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Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

World Journal of Gastrointestinal Oncology 2023年第10期15卷 1675-1690页

作者： rodica birla Petre Hoara Florin Achim Valeriu Dinca Diana Ciuc Silviu Constantinoiu Adrian Constantin Department of General Surgery Carol Davila UniversityBucharest 011172Romania Department of General Surgery Carol Davila University of Medicine and PharmacyBucharest 020021Romania Faculty of Medicine “Titu Maiorescu”UniversityBucharest 031593Romania

Minimally invasive surgery is increasingly indicated in the management of malignant *** oesophagectomy is a difficult operation,with a long learning curve,there is actually a shift towards the laparoscopic/thoracoscopic/robotic approach,due to the advantages of visualization,surgeon comfort(robotic surgery)and the possibility of the whole team to see the operation as well as and the operating *** currently there are still many controversial topics,about the surgical treatment of patients with gastro-oesophageal junction(GOJ)adenocarcinoma,such as the type of open or minimally invasive surgical approach,the type of oesophago-gastric resection,the type of lymph node dissection and others,the minimally invasive approach has proven to be a way to reduce postoperative complications of resection,especially by decreasing pulmonary *** implementation of new technologies allowed the widening of the range of indications for this type of surgical *** short-term and long-term results,as well as the benefits for the patient-reduced surgical trauma,quick and easy recovery-offer this type of surgical treatment the premises for future *** article reviews the updates and perspectives on the minimally invasive approach for GOJ adenocarcinoma.

关键词： Gastro-oesophageal adenocarcinoma Minimally invasive oesophagectomy Laparoscopic gastrectomy Abdomino-mediastinal lymph node dissection Indocyanine green fluorescence imaging

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The Open Packing of the Lesser Sac Technique in Infected Severe Acute Pancreatitis

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Surgical Science 2010年第1期1卷 7-14页

作者： DCochiorSConstantinoiu DPeta Mariana Cochior rodica birla LPripisi Clinical Hospital CF 2 Bucharest Department of SurgeryResearch DepartmentFaculty of Medicine of theUniversity Titu MaiorescuBucharestRumania Clinical Hospital “Santa Maria”BucharestDepartment of General and Esophageal Surgery University ofMedicine and Pharmacy Carol DavilaBucharestRumania Emergency Clinic Hospital Intensive Care UnitUniversity of Medicine and PharmacyCarol DavilaBucharestRumania

Aim: The goal of this study is to evaluate the open packing of the lesser sac (OPLS) in treatment of infected severe acute pancreatitis Methodology: The study was based on 98 cases in which this technique was applied during the period between 19942007, in two departments of surgery (Clinical Hospital CF 2 and Clinical Hospital ?Sf. Maria” Bucharest). The technique was applied based on the therapeutically protocol previously established beginning with 2000. The OPLS technique was analyzed relatively to: timing of surgery, the localization of the infected necrosis or abscesses, growing germs on the cultures, antibiotics received, executed primarily or at reintervention, the number of debridement, hospitalization, morbidity and mortality. The information was statistically processed using SPSS test version 17 for Windows. Results: The OPLS technique improved the control of the local sepsis, in the retrospective/prospective study in 83.7%. Mortality was 16.3% (16/98), with a global mortality of 26.3% (75/285) and a postoperative mortality of 29.5% (66/224). Conclusions: Considering the fact that the intensive care techniques are approximately the same in the last 15 years, we thought that this improvement in the survival rate may be due to the application of OPLS in cases with indication and optimal timing for surgery.

关键词： Open Packing of the Lesser Sac (OPLS) Severe Acute Pancreatitis (SAP) Infected Necrosis Pancreatic Abscess and Necrosectomy

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