Updates in Surgery
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Liver trisectionectomies for primary and secondary liver cancer in the modern era: results of a single tertiary center
Updates in Surgery - Tập 62 - Trang 161-169 - 2010
Recent advances in patient selection and surgical technique have resulted in low
mortality and morbidity rates after liver resections. The aim of this study was
to evaluate the operative risks of liver trisectionectomies in comparison with
major resections. The data prospectively collected of patients who underwent
trisectionectomies (TR Group, n = 54) and major hepatectomies (MH Group,
n = 175) w...
Postoperative discomfort and pain in the management of hemorrhoidal disease: laser hemorrhoidoplasty, a minimal invasive treatment of symptomatic hemorrhoids
Updates in Surgery - Tập 72 - Trang 851-857 - 2019
Hemorrhoidal disease (HD) treatment still remains controversial. In fact,
despite many surgical progresses, postoperative pain, and discomfort remain the
major weaknesses. Laser hemorrhoidoplasty (LHP) is a minimal invasive procedure
for HD treatment determining the shrinkage of the hemorrhoidal piles by diode
laser. The aim of the current study is to analyze the feasibility and efficacy
of LHP in...
Efficiency of ectopic thymectomy by three surgical approaches in non-thymomatous myasthenia gravis
Updates in Surgery - Tập 74 - Trang 1435-1443 - 2022
To explore the efficiency of ectopic thymectomy by the three surgical approaches
of trans-sternum, right unilateral thoracoscopy and thoracoscopic subxiphoid in
patients with non-thymomatous myasthenia gravis. 155 consecutive non-thymomatous
myasthenia gravis patients who underwent extended thymectomy by 3 approaches
including trans-sternum, right unilateral thoracoscopy and thoracoscopic
subxipho...
The prognostic value of combined preoperative PLR and CA19-9 in patients with resectable gallbladder cancer
Updates in Surgery - - 2024
The platelet to lymphocyte ratio (PLR) is the marker of host inflammation and it
is a potential significant prognostic indicator in various different tumors. The
serum carbohydrate antigen 19–9 (CA19-9) is a tumor-associated antigen and it is
associated with poor prognosis of gallbladder cancer (GBC). We aimed to analyze
the prognostic value of the combination of preoperative PLR and CA19-9 in
pat...
The Cavitron ultrasonic surgical aspirator with a low amplitude is a useful dissection device for surgical procedures: application to vascular detachment and lymph node dissection
Updates in Surgery - Tập 68 - Trang 205-209 - 2016
In surgical procedures, although resection and hemostasis maneuvers have become
more efficient through the use of dedicated devices, no dedicated device for the
dissecting (detaching) maneuver exists at present. The Cavitron ultrasonic
surgical aspirator (CUSA: Integra lifesciences Corporation, NJ, USA) is a device
originally used mainly for hepatic parenchyma resection in the gastrointestinal
sur...
Cholelithiasis management in a third-level pediatric center: case series and literature review
Updates in Surgery - Tập 74 - Trang 963-968 - 2022
Pediatric cholelithiasis is being increasingly diagnosed owing to the widespread
use of ultrasonography, raised pediatric obesity and use of long-time parenteral
nutrition. Clinical presentation is variable and complicated onset could lead to
severe consequences. The aim of this study is to present a 15-years-experience
of a pediatric third-level-center in treating cholelithiasis. A retrospective
...
All elderly are fragile, but some are more fragile than others: an epidemiological study from one of the busiest trauma centers in Italy
Updates in Surgery - Tập 74 - Trang 1977-1983 - 2022
As the older population increases, the number of elderly accessing the emergency
department following a trauma increases accordingly. High-level trauma enters
together with the identification of predictive parameters for poor outcome and
mortality, may result in a death rate improvement of up to 30% in this group of
patients. This study analyzes the epidemiology of major trauma admissions at
Nigua...
Laparoscopic resection of splenic flexure colon cancers: a retrospective multi-center study with 117 cases
Updates in Surgery - Tập 71 - Trang 349-357 - 2018
The objective is to investigate the short- and long-term outcomes of
laparoscopic resections of splenic flexure colon cancers in three Italian
high-volume centers. The laparoscopic resection of splenic flexure colon cancers
is a challenging procedure and has not been completely standardized, mainly due
to the technical difficulty, the arduous identification of major blood vessels,
and the problems...
Resection of isolated pancreatic metastases from pulmonary neoplasia: a systematic review
Updates in Surgery - Tập 74 - Trang 1817-1825 - 2022
Several types of cancers have been reported to metastasize to the pancreas. Lung
cancer with isolated pancreatic metastasis is extremely rare. In selected
patients, surgery is advocated. The aim of our study is to carry out a
systematic review of the articles published on the surgical treatment of these
patients. Our goal was to realize a systematic review in accordance with PRISMA
guidelines. We ...
Giant hiatal hernias: direct hiatus closure has an acceptable recurrence rate
Updates in Surgery - Tập 63 - Trang 75-81 - 2011
The purpose of this retrospective study was to analyze our results after
laparoscopic repair of giant hiatal hernias with direct closure of the hiatus,
since the reports document a radiological recurrence rate as high as 42%.
Various studies have shown that laparoscopic hernia repair is safe and
effective, and carries a lower morbidity than the open approach, but the high
recurrence rates still be...
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