L. Iliescu, Mihaela Grumeza, Adriana Mercan Stanciu, L. Toma, A. Zgura, Popescu Gabriel Cristian, C. Ionescu, X. Bacinschi
{"title":"Spontaneous Intramural Duodenal Hematoma - A Rare Entity","authors":"L. Iliescu, Mihaela Grumeza, Adriana Mercan Stanciu, L. Toma, A. Zgura, Popescu Gabriel Cristian, C. Ionescu, X. Bacinschi","doi":"10.21614/sgo-479","DOIUrl":"https://doi.org/10.21614/sgo-479","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76747076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Jagrič, Nenad Čubrić, T. Magdalenić, R. Kolaric
{"title":"The Impact of the ERAS Protocol on Laparoscopic Gastric Cancer Surgery in the West. A Retrospective Study","authors":"T. Jagrič, Nenad Čubrić, T. Magdalenić, R. Kolaric","doi":"10.21614/sgo-411","DOIUrl":"https://doi.org/10.21614/sgo-411","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75460439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Iliescu, L. Toma, A. Mercan-Stanciu, M. Grasu, A. Tonea, V. Herlea, Toma Radu Valeriu, A. Zgura, X. Bacinschi
{"title":"Management of Intestinal Angiodysplasia and Cataclysmic Hemorrhage","authors":"L. Iliescu, L. Toma, A. Mercan-Stanciu, M. Grasu, A. Tonea, V. Herlea, Toma Radu Valeriu, A. Zgura, X. Bacinschi","doi":"10.21614/sgo-449","DOIUrl":"https://doi.org/10.21614/sgo-449","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76047702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. R. Abdalwahab, A. Hafez, Mai Gad, M. Elmahdy, A. Farahat
{"title":"Recurrence and Oncologic Outcome After Nipple Sparing Mastectomy","authors":"A. R. Abdalwahab, A. Hafez, Mai Gad, M. Elmahdy, A. Farahat","doi":"10.21614/sgo-495","DOIUrl":"https://doi.org/10.21614/sgo-495","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79522632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ehab Mohammed Ali Fadl, Ahmed F. Amer, Hossam S Abdelrahim
{"title":"Is Abdominal Drain Necessary after Laparoscopic Appendectomy for Complicated Appendicitis?","authors":"Ehab Mohammed Ali Fadl, Ahmed F. Amer, Hossam S Abdelrahim","doi":"10.21614/sgo-427","DOIUrl":"https://doi.org/10.21614/sgo-427","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78302787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shady Elzeftawy, Magdy Basheer, H. Elghadban, M. Shetiwy, Abdelazeem Elganash, Abdelrahman Albahy
Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%. Mesh-reinforced stoma reversal might be a simple and applicable approach to decrease the frequency of incisional hernia. There is a current debate about efficacy of this technique in preventing incisional hernias following stoma closure. Methods: In this prospective clinical study, all patients with temporary stoma who admitted to Mansoura University Hospital at the period from February 2019 to April 2021 and fulfill the eligibility criteria were distributed into 2 groups. In group I conventional sutured fascial closure was done while in group-II mesh reinforced fascial closure was done during stoma reversal. Results: Time to stoma closure had mean values of 26.76 and 24 weeks in Groups 1 and 2 respectively (p = 0.430). Surgical site infections (SSI) were encountered in 20% and 19% of patients in the two groups (p = 0.868). The occurrence of stoma site incisional hernia (SSIH) showed a significant increase in Group 1 (20% vs 2% in the other group – p = 0.009). Conclusion: prophylactic mesh reinforcement throughout stoma closure significantly reduces the incidence of stoma site incisional hernia with no significant increase in the incidence of the stoma site wound infection.
背景:切口疝是一种被低估的造口术后并发症，发生率约为40%。网状补口术可能是一种简单可行的降低切口疝发生率的方法。目前关于该技术在预防切口疝闭合后的有效性存在争议。方法:本前瞻性临床研究将2019年2月至2021年4月在曼苏拉大学医院住院的符合条件的临时造口患者分为两组。ⅰ组采用常规缝合筋膜闭合，ⅱ组采用补片强化筋膜闭合。结果:1组和2组的平均造口时间分别为26.76周和24周(p = 0.430)。两组患者手术部位感染(SSI)发生率分别为20%和19% (p = 0.868)。造口切口疝(SSIH)发生率1组显著增高(20% vs 2%， p = 0.009)。结论:在整个造口过程中预防性补片加固可显著降低造口切口疝的发生率，但未显著增加造口切口感染的发生率。
{"title":"Evaluation of Mesh Reinforcement during Intestinal Stoma Closure in Prevention of Stomal Site Incisional Hernia: Randomized Controlled Trial","authors":"Shady Elzeftawy, Magdy Basheer, H. Elghadban, M. Shetiwy, Abdelazeem Elganash, Abdelrahman Albahy","doi":"10.21614/sgo-438","DOIUrl":"https://doi.org/10.21614/sgo-438","url":null,"abstract":"Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%. Mesh-reinforced stoma reversal might be a simple and applicable approach to decrease the frequency of incisional hernia. There is a current debate about efficacy of this technique in preventing incisional hernias following stoma closure. Methods: In this prospective clinical study, all patients with temporary stoma who admitted to Mansoura University Hospital at the period from February 2019 to April 2021 and fulfill the eligibility criteria were distributed into 2 groups. In group I conventional sutured fascial closure was done while in group-II mesh reinforced fascial closure was done during stoma reversal. Results: Time to stoma closure had mean values of 26.76 and 24 weeks in Groups 1 and 2 respectively (p = 0.430). Surgical site infections (SSI) were encountered in 20% and 19% of patients in the two groups (p = 0.868). The occurrence of stoma site incisional hernia (SSIH) showed a significant increase in Group 1 (20% vs 2% in the other group – p = 0.009). Conclusion: prophylactic mesh reinforcement throughout stoma closure significantly reduces the incidence of stoma site incisional hernia with no significant increase in the incidence of the stoma site wound infection.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78004132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Mihăilă, G. Smira, D. Hrehoreţ, I. Barbu, L. Stoica, G. Vatachki, Alexandru Ristea, Razvan Lazea, Radu Lucian Dumitru, Ana Maria Moldovianu, Oana Diana Preda, D. Coriu, E. Scărlătescu, Esenia Calancea, A. Marcu, D. Tomescu, I. Popescu, V. Brașoveanu
{"title":"Living Donor Liver Transplantation with Left Lobe for Budd-Chiari Syndrome - A Challenging Procedure","authors":"M. Mihăilă, G. Smira, D. Hrehoreţ, I. Barbu, L. Stoica, G. Vatachki, Alexandru Ristea, Razvan Lazea, Radu Lucian Dumitru, Ana Maria Moldovianu, Oana Diana Preda, D. Coriu, E. Scărlătescu, Esenia Calancea, A. Marcu, D. Tomescu, I. Popescu, V. Brașoveanu","doi":"10.21614/sgo-535","DOIUrl":"https://doi.org/10.21614/sgo-535","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81186026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandru Bârcu, Bogdan Braşoveanu, I. Luca, I. Popescu, F. Botea
Associating liver partition and portal vein ligation (ALPPS) is nowadays an established surgical strategy for patients with liver tumors who are not amenable for upfront hepatectomy because of a too small future liver remnant
{"title":"Parenchyma Sparing ALPPS - A New Technical Variant. Case Presentation (with video)","authors":"Alexandru Bârcu, Bogdan Braşoveanu, I. Luca, I. Popescu, F. Botea","doi":"10.21614/sgo-492","DOIUrl":"https://doi.org/10.21614/sgo-492","url":null,"abstract":"Associating liver partition and portal vein ligation (ALPPS) is nowadays an established surgical strategy for patients with liver tumors who are not amenable for upfront hepatectomy because of a too small future liver remnant","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82004080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Posterior Perforation by Peptic Ulcer. Our 12-Year Experience of 6 Cases","authors":"Ovidiu-Angel Matei, L. Matei, W. Lamadé","doi":"10.21614/sgo-402","DOIUrl":"https://doi.org/10.21614/sgo-402","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88693302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Rama, Marlene Lages, Candida G. Silva, Patrícia C Motta Lima, Ines Campos Gil, M. Guarino, P. Oliveira, M. Dixe, A. Rocha, F. Castro-Poças, J. Pimentel
Aim: Anastomotic leakage (AL) is a severe postoperative complication in colorectal surgery, but its preclinical diagnosis may improve outcomes and increase anastomotic salvage. This study aimed to assess the added value of serum biomarkers for early detection of colorectal AL. Method: We performed a comprehensive literature review, and a qualitative and quantitative analysis of papers retrieved from MEDLINE, Embase, PubMed, Web of Science, Scopus and the Cochrane Library. We included all studies published before September 2021 assessing the serum biomarkers white blood cells (WBC), C-reactive protein (CRP), procalcitonin (PCT) and calprotectin (CLP) for the early diagnosis of AL. Results: Fifteen studies that evaluated three different systemic biomarkers in the context of AL were identified, including 5150 patients. Diagnostic test accuracy was estimated for CRP and PCT. On postoperative day (POD) 5, the highest AUC (87.1%) and specificity (80.2%) values were estimated for CRP. Random-effects meta-analysis and total effect sizes estimation for the biomarkers CRP, PCT and WBC were performed according to POD. The concentration of serum biomarkers is significantly higher in patients presenting AL. Regarding the qualitative analysis, there was significant heterogeneity in the inclusion of different subcategories of the consensus definition of colorectal AL in each paper’s definition. Conclusion: The serum biomarkers CRP and PCT are moderate predictors for AL, showing a high heterogeneity among the studies. Combinations of these biomarkers might improve predictive accuracy, but more studies will be necessary to conduct a quality metaregression.
目的:吻合口漏(AL)是结直肠手术术后严重的并发症，临床前诊断可改善预后，增加吻合口抢救。本研究旨在评估血清生物标志物在结肠直肠AL早期检测中的附加价值。方法:我们进行了全面的文献综述，并对MEDLINE、Embase、PubMed、Web of Science、Scopus和Cochrane图书馆的论文进行了定性和定量分析。我们纳入了2021年9月之前发表的所有评估血清生物标志物白细胞(WBC)、c反应蛋白(CRP)、降钙素原(PCT)和钙保护蛋白(CLP)对AL早期诊断的研究。结果:15项研究评估了AL背景下三种不同的系统生物标志物，包括5150例患者。在术后第5天(POD)， CRP的AUC(87.1%)和特异性(80.2%)估计最高。根据POD对生物标志物CRP、PCT和WBC进行随机效应荟萃分析和总效应大小估计。出现AL的患者血清生物标志物的浓度明显较高。在定性分析方面，每篇论文的定义中包含的结直肠AL共识定义的不同亚类存在显著的异质性。结论:血清生物标志物CRP和PCT是AL的中度预测因子，在研究中显示出较高的异质性。这些生物标记物的组合可能会提高预测的准确性，但需要更多的研究来进行质量回归。
{"title":"The Usefulness of Inflammatory Biomarkers to Predict Anastomotic Leakage after Colorectal Surgery: Systematic Review and Meta-Analysis","authors":"N. Rama, Marlene Lages, Candida G. Silva, Patrícia C Motta Lima, Ines Campos Gil, M. Guarino, P. Oliveira, M. Dixe, A. Rocha, F. Castro-Poças, J. Pimentel","doi":"10.21614/sgo-488","DOIUrl":"https://doi.org/10.21614/sgo-488","url":null,"abstract":"Aim: Anastomotic leakage (AL) is a severe postoperative complication in colorectal surgery, but its preclinical diagnosis may improve outcomes and increase anastomotic salvage. This study aimed to assess the added value of serum biomarkers for early detection of colorectal AL. Method: We performed a comprehensive literature review, and a qualitative and quantitative analysis of papers retrieved from MEDLINE, Embase, PubMed, Web of Science, Scopus and the Cochrane Library. We included all studies published before September 2021 assessing the serum biomarkers white blood cells (WBC), C-reactive protein (CRP), procalcitonin (PCT) and calprotectin (CLP) for the early diagnosis of AL. Results: Fifteen studies that evaluated three different systemic biomarkers in the context of AL were identified, including 5150 patients. Diagnostic test accuracy was estimated for CRP and PCT. On postoperative day (POD) 5, the highest AUC (87.1%) and specificity (80.2%) values were estimated for CRP. Random-effects meta-analysis and total effect sizes estimation for the biomarkers CRP, PCT and WBC were performed according to POD. The concentration of serum biomarkers is significantly higher in patients presenting AL. Regarding the qualitative analysis, there was significant heterogeneity in the inclusion of different subcategories of the consensus definition of colorectal AL in each paper’s definition. Conclusion: The serum biomarkers CRP and PCT are moderate predictors for AL, showing a high heterogeneity among the studies. Combinations of these biomarkers might improve predictive accuracy, but more studies will be necessary to conduct a quality metaregression.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89220957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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