6,119 results match your criteria Acta chirurgica Belgica[Journal]


The effect of bilateral U-sutures in pancreaticojejunostomy in 75 consecutive cases.

Acta Chir Belg 2019 Apr 22:1-13. Epub 2019 Apr 22.

a Department of General Surgery , Affiliated Hospital of Yanbian University , Yanji , Jilin 133000 , China.

Background: Various technical interventions have been suggested to decrease the frequency of postoperative pancreatic fistulas but the effect is not particularly satisfactory. We have analyzed our application of bilateral U-sutures in pancreatico- jejunostomy.

Methods: The pancreatic stump is freed over approximately 2 cm, an appropriate diameter silicone catheter with 2-4 lateral holes was inserted into the remnant pancreatic duct (>2 mm in diameter is required) over 2-3cm as a stent in 69 patients. Read More

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April 2019
1 Read

Prediction of exocrine and endocrine insufficiency after pancreaticoduodenectomy using volumetry.

Acta Chir Belg 2019 Apr 22:1-22. Epub 2019 Apr 22.

a Department of Hepatobiliary, Endocrine and Transplantation Surgery , Antwerp University Hospital , Belgium.

Objectives: The aim of this study is to evaluate the use of pancreatic volumetric assessment to predict exocrine and endocrine insufficiency after pancreaticoduodenectomy.

Methods: Thirty-seven patients who underwent pancreaticoduodenectomy were included in the study. Endocrine function was assessed in all patients without a history of diabetes using an oral glucose tolerance test. Read More

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Evolution of Surgical Treatment of Carotid Artery Stenosis: a single centre observational study.

Acta Chir Belg 2019 Apr 17:1-28. Epub 2019 Apr 17.

a Department of Thoracic and Vascular Surgery , Ghent University Hospital , Ghent , Belgium.

Background: In 2009 and 2011 respectively ESVS and AHA/ASA guidelines recommended to operate patients with a symptomatic carotid artery stenosis within 14 days. This study aimed primarily to determine if an academic hospital has implemented these international guidelines about indication and timing of surgical treatment of carotid stenosis. Secondary, the influence of referral from another hospital on time from symptoms to surgery and the influence of time between neurological event and surgery on 30-day complication rate was studied. Read More

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April 2019
1 Read

Incisional negative pressure wound therapy does not reduce surgical site infections in abdominal midline incisions: a case control study.

Acta Chir Belg 2019 Apr 12:1-7. Epub 2019 Apr 12.

a Department of Visceral, Transplant, Thoracic and Vascular Surgery , University Hospital Leipzig , Leipzig , Germany.

Purpose: There is evidence from various surgical specialties that incisional negative pressure wound therapy (iNPWT) might reduce postoperative surgical site infections (SSIs). In visceral and general surgery, there is varying evidence of its efficacy in reducing surgical site infections.

Methods: A prospectively registered patient cohort of 43 patients with abdominal wall and visceral surgery received treatment with iNPWT and was compared to a matched retrospective cohort to analyze its effects on SSI occurrence and respective risk factors. Read More

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http://dx.doi.org/10.1080/00015458.2019.1599180DOI Listing

'Full prosthetic jacket': external stenting of the renal vein.

Acta Chir Belg 2019 Apr 11:1-4. Epub 2019 Apr 11.

b Department of Thoracic and Vascular Surgery , Ghent University Hospital , Ghent , Belgium.

Introduction: We present a case of positional compression of the left renal vein (LRV) after right nephrectomy and caval reconstruction, treated by external stenting using a reinforced vascular prosthesis.

Case Report: A 69-year-old female patient presented because of swelling of the left leg. A renal cell carcinoma (RCC) was visualized on computed tomography (CT) scan in the right kidney, with a thrombus occluding the inferior caval vein (ICV) and the right renal vein (RRV). Read More

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http://dx.doi.org/10.1080/00015458.2019.1599181DOI Listing
April 2019
3 Reads

Intraabdominal continuous negative pressure therapy for secondary peritonitis: an observational trial in a maximum care center.

Acta Chir Belg 2019 Apr 5:1-7. Epub 2019 Apr 5.

c Clinic of General-, Visceral- and Thoracic Surgery , AKH Celle , Celle , Germany.

Background: Acute secondary peritonitis is afflicted with a high morbidity and mortality. Intensive care therapy, antibiotics and surgical procedures are mandatory. Continuous negative pressure therapy (cNPT) seems to be beneficial but it is unclear which patients will benefit most from this procedures. Read More

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http://dx.doi.org/10.1080/00015458.2019.1576448DOI Listing

The influence of Arabic medicine on surgery in the Low Countries.

Authors:
Robrecht Van Hee

Acta Chir Belg 2019 Mar 27:1-15. Epub 2019 Mar 27.

a University of Antwerp , Antwerpen , Belgium.

The influence of Arab Medicine on Western science has recently been challenged. Using the example of two Flemish surgeons, Jan Yperman in the early 14th and Thomas Fijens in the late 16th century, this article argues that Arab physicians and surgeons have imposed a long lasting influence on the surgical practitioners in the Low Countries. Read More

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http://dx.doi.org/10.1080/00015458.2019.1579525DOI Listing

From bedside to bench: an evaluation of expectations and challenges encountered by young surgeons facing basic science.

Acta Chir Belg 2019 Mar 26:1-5. Epub 2019 Mar 26.

b CHU, Inserm, C3M , Université Côte d'Azur , Nice , France.

Background: The evolution of surgical practice may lead to increasing difficulties for surgeons to perform fundamental research. The aim of this study was to evaluate the expectations and the challenges encountered by young surgeons when starting basic science.

Methods: A qualitative study was conducted in France. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2019.1
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http://dx.doi.org/10.1080/00015458.2019.1592989DOI Listing
March 2019
5 Reads

Correlations of neck ultrasound and pathology in cervical lymph node of papillary thyroid carcinoma.

Acta Chir Belg 2019 Mar 25:1-7. Epub 2019 Mar 25.

d Department of Anatomopathology, Hotel-Dieu de France Hospital, Faculty of Medicine , Saint-Joseph University , Beirut , Lebanon.

Background: High-resolution sonography is becoming a method of choice for the detection and diagnosis of cervical lymph node metastasis in patients with papillary thyroid carcinoma (PTC). The purpose of this study is to assess the diagnostic accuracy of neck ultrasound (US) in the detection of lymph node metastases from PTC.

Methods: Data for all patients with papillary thyroid cancers and preoperative neck US were reviewed retrospectively. Read More

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http://dx.doi.org/10.1080/00015458.2019.1592988DOI Listing
March 2019
2 Reads

Vague abdominal pain after Roux-en-Y gastric bypass: not always an internal herniation: case report and literature review.

Acta Chir Belg 2019 Mar 22:1-4. Epub 2019 Mar 22.

a Department of Abdominal Surgery , University Hospital , Antwerp , Belgium.

Background: Roux-en-Y gastric bypass is a frequently carried out bariatric procedure, proven to be effective in the management of obesity and its accompanying health issues. Following its popularity, admission to the emergency department for abdominal pain is often seen with known early and late onset causes. We present a case of a young woman with vague abdominal pain years after her gastric bypass, who eventually underwent a resection of a 'candy cane' like biliopancreatic blind loop. Read More

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http://dx.doi.org/10.1080/00015458.2019.1586397DOI Listing
March 2019
2 Reads

Effect of conservative treatment in aortoiliac occlusive disease.

Acta Chir Belg 2019 Mar 21:1-7. Epub 2019 Mar 21.

a Department of Vascular Surgery , Amphia Hospital Breda , Breda , The Netherlands.

Objective: To determine the effect of primary conservative treatment without revascularization in patients with proven aortoiliac occlusive disease (AIOD) presenting with intermittent claudication (IC).

Background: The initial treatment of IC should focus on supervised exercise therapy (SET) and pharmacotherapy. Nowadays, primary endovascular revascularization (EVR) has become increasingly popular in patients with all types of AIOD. Read More

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http://dx.doi.org/10.1080/00015458.2019.1586395DOI Listing
March 2019
1 Read

Ectopic leiomyoma as a late complication of laparoscopic hysterectomy with power morcellation: a case report and review of the literature.

Acta Chir Belg 2019 Mar 20:1-5. Epub 2019 Mar 20.

a Department of Surgery , AZ Zeno , Knokke-Heist , Belgium.

Introduction: Electromechanical power morcellation is a widely used technique to extract uterine fibroids during laparoscopic hysterectomy. Although the complication rate of morcellators is low, ectopic leiomyoma can appear several years after their use.

Patients And Methods: We present a case of an ectopic leiomyoma and a literature review of power morcellation-induced complications and ectopic leiomyoma. Read More

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http://dx.doi.org/10.1080/00015458.2019.1586396DOI Listing
March 2019
1 Read

Primary leiomyosarcoma of the colon: a case report and review of the literature.

Acta Chir Belg 2019 Mar 18:1-4. Epub 2019 Mar 18.

a Department of General Surgery , AZ Sint Blasius , Dendermonde , Belgium.

Introduction: Primary leiomyosarcoma (LMS) of the colon is a rare and aggressive gastrointestinal tract tumor, associated with poor prognosis. Case presentation and methods: We present the case of an asymptomatic patient who was diagnosed with a low sigmoidal stricture on routine colonoscopy. Although biopsies were inconclusive, an oncological partial mesorectal excision (PME) was performed due to the malignant macroscopic aspect. Read More

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http://dx.doi.org/10.1080/00015458.2019.1589185DOI Listing
March 2019
1 Read

Long-term outcomes of completion pneumonectomy for non-small cell lung cancer.

Acta Chir Belg 2019 Mar 1:1-6. Epub 2019 Mar 1.

a Department of Thoracic Surgery , Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul , Turkey.

Background: Completion pneumonectomy (CP) is the removal of remaining lung tissue after initial resection. Our aim in this study was to investigate the factors affecting mortality, morbidity, and survival after CP.

Methods: Patients who underwent CP in our clinic between January 2000 and December 2015 were evaluated retrospectively. Read More

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http://dx.doi.org/10.1080/00015458.2018.1527567DOI Listing

Tailgut cyst: report of three cases and review of the literature.

Acta Chir Belg 2019 Apr 18;119(2):110-117. Epub 2019 Feb 18.

b Department of General and Abdominal Surgery , GZA Hospitals, Campus Sint-Augustinus , Wilrijk , Belgium.

Introduction: Tailgut cysts or retrorectal cystic hamartomas are congenital developmental lesions which are often misdiagnosed due to their rare incidence, anatomical position and variable clinical presentation.

Case Report: We report three clinical cases: one of a 67-year old woman with high fever and anal bulging; the second case was a 50-year old woman with diffuse abdominal pain and the third case was a 52-year old woman with high fever and no abdominal or rectal pain. The rectal examination and MRI indicated the presence of a tailgut cyst. Read More

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http://dx.doi.org/10.1080/00015458.2017.1353758DOI Listing
April 2019
4 Reads

PEComa of the talus: a unique case of a soft tissue tumor within bone.

Acta Chir Belg 2019 Apr 17;119(2):118-122. Epub 2019 Feb 17.

b Service de chirurgie orthopédique , Andrei Clinic Hospital, Regina Maria, Medicova , Bucarest , Romania.

Introduction: Perivascular epithelioid cell tumor (PEComa) is a family of rare mesenchymal tumors composed of histologically and immunohistochemically distinctive perivascular epithelioid cells (PECs). These tumors have been described at multiple anatomic sites. PEComas presenting in bone are especially rare and they have been reported to be either primary or metastatic lesions. Read More

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http://dx.doi.org/10.1080/00015458.2017.1394658DOI Listing

Secretan's syndrome: case report.

Acta Chir Belg 2019 Apr 14;119(2):123-124. Epub 2019 Feb 14.

a Leuven University Hospital Pellenberg , Pellenberg , Belgium.

Secretan's syndrome is a rare clinical condition with recurrent swelling of the forearm and dorsum of the hand, together with flexion contracture of the fingers and a thumb that is spared. The disease is associated with automutilation. We present a typical case of a 42-year old women with Secretan's syndrome. Read More

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http://dx.doi.org/10.1080/00015458.2017.1399702DOI Listing
April 2019
1 Read

Comparison of stump closure techniques during laparoscopic appendectomies for complicated appendicitis - results from Pol-LA (Polish laparoscopic appendectomy) multicenter large cohort study.

Acta Chir Belg 2019 Feb 12:1-8. Epub 2019 Feb 12.

a 2nd Department of General Surgery , Jagiellonian University Medical College , Kraków , Poland.

Background: In general, the three main options for stump closure in laparoscopic appendectomy are clips, endoscopic staplers and endoloops. However, there is no gold standard, especially regarding complicated acute appendicitis which is generally associated with worse outcomes.

Objectives: We aimed to assess the outcomes of different stump closure techniques during laparoscopic appendectomies for complicated appendicitis Methods: Our multicenter observational study of 18 surgical units assessed the outcomes of 1269 laparoscopic appendectomies for complicated appendicitis that used the three main stump closure techniques: clips, staplers and endoloops. Read More

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http://dx.doi.org/10.1080/00015458.2019.1573527DOI Listing
February 2019
1 Read

Long-term results of secondary biliary repair for cholecystectomy-related bile duct injury: results of a tertiary referral center.

Acta Chir Belg 2019 Feb 7:1-10. Epub 2019 Feb 7.

a Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.

Background: Management of bile duct injury (BDI) after cholecystectomy is challenging. The authors analyzed their center's 49-year experience.

Methods: From 1968 to 2016, 120 consecutive patients were managed in a tertiary HBP center, 105 referred from other centers (Group A), 15 from our center (Group B). Read More

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http://dx.doi.org/10.1080/00015458.2019.1570741DOI Listing
February 2019
2 Reads

An air-containing mediastinal mass in a patient with a primary adenocarcinoma of the right lung.

Acta Chir Belg 2019 Feb 6. Epub 2019 Feb 6.

b Department of Thoracic Surgery, Universitair Ziekenhuis Brussel , Brussels , Belgium.

Objective: The following case report elicits the treatment of a 55-year-old male who was diagnosed with a surinfected mediastinal chyloma as a complication of mediastinoscopy and radiotherapy for a primary adenocarcinoma of the right lung (cT2aN2M0).

Methods: The patient was admitted to the hospital after radiographical imaging showed a surinfected mediastinal chyloma. CT-guided percutaneous drainage was performed and via gastroscopy a fistula was diagnosed for which a full covered stent was placed. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2019.1
Publisher Site
http://dx.doi.org/10.1080/00015458.2019.1569939DOI Listing
February 2019
10 Reads

Cutaneous adverse effects of methylene blue in an animal skin-flap model.

Acta Chir Belg 2019 Feb 6:1-6. Epub 2019 Feb 6.

a General Surgery Department , Kocaeli University School of Medicine , Kocaeli , Turkey.

Background And Objectives: Sentinel lymph node biopsy is important for metastasis surveillance in the management of a number of human cancers. Identification of sentinel lymph nodes may be facilitated by the use of several methods including methylene blue injection. However tissue necrosis is a known effect of methylene blue application. Read More

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http://dx.doi.org/10.1080/00015458.2019.1570742DOI Listing
February 2019
3 Reads
0.440 Impact Factor

Pediatric tumors of the buccal fat pad: lipoma and hemangioma.

Acta Chir Belg 2019 Feb 5:1-3. Epub 2019 Feb 5.

a Section of Pediatric Plastic Surgery , Gregorio Marañón University Hospital , Madrid , Spain.

Background: The buccal fat pad (BFP) has prompted numerous publications in anatomy, reconstructive and aesthetic surgery over the years; however, description of surgical treatment of pathologic conditions affecting this space is rare, especially in children. An extensive search of the English literature retrieved only five lipomas and one hemangioma in this age group.

Methods: The authors report on two of these exceptional pediatric tumors of the BFP: one lipoma and one hemangioma referred to the outpatient clinic for diagnosis and treatment. Read More

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http://dx.doi.org/10.1080/00015458.2019.1570743DOI Listing
February 2019
2 Reads

Treatment of two newborns with esophageal atresia and distal tracheoesophageal fistula complicated by gastric perforation: choosing the simple way.

Acta Chir Belg 2019 Feb 4:1-4. Epub 2019 Feb 4.

c Department of Pediatrics , Bahat Hospital , Sultangazi , Turkey.

Objective: Gastric distention and perforation are possible results in a preterm newborn with esophageal atresia and distal tracheoesophageal fistula, especially when there is a need for mechanical ventilatory support. The results of the reported cases treated with emergency thoracotomy and fistula ligation after gastrostomy are not very satisfactory. Sometimes simple temporary solutions can be useful for stabilization and allow safety for required surgical treatment for later. Read More

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http://dx.doi.org/10.1080/00015458.2018.1564491DOI Listing
February 2019
2 Reads

Investigation of proper hepatic artery and gastroduodenal artery variations by multidetector computed tomography angiography method.

Acta Chir Belg 2019 Feb 4:1-14. Epub 2019 Feb 4.

c Department of Radiology , Memorial Hospital , Diyarbakır , Turkey.

Purpose: The purpose of this study is to evaluate the clinical anatomic variations of the proper hepatic artery (PHA) and the gastroduodenal artery (GDA). For this purpose, angiographic images of patients were evaluated.

Materials And Methods: We retrospectively reviewed the multiple-detector computed tomography angiography images of 671 patients. Read More

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http://dx.doi.org/10.1080/00015458.2019.1570744DOI Listing
February 2019
2 Reads

Philip Henry Mules (1843-1905) and his innovations in ocular surgery.

Acta Chir Belg 2019 Jan 24:1-3. Epub 2019 Jan 24.

f 1st Ophthalmological Department, Medical School , National and Kapodistrian University of Athens , Athens , Greece.

Introduction: The aim of the present study is to present an historical overview of the innovations in ocular surgery introduced by the very important surgeon, but mainly unknown, Philip Henry Mules (1843-1905).

Methods: Philip Henry Mules introduced the Mules' evisceration operation and the Mules' ptosis operation. He also invented surgical instruments such as Mules' scoop, Mules' repository, and Mules' enucleation scissors. Read More

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http://dx.doi.org/10.1080/00015458.2018.1549394DOI Listing
January 2019
2 Reads

The discovery of the lymphatic system in the seventeenth century. Part V: an ode to the nerves.

Acta Chir Belg 2019 Jan 21:1-7. Epub 2019 Jan 21.

a Department of Vascular Surgery , University Hospitals , Leuven , Belgium.

The English anatomists Francis Glisson and Thomas Wharton introduced theories on the use of recently discovered lymphatic system in the1650s. Their main idea was that membranous tissues were supplied by nerves with a vital fluid produced within nutritive glands, to be carried to the brain and thence from the brain to all membranous tissues, including glands. They stated that the distribution of the vital fluid was based on the similarity between its ingredients and the needs of the recipient tissues, and not on the weight, size or location of pores encountered, as maintained by Descartes. Read More

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http://dx.doi.org/10.1080/00015458.2018.1561797DOI Listing
January 2019
1 Read

A systematic review of the literature reporting on randomised controlled trials comparing treatments for faecal incontinence in adults.

Acta Chir Belg 2019 Feb 15;119(1):1-15. Epub 2019 Jan 15.

d Department of Colorectal Surgery , Singapore General Hospital , Singapore , Singapore.

Aim: To perform a review of the literature reporting on randomised controlled trials (RCTs) comparing treatments for faecal incontinence (FI) in adults.

Methods: A literature search of MEDLINE, Embase, Science Citation Index Expanded and Cochrane was performed in order to identify RCTs reporting on treatments for FI.

Results: The review included 60 RCTs reporting on 4838 patients with a mean age ranging from 36. Read More

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http://dx.doi.org/10.1080/00015458.2018.1549392DOI Listing
February 2019
5 Reads

Gallbladder torsion: a cholecystectomy that cannot be delayed.

Acta Chir Belg 2019 Jan 11:1-3. Epub 2019 Jan 11.

a Department of Digestive Surgery , Université Libre de Bruxelles , Brussels , Belgium.

Gallbladder torsion is a rare entity, where the gallbladder twisted around its mesentery. Unfortunately, the diagnosis is rarely done preoperatively. This paper aims, through a case report, to describe the risk factors and the radiological criteria used to diagnose gallbladder torsion, in order to avoid a rapidly unfavourable evolution and the need to proceed to emergency cholecystectomy. Read More

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http://dx.doi.org/10.1080/00015458.2018.1553819DOI Listing
January 2019
3 Reads

Blunt injury of popliteal artery.

Acta Chir Belg 2019 Jan 11:1-2. Epub 2019 Jan 11.

a Division of Cardiovascular Surgery, Department of Surgery , Tri-Service General Hospital, National Defense Medical Center , Taipei , Taiwan.

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http://dx.doi.org/10.1080/00015458.2018.1549395DOI Listing
January 2019
2 Reads

Paclitaxel drug-coated balloon angioplasty for the treatment of failing arteriovenous fistulas: a single-center experience.

Acta Chir Belg 2019 Jan 11:1-7. Epub 2019 Jan 11.

d Department of Vascular Surgery , University Hospitals Leuven, Leuven , Belgium.

Objectives: To report our experience of angioplasty with Lutonix (Bard Peripheral Vascular, Inc., Tempe, AZ) drug-coated balloon (DCB) for the treatment of failing arteriovenous fistulas (AVF).

Materials And Methods: Retrospective, single-center analysis consisting of 14 patients treated with Lutonix paclitaxel DCBs in the period from July 2015 through April 2017. Read More

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http://dx.doi.org/10.1080/00015458.2018.1561796DOI Listing
January 2019
1 Read

Is ITP really a desirable indication for teaching laparoscopic splenectomy? Cohort study.

Acta Chir Belg 2019 Jan 9:1-8. Epub 2019 Jan 9.

a 2nd Department of General Surgery , Jagiellonian University Medical College , Kraków , Poland.

Background: We aimed to evaluate the outcomes of laparoscopic splenectomy (LS) in patients with immune thrombocytopenic purpura (ITP) compared with operated for other indications.

Methods: Retrospective cohort study of patients who underwent LS in 1998-2017. Group 1 consisted of 256 patients operated for ITP, and Group 2 of 231 operated for other indications. Read More

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http://dx.doi.org/10.1080/00015458.2018.1545743DOI Listing
January 2019
3 Reads

Cholecystectomy during esophagectomy is safe but unnecessary.

Acta Chir Belg 2019 Jan 8:1-7. Epub 2019 Jan 8.

e Department of upper GI surgery , Humanitas Research Hospital - Humanitas University , Rozzano (Milano) , Italy.

Background: Prophylactic cholecystectomy has been proposed as a concomitant procedure during upper gastrointestinal surgery. This study evaluates the safety and the need of concurrent cholecystectomy during esophagectomy for cancer.

Methods: All consecutive esophagectomies for esophageal cancer at the Center for Esophageal Diseases in Padova (Italy) between 1992 and 2011 were included. Read More

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http://dx.doi.org/10.1080/00015458.2018.1554364DOI Listing
January 2019
4 Reads
0.440 Impact Factor

Treatment of solitary thyroid nodules according to size, preoperative fine-needle aspiration cytology and frozen section: a retrospective single centre study.

Acta Chir Belg 2019 Jan 7:1-9. Epub 2019 Jan 7.

a Department of Thoracic Surgery , Erasme University Hospital , Brussels , Belgium.

Background: In order to avoid unnecessary thyroidectomies, it is important to predict the nature of thyroid nodules the more accurately possible. The size of the nodule as a predictive factor for malignancy is very controversial. Another point of debate is the accuracy of preoperative fine-needle aspiration cytology (FNAC) and frozen section (FS). Read More

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http://dx.doi.org/10.1080/00015458.2018.1527566DOI Listing
January 2019
2 Reads

Prognostic value and impact of cerebral metastases in pancreatic cancer.

Acta Chir Belg 2019 Jan 7:1-5. Epub 2019 Jan 7.

a Department of General and Visceral Surgery , St. Josef-Hospital, Ruhr-University Bochum , Bochum , Germany.

Background: Pancreatic cancer is a fatal disease most often diagnosed at an advanced stage. Most patients already suffer from irresectable tumor or distant metastases being most commonly found in the liver or the lung. However, cerebral metastases occur extremely rare. Read More

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http://dx.doi.org/10.1080/00015458.2018.1549379DOI Listing
January 2019
4 Reads

The usefulness of the status of extranodal tumor extension as a factor that can predict the recurrence of stage III colorectal cancer.

Acta Chir Belg 2019 Jan 7:1-6. Epub 2019 Jan 7.

a Department of Surgery , College of Medicine, Hanyang University , Seoul , Korea.

Background: Extranodal tumor extension (ENTE) is considered a poor prognostic factor in colorectal cancer (CRC). This study aimed to investigate the risk factors for recurrence according to ENTE status in stage III CRC.

Methods: We retrospectively evaluated 169 consecutive stage III CRC patients. Read More

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http://dx.doi.org/10.1080/00015458.2018.1549393DOI Listing
January 2019
1 Read

Risk stratification of the thyroid nodule with Bethesda indeterminate cytology, category III, IV, V on the one surgeon-performed US-guided fine-needle aspiration with 27-gauge needle, verified by histopathology of thyroidectomy: the additional value of one surgeon-performed elastography.

Acta Chir Belg 2019 Feb 4;119(1):38-46. Epub 2019 Jan 4.

d Department of General and Endocrine Surgery , OLV Ziekenhuis Aalst , Aalst , Belgium.

Background: The aim is to assess the value of strain elastography (SE) in differentiating likelihood of malignancy for the thyroid nodules, possessing the Bethesda Category III, IV, and V indeterminate cytology.

Methods: The data was obtained by ultrasonography (US)-guided fine-needle aspiration (US-g-FNA) via 27-gauge needle, with the verification of indicated thyroidectomies in a retrospective analysis, from April 2010 to April 2014, by enrolling the documents of 262 consecutive patients, with 327 thyroid nodules, subjected to one-surgeon performed neck US, SE, and US-g-FNA with 27-G needle to rule out the malignancy.

Results: 122 of 327 cases were Bethesda Category III, IV, and V with histopathologically benign, 110 (90. Read More

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http://dx.doi.org/10.1080/00015458.2018.1551769DOI Listing
February 2019
3 Reads

Vesalius criticism on Galen's musculoskeletal anatomy.

Acta Chir Belg 2018 Dec 31:1-5. Epub 2018 Dec 31.

b Department of Anatomy School of Medicine , National and Kapodistrian University of Athens , Athens , Greece.

Galen of Pergamum (129-216/217 AD), an important Greek physician, influenced the history of medicine for more than 1400 years. However, Andreas Vesalius (1514-1564), after performing dissections of human cadavers, remarked that Galen made several mistakes due to the fact that his dissections were on animals, particularly on apes. The current study summarizes the main points in which Vesalius criticized Galen in terms of the musculoskeletal anatomy. Read More

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http://dx.doi.org/10.1080/00015458.2018.1554365DOI Listing
December 2018
4 Reads

Prognostic significance of immunohistochemical markers in adrenocortical carcinoma.

Acta Chir Belg 2018 Nov 30:1-7. Epub 2018 Nov 30.

a 1 Emergency Centre, Clinical Centre of Serbia, Faculty of Medicine , University of Belgrade , Belgrade , Serbia.

Background: To present basic demographic and clinical characteristics of patients with adrenocortical carcinoma (ACC), to determine the overall survival rate and to analyze the results of immunohistochemical staining and its correlation with the length of survival.

Material And Methods: The study was conducted during the period between 1996 and 2010 and included 30 patients with ACC. Immunohistochemical staining (MMP9, melan A, inhibin, caltretinin, D2-40, synaptophysin and Ki-67) was performed. Read More

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http://dx.doi.org/10.1080/00015458.2018.1543822DOI Listing
November 2018
3 Reads

Lipid profile change after bariatric surgeries: laparoscopic gastric plication versus mini gastric bypass.

Acta Chir Belg 2018 Nov 19:1-6. Epub 2018 Nov 19.

d Students' Scientific Research Center, Tehran University of Medical Sciences , Tehran , Iran.

Introduction: Bariatric surgeries are known to have profound effects on lipid profile. Laparoscopic gastric plication (LGP) has been shown to have a comparable effect on weight loss rather than Roux-en-Y gastric bypass (RYGB) and mini gastric bypass (MGB). But the post-operative effect on lipid profile is not well-compared. Read More

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http://dx.doi.org/10.1080/00015458.2018.1479022DOI Listing
November 2018
17 Reads

Pancreatic fistula rates after internal and external stenting of the pancreatojejunostomy anastomosis following pancreatoduodenectomy.

Acta Chir Belg 2018 Nov 13:1-7. Epub 2018 Nov 13.

b Gülhane Training and Research Hospital , Health Sciences University , Ankara , Turkey.

Background: This retrospective comparative case series study aims to analyze the pancreatic fistula rates of internal and external stenting of the pancreatojejunostomy (PJ) anastomosis in patients who underwent pancreatoduodenectomy (PD) for periampullary tumors.

Methods: Ninety-eight patients with periampullary tumors who were operated between 2010 and 2017 were enrolled in this study. A classic open PD with Roux-en-Y PJ reconstruction was performed in all cases. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2018.1
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http://dx.doi.org/10.1080/00015458.2018.1538283DOI Listing
November 2018
13 Reads

Abdominal aortic and iliac aneurysm presented as lower limb deep vein thrombosis: case report.

Acta Chir Belg 2018 Nov 13:1-3. Epub 2018 Nov 13.

d Department of Pathology, School of Medicine , Univerisity Zagreb , Zurich , Switzerland.

Introduction: We report a rare case of a symptomatic abdominal aneurysm presented as a lower limb deep vein thrombosis (DVT).

Case Presentation: A 63-year old male presented to our hospital with a recent progressive onset of the right lower limb swelling and pain. The patient had a history of a previous cardiovascular disease. Read More

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http://dx.doi.org/10.1080/00015458.2018.1538282DOI Listing
November 2018
20 Reads

Massive femur defect after Ewing's sarcoma resection reconstructed with a free vascularised fibular graft in a four-year-old girl.

Acta Chir Belg 2018 Nov 11:1-5. Epub 2018 Nov 11.

a Department of Plastic and Reconstructive Surgery , Antwerp University Hospital , Antwerp , Belgium.

Background: Ewing's sarcoma is the second most common primary malignant bone tumour in children. Depending on localisation and extent, massive bone defects remain when curative surgery is performed. Whereas in the past, limb amputation was often unavoidable to obtain curative resection, nowadays different limb saving reconstructive options are available. Read More

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http://dx.doi.org/10.1080/00015458.2018.1534398DOI Listing
November 2018
13 Reads

Damage control surgery for perforated diverticulitis: a two center experience with two different abdominal negative pressure therapy devices.

Acta Chir Belg 2018 Nov 2:1-6. Epub 2018 Nov 2.

a Department of Visceral , Transplant and Thoracic Surgery, Medical University of Innsbruck , Innsbruck , Austria.

Purpose: The adoption of abdominal negative pressure therapy (NPT) during urgent laparotomy has shown to be helpful to control abdominal sepsis, improve morbidity and increase anastomosis rate. The aim of this study was to compare feasibility and outcome of two different abdominal negative pressure devices.

Methods: The retrospective two-center study includes 78 consecutive patients with perforated sigmoid diverticulitis, who underwent urgent laparotomy using the ABThera™ (KCI, Wien, Austria) abdominal NPT device (Group A, n = 51) or the Suprasorb® CNP (Lohmann & Rauscher, Wien, Austria) abdominal NPT device (Group B, n = 27). Read More

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http://dx.doi.org/10.1080/00015458.2018.1534397DOI Listing
November 2018
4 Reads

Septic superficial thrombophlebitis in Klippel-Trenaunay syndrome.

Acta Chir Belg 2019 Apr 2;119(2):137-138. Epub 2018 Nov 2.

a Department of Vascular Surgery , KAT General Hospital , Athens , Greece.

This is a rare case of a young patient with Klippel-Trenaunay syndrome that presented with extensive septic superficial thrombophlebitis of the lower extremity. Treatment included intravenous antibiotics based on cultures, anticoagulant therapy as well as surgical removal of thrombi. Read More

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http://dx.doi.org/10.1080/00015458.2018.1534394DOI Listing
April 2019
5 Reads

Thyroglossal duct cysts in children: a 30-year survey with emphasis on clinical presentation, surgical treatment, and outcome.

Acta Chir Belg 2018 Nov 2:1-6. Epub 2018 Nov 2.

a Department of Pediatric Surgery , University Hospital Vrije Universiteit Brussel , Brussels , Belgium.

Background: Thyroglossal duct cysts (TGDC) are one of the most common congenital anomalies found in the anterior neck region of children. Sistrunk's procedure, described in 1920 already, is still considered as the gold standard. However, clinical reality shows that in a minority of patients, marsupialization and simple cyst excision are still performed as well. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2018.1
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http://dx.doi.org/10.1080/00015458.2018.1529345DOI Listing
November 2018
4 Reads

Mucin-producing hepatic cystic neoplasms: an uncommon but challenging disease often misdiagnosed and mismanaged.

Acta Chir Belg 2018 Nov 2:1-10. Epub 2018 Nov 2.

a Hepato-Biliary and Pancreatic Surgery, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCL) , Brussels , Belgium.

Background: Mucin-producing hepatic cystic neoplasms (MHCN) are uncommon and potentially malignant.

Methods: Nine MHCN were encountered in our centre for over 32 years. Patients' clinical, biological, radiological and pathological features were reviewed. Read More

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http://dx.doi.org/10.1080/00015458.2018.1532706DOI Listing
November 2018
2 Reads

The influence of bariatric surgery on serum levels of irisin and nesfatin-1.

Acta Chir Belg 2018 Nov 2:1-7. Epub 2018 Nov 2.

a Department of Medical Physiology , Jagiellonian University Medical College , Cracow , Poland.

Introduction: Bariatric surgery is associated with multiple endocrine and metabolic changes. Irisin and nesfatin-1 have recently been described as regulatory peptides involved in obesity-related insulin resistance. Our aim was to analyze the changes of those two molecules observed in patients after bariatric procedures. Read More

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http://dx.doi.org/10.1080/00015458.2018.1534393DOI Listing
November 2018
5 Reads

Surgical treatment of polydactyly and syndactyly during the 4th century AD.

Acta Chir Belg 2019 Feb 2;119(1):64-65. Epub 2018 Nov 2.

b Department of History of Medicine, Faculty of Medicine , University of Crete , Heraklion , Greece.

Introduction: Polydactyly, or polydactylism, is a common congenital disorder of the limbs, consisting of any digit duplication beyond the normal five. The term syndactyly refers to fused digits. We herein present a thorough description of these diseases together with their surgical treatment, provided by Oribasius, a Byzantine physician of the 4th century. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2018.1
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http://dx.doi.org/10.1080/00015458.2018.1534392DOI Listing
February 2019
15 Reads

Emphysematous cholecystitis and cholecystocolic fistula.

Acta Chir Belg 2018 Oct 29:1-2. Epub 2018 Oct 29.

a Department of General and Digestive Surgery , Hospital Universitario de la Princesa , Madrid , Spain.

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https://www.tandfonline.com/doi/full/10.1080/00015458.2018.1
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http://dx.doi.org/10.1080/00015458.2018.1534396DOI Listing
October 2018
25 Reads

Assessment of the optimal timing for early laparoscopic cholecystectomy in acute cholecystitis: a prospective study of the Club Coelio.

Acta Chir Belg 2018 Oct 25:1-7. Epub 2018 Oct 25.

d CHU - UCL , Namur - Godinne , Belgium.

Background: The optimal timing for cholecystectomy in patients with acute cholecystitis remains controversial. The aim of this study is to assess prospectively the impact of the duration of symptoms on outcomes in early laparoscopic cholecystectomy (ELC) for acute cholecystitis.

Methods: The series consisted of 276 consecutive patients who underwent ELC for acute cholecystitis in 2016. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2018.1
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http://dx.doi.org/10.1080/00015458.2018.1529344DOI Listing
October 2018
16 Reads