11,686 results match your criteria Langenbecks Archiv fuer Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fuer Chirurgie. Kongress[Journal]


Malignancies associated with GIST: a retrospective study with molecular analysis of KIT and PDGFRA.

Langenbecks Arch Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Pathology, FAU Erlangen-Nürnberg, Erlangen, Germany.

Purpose: Gastrointestinal stromal tumors (GISTs) are the most common soft tissue tumors of the GI tract. Studies have been published reporting additional neoplasms in GIST patients. This study aimed to evaluate possible associations of mutation type, morphology, and clinical aspects of GISTs. Read More

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http://dx.doi.org/10.1007/s00423-019-01773-2DOI Listing

Feasibility and safety of distal pancreatectomy with en bloc celiac axis resection (DP-CAR) combined with neoadjuvant therapy for borderline resectable and unresectable pancreatic body/tail cancer.

Langenbecks Arch Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of General Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan.

Purpose: Pancreatic body/tail cancer commonly invades the hepatic artery or celiac artery, making surgical resection difficult. Distal pancreatectomy with celiac axis resection (DP-CAR) has recently been performed to achieve curative resection of these tumors. However, the safety and efficacy remain unclear. Read More

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http://dx.doi.org/10.1007/s00423-019-01775-0DOI Listing

Saphenous vein conduits for hepatic arterial reconstruction in living donor liver transplantation.

Langenbecks Arch Surg 2019 Mar 11. Epub 2019 Mar 11.

Department of Anesthesiology, Shifa International Hospital, Sector H-8/4 Pitras Bukhari Road, Islamabad, Pakistan.

Purpose: Occasionally, a recipient's native hepatic arteries are not suitable for reconstruction in living donor liver transplantation (LDLT). The use of the great saphenous vein (GSV) conduits in such patients is seldom practiced since arterial conduits from deceased donors are available. Here, we share our experience with a significantly large group of LDLT recipients who underwent arterial reconstruction with GSV conduits. Read More

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http://dx.doi.org/10.1007/s00423-019-01774-1DOI Listing

Split versus living-related adult liver transplantation: a systematic review and meta-analysis.

Langenbecks Arch Surg 2019 Mar 7. Epub 2019 Mar 7.

Department of Hepato-Pancreato-Biliary and Liver Transplant Surgery, Queen Elizabeth University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TH, UK.

Background-objective: The outcomes of split liver transplantation between recipients of deceased donor split liver transplant (SLT) or live donor liver transplants (LDLT) have never been compared in meta-analysis. It is important to understand graft and recipient survival between recipients of these grafts.

Methods: Databases were searched for relevant articles over the previous 20 years (MEDLINE, Embase, Cochrane Library and Google Scholar). Read More

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http://dx.doi.org/10.1007/s00423-019-01771-4DOI Listing

Medial approach for subcarinal lymphadenectomy during thoracoscopic esophagectomy in the prone position.

Langenbecks Arch Surg 2019 Mar 7. Epub 2019 Mar 7.

Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

Purpose: In esophageal squamous cell carcinoma (ESCC), lymph nodes (LNs) around the subcarina and main bronchi are thought to be highly involved. Therefore, complete dissection of these LNs with preservation of the pulmonary branches of the vagus nerves, which control important pulmonary functions, is recommended. The aim of this retrospective study was to investigate the feasibility of reliable method for lymphadenectomy around the subcarina and main bronchi, named the medial approach, during thoracoscopic esophagectomy in the prone position (TEP). Read More

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http://dx.doi.org/10.1007/s00423-019-01772-3DOI Listing

New approaches for the detection of invasive fungal diseases in patients following liver transplantation-results of an observational clinical pilot study.

Langenbecks Arch Surg 2019 Mar 5. Epub 2019 Mar 5.

Department of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Purpose: Despite antifungal prophylaxis following liver transplantation (LTX), patients are at risk for the development of subsequent opportunistic infections, such as an invasive fungal disease (IFD). However, culture-based diagnostic procedures are associated with relevant weaknesses.

Methods: Culture and next-generation sequencing (NGS)-based fungal findings as well as corresponding plasma levels of ß-D-glucan (BDG), galactomannan (GM), interferon gamma (IFN-γ), tumor necrosis factor alpha (TNF-α), interleukin (IL)-2, -4, -6, -10, -17A and mid-regional proadrenomedullin (MR-proADM) were evaluated in 93 patients at 6 consecutive time points within 28 days following LTX. Read More

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http://dx.doi.org/10.1007/s00423-019-01769-yDOI Listing
March 2019
3 Reads

Anastomotic leakage following retrosternal pull-up.

Langenbecks Arch Surg 2019 Mar 4. Epub 2019 Mar 4.

Department of Surgery, Nara Medical University School of Medicine, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Purpose: Narrow thoracic inlet might be associated with increased incidence of cervical anastomotic leakage (AL) after esophagectomy with retrosternal reconstruction. We retrospectively evaluated the relationship of the length from the suprasternal notch to the trachea (LST) and AL using computed tomography.

Methods: In this retrospective study including 121 patients with esophageal cancer who underwent subtotal esophagectomy with retrosternal reconstruction between 2008 and 2016, clinicopathological characteristics, including the LST, surgical procedures, and perioperative outcomes, were compared between the AL and non-AL groups. Read More

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http://link.springer.com/10.1007/s00423-019-01765-2
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http://dx.doi.org/10.1007/s00423-019-01765-2DOI Listing
March 2019
2 Reads

Central pancreatectomy for early-stage pancreatic ductal adenocarcinoma: a single-center case-control study.

Langenbecks Arch Surg 2019 Mar 2;404(2):175-182. Epub 2019 Mar 2.

Pancreas Center, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.

Purpose: Central pancreatectomy (CP) has been applied for treating benign and low-grade malignant tumors in pancreatic neck, but studies regarding CP for pancreatic ductal adenocarcinoma (PDAC) are quite limited. We aimed to investigate the role of central pancreatectomy in the treatment of PDAC in the neck of the pancreas.

Methods: Patients who underwent CP at our hospital between 2009 and 2016 were identified. Read More

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http://dx.doi.org/10.1007/s00423-019-01766-1DOI Listing

Evidence-based recommendations for blinding in surgical trials.

Langenbecks Arch Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Rationale: Blinding reduces performance and detection bias in randomized controlled trials (RCT). There is evidence that lack of blinding leads to overestimation of treatment effects in pharmacological trials. Since surgical trials use interventions with a physical component, blinding is often complicated. Read More

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http://dx.doi.org/10.1007/s00423-019-01761-6DOI Listing

Mortality and postoperative complications after different types of surgical reconstruction following pancreaticoduodenectomy-a systematic review with meta-analysis.

Langenbecks Arch Surg 2019 Mar 28;404(2):141-157. Epub 2019 Feb 28.

School of Medicine, Klinikum rechts der Isar, Department of Surgery, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Pancreaticoduodenectomy/PD is a technically demanding pancreatic resection. Options of surgical reconstruction include (1) the child reconstruction defined as pancreatojejunostomy/PJ followed by hepaticojejunostomy/HJ and the gastrojejunostomy/GJ "the standard/s-Child," (2) the s-child reconstruction with an additional Braun enteroenterostomy "BE-Child," or (3) Isolated-Roux-En-Y-pancreaticojejunostomy "Iso-Roux-En-Y," in which the pancreas anastomosis is reconstructed in a separate loop after the GJ. Yet, the impact of these reconstruction methods on patients' outcome has not been sufficiently compared in a systematic manner. Read More

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http://dx.doi.org/10.1007/s00423-019-01762-5DOI Listing

Left kidney mobilization technique during radical antegrade modular pancreatosplenectomy (RAMPS).

Langenbecks Arch Surg 2019 Mar 27;404(2):247-252. Epub 2019 Feb 27.

Division of Hepatobiliary and Pancreatic Surgery, Japanse Foundation for Cancer Research, Cancer Insitute Hospital, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Purpose: Radical antegrade modular pancreatosplenectomy (RAMPS) has been accepted as a standard operation for distal pancreatic cancer. While enbloc retroperitoneal dissection in the "medial to lateral" direction is one of the most important steps in this oncologic procedure, it is technically challenging due to the depth of organs under the left costal margin, and poor exposure of the resecting organs in this area will increase the risk of incomplete oncologic dissection.

Methods: To improve exposure of the left upper quadrant organs, left kidney was completely mobilized during RAMPS, and all the left upper quadrant organs were elevated and medialized by lap sponges packed in the retro-renal space. Read More

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http://dx.doi.org/10.1007/s00423-019-01767-0DOI Listing

Radical antegrade modular pancreatosplenectomy for all pancreatic body and tail tumors: rationale and results.

Langenbecks Arch Surg 2019 Mar 21;404(2):183-190. Epub 2019 Feb 21.

Department of Gastrointestinal and HPB Surgery, Tata Memorial Hospital, Ernest Borges Marg, Parel, Mumbai, 400012, India.

Background: Radical antegrade modular pancreatosplenectomy (RAMPS) has been propagated as the standard of care for pancreatic cancers involving the body and tail of the pancreas. This procedure has been shown to have promising results in enhancing the microscopically negative tangential resection margins as well as the lymph node yield.

Methods: This is a retrospective analysis of prospectively maintained database on the resections performed for all pancreatic body and tail tumors at Tata Memorial Centre. Read More

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http://dx.doi.org/10.1007/s00423-019-01763-4DOI Listing
March 2019
2.160 Impact Factor

Dislocation of intra-abdominal drains after pancreatic surgery: results of a prospective observational study.

Langenbecks Arch Surg 2019 Mar 15;404(2):213-222. Epub 2019 Feb 15.

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

Purpose: The use of intra-abdominal drains after major surgical procedures represents a well-established but controversial practice. No data are available regarding both the occurrence and the potential impact of their postoperative accidental dislocation. The aim of this study is to assess the actual rate of dislocation of intra-abdominal drains postoperatively and to evaluate its clinical impact. Read More

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http://dx.doi.org/10.1007/s00423-019-01760-7DOI Listing
March 2019
1 Read

The prevalence and anatomy of parathyroid glands: a meta-analysis with implications for parathyroid surgery.

Langenbecks Arch Surg 2019 Feb 14;404(1):63-70. Epub 2019 Feb 14.

International Evidence-Based Anatomy Working Group, 12 Kopernika St., 31-034, Kraków, Poland.

Purpose: The anatomy of parathyroid glands (PTG) is highly variable in the population. The aim of this study was to conduct a systematic analysis on the prevalence and location of PTG in healthy and hyperparathyroidism (HPT) patients.

Methods: An extensive search of the major electronic databases was conducted to identify all studies that reported relevant data on the number of PTG per patient and location of PTG. Read More

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http://dx.doi.org/10.1007/s00423-019-01751-8DOI Listing
February 2019
2 Reads
2.160 Impact Factor

Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta.

Langenbecks Arch Surg 2019 Mar 13;404(2):253-255. Epub 2019 Feb 13.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, Sydney, Australia.

Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. Read More

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http://dx.doi.org/10.1007/s00423-019-01759-0DOI Listing
March 2019
1 Read
2.160 Impact Factor

The influence of diverting loop ileostomy vs. colostomy on postoperative morbidity in restorative anterior resection for rectal cancer: a systematic review and meta-analysis.

Langenbecks Arch Surg 2019 Mar 12;404(2):129-139. Epub 2019 Feb 12.

Section of Colorectal Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Taylor Pavilion, Suite D-365, 100 Woods Road, Valhalla, NY, 10595, USA.

Background: The aim of this systematic review and meta-analysis was to evaluate the morbidity of loop ileostomy (LI) and loop colostomy (LC) creation in restorative anterior resection for rectal cancer as well as the morbidity of their reversal.

Methods: PubMed, EMBASE, MEDLINE via Ovid, and Cochrane Library were systematically searched for records published from 1980 to 2017 by three independent researchers. The primary endpoint was overall morbidity after stoma creation and reversal. Read More

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http://dx.doi.org/10.1007/s00423-019-01758-1DOI Listing
March 2019
1 Read

Pancreatic fistula following laparoscopic distal pancreatectomy is probably unrelated to the stapler size but to the drainage modality and significantly decreased with a small suction drain.

Langenbecks Arch Surg 2019 Mar 9;404(2):203-212. Epub 2019 Feb 9.

Department of HPB surgery and liver transplantation, Beaujon Hospital, APHP, University Paris VII, 100 boulevard du General Leclerc, 92110, Clichy, France.

Introduction: Risk factors of postoperative pancreatic fistula (POPF) after laparoscopic distal pancreatectomy (LDP) are not well known and were studied, including the stapler cartridge size and drainage modality.

Methods: Between January 2008 and December 2016, 181 LDP were performed and the pancreas was sectioned by stapler in 130 patients (72%). Patients received white (2. Read More

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http://dx.doi.org/10.1007/s00423-019-01756-3DOI Listing
March 2019
1 Read

Parathyroidectomy versus cinacalcet for tertiary hyperparathyroidism; a retrospective analysis.

Langenbecks Arch Surg 2019 Feb 7;404(1):71-79. Epub 2019 Feb 7.

Department of Surgery, Erasmus MC, University Medical Center Rotterdam, 's-Gravendijkwal 230, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Introduction: Tertiary hyperparathyroidism (tHPT), i.e., persistent HPT after kidney transplantation, affects 17-50% of transplant recipients. Read More

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http://dx.doi.org/10.1007/s00423-019-01755-4DOI Listing
February 2019
1 Read

Blurring the boundary between open abdomen treatment and ventral hernia repair.

Langenbecks Arch Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Visceral and Transplant Surgery, University Hospital Zurich, Rämistrasse 100, CH-8091, Zürich, Switzerland.

Purpose: Therapeutic approaches for septic open abdomen treatment remain a major challenge with many uncertainties. The most convincing method is vacuum-assisted wound closure with mesh-mediated fascia traction with a protective plastic sheet placed on the viscera. As this plastic sheet and the mesh must be removed before final fascial closure, such a technique only allows temporary abdominal closure. Read More

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http://dx.doi.org/10.1007/s00423-019-01757-2DOI Listing
February 2019

Intra-abdominal sepsis: new definitions and current clinical standards.

Langenbecks Arch Surg 2019 Jan 26. Epub 2019 Jan 26.

Medical Clinic II, University Hospital of Giessen, Giessen, Germany.

Purpose: The abdomen is the second most common source of sepsis and is associated with unacceptably high morbidity and mortality. Recently, the essential definitions of sepsis and septic shock were updated (Third International Consensus Definitions for Sepsis and Septic Shock, Sepsis-3) and modified. The purpose of this review is to provide an overview of the changes introduced by Sepsis-3 and the current state of the art regarding the treatment of abdominal sepsis. Read More

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http://dx.doi.org/10.1007/s00423-019-01752-7DOI Listing
January 2019
3 Reads

Functional outcome after pouch-anal reconstruction with primary and secondary mucosectomy for patients with familial adenomatous polyposis (FAP).

Langenbecks Arch Surg 2019 Mar 24;404(2):223-229. Epub 2019 Jan 24.

School of Medicine University of Augsburg, Augsburg, Germany.

Introduction: Restorative proctocolectomy and ileal pouch-anal reconstruction is the surgical standard for the majority of patients with familial adenomatous polyposis (FAP). The pouch-anal anastomosis may be performed handsewn after primary mucosectomy or by double stapling. Better functional results favour the latter; however, higher rates of remaining rectal mucosa with adenomas often necessitate secondary mucosectomy. Read More

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http://dx.doi.org/10.1007/s00423-018-1747-1DOI Listing

Poorly differentiated thyroid carcinoma and poorly differentiated area in differentiated thyroid carcinoma: is there any difference?

Langenbecks Arch Surg 2019 Feb 23;404(1):45-53. Epub 2019 Jan 23.

Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226 014, India.

Purpose: Poorly differentiated thyroid carcinoma (PDTC) patients have worse outcomes than patients with differentiated thyroid carcinoma (DTC), but the implication of poorly differentiated areas (PDAs) noted in DTC is not very well understood. The aim of the present study was to compare the clinicopathologic profiles and outcomes of PDTC and DTC with PDA.

Methods: A total of 142 patients, managed at out center between September 1989 and June 2016, were enrolled in this retrospective study. Read More

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http://dx.doi.org/10.1007/s00423-019-01753-6DOI Listing
February 2019
2 Reads
2.160 Impact Factor

Significance of neoadjuvant therapy for borderline resectable pancreatic cancer: a multicenter retrospective study.

Langenbecks Arch Surg 2019 Jan 16. Epub 2019 Jan 16.

Surgery and Oncology, Kyushu University, Fukuoka, 812-8582, Japan.

Purpose: Neoadjuvant therapy (NAT) is increasingly used to improve the prognosis of patients with borderline resectable pancreatic cancer (BRPC) albeit with little evidence of its advantage over upfront surgical resection. We analyzed the prognostic impact of NAT on patients with BRPC in a multicenter retrospective study.

Methods: Medical data of 165 consecutive patients who underwent treatment for BRPC between January 2010 and December 2014 were collected from ten institutions. Read More

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http://dx.doi.org/10.1007/s00423-019-01754-5DOI Listing
January 2019
1 Read

Endoscopic vacuum therapy (EVT) for early infradiaphragmal leakage after bariatric surgery-outcomes of six consecutive cases in a single institution.

Langenbecks Arch Surg 2019 Feb 15;404(1):115-121. Epub 2019 Jan 15.

Division of Gastroenterology and Hepatology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Purpose: Anastomotic leakages or staple line defects after Roux-en-Y gastric bypass (RYGB) and primary laparoscopic sleeve gastrectomy (LSG), respectively, with consecutive bariatric revisional surgery are associated with relevant morbidity and mortality rates. Endoscopic vacuum therapy (EVT) with or without stent-over-sponge (SOS) has been shown to be a promising therapy in foregut wall defects of various etiologies and may therefore be applied in the treatment of postbariatric leaks.

Methods: We report the results of six consecutive patients treated with EVT (83% in combination with SOS) for early postoperative leakages in close proximity to the esophagogastric junction (EGJ) after LSG (n = 2) and RYGB (n = 4) from May 2016 to May2018. Read More

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http://dx.doi.org/10.1007/s00423-019-01750-9DOI Listing
February 2019
1 Read

Can preoperative vitamin D deficiency predict postoperative hypoparathyroidism following thyroid surgery?

Langenbecks Arch Surg 2019 Feb 14;404(1):55-61. Epub 2019 Jan 14.

Department of Endocrine Surgery, Catholic Hospital Mainz, An der Goldgrube 11, 55131, Mainz, Germany.

Importance: Postoperative hypoparathyroidism remains a relevant problem after thyroid surgery. Although the roles of vitamin D deficiency and other risk factors have been discussed in previous studies, variable results have been reported.

Objective: Predicting the risk of postoperative hypocalcemia could be helpful for individual prognoses and medical treatment. Read More

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http://dx.doi.org/10.1007/s00423-019-01748-3DOI Listing
February 2019
1 Read

Comparison of end-to-end anastomosis and interposition graft during pancreatoduodenectomy with portal vein reconstruction for pancreatic ductal adenocarcinoma.

Langenbecks Arch Surg 2019 Mar 10;404(2):191-201. Epub 2019 Jan 10.

Department of Surgery, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho, Ogaki, Gifu, 503-8502, Japan.

Purpose: Many studies report that pancreatoduodenectomy (PD) with portal-superior mesenteric vein resection and reconstruction (PVR) is not a contraindication to extended tumor resection for pancreatic ductal adenocarcinoma. However, the clinical benefit of an interposition graft for PVR still remains controversial.

Methods: Between January 2001 and December 2017, 199 patients with pancreatic cancer underwent PD either with or without PVR, and their medical records were reviewed retrospectively, paying specific attention to the PVR methods and the long-term outcome. Read More

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http://dx.doi.org/10.1007/s00423-019-01749-2DOI Listing

Main pancreatic duct dilation greater than 6 mm is associated with an increased risk of high-grade dysplasia and cancer in IPMN patients.

Langenbecks Arch Surg 2019 Feb 5;404(1):31-37. Epub 2019 Jan 5.

Pancreatic Surgery Unit, Division of Surgery, Department of Clinical Science, Intervention, and Technology, Karolinska Institutet, Stockholm, Sweden.

Introduction: IPMNs, considered precursor lesions of pancreatic adenocarcinoma (PDAC), might display histological alteration varying from low-grade dysplasia (LGD) to cancer. Nevertheless, the prevalence of PDAC is far below the prevalence of IPMN; therefore, not all of these precursor lesions finally progress to cancer. Preoperative features consistent with and finding at final histology of high-grade dysplasia (HGD) or cancer are currently lacking. Read More

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http://link.springer.com/10.1007/s00423-018-1740-8
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http://dx.doi.org/10.1007/s00423-018-1740-8DOI Listing
February 2019
3 Reads

Comparison of double-flap and OrVil techniques of laparoscopy-assisted proximal gastrectomy in preventing gastroesophageal reflux: a retrospective cohort study.

Langenbecks Arch Surg 2019 Feb 5;404(1):81-91. Epub 2019 Jan 5.

Department of Surgery, Kitasato University School of Medicine, Kitasato 1-15-1, Minami-ku, Sagamihara, 252-0374, Japan.

Background: Laparoscopy-assisted proximal gastrectomy (LAPG) with esophagogastrostomy using the double-flap technique has been reported to rarely cause gastroesophageal reflux. However, quantitative evaluation of the reflux has hardly been performed. The aim of this study was to clarify the superiority of the double-flap technique of LAPG with esophagogastrostomy compared with the OrVil technique in terms of preventing gastroesophageal reflux. Read More

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http://dx.doi.org/10.1007/s00423-018-1743-5DOI Listing
February 2019

Thoracoabdominal versus transhiatal surgical approaches for adenocarcinoma of the esophagogastric junction-a systematic review and meta-analysis.

Langenbecks Arch Surg 2019 Feb 3;404(1):103-113. Epub 2019 Jan 3.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Purpose: The aim of this systematic review and meta-analysis was to compare the oncological and perioperative outcomes of transhiatally extended gastrectomy (TEG) and thoracoabdominal esophagectomy (TAE) for therapy of adenocarcinomas of the esophagogastric junction (AEG) with focus on AEG type II, as the optimal approach for these tumors is still unclear.

Methods: MEDLINE, EMBASE, and the Cochrane Library (CENTRAL) were searched until July 24, 2018. Studies comparing TAE and TEG for surgical treatment of AEG type tumors have been included. Read More

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http://dx.doi.org/10.1007/s00423-018-1745-3DOI Listing
February 2019

Red blood cell transfusion in liver resection.

Langenbecks Arch Surg 2019 Feb 3;404(1):1-9. Epub 2019 Jan 3.

Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Background: Several modalities exist for the management of hepatic neoplasms. Resection, the most effective approach, carries significant risk of hemorrhage. Blood loss may be corrected with red blood cell transfusion (RBCT) in the short term, but may ultimately contribute to negative outcomes. Read More

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http://dx.doi.org/10.1007/s00423-018-1746-2DOI Listing
February 2019
2 Reads

Stringent fluid management might help to prevent postoperative ileus after loop ileostomy closure.

Langenbecks Arch Surg 2019 Feb 3;404(1):39-43. Epub 2019 Jan 3.

Department of Visceral Surgery, Lausanne University Hospital CHUV, Bugnon 46, 1011, Lausanne, Switzerland.

Purpose: The present study aimed to analyze the impact of perioperative fluid management on postoperative ileus (POI) after loop ileostomy closure.

Methods: Consecutive loop ileostomy closures over a 6-year period (May 2011-May 2017) were included. Main outcomes were POI, defined as time to first stool beyond POD 3, and postoperative complications of any grade. Read More

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http://dx.doi.org/10.1007/s00423-018-1744-4DOI Listing
February 2019

Editorial comment: different perspectives on severity of postoperative morbidity.

Langenbecks Arch Surg 2018 Dec 3;403(8):1029-1030. Epub 2019 Jan 3.

Department of Surgery and Transplantation, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

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http://link.springer.com/10.1007/s00423-018-1738-2
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http://dx.doi.org/10.1007/s00423-018-1738-2DOI Listing
December 2018
2 Reads

Pure Laparoscopic Right Posterior Sectionectomy Using the Glissonean Approach and a Modified Liver Hanging Maneuver (Video).

Authors:
Ji Hoon Kim

J Gastrointest Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Surgery, College of Medicine, Eulji University, Daejeon, Republic of Korea.

Background: Laparoscopic right posterior sectionectomy is technically challenging secondary to poor exposure of the surgical field and difficulty with controlling hemorrhage during deeper parenchymal transection Cho et al., Surgery 158:135-141, 2015; Lee et al., Surgery 160:1219-1226, 2016. Read More

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http://dx.doi.org/10.1007/s11605-018-4066-5DOI Listing
December 2018
2 Reads

Intraoperative stent placement for the treatment of acute portal vein complications in pediatric living donor liver transplantation.

Langenbecks Arch Surg 2019 Feb 15;404(1):123-128. Epub 2018 Dec 15.

Department of General Surgery, Division of HPB Surgery and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina.

Purpose: Pediatric living donor liver transplantation (LDLT) in low weight recipients remains one of the most complex surgical procedures, with portal vein (PV) complications occurring in up to 19% of cases. When decreased PV flow is diagnosed intra- or perioperatively, intraoperative stent placement is a good substitute for surgical adjustment. Still, at the present moment, little is known about the technical feasibility, safety, efficacy, and long-term outcome of intraoperative stenting in LDLT. Read More

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http://dx.doi.org/10.1007/s00423-018-1741-7DOI Listing
February 2019
5 Reads

Complex gastric surgery in Germany-is centralization beneficial? Observational study using national hospital discharge data.

Langenbecks Arch Surg 2019 Feb 14;404(1):93-101. Epub 2018 Dec 14.

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt GmbH, Darmstadt, Germany.

Purpose: This observational study explored the association between hospital volume and short-term outcome following gastric resections for non-bariatric indication, aiming to contribute to the discussion on centralization of complex visceral surgery in Germany.

Methods: Based on complete national hospital discharge data from 2010 to 2015, the association between hospital volume and in-hospital mortality was evaluated according to volume quintiles and volume deciles. Case-mix differences regarding surgical indication, age, sex, and comorbidities were considered for risk adjustment. Read More

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http://dx.doi.org/10.1007/s00423-018-1742-6DOI Listing
February 2019
1 Read

Contemporary practice and short-term outcomes after liver resections in a complete national cohort.

Langenbecks Arch Surg 2019 Feb 5;404(1):11-19. Epub 2018 Dec 5.

Clinical Surgery, Royal Infirmary of Edinburgh and University of Edinburgh, Edinburgh, UK.

Background: Improved outcome after liver resections have been reported in several series, but outcomes from national cohorts are scarce. Our aim was to evaluate nationwide practice and short-term outcomes after liver surgery in a universal healthcare system.

Methods: A complete 5-year cohort of all liver resections from the Norwegian Patient Registry (NPR). Read More

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http://link.springer.com/10.1007/s00423-018-1737-3
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http://dx.doi.org/10.1007/s00423-018-1737-3DOI Listing
February 2019
4 Reads

How radical is total parathyroidectomy in patients with renal hyperparathyroidism?

Langenbecks Arch Surg 2018 Dec 5;403(8):1007-1013. Epub 2018 Dec 5.

Section of Endocrine Surgery, Division of General Surgery, Department of Surgery, Medical University of Vienna, Waehringer Gürtel 18-20, A-1090, Vienna, Austria.

Purpose: Total parathyroidectomy (tPTX) in patients with renal hyperparathyroidism (RHPT) aims at the complete removal of all hyperfunctioning parathyroid tissue. Whenever parathyroidectomy is termed "total," undetectable postoperative parathyroid hormone (PTH) levels within the first postoperative week are expected. The aim of this study was to evaluate if tPTX is technically possible using a radical surgical procedure. Read More

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http://dx.doi.org/10.1007/s00423-018-1739-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328515PMC
December 2018
3 Reads

Cellularity in low-grade Pseudomyxoma peritonei impacts recurrence-free survival following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.

Langenbecks Arch Surg 2018 Dec 1;403(8):985-990. Epub 2018 Dec 1.

Department of General, Visceral and Transplant Surgery, University of Tübingen, Comprehensive Cancer Center, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Purpose: Documentation of cellularity in Pseudomyxoma peritonei (PMP) is not performed on a regular basis in everyday clinical practice, but is recommended by the PSOGI (Peritoneal Surface Oncology Group International). We investigated the impact of cellularity in PMP following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) on recurrence-free survival.

Methods: Data from 25 patients with low-grade (American Joint Committee on Cancer grade G1) PMP were retrospectively evaluated. Read More

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http://dx.doi.org/10.1007/s00423-018-1735-5DOI Listing
December 2018

Effect of early administration of coagulation factor XIII on fistula after pancreatic surgery: the FIPS randomized controlled trial.

Langenbecks Arch Surg 2018 Dec 30;403(8):933-940. Epub 2018 Nov 30.

Department of Hepatobiliary-Pancreatic Surgery, Japanese Foundation for Cancer Research, Cancer Institute Hospital, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Purpose: The administration of exogenous factor XIII (FXIII) is reportedly effective for fistula closure in patients with a low plasma FXIII level. This study was performed to analyze the effect of early administration of exogenous FXIII on postoperative pancreatic fistula (POPF).

Methods: A single-center randomized controlled, open-label, parallel group, superiority trial was conducted from October 2015 to August 2016 in Japan. Read More

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http://link.springer.com/10.1007/s00423-018-1736-4
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http://dx.doi.org/10.1007/s00423-018-1736-4DOI Listing
December 2018
11 Reads

Transcutaneous laryngeal ultrasonography (TLUS) as an alternative to direct flexible laryngoscopy (DFL) in the perioperative evaluation of the vocal cord mobility in thyroid surgery.

Langenbecks Arch Surg 2018 Dec 28;403(8):1015-1020. Epub 2018 Nov 28.

Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, D-45136, Essen, Germany.

Purpose: Direct flexible laryngoscopy (DFL) is the golden standard to evaluate the vocal cord (VC) function in thyroid and parathyroid surgery pre- and postoperatively. Transcutaneous laryngeal ultrasonography (TLUS) could represent an alternative to the DFL and has been evaluated in the present study comparing the results of both methods performed at two referral centers for endocrine pathologies.

Methods: In the setting of a retrospective study, 668 patients (560 female, 118 male; mean age 50. Read More

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http://dx.doi.org/10.1007/s00423-018-1734-6DOI Listing
December 2018
2 Reads

The role of non-invasive imaging techniques in detecting intra-abdominal adhesions: a systematic review.

Langenbecks Arch Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgery, Herlev Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.

Background: Intra-abdominal adhesions after surgery are highly prevalent. Adhesions implicate complications during subsequent surgery and can cause chronic abdominal pain. The objective of this review was to investigate the usefulness of non-invasive diagnostic methods for detection of adhesions. Read More

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http://dx.doi.org/10.1007/s00423-018-1732-8DOI Listing
November 2018

Short- and long-term outcomes of choledochojejunostomy during pancreaticoduodenectomy and total pancreatectomy: interrupted suture versus continuous suture.

Langenbecks Arch Surg 2018 Dec 24;403(8):959-966. Epub 2018 Nov 24.

Department of Surgery, Osaka International Cancer Institute, 3-1-69, Otemae, Chuo-ku, Osaka, 541-8567, Japan.

Purpose: Choledochojejunostomy can be performed with either interrupted sutures (IS) or continuous sutures (CS). No reports have compared the short- or long-term patient outcomes resulting from these two methods.

Methods: A total of 228 consecutive patients who underwent pancreaticoduodenectomy or total pancreatectomy were prospectively enrolled in this study. Read More

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http://link.springer.com/10.1007/s00423-018-1733-7
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http://dx.doi.org/10.1007/s00423-018-1733-7DOI Listing
December 2018
13 Reads

Laparoscopic right posterior sectionectomy: single-center experience and technical aspects.

Langenbecks Arch Surg 2019 Feb 21;404(1):21-29. Epub 2018 Nov 21.

Department of Gastroenterology and Hepatology, KU Leuven, Leuven, Belgium.

Purpose: Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure.

Methods: This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Read More

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http://dx.doi.org/10.1007/s00423-018-1731-9DOI Listing
February 2019
11 Reads

Surgical anatomy of the external branch of the superior laryngeal nerve: a systematic review and meta-analysis.

Langenbecks Arch Surg 2018 Nov 14;403(7):811-823. Epub 2018 Nov 14.

International Evidence-Based Anatomy Working Group, 12 Kopernika St., 31-034, Krakow, Poland.

Purpose: To provide a comprehensive evidence-based assessment of the anatomical characteristics of the external branch of the superior laryngeal nerve (EBSLN).

Materials And Methods: A thorough systematic search was performed on the major electronic databases PubMed, EMBASE, Cochrane library, and ScienceDirect to identify eligible studies. Data were extracted and pooled into a meta-analysis. Read More

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http://link.springer.com/10.1007/s00423-018-1723-9
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http://dx.doi.org/10.1007/s00423-018-1723-9DOI Listing
November 2018
9 Reads
2.160 Impact Factor

Invited commentary: advantages and cautions for developing valid prognostic models of simultaneous pancreas and kidney transplantation outcomes.

Langenbecks Arch Surg 2018 Nov 12. Epub 2018 Nov 12.

Division of Pancreas and Kidney Transplantation, Department of Nephrology, Heidelberg University Hospital, Heidelberg, Germany.

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http://link.springer.com/10.1007/s00423-018-1729-3
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http://dx.doi.org/10.1007/s00423-018-1729-3DOI Listing
November 2018
11 Reads

Extended laparoscopic distal pancreatectomy for adenocarcinoma in the body and tail of the pancreas: a single-center experience.

Langenbecks Arch Surg 2018 Dec 11;403(8):941-948. Epub 2018 Nov 11.

The Intervention Center, Oslo University Hospital, Rikshospitalet, 0027, Oslo, Norway.

Purpose: Extended resection is required for pancreatic adenocarcinoma infiltrating adjacent organs and structures. The role of laparoscopy in this setting is unclear. In this study, the outcomes of extended laparoscopic distal pancreatectomy (ELDP) for pancreatic body/tail adenocarcinoma were examined. Read More

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http://dx.doi.org/10.1007/s00423-018-1730-xDOI Listing
December 2018
3 Reads

Safety and efficacy of subtotal or total parathyroidectomy for patients with secondary or tertiary hyperparathyroidism in four academic centers in the Netherlands.

Langenbecks Arch Surg 2018 Dec 10;403(8):999-1005. Epub 2018 Nov 10.

Department of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands.

Purpose: Hyperparathyroidism (HPT) is a common abnormality in patients with end-stage renal disease (ESRD). Since the introduction of cinacalcet in 2004, a shift from surgery toward predominantly medical treatment has occurred. Surgery is thought to be associated with more complications than oral medication. Read More

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http://link.springer.com/10.1007/s00423-018-1726-6
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http://dx.doi.org/10.1007/s00423-018-1726-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328516PMC
December 2018
10 Reads

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study.

Langenbecks Arch Surg 2018 Dec 10;403(8):991-998. Epub 2018 Nov 10.

Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.

Purpose: Many different operations have been proposed for treating rectal prolapse, with varying recurrence rates and functional outcome. The main purpose of this study was to assess long-term results of surgery for prolapse of the rectum.

Methods: We carried out a retrospective study to evaluate changing trends in surgical strategies and outcome in all patients treated in our hospital over 19 years. Read More

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http://link.springer.com/10.1007/s00423-018-1728-4
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http://dx.doi.org/10.1007/s00423-018-1728-4DOI Listing
December 2018
3 Reads

Thoracoscopic esophagectomy with total meso-esophageal excision reduces regional lymph node recurrence.

Langenbecks Arch Surg 2018 Dec 9;403(8):967-975. Epub 2018 Nov 9.

Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru MoriokaIwate, 020-8505, Iwate, Japan.

Purpose: We investigated the operative outcomes of thoracoscopic esophagectomy (TE) in the prone position, using the concept of total meso-esophageal excision for esophageal cancer.

Methods: The medical records of 140 consecutive patients with esophageal cancer who underwent radical esophagectomy by TE were reviewed retrospectively, and operative outcomes were compared between patients treated before (non-meso-esophagus; non-ME group) and after (ME group) the introduction of total meso-esophageal excision (ME).

Results: There were no significant differences between the groups in postoperative morbidity (non-ME group vs. Read More

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http://dx.doi.org/10.1007/s00423-018-1727-5DOI Listing
December 2018

Pancreatic surgery: we need clear definitions.

Langenbecks Arch Surg 2019 Mar 6;404(2):159-165. Epub 2018 Nov 6.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.

Background: Pancreatic surgery has undergone substantial changes during the last decades. Improved surgical techniques and perioperative care have contributed to improved outcomes and allow safe surgery with mortality rates below 5% in specialized centers today. In parallel, surgical indications and procedures have been continuously extended especially with regard to pancreatic cancer surgery including vascular resections and multivisceral approaches for advanced findings. Read More

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http://link.springer.com/10.1007/s00423-018-1725-7
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http://dx.doi.org/10.1007/s00423-018-1725-7DOI Listing
March 2019
12 Reads