Acta Chirurgica Belgica最新文献_第7页

Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients. 早期腹腔镜胆囊切除术与经皮经肝胆囊引流术治疗老年急性结石性胆囊炎的疗效比较。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-14 DOI: 10.1080/00015458.2023.2232672

Wenhao Huang, Haisong Xu, Yuehua Guo, Mingyue Li, Gongze Peng, Tianchong Wu

{"title":"Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients.","authors":"Wenhao Huang, Haisong Xu, Yuehua Guo, Mingyue Li, Gongze Peng, Tianchong Wu","doi":"10.1080/00015458.2023.2232672","DOIUrl":"10.1080/00015458.2023.2232672","url":null,"abstract":"Background: Acute calculous cholecystitis is a common acute disease in elderly patients. This study aimed to evaluate the efficacy of early laparoscopic cholecystectomy (ELC) compared to percutaneous transhepatic gallbladder drainage (PTGD) for treating acute calculous cholecystitis in elderly patients.Methods: This retrospective study compared the clinical outcomes of two groups of elderly patients treated with ELC (group A) and PTGD (group B) from January 2018 to December 2021. Preoperative clinical characteristics and postoperative treatment outcomes were analyzed for both groups.Results: There were no statistically significant differences in preoperative clinical characteristics between the ELC and PTGD groups. ELC took longer to perform (69.8 ± 15.9 min vs. 29.6 ± 5.3 min, p < 0.001) but resulted in a significantly shorter duration of pain (1.9 ± 0.9 days vs. 3.9 ± 1.0 days, p < 0.001) and hospital stay (6.3 ± 2.5 days vs. 9.9 ± 3.6 days, p < 0.001), and a lower rate of sepsis (3.4% vs. 16.9%, p < 0.019). Time to soft diet was faster in the ELC group (1.5 ± 0.9 days vs. 3.0 ± 1.6 days, p < 0.001). Fewer patients in the ELC group experienced surgical reintervention than in the PTGD group (0% vs. 5.6%, p = 0.043). The incidence of postoperative complications and readmission rates in the ELC group were significantly lower than those in the PTGD group (ELC, 3.6%; PTGD, 25.4%, p = 0.001).Conclusions: ELC is an effective treatment option for acute calculous cholecystitis in elderly patients, and has the added benefits of low postoperative complication rates, rapid recovery, shorter duration of pain, and excellent curative effects as compared to PTGD.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"178-186"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990919","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

Predictive factors of surgery in metastatic colorectal cancer: a retrospective cohort study. 转移性结直肠癌手术的预测因素：一项回顾性队列研究。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-22 DOI: 10.1080/00015458.2023.2231211

Raffaele Calicis, Antoine Dubois, Christian Ritter, Nicolas Tinton, Benjamin Calicis, Yves Hoebeke, David Lepore, Francisco Da Rocha De Sousa, Emmanuel Cambier, Fabrice Corbisier

{"title":"Predictive factors of surgery in metastatic colorectal cancer: a retrospective cohort study.","authors":"Raffaele Calicis, Antoine Dubois, Christian Ritter, Nicolas Tinton, Benjamin Calicis, Yves Hoebeke, David Lepore, Francisco Da Rocha De Sousa, Emmanuel Cambier, Fabrice Corbisier","doi":"10.1080/00015458.2023.2231211","DOIUrl":"10.1080/00015458.2023.2231211","url":null,"abstract":"Introduction: Current management of metastatic colorectal cancer is based on neoadjuvant chemotherapy. Few studies have reported on surgery procedures in patients with metastatic colorectal cancer. The objective of this study was to describe our institutional experience with emergency surgery performed in patients with metastatic colorectal cancer during chemotherapy.Patients and methods: This was a retrospective cohort study including adult patients of ≤80 years with a metastatic colorectal cancer between 2017 and 2020 and undergoing surgery during chemotherapy. Statistical analyses were based on Kaplan-Meier's curve and Cox proportional hazard model. The surgery statistical risk during chemotherapy was studied through all tumor and patient's characteristics. Multivariable logistic regression models were used to identify predictive factors of emergency surgery in these patients.Results: Seventy-two cases were identified and 60% patients undergone an emergency surgery. By Kaplan-Meier's analyses, intestinal surgery was much more frequent and early in patients who have severe stenosis (either blocking or only permeable using a gastroscope) at the time of diagnosis. Patients with severe malignant stenosis presented a 6.28 time higher surgery risk (p < .0001). The median time between admission and surgery was 54 days in patients with severe stenosis who were operated.Conclusion: The degree of colorectal tumor stenosis measured by endoscopy was a risk factor for emergency surgery in patients with metastatic colorectal cancer during neoadjuvant chemotherapy. In this group of patients presenting low survival outcomes, further studies are needed to define the place of preventive surgery, avoiding emergency surgery and morbidity in such fragile patients.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"170-177"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042584","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

Venous reconstruction thrombosis after pancreaticoduodenectomy with superior mesenteric/portal vein resection due to pancreatic cancer: an 8 years single institution experience. 胰腺癌症所致胰十二指肠切除术及肠系膜上静脉/门静脉切除术后静脉重建血栓形成：8年单机构经验。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-10-06 DOI: 10.1080/00015458.2023.2264630

Oguzhan Ozsay, Mehmet Can Aydin, Kagan Karabulut, Mahmut Basoglu, Osman Nuri Dilek

{"title":"Venous reconstruction thrombosis after pancreaticoduodenectomy with superior mesenteric/portal vein resection due to pancreatic cancer: an 8 years single institution experience.","authors":"Oguzhan Ozsay, Mehmet Can Aydin, Kagan Karabulut, Mahmut Basoglu, Osman Nuri Dilek","doi":"10.1080/00015458.2023.2264630","DOIUrl":"10.1080/00015458.2023.2264630","url":null,"abstract":"Background: Superior mesenteric/portal vein reconstruction (SMPVR) thrombosis remains a challenging complication following pancreaticoduodenectomy concomitant with venous resection. In this context, we aimed to present our SMPVR experiences and identify potential clinicopathological factors that increased SMPVR thrombosis.Methods: A total of 33 patients who underwent SMPVR during pancreaticoduodenectomy were analyzed. Of these, 26 patients who experienced pancreatic head ductal adenocarcinoma met our inclusion criteria. Patients' data were compared as classified by SMPVR type and the development of SMPVR thrombosis. All interposition grafts were Dacron in this cohort.Results: Types of SMPVR included: tangential resection with primary repair (n = 12); segmental resection with splenic vein preservation and either primary anastomosis (n = 8) or 14 mm tubular Dacron grafting (n = 1); segmental resection with splenic vein division either 14 mm tubular Dacron grafting (n = 2) or 14/7 mm 'Y'-shaped Dacron grafting (n = 3). A total of four patients having 14/7 mm 'Y'-shaped (n = 3) and 14 mm tubular Dacron (n = 1) developed SMPVR thrombosis (p = .001). Dacron grafting (p = .001) and splenic vein division (p = .010) were associated with SMPVR thrombosis. The median time to detection of SMPVR thrombosis was 4.3 months (2.5-21.0 months). The median follow-up time was 12.2 months (3.0-45 months).Conclusions: During pancreaticoduodenectomy for pancreatic head ductal carcinoma, extended venous resection requiring SMPVR with 'Y'-shaped and use of Dacron interposition grafts appeared to be associated with the development of SMPVR thrombosis. This result warrants further investigations.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"200-207"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41105163","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

Can stage-IIB lung cancer be divided into subgroups in terms of prognosis? A modelling study^. 从预后角度看，能否将 IIB 期肺癌分为若干亚组？一项建模研究。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-28 DOI: 10.1080/00015458.2023.2251802

Necati Çitak, Volkan Erdoğu, Yunus Aksoy, Atilla Pekçolaklar, Muzaffer Metin, Adnan Sayar

{"title":"Can stage-IIB lung cancer be divided into subgroups in terms of prognosis? A modelling study.","authors":"Necati Çitak, Volkan Erdoğu, Yunus Aksoy, Atilla Pekçolaklar, Muzaffer Metin, Adnan Sayar","doi":"10.1080/00015458.2023.2251802","DOIUrl":"10.1080/00015458.2023.2251802","url":null,"abstract":"Introduction: Whether changes should be made to the TNM classification of non-small cell lung cancer (NSCLC) according to the newly proposed nodal classification is unclear. We aim to compare the survival between stage-IIB subsets using a modelling study performed using the newly proposed nodal classification.Patients and methods: A total of 682 patients with stage-IIB NSCLC based on the 8th TNM classification were analysed. Hazard ratio (HR) values calculated from survival comparisons between stage-IIB subgroups were used to create a model for patients with stage-IIB NSCLC, and modelling was performed according to the HR values that were close to each other.Results: Patients with T1N1a cancer had the best survival rate (58.2%), whereas the worst prognosis was observed in those with T2bN1b cancer (39.2%). The models were created using the following HR results: Model A (T1N1a, n = 85; 12.4%), Model B (T2a/T2bN1a and T3N0, n = 438; 64.2%), and Model C (T1/T2a/T2bN1b, n = 159; 23.4%). There was a significant difference between the models in terms of overall survival (p = 0.03). The median survival time was 69 months in Model A, 56 months in Model B, and 47 months in Model C (Model A vs. Model B, p = 0.224; Model A vs. Model C, p = 0.01; and Model B vs. Model C, p = 0.04). Multivariate analysis showed that age (p < 0.001), pleural invasion (p < 0.001), and the developed modelling system (p = 0.02) were independently negative prognostic factors.Conclusion: There was a prognostic difference between stage-IIB subsets in NSCLC patients. The model created for stage-IIB lung cancer showed a high discriminatory power for prognosis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"191-199"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103645","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

Patient management after primary rectal cancer diagnosis. Special focus on surgical treatment for non-metastatic disease. 原发性直肠癌诊断后的患者处理。特别关注非转移性疾病的手术治疗。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-11-14 DOI: 10.1080/00015458.2023.2278238

L Mattart, P Magotteaux, N Blétard, L Brescia, N Debergh, C De Meester, G Demolin, F Dister, C Focan, D Francart, S Godin, G Houbiers, C Jehaes, F Jehaes, G Namur, B Monami, V Verdin, J Weerts, N Witvrouw, S Markiewicz

{"title":"Patient management after primary rectal cancer diagnosis. Special focus on surgical treatment for non-metastatic disease.","authors":"L Mattart, P Magotteaux, N Blétard, L Brescia, N Debergh, C De Meester, G Demolin, F Dister, C Focan, D Francart, S Godin, G Houbiers, C Jehaes, F Jehaes, G Namur, B Monami, V Verdin, J Weerts, N Witvrouw, S Markiewicz","doi":"10.1080/00015458.2023.2278238","DOIUrl":"10.1080/00015458.2023.2278238","url":null,"abstract":"Background: Rectal cancer is a public health priority. Primary objectives of this study were to evaluate the quality of care for non-metastatic rectal cancer using process and outcome indicators. Delay of management, length of stay and readmission rate, sphincter preservation, morbidity, number of examined lymph nodes, mortality, overall and disease-free survivals were evaluated. Secondary objectives were to estimate the relationship between possible predictive parameters for (1) anastomotic leakage (logistic regression), (2) overall or disease-free survivals (cox regression).Methods: We performed a retrospective study on 312 consecutive patients diagnosed with primary rectal cancer between 2016 and 2019. We focused on the 163 patients treated by surgery for non-metastatic cancer.Results: The treatment began within 33 days (range 0-264) after incidence, resection rate was 67%. Digestive continuity rate in lower, middle and upper rectum was 30%, 87% and 96%. Median of 14 lymph nodes (range 1-46) was analyzed. Length of stay and readmission rate were 11 days (range 3-56) and 4%, respectively. Within 90 postoperative days, clinical anastomotic leakage occurred in 9.2% of cases, major morbidity rate was 17%, mortality 1.2%. Multivariate analysis revealed that stoma decreased the risk of anastomotic leakage [hazard ratio: 0.16; 95% confidence intervals: 0.04-0.63; p = 0.008]. The 5-year overall survival after surgery was 85 ± 4%, disease-free survival 83 ± 4%. Patients with major complications, male gender and R1/R2 resection margin had a poorer prognosis.Conclusion: This work showed encouraging results in rectal cancer treatment in our institution, our results were in line with recommendations at the time.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"208-216"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590038","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

'Carried away by a moonlight shadow' -In memoriam Prof. em. Dr. med. Paul L.O. Broos 1945-2023. 被月光的影子带走"--纪念 Em.Dr. med.Paul L.O. Broos 1945-2023.

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI: 10.1080/00015458.2024.2320983

Carl De Crée

引用次数: 0

Successful multimodal management of a large hepatocellular carcinoma in a non-cirrhotic liver: a case report. 非肝硬化大肝细胞癌的成功多模式治疗：病例报告。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-07-23 DOI: 10.1080/00015458.2023.2234724

Clara Bihain, Jean Delwaide, Paul Meunier, Laurent Gerard, Alexandre Jadoul, Olivier Detry

{"title":"Successful multimodal management of a large hepatocellular carcinoma in a non-cirrhotic liver: a case report.","authors":"Clara Bihain, Jean Delwaide, Paul Meunier, Laurent Gerard, Alexandre Jadoul, Olivier Detry","doi":"10.1080/00015458.2023.2234724","DOIUrl":"10.1080/00015458.2023.2234724","url":null,"abstract":"Background: Hepatocellular carcinoma (HCC) found in a non cirrhotic liver represents a minority of HCC cases and remains poorly studied. Due to its specific characteristics and evolution, this tumour requires a different management compared to HCC in a cirrhotic liver.Case report: The authors describe the case of a 68-year-old man diagnosed with a large giant and only mildly symptomatic HCC in a non-cirrhotic liver. The 23 cm HCC was discovered when a thoracoabdominal computed tomography was performed following mild abdominal pain. After a multidisciplinary discussion the tumour was judged to be borderline, but potentially resectable after neoadjuvant therapy and preparation for surgery. The patient underwent selective internal radiation therapy radioembolization of the right hepatic artery lobe with 5,5 GBq of 90Y-labeled glass microspheres. It was followed by extended right hepatectomy after preparation by embolization of the right portal and the right hepatic veins. Thirty months after surgical resection the patient showed neither clinical, radiological nor biological signs of HCC recurrence.Discussion: HCC in non-cirrhotic liver is less common than in cirrhotic liver but has a better prognosis, thanks to a greater opportunity for surgical resection. The symptoms often emerge late and are unspecific, thus delaying the HCC diagnosis. Advances in surgical resection by laparotomy or laparoscopy, and neoadjuvant therapy in preparation for surgery, have proven to be effective. However, high mortality persists due to late diagnosis linked to the inability of identifying groups at risk of HCC in the non-cirrhotic population and inadequate screening.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"229-233"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912194","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

Louis Dominique Le Roy and the first documented and successful crural fracture osteosynthesis, performed in Antwerp in 1796. 路易-多米尼克-勒罗伊（Louis Dominique Le Roy），以及 1796 年在安特卫普进行的首次有记载的、成功的颅骨骨折截骨术。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-05-02 DOI: 10.1080/00015458.2024.2350114

Robrecht (Bob) VanHee

引用次数: 0

Charles Boyd Kelsey (1850-1917). The pioneer of rectal surgery in USA 查尔斯-博伊德-凯尔西（1850-1917 年）。美国直肠外科的先驱

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-04-27 DOI: 10.1080/00015458.2024.2348857

Maria Sioula, Konstantinos Tsirozoglou, Panagiotis Georgakopoulos, Evangelos Mavrommatis

引用次数: 0

Evolution in Liver trauma management: A single centre experience 肝脏创伤管理的演变：单个中心的经验

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-04-12 DOI: 10.1080/00015458.2024.2342132

Paulien Bonny, Constantijn Bogaert, Luís Filipe AbreudeCarvalho, Filip Gryspeerdt, Hasan Eker, Laurens Hermie, Frederik Berrevoet

引用次数: 0