11,997 results match your criteria Minerva chirurgica[Journal]


Outcomes of laparoscopic surgery for pT3/pT4 colorectal cancer in young vs. old patients.

Minerva Chir 2019 Feb 13. Epub 2019 Feb 13.

Department of General Surgery, University Hospital of Trieste, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.

Background: Laparoscopy for locally advanced colorectal cancer is not standardized yet and its potential risks and benefits in elderly patients are still under debate. The aim of this study was to evaluate clinical and oncologic results of laparoscopic surgery for pT3/pT4 lesions in both old and young people.

Methods: Between 2006 and 2015, 115 patients aged <70 years and 112 patients aged ≥70 years underwent elective laparoscopic surgery for pT3/pT4 colorectal cancer presenting without distant metastasis at the Department of General Surgery, Trieste. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07895-7DOI Listing
February 2019

Cholecystectomy for acute cholecystitis in octogenarians: impact of advanced age on post-operative outcome.

Minerva Chir 2019 Feb 13. Epub 2019 Feb 13.

Emergency Surgery Unit, St. Orsola University Hospital, Alma Mater Studiorum, Bologna, Italy.

Background: The number of surgical operations in elderly patients is increasing due to the aging demographics of western populations. The aim of the present study was to investigate the peri- operative outcome of octogenarian patients undergoing cholecystectomy for acute cholecystitis.

Methods: We performed a retrospective analysis including all patients who underwent cholecystectomy for acute cholecystitis from January 2013 to December 2017. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07891-XDOI Listing
February 2019
1 Read

Complications post-laparoscopic sleeve gastric resection: review of surgical technique.

Minerva Chir 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgery, University of L'Aquila, L'Aquila, Italy.

Background: Laparoscopic Sleeve Gastrectomy (LSG) has become a very frequent procedure in bariatric surgery. Despite its simplicity, it can have serious complications. Among these, gastric leak is one of the most feared complications. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07883-0DOI Listing
February 2019
3 Reads

Which is the best pancreatic anastomosis?

Minerva Chir 2019 Jan 18. Epub 2019 Jan 18.

Università Vita e Salute, Milan, Italy -

Post-operative pancreatic fistula is responsible for most of the complications following pancreaticoduodenectomy and several surgical techniques and strategies to prevent it have been suggested. None of these was ever proved to be the safest. Aim of this review is to present existing evidences on the best pancreatic anastomosis. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07997-5DOI Listing
January 2019
1 Read

Tracheostomy after total thyroidectomy: indications and results in a series of 3214 operations.

Minerva Chir 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgical Sciences, Policlinico di Monserrato, University of Cagliari, Monserrato, Cagliari, Italy.

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http://dx.doi.org/10.23736/S0026-4733.19.07907-0DOI Listing
January 2019
1 Read

Prostate cancer surgery: a voyage through time.

Minerva Chir 2019 Feb;74(1):26-27

Department of Urology, Center of Laparoscopic and Medical Oncology, Vincenzo Pansadoro Foundation, Rome, Italy -

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http://dx.doi.org/10.23736/S0026-4733.18.07927-0DOI Listing
February 2019
1 Read

Preoperative vitamin D levels do not relate with the risk of hypocalcemia following total thyroidectomy. A cohort study.

Minerva Chir 2019 Feb;74(1):14-18

Department of General and Endocrine Surgery, CHU Poitiers, University of Poitiers, Poitiers, France -

Background: Hypocalcemia is the most common complication following total thyroidectomy. Few factors may relate with increased risk of postoperative hypocalcemia. Preoperative vitamin D values have been evaluated in few studies, but reports present conflicting data. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07456-4DOI Listing
February 2019
2 Reads
0.707 Impact Factor

Standard stapled transanal rectal resection vs stapled transanal rectal resection with only one high volume stapler in the prevention of complications in old patient: our experience.

Minerva Chir 2019 Jan 4. Epub 2019 Jan 4.

Departement of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy -

Background: The causes of obstructed defecation syndrome (ODS) can actually be either functional or mechanical (primary or secondary deficit of the sensitivity, slow bowel transit, pelvic floor dyssynergia, internal and external rectal prolapse, recto-anal intussusceptions, anterior or posterior rectocele and pelvic prolapse of the bladder, uterus, bowel or sigma). The aim of our study was evaluate the safety, efficacy and feasibility of Transanal Rectal Resection (STARR) procedure performed by a single or double stapler through clinical and functional outcomes for transanal stapled surgery.

Methods: From January 2016 to October 2017, ninety patients with ODS secondary to rectal prolapse, anal-rectal intussusception and anterior rectocele, that underwent to a STARR procedures were enrolled. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07725-8DOI Listing
January 2019
3 Reads

Surgical resection of liver metastasis in pancreatic and periampullary carcinoma.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgery, Virgen de la Arrixaca Clinic and University Hospital, IMIB, Murcia, Spain.

Introduction: Once liver metastases in pancreatic and periampullary carcinoma are diagnosed, guidelines do not recommend resection of the primary tumor. In this stage of the disease, therapeutic regimes with chemotherapy are the stantadard treatment. However, it is unclear whether combinations of extensive surgery and novel chemotherapy treatments confer a survival benefit in selected patients. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07972-5DOI Listing
January 2019
1 Read

Laparoscopic pancreaticoduodenectomy: patient interest should be the goal of health care.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Digestive, Oncological and Transplant Surgery, Paul Brousse Hospital, Université Paris-Saclay, Villejuif, France.

Pancreatic ductal adenocarcinoma (PDAC) is the fourth deadliest malignancy in developed countries and is predicted to become the second one within the 2030. The present work focuses on the state of the art of laparoscopic PD (LPD), including results of recent randomized trials, and discusses technical challenge and patient's interest of this technique. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07956-7DOI Listing
January 2019

How to close the pancreatic stump and the role of sealants.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

HPB Surgery, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.

Postoperative pancreatic fistula (POPF) is the most common and also the most threatening complication following distal pancreatectomy (DP). For this reason, morbidity and mortality of this operation remain still high. Over the last two decades, many different studies have been performed aiming to reduce the rate and the severity of POPF. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07945-2DOI Listing
January 2019
3 Reads

Pancreatoduodenectomy with artery-first approach.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Liver, Biliary and Pancreatic Unit, Department of General Surgery, Hospital Clínico, University of Valencia, Valencia, Spain -

"Artery-first approach" encompasses different aspects for the surgical treatment of pancreatic cancer. It is a surgical technique or set of techniques which share in common the dissection of the main arterial vasculature involved in pancreatic cancer, before any irreversible surgical step is performed. On the other hand it represents the need for a meticulous dissection of the arterial planes and clearing of the retropancreatic tissue between the superior mesenteric artery, the common hepatic artery and portal vein in an attempt to achieve R0 resections. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07944-0DOI Listing
January 2019
1 Read

Individualized tension-free inguinal hernia repair in elderly patients: a retrospective study of 1652 consecutive cases in one center.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, P.R. China -

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http://dx.doi.org/10.23736/S0026-4733.18.07942-7DOI Listing
January 2019

Ablation treatments in unresectable pancreatic cancer.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

General and Pancreatic Surgery Unit, Pancreas Institute, Policlinico GB Rossi Hospital, University of Verona, Verona, Italy.

Ablation treatments have been increasingly applied as an alternative treatment for unresectable locally advanced pancreatic cancer (LAPC). The goal of LAPC therapy is surgical resection with negative margins (R0); however, that can be achieved only in a minority of patients and only following neoadjuvant treatment. Ablation might be useful for those patients with unresectable LAPC that do not progress towards metastatic stage and do not experience a true downstaging. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07881-1DOI Listing
January 2019

A study on the impacts of preoperative maximum detrusor pressure on minimally invasive surgery effect on patients with benign prostatic hyperplasia.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Andrology, Hospital of Nanchang Institute of Medical Sciences, Nanchang, P.R. China -

Background: This study aims to investigate the impacts of preoperative maximum detrusor pressure (Pdet.max) on minimally invasive surgery effect on patients with benign prostatic hyperplasia.

Methods: The clinical data of a total of 156 patients receiving minimally invasive surgery for benign prostatic hyperplasia in Hospital of Nanchang Institute of Medical Sciences from August 2014 to June 2017 were retrospectively reviewed and summarized. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07880-XDOI Listing
January 2019
9 Reads

Therapeutic effects of anterolateral thigh flap transfer in repairing oral and maxillofacial defects after ablative surgery of neoplasms.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Nephrology, Nanfang Hospital (The First School of Clinical Medicine), Southern Medical University, Guangzhou, P.R. China.

Background: To investigate the therapeutic effects of anterolateral thigh flap transfer in repairing oral and maxillofacial defects after ablative surgery of neoplasms and to discuss perioperative psychological care.

Methods: A total of 80 patients who received oral and maxillofacial surgery for tumor resection in Nanfang Hospital from October 2014 to August 2016 were selected. Patients were randomly divided into control group and observation group, 40 patients in each group. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A190
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http://dx.doi.org/10.23736/S0026-4733.18.07820-3DOI Listing
January 2019
7 Reads

External hemorrhoidal thrombosis in the elderly patients: conservative and surgical management.

Minerva Chir 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy -

Background: External hemorrhoidal thrombosis is a common disease with an acute anal pain as the major symptom. It is astonishing the lack of studies which investigates the most effective treatment and there are not guidelines. Furthermore nobody has evaluated this peculiar condition in elderly people. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07724-6DOI Listing
January 2019
2 Reads

Structured training program in colorectal surgery: the robotic surgeon as a new paradigm.

Minerva Chir 2018 Nov 21. Epub 2018 Nov 21.

Department of General and Minimally-Invasive Surgery, Misericordia Hospital, Grosseto, Italy.

Background: One major issue in general surgery is how to provide novice surgeons with a structured training program (STP). The aim of our study is to assess the efficacy of a STP in robotic colorectal surgery for young surgeons without prior experience in both open and laparoscopic colorectal surgery, who were autonomous in basic minimally-invasive surgical procedures. Right colectomy with intracorporeal anastomosis has been chosen as a model. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07951-8DOI Listing
November 2018
2 Reads

The Video Consulting Emergency (VCE) protocol: a proposition from the World Society of Emergency Surgery members for the initial management of non traumatic acute abdomen.

Minerva Chir 2018 Nov 27. Epub 2018 Nov 27.

Emergency and Trauma Surgery Department, University Hospital of Parma, Parma, Italy.

Background: Our aim is to present the Video-Consulting Emergency (VCE) protocol to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smart phone and the FaceTime application and the Acute Abdominal Decision Making (AADM) model proposed by World Society of Emergency Surgeons members.

Methods: VCE protocol involves emergency physician and the on-call emergency surgeon. Both must be provided a smart phone for 24-hours video-consulting with FaceTime application. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07963-4DOI Listing
November 2018

Pancreatoscopy in endoscopic treatment of pancreatic duct stones, systematic review.

Minerva Chir 2018 Oct 29. Epub 2018 Oct 29.

Department of General Internal Medicine and Gastroenterology, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany -

Introduction: Treatment of chronic calcifying pancreatitis is challenging and requires an interdisciplinary approach including endoscopist, surgeon and radiologist. With advances in endoscopic technology therapeutic interventions in the pancreatic duct became available. ESWL is still recommended to be first line treatment, hence peroral pancreatoscopy (POP) guided intracorporal lithotripsy is a promising supplement in endoscopic therapy especially if ESWL is unsuccessful or not available. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07932-4DOI Listing
October 2018
2 Reads
0.710 Impact Factor

Endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass patients.

Authors:
Tom G Moreels

Minerva Chir 2018 Oct 18. Epub 2018 Oct 18.

Department of Gastroenterology & Hepatology, Cliniques universitaires Saint-Luc, Brussels, Belgium -

Roux-en-Y gastric bypass surgery remains a popular surgical intervention worldwide to treat morbid obesity. It is effective and relatively safe. However, one of the results related to bariatric surgery-induced rapid weight loss is the development of biliary stones. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07929-4DOI Listing
October 2018
9 Reads

Clinical effects of prosthetic mesh in the treatment of incarcerated groin hernias.

Minerva Chir 2018 Oct 18. Epub 2018 Oct 18.

Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Background: Incarceratedgroin hernias are a common presentation as surgical emergencies. Other surgical treatment modalities are becoming more widely accepted including the use of prosthetic mesh and laparoscopy for assessment of hernia content viability and for repair. Our study were to report our current experience with the use of prosthetic mesh in the treatment of incarcerated hernias and to compare the effects of different operative approaches. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07824-0DOI Listing
October 2018
9 Reads

Peripheral lymphadenopathy: role of excisional biopsy in differential diagnosis based on a five-year experience.

Minerva Chir 2018 Oct 9. Epub 2018 Oct 9.

Department of Surgery, AOU Policlinico of Modena, University of Modena and Reggio Emilia, Modena, Italy.

Background: Peripheral lymphadenopathy can be caused by benign disease, or it could be a manifestation of underlying haematological disease or metastasis of a yet undiagnosed malignant condition. Fine-needle aspiration cytology (FNAC) and image- guided core biopsy usually make up the first line of investigation. There are several disadvantages to these techniques: FNAC is an acellular aspirate that may provide non- diagnostic specimens, while core biopsy may fail in the presence of composite lymphoma, nodal necrosis, and insufficiency or fragmentation of the specimens. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07752-0DOI Listing
October 2018
4 Reads

Surgical treatment of acute complicated diverticulitis in the elderly.

Minerva Chir 2018 Oct 9. Epub 2018 Oct 9.

Medical Surgical Science and Translational Medicine Department, Sapienza University, Rome, Italy.

Introduction: Although the true prevalence is unknown, colonic diverticulosis is one of the most common disease of the digestive tract in Western countries. Based on administrative data of hospitalized patients, the incidence of diverticulitis has been increasing in last decades. In general, elderly patients undergo less frequently an elective colonic resection; but a substantial part of emergency surgeries is performed in elderly patients. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07744-1DOI Listing
October 2018
13 Reads

Perforated vs nonperforated acute appendicitis: evaluation of short-term surgical outcomes in an elderly population.

Minerva Chir 2018 Oct 9. Epub 2018 Oct 9.

Medical School, University of Perugia, Perugia, Italy.

Background: Acute appendicitis is a common acute surgical abdominal condition and despite that most of cases are observed in children and young adults, its occurrence in the elderly seems to be increasing, with a higher risk of perforation. The aim of this study was to evaluate the surgical outcomes following appendectomy for acute appendicitis in the elderly, making a comparison between perforated and nonperforated groups regarding operative time, hospital stay and postoperative complications.

Methods: The medical records of 48 patients over the age of 60 years who had a pathologically confirmed diagnosis of acute appendicitis from January 2011 to December 2016 were retrospectively reviewed. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4733.18.07715-5DOI Listing
October 2018
1 Read

Leak after sleeve gastrectomy: how long do we have to be worried?

Minerva Chir 2018 10;73(5):522-524

Department of Medical-Surgical Sciences and Biotechnologies, Division of General Surgery and Bariatric Centre of Excellence, "La Sapienza" University of Rome, Rome, Italy.

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http://dx.doi.org/10.23736/S0026-4733.18.07551-XDOI Listing
October 2018
1 Read

Sigmoid metastasis from endometrioid cancer.

Minerva Chir 2018 08;73(4):447-449

Division of Surgical Oncology, Department of Cardiothoracic and Respiratory Sciences, School of Medicine, Luigi Vanvitelli University of Campania, Naples, Italy.

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http://dx.doi.org/10.23736/S0026-4733.18.07748-9DOI Listing
August 2018
1 Read

Endoscopic treatment of early esophageal neoplasia.

Authors:
Jan Martinek

Minerva Chir 2018 08;73(4):353-354

Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic -

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http://dx.doi.org/10.23736/S0026-4733.18.07787-8DOI Listing
August 2018
2 Reads

Neuro-anatomic basis of potency recovery after radical prostatectomy: an expert's point of view.

Minerva Chir 2019 Feb 23;74(1):28-36. Epub 2018 Jul 23.

Department of Surgical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt.

Introduction: From 25% to 95% of those who have undergone radical prostatectomy (RP) report erectile dysfunction 12 months after surgery. We attempt a review of the available evidence regarding the anatomy of the cavernous nerves and the surgical refinements to enhance sexual function recovery after surgery.

Evidence Acquisition: The PubMed/Medline database was searched. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07848-3DOI Listing
February 2019
3 Reads
0.710 Impact Factor

The role of laparoscopic Nissen, Hill, and Nissen-Hill hybrid repairs for uncomplicated gastroesophageal reflux disease.

Minerva Chir 2018 Jul 23. Epub 2018 Jul 23.

Division of Thoracic and Foregut Surgery, Swedish Medical Center and Swedish Cancer Institute, Seattle, WA, USA -

There are several elements that constitute the lower esophageal barrier against reflux. What characterizes the abnormality seen in GERD is the loss of an effective barrier combined with refluxed gastric contents. Several techniques including those described by Nissen, Toupet and Hill have become options for reconstructing the physiologic barrier. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07833-1DOI Listing
July 2018
15 Reads

Robotic right colectomy with complete mesocolic excision and Indocyanine-green guidance.

Minerva Chir 2018 Jul 23. Epub 2018 Jul 23.

Division of Gastrointestinal Surgery, European Institute of Oncology, Milan, Italy.

Background: Robotic complete mesocolic excision (CME) has recently emerged as promising technique to enhance oncologic results in hemicolectomy for cancer. The potential near-infrared (NIR) fluorescence with indocyanine-green (ICG) dye for lymphatic mapping is under investigation and few small case-series are reported.

Methods: ICG solution was endoscopically injected the day before surgery in patients undergoing robotic right colectomy with CME using the Da Vinci Xi® system and the bottom to up technique. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07831-8DOI Listing
July 2018
8 Reads

Non-anatomical colonic resections: splenic flexure and transverse colectomy. Central vascular ligation is crucial for survival.

Minerva Chir 2018 Jul 23. Epub 2018 Jul 23.

Department of Oncology, Surgical Oncology and Digestive Surgery, San Luigi University Hospital (S.L.U.H.), Orbassano, Turin, Italy -

Background: Cancers of the transverse colon (TC) and of the splenic flexure (SF) are rather uncommon and their prognosis has been reported significantly poorer as compared to right- and left- sided colon cancers. Several studies tried to investigate which is the optimal surgery for oncological and survival outcomes reporting extended colectomies as more effective than limited resections.

Methods: All consecutive patients with diagnosis of colorectal cancer submitted to surgical resection with anastomosis between January 2005 and December 2016 at University of Turin, Department of Oncology, Division of Surgical Oncology and Digestive Surgery, were included. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07803-3DOI Listing
July 2018
8 Reads

Robot-assisted extended lymphadenectomy in prostate cancer.

Minerva Chir 2019 Feb 23;74(1):88-96. Epub 2018 Jul 23.

Section of Urology, Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.

Introduction: The extent of lymph node dissection (LND) and its potential survival benefit are still a matter of debate. Aim of our review was to summarize the latest literature data regarding the surgical templates, the potential oncological benefits, the functional outcomes and the complications of extended lymph node dissection (eLND) during robot-assisted radical prostatectomy (RARP).

Evidence Acquisition: We systematically reviewed all relevant studies using PubMed, MEDLINE, Embase, American Urological Association (AUA), European Society of Medical Oncology (ESMO) and European Association of Urology (EAU) guidelines. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07780-5DOI Listing
February 2019
12 Reads

Complete mesocolic excision for colonic cancer: a review.

Minerva Chir 2018 Jul 23. Epub 2018 Jul 23.

Department of Surgery IRCCS - Ca' Granda - Policlinico Hospital, University of Milan, Milan, Italy.

Introduction: Complete mesocolic excision for colonic cancer is similar in concept to total mesorectal excision for rectal cancer. This review aims to provide the embryological and anatomical rationale behind CME, and to review the current literature on CME, relative to the feasibility via laparoscopy, the oncological adequacy and outcomes.

Evidence Acquisition: A literature search was performed at the end of 2017 according the PRISMA guidelines for systematic reviews. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07777-5DOI Listing
July 2018
1 Read

Technical details to achieve perfect early continence after radical prostatectomy.

Minerva Chir 2019 Feb 23;74(1):63-77. Epub 2018 Jul 23.

Department of Urology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.

Urinary incontinence after radical prostatectomy (RP) is still an issue and may compromise patient quality of life and psychosocial behavior, regardless of oncologic outcomes. As this condition usually resolves by the end of the first postoperative year, many surgeons focused their attention on "early" return of urinary continence (UC). The aim of this non-systematic review is to present an overview of the current knowledge on the anatomy and the surgical techniques addressed to early functional recovery of continence after RP. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07761-1DOI Listing
February 2019
2 Reads

Indications, surgical technique, and long-term results of nerve sparing.

Authors:
Levent Türkeri

Minerva Chir 2019 Feb 23;74(1):54-62. Epub 2018 Jul 23.

Acıbadem University, Altunizade Hospital, Istanbul, Turkey -

Radical prostatectomy is frequently performed as a curative approach for clinically localized prostate cancer. In order to reduce the adverse effects of this operation on erectile function, preservation of neurovascular bundles was introduced as part of this operation. The decision of nerve sparing must be carefully tailored in each patient according to the stage of the disease. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07756-8DOI Listing
February 2019
1 Read

Right colectomy: a New York state of mind.

Minerva Chir 2018 Jul 23. Epub 2018 Jul 23.

Department of Colorectal Surgery, New York Medical College at Westchester Medical Center, Valhalla, NY, USA -

Although mortality rates attributable to colon cancer have significantly improved over the past decades, it is still one of the leading causes of death in the United States. As newer technology and surgical techniques and concepts are being introduced, substantial confusion and dissenting opinions have come into fray as well. Naturally, different practice patterns emerged in Asia, Western Europe as well as in the United States. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07693-9DOI Listing
July 2018
8 Reads
0.710 Impact Factor

One anastomosis gastric bypass: key technical features, and prevention and management of procedure-specific complications.

Minerva Chir 2018 Jul 18. Epub 2018 Jul 18.

Bariatric Unit, Department of General Surgery, Sunderland Royal Hospital, Sunderland, UK.

Introduction: One Anastomosis Gastric Bypass (OAGB) is now a recognised mainstream bariatric procedure being adopted by an increasing number of surgeons. The purpose of this review was to present an evidence-based summary of its key technical aspects and prevention and management of its specific complications.

Evidence Acquisition: We examined PubMed for all published articles on OAGB, including the ones published under one of its various other names. Read More

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https://www.minervamedica.it/index2.php?show=R06Y9999N00A180
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http://dx.doi.org/10.23736/S0026-4733.18.07844-6DOI Listing
July 2018
3 Reads

The "Wandering Spleen" as a rare cause of recurrent abdominal pain: a literature review.

Minerva Chir 2018 Jul 18. Epub 2018 Jul 18.

Unit of Hepatobilyopancreatic and Digestive Surgery, Department of Surgery, San Paolo Hospital, University of Milan, Milan, Italy.

Introduction: Wandering spleen (WS) is a rare and generally acquired condition, resulting from abnormal ligamentous laxity failing to fixate the spleen in its normal location in the left upper quadrant, thus leading to its migration to the pelvis due to gravity. Such migration leads to an elongated vascular pedicle, which is prone to torsion causing splenic infarction; thus, a prompt surgical intervention is recommended. Since this adverse event affects childbearing women or children, it is crucial to choose the most appropriate surgical strategy, such as splenectomy or splenopexy, both effective and widely diffused options. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07841-0DOI Listing
July 2018
3 Reads

Transanal transabdominal TME: how far can we push it?

Minerva Chir 2018 Dec 18;73(6):579-591. Epub 2018 Jul 18.

Surgical Health Outcomes Consortium, Orlando, FL, USA -

Over many decades, advances in surgical technology, such as the use of the electrocautery Bovie, development of minimally invasive and advanced endoscopic platforms and the ability to create and maintain pneumorectum have propelled surgical techniques forward to today, with development of the transanal total mesorectal excision TME (taTME) for en bloc resection of rectal cancers. The transanal platform offers, for now, a viable alternative to perform safe and oncologically sound TME, especially favorable in cases of low rectal lesions in a narrow pelvis post neoadjuvant treatment. The aspiration of the colorectal community remains to continue to push the operative boundaries whilst maintaining safe oncological principals with the best possible functional outcomes for patients. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07827-6DOI Listing
December 2018
2 Reads

Role of endosonography prior to endoscopic treatment of esophageal cancer.

Authors:
Tomas Hucl

Minerva Chir 2018 Aug 29;73(4):410-416. Epub 2018 Jun 29.

Department of Gastroenterology and Hepatology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic -

Esophageal cancer is a common disease with poor survival rates. The treatment and prognosis of patients with esophageal cancer depend on the stage of the disease. Accurate clinical staging is critical for stratifying patients for treatment. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07809-4DOI Listing
August 2018
3 Reads

Results following laparoscopic sleeve gastrectomy in elderly obese patients: a single center experience with follow up at three years.

Minerva Chir 2018 Jun 29. Epub 2018 Jun 29.

Department of Advanced Biomedical Sciences, "Federico II" University, Naples, Italy -

Background: Laparoscopic Sleeve Gastrectomy (LSG) represents the most performed bariatric surgical procedure worldwide. Morbid Overweight in elderly patients is becoming a significant health problem even in Italy. As well as in younger age groups, bariatric surgery could be indicated even in this subset of patients. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07757-XDOI Listing
June 2018
5 Reads

The main participation of the enterohormone GLP-1 after bariatric surgery.

Minerva Chir 2019 Feb 29;74(1):7-13. Epub 2018 Jun 29.

Department of Human Anatomy and Embryology, Faculty of Medicine, University of Cádiz, Cádiz, Spain -

Background: Numerous hypotheses are called to explain the beneficial effect on glucose metabolism after bariatric surgery. Some authors advocate for the secretion and release of various substances with endocrine functions for the explanation on this event. One of the substances most marked as effector, with contrasting effects but controversial data, is GLP-1. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07681-2DOI Listing
February 2019
26 Reads

Combined rectal and gynecologic surgery in complex pelvic floor dysfunction: clinical outcomes and quality of life of patients treated by a multidisciplinary group.

Minerva Chir 2018 06;73(3):345-347

Unit of Surgical Clinic, Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, and S. Anna University Hospital of Ferrara, Ferrara, Italy.

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http://dx.doi.org/10.23736/S0026-4733.18.07429-1DOI Listing
June 2018
1 Read
0.710 Impact Factor

Current knowledge and future perspectives in breast surgery: an overview.

Minerva Chir 2018 06;73(3):295-296

Group for REconstructive and Therapeutic Advancements (G.RE.T.A.), Milan, Naples, Catania, Italy -

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http://dx.doi.org/10.23736/S0026-4733.18.07738-6DOI Listing
June 2018
1 Read

Supplementation with Robuvit® in post-mastectomy post-radiation arm lymphedema.

Minerva Chir 2018 Jun;73(3):288-294

IRVINE3 Labs, CH-PE University, Chieti, Italy.

Background: Post-mastectomy lymphedema is one of the most significant, non-life-threatening complications following breast cancer surgery and radiotherapy. Post-mastectomy post-radiotherapy (PMPR) lymphedema is related to damages to lymphatics and/or veins during/after axillary surgery and radiotherapy. The management of this condition is very challenging; the comprehensive decongestive therapy (CTD), which combines physiotherapy, self-management, and hygiene, and is currently considered the standard management (SM). Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07667-8DOI Listing
June 2018
1 Read

Robotic right colonic resection. Is the robotic third arm a game-changer?

Minerva Chir 2018 May 31. Epub 2018 May 31.

Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, Chicago, IL, USA.

Background: Minimally invasive surgery (MIS) approaches have produces relevant advancements in the pre/intra/post-operative outcomes. The conventional laparoscopic approach presents similar oncological results in comparison to laparotomic approaches. Despite these evidences, a considerable part of the colorectal operations are still being performed in an open way. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07814-8DOI Listing
May 2018
15 Reads