood transfusion, postoperative complication rates, comprehensive complication index, length of hospital, ICU requirement, and mortality rates stay did not significantly differ between the groups. Multivariable logistic regression found pelvic surgery (OR (95%CI)=3.7 (1.3-10.8); p=.01), hypertension (OR (95%CI)=8.4 (2.2-32.9); p<.01), and intraoperative blood loss (OR (95%CI) = 1.007 (1.005-1.009); p<.01) to be independent predictors of postoperative complications.Conclusions: Elderly patients may safely undergo general surgery procedures in surgical volunteer missions, and age alone should not preclude them.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38925919","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