Acta Chirurgica Belgica最新文献_第3页

Rethinking 'extreme' cytoreductive surgery in malignant peritoneal mesothelioma. 恶性腹膜间皮瘤“极端”细胞减少手术的再思考。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-14 DOI: 10.1080/00015458.2025.2604539

Semra Demirli Atici, Aras Emre Canda, Mustafa Cem Terzi

引用次数: 0

Paediatric and adolescent ovarian torsion: a eight-year retrospective cohort study and literature review. 儿童和青少年卵巢扭转：一项8年回顾性队列研究和文献综述。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1080/00015458.2025.2587933

Matthew Newman, Thomas Smith, Phillip Hammond

{"title":"Paediatric and adolescent ovarian torsion: a eight-year retrospective cohort study and literature review.","authors":"Matthew Newman, Thomas Smith, Phillip Hammond","doi":"10.1080/00015458.2025.2587933","DOIUrl":"10.1080/00015458.2025.2587933","url":null,"abstract":"Background: Ovarian torsion is a rare but important cause of acute abdominal pain in paediatric and adolescent populations. Delayed diagnosis can lead to loss of ovarian function, with non-specific symptoms often complicating timely identification. Ultrasound is the primary diagnostic tool, but its sensitivity varies.Aims: This study reviews the clinical presentation, diagnosis, and outcomes of paediatric and adolescent ovarian torsion cases over an 8-year period.Methods: A retrospective analysis of 23 ovarian torsion cases in patients under 16 years treated within NHS Lothian between January 2016 and January 2024 was conducted. Data on patient demographics, clinical symptoms, imaging findings, and surgical interventions were collected.Results: All patients presented with abdominal pain, with 91% also reporting nausea and/or vomiting. Ultrasound confirmed torsion in 80% of cases. Surgical intervention showed 56.5% of ovaries were necrotic or ischaemic, though no significant correlation was found between raised inflammatory markers and necrosis. Ovarian-sparing surgery was performed in 82.6% of cases, with good follow-up outcomes.Conclusion: Ovarian torsion remains a diagnostic challenge due to its non-specific symptoms. Ovarian preservation is achievable in most cases. Prompt diagnosis and intervention are critical.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"285-290"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145493993","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

Hemorrhagic shock secondary to pre-existing adrenal myelolipoma: a case report and review of the literature. 先前存在的肾上腺骨髓瘤继发失血性休克1例报告及文献复习。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-01 Epub Date: 2025-09-04 DOI: 10.1080/00015458.2025.2556992

Delphine Keppens, Sam Van Slycke, Klaas Van Den Heede

{"title":"Hemorrhagic shock secondary to pre-existing adrenal myelolipoma: a case report and review of the literature.","authors":"Delphine Keppens, Sam Van Slycke, Klaas Van Den Heede","doi":"10.1080/00015458.2025.2556992","DOIUrl":"10.1080/00015458.2025.2556992","url":null,"abstract":"Background: Adrenal myelolipomas are benign tumors composed of mature adipose tissue and hematopoietic elements, such as myeloid and erythroid cells. They are often asymptomatic and do not require treatment unless complications arise.Methods: A case description and brief review of the literature is performed.Results: This case report outlines the hospital course and management of a 77-year-old woman who was admitted to the emergency department with hemorrhagic shock after a traumatic fall. A full body computed tomography (CT) scan revealed a voluminous mass in the right adrenal gland with an active hemorrhage in the right hypochondrium. After reviewing her medical records, it became clear that the hemorrhage arose from a pre-existing adrenal myelolipoma, discovered nine years earlier. Additionally, she sustained multiple fractures including right-sided rib fractures, a compression fracture of L1, and a complex fracture of the right scapula, accompanied by a significant hematoma. The clinical approach included initial stabilization, embolization procedures to control the hemorrhage, and comprehensive follow-up care.Conclusion: This case illustrates that timely recognition and management of traumatic hemorrhage from pre-existing masses, such as an adrenal myelolipoma, are crucial for improving patient outcomes and minimizing complications such as hypovolemic shock.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"291-294"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938346","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

Outcome of cholecystectomy after endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stent, case series. 超声内镜引导胆囊引流置管金属支架后胆囊切除术的疗效，病例系列。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-01 Epub Date: 2025-12-03 DOI: 10.1080/00015458.2025.2539096

Louise Beckers Perletti, Brecht Pauwels, Ans Verbert, Thibault Sablon

{"title":"Outcome of cholecystectomy after endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stent, case series.","authors":"Louise Beckers Perletti, Brecht Pauwels, Ans Verbert, Thibault Sablon","doi":"10.1080/00015458.2025.2539096","DOIUrl":"10.1080/00015458.2025.2539096","url":null,"abstract":"Background: Laparoscopic cholecystectomy (LCCE) has been the standard treatment for acute cholecystitis since the 1980s, but it may pose a significant hazard for high-risk patients. Endoscopic gallbladder drainage (EUS-GBD) using lumen-apposing metal stents (LAMS) offers a minimally invasive alternative for these patients. While LAMS is effective, the need for subsequent LCCE and long-term outcomes remains under investigation. This study aims to retrospectively assess the safety and feasibility of cholecystectomy after LAMS placement in a series of patients initially deemed unfit for surgery.Methods: A retrospective review included patients who underwent LCCE following EUS-GBD with LAMS between January and September 2024 was conducted. Data on demographics, procedural details, technical success, and postoperative outcomes were retrieved.Results: Eight patients with acute cholecystitis underwent gallbladder drainage with transduodenal LAMS placement. Two required ICU care for sepsis but recovered. All eight subsequently underwent elective LCCE with 100% technical success. LAMS placement facilitated faster resolution of cholecystitis, resulting in a clear visualization of Calot's triangle, allowing precise dissection and closure of the cholecystoduodenostomy without complications. The median interval between LAMS placement and LCCE was 117.5 days (111 days excluding one outlier). LCCE was performed in a median operative time of 49 min. No conversions to open surgery or postoperative complications occurred, and the median postoperative hospitalization was 2 days.Conclusion: Interval LCCE following EUS-GBD is a safe and effective option for managing acute cholecystitis in high-risk patients, with outcomes comparable to standard LCCE. Randomized controlled trials are necessary to establish definitive guidelines for this approach.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"273-278"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688577","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 cadaveric study of incidence and surgical anatomy of Meckel's diverticulum: an obituary to prof. Georgios Apostolakis (1890-1964). Meckel憩室的发病率和外科解剖的尸体研究：Georgios Apostolakis教授（1890-1964）的讣告。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1080/00015458.2025.2587251

Georgios Apostolakis, Dimosthenis Chrysikos, Michael Saintanis, Ioannis Antonopoulos, Georgios Tsakotos, Nikolaos Taprantzis, Theodore Troupis

{"title":"A cadaveric study of incidence and surgical anatomy of Meckel's diverticulum: an obituary to prof. Georgios Apostolakis (1890-1964).","authors":"Georgios Apostolakis, Dimosthenis Chrysikos, Michael Saintanis, Ioannis Antonopoulos, Georgios Tsakotos, Nikolaos Taprantzis, Theodore Troupis","doi":"10.1080/00015458.2025.2587251","DOIUrl":"10.1080/00015458.2025.2587251","url":null,"abstract":"Background: The present original study was first conducted by Prof. Apostolakis. The aim of this study was to investigate the frequency of Meckel's diverticulum morphological variations and surgical anatomy in a Greek population. A review of the relevant literature was also conducted by the authors. In addition, we would like to highlight, with this opportunity, the life and scientific work of the respectful Greek Professor of anatomy George Apostolakis.Methods: 151 formalin-fixed cadavers were dissected in the Anatomy Department of the Medical School of the National and Kapodistrian University of Athens, Greece, in 1932. A review of the relevant literature was also conducted by the authors.Results: Meckel's diverticulum was found in the case series of Apostolakis in 3.3% from the free (40%) or lateral border (20%) of the ileum. The diverticulum was observed only in male cadavers. Its origin varied, arising either from the free margin of the ileum or from its lateral border. In one case, a triangular serosa's leaflet was noted, extending partly over the diverticular process and partly over the free edge of the ileum. This finding may represent a remnant of the anterior intestinal wall from an embryological perspective.Conclusion: In this study Meckel's diverticulum is found in a higher frequency than reported in the international literature (2%). With our work we would like to highlight, the life and scientific work of the respectful Greek Professor of anatomy George Apostolakis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"279-284"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457539","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

Breast surgery in Greece during 19th century. The example of professor Theodoros Aretaios (1829-1893). 19世纪希腊的乳房手术。以Theodoros Aretaios教授（1829-1893）为例。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-12-01 Epub Date: 2025-08-29 DOI: 10.1080/00015458.2025.2553510

Konstantinos Laios, Constantinos G Zografos, Pavlos Lytsikas-Sarlis, Evangelia Mourellou, Irina Noskova, Tsoucalas Gregory, Georgios Androutsos

{"title":"Breast surgery in Greece during 19th century. The example of professor Theodoros Aretaios (1829-1893).","authors":"Konstantinos Laios, Constantinos G Zografos, Pavlos Lytsikas-Sarlis, Evangelia Mourellou, Irina Noskova, Tsoucalas Gregory, Georgios Androutsos","doi":"10.1080/00015458.2025.2553510","DOIUrl":"10.1080/00015458.2025.2553510","url":null,"abstract":"Background: Professor Theodoros Aretaios (1829-1893) was the most prominent figure in Greek Surgery during nineteenth century. Apart from other operations he performed, he focused also on breast surgery.Methods: Theodoros Aretaios was a prolific writer. He wrote two main textbooks in Greek. The one is a surgical atlas and the other a surgical pathology textbook. Apart from them he left a great archive of the patient he operated on. Most of them refer to breast surgery and will be highlighted by our study.Results: Except two male patients all the others were women in Theodoros Aretaios' archive, and the vast majority suffered from breast cancer. Benign disease of the breast although more common were mentioned concisely. Theodoros Aretaios performed total or partial mastectomy, lymphadenectomy and he underlined that the excision of the thoracic muscles or even the ribs had nothing to offer apart from aggravating patient's condition allowing us today to understand his pioneering role in the medical thought of his time.Conclusion: Theodoros Aretaios patient archive about breast diseases is the first systematic review of such patients in Greece, after the creation of the modern Greek State. The great variety of information shows the very high level of theoretical knowledge in breast surgery, which can be also seen by the surgical approach to benign and malignant disease.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"295-301"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938379","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

Tranexamic acid in patients undergoing burn surgery: an updated meta-analysis. 烧伤手术患者的氨甲环酸：一项最新的荟萃分析。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-10-01 Epub Date: 2025-09-08 DOI: 10.1080/00015458.2025.2557015

Jianzhen Shi, Jianru Xu, Yanmei Chen, Siyu Sun

{"title":"Tranexamic acid in patients undergoing burn surgery: an updated meta-analysis.","authors":"Jianzhen Shi, Jianru Xu, Yanmei Chen, Siyu Sun","doi":"10.1080/00015458.2025.2557015","DOIUrl":"10.1080/00015458.2025.2557015","url":null,"abstract":"Background: Surgical procedures often entail significant blood loss, potentially leading to various complications. Thus, reducing perioperative bleeding is crucial to enhancing patient outcomes. This study systematically evaluates and conducts a meta-analysis on the efficacy of tranexamic acid (TXA) in patients undergoing burn surgery.Methods: A comprehensive literature search was performed across PubMed, the Cochrane Central Register of Controlled Trials, Embase, and Web of Science databases to identify pertinent clinical studies on the application of TXA in burn-related surgical procedures. The evaluated outcomes included total blood loss, postoperative hemoglobin levels, postoperative hematocrit, intraoperative packed red blood cell (PRBC) transfusion units, incidence of intraoperative transfusion, and duration of hospitalization.Results: The analysis incorporated seven studies with a total of 427 patients. Compared to the control group, TXA was associated with a significant reduction in total blood loss [MD = -152.17 mL (95% CI: -159.48 to -144.87)], total PRBC units transfused [MD = -0.61 units (95% CI: -0.92 to -0.30)], and intraoperative transfusion incidence [logRR = -0.70 (95% CI: -1.04 to -0.35)]. However, there were no significant differences observed in postoperative hemoglobin levels [MD = 0.47 g/dL (95% CI: -0.12 to 1.06)], postoperative hematocrit [MD = 2.13% (95% CI: -0.66 to 4.92)], or length of hospital stay [MD = -2.80 days (95% CI: -6.44 to 0.83)].Conclusions: TXA appears to effectively reduce blood loss and the requirement for PRBC transfusions in burn surgery. Further high-quality research is necessary to substantiate these findings.Abbreviations: TXA: tranexamic acid; PRBC: packed red blood cell; MD: mean difference; REML: restricted maximum likelihood; logOR: log odds ratio.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"227-235"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999484","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

Late, solitary small bowel metastasis of anaplastic thyroid cancer: a case report. 甲状腺间变性癌晚期孤立性小肠转移1例。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI: 10.1080/00015458.2025.2536364

Margo Hendrickx, Ellen Peters, Paul Willemsen

引用次数: 0

8-Years' experience of the interventional and non-interventional treatment of pancreatic and peripancreatic necrosis in patients with severe acute pancreatitis secondary to gallstones and alcohol abuse. A single centre analysis. 8年胆结石合并酒精滥用的严重急性胰腺炎继发性胰腺及胰周坏死的介入及非介入治疗经验单中心分析。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-10-01 Epub Date: 2025-09-03 DOI: 10.1080/00015458.2025.2554882

Davide Di Mauro, Alex Reece-Smith, Ikechukwu Njere, Shahjehan Wajed, Antonio Manzelli

{"title":"8-Years' experience of the interventional and non-interventional treatment of pancreatic and peripancreatic necrosis in patients with severe acute pancreatitis secondary to gallstones and alcohol abuse. A single centre analysis.","authors":"Davide Di Mauro, Alex Reece-Smith, Ikechukwu Njere, Shahjehan Wajed, Antonio Manzelli","doi":"10.1080/00015458.2025.2554882","DOIUrl":"10.1080/00015458.2025.2554882","url":null,"abstract":"Background: The treatment of acute pancreatitis (AP) with pancreatic and peripancreatic necrosis (PN and PPN) can be challenging. It is unclear why some patients respond to conservative management while others require an invasive treatment. This study aimed to assess the clinical and radiological characteristics of patients with gallstone or alcohol-induced AP with PN and PPN who underwent interventional or non-interventional treatment.Methods: Subjects with gallstone or alcohol-induced AP and radiological evidence of PN and PPN, from 2010 to 2018, were divided in two treatment-based groups: interventional-percutaneous drainage (PD) and/or surgical necrosectomy-and non-interventional. A comparison of clinical and radiological characteristics between groups was conducted.Results: Of 99 patients, 18 underwent interventional treatment, 81 conservative management. The interventional group had larger PN (p = 0.010) and a greater proportion of infected necrosis (p = 0.002). Acute necrotic collection (ANC) >10 cm (95% CI 1.26-3.6, OR 1.839, p = 0.012), infected necrosis (95% CI 4.28-61305.6, OR 153.9, p = 0.026), admission to the intensive care unit (ICU) (95% CI 16.79-326,532.21, OR 489.915, p = 0.007), were predictors of interventions. Patients who underwent PD only had up to four drains inserted and 16.7% hospital mortality; subjects who underwent surgery had up to two drains and 33.3% death rate.Conclusions: Most subjects with severe gallstone and alcohol-related AP were treated medically. Large ANC, infected necrosis, and ICU admission predicted the need for intervention. When an invasive treatment was required, PD alone was effective with a tendency towards repeated drain insertions.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"244-253"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938338","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

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 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2025-10-01 Epub 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":"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":"264-272"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","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