1,721,329 research outputs found
Chasing the right path: tips, tricks and challenges of robotic approach to posterior segments
Full text linkRobotic liver resection: hurdles and beyond
Full text linkLaparoscopy is currently considered the standard of care for certain procedures such as left-lateral sectionectomies and wedge resections of anterior segments. The role of robotic liver surgery is still under debate, especially with regards to oncological outcomes. The purpose of this review is to describe how the field of robotic liver surgery has expanded, and to identify current limitations and future perspectives of the technology. Available evidences suggest that oncologic results after robotic liver resection are comparable to open and laparoscopic approaches for hepatocellular carcinoma and colorectal liver metastases, with identifiable advantages for cirrhotic patients and patients undergoing repeat resections. Excellent outcomes and optimal patient safety can be only achieved with specific hepato-biliary and general minimally invasive training to overcome the learning curve
Transplantation of a fresh cadaveric iliac homograft after celiac artery aneurysmectomy.
No full textThe authors describe a case of a 34-year-old woman who presented to the ER with acute epigastric pain caused by an 8-cm celiac artery aneurysm. The patient underwent total aneurysmectomy, distal splenopancreasectomy, and reconstruction of the hepatic arterial inflow using a fresh cadaveric iliac artery homograft. The patient was discharged home on postoperative day 8 in good clinical condition. After 60 months of follow-up, the patient is well and with a patent vascular homograft. The use of a fresh cadaveric iliac homograft described here may represent an option in young patients with low operative risk undergoing visceral artery aneurysm repair
Multidisciplinary approach in a HIV/HCV-positive patient with liver metastases by colorectal cancer in the HAART era
No full textNo abstract availabl
The transition from virtual reality to real virtuality: advanced imaging and simulation in general surgery
Full text linkIndividual anatomical variations, involvement of organs in neoplastic lesions and consequent preoperative planning are some issues that surgeons have to face every day in their clinical activity. The use of dedicated softwares, together with tools for patient-tailored training, is likely to improve clinical outcomes and patients’ safety. We decided to review the literature to report the current role of virtual reality and simulation in general surgery.
A search was systematically performed on Pubmed, EMbase, Cochrane Library and Up ToDate databases. The search was limited to articles written in English from January 2005 through June 2016. Altogether, 1,038 articles were found using this search strategy.
All studies, case series and reports in the medical field pertaining to preoperative planning, VR and Augmented Reality (AR) application in general surgery that provided translational data were considered eligible to be included. Two authors independently screened the articles by title, abstract and keywords, and then selected 7 papers to be included in this review (4 for VR, 2 for AR and 1 for preoperative planning).
Virtual reality training appears to decrease the operating time and improve the operative performance of surgical trainees with limited laparoscopic experience when compared with no training or with box-trainer training. The ability of virtual reality tools to guide surgeons during complex procedures represents a revolution for increased safety and overcoming minimally invasive surgery-related limitations
Hepatocellular carcinoma: beyond the boundaries of age
No full textHepatocellular carcinoma (HCC) is one of the leading causes of cancer-related deaths worldwide, and the management of HCC has radically changed in recent years. Over the last few years, many elderly patients have been considered less amenable to effective treatments compared to younger patients, due to the accumulation of different diseases during their lives. This assumption has now been reviewed and some key points have been outlined such as the necessity of a careful selection of patients, which may lead to satisfactory results after the treatment of elderly patients with HCC. The purpose of this study was to make a comprehensive analysis of results from the literature concerning the multimodal treatment of HCC in elderly patients, analyzing the therapeutic options such as liver resection, ablative treatments, liver transplantation and targeted chemotherapy
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