Search Our Scientific Publications & Authors

J Pancreat Cancer 2020 12;6(1):32-39. Epub 2020 May 12.

Department of Surgery, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.

The neutrophil-to-lymphocyte ratio (NLR) is a marker of inflammation that has been investigated as a prognostic factor in many diseases. We hypothesized that NLR would be lower in patients undergoing minimally invasive distal pancreatectomy (MIDP). Using a prospective database, we identified patients who underwent open or minimally invasive (laparoscopic/robotic) distal pancreatectomy and splenectomy from 2006 to 2018. Read More

ANZ J Surg 2020 May 14. Epub 2020 May 14.

Department of Liver Surgery, Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.

Background: Research about the long-term outcomes of oesophagogastric devascularization and splenectomy (OGDS) to treat portal hypertension (PH) is scarce. This study aimed to evaluate the safety and long-term treatment efficacy of OGDS, especially in elderly patients.

Methods: During 2010-2016, open splenectomy and oesophagogastric devascularization (OSOD) and laparoscopic splenectomy and oesophagogastric devascularization were performed in 124 (group A) and 29 (group C) patients diagnosed with PH and liver cirrhosis, respectively. Read More

Case Rep Gastroenterol 2020 Jan-Apr;14(1):212-219. Epub 2020 Apr 22.

Department of Diagnostic Pathology, Omura Municipal Hospital, Omura, Japan.

Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a specific, tumor-forming, non-neoplastic, vascular lesion with few reported cases worldwide. Herein, we describe the case of a patient who underwent laparoscopic splenectomy for SANT. A 47-year-old woman underwent upper gastrointestinal endoscopy for suspected gastric submucosal tumor. Read More

World J Surg 2020 May 11. Epub 2020 May 11.

Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A100, Cleveland, OH, 44195, USA.

Introduction: With increasing frequency, patients with idiopathic splenomegaly are referred to surgeons for splenectomy. We evaluated the diagnostic utility of splenectomy and feasibility of a minimally invasive approach in the face of idiopathic splenomegaly.

Methods: We retrospectively reviewed 68 patients who underwent splenectomy for idiopathic splenomegaly. Read More

J Laparoendosc Adv Surg Tech A 2020 May 11. Epub 2020 May 11.

Department of Hematology, Institut Jules Bordet (ULB), Brussels, Belgium.

Laparoscopic splenectomy for malignant hemopathies has been associated with a higher morbidity than for benign hemopathies. Recent progress in medical and surgical treatment for malignant hemopathies may have improved the outcomes of laparoscopic splenectomy. The purpose of this study is to compare the outcomes of laparoscopic splenectomy for malignant hemopathies (SHM) and benign hemopathies (SHB). Read More

Gan To Kagaku Ryoho 2020 Apr;47(4):646-648

Dept. of Surgery, Kaizuka City Hospital.

We report a case of multiple lung metastasis of intrahepatic cholangiocarcinoma treated with chemotherapy, in which laparoscopic splenectomy was effective for thrombocytopenia. A 74-year-old woman was diagnosed with multiple lung metastasis of intrahepatic cholangiocarcinoma 6 years after partial liver resection(S3). She was undergoing treatment for post-transfusion hepatitis C infection since the age of 46 years and developed thrombocytopenia due to splenomegaly. Read More

World J Clin Cases 2020 Apr;8(8):1502-1506

Department of General Surgery, Changhua Christian Hospital, Changhua 50006, Taiwan.

Background: Axenfeld-Rieger syndrome (ARS) is an autosomal dominant genetic disease characterized by ocular developmental disorders and its association with torsion of wandering spleen (WS) has not been reported to date to the best of our knowledge. This study aimed to describe a rare case of ARS observed at our emergency department.

Case Summary: A 25-year-old female presented with a constant lower abdominal pain of increasing severity. Read More

Cureus 2020 Mar 25;12(3):e7414. Epub 2020 Mar 25.

Institute of Liver Studies, King's College Hospital NHS Foundation Trust, London, GBR.

Pancreatic fistula (PF) remains the primary source of morbidity after distal pancreatectomy (DP). There is currently no optimal stump closure technique to reduce PF rates. We present a novel technique for pancreatic stump closure using Clip Ligation of the duct and Associated Suturing of Pancreas (CLASP). Read More

Medicine (Baltimore) 2020 Apr;99(17):e19783

Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College.

Introduction: Solitary fibrous tumor (SFT) is an uncommon mesenchymal tumor that is most common in the pleura. However, according to previous studies, the SFT of the pancreas is extremely rare; only 20 cases have been reported so far. Here, we conduct a literature review and report the first case of atypical/malignant SFT of the pancreas with spleen vein invasion. Read More

Case Rep Med 2020 12;2020:4850675. Epub 2020 Apr 12.

Department of Digestive Surgery, Hotel Dieu de France Hospital, University Saint Joseph Medical School, Beirut, Lebanon.

Splenic abscess is a very rare complication of laparoscopic sleeve gastrectomy (LSG). Clinical presentation includes fever, leucocystosis, and abdominal pain. CT SCAN is a must for diagnosis. Read More

Surg Endosc 2020 Apr 22. Epub 2020 Apr 22.

Department of Hepatobiliary Surgery, Clinical Medical College, Yangzhou University, 98 West Nantong Rd, Yangzhou, 225000, China.

Background: Digestive system complications are among the most important causes of postoperative poor quality of life after open and conventional laparoscopic splenectomy and azygoportal disconnection (CLSD). We firstly developed a modified vagus nerve-preserving laparoscopic splenectomy and azygoportal disconnection (MVLSD). In this study, we aimed to evaluate whether MVLSD is feasible and safe and to determine whether MVLSD can effectively eliminate postoperative digestive system complications, in comparison with CLSD. Read More

Gastroenterol Res Pract 2020 27;2020:3825186. Epub 2020 Mar 27.

Department of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang 110840, China.

Background And Aims: Left-sided portal hypertension (LSPH) is a rare type of portal hypertension, which occurs due to obstruction, stenosis, or thrombosis within the splenic vein. Pancreatic diseases are the most common etiology of LSPH. This study is aimed at reporting our experiences and discussing the presentation, management, and prognosis of LSPH secondary to pancreatic diseases. Read More

Am J Case Rep 2020 Apr 17;21:e921685. Epub 2020 Apr 17.

Department of General Surgery, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.

BACKGROUND Splenosis is a benign condition involving the auto-transplantation of splenic tissue at various locations, resulting from splenic injury or splenectomy. CASE REPORT A 40-year-old male, with a history of remote exploratory laparotomy with splenectomy secondary to blunt abdominal trauma, presented with symptoms consistent with acute appendicitis, which was subsequently confirmed by computed tomography scan of the abdomen that further demonstrated the presence of multiple abdominal nodules, one of which was adjacent to the appendix. A laparoscopic appendectomy was then performed along with resection of the nodule located in the mesoappendix, which was confirmed to be a splenic tissue based on histopathological examination. Read More

Obes Surg 2020 Apr 17. Epub 2020 Apr 17.

Department of Surgery, School of Medicine, Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

One of the rare but serious complications of laparoscopic sleeve gastrectomy (LSG) with significant morbidity and mortality is gastropleural fistula (GPF). Here, we present a 34-year-old woman who underwent LSG. Due to leakage in the proximal site of the stapler line and splenic artery erosion into the site of leakage after 1 month, splenectomy and drainage catheter insertion was done. Read More

BMJ Case Rep 2020 Apr 9;13(4). Epub 2020 Apr 9.

General Surgery, University Hospital Ayr, Ayr, UK.

Splenic rupture is a potentially life-threatening condition and an uncommon short-term complication of granulocyte-colony stimulating factor (G-CSF) administration. It may present as acute abdominal pain or suddenly precipitously worsening anaemia with haemodynamic instability that requires urgent operative intervention for survival. We present a case of an atraumatic idiopathic splenic rupture in University Hospital, Ayr in a patient who received G-CSF treatment for chemotherapy-induced (methotrexate) pancytopenia and was successfully managed by laparoscopic splenectomy. Read More

JSLS 2020 Apr-Jun;24(2)

Department of General Surgery and Medico-Surgical Specialties, University of Catania, Italy, Policlinico Vittorio Emanuele Hospital, Via S. Sofia 78, 95123 Catania, Italy.

World J Clin Oncol 2020 Mar;11(3):162-168

Department of General Surgery, Brandon Regional Hospital, HCA West Florida Division/USF Consortium, Brandon, FL 33511, United States.

Background: Histiocytic sarcoma (HS) of the spleen is reported to be a rare and lethal disease. The clinicopathological features of splenic HS have not been well described. The objective of this paper is to describe the diagnosis and treatment of a case of this rare disease and provide a review of the literature. Read More

Surg Laparosc Endosc Percutan Tech 2020 04;30(2):e17

Updates Surg 2020 Mar 26. Epub 2020 Mar 26.

Department of Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, UK.

The aim of this study was to evaluate the trend in use, feasibility and safety of laparoscopy in a single level 1 European trauma centre. Laparoscopy in abdominal trauma is gaining acceptance as a diagnostic and a therapeutic tool as it reduces surgical invasiveness and may reduce post-operative morbidity. All trauma patients who underwent a laparoscopic procedure between January 2013 and December 2017 were retrospectively analysed. Read More

World J Surg 2020 Jul;44(7):2220-2228

Department of General Surgery, Fundeni Clinical Institute, 258 Fundeni Street, Bucharest, Romania.

Background: Hereditary spherocytosis (HS) is a common inherited disease affecting the erythrocyte membrane. Total splenectomy (TS) is effective in reducing hemolysis and decreasing the need of transfusions, but total removal of the spleen represents a potential risk factor for infectious and non-infectious complications. On the other hand, subtotal splenectomy (STS) could be an alternative therapy for HS. Read More

J Laparoendosc Adv Surg Tech A 2020 Mar 23. Epub 2020 Mar 23.

Second Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.

Concomitant laparoscopic splenectomy and cholecystectomy (CLSC) is performed for concurrent pathologies of the spleen and gallbladder. This systematic review aimed to evaluate the available evidence on its indications, operative technique, and outcomes. The PubMed and Cochrane bibliographical databases were searched from the beginning of time (last search: December 6, 2019) for studies reporting on CLSC. Read More

Zhonghua Wai Ke Za Zhi 2020 Mar;58(3):183-188

Department of Surgery, Xiangya Hospital of Central South University, Changsha 410008, China.

The cirrhotic portal hypertension is very common worldwide and poses a serious threat to the health of patients.Over past three decades, the surgical treatment for cirrhotic portal hypertension was strongly challenged by the drugs, endoscopy, interventional therapy and liver transplantation.However, under the multidisciplinary team(MDT) cooperative diagnosis and treatment mode, the surgical treatment still plays a unique and irreplaceable role. Read More

Ann Hepatobiliary Pancreat Surg 2020 Feb 27;24(1):57-62. Epub 2020 Feb 27.

Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.

Backgrounds/aims: The purpose of this study is to demonstrate that laparoscopic distal pancreatectomy in benign disease is is safer and more favorable to patients than open distal pancreatectomy.

Methods: We retrospectively reviewed data of 150 patients who underwent laparoscopic (n=69) or open (=81) distal pancreatectomy at a double institutes from 2008 to 2018. We reviewed each patient's history for age, sex, pathologic diagnosis. Read More

Curr Med Sci 2020 Feb 13;40(1):117-122. Epub 2020 Mar 13.

Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

This study was conducted to compare the feasibility, safety and effectiveness of the combined-laparoscopic splenectomy and esophagogastric devascularization (C-LSED) with open splenectomy and esophagogastric devascularization surgery (OSED) in patients with portal hypertension due to liver cirrhosis. From February 2014 to June 2018, 68 patients with portal hypertension were diagnosed as having serious gastroesophageal varices and/or hypersplenism in our center. Thirty patients underwent C-LSED and 38 patients received OSED. Read More

World J Gastrointest Surg 2020 Feb;12(2):55-67

Department of Gastroenterology, Advent Health Hospital, Orlando, FL 32804, United States.

Background: Colonoscopy is a safe and routine diagnostic and therapeutic procedure for evaluation of large bowel diseases. Most common procedure related complications include bleeding and perforation but rarely a splenic Injury.

Aim: To investigate the reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients. Read More

World J Clin Cases 2020 Feb;8(3):535-539

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, South Korea.

Background: Splenic peliosis is a disease characterized by widespread blood-filled cystic cavities within the parenchyma. Patients with this disease are usually asymptomatic; therefore, spontaneous or trauma-related rupture of the hemorrhagic cysts can occasionally cause life-threatening hemorrhagic shock.

Case Summary: A 51-year-old male patient with abdominal pain visited our emergency medical center two times with an interval of 2 mo. Read More

Int J Surg Case Rep 2020 11;67:250-253. Epub 2020 Feb 11.

Department of Surgery, University of the Philippines-Philippine General Hospital, Philippines.

Introduction: Splenic disease are uncommon and primary tumors of the spleen are very rare. These are classified as splenic cyst, benign and malignant tumors. Splenic lymphangioma is a rare, slow-growing benign tumor of the spleen. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Feb;23(2):163-169

Department of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.

To explore the feasibility, safety and long-term efficacy of laparoscopic total gastrectomy combined with distal pancreaticosplenectomy for the treatment of T4b gastric cancer. A retrospective cohort study was performed. Clinical data of consecutive patients with T4b gastric cancer invading pancreatic tail undergoing laparoscopic or open total gastrectomy combined with distal pancreaticosplenectomy from January 2010 to December 2014 were analyzed retrospectively. Read More

HPB (Oxford) 2020 Feb 13. Epub 2020 Feb 13.

Department of Biliary Surgery, West China Hospital, Sichuan University, PR China. Electronic address:

Background: To summarise the clinical features of Sclerosing angiomatoid nodular transformation (SANT) of the spleen and to compare the efficacy of three different surgical treatments.

Methods: We performed a retrospective analysis of patients with SANT of spleen treated at our center from 2009 to 2018. We compared the efficacy and safety of three different types of surgical procedures. Read More

Surg Endosc 2020 Feb 12. Epub 2020 Feb 12.

Sichuan University, Chengdu, China.

Background: Laparoscopic partial splenectomy (LPS) for splenic benign space-occupying lesions has been reported by many researchers; however, few studies have described methods to control intraoperative bleeding. Trustworthy experience in LPS with a satisfactory intraoperative hemorrhage control technique is therefore necessary. The current study aims to present our experience in LPS with temporary occlusion of the trunk of the splenic artery for controlling intraoperative bleeding with a large sample of 51 cases and to evaluate the safety, feasibility, and reproducibility of this technique. Read More

J Pediatr Surg 2020 Jan 16. Epub 2020 Jan 16.

Division of Pediatric Surgery, John R. Oishei Children's Hospital, Buffalo, NY.

Background: Nonoperative management (NOM) is commonly utilized in hemodynamically stable children with blunt splenic injuries (BSI). Guidelines published by the American Pediatric Surgical Association over the past 15 years support this approach. We sought to determine the rates and outcomes of NOM in pediatric BSI and compare trends between pediatric (PTC), mixed (MTC) and adult trauma centers (ATC). Read More

Ann Med Surg (Lond) 2020 Feb 20;50:10-13. Epub 2019 Dec 20.

Department of Biomedical and Clinical Sciences, L. Sacco Hospital University of Milan, Italy.

Background: Wandering spleen (WS) is a rare clinical entity resulting from the absence or maldevelopment of the ligaments normally involved in the attachment of the spleen in its normal position. WS can be a cause of acute abdomen leading to different complications ranging from torsion of the vascular pedicle to spleen infarction. Often, in absence of symptoms, it is an occasional finding during radiological exams and surgery represents the gold standard in the management of this unusual condition. Read More

ANZ J Surg 2020 Feb 4. Epub 2020 Feb 4.

Division of Hepatobiliary and Pancreatic Surgery, University Surgical Cluster, National University Health System, Singapore.

Surg Endosc 2020 Feb 3. Epub 2020 Feb 3.

Department of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, P. R. China.

Background: Laparoscopic splenectomy (LS) has been proven to be a safe and advantageous procedure. To ensure that resections of appropriate difficulty are selected, an objective preoperative grading of difficulty is required. We aimed to develop a predictive difficulty grading of LS based on intraoperative complications. Read More

Surg Laparosc Endosc Percutan Tech 2020 Apr;30(2):e8-e12

Department of Oncology Surgery, King Hussein Cancer Center, Amman, Jordan.

Background: Colon cancer rarely presents with a gastrocolic fistula and resection, if feasible, is usually carried out by open surgery. The authors present the first literature case report of laparoscopic multivisceral resection for gastrocolic fistula secondary to locally advanced colon cancer.

Materials And Methods: A 54-year-old man presented with feculant vomiting, cachexia, and severe iron deficiency anemia. Read More

Pediatr Surg Int 2020 Mar 25;36(3):365-371. Epub 2020 Jan 25.

Department of General Surgery, Capital Institute of Pediatrics, No. 2 Yabaolu Rd., Beijing, 100020, People's Republic of China.

Background: Total splenectomy is the most effective surgical treatment for hereditary spherocytosis (HS). Nevertheless, post-splenectomy sepsis and hypoimmunity can pose a great risk to children. Some alternative treatments have been proposed to avoid the post-splenectomy complications. Read More

J Pediatr Surg 2020 Jan 7. Epub 2020 Jan 7.

Department of Surgery, St. Jude Children's Research Hospital, 262 Danny Thomas Pl, Memphis, TN 38105, USA; Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN 38105, USA. Electronic address:

Background: Partial splenectomy (PS) may allow preservation of splenic function in cases where splenectomy is indicated for hematologic diseases; however, the long-term outcomes are uncertain. We investigated the long-term outcomes of PS in patients with sickle cell disease (SCD).

Methods: A single-institution retrospective chart review was performed for children with SCD who underwent PS from 1997 to 2017. Read More

Rozhl Chir 2019 ;98(12):509-512

Introduction: Wandering spleen is a rare cause of recurrent abdominal pain in children that is difficult to diagnose. Splenopexy should be preferred to splenectomy.

Case Report: The patient, a 4 years old girl on growth hormone therapy, was referred to the Department of Paediatric Surgery for an assessment of episodes of abdominal colic and frequent vomiting. Read More

Gynecol Oncol 2020 Mar 16;156(3):744-745. Epub 2020 Jan 16.

The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address:

Objective/background: Laparoscopic splenectomy is a potential surgical option for the treatment of isolated gynecologic cancer recurrence to the spleen [1-7]. The purpose of this video is to demonstrate a step-by-step approach for laparoscopic splenectomy in the setting of recurrent, oligometastatic ovarian cancer.

Methods: We present the case of a 47-year-old female with recurrent, platinum-sensitive high-grade serous ovarian cancer. Read More

Int J Clin Exp Pathol 2019 1;12(5):1795-1800. Epub 2019 May 1.

Department of Medical Imaging, Xingtai People's Hospital Affiliated to Hebei Medical University Xingtai, Hebei, P. R. China.

Inflammatory myofibroblastic tumor of the spleen (IMTS) is an extremely rare, intermediate malignant tumor with unclear etiology, and is most frequently detected incidentally. IMTS presents with nonspecific symptoms that pose a diagnostic challenge to clinicians or presents with the similar appearances to splenetic malignant neoplasms that pose a misdiagnose prior to surgery. Histopathology of the resected specimen remains the gold standard for diagnosing these rare splenic tumors. Read More

J Minim Access Surg 2020 Jan 3. Epub 2020 Jan 3.

Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Background: Haemorrhage during the splenic parenchyma transection is a major threat for laparoscopic partial splenectomy (LPS). We here aim to evaluate the feasibility and safety of pre-coagulation of a 915 MHz microwave (MW) device during LPS.

Materials And Methods: Data of four patients admitted to our hospital between November 2016 and July 2018 were retrospectively analysed. Read More

Acta Haematol 2020 Jan 7:1-7. Epub 2020 Jan 7.

School of Medicine, Chang Gung University, Taoyuan, Taiwan.

Introduction: Splenectomy is an important and potentially curative treatment for immune thrombocytopenia (ITP). Laparoscopic splenectomy (LS) has replaced open splenectomy (OS) as the standard approach. The prognostic role of platelet count and the clinical indication of preoperative platelet transfusion are not entirely clear. Read More

Int J Surg Case Rep 2020 13;66:265-269. Epub 2019 Dec 13.

Department of Gastric Surgery, Ulsan University School of Medicine, Asan Medical Center, Seoul, Republic of Korea. Electronic address:

Introduction: Gastric remnant ischemia after laparoscopic distal gastrectomy (LDG) in gastric cancer patients is a very rare but life-threatening condition, especially when accompanied by a splenic infarction or unplanned splenectomy.

Presentation Of Case: A 72-year-old male with no comorbid diseases was diagnosed with a well-differentiated adenocarcinoma of the lower stomach and underwent LDG with D2 lymph node dissection. However, a splenic artery injury necessitated a splenectomy intra-operatively, and delta anastomosis was performed based on a clinically viable remnant stomach. Read More

Surg Case Rep 2019 Dec 18;5(1):201. Epub 2019 Dec 18.

Department of Pediatric Surgery, National Hospital Organization, Kokura Medical Center, Kitakyushu, 803-8533, Japan.

Background: Spontaneously ruptured large splenic cyst is a rare in children, and traditionally total or partial splenectomy has been performed for treating an emergent case. We herein present a first case with spontaneously ruptured pediatric splenic cyst treated with emergent laparoscopic dome resection with omental suturing to the parenchymal edge of the spleen.

Case Presentation: A 12-year-old girl with a spontaneously ruptured large non-parasitic splenic cyst (SC) was successfully treated by emergent laparoscopic dome resection with omental suturing to the edge of the splenic parenchyma. Read More

Transl Med UniSa 2019 Jul-Dec;20:9-12. Epub 2019 Jan 12.

Division of Pediatric Surgery University of Salerno, Italy.

In paediatric population, the laparoscopic splenectomy has been preferred to the open surgery during the last years. Due to the improvement of the technique and the devices, the indications to the laparoscopic splenectomy have been increased, even though there is still a variety of conditions in which the execution of this technique is arduous. During the preoperative consult there is the need to carefully evaluate the existence of cholecystic lithiasis, the haemoglobin level in patients with SCA, platelet count in children with ITP and the vaccination status. Read More

Arq Bras Cir Dig 2019 9;32(3):e1461. Epub 2019 Dec 9.

Federal University of Maranhão, São Luis. MA, Brazil.

Background: Laparoscopic distal pancreatectomy (LDP) is the preferred approach for resection of tumors in the distal pancreas because of its many advantages over the open approach.

Aim: To analyse and compare short and long-term outcomes from LDP performed through two different techniques: with splenectomy vs. spleen preservation and splenic vessel preservation. Read More

Ann Hepatobiliary Pancreat Surg 2019 Nov 29;23(4):377-384. Epub 2019 Nov 29.

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Backgrounds/aims: Distal pancreatectomy(DP) is associated with high morbidity. In clinical practice, postoperative white blood cell(WBC) counts are useful indicators of infection complications. The aim of this study was to determine the relevance of extremely high postoperative day (POD)1 WBC counts after DP and their relationship to perioperative outcomes. Read More

Ann Hepatobiliary Pancreat Surg 2019 Nov 29;23(4):353-358. Epub 2019 Nov 29.

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Backgrounds/aims: Residual gallbladder mucosa left after subtotal/partial cholecystectomy is prone to develop recurrent lithiasis and become symptomatic, which mandates surgical removal.

Methods: We retrospectively evaluated the patients with residual gallbladder referred to us from January 2011 to December 2017. Based on MRCP we classified calot's anatomy to - type I where cystic duct was seen and type II where sessile GB stump was seen. Read More

Surg Endosc 2019 Dec 10. Epub 2019 Dec 10.

Department of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian, China.

Background: Previous retrospective studies have shown that laparoscopic spleen-preserving D2 total gastrectomy (LSTG) for advanced upper third gastric cancer (AUTGC) is safe. However, all previous studies were underpowered. We therefore conducted a prospective, multicenter study to evaluate the technical safety and feasibility of LSTG for patients with AUTGC. Read More

Surg Endosc 2019 Dec 9. Epub 2019 Dec 9.

Department of Hepatobiliary Surgery, Clinical Medical College, Yangzhou University, 98 West Nantong Rd, Yangzhou, 225000, China.

Background: Laparoscopic splenectomy and azygoportal disconnection (LSD) is widely used for the treatment of esophagogastric variceal haemorrhage and hypersplenism owing to cirrhotic portal hypertension. However, whether LSD improves liver synthesis function and cirrhosis remains unclear. The aim of this study is to investigate the effect of LSD on liver synthesis function and cirrhosis based on a prospective 2-year follow-up study. Read More