UPIS is an Italian, international journal, ranked 2.6 I.F.2022 dedicated to
#SurgicalSciences
, providing a valuable UPDATE on developments of surgical fields.
Mechanical Bowel Preparation (MBP) for elective colorectal surgery remains a controversial issue. The Italian ColoRectal Anastomotic Leakage (
#iCral
) study group aims to estimate the effects of
no-MBP vs MBP
Full article:
Several procedures exist to postpone and/or prevent surgical intervention in patients who cannot undergo surgery for acute cholecystitis
1️⃣5️⃣ statements 🔜 precise indications regarding the decisional process and the management of patients
Percutaneous cholecystostomy (PC) is often preferred over early cholecystectomy for elderly patients with acute cholecystitis
✍🏻Comprehensive review of the role of PC in elderly patients
🎯Aims: safety, complications, and recurrence rates of PC
Impact of timing of repair on outcomes of patients repaired with Hepp-Couinaud hepatico-jejunostomy after bile duct injury during cholecystectomy remains debated. This is an observational retrospective study at a tertiary referral hepato-biliary center.
A correct perioperative fluid administration represents one of the most important items proposed by the
#Enhanced
Recovery After
#Surgery
(ERAS)
#Society
.
Full article
✅Laparotomic necrosectomy was once considered the gold standard procedure for infected pancreatic necrosis
📅 from 2019 to 2022
№ 77 patients
Full article
The best nonoperative or operative anal fissure (AF) treatment is not yet established, and several options have been proposed.
The authors aimed to report the surgeons' practice for the AF treatment.
Full article
This study aims to analyze current evidence concerning the safety and the outcomes of the
#minimally
#invasive
approach for biliary anastomosis in post-cholecystectomy
#bile
#duct
injuries.
Full article
🎯Analisys of perioperative safety and efficacy of Intra-and Extra-Corporeal anastomosis in laparoscopic right colectomies
📃46 studies
✅IC is superior in terms of incisional hernia, open conversion, reoperation, LOS, blood loss, and cosmesis
This study aims to analyze current evidence concerning the safety and the outcomes of the
#minimally
#invasive
approach for biliary anastomosis in post-cholecystectomy Bile Duct Injuries
Full article
🌍Acute appendicitis is one of the most common causes of acute abdomen
❓ single-port vs three-port laparoscopic appendectomy
📅 2021 - 2023
№ 296 patients
✅no significant differences in postoperative overall complications
This
#review
spotlights on recent advances in surgical approaches to pancreatic cancer and the risks and benefits of vascular reconstruction to improve resectability.
Full article:
❓This Survey aims to identify such issues to promote the safe and effective management of these injuries.
🏥327 surgeons
4 topic:
1️⃣Knowledge of classification systems
2️⃣Availability to refer patients
3️⃣Patients monitoring and FU
4️⃣Center-related
NEW DAY NEW
#VA
!
"LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS: IS THE SURGERY STILL SAFE BEYOND THE 7-DAY BARRIER ? A MULTICENTRIC OBSERVATIONAL STUDY"
Full article at:
The authors describe the safety and outcome of a new single incision surgical
#gastroscopy
(SISG) technique for the treatment of small-to-medium-sized
#GISTs
located in the proximal
#stomach
#OpenAccess
Now
#available
: Surgical coaching applied to laparoscopic TME for continuous
professional development in
#rectal
#surgery
: proof of concept.
An intriguing paper by I. Montroni et al.
@3isac
🩸 Chronic venous disease and hemorrhoidal disease are among the most common vascular diseases in the world
Mesoglycan has been demonstrated to positively impact the underlying causes of CVD and HD
Full article
Comparison of outcomes in patients undergoing laparoscopic inguinal hernia repair +/- a history of previous abdominopelvic surgery
🇬🇧3 London hospitals
📆January 2017 to May 2023
👫272 patients
✅ Laparoscopic TEP repair = excellent outcomes
An eminent paper that provides an overview of the multiple fields of applications of
#ICG
fuorescence-guided
#surgery
in
#Visceral
and
#Oncological
surgery, discussing indications and summarizing most recent and significative available literature.
#OpenAccess
: The aims of this study were to analyze the Open
#Abdomen
effects on patients with abdominal
#sepsis
and to identify predictive factors of mortality
Full article at
Implementation of the gut microbiota prevents anastomotic leaks in laparoscopic colorectal surgery for cancer: the results of the MIRACLe study
Full article
Arterial variations in the liver’s blood supply play a pivotal role in the success of pancreatoduodenectomy
An exceptionally rare variation is the intrapancreatic common hepatic artery
Emergency and trauma surgery = high morbidity and mortality, due in part to delays in surgical management in the OR
🎯ORSA international web survey
❓ 23 questions
1️⃣4️⃣7️⃣ surgeons
✅Logistics have to be assessed using a multi-disciplinary approach
This study aimed to explore
#colorectal
surgeon’s lived experience of diversity bias with a specific focus on gender, sexual orientation or gender identity and race or religion
Full text
The aim of this pooled analysis was to evaluate the impact of robotic Total Mesorectal Excision on pathology metrics in Male Overweight patients with Low Rectal Cancer
Full article
This study aims to assess the effectiveness of oral antibiotic prophylaxis in preventing Surgical Site Infections in elective
#colorectal
#surgery
.
Full article at
An interactive model for predicting the oncological outcome of patients with early-stage huge hepatocellular carcinoma after hepatectomy is still lacking.
👫514 patients,
6️⃣independent variables
"Liver function tests help in the follow-up of postoperative patients with iatrogenic bile duct injury. There is not clear evidence regarding their predictive role on anastomosis dysfunction."
Full article at:
The aim of the present study is to investigate the role of
#Trans
-Anal
#Irrigation
in patients operated on SHiP procedure for low rectal
#cancer
.
Full article
@Gae_Gallo
This study was conducted to analyze the Textbook outcome and Textbook Oncological Outcome of patients with
#gastric
adenocarcinoma who underwent
#surgery
Full article
Preoperative weight loss may help to obtain better outcomes and less morbidity for bariatric surgery
🏥37 participants with BMI ≥48
💉liraglutide
🏁Initial weight 147.4 ± 14.9 kg which decreased to 139.3 ± 16.8 kg
The surgical treatment of the intermediate-risk Differentiated
#Thyroid
#Cancer
(1–4 cm) remains still controversial.
🙎♂️🙍♀️ 1896 patients
🏥 16 referral centers
💉 Hemithyroidectomy vs. total thyroidectomy
Full article at
The aim of this study is to report the outcome of a bespoke regional Cancer Hub model in the delivery of elective and essential
#colorectal
#cancer
surgery, at the height of the first wave of the
#COVID19
pandemic.
Full article
This study aims to analyze the outcomes of patients with colorectal peritoneal carcinosis and Peritoneal Cancer Index ≥16 treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) (CRS + HIPEC)
Full article
Patients with advanced hepatocellular carcinoma (HCC) and macrovascular invasion (MVI) have dismal prognosis and are referred to systemic treatment or palliation.
Full article at
The aim of this study is to assess postoperative outcomes of patients undergoing ileal pouch-anal anastomosis with or without
#AbdominalDrainage
at a high volume referral center.
Full article
@AntoninoSpin
@mic_carvello
New tracers for sentinel lymph node biopsy have been recently introduced in clinical practice. The authors compared new techniques with standard tracers to evaluate their safety
Full article
Minimally invasive esophagectomy reduces mortality and morbidity related to esophageal surgery, but a long learning curve is necessary due to the technical difficulties of thoracoscopy.
Full article:
#OpenAccess
"The hypothesis was that anastomosis reinforcement and vacuum trans-anal drainage could
eliminate some risk factors, such as mechanically stapled anastomosis instability and local infection"
The MANCTRA-1 international study aims to assess the association between clinical risk factors present early from hospital admission (within 72 h) and the subsequent development of fatal complications among adult patients with Infected Pancreatic Necrosis
A new paper about the role of minimally invasive surgery in recurrent HCC is now available.
An interesting analysis by
@gblevisandri
et al. on behalf of I Go MILS Group
Double tract reconstruction (DTR) is the main digestive tract reconstruction method after proximal gastrectomy (PG). Single tract jejunal interposition (STJI) derived from the double tract reconstruction is also increasingly used in clinical practice.