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European Surgery OnlineFirst articles

09.04.2021 | original article

Seeking outpatient management of right-sided diverticulitis

Colonic diverticulitis is defined as an inflammation of one or more sacculations in the colonic wall. Left-sided colonic diverticulitis (LD) is a common and worldwide condition, whilst right-sided colonic diverticulitis (RD) is relatively rare …

M.D. María Savoie-Hontoria, M.D, Ph. D. Rafael José Orti-Rodríguez, MSc. Miguel Ángel García Bello, M.D. Antonio Dámaso Pérez Álvarez, M.D. Manuel Ángel Barrera Gómez

08.04.2021 | original article

Surgical and financial impact of delayed cholecystectomy in mild and moderate acute cholecystitis

Gallstone-related disease accounts for one third of general surgical emergency admissions and referrals in the UK, with patients presenting with acute biliary colic (56%), acute cholecystitis (36%), and gallstone pancreatitis (4%) [ 1 ]. The …

MD MRCS Mohamed Rabie, Mohamed Boshnaq, Sayed Eldesouky, Islam Elabbassy

08.04.2021 | original article

The impact of COVID-19 on surgical training at a tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons?

In late December 2019, the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan, China, and soon after its appearance became a pandemic with over 111 million cases reported …

MD Michail Vailas, MD Maria Sotiropoulou, MD Francesk Mulita, MD Nikolaos Drakos, MD Elina Ambalov, MD, PhD Ioannis Maroulis

01.04.2021 | case report

Hypothyroidism as a cause of ileus after laparoscopic appendectomy

Gastrointestinal symptoms from hypothyroidism include nausea, vomiting, constipation, anorexia, and abdominal pain [ 1 ]. These nonspecific symptoms can be present concurrently with or in the absence of more classical signs of hypothyroidism …

Scarlett Hao, MD Hugo Bonatti

19.03.2021 | original article

Laparoscopic intersphincteric resection with hand-sewn coloanal anastomosis in the treatment of low rectal cancer: 10-year experience

Colorectal cancer is one of the most common cancers all over the world and, in term of new cases, is the most common cancer of the gastrointestinal tract [ 1 ]. Surgery is still the most important treatment for colorectal cancer. For low rectal …

Lam Viet Trung, Tran Vu Duc, Nguyen Vo Vinh Loc, Tran Phung Dung Tien, Nguyen Lam Vuong

18.03.2021 | original article

Functional and sexual outcome of laparoscopic ventral mesh rectopexy vs transperineal mesh repair in the treatment of rectocele: a retrospective analysis

Obstructed defecation (OD) is a disorder resulting in difficulty evacuating stool from the rectum. It includes symptoms such as excessive straining to defecate, sensation of blockage, vaginal digitation, and splinting [ 1 ]. The syndrome is often …

M.D. Int-FASCRS, FEBS-C Professor Fatma Ayca Gultekin, Assistant Professor Furuzan Kokturk

17.03.2021 | short communication Open Access

Requirements for a successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses

The Enhanced Recovery After Surgery (ERAS) concept has disseminated worldwide, with established positive effects on patients and healthcare due to reduced complications, length of stay and costs [ 1 ]. The success of this modus operandi is based on …

MD Basile Pache, MD Martin Hübner, MD David Martin, BScN Valerie Addor, MD Olle Ljungqvist, MD Prof. Nicolas Demartines, MD Fabian Grass

08.03.2021 | case report Open Access

Presentation of a rare, highly aggressive peritoneal disease: desmoplastic small round cell tumor and its therapeutic options

Desmoplastic small round cell tumor (DSRCT) is a rare highly aggressive form of sarcoma [ 1 ]. The entity was first described by Gerald and Rosai in 1989 [ 2 ] and mainly affects young men. DSRCT is associated with a very poor prognosis with …

Jan Philipp Ramspott, Tarkan Jäger, Daniel Neureiter, Klaus Emmanuel, Philipp Schredl

05.02.2021 | main topic

Abdominal wall reconstruction: new technology for new techniques

Robotic surgery today

Radical prostatectomy has represented the leading procedure performed robotically assisted worldwide since 2001 [ 1 ]. In general surgery, the da Vinci® system (Intuitive Surgical, Inc. USA) is mainly reserved for rectal cancer resection. Some …

MD, PhD, FEBS Bernhard Dauser, MD Nikolaus Hartig, MD Shahbaz Ghaffari, MD Mariam Vedadinejad, MD Elisabeth Kirchner, MD, PhD, FRCS Friedrich Herbst

27.01.2021 | main topic Open Access

Minimally invasive pancreatic surgery—will robotic surgery be the future?

Due to the complexity of the procedures and the texture of the organ itself, pancreatic surgery remains a challenge in the field of visceral surgery. During the past decade, a minimally invasive approach to pancreatic surgery has gained …

MD Luca Dittrich, MD Univ.-Prof. Matthias Biebl, MD Thomas Malinka, MD Michael Knoop, MD Univ.-Prof. Johann Pratschke

08.01.2021 | main topic Open Access

Challenging situations in cholecystectomy and strategies to overcome them

Mostly, cholecystectomy is an uncomplicated routine laparoscopic surgery for cholelithiasis. The term “difficult gallbladder” indicates that the procedure may be challenging and hazardous. However, there is no clear definition of what is meant by …

Prim. Univ. Prof. Dr. Reinhold Függer

13.11.2020 | main topic Open Access

Complete mesocolic excision in minimally invasive surgery of colonic cancer: do we need the robot?

Robotic surgery is gaining popularity and is supposed to be advantageous as compared to standard laparoscopy due to a more precise manipulation, better visualization, and improved ergonomics. Especially in complex interventions, these features …

Prof. Dr. med. Dirk Wilhelm, Thomas Vogel, Philipp-Alexander Neumann, Helmut Friess, Michael Kranzfelder

03.11.2020 | main topic

Robotic surgery for thoracic surgery

Indications for the use of RATS vary between the facilities but correspond as far as possible to other minimally invasive surgical findings. In general, RATS is currently a therapeutic option for the management of early-stage NSCLC without …

Tim Sandhaus, Marion Durand, Thorben Möller, Jan‑Hendrik Egberts, Univ.-Prof. Dr. med. Matthias Steinert

29.10.2020 | main topic Open Access

Robotic resection for esophageal cancer

In the surgical treatment of esophageal cancer, complete tumor resection is the most important factor and determines long-term survival [ 1 , 2 ]. Unfortunately, less than 50% of patients initially present with local disease [ 3 ], which is …

Dr. med. Jan-Niclas Kersebaum, Dr. med. Thorben Möller, Prof. Dr. med. Thomas Becker, Prof. Dr. med. Jan-Hendrik Egberts

13.10.2020 | original article

Revisional surgery for recurrent benign bile duct strictures

Cholecystectomy is one of the most common operations of the gastrointestinal tract. After initiation of the laparoscopic approach in the late 1980s, this technique gained wide acceptance. Unfortunately, the iatrogenic bile duct injury (BDI) rate …

Timucin Erol, Ass. Prof. Ahmet Dogrul, Prof. Osman Abbasoglu

10.09.2020 | main topic Open Access

The “critical view of safety (CVS)” cannot be applied—What to do? Strategies to avoid bile duct injuries

Laparoscopic cholecystectomy has become the standard procedure worldwide since the early 1990s for those patients whose gallbladder has to be removed as part of their underlying disease (NIH Consensus Statement 1992). The most common complication …

FRCS, FEBS(hon) O. Univ. Prof. Dr. Hans-Jörg Mischinger, Doris Wagner, Peter Kornprat, Heinz Bacher, Georg Werkgartner

10.09.2020 | main topic Open Access

Management of gallbladder polyps

A gallbladder polyp (GP) is defined as an elevation of the gallbladder mucosa that protrudes into the gallbladder lumen. Gallbladder polyps (GPs) have an estimated prevalence in adults of 0.3–12.3%. However, only 5% of polyps are considered “true” …

MD, MSc Dietmar Öfner

07.08.2020 | main topic

The complicated gallbladder—is old-school treatment an alternative?

Surgical removal of the gallbladder has a history of nearly 140 years—a period allowing for technical progression with most advances in the past 30 years, when minimally invasive surgery became implemented in clinical routine. This article …

Dr. med. univ. Markus Ammann, Prim. Univ. Doz. Dr. Friedrich Längle

08.07.2020 | main topic

Robotic liver surgery—advantages and limitations

Minimally invasive surgery is now within the standard of care for many operations, including liver surgery. The Da Vinci robotic surgical system (Intuitive Surgical, Inc., Sunnyvale, CA, USA) uses technologically sophisticated equipment to …

MD Camille Stewart, Yuman Fong

07.07.2020 | original article

Safety and feasibility of single-incision laparoscopic totally extraperitoneal inguinal hernia repair: a retrospective comparative analysis of 163 patients

Inguinal hernia repair is one of the most common surgical procedures worldwide [ 1 – 11 ]. Recently, minimally invasive surgery (MIS) has gradually taken the place as the choice between various types of surgery. Laparoscopic totally extraperitoneal …

Jin Won Lee, Eun Young Kim, Altanzul Bat-Ulzii, Ashish Ranjan Sharma, M.D. Hae Sung Kim