Surgery, Gastroenterology and Oncology

Read article Introduction: The coronavirus disease (Covid-19) pandemic has led the surgical society to new challenges in the operating theatre. Aerosolization during laparoscopic interventions in Covid-19 patients may pose an increased risk to surgical staff and patients.

Methods: We briefly review the inconceivably fast emerging studies for laparoscopy during the Covid-19 era and announce our practical method of surgical plume filtration during laparoscopic procedures of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients.

Results: ....[more]

Read article Background: The Coronavirus Disease 2019 (COVID-19) pandemic has massively affected bariatric surgical practises across the world. Aim: This report aims to show the effects of the pandemic on bariatric practices in the UK during the early phase of the pandemic.

Methods: Bariatric surgeons in United Kingdom (UK) were contacted; seven bariatric units and 20 collaborators agreed to participate in this project. The data includes patientsâ?? demographics, type and number of operations, bariatric endoscopic procedures, management of complications, emergency and revis....[more]

Read article Background: The COVID-19 pandemic created an enormous burden on global health systems by decreasing health care access and delaying care. Acute appendicitis (AA) is one of the most common surgical emergencies worldwide. Our goal was to determine if patients treated for AA during the pandemic period had more morbidity.

Methods: A retrospective study was conducted including patients with AA, from a two-months period in 2020 and a control group from a homologous period in 2019. These groups were compared regarding demographics, surgical findings, surgical and posto....[more]

Read article Background: The appendiceal disease is a frequent entity, with a non-negligible number of malignancies. There is an association of synchronous appendiceal tumors with other malignancies. The aim of our study is to analyze the number of cases of non-inflammatory appendiceal disease with unusual histopathological findings of appendix samples. Secondary aims are to analyze the recurrence and mortality of appendicular tumors.

Methods: A retrospective cohort study of all the appendectomy specimens in a period of time of 5 years was performed.

Results: ....[more]

Read article Background: Anastomotic leakage (AL) after colorectal resections is a common surgical experience and the most frequent major adverse outcome. Early recognition of AL is critical to reduce mortality. We aim to evaluate the incidence, diagnostic criteria, morbidity, and mortality related with AL.

Methods: This is a cohort, descriptive retrospective, single-centred study of consecutive patients who underwent surgery with a colorectal anastomosis for colorectal cancer, over a 4-year period (2013-2016).

Results: From 2013 to 2016, a total of 480 patien....[more]

Read article Background: Stent placement and per anus ileus catheterization have important roles as a bridge to surgery for patients with left-side obstructive colorectal cancer (OCC). However, a predictor of the long-term outcome of left-side OCC has not been elucidated.

Methods: Between 2001 and 2017, 40 patients with left-side OCC, 80 years of age or younger, who underwent emergency surgery at Kashiwa Hospital, Jikei University, were enrolled into this retrospective study. We compared 24 patients undergoing primary tumor resection with temporary colostomy with 16 patients....[more]

Read article Introduction: Surgical management is usually reserved as the last resort treatment for complications of pancreatitis. These have traditionally been performed via open surgery due to the dense adhesions resulting from the surrounding tissue inflammation from pancreatitis. However, with recent advancements in minimally-invasive pancreatic surgery, increasing numbers of studies have reported the safety and feasibility of performing these procedures via laparoscopic or robotic-assisted surgery. In this study, we present our initial experience with 7 consecutive cases of minimally ....[more]

Read article Aim: Tokyo guidelines 2018 (TG18) recommend early laparoscopic cholecystectomy (LC) for acute cholecystitis (AC). However, there is a serious shortage of surgeons and anesthesiologists at regional core hospitals, so they cannot adequately respond to the requirement of emergency operations. We retrospectively analyzed patients with AC who underwent LC at our department.

Methods: A total of 127 patients with AC who underwent LC between January 2006 and April 2019 were divided into an elective surgery group (interval LC group: Int G, 72 hours or more after visit) and an e....[more]

Read article Background: This study aimed to assess the overall survival and disease-free survival after axillary lymph node dissection (ALND) and whole breast radiotherapy (WBRT).

Methods: This was a prospective cohort study. Twenty female patients with enlarged ALN metastasis of breast origin with occult primary tumor not detected by MRI were recruited for ALND and WBRT with or without neoadjuvant chemotherapy.

Results: Twenty of 1823 patients (1%) were diagnosed with axillary metastasis of breast origin with occult primary breast carcinoma (OBC) not detecte....[more]

Read article Background: Nearly twenty million elective inguinal hernia repairs are performed annually worldwide. International guidelines show no evidence for perioperative antibiotics in either patients at low risk of surgical site infections (SSIs) undergoing open hernia repair or in laparoscopic hernia repair in any context.

Methods: A series of 85 day-case inguinal hernia repairs at a central London teaching hospital were evaluated to ascertain rate of prescription of prophylactic antibiotics. Data collected including operative management, comorbidities and use of antib....[more]

Read article Background: Body mass index (BMI) greater than 40 kg m2 is known as morbid obesity which is considered to be a complicated health status now day. Now a day bariatric surgery represents golden approach for long term management of morbid obesity not only for weight reduction but also for control of associated metabolic complication especially diabetes mellitus type 2. SADI-S is associated with superior outcomes in the treatment of type 2 diabetes mellitus (DM) compared to other surgical choices.

Methods: This study was done between June 2017, and June 2020. The st....[more]

Read article Introduction: Mucinous non-cystic carcinoma of the pancreas is a very scarce kind of pancreatic malignancy and usually occurs in the IPMN. Case presentation: An 82-year-old woman visited this hospital with black stool. Gastroscopy found a large subepithelial mass with bleeding in the upper part of the gastric body. It was diagnosed as mucinous carcinoma with signet ring cells by endoscopic biopsy. In abdominal computed tomography (CT), she was diagnosed with a large, poorly enhancing, hypodense pancreatic tail mass that protrudes into the upper gastric body wall, creating the ....[more]

Read article Intestinal obstruction due to intussusception in adults is rare. We reported a case of an elderly woman, who consulted the hospital with the clinical manifestation of an intestinal obstruction. An abdominal and pelvic computed tomography showed an intestinal intussusception. Since the main cause of intussusception in adults is malignancies, surgery with oncological criteria was performed withen bloc resection of the area concerned. This article reportson a rare case of intestinal obstruction due to ileocolic intussusception and a review of the current evidence.

Read article Pancreatic adenocarcinoma has a poor prognosis, even after R0 resections. Metachronous disease usually arises as distant or regional metastasis, but local recurrence is infrequent. 66 year-old male patient with a subclinical pancreatic remnant lesion suspected to be malignant 10 years after duodenopancreatectomy for invasive mucinous cystoadenocarcinoma. After distant metastatic disease was ruled-out, laparoscopic distal pancreatectomy was performed. Pathology revealed a non-invasive intraductal papillary mucinous neoplasm (IPMN).
The decision to resect metachronous disease after....[more]

Read article Background: Parahiatal hernia is rare complication after esophagectomy. Is a rare form of diaphragmatic hernia, and its exact incidence is unknown. We report a case of para-hiatal hernia following laparoscopic esophagectomy, successfully managed laparoscopically. Case presentation: 63-year-old female, presenting a distal oesophageal adenocarcinoma, admitted in our Hospital in July 2018. The clinical TNM classification was T3, N2, M0 (stage IIIB). Initially treated by chemotherapy with partial response, after restaging a laparoscopic transhiatal esophagectomy with gastric tube ....[more]