1,721,119 research outputs found
Correction to: SICE national survey: current state on the adoption of laparoscopic approach to the treatment of colorectal disease in Italy (Updates in Surgery, (2019), 71, 1, (77-81), 10.1007/s13304-018-0606-5)
No full textPage 80, Acknowledgements section: The surname and given name of author Riccardo Brachet Contul was incorrectly published. The correct surname and given name should read as: Surname: Brachet Contul and Given Name: Riccardo
Transanal total mesorectal excision (TaTME): current status and future perspectives
No full textTotal mesorectal excision (TME) is the gold standard surgical treatment for mid- and low rectal cancer; however, it is associated with specific technical hurdles. Transanal TME (TaTME) is a new procedure developed to overcome these difficulties, through an enhanced visualization of the dissection plane. This potentially could result in a more accurate distal dissection with a lower rate of positive circumferential resection margins, increasing the rate of sphincter-saving procedures. The indications for TaTME are currently expanding, despite not being yet standardized, and structured training programs are ongoing to help overcome the steep learning curve related to the technique. The procedure is feasible and safe with similar intraoperative complications and readmission rates when compared with conventional open or laparoscopic TME. Favorable short-term oncologic results have been reported: in particular, TaTME is associated with mesorectal specimen of a better quality and a longer distal resection margin that is established at the beginning of the procedure under direct view. Robotics, when available, will probably overcome the steep learning curve related to the complexity of TaTME. Long-term follow-up and ongoing RCT trials data are awaited regarding functional results, local recurrence and survival, and to facilitate the comparison with standard laparoscopic or robotic rectal resections. The present review is focused on critically analyzing the theoretical benefits and risks of the procedure, its indications, short- and long-term results and future direction in the application of TaTME
Enhanced recovery after emergency surgery in the elderly
No full textLife expectancy is still rising. It is crucial to examine the best perioperative treatment in detail in this older population in both elective and emergency settings. Despite the implementation of enhanced recovery after surgery (ERAS) and the continuous evolving of minimally invasive approach, the literature is still scarce in the application of these two approaches, in particular, when an emergency setting is considered. Data currently available show that elderly patients beneficiate from a perioperative ERAS pathway in terms of outcomes and that a high proportion of ERAS items for elective surgery could be applicable also in emergency surgery, with favorable outcomes in terms of postoperative complications, accelerated recovery of bowel function, and shorter postoperative hospital stay, without increasing for re-admission. The combination of laparoscopy and ERAS, in the elderly in elective setting, is safe and feasible with no adverse outcome. The simultaneous application of ERAS and laparoscopy in the elderly and emergency settings gave initial promising results in terms of safety and efficacy; however, we are far from drawing robust conclusion due to the paucity and the retrospective nature of data currently available. The heterogeneity of care among different centers and the objective difficulty in obtaining an appropriate preoperative patient selection are the main obstacles. An active participation and collaboration and the creation of tailored ERAS pathway including frailty assessment, specific discharge strategy, and ethical consideration in the context of a dedicated multidisciplinary international network could represent the next step to better clarify this issue
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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