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Showing 1201 - 1400 of 2352 Journals sorted alphabetically
J. of Clinical Immunology     Hybrid Journal   (Followers: 14, SJR: 1.332, h-index: 75)
J. of Clinical Monitoring and Computing     Hybrid Journal   (Followers: 1, SJR: 0.661, h-index: 37)
J. of Clinical Psychology in Medical Settings     Hybrid Journal   (Followers: 13, SJR: 0.46, h-index: 34)
J. of Cluster Science     Hybrid Journal   (SJR: 0.416, h-index: 31)
J. of Coal Science and Engineering (China)     Hybrid Journal   (SJR: 0.188, h-index: 8)
J. of Coastal Conservation     Hybrid Journal   (Followers: 7, SJR: 0.474, h-index: 25)
J. of Coatings Technology and Research     Hybrid Journal   (Followers: 5, SJR: 0.425, h-index: 25)
J. of Combinatorial Optimization     Hybrid Journal   (Followers: 5, SJR: 1.093, h-index: 34)
J. of Communications Technology and Electronics     Hybrid Journal   (Followers: 2, SJR: 0.29, h-index: 16)
J. of Community Genetics     Hybrid Journal   (Followers: 1, SJR: 0.727, h-index: 14)
J. of Community Health     Hybrid Journal   (Followers: 8, SJR: 0.921, h-index: 44)
J. of Comparative Physiology A: Neuroethology, Sensory, Neural, and Behavioral Physiology     Hybrid Journal   (Followers: 9, SJR: 1.087, h-index: 74)
J. of Comparative Physiology B : Biochemical, Systemic, and Environmental Physiology     Hybrid Journal   (Followers: 4, SJR: 1.126, h-index: 59)
J. of Compassionate Health Care     Open Access   (Followers: 3)
J. of Computational Analysis and Applications     Hybrid Journal   (SJR: 0.291, h-index: 19)
J. of Computational Electronics     Hybrid Journal   (Followers: 4, SJR: 0.511, h-index: 20)
J. of Computational Neuroscience     Hybrid Journal   (Followers: 25, SJR: 1.068, h-index: 60)
J. of Computer and Systems Sciences Intl.     Hybrid Journal   (SJR: 0.27, h-index: 13)
J. of Computer Science and Technology     Open Access   (Followers: 5, SJR: 0.437, h-index: 31)
J. of Computer Virology and Hacking Techniques     Hybrid Journal   (Followers: 6, SJR: 0.151, h-index: 2)
J. of Computer-Aided Molecular Design     Hybrid Journal   (Followers: 2, SJR: 0.995, h-index: 78)
J. of Computers in Education     Hybrid Journal   (Followers: 12)
J. of Computing in Higher Education     Hybrid Journal   (Followers: 13, SJR: 0.363, h-index: 21)
J. of Consumer Policy     Hybrid Journal   (Followers: 7, SJR: 0.704, h-index: 30)
J. of Contemporary Mathematical Analysis     Hybrid Journal   (SJR: 0.237, h-index: 5)
J. of Contemporary Physics (Armenian Academy of Sciences)     Hybrid Journal   (Followers: 11, SJR: 0.197, h-index: 6)
J. of Contemporary Psychotherapy     Hybrid Journal   (Followers: 6, SJR: 0.397, h-index: 23)
J. of Control Theory and Applications     Hybrid Journal   (Followers: 2, SJR: 0.359, h-index: 19)
J. of Control, Automation and Electrical Systems     Hybrid Journal   (Followers: 10, SJR: 0.231, h-index: 9)
J. of Crop Science and Biotechnology     Hybrid Journal   (Followers: 7)
J. of Cross-Cultural Gerontology     Hybrid Journal   (Followers: 6, SJR: 0.631, h-index: 29)
J. of Cryptographic Engineering     Partially Free   (Followers: 5, SJR: 0.989, h-index: 11)
J. of Cryptology     Hybrid Journal   (Followers: 3, SJR: 1.443, h-index: 55)
J. of Cultural Economics     Hybrid Journal   (Followers: 4, SJR: 0.539, h-index: 29)
J. of Database Marketing & Customer Strategy Management     Hybrid Journal   (Followers: 9, SJR: 0.149, h-index: 8)
J. of Derivatives & Hedge Funds     Hybrid Journal   (Followers: 8, SJR: 0.114, h-index: 5)
J. of Developmental and Physical Disabilities     Hybrid Journal   (Followers: 8, SJR: 0.574, h-index: 29)
J. of Digital Imaging     Hybrid Journal   (Followers: 10, SJR: 0.578, h-index: 35)
J. of Direct Data and Digital Marketing Practice     Hybrid Journal   (Followers: 8, SJR: 0.154, h-index: 6)
J. of Dynamical and Control Systems     Hybrid Journal   (Followers: 2, SJR: 0.4, h-index: 26)
J. of Dynamics and Differential Equations     Hybrid Journal   (SJR: 1.418, h-index: 31)
J. of Earth Science     Hybrid Journal   (Followers: 10, SJR: 0.483, h-index: 16)
J. of Earth System Science     Open Access   (Followers: 49, SJR: 0.448, h-index: 32)
J. of East Asian Linguistics     Hybrid Journal   (Followers: 6, SJR: 0.537, h-index: 20)
J. of Echocardiography     Hybrid Journal   (Followers: 4, SJR: 0.22, h-index: 3)
J. of Ecology and Environment     Open Access   (Followers: 1)
J. of Economic Growth     Hybrid Journal   (Followers: 29, SJR: 3.273, h-index: 63)
J. of Economic Interaction and Coordination     Hybrid Journal   (SJR: 0.263, h-index: 12)
J. of Economics     Hybrid Journal   (Followers: 17, SJR: 0.418, h-index: 23)
J. of Economics and Finance     Hybrid Journal   (Followers: 6, SJR: 0.272, h-index: 19)
J. of Educational Change     Hybrid Journal   (Followers: 7, SJR: 0.961, h-index: 21)
J. of Elasticity     Hybrid Journal   (Followers: 6, SJR: 0.851, h-index: 45)
J. of Electroceramics     Hybrid Journal   (SJR: 0.577, h-index: 57)
J. of Electronic Materials     Hybrid Journal   (Followers: 5, SJR: 0.609, h-index: 75)
J. of Electronic Testing     Hybrid Journal   (Followers: 2, SJR: 0.372, h-index: 27)
J. of Electronics (China)     Hybrid Journal   (Followers: 4, SJR: 0.112, h-index: 9)
J. of Elementary Science Education     Hybrid Journal   (Followers: 9)
J. of Elliptic and Parabolic Equations     Hybrid Journal  
J. of Engineering Mathematics     Hybrid Journal   (SJR: 0.347, h-index: 37)
J. of Engineering Physics and Thermophysics     Hybrid Journal   (Followers: 1, SJR: 0.288, h-index: 11)
J. of Engineering Research     Open Access   (Followers: 1, SJR: 0.145, h-index: 5)
J. of Engineering Thermophysics     Hybrid Journal   (Followers: 4, SJR: 0.763, h-index: 9)
J. of Environmental Studies and Sciences     Partially Free   (Followers: 2)
J. of Ethology     Hybrid Journal   (Followers: 2, SJR: 0.609, h-index: 25)
J. of Evolution Equations     Hybrid Journal   (SJR: 0.826, h-index: 26)
J. of Evolutionary Biochemistry and Physiology     Hybrid Journal   (SJR: 0.145, h-index: 11)
J. of Evolutionary Economics     Hybrid Journal   (Followers: 9, SJR: 0.492, h-index: 52)
J. of Experimental and Theoretical Physics     Hybrid Journal   (Followers: 3, SJR: 0.458, h-index: 39)
J. of Experimental Criminology     Hybrid Journal   (Followers: 50, SJR: 1.445, h-index: 28)
J. of Failure Analysis and Prevention     Hybrid Journal   (Followers: 5, SJR: 0.261, h-index: 15)
J. of Family and Economic Issues     Hybrid Journal   (Followers: 6, SJR: 0.396, h-index: 32)
J. of Family Violence     Hybrid Journal   (Followers: 38, SJR: 0.639, h-index: 56)
J. of Financial Services Marketing     Hybrid Journal   (Followers: 3, SJR: 0.273, h-index: 10)
J. of Financial Services Research     Hybrid Journal   (Followers: 24, SJR: 0.572, h-index: 36)
J. of Fixed Point Theory and Applications     Hybrid Journal   (SJR: 0.644, h-index: 13)
J. of Fluorescence     Hybrid Journal   (Followers: 3, SJR: 0.465, h-index: 56)
J. of Food Measurement and Characterization     Hybrid Journal   (SJR: 0.307, h-index: 4)
J. of Food Science and Technology     Hybrid Journal   (Followers: 6, SJR: 0.441, h-index: 29)
J. of Forest Research     Hybrid Journal   (Followers: 3, SJR: 0.495, h-index: 27)
J. of Forestry Research     Hybrid Journal   (Followers: 4, SJR: 0.304, h-index: 14)
J. of Fourier Analysis and Applications     Hybrid Journal   (Followers: 1, SJR: 1.18, h-index: 42)
J. of Friction and Wear     Hybrid Journal   (Followers: 7, SJR: 0.373, h-index: 7)
J. of Fusion Energy     Hybrid Journal   (Followers: 3, SJR: 0.387, h-index: 19)
J. of Gambling Studies     Hybrid Journal   (Followers: 7, SJR: 1.171, h-index: 57)
J. of Gastroenterology     Hybrid Journal   (Followers: 12, SJR: 1.651, h-index: 88)
J. of Gastrointestinal Cancer     Hybrid Journal   (Followers: 4, SJR: 0.304, h-index: 39)
J. of Gastrointestinal Surgery     Hybrid Journal   (Followers: 8, SJR: 1.64, h-index: 99)
J. of General Internal Medicine     Hybrid Journal   (Followers: 18, SJR: 1.804, h-index: 134)
J. of General Plant Pathology     Hybrid Journal   (SJR: 0.554, h-index: 22)
J. of Genetic Counseling     Hybrid Journal   (Followers: 6, SJR: 0.902, h-index: 39)
J. of Genetics     Open Access   (Followers: 5, SJR: 0.458, h-index: 28)
J. of Geodesy     Hybrid Journal   (Followers: 9, SJR: 2.173, h-index: 56)
J. of Geographical Sciences     Hybrid Journal   (Followers: 1, SJR: 0.8, h-index: 23)
J. of Geographical Systems     Hybrid Journal   (Followers: 4, SJR: 0.822, h-index: 39)
J. of Geometric Analysis     Hybrid Journal   (Followers: 2, SJR: 1.491, h-index: 27)
J. of Geometry     Hybrid Journal   (Followers: 1, SJR: 0.272, h-index: 15)
J. of Global Optimization     Hybrid Journal   (Followers: 4, SJR: 0.992, h-index: 60)
J. of Global Policy and Governance     Hybrid Journal   (Followers: 11)
J. of Grid Computing     Hybrid Journal   (Followers: 1, SJR: 1.414, h-index: 37)
J. of Happiness Studies     Hybrid Journal   (Followers: 25, SJR: 0.881, h-index: 39)
J. of Hematopathology     Hybrid Journal   (Followers: 4, SJR: 0.2, h-index: 13)
J. of Heuristics     Hybrid Journal   (Followers: 4, SJR: 1.308, h-index: 50)
J. of High Energy Physics     Hybrid Journal   (Followers: 18, SJR: 1.052, h-index: 153)
J. of Homotopy and Related Structures     Hybrid Journal   (SJR: 0.232, h-index: 2)
J. of Housing and the Built Environment     Hybrid Journal   (Followers: 8, SJR: 0.648, h-index: 28)
J. of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal   (SJR: 0.344, h-index: 19)
J. of Ichthyology     Hybrid Journal   (Followers: 3, SJR: 0.304, h-index: 10)
J. of Immigrant and Minority Health     Hybrid Journal   (Followers: 13, SJR: 0.759, h-index: 37)
J. of Inclusion Phenomena and Macrocyclic Chemistry     Hybrid Journal   (Followers: 1, SJR: 0.331, h-index: 46)
J. of Indian Council of Philosophical Research     Hybrid Journal  
J. of Indian Philosophy     Hybrid Journal   (Followers: 12, SJR: 0.127, h-index: 12)
J. of Industrial Microbiology and Biotechnology     Hybrid Journal   (Followers: 16, SJR: 0.966, h-index: 80)
J. of Industry, Competition and Trade     Hybrid Journal   (Followers: 8, SJR: 0.327, h-index: 15)
J. of Infection and Chemotherapy     Hybrid Journal   (Followers: 1, SJR: 0.673, h-index: 46)
J. of Information Technology     Hybrid Journal   (Followers: 56, SJR: 1.474, h-index: 55)
J. of Information Technology Teaching Cases     Hybrid Journal   (Followers: 9)
J. of Infrared, Millimeter and Terahertz Waves     Hybrid Journal   (Followers: 2, SJR: 1.25, h-index: 36)
J. of Inherited Metabolic Disease     Hybrid Journal   (Followers: 2, SJR: 1.389, h-index: 77)
J. of Inorganic and Organometallic Polymers and Materials     Partially Free   (Followers: 9, SJR: 0.338, h-index: 33)
J. of Insect Behavior     Hybrid Journal   (Followers: 8, SJR: 0.569, h-index: 39)
J. of Insect Conservation     Hybrid Journal   (Followers: 10, SJR: 0.872, h-index: 43)
J. of Intelligent and Robotic Systems     Hybrid Journal   (Followers: 3, SJR: 0.629, h-index: 43)
J. of Intelligent Information Systems     Hybrid Journal   (Followers: 1, SJR: 0.691, h-index: 43)
J. of Intelligent Manufacturing     Hybrid Journal   (Followers: 3, SJR: 1.397, h-index: 54)
J. of Interventional Cardiac Electrophysiology     Hybrid Journal   (SJR: 0.93, h-index: 43)
J. of Intl. Business Studies     Hybrid Journal   (Followers: 34, SJR: 4.208, h-index: 130)
J. of Intl. Entrepreneurship     Hybrid Journal   (Followers: 9, SJR: 0.549, h-index: 23)
J. of Intl. Migration and Integration / Revue de l integration et de la migration internationale     Hybrid Journal   (Followers: 13, SJR: 0.308, h-index: 13)
J. of Intl. Relations and Development     Hybrid Journal   (Followers: 21, SJR: 0.793, h-index: 22)
J. of Labor Research     Hybrid Journal   (Followers: 19, SJR: 0.394, h-index: 27)
J. of Logic, Language and Information     Hybrid Journal   (Followers: 7, SJR: 0.288, h-index: 25)
J. of Low Temperature Physics     Hybrid Journal   (Followers: 3, SJR: 0.531, h-index: 52)
J. of Machinery Manufacture and Reliability     Hybrid Journal   (Followers: 2, SJR: 0.203, h-index: 7)
J. of Mammalian Evolution     Hybrid Journal   (Followers: 5, SJR: 1.134, h-index: 37)
J. of Mammary Gland Biology and Neoplasia     Hybrid Journal   (Followers: 2, SJR: 2.252, h-index: 83)
J. of Management and Governance     Hybrid Journal   (Followers: 14, SJR: 0.805, h-index: 33)
J. of Management Control     Hybrid Journal   (Followers: 4, SJR: 0.605, h-index: 6)
J. of Marine Science and Application     Hybrid Journal   (Followers: 2, SJR: 0.439, h-index: 11)
J. of Marine Science and Technology     Hybrid Journal   (Followers: 3, SJR: 0.235, h-index: 19)
J. of Maritime Archaeology     Hybrid Journal   (Followers: 21, SJR: 0.228, h-index: 8)
J. of Market-Focused Management     Hybrid Journal   (Followers: 2)
J. of Marketing Analytics     Hybrid Journal   (Followers: 4)
J. of Material Cycles and Waste Management     Hybrid Journal   (Followers: 3, SJR: 0.449, h-index: 22)
J. of Materials Engineering and Performance     Hybrid Journal   (Followers: 23, SJR: 0.544, h-index: 40)
J. of Materials Science     Hybrid Journal   (Followers: 21, SJR: 0.836, h-index: 123)
J. of Materials Science : Materials in Electronics     Hybrid Journal   (Followers: 5)
J. of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 5)
J. of Mathematical Biology     Hybrid Journal   (Followers: 11, SJR: 1.011, h-index: 71)
J. of Mathematical Chemistry     Hybrid Journal   (Followers: 4, SJR: 0.497, h-index: 45)
J. of Mathematical Fluid Mechanics     Hybrid Journal   (Followers: 8, SJR: 1.22, h-index: 22)
J. of Mathematical Imaging and Vision     Hybrid Journal   (Followers: 5, SJR: 0.901, h-index: 53)
J. of Mathematical Modelling and Algorithms     Hybrid Journal   (Followers: 2, SJR: 0.414, h-index: 23)
J. of Mathematical Sciences     Hybrid Journal   (SJR: 0.272, h-index: 23)
J. of Mathematics Teacher Education     Hybrid Journal   (Followers: 18, SJR: 1.062, h-index: 20)
J. of Maxillofacial and Oral Surgery     Hybrid Journal   (Followers: 3)
J. of Mechanical Science and Technology     Hybrid Journal   (Followers: 6, SJR: 0.589, h-index: 26)
J. of Medical and Biological Engineering     Hybrid Journal   (Followers: 1, SJR: 0.387, h-index: 18)
J. of Medical Humanities     Hybrid Journal   (Followers: 22, SJR: 0.299, h-index: 18)
J. of Medical Systems     Hybrid Journal   (Followers: 1, SJR: 0.717, h-index: 44)
J. of Medical Toxicology     Hybrid Journal   (Followers: 6, SJR: 0.874, h-index: 28)
J. of Medical Ultrasonics     Hybrid Journal   (Followers: 2, SJR: 0.18, h-index: 13)
J. of Medicine and the Person     Hybrid Journal  
J. of Membrane Biology     Hybrid Journal   (Followers: 2, SJR: 0.738, h-index: 82)
J. of Micro-Bio Robotics     Hybrid Journal   (SJR: 0.28, h-index: 3)
J. of Microbiology     Hybrid Journal   (Followers: 8, SJR: 0.741, h-index: 43)
J. of Mining Science     Hybrid Journal   (Followers: 4, SJR: 0.317, h-index: 16)
J. of Molecular Evolution     Hybrid Journal   (Followers: 9, SJR: 0.952, h-index: 108)
J. of Molecular Histology     Hybrid Journal   (Followers: 4, SJR: 0.755, h-index: 48)
J. of Molecular Medicine     Hybrid Journal   (Followers: 14, SJR: 2.165, h-index: 113)
J. of Molecular Modeling     Hybrid Journal   (Followers: 4, SJR: 0.466, h-index: 50)
J. of Molecular Neuroscience     Partially Free   (Followers: 11, SJR: 0.988, h-index: 69)
J. of Mountain Science     Hybrid Journal   (Followers: 3, SJR: 0.418, h-index: 15)
J. of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1, SJR: 1.264, h-index: 55)
J. of Nanoparticle Research     Hybrid Journal   (Followers: 3, SJR: 0.583, h-index: 84)
J. of Natural Medicines     Hybrid Journal   (SJR: 0.602, h-index: 28)
J. of Near-Death Studies     Hybrid Journal   (Followers: 2)
J. of Nephrology     Hybrid Journal   (Followers: 4, SJR: 0.689, h-index: 55)
J. of Network and Systems Management     Hybrid Journal   (SJR: 0.466, h-index: 26)
J. of Neural Transmission     Hybrid Journal   (Followers: 2, SJR: 1.034, h-index: 86)
J. of Neuro-Oncology     Hybrid Journal   (Followers: 3, SJR: 1.274, h-index: 90)
J. of Neuroimmune Pharmacology     Hybrid Journal   (Followers: 1, SJR: 1.662, h-index: 45)
J. of Neurology     Hybrid Journal   (Followers: 17, SJR: 1.429, h-index: 105)
J. of NeuroVirology     Hybrid Journal   (Followers: 1, SJR: 0.979, h-index: 69)
J. of Nondestructive Evaluation     Hybrid Journal   (Followers: 11, SJR: 0.863, h-index: 27)
J. of Nonlinear Science     Hybrid Journal   (Followers: 1, SJR: 1.887, h-index: 42)
J. of Nonverbal Behavior     Hybrid Journal   (Followers: 5, SJR: 0.723, h-index: 47)
J. of Nuclear Cardiology     Hybrid Journal   (SJR: 1.024, h-index: 68)
J. of Nutrition, Health and Aging     Hybrid Journal   (Followers: 26, SJR: 0.919, h-index: 60)
J. of Obstetrics and Gynecology of India     Hybrid Journal   (Followers: 5, SJR: 0.214, h-index: 6)
J. of Occupational Rehabilitation     Hybrid Journal   (Followers: 16, SJR: 0.811, h-index: 51)
J. of Ocean Engineering and Marine Energy     Hybrid Journal   (Followers: 2)
J. of Ocean University of China (English Edition)     Hybrid Journal   (Followers: 1, SJR: 0.237, h-index: 11)
J. of Oceanography     Hybrid Journal   (Followers: 10, SJR: 0.796, h-index: 52)
J. of Ocular Biology, Diseases, and Informatics     Hybrid Journal   (SJR: 0.183, h-index: 11)
J. of Optical and Fiber Communications Reports     Hybrid Journal   (Followers: 4)
J. of Optics     Hybrid Journal   (Followers: 7, SJR: 0.214, h-index: 8)
J. of Optimization Theory and Applications     Hybrid Journal   (Followers: 5, SJR: 0.898, h-index: 65)
J. of Ornithology     Hybrid Journal   (Followers: 24)
J. of Orofacial Orthopedics / Fortschritte der Kieferorthopädie     Hybrid Journal   (SJR: 0.574, h-index: 33)
J. of Orthopaedic Science     Hybrid Journal   (Followers: 6, SJR: 0.708, h-index: 48)

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Journal Cover European Surgery
  [SJR: 0.171]   [H-I: 15]   [7 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1682-4016 - ISSN (Online) 1682-8631
   Published by Springer-Verlag Homepage  [2352 journals]
  • Esophageal stents during neoadjuvant therapy
    • Authors: Guillermo Becerril-Martinez; Gregory L. Falk; Mario D’Souza
      Pages: 149 - 157
      Abstract: Summary Background Stents are widely used in the palliative treatment of esophageal malignant diseases for dysphagia. Their safety and efficacy in the curative neoadjuvant setting while induction therapy is underway have not been established. Concerns have been raised about a low frequency of curative surgery and poor survival outcomes when stenting has been used as a pathway to neoadjuvant therapy. Methods A systematic review was undertaken to identify patients with esophageal cancer undergoing stent implantation before or during neoadjuvant chemotherapy, where curative intent resection was planned, from 1949 to December 2014. The primary outcome was survival and secondary outcomes were adverse events and progression to resection. The event rate and confidence intervals (CIs) were calculated. Results Our literature search identified 425 potentially relevant reports and articles on patients who had undergone stenting in neoadjuvant therapy, of which 14 studies (n = 430 patients) met the inclusion criteria for analysis. A total of 430 patients were identified undergoing stenting and neoadjuvant therapy with intention to cure. Resection was determined in 250 patients in a highly heterogeneous group and was achieved in 46.9% of patients (95% CI: 22.8–71.8). The variability of the resection proportion in the reports was very wide. Adequate data evaluating complete resection were available only in five studies. Upon intention to treat for cure, there were enough data from 119 patients to assess resection, of whom 56 eventually had complete surgical excision (i.e., 47%). The rate of resection was also highly heterogeneous (p < 0.0001, 95% CI: 86.86–96.38) and the total random effects was 35.3% (95% CI: 8.3–68.9) Conclusion Esophageal stenting in the neoadjuvant setting cannot be supported or rejected by the current data.
      PubDate: 2017-08-01
      DOI: 10.1007/s10353-017-0471-3
      Issue No: Vol. 49, No. 4 (2017)
  • Prevalence and risk factors of nasal pressure ulcers related to
           nasogastric intubation: an observational study
    • Authors: Emanuele Asti; Andrea Sironi; Pamela Milito; Giulia Bonavina; Gianluca Bonitta; Luigi Bonavina
      Pages: 171 - 174
      Abstract: Summary Background Pressure ulcers related to nasogastric tubes (NGT) are underestimated in clinical practice and rarely reported in the literature. Improper tube fixation around the nostril quickly induces tissue ischemia, possibly leading to skin ulcers and permanent full-thickness lesions. Epidemiological and clinical studies on this subject are lacking. Methods This was an observational, cross-sectional study performed in a tertiary-care hospital. Consecutive hospital records of patients undergoing elective surgical procedures under general anesthesia, with an NGT inserted before or during surgery and maintained in place after the operation, were examined. Demographic and clinical data were extracted to investigate factors possibly associated with the occurrence of pressure ulcers of the nostril. Results Between 2011 and 2015, 2131 patients underwent elective surgical procedures. The overall prevalence of NGT-induced ulcers was 4.8%, with esophagectomy being the most common index operation. Univariate analysis did not show a statistically significant association between the presence of ulcers and the examined variables, with the exception of operative time (p < 0.012). The prevalence of nostril ulcers statistically differed across operative procedure time (p < 0.001), with a positive significant linear trend (p < 0.001), and lesions were significantly more frequent when the operative procedure lasted longer than 4 h (Confidence interval [CI] 9.2–17.1). Twenty-one (20.5%) patients required plastic surgery consultation due full-thickness lesions with severe cosmetic sequelae. Conclusions Nostril pressure ulcers related to NGT are common in clinical practice and necessitate a high index of suspicion and vigilance during the perioperative period. The only factor significantly associated with NGT-induced pressure ulcers was the length of the operative procedure.
      PubDate: 2017-08-01
      DOI: 10.1007/s10353-017-0476-y
      Issue No: Vol. 49, No. 4 (2017)
  • Preoperative nutritional counseling versus standard care prior to
           bariatric surgery
    • Authors: Stavros A. Antoniou; Anastasia Anastasiadou; George A. Antoniou; Frank-Alexander Granderath; Antonios Kafatos
      Pages: 113 - 117
      Abstract: Summary Background Little is known about the effect of preoperative nutritional counseling on operative outcomes of bariatric surgery. Aim To identify and evaluate the effect of nutritional counseling on perioperative morbidity and postoperative weight loss. Methods The database of Medline was queried in May 2016. Randomized controlled trials comparing nutritional counseling of any form with standard care and providing data on perioperative morbidity or weight loss were considered. Pooled risk ratio (RR) or mean difference with 95% confidence intervals (CI) were computed. Results Three randomized controlled trials were identified. The RR for postoperative complications was 0.80 (95% CI 0.22–2.86) and the mean weight loss was −11.62 kg (95% CI 0.72 to −23.96). There was high evidence of heterogeneity among reports. No data on operative morbidity were available. Conclusion Current data are not adequately robust to support preoperative nutritional intervention as an effective modality to prevent perioperative morbidity and to achieve more optimal postoperative weight control. In the absence of opposing evidence, nutritional counseling prior to surgery may be conventionally recommended.
      PubDate: 2017-06-01
      DOI: 10.1007/s10353-016-0459-4
      Issue No: Vol. 49, No. 3 (2017)
  • Surgery and quantum physics
    • Authors: F. M. Riegler
      PubDate: 2017-10-04
      DOI: 10.1007/s10353-017-0493-x
  • Preoperative diagnosis of hiatal hernia: barium swallow X-ray,
           high-resolution manometry, or endoscopy'
    • Authors: Michael Weitzendorfer; Gernot Köhler; Stavros A. Antoniou; Leo Pallwein-Prettner; Lisa Manzenreiter; Philipp Schredl; Klaus Emmanuel; Oliver Owen Koch
      Abstract: Summary Background The assessment of hiatal hernias (HH) is typically done with barium swallow X‑ray, upper endoscopy, and by high-resolution esophageal manometry (HRM). The aim of this study was to assess the clinical utility of these methods in terms of HH detection and their correlation to gastroesophageal reflux disease (GERD). Methods A retrospective comparative analysis of patients with symptoms of GERD was carried out. The performance of endoscopy and HRM in diagnosing HH was assessed, taking barium swallow X‑ray as a reference. Furthermore, statistically comparative analysis between detected hernias and the presence of reflux disease in ambulatory impedance-pH monitoring (MII) was performed. Results Overall, 112 patients were analyzed. Barium swallow X‑ray showed no correlation either to HR manometrically or to endoscopically assessed HH. Significant accordance in the detection rate of HH was proved between HRM and gastroesophagoscopy (p < 0.001). Only endoscopically assessed HH showed a significant correlation with GERD (p = 0.047). No correlation between detected hernias and GERD could be found either with HRM or with barium swallow X‑ray. Conclusions Barium swallow X‑ray provided the highest rate of HH detection (76.8%). For the reliable exclusion of HH prior to treatment, all three mentioned investigations appear to be necessary in order of low conformity.
      PubDate: 2017-09-19
      DOI: 10.1007/s10353-017-0492-y
  • “The abdominal catastrophe”
    • Authors: F. Cecere; R. Kafka; M. Maglione; D. Öfner; H. Wykypiel
      Abstract: Summary Introduction An open abdomen with multiple small intestinal fistulas is a highly challenging situation for the entire treating team and, in some cases, ultimately requires small bowel transplantation. Case In May 2015, a 55-year-old female patient was transferred to our department for evaluation for small bowel transplantation. Following appendectomy in childhood, the patient had had a complicated course with consecutive loss of small bowel. In May 2014, an even more complicated perforated sigma diverticulitis followed. The consequence was a small bowel high-output stoma with concomitant short-bowel syndrome. In March 2015, an attempt to reconstruct the passage failed and ended in an open abdomen with eight small intestinal fistulae, a contracted ileostomy and a defunctioned descendostomy. We firstly mobilized the stoma and conditioned the wound with almost daily changing of a vacuum dressing system (VAC®, KCI, International) by using a children’s pacifier. At 6 months after the previous abdominal operation, extensive adhesiolysis and conglomerate resection plus a jejunoileostomy and new installation of the descendostomy was performed. Approximately 80 cm of small intestine, 50 cm of colon plus the ileocecal valve could be preserved. The abdominal wall was closed cutaneously only. After 168 days of hospitalization, the patient was discharged with oral alimentation and supplementary parenteral nutrition only by night. Conclusion With considerable nursing and surgical effort, the need for intestinal transplantation with all its complications can be avoided in selected cases. A children’s pacifier can help to make vacuum-assisted closure of the wound possible.
      PubDate: 2017-09-19
      DOI: 10.1007/s10353-017-0490-0
  • Notch and its oncogenic activity in human malignancies
    • Authors: Marlena Brzozowa-Zasada; Adam Piecuch; Marek Michalski; Oliwia Segiet; Józef Kurek; Marzena Harabin-Słowińska; Romuald Wojnicz
      Abstract: Summary Background Increasing evidence has demonstrated that Notch signaling is deregulated in human hematological malignancies and solid tumors. This signaling has a protumorigenic effect but may also act as a tumor suppressor. How induction of a single pathway gives rise to the opposite effects in different cell types is still unknown. Methods This review article includes available data from peer-reviewed publications associated with the role of Notch signaling during cancer pathogenesis. Results Numerous reports have indicated that alterations in Notch signaling and its oncogenic activity were originally associated with the pathogenesis of T‑cell acute lymphoblastic leukemia/lymphoma (T-ALL), an aggressive hematologic tumor affecting children and adolescents. The possibility that Notch could play a significant role in human breast cancer development comes from studies on mouse mammary tumor virus-induced cancer. Numerous findings over the past several years have indicated that alterations in Notch signaling are also responsible for ovarian cancer development. Mention should also be made of the connection between expression of Notch 3 and increased resistance to chemotherapy, which remains a major obstacle to successful treatment. Notch as an oncogenic factor is also involved in the development of colon cancer, lung carcinoma and Kaposi’s sarcoma. Conclusion Notch is a binary cell fate determinant and its overexpression has been described as oncogenic in a wide array of human malignancies. This finding led to interest in therapeutically targeting this pathway, especially by the use of gamma-secretase inhibitors (GSIs) blocking the cleavage of Notch receptors at the cell membrane by the inhibition of Notch intracellular domain (NICD) releasing. Preclinical cancer models have revealed that GSIs suppress the growth of cancers such as pancreatic, breast and lung cancer.
      PubDate: 2017-09-18
      DOI: 10.1007/s10353-017-0491-z
  • Cholecystocolonic fistula and gallstone obstruction
    • Authors: Alberto Aiolfi; Chiara Ceriani; Marco Sozzi; Stefano Siboni; Luigi Bonavina
      Abstract: Summary Background Mechanical obstruction secondary to colonic impact of a gallstone resulting from a direct cholecystocolonic fistula is a rare event. Although spontaneous resolution has been described, surgical or endoscopic procedures may be required to relieve the obstruction. The overall complication rate related to surgical treatment is relevant because of the acute presentation in elderly patients with multiple comorbidities and high operative risk. Methods An extensive literature search over the last two decades (1997–2017) was conducted. MEDLINE, Embase, and Cochrane databases were consulted. All the articles, case reports, and case series that described the management of colonic gallstone obstruction were included in this narrative review. Results In all, 41 cases of colonic gallstone ileus were included. The majority of the patients were successfully managed with an open (78%), endoscopic (14.6%), or laparoscopic approach (4.9%). Spontaneous resolution of the mechanical obstruction was described in one case (2.5%). The overall morbidity and mortality rates of the surgical-related procedures were 31% and 9.4%, respectively. In the endoscopic groups, there was no procedure-related morbidity and mortality. Conclusion An endoscopic approach may be a better therapeutic option in selected patients with colonic gallstone obstruction unfit for surgery.
      PubDate: 2017-09-08
      DOI: 10.1007/s10353-017-0489-6
  • Multimodality locoregional treatment strategies for bridging HCC patients
           before liver transplantation
    • Authors: Georg P. Györi; D. Moritz Felsenreich; Gerd R. Silberhumer; Thomas Soliman; Gabriela A. Berlakovich
      Abstract: Summary Background It is current practice that patients with hepatocellular carcinoma (HCC) listed for liver transplantation should receive locoregional treatment if the suspected waiting time for transplantation is longer than 6 months, even in the absence of prospective randomized data. Aim of this study was the comparison of single versus multimodality locoregional treatment strategies on outcomes after liver transplantation. Methods This is a retrospective analysis of 150 HCC patients listed for liver transplantation at our center between 2004 and 2011. Outcomes were analyzed according to modified Response Evaluation Criteria in Solid Tumors (mRECIST) in relation to intention-to-treat and overall survival after liver transplantation. Results Overall, 92 patients (63%) were transplanted in this cohort. The intention-to-treat 1‑, 3‑, 5‑year waiting list survival was 80, 59, and 50% respectively. In RFA-(radiofrequency ablative) and TACE-(transarterial chemoembolisation)-based regimens, rates of transplanted patients were comparable (69 vs. 58%, p = ns). No difference was seen in overall survival after liver transplantation when comparing TACE- and RFA-based regimens. Patients receiving multimodality locoregional therapy had lower overall survival after transplantation (p = 0.05) Conclusion TACE- and RFA-based regimens showed equal outcomes in terms of transplantation rate, tumor response, and post-transplant survival. Patients in need of more than one treatment modality might identify a cohort with poorer post-transplant survival. Points of novelty Direct comparison of TACE and RFA in a multimodality setting, analysis according to mRECIST.
      PubDate: 2017-09-04
      DOI: 10.1007/s10353-017-0487-8
  • A rare case of Calot’s triangle paraganglioma
    • Authors: Alberto Oldani; Renzo Boldorini; Paolo Spina; Sergio Gentilli
      Abstract: Summary Background Paraganglioma is a rare type of neuroendocrine tumor with the ability of neuropeptide and catecholamine secretion. The most common locations of these neoplasms are head and neck regions, retroperitoneal para-aortic and paracaval, renal, and urinary bladder sympathetic plexuses; abdominal paragangliomas at other sites are extremely uncommon. Case presentation A 66-year-old male patient was admitted to our institution with a diagnosis of an infundibular pericholecystic mass. Laparoscopic cholecystectomy and pericholecystic mass radical exeresis was performed; histology achieved a diagnosis of paraganglioma located in Calot’s triangle. Conclusion The report shows an extremely rare case of an extra-adrenal abdominal paraganglioma, successfully managed with a laparoscopic approach.
      PubDate: 2017-09-04
      DOI: 10.1007/s10353-017-0488-7
  • A rare but life-threatening complication of aortic surgery: iliac
           appendiceal fistula
    • Authors: Andrea Bondurri; Lorenza Zampino
      Abstract: Summary Aortoenteric fistulas are rare (<1%) but disastrous complications after open and endovascular aortic surgery. The most frequently involved anatomical sites are abdominal aorta and duodenum. Surgery is the only possible treatment and consists, in most of cases, in an axillobifemoral bypass, a very invasive procedure with a high rate of complications. In the literature, less than 10 cases of direct communication between the right iliac artery and the appendix are described. In this paper, we discuss our experience of a case of iliac appendiceal fistula. We go through clinical presentation, diagnostic path and treatment with a brief look at the literature. Our conclusion is that in some cases a less invasive surgical approach could lead to good results, but the long-term outcomes need to be studied. Iliac appendiceal fistulas are rare variations of aortoenteric fistulas with similar onset. In cases like ours, a less invasive surgical approach could lead to good results.
      PubDate: 2017-07-18
      DOI: 10.1007/s10353-017-0486-9
  • Dual-port vs. single-port laparoscopic colectomy for colon cancer
    • Authors: Jin Yong Shin
      Abstract: Summary Background Dual-port laparoscopic colectomy (DPLC) has emerged as a surgical option that can overcome the technical limitations of single-port laparoscopic colectomy (SPLC). The aim of this study was to compare perioperative outcomes of DPLC and SPLC for colon cancer. Patients and methods This case-control study assessed 119 patients who underwent colon cancer surgery using DPLC (n = 66) and SPLC (n = 53). Results Propensity score matching resulted in 42 pairs of patients, equivalent in distribution of TNM stage and tumor size. Perioperative outcomes and postoperative complications were similar in the two groups, except for a tendency toward less blood loss in the DPLC group (50 ml vs. 100 ml, p = 0.087). Umbilical incision sites were significantly more common in the DPLC than in the SPLC group with left-sided colon cancer (94.4% vs. 66.7%, p = 0.032). In a subgroup of patients with stage II–IV tumors, there were no significant between-group differences in perioperative outcomes. Conclusion These findings show that perioperative outcomes following colon cancer surgery with DPLC were not superior to those achieved with SPLC. DPLC may be associated with better cosmetic outcomes through greater use of an umbilical approach for left-sided colectomies.
      PubDate: 2017-07-14
      DOI: 10.1007/s10353-017-0482-0
  • Effects of preoperative carbohydrate drinks on postoperative outcome
           after colorectal surgery
    • Authors: Zuzana Adamova; Radim Slováček
      Abstract: Summary Background Overnight fasting before surgery used to be the routine. Overnight fasting changes patients’ metabolic state and influences their perioperative stress response. The aim of the study was to investigate the effects of preoperative carbohydrate drinks on return of bowel sounds and movement, postoperative complications, and length of stay. Methods It is a prospective non-randomized study with 196 consecutive patients who underwent surgery in Vsetin hospital for a diagnosis of colon or rectal cancer from January 2010 to January 2015. Patients were assigned into two groups – with (PreOp group) and without (Non-PreOp group) carbohydrate drink. We collected data regarding age, comorbidities, local stage of tumor, urgency and type of operation. The output variables recorded included postoperative bowel sounds, first stool, postoperative complications, anastomotic leak, surgical site infections, and length of hospital stay. Results In the PreOp group there was faster return of peristalsis (p = 0,033). We did not prove that the PreOp influenced passage of stool. The total number of postoperative complications was higher in the Non-PreOp group than in the PreOp group, 57 (57%) vs. 30 (31%) respectively, (p = 0,0003). The most frequent type of complication was surgical site infection (SSI). It occurred in 17% in the PreOp group and in 34% in the Non-PreOp group (p = 0,004). The difference in anastomotic leak rate was not significant. Mean hospital stay was 13 days in the PreOp group and 16 days in the Non-PreOp group (p = 0,006). Conclusion Use of carbohydrate solution before the surgery accelerates return of bowel sounds, reduces total number of postoperative complications, SSI and shortens the length of hospital stay. Carbohydrate beverages should be used more widely in daily practice.
      PubDate: 2017-07-12
      DOI: 10.1007/s10353-017-0485-x
  • Laparoendoscopic stapled rives stoppa sublay technique for extraperitoneal
           ventral hernia repair
    • Authors: David K. Nguyen; David C. Chen
      Abstract: Summary Background Laparoscopic and robotic extraperitoneal ventral hernia repair techniques have developed with the goal of combining the benefits of traditional open sublay repair with those of minimally invasive surgery. We describe the use of a laparoendoscopic extraperitoneal sublay repair employing a linear stapler for plication and division of the linea alba with subsequent mesh augmentation. Methods Between January 2016 and February 2017, 21 patients with midline ventral and incisional hernias underwent repair using a laparoendoscopic extraperitoneal stapled sublay mesh repair. Six of the cases included simultaneous laparoscopic bilateral posterior component separation with division of the posterior lamella of the internal oblique muscle. Three of these had additional myofascial release of the transversus abdominis muscle to facilitate midline approximation. Intraoperative and perioperative complications, recurrence, pain, and narcotic usage were measured. Results Defect width ranged from 3 to 9 cm. No significant intraoperative complications or conversions to open surgery occurred. Patients were discharged at 0.9 days on average. Early postoperative complications included hernia site seroma in two patients. There were no early postoperative infections of recurrences. One patient underwent local exploration at 6 months to remove a palpable suprafascial retained hernia sac. Compared with traditional laparoscopic intraperitoneal onlay mesh repair, less acute pain was reported. Conclusion Laparoendoscopic extraperitoneal stapled sublay is a safe and effective method for small to medium-sized ventral and incisional hernias and adds another option to achieve minimally invasive extraperitoneal ventral hernia repair.
      PubDate: 2017-07-04
      DOI: 10.1007/s10353-017-0483-z
  • Hypercalcemia resistant to cinacalcet caused by a mediastinal
           hyperplastic parathyroid gland in a renal transplant patient
    • Authors: Manabu Okada; Kenta Futamura; Takahisa Hiramitsu; Makoto Tsujita; Norihiko Goto; Shunji Narumi; Yoshihiko Watarai; Toshihiro Ichimori; Yoshihiro Tominaga
      Abstract: Summary Background Renal hyperparathyroidism is a common complication in patients with chronic kidney disease. Cinacalcet, a kind of calcimimetic, has been reported to be an effective and safe treatment option in renal transplant patients with hyperparathyroidism. However, some patients require parathyroidectomy due to resistance to cinacalcet treatment. It is uncertain when we should give up treatment with cinacalcet and perform parathyroidectomy for persistent hyperparathyroidism. Case report We experience the first documented case in which cinacalcet-resistant hypercalcemia was caused by a mediastinal hyperplastic parathyroid gland after renal transplantation. The patient received total parathyroidectomy with autograft 4 years before renal transplantation. The levels of serum calcium and parathyroid hormone were controlled well with 25 mg daily of cinacalcet. Despite continuous treatment with cinacalcet, the patient developed hypercalcemia, hypercalciuria and nephrocarcinosis after renal transplantation. A mediastinal parathyroid lesion was revealed by imaging. Eventually, parathyroidectomy was performed for the mediastinal gland for the purpose of preventing new stone formation in the renal graft. Conclusion It was suggested that prompt parathyroidectomy is preferable rather than prolonged medical treatment for hypercalcemia resistant to cinacalcet caused by persistent hyperparathyroidism after renal transplantation. Furthermore, we should be extremely careful about hypercalcinuria and nephrocalcinosis when we prescribe cinacalcet for patients under hypercalcemia.
      PubDate: 2017-06-19
      DOI: 10.1007/s10353-017-0484-y
  • Effects of papaverine on healing of colonic anastomosis in rats
    • Authors: Salim Ilksen Basceken; Yusuf Sevim; Cihangir Akyol; Egemen Cicek; Ferit Aydın; Akin Firat Kocaay; Ozge Tugce Pasaoglu; Volkan Genc; Hatice Pasaoglu; Atil Cakmak
      Abstract: Summary Background Anastomotic leak is the most devastating complication after colorectal surgery, and the blood supply is a very important factor in anastomotic healing. Papaverine is a vasodilatory and antispasmodic agent which has been used in many ischemic conditions because of its potentially protective effects. The aim of this study is to investigate the effects of papaverine on healing colon anastomosis. Methods Forty 8‑ to 10-week-old female Wistar Albino rats were used in this study. Rats were randomized into 4 groups: control group; ischemia-reperfusion and anastomosis group; ischemia-reperfusion and anastomosis + intraperitoneal one dose papaverine group; and ischemia-reperfusion and anastomosis + intraperitoneal daily (10 days) papaverine group. Anastomotic bursting pressures, the hydroxyproline measurements and macroscopic adhesion gradings were evaluated. Results There was a significant difference between papaverine-administered groups and ischemia-reperfusion and anastomosis group for anastomotic bursting pressures, hydroxyproline measurements and macroscopic adhesion grading (p < 0.05). Conclusion In the rat model, papaverine had a favorable effect on anastomotic healing.
      PubDate: 2017-06-12
      DOI: 10.1007/s10353-017-0481-1
  • Does BMI affect the detection of sentinel lymph nodes with indocyanine
           green in early breast cancer patients?
    • Authors: Stephanie Rauch; Anton Haid; Zerina Jasarevic; Christoph H. Saely; Alexander Becherer; Etienne Wenzl
      Abstract: Summary Background Sentinel node biopsy (SNB) has proved to be a useful and safe method for axillary staging in the surgical management of early breast cancer. Sentinel node (SN) detection rates with blue dye (patent blue) and radioisotopes (99m-Tc), either alone or particularly in combination, are high (95% to 100%). Even better detection rates were reported with fluorescent dyes like indocyanine green (ICG). This study was designed to show whether sentinel node detection and mapping of lymphatics with ICG might depend on the body mass index (BMI). Methods Between February 2014 and April 2015, SNB with blue dye, 99m-Tc, and ICG navigation was conducted for 100 consecutive procedures in patients scheduled for surgery of early breast cancer. ICG injection, lymphatic mapping with the Photodynamic Eye (PDE; Hamamatsu Photonics, Hamamatsu, Japan), and identification of the sentinel nodes with blue dye and ICG were followed by a final search for more lymph nodes with a gamma probe. Data were collected prospectively. Results In all patients, up to six sentinel nodes (mean 2.49) were detected. No statistical correlation was found between the BMI and the identification of lymphatics or the detection of lymph nodes with ICG. Lymphatics were successfully identified preoperatively in no more than 79 cases. In 6 patients, a gamma probe was needed for detection. Adverse events or allergic reactions were absent throughout. Conclusions SN detection and lymphatic mapping with ICG were not related to the BMI. Pending answers to as yet unsolved questions, the combined use of blue dye and 99m-Tc imaging should, however, be continued.
      PubDate: 2017-06-09
      DOI: 10.1007/s10353-017-0480-2
  • Impact of ultrasound examination shortly after kidney transplantation
    • Authors: Christoph Schwarz; Jakob Mühlbacher; Georg A. Böhmig; Marin Purtic; Eleonore Pablik; Lukas Unger; Ivan Kristo; Thomas Soliman; Gabriela A. Berlakovich
      Abstract: Summary Background Ultrasound is routinely performed at our transplant unit within the first 48 h of kidney transplantation (KTX). The objective of this study was to evaluate the association of ultrasound results and, in particular, elevated resistance indices (RIs) with the occurrence of surgical complications and allograft outcomes. Methods The study included all kidney allograft recipients undergoing transplantation at our center between January 2010 and December 2011 (N = 329). Ultrasound examination was performed on 315 recipients (95.7%). Results Delayed graft function was more common in subjects with a high RI (≥0.7) than in patients with an RI < 0.7 (47.2 vs. 28.2%; p = 0.032). A lack of arterial signal was detected in eight patients (2.5%), of whom five had a vascular complication that required surgical therapy. In 12 patients (3.8%), RI was 1 without any other signs of vascular impairment. Even though such values can be a sign of venous thrombosis, no case was observed in any of these patients. Conclusions The results of our study suggest that ultrasound evaluation of the transplanted kidney shortly after transplantation is a valuable tool not only for detecting vascular complications but also as a predictor of graft outcome regarding delayed graft function.
      PubDate: 2017-02-16
      DOI: 10.1007/s10353-017-0467-z
  • Caudate resection for primary and metastatic liver tumors
    • Authors: Georgios C. Sotiropoulos; Petros Charalampoudis; Paraskevas Stamopoulos; Nikolaos Machairas; Eleftherios D. Spartalis; Stylianos Kykalos; Gregory Kouraklis
      Abstract: Summary Background Surgical procedures involving the caudate lobe of the liver are characterized as the most demanding operations in liver surgery. Methods Liver resections including the caudate lobe performed at our institution by one senior hepatobiliary surgeon in a 2-year period were reviewed for the purposes of this study. Indications comprised primary and metastatic liver lesions. Results In a total of 60 hepatectomies, 12 patients underwent caudate lobe resection (20%). This was either isolated resection of segment I (n = 3) or combined with right, left, extended left hepatectomy or atypical resections in one, three, one, and four instances, respectively. Vascular resections/reconstructions were necessary in six cases (three cases each for portal vein and vena cava). All but one patient were directly extubated. Median hospital stay was 10.5 days. Surgical complications were classified as Dindo–Clavien grades I (n = 4), II (n = 4), IIIa (n = 1), IIIb (n = 2), and IV (n = 1). Conclusion Surgery for tumors located in the caudate lobe is feasible and can be safely performed by experienced teams.
      PubDate: 2017-02-15
      DOI: 10.1007/s10353-017-0466-0
  • Fecal occult blood test/fecal carcinoembriogenic antigen dual rapid test
           as a useful tool for colorectal cancer screening
    • Authors: Maru Kim; Hyung-Jin Kim; In Kyu Lee; Seong-Taek Oh; Kyungja Han
      Abstract: Summary Background There are several screening tools for colorectal cancer (CRC). Most are limited in their application. The fecal occult blood test (FOBT) is a first-step screen for CRC that is limited by low sensitivity. This study aimed to prove the efficacy of combined FOBT and fecal carcinoembryogenic antigen (fCEA) as a CRC screening test. Methods Stool samples were collected preoperatively from 166 CRC patients expected to undergo elective surgery and from normal control patients. A fecal CEA/FOBT dual kit was created and the results from the use of this dual kit were compared against other clinicopathologic parameters. Results FOBT was positive in 103 of the 166 (62.0%) CRC patients and fCEA was positive in 114 (68.7%) patients, showing a statistically positive relationship. Among 63 FOBT negative patients, 29 (17%) cases were CEA positive. Thus, the CEA/FOBT dual test could detect CRC in 79.5% of the patients (132/166). The sensitivity and specificity of the dual FOBT/CEA test was 79.5% and 97.9%, respectively. Conclusions The FOBT/CEA dual test has increased sensitivity compared to the FOBT test and may have merit as a screening device for colorectal cancer. Population-based studies are required to confirm this potential.
      PubDate: 2017-02-03
      DOI: 10.1007/s10353-017-0464-2
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Heriot-Watt University
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