1,721,036 research outputs found
Pancreatic Enzymes Elevation and Emergency Setting: Pancreatitis or Not Pancreatitis? That is the Question
Full text linkPreoperative function evaluation of the major lung resection: muscle-sparing axillary mini-thoracotomy versus video-assisted thoracoscopic surgery
Full text linkBackground: In surgically fit non-small cell lung cancer (NSCLC) patients, pulmonary lobectomy still
represents the standard of care. In recent years, the development of minimally invasive video-assisted
techniques has reduced perioperative surgical stress, including patients previously thought to be unfit for
surgery.
Methods: We carried out a review of literature in order to evaluate the role of the preoperative parameters
in functionally compromised patients and the effectiveness of video-assisted thoracoscopic surgery (VATS)
compared to the “muscle sparing” axillary mini-thoracotomy in major lung resections.
Results: Of 99 analyzed papers, we considered the 24 most significant, according to the preoperative
functional status evaluation and, especially cardiac and respiratory reserve.
Conclusions: In patients with a reduced cardio-respiratory function undergoing pulmonary resection,
VATS guarantees results superimposable to mini-thoracotomy and represents a valid alternative to be taken
into consideration
Robotic Hartmann’s reversal—feasibility and technical aspects
No full textHartmann’s reversal as a staged procedure after emergency surgery is a major abdominal operation with undeniable skill-demanding steps. The robotic approach and its advantages seem to be a safe and feasible technique and could overcome necessary technical compromises of laparoscopy, ensuring a significant reduction in restoration failures or conversion. © 2023, Italian Society of Surgery (SIC)
Three-dimensional video-assisted thoracic surgery for pulmonary resections: an update
No full textVideo-assisted thoracic surgery (VATS) allows to treat pulmonary and mediastinal diseases although two-dimensional (2D) imaging can make difficult to estimate the morphological and topographical characteristics of a lesion. Some technical aspects have certainly been corrected with the introduction of robot-assisted thoracic surgery (RATS), although not widespread in less economically developed countries. As an emerging imaging system and technique, 3D VATS is an interesting resource for thoracic surgeons and it may be a proper and valid aid in minimally-invasive surgery, but not an alternative or a compromise to the most expensive robotic technology. The purpose of the study was to carefully analyze the different experiences reported in literature in order to evaluate the state of art of 3D VATS method in lung excision
Fluorine-18 fluorodeoxyglucose positron emission tomography in the management of solitary pulmonary nodule: a review
Full text linkSolitary pulmonary nodules are common radiologic findings and their detection has increased due to the introduction and improvement of diagnostics. Since a nodule can be an expression of early lung cancers, a proper classification and management are required because its treatment might lead to decreased morbidity and mortality. In this regard, prominent guidelines are available although they are characterized sometimes by discordant and misleading evidences. Furthermore, the same results of studies in the literature appear conflicting. Aim of this work is to evaluate the role of imaging through an extensive literature review but focusing on (18)F-FDG-PET/CT in order to assess the limits and future perspectives of SPN characterization in early detection of lung cancer
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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