Acta Chirurgica Belgica最新文献_第5页

A case series: uniportal VATS excision of pericardial cysts in symptomatic patients. 一个病例系列：无症状患者的单孔心包囊肿切除术。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-07-08 DOI: 10.1080/00015458.2024.2375092

Seher Koçak, Paul Hollering, Sven Vercauteren

{"title":"A case series: uniportal VATS excision of pericardial cysts in symptomatic patients.","authors":"Seher Koçak, Paul Hollering, Sven Vercauteren","doi":"10.1080/00015458.2024.2375092","DOIUrl":"10.1080/00015458.2024.2375092","url":null,"abstract":"Background: Pericardial cysts are infrequent lesions. Most of these are asymptomatic and incidental findings during investigations for unrelated conditions. When they are symptomatic, they demonstrate most of the time a benign clinical course. Yet, treatment is sometimes necessary. Besides a (temporary) treatment as percutaneous aspiration, there is surgery as a definite treatment. The aim of the paper is to motivate the safety and efficacy of uniportal video assisted thoracoscopy (UVATS) for the excision of (giant) pericardial cysts and describe their (peri-)operative technique.Methods: In this retrospective, single center-based case series, we report all cases with a pericardial cyst who underwent a surgical excision by uniportal VATS (UVATS) between March 2022 and April 2023. Detailed patient characteristics, operation details, hospital length of stay and follow-up data were collected.Results: A total of 4 patients underwent excision of a pericardial cyst by UVATS. The follow-up ranged from 10 to 20 months. The mean diameter of the pericardial cyst was 124 mm. Median procedure time was 94 min. No per- and postoperative complications occurred. The median length of postoperative hospital stay was 2 days. All patients showed a clinically relevant improvement of the pre-operative symptoms.Conclusions: Uniportal VATS excision for pericardial cysts is a safe and effective surgical procedure with good outcomes on symptom relief. Though, future comparative studies are urged to elucidate its value among other treatment options.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"422-427"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490477","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

Iliac artery endofibrosis: diagnostic dilemna and treatment options. 髂动脉内纤维化：诊断难题和治疗方案。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-05-20 DOI: 10.1080/00015458.2024.2348234

K Van Langenhove, G Uijtterhaegen, N Moreels, C Randon, F Vermassen

{"title":"Iliac artery endofibrosis: diagnostic dilemna and treatment options.","authors":"K Van Langenhove, G Uijtterhaegen, N Moreels, C Randon, F Vermassen","doi":"10.1080/00015458.2024.2348234","DOIUrl":"10.1080/00015458.2024.2348234","url":null,"abstract":"Background: External iliac artery endofibrosis (EIAE) is an uncommon pathology, predominantly occurring in cyclists, caused by thickening of the external iliac artery intima. Symptoms are exercise-dependent and typically consist of pain, muscle cramps and loss of strength in the affected limb at (sub)maximal effort. As other musculo-skeletal as well as conditional problems might cause similar complaints diagnosis is not always easy or straightforward.Case summary and discussion: We reviewed four cases of (semi-)professional cyclists referred to our department in 2021 because of suspicion of EIAE. In all symptoms only occurred at (sub)maximal effort. All had lowering of ABI on the affected side at a dynamic stress test on the bike. Imaging using CTA, MRA or dynamic angiogram was abnormal in all patients, showing signs suspicious for endofibrosis but of different kind and at different locations. Open surgical repair was performed in all cases by a procedure tailored to the type of lesion. Two patients were treated by a saphenous vein patch angioplasty, in one patient a shortening of the vessel and end-to-end anastomosis was performed and in the fourth patient a spiral saphenous vein graft bypass was placed. Postoperative course was uneventful and exercise was resumed after four weeks in all patients.Conclusion: Correct diagnosis is essential in the treatment of EIAE. A complete and multidisciplinary pathway should be followed to distinguish vascular from non-vascular causes. Correct lesion localization is crucial and besides CTA or MRA, more sophisticated techniques such as dynamic angiography or intravascular ultrasound might be needed.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"415-421"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856114","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 unique complication of thyroidectomy for Hashimoto's thyroiditis: central retinal artery thrombosis. 桥本氏甲状腺炎甲状腺切除术的独特并发症：视网膜中央动脉血栓

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-02-29 DOI: 10.1080/00015458.2024.2323286

Isik Cetinoglu, Mehmet Taner Unlu, Hatice Yasemin Sit, Nurcihan Aygun, Semra Tiryaki Demir, Mehmet Uludag

引用次数: 0

Surgeons with disabilities, they do exist. 残疾外科医生确实存在。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-07-04 DOI: 10.1080/00015458.2024.2369745

Michael El Boghdady, Béatrice Marianne Ewalds-Kvist

{"title":"Surgeons with disabilities, they do exist.","authors":"Michael El Boghdady, Béatrice Marianne Ewalds-Kvist","doi":"10.1080/00015458.2024.2369745","DOIUrl":"10.1080/00015458.2024.2369745","url":null,"abstract":"Introduction: Doctors with disability are likely to face major life crises, challenges and distressing emotions from unforeseen circumstances that threaten their physical well-being. We aimed to identify the existence of work-related pain and discomfort that may cause surgeon's disability. Surgeons who were struck with unpredictable disasters leading to disabilities were also reviewed.Methods: We conducted a 10-year literature review. In addition, citations about surgeons' physical disabilities were complemented with commentaries about disabled surgeons from gray literature. The quantitative citations were quality assessed by MERSQI scores and evidence graded according to GRADE. For the qualitative study part, the severely traumatized surgeons were analysed by means of Cullberg's crisis phases (CCP) and analysed from Tedeschi and Calhoun's post-traumatic growth perspective (PTG).Results: Altogether 3593 citations from PubMed were studied, and 10 citations met inclusion criteria with a total of 11591 participants. We included 6 surgeons subjected to highly traumatic events complicating their medical career. Our quantitative citations' mean MERSQI score was 11.73 (SD .79) and the citations' evidence value completed grade II (moderate quality: 11.26 to 12.00 scores). Work-related musculoskeletal pain and occupational injuries may lead to physical disabilities. The accidentally traumatized surgeons fought through the four CCP phases and reached successfully the PTG stage.Conclusions: The surgical workforce is at high risk of work-related musculoskeletal morbidity which can progress to chronic pain and disruption of surgeon's career. Surgeons with disabilities faced serious barriers in their career. Institutions and healthcare systems must urgently develop support strategies for surgeons with disabilities.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"339-348"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465381","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

Comparing the top 100 attacks in the Global Terrorism Database: high injury rate versus high fatality rate attacks. 比较全球恐怖主义数据库中排名前 100 位的袭击事件：高受伤率袭击事件与高致死率袭击事件。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-02-06 DOI: 10.1080/00015458.2024.2312493

Harald De Cauwer, Dennis Barten, Fredrik Granholm, Luc Mortelmans, Patrick Cras, Francis Somville

{"title":"Comparing the top 100 attacks in the Global Terrorism Database: high injury rate versus high fatality rate attacks.","authors":"Harald De Cauwer, Dennis Barten, Fredrik Granholm, Luc Mortelmans, Patrick Cras, Francis Somville","doi":"10.1080/00015458.2024.2312493","DOIUrl":"10.1080/00015458.2024.2312493","url":null,"abstract":"Background: Terrorist attacks have the potential to be mass casualty events, causing multiple injuries and deaths. High injury rate attacks will particularly place a high burden on emergency medical systems. This study aimed to assess if there is a difference between attacks with high injury rates and high fatality rates.Methods: The top 100 terrorist events causing the highest number of fatalities versus the highest number of injuries were selected from the Global Terrorism Database. Analyses were performed on temporal factors, location, target type, attack and weapon type, and perpetrator type.Results: The 9/11 attacks caused the highest number of both fatalities and injuries. With regards to injury rates, the sarin attacks in Tokyo, Japan ranked second. Events with high fatality rates were overrepresented in Sub-Saharan Africa, whereas events with high injury rates were predominant in the Middle East & North Africa. High fatality rates were most often associated with armed assaults and hostage takings. Bombings were responsible for the highest number of injuries. CBRN attacks were overrepresented in the top 100 injuries, and accounted for 11% of the incidents.Conclusion: High injury rate incidents place a heavy burden on the health care system as the number of injuries is nearly ten times as high as the number of injuries in high fatality rate incidents. Epidemiological analysis of high impact terrorist events may contribute to counter-terrorism preparedness, to an increased focus on dealing with CBRN-events, and thus to a proper medical response to future terrorist events.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"356-364"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569427","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

Laparoscopic Toupet-Sleeve gastrectomy in morbid obese patients with preoperative gastro-esophageal reflux: a 4-year follow-up cohort study. 对术前存在胃食管反流的病态肥胖患者进行腹腔镜 Toupet-Sleeve 胃切除术：一项为期 4 年的随访队列研究。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-02-21 DOI: 10.1080/00015458.2024.2320504

Hauters Philippe, Granjean Steven, Stefanescu Iulia, Jacqmin Geoffrey, Gerard Mickaël, van Vyve Etienne

{"title":"Laparoscopic Toupet-Sleeve gastrectomy in morbid obese patients with preoperative gastro-esophageal reflux: a 4-year follow-up cohort study.","authors":"Hauters Philippe, Granjean Steven, Stefanescu Iulia, Jacqmin Geoffrey, Gerard Mickaël, van Vyve Etienne","doi":"10.1080/00015458.2024.2320504","DOIUrl":"10.1080/00015458.2024.2320504","url":null,"abstract":"Aim: To assess the 4-year outcomes after Toupet-Sleeve (TS) gastrectomy in morbid obese patients with concomitant preoperative gastro-esophageal reflux disease (GERD).Material and methods: The study group consisted of 19 consecutive patients operated on between August 2017 and February 2019. There were 5 men and 14 women with a mean body mass index (BMI) of 43 ± 5 kg/m2 and a mean age of 42 ± 15 years. A retrospective analysis of database and telephone interview of patients who defaulted clinic follow-up was conducted. The main study end-points were weight loss and success of surgery, defined as no need for conversion and %EWL > 50%. Resolution of GERD was a secondary end-point.Results: No patient was lost for follow-up. Nadir weight loss was reached after a follow-up of one year: mean BMI was 32 ± 5 kg/m2, %EWL 61 ± 21% and %TWL 24 ± 7%. Thereafter, we observed a progressive weight regain over time. With a mean follow-up of 51 ± 6 months, mean BMI was 36 ± 8 kg/m2, %EWL 43 ± 35% and %TWL 16 ± 12%. Two patients were converted to another bariatric procedure because of dysphagia and fundus dilatation or because of insufficient weight loss. The overall surgical success rate was 32% (6/19). Resolution of GERD without any PPI treatment was noted in 88% (15/17) of the non-converted patients.Conclusion: In our experience, with a 4-year follow-up, TS is associated with a significant risk of conversion, a moderate weight loss and a poor surgical success rate.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"372-379"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139745806","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

50 Years of terrorism in Belgium: a review of 121 incidents in the global terrorism database. 比利时恐怖主义 50 年：对全球恐怖主义数据库中 121 起事件的审查。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-02-01 DOI: 10.1080/00015458.2024.2308400

Harald De Cauwer, Luc J Mortelmans, Francis Somville, Patrick Cras

{"title":"50 Years of terrorism in Belgium: a review of 121 incidents in the global terrorism database.","authors":"Harald De Cauwer, Luc J Mortelmans, Francis Somville, Patrick Cras","doi":"10.1080/00015458.2024.2308400","DOIUrl":"10.1080/00015458.2024.2308400","url":null,"abstract":"Objectives: Belgium is not only prone to inland terrorism but also attracts terrorist factions aiming at various political, diplomatic, military, and/or religious targets. This study aimed to identify and characterize all documented terrorist attacks in Belgium reported to the Global Terrorism Database (GTD) over a period of 50 years.Methods: The GTD was searched for all terrorist attacks in Belgium between 1970 and 2019. Analyses were performed on temporal factors, location, target type, attack and weapon type, attacker type, and number of casualties or hostages.Results: In 50 years, 121 incidents accounted for 80 confirmed fatalities and 498 injured people. Bombings and explosions were the most frequently identified attack type (46.3%), followed by assassination (16.5%), infrastructure damage (15.7%) and armed or unarmed assaults (14.0%). Governmental and diplomatic institutions were the most frequent target (24.0%). For those perpetrators the GTD did have enough information we saw a timely change from far left and separatist dominating the early decades to Jihadi groups in the last decade, while anti-semitic factions were active in every decade.Conclusion: In contrast to other studies, this study did not show an increase over time. Left-wing perpetrators dominated the eighties. In 50 years of terrorist activity in Belgium, the health care system was spared. Devastating mass casualty attacks challenging the health care system are rare in Belgium.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"349-355"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541047","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

Pancreatic tuberculosis in an 18-year-old patient. 一名 18 岁患者的胰腺结核病。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1080/00015458.2021.1928877

Laura Boutin, Mihane Nayeri, Julien Frandon, Frédéric Borie

引用次数: 0

Completely portal robotic lobectomy in lung cancer: is subcostal specimen removal necessary? 肺癌完全门机器人肺叶切除术：是否有必要切除肋下标本？

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-10-01 Epub Date: 2024-02-27 DOI: 10.1080/00015458.2024.2320510

Murat Akkuş, Yunus Seyrek

{"title":"Completely portal robotic lobectomy in lung cancer: is subcostal specimen removal necessary?","authors":"Murat Akkuş, Yunus Seyrek","doi":"10.1080/00015458.2024.2320510","DOIUrl":"10.1080/00015458.2024.2320510","url":null,"abstract":"Background: The best place for specimen extraction is a relevant question since either after robotic or video-thoracoscopic lobectomy, both intercostal and subcostal routes can be potential extraction routes. In this study, we studied completely portal robotic lobectomies (CPRL-4) for pulmonary neoplasms to investigate the efficacy and feasibility of subcostal specimen removal by comparing the two techniques.Material and methods: Between January 2014 and July 2021, data from 90 patients who underwent robotic thoracic surgery with a Da Vinci Surgical System SI (Intuitive Surgical Inc., Mountain View, California, USA) were collected and retrospectively analyzed. Out of 90 patients, we analyzed 36 CPRL-4 cases. We removed specimens traditionally via intercostal utility thoracotomy in the first 22 patients (group A) and via subcostal incision in the next consecutive 14 patients (group B). Operative parameters, postoperative parameters, the visual analog scale (VAS) and SF36 life quality scoring were comparatively analyzed.Results: The mean docking time was significantly higher in group B than in group A (26.2 ± 5.3 vs 17.8 ± 4.1) (p = .001). In terms of early-stage postoperative pain, group B had significantly lower pain scores compared to group A (p < .05). There was no significant difference between the groups in terms of SF36 life quality scoring.Conclusion: We can conclude that performing a subcostal incision is not a sophisticated process, though it significantly prolongs the docking time. Although our study is based on a small group, we noticed that removing the specimen through the subcostal incision after CPRL-4 is potentially useful, has several advantages and it is a practical, feasible, and safe method.Clinical registration number: 2018/57.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"380-386"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139904721","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

Pericardial fenestration and thoracic duct ligation for treatment of chylopericardium as first symptom of underlying generalized lymphatic anomaly: a case report 用心包切开术和胸导管结扎术治疗作为潜在全身淋巴异常首发症状的乳糜心包炎：病例报告

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-09-18 DOI: 10.1080/00015458.2024.2406606

Roza S. Makarian, Oana Mirea, Peter Verhamme, Karel M. Smeyers, Evelien Berkmans, Victor Raicea, Mihaela Berceanu, Dirk Van Raemdonck, Laurens J. Ceulemans

引用次数: 0