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http://dx.doi.org/10.1111/codi.16269 | DOI Listing |
J Am Coll Surg
May 2025
Department of Surgery and Transplantation, University of Zurich, Swiss Medical Network, Zurich (Switzerland).
Introduction: Left pancreatectomy (LP) is the consensus term for the surgical procedure previously known as distal pancreatectomy. Several approaches and techniques are included in the LP definition, with varying difficulty. Several factors may contribute to the difficulty of LP.
View Article and Find Full Text PDFSurg Endosc
January 2025
Department of General and Digestive Surgery, University Hospital Virgen Macarena, University of Sevilla, Seville, Spain.
Background: Complete mesocolon excision (CME) and D3-lymphadenectomy concepts have gained popularity for the surgical treatment of right colon cancer in comparison to the conventional laparoscopic right hemicolectomy (CLRH). The rationale of CME is to dissect the embryological planes between the mesenteric plane and the parietal fascia to remove the mesentery within a complete envelope of mesenteric fascia and visceral peritoneum that contains lymph nodes, the central vascular ligation, and adequate bowel length to remove involved pericolic lymph nodes in the longitudinal direction, having as the main goal to improve the oncological results. CME with D3-lymphadenectomy is challenge since involves the excision of the lymph adipose tissue covering the medial edge of the superior mesenteric vein (SMV) (trunk of Gillot, TG), and the gastrocolic trunk of Henle (GTH).
View Article and Find Full Text PDFAnn Hepatobiliary Pancreat Surg
May 2024
Digestive and Emergency Surgery Unit, S. Maria Hospital Trust, Terni, Italy.
The pancreatoduodenectomy (PD) technique is yet to be standardized. One of the most difficult passages in PD is the mobilization of the second, third, and fourth parts of the duodenum. This maneuver is classically performed from the supramesocolic space after the division of the gastrocolic ligament, but traction on the transverse mesocolon and the superior mesenteric pedicle can cause bleeding from the venous and arterial branches of the pancreatic head and uncinate process.
View Article and Find Full Text PDFObes Surg
June 2023
Bariatric and Metabolic Surgery Department Carolinas Medical Center, Atrium Health, 1000 Blythe Blvd, Charlotte, NC, 28203, USA.
Background: GERD and Achalasia are two known complications after sleeve gastrectomy. Treatment towards each of these complications varies and requires a tailored approach.
Methods: We present a 55-year-old female with class II obesity and a previous history of sleeve gastrectomy who developed significant gastroesophageal reflux disease refractory to medical management.
Colorectal Dis
December 2022
Department of General and Oncological Surgery, Mauriziano Hospital, Turin, Italy.