Search our Database of Scientific Publications and Authors

I’m looking for a

    6003 results match your criteria Acta chirurgica Belgica[Journal]

    1 OF 121

    Successful operative treatment of uterine leiomyoma with extensive intravenous extension to the IVC, right heart, and pulmonary arteries.
    Acta Chir Belg 2018 Jan 17:1-4. Epub 2018 Jan 17.
    d Royal Sussex County Hospital , Sussex , UK.
    Introduction: Intravenous extension of benign uterine leiomyomata ('fibroids'), in the absence of discrete metastatic disease has rarely been reported. 'Fibroids' remain one of the most common premenopausal uterine pathologies.

    Methods And Results: We report the diagnosis and multidisciplinary led operative management of a 52-year-old woman with a histologically benign, but biologically aggressive, uterine leiomyoma with intravenous extension to the inferior vena cava (IVC), right heart and pulmonary arteries. Read More

    Labelling as reference Centre of GRACE (Groupe francophone de Réhabilitation Améliorée après ChirurgiE) for colorectal surgery: its impact on the implementation of enhanced recovery programme at the University Hospital of Liège.
    Acta Chir Belg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    a Department of Anaesthesiology , CHU Liège, University of Liège , Liège , Belgium.
    Background: Enhanced recovery programme (ERP) has been used in our hospital since 2005 for selected colorectal surgeries. Since October 2015, after labelling as GRACE reference centre, we included all patients scheduled for elective colorectal surgery in this programme. We assessed the impact of our labelling on the implementation of ERP. Read More

    How to implement an enhanced recovery programme after colorectal surgery?
    Acta Chir Belg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    b GRACE: Groupe francophone de Réhabilitation Améliorée après ChirurgiE , Beaumont , France.
    Introduction: Although the concept of enhanced recovery after surgery was introduced more than 20 years ago, its implementation in daily practice still remains difficult.

    Results: This article addresses bottlenecks and barriers to the development of enhanced recovery programme (ERP). Barriers to the implementation are multifactorial and are raised by the different actors of these programmes: surgeons, anaesthetists, nurses, patients. Read More

    Neutrophil-to-lymphocyte ratio and mural nodule height as predictive factors for malignant intraductal papillary mucinous neoplasms.
    Acta Chir Belg 2018 Jan 15:1-7. Epub 2018 Jan 15.
    a Departments of Surgery , Kitakyushu Municipal Medical Center , Kitakyushu , Japan.
    Background: Accurate preoperative prediction for malignant IPMN is still challenging. The aim of this study was to investigate the validity of neutrophil-to-lymphocyte ratio (NLR) and mural nodule height (MNH) for predicting malignant intraductal papillary mucinous neoplasm (IPMN).

    Methods: The medical records of 60 patients who underwent pancreatectomy for IPMN were retrospectively reviewed. Read More

    Conservative treatment of a posterior intercostal lung herniation: a case report.
    Acta Chir Belg 2018 Jan 3:1-3. Epub 2018 Jan 3.
    c Department of Cardiology , AZ Sint-Dimpna , Geel , Belgium.
    Introduction patients: A rare posterior intercostal lung herniation was diagnosed after a coughing spell by computed tomography and treated conservatively. Two years later, there were no specific complications or progression of the herniation. Methods, results and conclusions: There is no consensus on the indications for surgery and optimal treatment of this disorder. Read More

    A minimally invasive treatment of an asymptomatic case of mesh erosion into the caecum after total extraperitoneal inguinal hernia repair.
    Acta Chir Belg 2017 Dec 28:1-6. Epub 2017 Dec 28.
    a Department of Abdominal Surgery , AZ Damiaan , Ostend , Belgium.
    Background: Mesh migration and erosion into adjacent viscera is a rare complication after laparoscopic inguinal hernia repair. We present a minimally invasive treatment of an asymptomatic case of mesh erosion into the caecum after total extraperitoneal inguinal hernia repair, including an overview of the relevant recent literature.

    Methods: A male patient underwent a laparoscopic inguinal hernia repair at the age of 42. Read More

    Evaluation of liver function by means of serum cytokeratin 18 and hepatocyte growth factor levels in patients with obstructive jaundice.
    Acta Chir Belg 2017 Dec 19:1-5. Epub 2017 Dec 19.
    a Department of Biochemistry , School of Medicine, Ataturk University , Erzurum , Turkey.
    Objective: To evaluate the serum levels of cytokeratin 18 (CK18) and hepatocyte growth factor (HGF) in obstructive jaundice patients before and after treatment and thereby to detect the possible role of CK18 and HGF in patients with obstructive jaundice.

    Patients And Methods: Forty patients who had obstructive jaundice and 40 healthy control subjects were included in the study. Patients were treated using percutaneous, endoscopic or surgical approaches. Read More

    Long-term survival after multimodality therapy including surgery for metastatic esophageal cancer.
    Acta Chir Belg 2017 Dec 19:1-6. Epub 2017 Dec 19.
    a Department of Gastrointestinal and Hepatobilliairy Surgery , Ghent University Hospital, Ghent , Belgium.
    Background And Objectives: Esophageal cancer (EC) remains an aggressive disease with a poor survival. Management of metastatic EC is limited to palliative chemotherapy (CT). Scientific contributions regarding the role of surgery are scarce and controversial. Read More

    Changes in serum lipid levels after laparoscopic sleeve gastrectomy in morbidly obese dyslipidemic and normolipidemic patients.
    Acta Chir Belg 2017 Dec 17:1-6. Epub 2017 Dec 17.
    a Department of General Surgery , Baskent University , Izmir , Turkey.
    Background: This study investigated the effect of laparoscopic sleeve gastrectomy (LSG) performed for morbid obesity on serum lipid levels of dyslipidemic and normolipidemic patients.

    Methods: 141 patients who underwent LSG between September 2014 and January 2016 were included in the study.

    Results: The patients' mean body mass index was 46. Read More

    Enterogenous cyst of the small bowel mesentery: a case report and review of the literature.
    Acta Chir Belg 2017 Dec 8:1-4. Epub 2017 Dec 8.
    a Center of Abdominal Surgery , Vilnius University Hospital Santaros Clinics , Vilnius , Lithuania.
    Introduction: Enterogenous cysts are a very rare congenital abnormality that can be found anywhere within the gastrointestinal tract, most commonly in the small intestine. The incidence is approximately one in 4500-10,000 live births. Diagnosis can be suggested by ultrasound (US), computed tomography (CT) scans or magnetic resonance imaging (MRI) findings, although histological examination confirms the definitive diagnosis. Read More

    Endoscopic ultrasound guided versus surgical transrectal drainage of pelvic abscesses.
    Acta Chir Belg 2017 Dec 5:1-7. Epub 2017 Dec 5.
    a Department of Surgery, Zuyderland Medisch Centrum , Heerlen , The Netherlands.
    Background: Pelvic abscesses are common but only small case series reporting outcome of either endoscopic ultrasound (EUS) guided or surgical transrectal drainage have been reported.

    Methods: We performed a retrospective consecutive cohort study, assessing effectivity and safety of EUS guided or surgical transrectal drainage of previously untreated pelvic abscesses from all causes, diagnosed using CT scan between 09/2010 and 06/2014 in a Dutch teaching hospital.

    Results: Forty-six patients with comparable demographics, apart from stoma presence (p = . Read More

    Cronkhite-Canada syndrome causing pouch outlet obstruction 5 years after roux-en-y gastric bypass.
    Acta Chir Belg 2017 Dec 5:1-3. Epub 2017 Dec 5.
    a Dienst Abdominale, Kinder- en Reconstructieve Heelkunde , UZA , Antwerpen , Belgium.
    Objective: We present the case of a 57-year-old man with a history of Roux-en-Y gastric bypass (RYGB) and colonic polyps who presented with an upper gastrointestinal obstruction based on massive stomach polyposis in the pouch.

    Methods: Two months prior to this acute admission, he had undergone resection of the gastric remnant due to massive refractory intraluminal bleeding from a polypoid mass. Ten years earlier, right colectomy was performed due to hypertrophic polyposis unsuitable for endoscopic polypectomy. Read More

    A case of gastric cancer metastasis to the breast in a female with BRCA2 germline mutation and literature review.
    Acta Chir Belg 2017 Dec 5:1-5. Epub 2017 Dec 5.
    b Department of Surgery , Yonsei University Health System, Yonsei University College of Medicine , Seoul , Republic of Korea.
    Introduction: Gastric cancer is a deadly disease. Common sites of distant metastasis of gastric cancer are the peritoneum, liver, lymph nodes, and lung. The breast is a rare site of metastasis in gastric cancer which occurs in males dominantly. Read More

    An algorithm to improve outcomes of radial forearm flap donor site.
    Acta Chir Belg 2017 Dec 5:1-8. Epub 2017 Dec 5.
    a Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences , University of Palermo , Palermo , Italy.
    Abstarct Background: Due to the high rate of donor site complications the Radial Forearm Flap (RFF) has lost ground in favor of the Antero-lateral tight flap (ALT) and other flaps. We have designed a reconstruction algorithm for reconstruction of its donor site. The goal of this study was to retrospectively evaluate the impact of this algorithm on RFF donor site complication rates. Read More

    Intracranial complications of midline nasal dermoid cysts.
    Acta Chir Belg 2017 Dec 4:1-4. Epub 2017 Dec 4.
    a Department of Plastic Surgery , Gent University , Gent , Belgium.
    Background: Nasal dermoid cysts are common tumors in children. Due to anomalies in embryologic development of the nasal complex, sometimes an intracranial extension exists. When these cysts become infected they can lead to meningitis, brain abscess and death. Read More

    Simultaneous laparoscopic proctocolectomy (TaTME) and robot-assisted radical prostatectomy for synchronous rectal and prostate cancer.
    Acta Chir Belg 2017 Dec 4:1-5. Epub 2017 Dec 4.
    a Dienst Abdominale, Kinder-en Reconstructieve Heelkunde , UZA , Antwerpen , Belgium.
    Objective: We would like to present a patient with a history of ulcerative colitis suffering from a synchronous rectal and prostate cancer treated with a laparoscopic total proctocolectomy (with TaTME) and Retzius sparing RARP simultaneously.

    Methods: Retzius sparing RARP with bilateral lymph node harvesting was performed first. Afterwards, TaTME was commenced with the placement of a Lonestar® retractor and GelPort®. Read More

    The inflammatory response to stress and angiogenesis in liver resection for colorectal liver metastases: a randomized controlled trial comparing open versus laparoscopic approach.
    Acta Chir Belg 2017 Nov 27:1-9. Epub 2017 Nov 27.
    a Department of General, Hepatobiliary and Liver Transplantation Surgery , Ghent University Hospital and Medical School , Ghent , Belgium.
    Background: This study evaluates the surgical stress response following laparoscopic and open liver resection for colorectal liver metastasis (CRLM).

    Methods: Patients with CRLM were prospectively randomized to receive open or laparoscopic liver resection (NCT03131778). Blood samples were drawn preoperatively and 24 h after resection. Read More

    Non-occlusive mesenteric ischemia: two case reports and a short review of the literature.
    Acta Chir Belg 2017 Nov 25:1-6. Epub 2017 Nov 25.
    b Department of abdominal surgery , Heilig-Hartziekenhuis , Lier , Belgium.
    Introduction: Non-occlusive mesenteric ischemia (NOMI) is an infrequent cause of acute mesenteric ischemia with atypical symptoms and a high mortality.

    Patients And Methods: We report two cases of NOMI characterized by their difference in etiology, treatment and outcome.

    Results: In the first case, the patient developed NOMI after septic shock, she was successfully treated with surgery. Read More

    Transmesenteric hernia: a rare case of acute abdominal pain in children: a case report and review of the literature.
    Acta Chir Belg 2017 Nov 8:1-4. Epub 2017 Nov 8.
    a Department of General and Abdominal Surgery , OLV Hospital Aalst , Aalst , Belgium.
    In this report, we discuss the case of an 11-year old girl presenting with acute abdominal pain caused by gangrene of a large part of the small bowel. During urgent surgical exploration, the cause of gangrene appeared to be herniation of the small bowel through a congenital defect in the mesentery with subsequent strangulation. A resection was performed leaving the patient with only 130 cm of small bowel remaining. Read More

    5-Year survival after splenectomy in a patient with recurrent cutaneous melanoma: a case report.
    Acta Chir Belg 2017 Nov 8:1-4. Epub 2017 Nov 8.
    a Department of Surgery , University Hospital Antwerp , Edegem , Belgium.
    Objective: Splenic metastases of melanoma are uncommon and generally part of a disseminated disease with a poor prognosis. In case of solitary visceral metastasis, surgical resection often remains an effective treatment. This case describes a long-term survival after splenectomy for a recurrent melanoma. Read More

    Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis.
    Acta Chir Belg 2017 Dec 6;117(6):347-355. Epub 2017 Nov 6.
    a Department of Colorectal Surgery , Chelsea and Westminster Hospital NHS Foundation Trust , London , UK.
    Background: Anorectal manometry (ARM) is conventionally used to assess patients with fecal incontinence (FI). This review aims to establish the diagnostic accuracy of ARM for FI.

    Method: A search of MEDLINE, EMBASE, Science Citation Index Expanded and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library was performed. Read More

    Treatment of a mycotic abdominal aortic aneurysm with the jailing technique.
    Acta Chir Belg 2017 Dec 31;117(6):394-397. Epub 2017 Oct 31.
    a Department of Vascular surgery , UZ Brussel , Brussels , Belgium.
    Purpose: We explored an innovative technique in treating mycotic aortic aneurysms.

    Case Report: A patient presenting with severe back pain, vague abdominal pain, weight loss and decline in general health, was diagnosed with a contained-rupture of a suprarenal mycotic aortic aneurysm, as a complication of spondylodiscitis. Since the patient's health condition was too poor to perform an open aortic repair, we choose an alternative treatment option by coiling the aneurysm with the jailing technique. Read More

    Protective effects of gallic acid against methotrexate-induced toxicity in rats.
    Acta Chir Belg 2017 Oct 25:1-9. Epub 2017 Oct 25.
    g Department of Toxicology, School of Pharmacy , Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran.
    Background: Methotrexate, as a chemotherapy drug, can cause chronic liver damage and oxidative stress. Aim of this study was to evaluate the preventive effect of gallic acid (GA) on methotrexate (MTX)-induced oxidative stress in rat liver.

    Methods: Twenty-eight male rats were randomly divided into four groups as control, MTX (20 mg/kg, i. Read More

    Efficacy of emergency exploratory laparotomy in incarcerated obturator hernia.
    Acta Chir Belg 2017 Oct 25:1-5. Epub 2017 Oct 25.
    b Department of Gastrointestinal Surgery , Huizhou Municipal Central Hospital, Affiliated Huizhou Hospital of Sun Yat-sun University , Huizhou , Guangdong Province , China.
    Background: Incarcerated obturator hernia (IOH) is a scarce type of acute surgical disease, but the mortality rate is the highest in abdominal hernias. The aim of this study was to evaluate the efficacy of emergency exploratory laparotomy (EEL) in treating incarcerated obturator hernia (IOH).

    Methods: We conducted a retrospective study of 12 female patients with IOH underwent EEL between January 2014 and March 2016. Read More

    Upregulation of VEGFR1 in a rat model of esophagogastric anastomotic healing.
    Acta Chir Belg 2017 Oct 25:1-6. Epub 2017 Oct 25.
    a Department of General , Visceral and Transplantation Surgery, University Medical Center of Mainz , Mainz , Germany.
    Introduction: Anastomotic leakage after gastrointestinal surgery is a significant cause of morbidity and mortality. Esophagogastric and colorectal anastomoses are vulnerable to leakage. Extended knowledge of growth factors and their receptors is needed to understand anatomic healing. Read More

    Laparoscopic liver resection for hemorrhagic hepatocellular adenoma in a pregnant patient.
    Acta Chir Belg 2017 Oct 5:1-4. Epub 2017 Oct 5.
    a Department of Abdominal Surgery , UZ Leuven , Leuven , Belgium.
    Introduction: Hepatocellular adenoma (HCA) is a benign neoplasm of the liver, however, with a potential for life-threatening hemorrhage. The unpredictable course during pregnancy poses a clinical dilemma in the pregnant patient. Intra-peritoneal rupture may lead to life-threatening situations with adverse outcome for mother and unborn child. Read More

    Hypovolemic shock caused by delayed-onset superior gluteal artery rupture, successfully treated with arteriographic embolization.
    Acta Chir Belg 2017 Oct 4:1-4. Epub 2017 Oct 4.
    b Department of Thoracic and Cardiovascular Surgery, School of Medicine , Konkuk University, Konkuk University Chungju Hospital , Chungju-si Republic of Korea.
    Introduction: Rupture of the superior gluteal artery (SGA) is usually associated with pelvic bone fractures and acetabular fractures secondary to blunt trauma. However, despite recent advances in technologies and tools, rupture of the SGA remains a challenging problem because it is difficult to manage and is frequently associated with significantly high mortality and morbidity.

    Patients And Methods: We present a case of an 82-year-old man, who presented to our emergency department after a cultivator turnover accident and who showed stable initial vital signs and manifested only as blunt buttock traumatic contusion without any pelvic bone or acetabular fracture, which resulted in delayed massive bleeding from the SGA on eight days after trauma. Read More

    Juan Valverde de Amusco (1525-1588): an eminent anatomist of the renaissance or a plagiarist of Vesalius? His work and its impact in renaissance anatomy.
    Acta Chir Belg 2017 Dec 28;117(6):407-411. Epub 2017 Sep 28.
    a Biomedical Research Foundation of the Academy of Athens , Athens , Greece.
    Introduction: The purpose of this study is to review and summarize the life and work of Juan Valverde de Amusco (1525-1588), his impact on the anatomy of the sixteenth century and focus on his controversy with Andreas Vesalius.

    Methods: A thorough search of the literature was undertaken in PubMed and Google Scholar as well as in history books through the internet and in History and Medical University libraries.

    Results: Valverde took almost directly from Andreas Vesalius 38 pictures. Read More

    A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients.
    Acta Chir Belg 2017 Sep 25:1-6. Epub 2017 Sep 25.
    b Department of Cardiovascular Surgery , Uludag University Faculty of Medicine , Bursa , Turkey.
    Background: The reply of question of "which coronary artery bypass grafting (CABG) technique is superior in elderly patients, off-pump or on-pump CABG surgery?" is controversial. We aimed to compare the early clinical outcomes in elderly patients undergoing off-pump and on-pump CABG.

    Methods: From January 2009 to January 2015, 344 elderly patients (aged 70 or older) underwent off-pump (n = 137) or on-pump (n = 207) CABG. Read More

    Pseudoaneurysm of the superior lateral genicular artery following anterior cruciate ligament repair.
    Acta Chir Belg 2017 Sep 25:1-6. Epub 2017 Sep 25.
    b Department of Surgery , VieCuri Medical Centre , Venlo , The Netherlands.
    Background: Pseudoaneurysm is a rare complication of surgery of the knee. The pathogenesis of false aneurysm involves partial arterial laceration, which allows hemorrhage into surrounding soft tissues that confine it. Although most cases in literature described pseudoaneurysms after total knee arthroplasty, it can be associated with arthroscopic knee surgery too. Read More

    Lynch syndrome and sextuple primary malignancies.
    Acta Chir Belg 2017 Sep 22:1-5. Epub 2017 Sep 22.
    a Center of Abdominal Surgery , Vilnius University Hospital Santariskiu Clinics , Vilnius , Lithuania.
    Lynch syndrome or hereditary nonpolyposis colorectal cancer is the most common of hereditary colorectal cancer and accounts for 1-3%. Lynch and Chapelle estimated that it accounts 5-8% for all colorectal cancers. It is an autosomal dominant syndrome characterized by predisposition of various cancers (colorectal, stomach, endometrial, ovarian, renal, small bowel, and hepatobiliary tract) at earlier age than in general population and occurs as a result of mutation in DNA mismatch repair genes. Read More

    Single-incision versus multiport video-assisted thoracoscopic surgery in the treatment of lung cancer: a systematic review and meta-analysis.
    Acta Chir Belg 2017 Sep 21:1-9. Epub 2017 Sep 21.
    a Department of Thoracic Surgery I , The Third Affiliated Hospital of Kunming Medical University (Yunnan Tumor Hospital) , Kunming , PR China.
    Objectives: Recent studies compared single-incision thoracoscopic surgery (SITS) with more widely used conventional multiport video-assisted thoracoscopic surgery in the treatment of lung cancer. To establish the safety and feasible of SITS in the treatment of lung cancer, we conducted this systematic review and meta-analysis.

    Methods: Eleven studies were identified from the databases of PubMed, Cochrane Library, SpringerLink, and ScienceDirect. Read More

    Subhepatic mass occurrence after using oxidized and regenerated cellulose polymer in laparoscopic cholecystectomy: a case series.
    Acta Chir Belg 2018 Feb 20;118(1):48-51. Epub 2017 Sep 20.
    c Department of Surgery , "P. Colombo" Hospital , Velletri , Rome , Italy.
    Background: Oxidized regenerated cellulose (ORC) is a bioabsorbable surgical hemostatic. We present the first prospective case series of circumscribed mass occurrence after using ORC in laparoscopic cholecystectomy.

    Methods: Tabotamp (Ethicon, Inc. Read More

    An acute presentation of pediatric mesenteric lymphangioma: a case report and literature overview.
    Acta Chir Belg 2017 Sep 19:1-5. Epub 2017 Sep 19.
    a Departments of General Surgery , Mariaziekenhuis , Overpelt , Belgium.
    Introduction: Lymphangioma accounts for 5% of benign pediatric tumors and less than 1% is located in the abdomen. While mesenteric lymphatic malformation or mesenteric lymphangioma (ML), mostly appears asymptomatic in adults, an acute clinical presentation is seen more often in children. Symptoms can mimic obstruction or peritonitis and diagnosis can therefore be challenging. Read More

    Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.
    Acta Chir Belg 2017 Sep 19:1-5. Epub 2017 Sep 19.
    a Erasmus Hospital, Free University of Brussels , Brussels , Belgium.
    Objectives: Postoperative complications after Laparoscopic sleeve gastrectomy (LSG) can dramatically compromise patient's outcome. The aim of this study is to analyze the per- and postoperative short-term outcomes after LSG and to assess predictive risk factors of complications.

    Methods: The study group consisted of 790 patients (610 women and 180 men) who underwent LSG In 2014. Read More

    Chronic ileitis with transmural migration of ingested foreign body treated by laparoscopy.
    Acta Chir Belg 2017 Sep 17:1-5. Epub 2017 Sep 17.
    a Department of General and Upper Gastrointestinal Surgery , Broomfield Hospital, Mid Essex Hospital Services NHS Trust , Chelmsford , UK.
    Background: Ingestion of foreign bodies such as fish bone or chicken bone is relatively common in adults; however, resultant transmural migration is extremely rare.

    Methods: We present a case of a 79-year-old woman with chronic low-grade abdominal pain, worsening over the last 4 days. Computed tomography revealed segmental small bowel wall thickening with chronic inflammation suggestive of Crohn's ileitis and oral steroids were commenced; only later, ingestion of a foreign body was suspected. Read More

    Robotic lymphadenectomy of an internal mammary lymph node metastasis.
    Acta Chir Belg 2017 Sep 15:1-2. Epub 2017 Sep 15.
    a Department of Cardiac, Vascular and Thoracic Surgery , CHU UCL Namur , Yvoir , Belgium.
    A 58-year-old woman was diagnosed with a left-sided lone internal mammary swollen lymph node on a routine follow-up computer tomography, 42 months after a left mastectomy in the context of a ductal carcinoma grade III. The suspected metastasis was successfully removed in toto using a 3-port-da Vinci robotic procedure and the patient was discharged home without any complication on the third postoperative day. Robotically assisted oncological lymph node removal is safe, easily performed and economically affordable. Read More

    Endovascular stenting of mid-aortic syndrome due to Takayasu arteritis.
    Acta Chir Belg 2017 Sep 13:1-5. Epub 2017 Sep 13.
    a Faculty of Medicine, Gaziosmanpasa Hospital Cardiology Department , Istanbul Yeni Yuzyil University , Istanbul , Turkey.
    Introduction-patients: Takayasu arteritis may involve various parts of the aorta and its major branches. It leads to occlusive or aneurysmal disease of the vessel. It can be treated either with surgery or percutaneous intervention. Read More

    Revascularization of the superficial femoral artery with paclitaxel-coated balloon for claudication.
    Acta Chir Belg 2018 Feb 11;118(1):42-47. Epub 2017 Sep 11.
    a Dpt Cardiovascular Surgery , University Hospital Sart Tilman , Liège , Belgium.
    Background: Percutaneous angioplasty of the superficial femoral artery (SFA) with paclitaxel-coated balloon, intended to reduce restenosis, has been proven safe and effective in recent randomized controlled trials.

    Objective: To assess outcome results of angioplasty of the SFA with paclitaxel-coated balloon in claudicants in real-world practice of a single center.

    Material & Methods: A continuous prospective cohort study of 53 claudicants (62 lower limbs) from January 2015 to December 2016. Read More

    Intraoperative measurement of pressure gradient in median arcuate ligament syndrome as a rationale for radical surgical approach.
    Acta Chir Belg 2018 Feb 31;118(1):36-41. Epub 2017 Aug 31.
    a Department of Cardiovascular Surgery , General University Hospital in Prague and First Faculty of Medicine, Charles University , Prague , Czech Republic.
    Background: Median arcuate ligament syndrome (MALS) describes clinical symptoms in patients with stenosis of the celiac artery due to external compression by the ligament. There is an ongoing debate, whether sole release of the median arcuate ligament warrants long-term relief of the symptoms.

    Materials And Methods: Eight patients diagnosed with MALS underwent open surgical treatment beginning with the release of the ligament. Read More

    Colorectal cancer in the young: a possible role for immune surveillance?
    Acta Chir Belg 2018 Feb 26;118(1):7-14. Epub 2017 Jul 26.
    a Department of Surgery, IV Unit of Surgery , Regional Hospital "Cà Foncello" , Treviso , Italy.
    Background: Younger patients with colorectal cancer (CRC) generally have better survival in spite of worse clinical and pathological features.

    Methods: Twenty-six patients under 50 years operated for primary CRC were enrolled and matched 1:2:2 according to stage, tumor site and gender with 52 patients from 50 to 70 years and 52 patients over 70 years old.

    Results: Patients under 50 years had a significantly longer overall, cancer specific and disease free survival (p = . Read More

    Laparoscopic treated neuralgia after inguinal hernia repair: case report and literature review.
    Acta Chir Belg 2017 Oct 25;117(5):283-289. Epub 2017 Jul 25.
    b Kliniek voor Urologie , Sint-Franciscusziekenhuis , Heusden-Zolder , Belgium.
    Background: Neuralgia after inguinal hernia repair is a known but potential invalidating complication with a reported incidence of 10-12%. Diagnosis and treatment can be challenging. Based on a case report and literature review, disease aspects and treatment options including laparoscopic (triple) neurectomy are discussed. Read More

    Seeding nerve sutures with minced nerve-graft (MINE-G): a simple method to improve nerve regeneration in rats.
    Acta Chir Belg 2018 Feb 25;118(1):27-35. Epub 2017 Jul 25.
    b Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences , University of Palermo , Palermo , Italy.
    Background: The aim of this study was to assess the effect of seeding the distal nerve suture with nerve fragments in rats.

    Methods: On 20 rats, a 15 mm sciatic nerve defect was reconstructed with a nerve autograft. In the Study Group (10 rats), a minced 1 mm nerve segment was seeded around the nerve suture. Read More

    In- and out-hospital mortality rate in surgical patients.
    Acta Chir Belg 2018 Feb 20;118(1):21-26. Epub 2017 Jul 20.
    a Department of Anaesthesia , University Hospital Centre of Charleroi , Lodelinsart , Belgium.
    Background: Death rates after surgery are increasingly analysed for clinical audit and quality assessment. Many studies commonly provide information only on deaths that occur during hospital stay, known as in-hospital death rates. By using hospital data set linked to death certificate registry, we recorded in- and out-hospital deaths within 30 and 60 post-operative days. Read More

    A rare cause of severe epigastric pain, emesis and increased lipase.
    Acta Chir Belg 2017 Jul 20:1-4. Epub 2017 Jul 20.
    b Department of Emergency Medicine and Traumatology , AZ Dimpna , Geel , Belgium.
    Introduction: Gastric volvulus is an uncommon, but severe pathology requiring early diagnosis and urgent treatment. Its atypical symptoms and rarity make it difficult to diagnose, possibly leading to delayed treatment and fatal complications.

    Patients And Methods: We present a case of a 73-year-old patient with Parkinson's disease with complaints of severe epigastric pain, emesis and an increased lipase. Read More

    Localized prostate cancer and robot-assisted laparoscopic radical prostatectomy: a retrospective, comparative study between pre- and post-operative Gleason scores.
    Acta Chir Belg 2018 Feb 18;118(1):15-20. Epub 2017 Jul 18.
    a Department of Urology , GZA Sint-Augustinus , Wilrijk , Belgium.
    Introduction: To compare the pre- and post-operative Gleason scores (GS) in patients with localized prostate cancer treated with robot-assisted laparoscopic radical prostatectomy.

    Materials And Methods: A single center, retrospective comparison between pre- and post-operative GS. Age, prostate volume, PSA, number of biopsies, number of positive cores, biopsy GS, cTNM, final pathology GS and pTNM of 286 patients were retrieved. Read More

    1 OF 121