Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
-
J. Gastrointest. Surg. · Oct 2017
The Effect of Neoadjuvant Chemoradiation on Anastomotic Leak and Additional 30-Day Morbidity and Mortality in Patients Undergoing Total Gastrectomy for Gastric Cancer.
In addition to increased perioperative morbidity, anastomotic leak following gastric resection for gastric cancer can have detrimental effects on overall and disease-free survival. The risk of anastomotic leak following neoadjuvant therapy remains unknown. The purpose of this study is to investigate the association of preoperative chemotherapy and radiation therapy with postoperative anastomotic leak and additional 30-day morbidity and mortality outcomes following total gastrectomy with reconstruction for gastric cancer using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). ⋯ Neoadjuvant therapy prior to gastric resection for gastric cancer is not associated with an increased risk of anastomotic leak or other additional short-term morbidity or mortality.
-
J. Gastrointest. Surg. · Sep 2017
Review Meta Analysis Comparative StudyLaparoscopic Lavage in the Management of Perforated Diverticulitis: a Contemporary Meta-analysis.
Perforated diverticulitis carries the risk of significant comorbidity and mortality. Although colon resection provides adequate source control, the procedure itself carries morbidity, as well as later stoma reversal procedures. The effectiveness of laparoscopic lavage to treat perforated diverticulitis remains unclear. ⋯ Despite decreased rates of stoma formation and equivalent mortality rates as compared with colon resection, laparoscopic lavage for Hinchey III diverticulitis fails to completely control the source of infection. Our data show that laparoscopic lavage is associated with increased rates of total reoperations, increased rates of reoperation for infections, and need for subsequent percutaneous drainage.
-
J. Gastrointest. Surg. · Sep 2017
Comparative StudyHospital Volume and the Costs Associated with Surgery for Pancreatic Cancer.
Data evaluating the financial implications of volume-based referral are lacking. This study sought to compare in-hospital costs for pancreatic surgery by annual hospital volume. ⋯ Annual hospital surgical volume was not associated with in-hospital costs among patients undergoing pancreatic surgery.
-
J. Gastrointest. Surg. · Sep 2017
Analysis of the Cost Effectiveness of Laparoscopic Pancreatoduodenectomy.
We sought to determine if laparoscopic pancreatoduodenectomy (LPD) is a cost-effective alternative to open pancreatoduodenectomy (OPD). ⋯ For the index hospitalization, the cost of LPD is equivalent to OPD. Total episode-of-care costs may favor LPD via reduced post-hospital needs for skilled nursing and rehabilitation.
-
J. Gastrointest. Surg. · Sep 2017
Case ReportsPeritoneal Simple Mesothelial Cyst Misdiagnosed as a Gastric Subepithelial Tumor.
Peritoneal simple mesothelial cysts are very rare mesenteric cysts of mesothelial origin. A peritoneal simple mesothelial cyst may be misdiagnosed, even by advanced diagnostic tools, as a gastric subepithelial tumor. A few cases that were misdiagnosed as a regarding peritoneal simple mesothelial cysts. To the best of our knowledge, there are no reports regarding peritoneal simple mesothelial cysts.