left colectomy
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2021 ◽  
pp. 112-116
Author(s):  
Sorin Cimpean ◽  
Ion Surdeanu ◽  
Mehdi El Chouckri ◽  
Mohamad Rakka ◽  
Jordan Marcelis ◽  
...  

2021 ◽  
pp. 928-930
Author(s):  
Petr Lochman ◽  
Jiří Páral

Primary gastric lymphoma is a relatively rare tumour which is not primarily indicated on for surgical treatment. We present a case of locally advanced primary gastric lymphoma with penetration to the surrounding organs that had to be managed surgically. The proximal gastrectomy with splenectomy, distal pancreatectomy, and left colectomy was performed. We reached R0 resection, and patient was recovered well.


Author(s):  
Carmelo Mazzeo ◽  
Francesca Viscosi ◽  
Giorgio Badessi ◽  
Eugenio Cucinotta

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Nicola de’Angelis ◽  
◽  
Eloy Espin ◽  
Frederic Ris ◽  
Filippo Landi ◽  
...  

Abstract Background The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. This study aims to compare the perioperative and long-term outcomes of different alternatives for emergency SFC resection. Method This multicenter retrospective study was based on the SFC Study Group database. For the present analysis, SFC patients were selected if they had received emergency surgical resection with curative intent between 2000 and 2018. Extended right colectomy (ERC), left colectomy (LC), and segmental left colectomy (SLC) were evaluated and compared. Results The study sample was composed of 90 SFC patients who underwent emergency ERC (n = 55, 61.1%), LC (n = 18, 20%), or SLC (n = 17, 18.9%). Bowel obstruction was the most frequent indication for surgery (n = 75, 83.3%), and an open approach was chosen in 81.1% of the patients. A higher incidence of postoperative complications was observed in the ERC group (70.9%) than in the LC (44.4%) and SLC groups (47.1%), with a significant procedure-related difference for severe postoperative complications (Dindo-Clavien ≥ III; adjusted odds ratio for ERC vs. LC:7.23; 95% CI 1.51-34.66; p = 0.013). Anastomotic leakage occurred in 8 (11.2%) patients, with no differences between the groups (p = 0.902). R0 resection was achieved in 98.9% of the procedures, and ≥ 12 lymph nodes were retrieved in 92.2% of patients. Overall and disease-free survival rates at 5 years were similar between the groups and were significantly associated with stage pT4 and the presence of synchronous metastases. Conclusion In the emergency setting, ERC and open surgery are the most frequently performed procedures. ERC is associated with increased odds of severe postoperative complications when compared to more conservative SFC resections. Nonetheless, all the alternatives seem to provide similar pathologic and long-term outcomes, supporting the oncological safety of more conservative resections for emergency SFCs.


2021 ◽  
Vol 5 (2) ◽  
pp. 202-206
Author(s):  
Kazuaki Okamoto ◽  
Shigenobu Emoto ◽  
Kazuhito Sasaki ◽  
Hiroaki Nozawa ◽  
Kazushige Kawai ◽  
...  

2021 ◽  
Vol 13 (4) ◽  
pp. e6824
Author(s):  
João Victor Tavares Mendonça Garretto ◽  
Yara Tavares Mendonça Garretto ◽  
Thales Hott Fernandes Morais ◽  
Sofia Gonzaga Garcia ◽  
Luisa Leal Barbosa Correia De Andrade ◽  
...  

Objective: The objective of this work is to report a hernia derived from the access portal used in robotic surgery. Details of the case: A 72-year-old woman, diagnosed with splenic angle adenocarcinoma of the colon, underwent robotic left colectomy and lymphadenectomy. On the 12th postoperative day, she developed vomiting and interrupted the elimination of feces and flatus. Computed tomography revealed hernia on the left flank with an 8 mm orifice with intestinal contents. Incisional herniorrhaphy was performed to correct the defect. PSH are associated with patient risk factors. They are also related to the diameter of the trocar and its place of passage. For its prevention, it is important to assess the need to close the aponeurosis according to each case. Final considerations: The disturbances created by the passage of 12 mm and 10 mm trocars must be closed. Those created by 5 mm trocars do not need to be closed, and those of 8 mm may or may not be closed, depending on the risk factors involved.


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