{"title":"A new era for the Hellenic Journal of Surgery","authors":"N. Nikiteas","doi":"10.59869/23001","DOIUrl":"https://doi.org/10.59869/23001","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44331000","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}
Parathyroid preservation during total thyroidectomy is crucial in preventing postoperative hypoparathyroidism. The use of intraoperative parathyroid hormone monitoring has been shown to reduce the incidence of hypoparathyroidism. However, this method has limitations, and alternative techniques such as autofluorescence and ICG angiography have emerged as potential options for parathyroid preservation. The use of ICG angiography and near-infrared autofluorescence has shown promise in improving parathyroid gland preservation and reducing the risk of postoperative hypocalcaemia and hypoparathyroidism. The combination of autofluorescence and ICG angiography has also been found to be useful in identifying parathyroid glands in challenging cases, such as reoperations for thyroid or parathyroid diseases. However, further studies are needed to establish its long-term safety and efficacy and to address the limitations of its implementation in clinical practice.
{"title":"The role of autofluorescence and Indocyanine green (ICG) in Endocrine Surgery","authors":"A. Paspala, C. Nastos","doi":"10.59869/23004","DOIUrl":"https://doi.org/10.59869/23004","url":null,"abstract":"Parathyroid preservation during total thyroidectomy is crucial in preventing postoperative hypoparathyroidism. The use of intraoperative parathyroid hormone monitoring has been shown to reduce the incidence of hypoparathyroidism. However, this method has limitations, and alternative techniques such as autofluorescence and ICG angiography have emerged as potential options for parathyroid preservation. The use of ICG angiography and near-infrared autofluorescence has shown promise in improving parathyroid gland preservation and reducing the risk of postoperative hypocalcaemia and hypoparathyroidism. The combination of autofluorescence and ICG angiography has also been found to be useful in identifying parathyroid glands in challenging cases, such as reoperations for thyroid or parathyroid diseases. However, further studies are needed to establish its long-term safety and efficacy and to address the limitations of its implementation in clinical practice.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43542673","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. Rodis, Nikolaos Bogiatzopoulos, Nikoleta Koliou, Nefeli Vandorou, C. Seretis, G. Zacharis
Peritoneal carcinomatosis due to the presence of primary ovarian rhabdomyosarcoma of alveolar subtype (OARMS) is an extremely rare malignant tumour, with very few cases reported in the international literature. Herein, we present an interesting case of diffuse peritoneal dissemination of OARMS, in a previously asymptomatic patient, who was investigated for progressive abdominal distension.
{"title":"Disseminated ovarian alveolar rhabdomyosarcoma as a rare cause of peritoneal carcinomatosis","authors":"N. Rodis, Nikolaos Bogiatzopoulos, Nikoleta Koliou, Nefeli Vandorou, C. Seretis, G. Zacharis","doi":"10.59869/23010","DOIUrl":"https://doi.org/10.59869/23010","url":null,"abstract":"Peritoneal carcinomatosis due to the presence of primary ovarian rhabdomyosarcoma of alveolar subtype (OARMS) is an extremely rare malignant tumour, with very few cases reported in the international literature. Herein, we present an interesting case of diffuse peritoneal dissemination of OARMS, in a previously asymptomatic patient, who was investigated for progressive abdominal distension.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42867873","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}
C. Anastasilakis, O. Ioannidis, M. Papaioannou, Dimitris Tatsis, Maria Chasampalioti, P. Christidis, S. Symeonidis, S. Bitsianis, E. Anestiadou, D. Botsios, S. Angelopoulos
Background: It is well known, nowadays, that intestinal microbiota is considered to be a synbiotic partner that maintains the host’s health. Probiotics are live microorganisms and prebiotics are selectively fermentable non-digestible oligosaccharides or food ingredients that when adequately present, provide health benefit for the host. The mechanisms in which these microorganisms are involved are gastrointestinal barrier function improvement, gut flora modification by antimicrobial peptides inducted by host cells, antimicrobial factors released by probiotics, epithelial adherence competition, and immunomodulation that advantages the host. Synbiotics are a synergic combination of probiotic bacteria and prebiotic ingredients that promote the growth of the former. Methods: In the present study, the existing evidence regarding the beneficial role of probiotics, prebiotics, and synbiotics in critically ill patients was evaluated. Results: The results were rather encouraging about the early use of pro/pre/synbiotics in daily care of critically ill patients but still controversial due to the lack of specific supportive evidence and strain specificity. Conclusions: Despite the positive effect of pro/pre/synbiotics supplementation, they cannot be widely applied in critical care clinical practice until well-designed prospective and randomized controlled trials are performed.
{"title":"Synbiotics (prebiotics and probiotics) in the nutrition of critically ill patients","authors":"C. Anastasilakis, O. Ioannidis, M. Papaioannou, Dimitris Tatsis, Maria Chasampalioti, P. Christidis, S. Symeonidis, S. Bitsianis, E. Anestiadou, D. Botsios, S. Angelopoulos","doi":"10.59869/23003","DOIUrl":"https://doi.org/10.59869/23003","url":null,"abstract":"Background: It is well known, nowadays, that intestinal microbiota is considered to be a synbiotic partner that maintains the host’s health. Probiotics are live microorganisms and prebiotics are selectively fermentable non-digestible oligosaccharides or food ingredients that when adequately present, provide health benefit for the host. The mechanisms in which these microorganisms are involved are gastrointestinal barrier function improvement, gut flora modification by antimicrobial peptides inducted by host cells, antimicrobial factors released by probiotics, epithelial adherence competition, and immunomodulation that advantages the host. Synbiotics are a synergic combination of probiotic bacteria and prebiotic ingredients that promote the growth of the former. Methods: In the present study, the existing evidence regarding the beneficial role of probiotics, prebiotics, and synbiotics in critically ill patients was evaluated. Results: The results were rather encouraging about the early use of pro/pre/synbiotics in daily care of critically ill patients but still controversial due to the lack of specific supportive evidence and strain specificity. Conclusions: Despite the positive effect of pro/pre/synbiotics supplementation, they cannot be widely applied in critical care clinical practice until well-designed prospective and randomized controlled trials are performed.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42962630","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}
D. Vouros, Charalampos Theodoropoulos, Alexandra Triantafyllou, Chryssa Glava, T. Triantafyllou, D. Theodorou
Background: Oesophageal sarcomas are extremely rare, constituting less than 5% of oesophageal tumours, with only 0.5% (10%) of these being liposarcomas. Aim: Presentation of a rare case of an oesophageal liposarcoma and review of the literature. Case Presentation: A 69-year-old man with a three-year history of voice changes and progressive dysphagia was referred to our department for consultation and treatment of a giant dedifferentiated oesophageal liposarcoma. The patient underwent hybrid McKeown oesophagectomy. Conclusions: Multimodal management of such patients in specialised centers may spare these patients the discomfort while offering the best chances for cure.
{"title":"A rare case of giant oesophageal liposarcoma treated with oesophagectomy","authors":"D. Vouros, Charalampos Theodoropoulos, Alexandra Triantafyllou, Chryssa Glava, T. Triantafyllou, D. Theodorou","doi":"10.59869/23007","DOIUrl":"https://doi.org/10.59869/23007","url":null,"abstract":"Background: Oesophageal sarcomas are extremely rare, constituting less than 5% of oesophageal tumours, with only 0.5% (10%) of these being liposarcomas. Aim: Presentation of a rare case of an oesophageal liposarcoma and review of the literature. Case Presentation: A 69-year-old man with a three-year history of voice changes and progressive dysphagia was referred to our department for consultation and treatment of a giant dedifferentiated oesophageal liposarcoma. The patient underwent hybrid McKeown oesophagectomy. Conclusions: Multimodal management of such patients in specialised centers may spare these patients the discomfort while offering the best chances for cure.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45153352","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}
Zoi Gerasimina Tampouratzi, Anastasia Doukopoulou, Saad Al Mogrampi
Cancer of unknown primary origin is a rare form of metastatic solid tumour representing less than 2% of malignancies. These patients tend to have an unfavourable prognosis, with long-term survivors scarcely reported in the literature. Here we present a rare case of a 56- year-old female with eight year survival, after surgical resection of a metastatic retroperitoneal lymph node, despite relapse of her tumour and no adjuvant treatment. We hope that this case report will aid in increasing awareness and understanding of this often overlooked entity.
{"title":"Retroperitoneal mass revealed to be metastatic lymph node of unknown primary origin – Cancer of unknown origin","authors":"Zoi Gerasimina Tampouratzi, Anastasia Doukopoulou, Saad Al Mogrampi","doi":"10.59869/23008","DOIUrl":"https://doi.org/10.59869/23008","url":null,"abstract":"Cancer of unknown primary origin is a rare form of metastatic solid tumour representing less than 2% of malignancies. These patients tend to have an unfavourable prognosis, with long-term survivors scarcely reported in the literature. Here we present a rare case of a 56- year-old female with eight year survival, after surgical resection of a metastatic retroperitoneal lymph node, despite relapse of her tumour and no adjuvant treatment. We hope that this case report will aid in increasing awareness and understanding of this often overlooked entity.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43345913","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. Apostolopoulos, A. Isaakidou, E. Demetriou, A. Marinis, G. Ayiomamitis, Marios Karaiskakis
Differences in clinical presentation, epidemiology, prognosis, and molecular mechanisms between left-sided colon cancer (LCC) and right-sided colon cancer (RCC) have been widely studied in recent years. Indeed, mutations seen in LCC differ in nature and frequency compared to LCC. Furthermore, the differences in the biological environment, including histopathological, microbiological, and biochemical differences of the two regions promote different gene expressions in carcinomas. These molecular differences distinguish the nature of colorectal cancer according to the primary site of formation. In this narrative review, all such differences have been explored in detail with the aim of providing further insights into the topic, since in the era of individualised treatment, sidedness is a major factor in the treatment of colorectal cancer.
{"title":"Molecular differences in colon cancer according to location: A literature review","authors":"A. Apostolopoulos, A. Isaakidou, E. Demetriou, A. Marinis, G. Ayiomamitis, Marios Karaiskakis","doi":"10.59869/23005","DOIUrl":"https://doi.org/10.59869/23005","url":null,"abstract":"Differences in clinical presentation, epidemiology, prognosis, and molecular mechanisms between left-sided colon cancer (LCC) and right-sided colon cancer (RCC) have been widely studied in recent years. Indeed, mutations seen in LCC differ in nature and frequency compared to LCC. Furthermore, the differences in the biological environment, including histopathological, microbiological, and biochemical differences of the two regions promote different gene expressions in carcinomas. These molecular differences distinguish the nature of colorectal cancer according to the primary site of formation. In this narrative review, all such differences have been explored in detail with the aim of providing further insights into the topic, since in the era of individualised treatment, sidedness is a major factor in the treatment of colorectal cancer.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45728126","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}
F. Mulita, L. Tchabashvili, K. Tasios, Andreas Antzoulas, Angelos Samaras, E. Liolis, I. Maroulis, K. Bouchagier, G. Verras
Introduction: Primary cancers of the appendix are very rare and most of them are usually found accidentally on appendectomies performed for appendicitis. Although these tumours are rare, there is a diverse histology. Methods: We conducted a single-center retrospective study of patients undergoing appendectomy at our institution for the suspended diagnosis of appendicitis. From January 2003 to December 2018 a total of 1809 patients underwent appendectomy under general anaesthesia. Patient demographics, type of procedure, and tumour histology were recorded. Results: The mean age of patients was 32 years (range, 14 to 85). Of these patients, 821 (45.38%) were female, and 988 (54.62%) were male. In total 959 (53.01%) underwent laparoscopic appendectomy and 850 (46.99%) underwent open appendectomy. An appendiceal neoplasm was found in 17 patients (0.94%). Of these 17 patients, four (23.53%) were reported to have benign tumours, while 13 (76.47%) were reported to have malignancies. The most frequent appendiceal tumour was carcinoid, which was detected in 10 patients (58.82%). Conclusion: Tumours of the appendix are very rare and the majority of them are malignancies. Early recognition is very important. There is no standard of care due to the rare frequency of these tumours.
{"title":"Appendiceal tumours as incidental findings in patients undergoing emergency appendicectomy: A retrospective, single-center study and a brief overview of current practice standards","authors":"F. Mulita, L. Tchabashvili, K. Tasios, Andreas Antzoulas, Angelos Samaras, E. Liolis, I. Maroulis, K. Bouchagier, G. Verras","doi":"10.59869/23002","DOIUrl":"https://doi.org/10.59869/23002","url":null,"abstract":"Introduction: Primary cancers of the appendix are very rare and most of them are usually found accidentally on appendectomies performed for appendicitis. Although these tumours are rare, there is a diverse histology. Methods: We conducted a single-center retrospective study of patients undergoing appendectomy at our institution for the suspended diagnosis of appendicitis. From January 2003 to December 2018 a total of 1809 patients underwent appendectomy under general anaesthesia. Patient demographics, type of procedure, and tumour histology were recorded. Results: The mean age of patients was 32 years (range, 14 to 85). Of these patients, 821 (45.38%) were female, and 988 (54.62%) were male. In total 959 (53.01%) underwent laparoscopic appendectomy and 850 (46.99%) underwent open appendectomy. An appendiceal neoplasm was found in 17 patients (0.94%). Of these 17 patients, four (23.53%) were reported to have benign tumours, while 13 (76.47%) were reported to have malignancies. The most frequent appendiceal tumour was carcinoid, which was detected in 10 patients (58.82%). Conclusion: Tumours of the appendix are very rare and the majority of them are malignancies. Early recognition is very important. There is no standard of care due to the rare frequency of these tumours.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49537784","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}
Uday Pratap Singh Parmar, Sanjay Gupta, Robin Kaushik, Simrandeep Singh, P. Aggarwal
Median Arcuate Ligament Syndrome (MALS) is a rare vascular compression disorder of the celiac artery with non-specific symptomatology that can mimic other, common abdominal diseases. We present one such case of MALS and review the relevant literature on this rare topic.
{"title":"Median Arcuate Ligament Syndrome: A Case Report","authors":"Uday Pratap Singh Parmar, Sanjay Gupta, Robin Kaushik, Simrandeep Singh, P. Aggarwal","doi":"10.59869/23009","DOIUrl":"https://doi.org/10.59869/23009","url":null,"abstract":"Median Arcuate Ligament Syndrome (MALS) is a rare vascular compression disorder of the celiac artery with non-specific symptomatology that can mimic other, common abdominal diseases. We present one such case of MALS and review the relevant literature on this rare topic.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46100192","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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