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Risk factors analysis of patients with non-small cell lung cancer complicated with chronic obstructive pulmonary disease after surgery.
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10673-9
Haitian Li, Xinwei Lu, Ping Wang, Ning Wang, Wenjing Liu, Yamei Song, Jing Wang
{"title":"Risk factors analysis of patients with non-small cell lung cancer complicated with chronic obstructive pulmonary disease after surgery.","authors":"Haitian Li, Xinwei Lu, Ping Wang, Ning Wang, Wenjing Liu, Yamei Song, Jing Wang","doi":"10.23736/S2724-5691.24.10673-9","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10673-9","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
True or false malignant features on breast mass lesions. 乳房肿块病变的恶性特征真假。
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10650-8
Minglu Sun, Yuxin Hou, Yinyan Li
{"title":"True or false malignant features on breast mass lesions.","authors":"Minglu Sun, Yuxin Hou, Yinyan Li","doi":"10.23736/S2724-5691.24.10650-8","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10650-8","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of effects of breast-conserving surgery and modified radical surgery on complications and survival prognosis of patients with breast cancer.
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10660-0
Yuyan Cao, Yingchun LE, Xiaofang Tan, Baoqin Lu, Yongqiang Xia, Wenjing Sun
{"title":"Comparison of effects of breast-conserving surgery and modified radical surgery on complications and survival prognosis of patients with breast cancer.","authors":"Yuyan Cao, Yingchun LE, Xiaofang Tan, Baoqin Lu, Yongqiang Xia, Wenjing Sun","doi":"10.23736/S2724-5691.24.10660-0","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10660-0","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The diagnostic value and safety of transbronchial frozen lung biopsy compared with transbronchial clamp biopsy in peripheral lung lesions.
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10646-6
Suxian Jing, Ying Shen, Beilei Zhang, Jingyu Mao
{"title":"The diagnostic value and safety of transbronchial frozen lung biopsy compared with transbronchial clamp biopsy in peripheral lung lesions.","authors":"Suxian Jing, Ying Shen, Beilei Zhang, Jingyu Mao","doi":"10.23736/S2724-5691.24.10646-6","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10646-6","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing postoperative care and nursing education through internet-based continuity of care for surgical patients. 通过基于互联网的手术患者持续护理,加强术后护理和护理教育。
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10743-5
Manli DU, Junrong Tang, Wen Sun
{"title":"Enhancing postoperative care and nursing education through internet-based continuity of care for surgical patients.","authors":"Manli DU, Junrong Tang, Wen Sun","doi":"10.23736/S2724-5691.24.10743-5","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10743-5","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review.
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10731-4
Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola

Introduction: At present, harvesting more lymph nodes is considered more conducive to the prognosis of colorectal cancer surgery. The recent development of enhanced surgical visualization has led to the wide employment of indocyanine green (ICG) to assist minimally invasive surgery. This systematic review aims to provide a wide and critical overview of the current state of the art of ICG lymphography during rectal surgery, by focusing on the most relevant literature on this topic.

Evidence acquisition: After validation and registration in the PROSPERO international prospective register of systematic reviews on the 5th May 2024 (ID: CRD42024539426), 8 publications have been considered relevant for the research query and have been divided into two groups: lateral pelvic lymph node dissection (LPLND) and lateral pelvic sentinel lymph node biopsy (LPSLNB). A meta-analysis has not been performed due to the low statistical significance.

Evidence synthesis: ICG lymphography seems to improve the number of harvested lateral pelvic lymph nodes, to reduce intraoperative blood loss and hospital length of stay during LPLND. In LPSLNB the detection rate of lateral pelvic sentinel lymph nodes ranged from 91.3% to 92%.

Conclusions: ICG lymphography for fluorescence guidance for LLND is a feasible and safe technique, with promising application in terms of the number of harvested lymph nodes and post-operative outcomes improvement during rectal oncological surgery. As some of these benefits have been already suggested by the current literature, they need to be confirmed in larger and randomized clinical.

{"title":"Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review.","authors":"Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola","doi":"10.23736/S2724-5691.25.10731-4","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10731-4","url":null,"abstract":"<p><strong>Introduction: </strong>At present, harvesting more lymph nodes is considered more conducive to the prognosis of colorectal cancer surgery. The recent development of enhanced surgical visualization has led to the wide employment of indocyanine green (ICG) to assist minimally invasive surgery. This systematic review aims to provide a wide and critical overview of the current state of the art of ICG lymphography during rectal surgery, by focusing on the most relevant literature on this topic.</p><p><strong>Evidence acquisition: </strong>After validation and registration in the PROSPERO international prospective register of systematic reviews on the 5<sup>th</sup> May 2024 (ID: CRD42024539426), 8 publications have been considered relevant for the research query and have been divided into two groups: lateral pelvic lymph node dissection (LPLND) and lateral pelvic sentinel lymph node biopsy (LPSLNB). A meta-analysis has not been performed due to the low statistical significance.</p><p><strong>Evidence synthesis: </strong>ICG lymphography seems to improve the number of harvested lateral pelvic lymph nodes, to reduce intraoperative blood loss and hospital length of stay during LPLND. In LPSLNB the detection rate of lateral pelvic sentinel lymph nodes ranged from 91.3% to 92%.</p><p><strong>Conclusions: </strong>ICG lymphography for fluorescence guidance for LLND is a feasible and safe technique, with promising application in terms of the number of harvested lymph nodes and post-operative outcomes improvement during rectal oncological surgery. As some of these benefits have been already suggested by the current literature, they need to be confirmed in larger and randomized clinical.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"86-94"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10712-0
Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau

Introduction: Studies suggested that restrictive fluid therapy during major surgery could be associated with better post-operative outcomes. The albumin uses in the perioperative period has been the subject of numerous studies with a still controversial efficacy and safety profile. This study aimed to assess the efficacy and safety of perioperative albumin use during major non-cardiac surgery.

Evidence acquisition: This study was registered in PROSPERO (ID: CRD42022353278). We performed an electronic search of the relevant literature from 2000 until 2023. The primary endpoint was the incidence of moderate postoperative complications (defined by a Clavien-Dindo classification grade ≥2). Secondary endpoints were intraoperative fluid balance, intraoperative blood loss, postoperative wound infection and acute kidney injury (AKI).

Evidence synthesis: We identified four relevant studies involving 426 patients (213 patients in the albumin group versus 213 patients in the control group). The meta-analysis did not reveal any significant difference between both group regarding the incidence of postoperative moderate complications even after subgroup analyses based on intraoperative or postoperative albumin administration (OR=1.23, 95% CI 0.73, 2.08, P=0.44). No difference was found for intraoperative fluid balance (MD=-190.83, 95% CI -408.67, 27.02, P=0.09), intraoperative blood loss (MD=-27.54, 95% CI -225.55, 170.48, P=0.79) and postoperative wound infection (OR=1.91, 95% CI 0.98, 3.73, P=0.06). Moreover, albumin administration was not associated with a significant increase of AKI incidence (OR=2.02, 95% CI 0.90, 4.53, P=0.09).

Conclusions: Perioperative use of albumin during major non-cardiac surgery did not result in an increased incidence of moderate postoperative complications.

{"title":"Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau","doi":"10.23736/S2724-5691.25.10712-0","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10712-0","url":null,"abstract":"<p><strong>Introduction: </strong>Studies suggested that restrictive fluid therapy during major surgery could be associated with better post-operative outcomes. The albumin uses in the perioperative period has been the subject of numerous studies with a still controversial efficacy and safety profile. This study aimed to assess the efficacy and safety of perioperative albumin use during major non-cardiac surgery.</p><p><strong>Evidence acquisition: </strong>This study was registered in PROSPERO (ID: CRD42022353278). We performed an electronic search of the relevant literature from 2000 until 2023. The primary endpoint was the incidence of moderate postoperative complications (defined by a Clavien-Dindo classification grade ≥2). Secondary endpoints were intraoperative fluid balance, intraoperative blood loss, postoperative wound infection and acute kidney injury (AKI).</p><p><strong>Evidence synthesis: </strong>We identified four relevant studies involving 426 patients (213 patients in the albumin group versus 213 patients in the control group). The meta-analysis did not reveal any significant difference between both group regarding the incidence of postoperative moderate complications even after subgroup analyses based on intraoperative or postoperative albumin administration (OR=1.23, 95% CI 0.73, 2.08, P=0.44). No difference was found for intraoperative fluid balance (MD=-190.83, 95% CI -408.67, 27.02, P=0.09), intraoperative blood loss (MD=-27.54, 95% CI -225.55, 170.48, P=0.79) and postoperative wound infection (OR=1.91, 95% CI 0.98, 3.73, P=0.06). Moreover, albumin administration was not associated with a significant increase of AKI incidence (OR=2.02, 95% CI 0.90, 4.53, P=0.09).</p><p><strong>Conclusions: </strong>Perioperative use of albumin during major non-cardiac surgery did not result in an increased incidence of moderate postoperative complications.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"76-85"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pycnogenol® relieves chronic venous insufficiency (CVI) in diabetics: a supplement registry study. Pycnogenol® 可缓解糖尿病患者的慢性静脉功能不全 (CVI):一项补充剂登记研究。
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-01 Epub Date: 2024-09-11 DOI: 10.23736/S2724-5691.24.10444-3
Gianni Belcaro, Maria R Cesarone, Claudia Scipione, Valeria Scipione, Umberto Cornelli, Roberto Cotellese, Edmondo Ippolito, Mark Dugall, Morio Hosoi, Marcello Corsi, Beatrice Feragalli, Pietro Bavera

Background: The aim of this supplement registry study was to evaluate the efficacy of Pycnogenol® in controlling signs and symptoms of chronic venous insufficiency (CVI), diabetic microangiopathy and microcirculatory parameters - in diabetic patients with CVI and microangiopathy. These CVI patients are eligible for medical procedures as their incompetent superficial veins can be treated with repeated sclerotherapy and or local surgery according to needs.

Methods: During this registry study, only non-interventional managements were used. The effects of the use of elastic compression with standard management (SM) was compared to Pycnogenol® intake (150 mg/day) and SM, without using elastic compression for 8 weeks.

Results: Fifty-eight diabetic patients with CVI completed the study with 28 subjects supplemented with Pycnogenol® and 30 in the control group. The two groups completing 8 weeks were comparable at baseline. After 8 weeks, no side effects were observed; the compliance was optimal with >98.5% of the supplement capsules correctly used. The tolerability to stockings was lower (73% of stockings were not fully used for the whole day). There were no dropouts. Venous pressures were comparable in the two groups at baseline. Microcirculatory and clinical measurements of the patients were comparable at inclusion. After 8 weeks, the differences between Pycnogenol® and elastic compression were statistically significant for skin resting flux (RF), rate of ankle swelling (RAS), transcutaneous PO2 and PCO2 indicating a significant improvement in microcirculatory perfusion with Pycnogenol® in comparison with elastic compression. In parallel, clinical symptoms assessed by the Composite Symptom Score (CSS), the venous Clinical severity Score (VCSS) and the Venous Disability Score (VDS), were significantly lower in the Pycnogenol® group than in the compression group, indicating a significant clinical effect of Pycnogenol® compared to elastic compression (P<0.05). Pycnogenol® showed important antioxidant properties and lowered oxidative stress as seen also in previous studies.

Conclusions: This registry study confirms the clinical and microcirculatory efficacy of Pycnogenol® in CVI in diabetics. The study indicates the significant supplementary, clinical role of Pycnogenol® in the management of this common clinical condition over a short period of time, possibly preventing ulcerations.

背景:这项补充剂登记研究的目的是评估 Pycnogenol® 在控制慢性静脉功能不全 (CVI)、糖尿病微血管病变的症状和体征以及微循环参数方面的疗效--针对患有慢性静脉功能不全和微血管病变的糖尿病患者。这些 CVI 患者符合接受医疗程序的条件,因为他们的浅表静脉不通可根据需要通过反复硬化疗法或局部手术进行治疗:方法:在这项登记研究中,只采用了非介入性治疗方法。方法:在这项登记研究中,只使用了非干预性治疗方法,将使用弹性压力和标准治疗方法(SM)与摄入 Pycnogenol®(150 毫克/天)和不使用弹性压力的标准治疗方法(SM)进行了为期 8 周的比较:58名患有CVI的糖尿病患者完成了研究,其中28人补充了Pycnogenol®,30人在对照组。完成 8 周研究的两组基线值相当。8 周后,未观察到任何副作用;依从性最佳,超过 98.5% 的补充剂胶囊被正确使用。对丝袜的耐受性较低(73% 的丝袜全天未完全使用)。没有出现脱袜现象。两组基线静脉压相当。纳入研究时,患者的微循环和临床测量结果相当。8 周后,在皮肤静息通量(RF)、踝关节肿胀率(RAS)、经皮 PO2 和 PCO2 方面,Pycnogenol® 和弹力压迫之间的差异具有显著的统计学意义。与此同时,通过综合症状评分(CSS)、静脉临床严重程度评分(VCSS)和静脉残疾评分(VDS)评估的临床症状在 Pycnogenol® 组明显低于加压组,这表明 Pycnogenol® 与弹性加压相比具有显著的临床效果:这项登记研究证实了Pycnogenol®对糖尿病患者CVI的临床和微循环疗效。这项研究表明,Pycnogenol® 在短期内治疗这种常见的临床症状方面具有重要的辅助性临床作用,并有可能预防溃疡的发生。
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引用次数: 0
Comparison of index and reoperative bowel resections in Crohn's disease. 克罗恩病的指数肠切除术和再手术肠切除术的比较。
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-01 Epub Date: 2024-11-13 DOI: 10.23736/S2724-5691.24.10339-5
Bradley Sherman, Syed A Farhan, Rami Aoun, Amber Traugott, Alan Harzman, Syed A Husain

Background: There is a scarcity of literature describing outcomes of reoperative Crohn's disease. An in-depth knowledge of these outcomes is critical for managing patient expectations and optimal perioperative planning. We sought to examine outcomes in patients undergoing reoperative surgeries for Crohn's disease compared to index operations.

Methods: A retrospective chart review of surgeries performed from 2018-2023 at a single tertiary care academic institution was performed. A subgroup analysis of index vs. reoperative ileocolic resections was performed to minimize confounding due to the heterogeneity of operations between the index and reoperative groups.

Results: Out of 119 patients, 70 (59%) underwent index operations, and 49 (41%) were reoperations. Overall complication rates (24.28% vs. 34.69%, P=0.224), EBL (189.5 vs. 193.4 mL, P=0.94), operative time (209 vs. 236 min, P=0.091), length of stay (mean: 7.24 vs. 10.08 days, P=0.0142), utilization of laparoscopy (92.85% vs. 65.3%, P=0.0002) and conversion to open technique (4.61% vs. 9.37%, P=0.392) favored index cases. The laparoscopic approach narrowed the gap in length of stay between the index and reoperative groups from 2.83 to 0.6 days. Subgroup analysis of ileocolic resections (Index: 50, reoperations: 26) also favored the index operations.

Conclusions: The current study provides valuable insight into managing patient expectations and optimal perioperative planning for reoperative Crohn's disease. Reoperations were associated with longer stays, lower utilization of laparoscopic platforms, and a trend toward higher overall complication rates. Laparoscopy reduces the gap in length of stay between index and reoperations; however, it is associated with a higher reoperation conversion rate.

背景:描述克罗恩病再手术效果的文献很少。深入了解这些结果对于管理患者期望值和制定最佳围手术期计划至关重要。我们试图研究克罗恩病再手术患者的疗效,并与指数手术进行比较:我们对一家三级医疗学术机构 2018-2023 年进行的手术进行了回顾性病历审查。对指数手术与再手术回结肠切除术进行了亚组分析,以尽量减少指数手术组与再手术组之间手术异质性造成的混杂因素:在119名患者中,70人(59%)接受了索引手术,49人(41%)接受了再手术。腹腔镜的使用率(92.85% 对 65.3%,P=0.0002)和改用开腹技术的比例(4.61% 对 9.37%,P=0.392)均优于指标病例。腹腔镜方法将指数组和再次手术组的住院时间差距从2.83天缩小到0.6天。回结肠切除术的分组分析(指数:50例,再次手术:26例)也倾向于指数手术:目前的研究为管理患者期望值和克罗恩病再手术的最佳围手术期规划提供了宝贵的见解。再次手术与住院时间较长、腹腔镜平台使用率较低以及总体并发症发生率较高有关。腹腔镜手术缩短了初次手术和再次手术之间的住院时间差距,但再次手术转换率较高。
{"title":"Comparison of index and reoperative bowel resections in Crohn's disease.","authors":"Bradley Sherman, Syed A Farhan, Rami Aoun, Amber Traugott, Alan Harzman, Syed A Husain","doi":"10.23736/S2724-5691.24.10339-5","DOIUrl":"10.23736/S2724-5691.24.10339-5","url":null,"abstract":"<p><strong>Background: </strong>There is a scarcity of literature describing outcomes of reoperative Crohn's disease. An in-depth knowledge of these outcomes is critical for managing patient expectations and optimal perioperative planning. We sought to examine outcomes in patients undergoing reoperative surgeries for Crohn's disease compared to index operations.</p><p><strong>Methods: </strong>A retrospective chart review of surgeries performed from 2018-2023 at a single tertiary care academic institution was performed. A subgroup analysis of index vs. reoperative ileocolic resections was performed to minimize confounding due to the heterogeneity of operations between the index and reoperative groups.</p><p><strong>Results: </strong>Out of 119 patients, 70 (59%) underwent index operations, and 49 (41%) were reoperations. Overall complication rates (24.28% vs. 34.69%, P=0.224), EBL (189.5 vs. 193.4 mL, P=0.94), operative time (209 vs. 236 min, P=0.091), length of stay (mean: 7.24 vs. 10.08 days, P=0.0142), utilization of laparoscopy (92.85% vs. 65.3%, P=0.0002) and conversion to open technique (4.61% vs. 9.37%, P=0.392) favored index cases. The laparoscopic approach narrowed the gap in length of stay between the index and reoperative groups from 2.83 to 0.6 days. Subgroup analysis of ileocolic resections (Index: 50, reoperations: 26) also favored the index operations.</p><p><strong>Conclusions: </strong>The current study provides valuable insight into managing patient expectations and optimal perioperative planning for reoperative Crohn's disease. Reoperations were associated with longer stays, lower utilization of laparoscopic platforms, and a trend toward higher overall complication rates. Laparoscopy reduces the gap in length of stay between index and reoperations; however, it is associated with a higher reoperation conversion rate.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the influence of different surgical methods on the gynecological endocrine status of uterine fibroids. 不同手术方法对子宫肌瘤妇科内分泌状况的影响分析。
IF 1.8 4区 医学 Q2 SURGERY Pub Date : 2025-02-01 Epub Date: 2024-10-02 DOI: 10.23736/S2724-5691.24.10479-0
Yafang Wang, Guixia Dong, Liping Zhao, Ying Ni
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引用次数: 0
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Minerva Surgery
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