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Updates in Surgery OnlineFirst articles

Open Access 30.05.2024 | Original Article

Robotic surgery for thymic cysts: clinical features, management, and results of a multicentric study

Thymic cysts are rare, radiological diagnosis is often incidental, and cysts seldom assume clinical relevance for symptoms of compression. Thymoma were occasionally found inside both complex and simple thymic cysts. Given the challenges in …

verfasst von:
Giacomo Cusumano, Elisa Meacci, Gaetano Romano, Marco Cavaleri, Maria Teresa Congedo, Federico Davini, Stefano Margaritora, Alberto Terminella, Franca Melfi

29.05.2024 | Letter to the Editor

Intersphincteric portion of fistula tract needs proper management to achieve high cure rate in complex anal fistulas: comparing LIFT vs TROPIS—the latest sphincter-sparing procedures

verfasst von:
Nicola Clemente, Vipul D. Yagnik, Pankaj Garg

Open Access 28.05.2024 | Original Article

Postoperative outcomes of surgical delay in inflammatory bowel disease patients: a multicenter cohort study

Postponement of surgical inflammatory bowel disease (IBD) care may lead to disease progression. This study aims to determine the influence of delayed surgical IBD procedures on clinical outcomes. This multicenter retrospective cohort study …

verfasst von:
Ellen de Bock, Eline S. Herman, Vincent Meij, Thijs A. Burghgraef, Bas Oldenburg, Paul M. Verheijen, Apollo Pronk, Mando D. Filipe, Menno R. Vriens, Milan C. Richir

Open Access 28.05.2024 | Original Article

Revisional surgery for malnutrition after SADI-S: prevalence, indications, techniques and outcomes

Malnutrition is one of the most feared long-term complications of bariatric surgery. It has been historically related to malabsorptive operations, as jejunoileal bypass (JIB), biliopancreatic diversion (BPD) and duodenal switch (DS), although …

verfasst von:
Andrés Sánchez-Pernaute, Bibiana Lasses, Leyre López Antoñanzas, Miguel Ángel Rubio, Clara Marcuello, Natalia Pérez Ferré, Antonio Torres, Elia Pérez-Aguirre

27.05.2024 | Review Article

Indications and results of right-lobe living donor liver transplantation

The shortage of deceased liver donor organs over the years has always posed the need to expand the donor pool. A viable alternative to deceased donors is that of the living donor. Indeed, the living donor in liver transplantation, initially in …

verfasst von:
Ivan Vella, Fabrizio di Francesco, Caterina Accardo, Ugo Boggi, Salvatore Gruttadauria

27.05.2024 | Original Article

Knowledge, attitudes and practices of using Indocyanine Green (ICG) fluorescence in emergency surgery: an international web-based survey in the ARtificial Intelligence in Emergency and trauma Surgery (ARIES)—WSES project

Fluorescence imaging is a real-time intraoperative navigation modality to enhance surgical vision and it can guide emergency surgeons while performing difficult, high-risk surgical procedures. The aim of this study is to assess current knowledge …

verfasst von:
Belinda De Simone, Fikri M. Abu-Zidan, Sara Saeidi, Genevieve Deeken, Walter L. Biffl, Ernest E. Moore, Massimo Sartelli, Federico Coccolini, Luca Ansaloni, Salomone Di Saverio, Fausto Catena, ICG Fluorescence Guided Emergency Surgery Survey Consortium

27.05.2024 | Original Article

Recurrence-free survival curve for pulmonary metastasectomy in colorectal cancer plateaus at 3 years

The survival benefit of resection following colorectal pulmonary metastasis in selected patients is well-known [ 1 , 2 ]. Moreover, multiple retrospective studies have explored the clinical, pathological, and genomic characteristics that may …

verfasst von:
Chihiro Yoshida, Sung Soo Chang, Taku Okamoto, Ryo Inada

27.05.2024 | Technical Note

Internal hernia through the Treitz fossa after robotic pancreatoduodenectomy: pathogenesis and preventive measures

Internal hernia through the Treitz fossa following robotic pancreatoduodenectomy is a rare but potentially serious complication. In our review of 328 cases of robotic pancreatoduodenectomies, two patients (0.6%) required repeat surgery due to …

verfasst von:
Virginia Viti, Michael Ginesini, Allegra Ripolli, Ugo Boggi

27.05.2024 | Original Article

Diverting ileostomy in benign colorectal surgery: the real clinical cost analysis

There are three types of complications stoma related: ones related to its construction, ones related to its function and related to closure. The aim of this study was to assess the risk of complications related to the stoma presence and to …

verfasst von:
F. Ascari, G. Barugola, G. Ruffo

Open Access 27.05.2024 | Original Article

Proof of concept of an experimental prototype for the prevention of parastomal hernia

Ostomy surgery can significantly impact the quality of life of affected patients as it causes important physiological, emotional, and relationship changes, in addition to requiring the learning of new self-care habits [ 1 , 2 ]. Likewise, the …

verfasst von:
María Elena García-Manzanares, Ignacio Zaragoza-García, Mercedes Avilés-Escudero, Beatriz Alonso-Cortés Fradejas

Open Access 26.05.2024 | Original Article

Description and management of patients with anal fissure: insights on Italian primary care setting coming from real-world data

To describe patients with anal fissure (AF) and their management in primary care. Retrospective study using the Italian Longitudinal Patient Database on 18 + years old subjects with AF records during ‘July 2016–June 2021’ (selection period). Index …

verfasst von:
Gaetano Gallo, Valeria Pegoraro, Mario Trompetto

Open Access 26.05.2024 | Original Article

Revision of restrictive bariatric procedures in elderly patients: results at a 5-year follow-up

Revisional Bariatric Surgery (RBS) is increasing in popularity. Elderly patients (> 65 years old) are sometimes referred for RBS evaluation. The aim of this study is to evaluate outcomes of elderly patients undergoing RBS. A retrospective analysis …

verfasst von:
Adam Abu-Abeid, Noa Gosher, Mati Shnell, Sigal Fishman, Andrei Keidar, Guy Lahat, Shai Meron Eldar

25.05.2024 | Original Article

Construction and validation of nomogram prognostic model for predicting survival in hepatoblastoma patients: a population-based study

For patients with hepatoblastoma (HB), current staging system is not accurate in predicting survival outcomes. The aim of this study was to develop two accurate survival prediction models to guide clinical decision making. A retrospective analysis …

verfasst von:
Song Wang, Siqi Fu, Rui Li, Zheng Guo, Yuchao Wang, Wei Sun, Daqing Sun

24.05.2024 | Original Article

Early outcomes of three new robotic surgical systems in patients undergoing hysterectomy

New robot models, such as hinotori™, da Vinci SP™, and Hugo™, have been introduced in Japan. This study examined the surgical outcomes of these models in patients from the initial stages of their introduction to the present day.We retrospectively …

verfasst von:
Motoki Matsuura, Sachiko Nagao, Shoko Kurokawa, Masato Tamate, Taishi Akimoto, Tsuyoshi Saito

22.05.2024 | Original Article

The articulated dual-supply pedicle for reduction mammoplasty

Breast reduction surgery achieves symptomatic relief and improved quality of life for patients with excessive breast enlargement. Reduction mammoplasty has evolved over the last century with the introduction of multiple new pedicles and skin …

verfasst von:
Yoram Wolf, Ron Skorochod, Elad Gros, Anner Moskovitz

22.05.2024 | Letter to the Editor

Benchmarks in low anterior rectal resection to prevent anastomotic leakage: the BASIC checklist

verfasst von:
Roberto Peltrini, Francesco Ferrara, Vincenzo Pilone

Open Access 21.05.2024 | Original Article

Meaning of ACR-TIRADS recommendation in favor of follow-up rather than FNAC in thyroid nodules

Thyroid Imaging Reporting and Data Systems (TIRADSs) have been largely diffused for their high accuracy in risk stratification of thyroid nodules (TNs) and their selection for fine-needle aspiration cytology (FNAC). The most popular TIRADSs are …

verfasst von:
Andrea Leoncini, Marco Curti, Lorenzo Ruinelli, Pierpaolo Trimboli

20.05.2024 | Original Article

Intraoperative left-sided colorectal anastomotic testing in clinical practice: a multi-treatment machine-learning analysis of the iCral3 prospective cohort

Anastomotic leakage (AL) remains the main drawback of any colorectal resection, with an incidence ranging from 1 to 19% of cases [ 1 – 3 ]. Its etiology is largely multifactorial, and many leaks remain unexplained [ 4 , 5 ]. AL is associated with …

verfasst von:
Marco Catarci, Stefano Guadagni, Francesco Masedu, Gianluca Guercioni, Giacomo Ruffo, Massimo Giuseppe Viola, Felice Borghi, Marco Scatizzi, Alberto Patriti, Gian Luca Baiocchi, The Italian ColoRectal Anastomotic Leakage (iCral) study group

18.05.2024 | Original Article

Retroauricular endoscopic thyroidectomy: initial single-institution experiences

Conventional thyroidectomy often results in visible scarring postoperatively. Endoscopic thyroidectomy offers the advantage of scarless surgery, especially beneficial for young adult women. The retroauricular approach uses a facelift incision …

verfasst von:
Erwin Danil Yulian, Sonar Soni Panigoro, Putri Arum Melati

Open Access 18.05.2024 | Original Article

Association between the expression of epithelial–mesenchymal transition (EMT)-related markers and oncologic outcomes of colorectal cancer

Colorectal cancer (CRC) arises through various molecular pathways, influenced by several environmental and genetic risk factors [ 1 , 2 ]. It is imperative to understand the molecular mechanisms underlying the genetic and epigenetic alterations …

verfasst von:
Mona Hany Emile, Sameh Hany Emile, Amr Awad El-Karef, Mohamed Awad Ebrahim, Ibrahim Eldosoky Mohammed, Dina Abdallah Ibrahim