Skip to main content

Updates in Surgery OnlineFirst articles

19.01.2022 | Original Article

An anatomical study on intersphincteric space related to intersphincteric resection for ultra-low rectal cancer

Tremendous progress has been made in the surgical treatment of rectal cancer over the last two decades, and restoration of the anal function has been one of the main goals. Intersphincteric resection (ISR) has been proposed to offer …

Yiwen Zang, Minwei Zhou, Deyan Tan, Zhenyang Li, Xiaodong Gu, Yi Yang, Zihao Wang, Zongyou Chen, Yiming Zhou, Jianbin Xiang

17.01.2022 | Original Article

A pilot randomized controlled trial on ligation of intersphincteric fistula tract (LIFT) versus modified parks technique and two-stage seton in treatment of complex anal fistula

Complex anal fistula (CAF) is a challenging condition for surgeons. This randomized trial aimed to compare ligation of the intersphincteric fistula tract (LIFT), modified Parks technique, and two-stage seton in the treatment of complex anal …

Mohamed Tarek Elshamy, Sameh Hany Emile, Mahmoud Abdelnaby, Wael Khafagy, Samy Abbas Elbaz

17.01.2022 | Original Article

Which surgical strategy for colorectal cancer with synchronous hepatic metastases provides the best outcome? A comparison between primary first, liver first and simultaneous approach

Synchronous colorectal liver metastases (SCRLM), defined as liver metastases (CRLM) detected at or before the diagnosis of the primary tumour [ 1 ], are found in 16–21% of patients with colorectal cancer (CRC), with a growing trend over the years [ …2

Fabio Carbone, Yinshan Chee, Shahnawaz Rasheed, David Cunningham, Ricky Harminder Bhogal, Long Jiao, Paris Tekkis, Christos Kontovounisios

16.01.2022 | Review Article

The comparison of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair: the results of meta-analysis

Self-gripping mesh is widely used in laparoscopic inguinal hernia repair and some researches report its advantages compared with conventional mesh. The aim of this study was to assess outcomes of self-gripping mesh and conventional mesh in …

Dianchen Wang, Jianwu Jiang, Yang Fu, Pan Qu

14.01.2022 | Letter to the Editor

Surgeon’s role in the present and future era of the 3D printing-based regenerative medicine

V. Verzeletti

13.01.2022 | Technical Note

Laparoscopic glissonean pedicle approach: step by step video description of the technique from different centres (with video)

For the standardization of the systematic extrahepatic glissonean pedicle isolation, it is essential to recognize four anatomical landmarks and six gates [ 1 ].

Benedetto Ielpo, Antonio Giuliani, Patricia Sanchez, Fernando Burdio, Mikel Gastaka, Marcello Di Martino, Mauro Podda, Santiago Lopez-Ben, Leandro Siragusa, Gianluca Pellino, Alessandro Anselmo

13.01.2022 | Original Article

Preoperative predictors of non-transplantable recurrence after resection for early-stage hepatocellular carcinoma: application in an East Asian cohort

A French study found that three preoperative factors (i.e. alpha-fetoprotein (AFP) > 100 ng/ml, image-diagnosed tumor number > 1, and cirrhosis) could predict non-transplantable recurrence (NTR) after liver resection (LR) for early-stage …

Wei-Feng Li, Yi-Hao Yen, Yueh-Wei Liu, Chih-Chi Wang, Chee-Chien Yong, Chih-Che Lin

13.01.2022 | Letter to the Editor

Laparoscopic resection and primary anastomosis with or without ileostomy: past, present and future of management of perforated diverticulitis

Gennaro Mazzarella, Edoardo Maria Muttillo, Irnerio Angelo Muttillo

13.01.2022 | Letter to the Editor

Liver venous deprivation: an interesting approach for regenerative liver surgery

Salvatore Gruttadauria, Fabrizio Di Francesco, Roberto Miraglia

13.01.2022 | Original Article

Achievement of textbook outcomes and comparisons with benchmark values after laparoscopic left lateral sectionectomy

Laparoscopic left lateral sectionectomy (LLLS) is considered a standard approach for patients. Textbook outcomes (TOs) with benchmark values have been developed to help centers assess their outcomes of LLLS. The aim of our study was to identify …

Mizelle D’Silva, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, Hae Won Lee, Jun Suh Lee, Boram Lee, Moonhwan Kim

11.01.2022 | Original Article

Impact of enhanced pathway of care in uniportal video-assisted thoracoscopic surgery

Enhanced Recovery After Surgery (E.R.A.S.) is a multimodal, evidence-based and patient-centered pathway designed to minimize surgical stress, enhancing recovery and improving perioperative outcomes. However, considering that the potential clinical …

Michela Tiberi, Marco Andolfi, Michele Salati, Alberto Roncon, Gian Marco Guiducci, Stefano Falcetta, Lorenzo Ambrosi, Majed Refai

10.01.2022 | Original Article

Avoiding immediate whole-body trauma CT: a prospective observational study in stable trauma patients

High energy blunt trauma patients with normal vital signs are usually investigated with a Contrast Enhanced Computed Tomography (CECT) for torso injuries. CECT involves high levels of radiations, often showing no injuries in patients over-triaged …

Elisa Reitano, Stefano Granieri, Fabrizio Sammartano, Stefania Cimbanassi, Miriam Galati, Shailvi Gupta, Angelo Vanzulli, Osvaldo Chiara

10.01.2022 | Letter to the Editor

Letter to editor: “Sim life model: introducing a new teaching device in endocrine surgery simulation”

Yuvraj Devgan, Sarrah Idrees, Sabaretnam Mayilvaganan

09.01.2022 | Editorial and Commentary

Blockchain in surgery: are we ready for the digital revolution?

Throughout time, surgery evolved from an old fashioned and rough discipline to one of the most exciting fields in medicine, tightly linked to historical technological advancements. To cite only a few, minimal access surgery including laparoscopic …

Francesco Maria Carrano, Pierpaolo Sileri, Susie Batt, Nicola Di Lorenzo

08.01.2022 | Letter to the Editor

Splenic artery embolization: a safety and save-life procedure in patient with acute leukemia, haemodynamically unstable because of haemoperitoneum

A 54-year-old male was admitted to the emergency department because of fever, asthenia, leukocytosis with monocytosis, mild anemia and thrombocytopenia. Clinical examination showed hepatomegaly and splenomegaly (6–8 cm bcm). Blood counts showed: …

Lorenzo Capasso, Giovanni Moggio, Andrea Camera

08.01.2022 | Original Article

Postoperative organ space infection (OSI) following appendectomy: early term evaluation for pediatric population

No consensus has been reached on the duration of antibiotic prophylaxis for postoperative organ space infection (OSI) following appendectomy. This study investigated the influence of antibiotic administration on postoperative OSIs in children with …

Chengwei Yan, Jian Cao, Bailin Chen, Chunbao Guo

07.01.2022 | Original Article

Robotic-assisted versus laparoscopic approach of Bai-Jiang-style vagus nerve-preserving splenectomy and azygoportal disconnection

Robotic surgery has been widely accepted in many kinds of surgical procedures. Little is known about clinical effects of robotic-assisted splenectomy and azygoportal disconnection (RSD) for gastroesophageal variceal bleeding and secondary …

Dou-Sheng Bai, Sheng-Jie Jin, Xiao-Xing Xiang, Jian-Jun Qian, Chi Zhang, Bao-Huan Zhou, Guo-Qing Jiang

06.01.2022 | Original Article

A mini-invasive approach is feasible in patients with primary hyperparathyroidism and discordant or negative localisation studies

Preoperative localisation of pathological glands in patients with primary hyperparathyroidism (PHP) is the mainstay for mini-invasive parathyroidectomy. Nevertheless, a not negligible number of patients presents discordant or negative neck …

Gian Luigi Canu, Federico Cappellacci, Jacob Pieter Noordzij, Stefano Piras, Enrico Erdas, Pietro Giorgio Calò, Fabio Medas

06.01.2022 | Original Article

Primary closure versus T-tube drainage after laparoscopic common bile duct exploration in patients with non-severe acute cholangitis

Although the feasibility of T-tube drainage after emergency laparoscopic common bile duct exploration (LCBDE) has been reported, the safety and effectiveness of primary closure (PC) after LCBDE in patients with non-severe acute cholangitis (AC) …

You Jiang, Jun Zhang, Wenbo Li, Liang Li

04.01.2022 | Original Article

Ageing with sacral nerve modulation for fecal incontinence: how many patients get benefit after more than 10 years?

Sacral nerve modulation (SNM) has represented a major advancement in the minimally invasive management of patients with fecal incontinence (FI). Although the success rate in the short–medium term has widely been demonstrated, the very long-term …

A. Picciariello, M. Rinaldi, R. Dibra, G. Trigiante, G. Tomasicchio, G. Lantone, M. De Fazio