1,790 results match your criteria Digestive Surgery[Journal]


Duration and Magnitude of Postoperative Risk of Venous Thromboembolism after Cholecystectomy: A Population-Based Cohort Study.

Dig Surg 2019 Apr 3:1-7. Epub 2019 Apr 3.

NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom,

Background: This study aimed to identify the burden and risk of venous thromboembolism (VTE) associated with cholecystectomy in England.

Methods: An historical cohort study of cholecystectomy patients from 2001 to 2011 was undertaken using linked primary (Clinical Practice Research Datalink) and secondary (Hospital Episode Statistics) care data. Crude rates and adjusted hazard ratios (HRs) were calculated for risk of VTE following cholecystectomy using Cox regression. Read More

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http://dx.doi.org/10.1159/000496435DOI Listing
April 2019
3 Reads

30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association.

Dig Surg 2019 Apr 2:1-8. Epub 2019 Apr 2.

Department of Digestive Surgery, Medecine Sorbonne University, Assistance Publique Hôpitaux de Paris, Pitié Salpêtrière University Hospital, Paris, France,

Background: Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting.

Objective: To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those in overweight and normal weight patient groups. Read More

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http://dx.doi.org/10.1159/000497450DOI Listing

Evaluation of the Associations between Gastric Tube Preparation Methods and the Incidence of Cervical Anastomotic Leakage after Esophagectomy for Thoracic Esophageal Cancer.

Dig Surg 2019 Apr 2:1-9. Epub 2019 Apr 2.

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.

Background: A gastric tube (GT) is most often selected as a reconstruction conduit in esophageal reconstruction. Although some leakage from esophagogastric anastomoses is induced by blood flow failure in reconstruction conduits, the association between the GT and the anastomotic leakage (AL) is unclear.

Objectives: We retrospectively evaluated the incidence of AL according to the GT shape. Read More

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http://dx.doi.org/10.1159/000499197DOI Listing
April 2019
1 Read

EDS Society News.

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Dig Surg 2019 1;36(3):268-269. Epub 2019 Apr 1.

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http://dx.doi.org/10.1159/000499644DOI Listing

HBPD Table of Contents Vol. 18, No. 1, 2019.

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Dig Surg 2019 1;36(3):270-272. Epub 2019 Apr 1.

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http://dx.doi.org/10.1159/000499643DOI Listing

Single-Incision Laparoscopic versus Open Sigmoidectomy for Diverticular Disease: A Disease-Stratified Matched-Pair Analysis.

Dig Surg 2019 Mar 28:1-9. Epub 2019 Mar 28.

Department of Thoracic Surgery, University Witten/Herdecke, City Hospital Cologne, Cologne, Germany,

Background: Single-incision laparoscopic surgery (SILS) is a variant of laparoscopic surgery, especially for diverticular disease (DD), but there are very little data comparing SILS to standard surgical procedures for DD, and most studies on DD surgery do not declare the disease stage. We compared SILS to open sigmoidectomy for DD in a stage-stratified matched-pair analysis to validate the significance of SILS.

Methods: All patients with SILS or conventional sigmoidectomy for diverticulitis of a single visceral surgery department were subject to a matched-pair analysis stratified by age, sex, body mass index, previous abdominal surgery, and the stage of DD. Read More

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http://dx.doi.org/10.1159/000497449DOI Listing
March 2019
1 Read

Effects of Caffeine on Colon: A Potential Clinical Use of Coffee in Surgical Patients.

Dig Surg 2019 Mar 28:1-2. Epub 2019 Mar 28.

Department of Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine (University of Modena and Reggio Emilia), Modena, Italy.

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http://dx.doi.org/10.1159/000499198DOI Listing

Laparoscopic Hepatectomy (with or without Robotic Assistance) versus Radiofrequency Ablation as a Minimally Invasive Treatment for Very Early-Stage or Early-Stage Hepatocellular Carcinoma.

Dig Surg 2019 Mar 27:1-7. Epub 2019 Mar 27.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

Background: The advantages of radiofrequency ablation (RFA) over hepatectomy as a treatment for early-stage hepatocellular carcinoma (HCC) include reduced morbidity and more rapid recovery. Although minimally invasive surgery provides similar benefits, few studies have compared the long-term oncological outcomes of these techniques. This study aimed to compare the outcomes of minimally invasive hepatectomy (MIH) and RFA. Read More

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http://dx.doi.org/10.1159/000497112DOI Listing

Proximal Gastric Resection with Posterior Esophago-Gastrostomy and Partial Neo-Fundoplication in the Treatment of Advanced Upper Gastric Carcinoma.

Dig Surg 2019 Mar 25:1-10. Epub 2019 Mar 25.

Department of Surgical Oncology, Medical University of Lublin, Lublin, Poland.

Background: Proximal gastric resection (PGR) is rarely used in western countries because of frequent postoperative reflux and uncommon diagnosis of early gastric cancer (GC).

Objectives: We hypothesized that the PGR with an anti-reflux procedure may be an attractive option even in advanced proximal GC after downstaging with the neo-adjuvant chemotherapy.

Method: A novel technique of end-to-side esophago-gastrostomy with the posterior wall of the gastric stump and partial neo-fundoplication to prevent reflux symptoms has been introduced. Read More

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http://dx.doi.org/10.1159/000497452DOI Listing

Estimation of Physiological Ability and Surgical Stress Score Is a Useful Prognostic Indicator for Elderly Patients with Colorectal Cancer.

Dig Surg 2019 Mar 7:1-9. Epub 2019 Mar 7.

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine, Yonago, Japan.

Background: The incidence of colorectal cancer (CRC) among the elderly has been increasing. Therefore, determining postoperative prognosis factors in elderly CRC patients has clinical importance. This study retrospectively investigated the prognostic significance of the estimation of physiological ability and surgical stress (E-PASS) in elderly CRC patients. Read More

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http://dx.doi.org/10.1159/000497455DOI Listing

Evaluation of the Estimation of Physiologic Ability and Surgical Stress Score as a Prognostic Indicator for Older Patients with Gastric Cancer.

Dig Surg 2019 Mar 7:1-8. Epub 2019 Mar 7.

Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine, Yonago, Japan.

Background: The incidence of gastric cancer (GC) among the older adults is increasing. Therefore, determining postoperative age-associated prognostic factors is clinically important. This present study retrospectively investigated the prognostic significance of the estimation of physiologic ability and surgical stress (E-PASS) of such patients with GC. Read More

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http://dx.doi.org/10.1159/000497457DOI Listing
March 2019
1 Read

The Preoperative Prognostic Nutritional Index Predicts Short-Term and Long-Term Outcomes of Patients with Stage II/III Gastric Cancer: Analysis of a Multi-Institution Dataset.

Dig Surg 2019 Mar 6:1-10. Epub 2019 Mar 6.

Department of Surgery, Komaki Municipal Hospital, Komaki, Japan.

Background/aims: Identification of nutritional indicators to predict short-term and long-term outcomes is necessary to provide appropriate treatment to patients with gastric cancer.

Methods: We designed an analysis of a multicenter dataset of patients with gastric cancer who underwent gastrectomy between 2010 and 2014. We enrolled 842 eligible patients who had stage II/III gastric cancer. Read More

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https://www.karger.com/Article/FullText/497454
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http://dx.doi.org/10.1159/000497454DOI Listing
March 2019
7 Reads

Allogeneic Leukocyte-Reduced Red Blood Cell Transfusion Is Associated with Postoperative Infectious Complications and Cancer Recurrence after Colon Cancer Resection.

Dig Surg 2019 Mar 5:1-8. Epub 2019 Mar 5.

Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester Medical Center, Rochester, New York, USA.

Background/aims: Transfusion rates in colon cancer surgery are traditionally very high. Allogeneic red blood cell (RBC) transfusions are reported to induce immunomodulation that contributes to infectious morbidity and adverse oncologic outcomes. In an effort to attenuate these effects, the study institution implemented a universal leukocyte reduction protocol. Read More

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http://dx.doi.org/10.1159/000498865DOI Listing
March 2019
3 Reads

Reduced Opioid-Demand and Fewer Pulmonary Complications after Laparoscopic Liver Resection in the Posterior Segments.

Dig Surg 2019 Feb 27:1-6. Epub 2019 Feb 27.

Department of Hepatobiliary Surgery and Visceral Transplantation, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany,

This single-centre study aims to evaluate the advantages and limitations of laparoscopic liver resection (LLR) of lesions in the posterior segments (segments 6 and 7) in comparison to the open procedure. Institutional database between June 2014 and October 2017 was retrieved. The perioperative data and the surgical outcomes were analysed retrospectively. Read More

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http://dx.doi.org/10.1159/000497453DOI Listing
February 2019
1.742 Impact Factor

Impact of Enhanced Recovery Program after Surgery in Patients Undergoing Pancreatectomy on Postoperative Outcomes: A Controlled before and after Study.

Dig Surg 2019 Feb 22:1-9. Epub 2019 Feb 22.

Service de Chirurgie Digestive, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.

Background: Implementation of enhanced recovery after surgery (ERAS) program after pancreatic surgery was associated with decreased length of stay (LOS). However, there were only retrospective uncontrolled before-after study, and care protocols were heterogeneous. We aimed to evaluate the impact of ERAS program on postoperative outcomes after pancreatectomy through a prospective controlled study. Read More

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http://dx.doi.org/10.1159/000496510DOI Listing
February 2019

EDS Society News.

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Dig Surg 2019 18;36(2):181-182. Epub 2019 Feb 18.

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http://dx.doi.org/10.1159/000497428DOI Listing
February 2019

Heller Myotomy for Epiphrenic Diverticula Compared to Nondiverticula Esophageal Motility Disorders, A Single Institution Experience and Appraisal of Patient Characteristics, High-Resolution Manometry and Outcomes.

Dig Surg 2019 Feb 5:1-9. Epub 2019 Feb 5.

Division of General Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA,

Purpose: The purpose of this study was to compare demographics, symptoms, prior interventions, operation, and outcomes of patients who underwent Heller myotomy for esophageal motility disorders and epiphrenic diverticulectomy with Heller myotomy.

Methods: We identified all patients who underwent Heller myotomy for esophageal motility disorders with and without esophageal diverticulectomy over an 80-month period. Primary data points included patient demographics, presenting symptoms, prior intervention, high-resolution manometry, surgery performed with rate of laparoscopic, conversion to open, and open procedures; postoperative complications, and symptom resolution. Read More

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http://dx.doi.org/10.1159/000496804DOI Listing
February 2019
2 Reads

Long-Term Impact of Iatrogenic Bile Duct Injury.

Dig Surg 2019 Jan 17:1-12. Epub 2019 Jan 17.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: Bile duct injury (BDI) is a devastating complication following cholecystectomy. After initial management of BDI, patients stay at risk for late complications including anastomotic strictures, recurrent cholangitis, and secondary biliary cirrhosis.

Methods: We provide a comprehensive overview of current literature on the long-term outcome of BDI. Read More

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https://www.karger.com/Article/FullText/496432
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http://dx.doi.org/10.1159/000496432DOI Listing
January 2019
26 Reads

Exocrine Pancreatic Insufficiency after Gastrectomy for Cancer Is Not Severe.

Dig Surg 2019 Jan 16:1-2. Epub 2019 Jan 16.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan, USA,

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http://dx.doi.org/10.1159/000496433DOI Listing
January 2019
2 Reads

Management of Pancreatic Cystic Lesions.

Dig Surg 2019 Jan 11:1-9. Epub 2019 Jan 11.

Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Background: The prevalence of undefined pancreatic cystic neoplasms (PCNs) is high in the general population, increasing with patient age. PCNs account for different biological entities with different potential for malignant transformation. The clinician must balance his or her practice between the risk of surgical overtreatment and the error of keeping a malignant lesion under surveillance. Read More

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http://dx.doi.org/10.1159/000496509DOI Listing
January 2019
1 Read

External Validation of Different Scoring Systems for Suspected Choledocholithiasis.

Dig Surg 2019 Jan 11:1-9. Epub 2019 Jan 11.

Department of Surgery, School of Medicine and Surgery, Milano-Bicocca University, San Gerardo Hospital, Monza, Italy,

Aim Of The Study: The diagnosis of choledocholithiasis is challenging. Previously published scoring systems designed to calculate the risk of choledocholithiasis were evaluated to appraise the diagnostic performance.

Patients And Methods: Data of patients who were admitted between 2013 and 2015 with the following characteristics were retrieved: bile stone-related symptoms and signs, and indication to laparoscopic cholecystectomy. Read More

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https://www.karger.com/Article/FullText/495696
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http://dx.doi.org/10.1159/000495696DOI Listing
January 2019
7 Reads

Effect of Caffeine Intake on Postoperative Ileus: A Systematic Review and Meta-Analysis.

Dig Surg 2019 Jan 11:1-10. Epub 2019 Jan 11.

Department of Gynaecological Oncology, Metaxa Cancer Hospital, Piraeus, Greece.

Background: Postoperative ileus prolongs both hospital stay and patients' morbidity, having at the same time a great impact on health care costs. Coffee, a worldwide popular, cheap beverage might have an important effect on the motility of the postoperative bowel.

Methods: PubMed, Scopus, and Cochrane Central Register of Controlled Trials were systematically searched. Read More

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http://dx.doi.org/10.1159/000496431DOI Listing
January 2019
2 Reads

Double Gastric Hanging for Gastric Exposure in Laparoscopic Distal Pancreatectomy.

Dig Surg 2019 Jan 2:1-6. Epub 2019 Jan 2.

Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, Assistance Publique Hôpitaux de Paris, University Paris 7 Denis Diderot, Clichy, France.

Background: Gastric traction is essential in laparoscopic distal pancreatic resections. We already described the single gastric hanging providing good exposure on the left pancreas and we herein introduce a modification named the double gastric hanging.

Methods: The double gastric hanging in which 2 surgical tapes encircle the body and antrum of the stomach is indicated in patients who requiring pancreatic neck resection, dissection along the celiac trunk collaterals and lymph nodes, the duodenal wall, and the gastroduodenal artery. Read More

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https://www.karger.com/Article/FullText/495515
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http://dx.doi.org/10.1159/000495515DOI Listing
January 2019
13 Reads

The Actual Prevalence of Symptoms in Pancreatic Cystic Neoplasms: A Prospective Propensity Matched Cohort Analysis.

Dig Surg 2018 Dec 12:1-8. Epub 2018 Dec 12.

Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy,

Background: The prevalence of symptoms in pancreatic cystic neoplasms (PCNs) is mainly based on retrospective surgical series. The aim of this study is to describe the actual prevalence of symptoms in PCNs under surveillance.

Methods: Patients with PCNs under surveillance observed from 2015 to 2017 were submitted to magnetic resonance imaging (MRI) and a specific interview. Read More

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http://dx.doi.org/10.1159/000495039DOI Listing
December 2018
2 Reads

HBPD Table of Contents Vol. 17, No. 5, 2018.

Authors:

Dig Surg 2019 6;36(1):96-98. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495632DOI Listing
December 2018
18 Reads

HBPD Table of Contents Vol. 17, Nr. 4, 2018.

Authors:

Dig Surg 2019 6;36(1):93-95. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495631DOI Listing
December 2018
27 Reads

EDS Society News.

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Dig Surg 2019 6;36(1):91-92. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495588DOI Listing
December 2018
15 Reads

Risk Factors Analysis of Postoperative Pleural Effusion after Liver Resection.

Dig Surg 2018 Dec 5:1-8. Epub 2018 Dec 5.

Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan,

Background: Pulmonary complications remain relatively high in morbidities that arise after liver surgery and are associated with increased length of hospital stay and higher cost. Identification of possible risk factors in this retrospective analysis may help reduce operative morbidity and achieve better outcomes.

Methods: In all, 363 consecutive patients underwent elective hepatectomies between July 2008 and November 2013 and these were identified and analyzed retrospectively. Read More

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http://dx.doi.org/10.1159/000494218DOI Listing
December 2018
18 Reads

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer.

Dig Surg 2019 5;36(3):218-225. Epub 2018 Dec 5.

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China,

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Read More

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https://www.karger.com/Article/FullText/495361
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http://dx.doi.org/10.1159/000495361DOI Listing
December 2018
23 Reads

Establishment of a Nomogram by Integrating Molecular Markers and Tumor-Node-Metastasis Staging System for Predicting the Prognosis of Hepatocellular Carcinoma.

Dig Surg 2018 Nov 27:1-7. Epub 2018 Nov 27.

Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China,

Aims: This study aimed to develop a valuable nomogram by integrating molecular markers and tumor-node-metastasis (TNM) staging system for predicting the long-term outcome of patients with hepatocellular carcinoma (HCC).

Methods: The gene expression profiles of HCC patients undergoing liver resection were obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database. One hundred and ninety-nine patients from TCGA and 94 patients from GEO were selected to be part of the training cohort and validation cohort respectively. Read More

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http://dx.doi.org/10.1159/000494219DOI Listing
November 2018
3 Reads

Risk Factors for Recurrence of Right Colonic Diverticulitis.

Dig Surg 2018 Nov 8:1-5. Epub 2018 Nov 8.

Department of Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.

Background: Right colonic diverticulitis (RCD) is more common in Asian countries than in Western countries, and the risk factors for recurrence of RCD are not fully understood. The objective of this study was to assess the risk factors for recurrence of RCD.

Methods: We analyzed 296 patients admitted for treatment of RCD in the Gachon University Gil Medical Center from December 2001 to October 2014. Read More

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https://www.karger.com/Article/FullText/494297
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http://dx.doi.org/10.1159/000494297DOI Listing
November 2018
10 Reads

Neoadjuvant Treatment for Borderline Resectable Pancreatic Ductal Adenocarcinoma.

Dig Surg 2018 Nov 8:1-7. Epub 2018 Nov 8.

Department of Surgery, TUM School of Medicine, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany,

One of the main reasons for the dismal prognosis of pancreatic ductal adenocarcinoma (PDAC) is its late diagnosis. At the time of presentation, only approximately 15-20% of all patients with PDAC are considered resectable and around 30% are considered borderline resectable. A surgical approach, which is the only curative option, is limited in borderline resectable patients by local involvement of surrounding structures. Read More

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https://www.karger.com/Article/FullText/493466
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http://dx.doi.org/10.1159/000493466DOI Listing
November 2018
19 Reads

Occult Hiatal Hernia in Achalasia Patients: Its Incidence and Treatment Options.

Dig Surg 2018 Oct 10:1-8. Epub 2018 Oct 10.

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Background: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate.

Methods: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained. Read More

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https://www.karger.com/Article/FullText/491707
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http://dx.doi.org/10.1159/000491707DOI Listing
October 2018
4 Reads

Colonoscopy Should Be Performed After an Episode of Uncomplicated Diverticulitis.

Dig Surg 2018 Oct 10. Epub 2018 Oct 10.

Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland.

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http://dx.doi.org/10.1159/000493436DOI Listing
October 2018
3 Reads
1.742 Impact Factor

Prognostic Value of Inflammatory Biomarkers in Gastric Cancer Patients and the Construction of a Predictive Model.

Dig Surg 2018 Oct 9:1-10. Epub 2018 Oct 9.

Department of Gastric Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.

Background: It is known that inflammation promotes cancer development. However, a few studies have evaluated the prognostic significance of inflammatory biomarkers in gastric cancer (GC).

Methods: In this study, 2,334 patients who underwent gastrectomy for GC at Fudan University Shanghai Cancer Center between 2003 and 2007 were retrospectively analyzed, and 1,227 patients were found to be eligible. Read More

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https://www.karger.com/Article/FullText/493432
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http://dx.doi.org/10.1159/000493432DOI Listing
October 2018
4 Reads

Can Haematology Blood Tests at Time of Diagnosis Predict Response to Neoadjuvant Treatment in Locally Advanced Rectal Cancer?

Dig Surg 2018 Sep 28:1-7. Epub 2018 Sep 28.

Department Oncology, Aberdeen Royal Infirmay, Aberdeen, United Kingdom.

Background: Outcomes in locally advanced rectal cancer are improved by neoadjuvant therapy followed by surgical resection. Some patients respond completely to preoperative treatment. Therefore, predicting the pathological response to preoperative therapy is of clinical importance. Read More

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http://dx.doi.org/10.1159/000493433DOI Listing
September 2018
16 Reads

EDS Society News.

Authors:

Dig Surg 2018 27;35(6):549-550. Epub 2018 Sep 27.

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http://dx.doi.org/10.1159/000493950DOI Listing
September 2018
1 Read

Liver Resection for Hepatic Metastases from Soft Tissue Sarcoma: A Nationwide Study.

Dig Surg 2018 Sep 25:1-8. Epub 2018 Sep 25.

Department of Surgical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: This study aims to evaluate the feasibility and safety of resection of sarcoma liver metastases, and to identify possible prognostic factors for long-term survival.

Methods: All patients who underwent resection of liver metastases of sarcoma in the Netherlands from 1998 to 2014 were included. Study data was retrospectively collected from patient files. Read More

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http://dx.doi.org/10.1159/000493389DOI Listing
September 2018
2 Reads

Surgical Outcomes of Liver Resection Combined with Inferior Vena Cava Resection and Reconstruction with Artificial Vascular Graft.

Dig Surg 2018 Sep 25:1-7. Epub 2018 Sep 25.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.

Background/aim: Inferior vena cava (IVC) resection and reconstruction with concomitant liver resection sometimes represent the only chance for patients with liver tumors involving the IVC to get cured. However, surgical outcomes of liver resection with IVC resection and reconstruction using an artificial vascular graft have not been well investigated.

Methods: Out of a total of 1,179 cases, only 12 involving liver resection between 1998 and 2016 at our institution included IVC resection and reconstruction using an artificial vascular graft. Read More

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http://dx.doi.org/10.1159/000493434DOI Listing
September 2018
3 Reads

Towards an Organ-Sparing Approach for Locally Advanced Esophageal Cancer.

Dig Surg 2018 Sep 18:1-8. Epub 2018 Sep 18.

Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.

Background: Active surveillance after neoadjuvant therapies has emerged among several malignancies. During active surveillance, frequent assessments are performed to detect residual disease and surgery is only reserved for those patients in whom residual disease is proven or highly suspected without distant metastases. After neoadjuvant chemoradiotherapy (nCRT), nearly one-third of esophageal cancer patients achieve a pathologically complete response (pCR). Read More

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http://dx.doi.org/10.1159/000493435DOI Listing
September 2018
2 Reads

Combined Pre- and Postoperative Lymphocyte Count Accurately Predicts Outcomes of Patients with Colorectal Cancer.

Dig Surg 2018 Sep 14:1-8. Epub 2018 Sep 14.

Background: Although preoperative lymphopenia is reportedly a prognostic factor in cancer patients, the association between postoperative lymphopenia and patient prognosis has not been widely studied.

Methods: We enrolled 379 patients who underwent surgery for colorectal cancer (CRC) to analyze correlations among pre- and postoperative lymphocyte counts (LCs) and prognosis in patients with CRC.

Results: Pre- and postoperative LCs were significantly correlated (r = 0. Read More

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http://dx.doi.org/10.1159/000492340DOI Listing
September 2018
1 Read

EDS Society News.

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Dig Surg 2018 20;35(5):474. Epub 2018 Aug 20.

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http://dx.doi.org/10.1159/000492609DOI Listing
August 2018
2 Reads

Improving Selection for Resection of Synchronous Para-Aortic Lymph Node Metastases in Colorectal Cancer.

Dig Surg 2018 Jul 25:1-7. Epub 2018 Jul 25.

Introduction: The clinical benefit of extended lymphadenectomy for synchronous extraregional lymph node metastasis, such as para-aortic lymph node (PALN) metastasis in colorectal cancer, remains highly controversial.

Aim: To evaluate the clinical benefit of PALN dissection in colorectal cancer patients with synchronous PALN metastasis with or without multiorgan metastases.

Methods: Thirty-six patients with pathologically positive PALN metastasis below the renal veins who underwent concurrent PALN dissection and primary colorectal cancer resection from January 1984 through September 2011 at the National Cancer Center Hospital in Tokyo, Japan, were included in this retrospective cohort study. Read More

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http://dx.doi.org/10.1159/000491100DOI Listing
July 2018
1 Read

Radical Resection of Locally Recurrent Colorectal Cancer Significantly Improves Overall Survival: A Single-Center Cohort Study.

Dig Surg 2018 Jul 20:1-9. Epub 2018 Jul 20.

Background: Despite multimodal treatment strategies, locoregional recurrence rates are still significant in colorectal carcinoma (CRC).

Methods: Clinical, pathological, perioperative, and survival data of 203 patients with recurrent CRC enlisted in a prospective database from 1990 to 2011 were analyzed.

Results: Median disease-free survival in our cohort of 203 patients was 23 months after resection of the primary tumor. Read More

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http://dx.doi.org/10.1159/000491099DOI Listing
July 2018
9 Reads

Total Dorsal Pancreatectomy, an Alternative to Total Pancreatectomy: Report of a New Case and Literature Review.

Dig Surg 2018 Jul 13:1-6. Epub 2018 Jul 13.

Background: Total dorsal pancreatectomy (TDP) is a conservative pancreatic resection that should be considered in cases of benign or low malignant tumors confined to the dorsal pancreas to preserve the viability of both digestive and biliary tracts, and to avoid the endocrine and metabolic consequences of total pancreatectomy. We report a new case of TDP and provide a literature review of this procedure.

Methods: The case reported was a 35-year-old female patient with a solid pseudopapillary tumor. Read More

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http://dx.doi.org/10.1159/000490198DOI Listing
July 2018
3 Reads

Ultralow Anterior Resection and Coloanal Anastomosis for Low-Lying Rectal Cancer: An Appraisal Based on Bowel Function.

Dig Surg 2018 Jul 10:1-9. Epub 2018 Jul 10.

Backgrounds/aims: On the basis of acceptable oncologic results, ultralow anterior resection (ULAR) and colo-anal anastomosis plus hand-sewn coloanal anastomosis have been performed for treating very low-lying rectal cancer. However, many patients experience bowel dysfunction after ULAR. Studies have provided inadequate data on bowel dysfunctions and only a few functional studies have focused on low rectal cancer. Read More

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http://dx.doi.org/10.1159/000490899DOI Listing
July 2018
9 Reads

Comparison of 2 Perioperative Management Protocols and Their Influence on Postoperative Recovery after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Standard Parenteral Nutrition, Selective Bowel Decontamination and Suprapubic Catheters?

Dig Surg 2018 Jul 6:1-8. Epub 2018 Jul 6.

Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.

Background: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is associated with considerable postoperative morbidity, including ileus and infectious complications. Perioperative care is believed to be an important factor for the development and treatment of postoperative morbidity.

Patients And Methods: Data on case-matched patients from a retrospective database of 2 Dutch HIPEC centres was compared. Read More

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http://dx.doi.org/10.1159/000490068DOI Listing
July 2018
13 Reads

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age.

Dig Surg 2019 5;36(2):166-172. Epub 2018 Jul 5.

Department of Surgery and Pediatric Surgery, Hiroshima City Funairi Citizens Hospital, Hiroshima, Japan.

Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age.

Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck's canal (type I), round ligament (type II), or subcutaneous area (type III). Read More

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http://dx.doi.org/10.1159/000489827DOI Listing
July 2018
13 Reads

Prognostic Indicators in Stage IV Surgically Treated Gastric Cancer Patients: A Retrospective Multi-Institutional Study.

Dig Surg 2018 Jun 26:1-9. Epub 2018 Jun 26.

Polo Scienze Gastroenterologiche ed Endocrino-Metaboliche, Università Cattolica del Sacro Cuore Fondazione Policlinico Universitario Agostino Gemelli Largo F. Vito, Rome, Italy.

Introduction: The role of gastric resection in treating metastatic gastric adenocarcinoma is controversial. In the present study, we reviewed the short- and long-term outcomes of stage IV patients undergoing surgery.

Methods: A retrospective review was conducted that assessed patients undergoing elective surgery for incurable gastric carcinoma. Read More

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http://dx.doi.org/10.1159/000488775DOI Listing
June 2018
2 Reads