Acta Chirurgica Belgica最新文献_第2页

Glycated Hemoglobin as a Long-Term Predictor of Cardiovascular Outcomes in Patients Undergoing Carotid Endarterectomy. 糖化血红蛋白作为颈动脉内膜切除术患者心血管预后的长期预测因子。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-18 DOI: 10.1080/00015458.2026.2631992

Raquel Pinheiro-Silva, André Ferreira, Luis Orelhas, Lara Romana-Dias, Hugo Ribeiro, João Rocha-Neves

{"title":"Glycated Hemoglobin as a Long-Term Predictor of Cardiovascular Outcomes in Patients Undergoing Carotid Endarterectomy.","authors":"Raquel Pinheiro-Silva, André Ferreira, Luis Orelhas, Lara Romana-Dias, Hugo Ribeiro, João Rocha-Neves","doi":"10.1080/00015458.2026.2631992","DOIUrl":"https://doi.org/10.1080/00015458.2026.2631992","url":null,"abstract":"Background: Several biomarkers are known to predict long-term complications after non-cardiac surgery, including major adverse cardiovascular events (MACE), myocardial infarction, and death. Carotid endarterectomy (CEA), a low to medium-risk procedure for carotid stenosis, aims to prevent stroke. Glycated hemoglobin (HbA1c) may hold prognostic value for MACE. This study evaluates the role of HbA1c in predicting all-cause mortality and MACE in patients undergoing CEA.Methods: A post hoc analysis was conducted using data from a prospective database of patients who underwent CEA under regional anesthesia at a tertiary referral center between January 2014 and December 2023. Patients with HbA1c measured within three months prior to surgery were included and divided into two groups (HbA1c <6.5% vs. ≥6.5%). Kaplan-Meier survival and multivariable Cox regression analyses assessed the impact of HbA1c on outcomes. The primary outcome was the incidence of long-term MACE and all-cause mortality. Secondary outcomes included stroke, acute myocardial infarction (AMI), acute heart failure (AHF), and major adverse limb events (MALE).Results: A total of 65 patients (mean age 71.4 ± 8.5 years; 81.5% male) were included, with a median follow-up of 30 months. Patients with HbA1c ≥6.5% were significantly younger. Elevated HbA1c was associate with trend toward more stroke risk (log-rank p = 0.045, HR: 3.2 (CI: 0.96-10.7, p = 0.059) HbA1c was an independent predictor of MALE (aHR: 3.387, p = 0.037), while its association with stroke did not reach significance (p = 0.059).Conclusion: HbA1c appears to be a useful, accessible biomarker for vascular risk stratification in patients undergoing CEA.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218102","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

Posterior tibial artery pseudoaneurysm after titanium elastic nailing for tibial shaft fracture in a 7-year-old boy. 钛弹性钉治疗7岁男童胫骨干骨折后胫骨后动脉假性动脉瘤一例。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-01 Epub Date: 2025-12-20 DOI: 10.1080/00015458.2025.2605480

Dorotea Sinjeri, Dino Papeš, Josip Lovaković, Anko Antabak

引用次数: 0

Joseph Maclise's (1815-1891) legacy to the surgical anatomy of the inguinal region. 约瑟夫·麦克利斯（1815-1891）对腹股沟外科解剖的贡献。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1080/00015458.2025.2598566

A Moreno-Egea, C Moreno-Latorre, A Moreno-Latorre

{"title":"Joseph Maclise's (1815-1891) legacy to the surgical anatomy of the inguinal region.","authors":"A Moreno-Egea, C Moreno-Latorre, A Moreno-Latorre","doi":"10.1080/00015458.2025.2598566","DOIUrl":"10.1080/00015458.2025.2598566","url":null,"abstract":"Background. The work of the anatomist surgeon Joseph Maclise has been forgotten by history. His contributions are unknown to younger generations. This study aims to analyze his legacy, focusing on the surgical anatomy of hernias. Results. This is the first study to analyze Maclise's work from a surgical, rather than an artistic, perspective, focusing on the pathology of hernias. His life was marked by a lack of academic and/or institutional recognition. He was forgotten by the Royal College of Surgeons a decade before his death. He collaborated with Morton on his treatise on surgical anatomy. His work was fundamental to the training of surgeons for at least three decades and served as a bridge between two continents. In the field of hernias, he simplifies knowledge for surgeons, shows each type of hernia in anterior and posterior approaches, and describes the region as a single space where all hernias appear. Conclusion. Maclise was an exemplary Victorian surgeon who cultivated many fields of practice (surgical anatomy, comparative anatomy and naturalism, experimental anatomy and physiology, embryology, art and painting), committed to the advancement of science in his time. His surgical anatomy of hernias facilitated the visual understanding of this pathology for surgeons of several generations.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"23-32"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666700","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 prognostic factors in patients undergoing surgery for colorectal cancer lung metastases. 结直肠癌肺转移手术患者预后因素的评价。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-01 Epub Date: 2025-12-02 DOI: 10.1080/00015458.2025.2595325

Auréline Cousinne, Maarten Vander Kuylen, Maria Ruiz Patino, Matteo Cappello, Vincent Donckier, Youri Sokolow

{"title":"Evaluation of prognostic factors in patients undergoing surgery for colorectal cancer lung metastases.","authors":"Auréline Cousinne, Maarten Vander Kuylen, Maria Ruiz Patino, Matteo Cappello, Vincent Donckier, Youri Sokolow","doi":"10.1080/00015458.2025.2595325","DOIUrl":"10.1080/00015458.2025.2595325","url":null,"abstract":"Objectives: Lungs are the second most frequent site of colorectal cancer metastases. Complete resection of isolated lung metastases is recommended in the current guidelines because of the high long-term survival rate and low morbidity-mortality. The aim of this study is to determine prognostic factors for lung metastasectomy in order to better select patients who will benefit from surgical resection.Methods: This single-center retrospective study is based on the medical data of patients operated for resection of colorectal lung metastases between 2004 and 2023.Results: A total of 109 patients were selected, and four had to be excluded. The univariate analysis revealed factors influencing the survival: primary cancers that were metastatic at diagnosis, high preoperative CEA rate, the number and size of metastases, hilar lymph node involvement, invasion of the resection margins and poorly differentiated histological grade. A multivariate analysis including only the pre-operative factors was performed: CEA (p < 0.001), the size (p = 0.003) and number (p = 0.038) of metastases and the metastatic stage of the primary cancer at diagnosis (p = 0.052).Conclusions: The 5-year survival rate in this study is 55%. Survival can be evaluated by four preoperative factors: CEA rate, size and number of metastases and metastatic status of the primary cancer. These factors can be combined to form a survival score, each factor being worth one point. Patients with a score of 0 have a 5-year survival of around 90%, while patients with a score of 3 have a 5-year survival of around 10%. This score could be used to select patients eligible for surgery.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"7-14"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145627564","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

Gastric metastases from invasive lobular carcinoma of the breast: case report and literature review. 浸润性乳腺小叶癌胃转移：病例报告及文献复习。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-01 Epub Date: 2026-01-19 DOI: 10.1080/00015458.2026.2615918

João Ricardo Serra, Elisabete do Vale Campos, Miguel Andrade de Almeida, Fabiana Silva de Sousa, Raquel Portugal, António Pereira, Silvestre Carneiro, José Barbosa

{"title":"Gastric metastases from invasive lobular carcinoma of the breast: case report and literature review.","authors":"João Ricardo Serra, Elisabete do Vale Campos, Miguel Andrade de Almeida, Fabiana Silva de Sousa, Raquel Portugal, António Pereira, Silvestre Carneiro, José Barbosa","doi":"10.1080/00015458.2026.2615918","DOIUrl":"10.1080/00015458.2026.2615918","url":null,"abstract":"Background: Gastric metastases from breast cancer are rare clinical entities that often mimic primary gastric malignancies, leading to diagnostic delay. Invasive lobular carcinoma (ILC), due to its diffuse growth pattern and loss of E-cadherin expression, demonstrates a higher propensity for metastasizes to the gastrointestinal tract.Methods: Clinical data for this study were retrospectively collected from the hospital's electronic clinical program.Results: The authors report the case of a 42-year-old woman with bilateral stage IV ILC who subsequently developed bilateral ovarian and gastric metastases. We discuss the clinical, histopathologic, and imaging features, with emphasis on differential diagnosis and therapeutic strategies considering current evidence.Conclusion: This case highlights the diagnostic challenge of gastric metastases from ILC, which may present many years after the initial diagnosis. Definitive diagnosis requires immunohistochemistry to distinguish metastatic breast carcinoma from primary gastric carcinoma. Systemic therapy remains the mainstay of treatment, while surgical intervention should be reserved for selected palliative indications. Increased awareness of this rare manifestation is crucial to avoid misdiagnosis and optimize multidisciplinary management.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"18-22"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951037","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

Recurrent hypertrophic pyloric stenosis, diagnosis and early surgery: a comprehensive review. 复发性肥厚性幽门狭窄，诊断和早期手术：全面回顾。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1080/00015458.2025.2586864

Martin Schils, Haidar Houmani, Kalliroi Kotilea, Corina Zamfir, Anna Poupalou, Helena Reusens

{"title":"Recurrent hypertrophic pyloric stenosis, diagnosis and early surgery: a comprehensive review.","authors":"Martin Schils, Haidar Houmani, Kalliroi Kotilea, Corina Zamfir, Anna Poupalou, Helena Reusens","doi":"10.1080/00015458.2025.2586864","DOIUrl":"10.1080/00015458.2025.2586864","url":null,"abstract":"Background: Recurrent pyloric stenosis (RPS) is a very rare condition that occurs after an initially successful pyloromyotomy for hypertrophic pyloric stenosis. Over the last decade, the number of reported cases of recurrent pyloric stenosis has increased considerably. Given the rarity of this condition and the paucity of literature on the subject, there is a certain diagnostic difficulty, particularly at ultrasound level, where it is difficult to differentiate a true recurrence of pyloric stenosis from an initial incomplete pyloromyotomy.Methods: A systematic literature review was performed to characterize the diagnosis of RPS and to report on all cases previously described in literature.Results: We identified a total of 15 patients (median age of 19 days at first pyloromyotomy; average of 31 days of symptom-free interval before RPS; 66.7% male). Eleven cases fulfilled the 3 Kuckelman criteria for RPS (weight gain, 3 weeks resolution of symptoms, restenosis on imaging). The length of the pylorus on ultrasound appears to increase or remain above 18 mm for RPS, where normally it should decrease immediately after pyloromyotomy. RPS seems to occur more frequently when the first pyloromyotomy is performed at an early age.Conclusion: Hypertrophy of the pyloric muscle is a progressive entity, and if operated upon too early can favor recurrence. The diagnosis of a RPS can be made through the combination of clinical criteria and ultrasound, specifically length measurements of the pylorus. Additional studies need to be performed to confirm our findings and to define strategies to reduce risks for RPS.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450593","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 tumor bleeding versus ruptured abdominal aortic aneurysm: a diagnostic dilemma in retroperitoneal hemorrhage. 肾上腺肿瘤出血与腹主动脉瘤破裂：腹膜后出血的诊断困境。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-01-28 DOI: 10.1080/00015458.2026.2619484

Maud A M Vesseur, Ine Rochus, Lee Bouwman, Ozan Yazar

{"title":"Adrenal tumor bleeding versus ruptured abdominal aortic aneurysm: a diagnostic dilemma in retroperitoneal hemorrhage.","authors":"Maud A M Vesseur, Ine Rochus, Lee Bouwman, Ozan Yazar","doi":"10.1080/00015458.2026.2619484","DOIUrl":"10.1080/00015458.2026.2619484","url":null,"abstract":"Background: Retroperitoneal hemorrhage is a life-threatening entity that can result from a range of etiologies. Rupture of an abdominal aortic aneurysm (AAA) is the most common vascular emergency associated with high morbidity and mortality. However, not all retroperitoneal hemorrhages result from this vascular emergency. Adrenal hemorrhage, though rare, represents an important, often under-recognized and potentially fatal alternative diagnosis. The diagnostic challenge is further compounded when such adrenal pathology occurs in the presence of a concurrent AAA, as overlapping clinical and radiologic features can obscure the true source of bleeding. This coexistence can lead to misdiagnosis, delays in appropriate treatment, and complex decision-making in the acute care setting.Case report: A man in his 70s presented with hemodynamic collapse and right-sided flank pain, initially raising concern for a ruptured abdominal aortic aneurysm (AAA). Imaging revealed both an infrarenal AAA and a large retroperitoneal mass consistent with a hemorrhaging adrenal lesion. Due to diagnostic uncertainty and persistent hemodynamic instability, the patient underwent emergency endovascular aortic repair (EVAR) followed by selective arterial embolization of the adrenal lesion. Postoperative recovery was favorable, with resolution of hemodynamic instability and planned delayed adrenalectomy.Conclusion: This case report illustrates the diagnostic complexity and clinical challenge posed by simultaneous adrenal hemorrhage and AAA. Adrenal tumors can cause life-threatening retroperitoneal hemorrhage. Timely recognition via high-resolution imaging and a flexible interventional approach tailored to the evolving clinical picture are key to successful management. Clinicians should remain vigilant for alternative bleeding sources, even in the context of known vascular disease.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997163","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

Resection of intracardiac tumors in infants. 婴儿心内肿瘤的切除。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-01-28 DOI: 10.1080/00015458.2026.2616127

Nobels Sarah, Thierry Bové

引用次数: 0

Plastic surgery in 19th century in Greece. The important role of professor Theodoros Aretaios (1829-1893). 19世纪希腊的整形手术。Theodoros Aretaios教授（1829-1893）的重要作用。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-01-19 DOI: 10.1080/00015458.2026.2617870

Pavlos Lytsikas-Sarlis, Konstantinos Laios, Constantinos G Zografos, Christina Nikolaou, Georgios Tsakotos, Konstantinos G Apostolou, Tsoucalas Gregory, Dimitrios Schizas

引用次数: 0

A systematic review and meta-analysis: robotic versus laparoscopic hiatal hernia repair, is there a difference in Clavien Dindo score? 一项系统回顾和meta分析：机器人与腹腔镜裂孔疝修补术，Clavien Dindo评分有差异吗？

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2026-01-03 DOI: 10.1080/00015458.2025.2611452

A Mathys, H Vanommeslaeghe, Y Van Nieuwenhove, E Van Daele

{"title":"A systematic review and meta-analysis: robotic versus laparoscopic hiatal hernia repair, is there a difference in Clavien Dindo score?","authors":"A Mathys, H Vanommeslaeghe, Y Van Nieuwenhove, E Van Daele","doi":"10.1080/00015458.2025.2611452","DOIUrl":"10.1080/00015458.2025.2611452","url":null,"abstract":"Background: Laparoscopic hiatal hernia repair is considered the golden standard. Since its entrance in the mid-'00s, robotic surgery has been available in every modern operating center. The aim of this systematic review and meta-analyses is to compare laparoscopic versus robotic surgical hiatal hernia repair regarding clinically relevant postoperative complications, using the Clavien Dindo score 3.Methods: After registration in PROSPERO, a literature review was performed following the PRISMA flow diagram, resulting in eleven studies. Their quality was assessed using the Newcastle-Ottowa scale. Risk of bias was assessed using the ROBINS-I tool. Statistical analysis was performed using Python. The primary outcome was Clavien Dindo score 3, the secondary outcomes were mortality, intraoperative complications, postoperative complications, length of stay and operation time.Results: Eleven studies (182.467 patients in total, 12.056 robotic surgical repairs) were analyzed. The meta-analysis showed no statistically significant result between CD score 3 (OR = 0,68 (95% CI 0,27 - 1,72)). From the investigated secondary outcomes, only intraoperative complications showed a significant difference favoring robotic repair (OR = 0,41 (95% CI 0,22 - 0,76) and p-value = 0,005).Conclusion: Robotic hiatal hernia repair shows less intraoperative complications in comparison to laparoscopic repair. With the current available literature, no difference in Clavien Dindo score 3 is seen. To investigate the full potential of robotic surgery, prospective studies should be performed with surgeons who have passed their learning curve. Subgroup analyses regarding giant hiatal hernia and redo surgery should be performed. A uniform definition of 'giant' hiatal hernia is needed.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-10"},"PeriodicalIF":0.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888395","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