This case report describes a unique and rare complication of nasogastric tube insertion in an 80-year-old female patient with a history of senile dementia and hiatal hernia. The patient presented to the emergency department with symptoms of fever, dyspnea and vomiting. Upon arrival, the nursing staff performed a nasogastric tube insertion, which inadvertently led to esophageal perforation and subsequent pneumothorax. To manage the pneumothorax and pleural effusion, the nasogastric tube was intentionally left in the pleural cavity as a temporary drain. This case highlights the importance of careful assessment, appropriate technique, and immediate recognition of potential complications during nasogastric tube insertion, especially in vulnerable populations such as the elderly with pre-existing conditions.

BACKGROUND: The liver anatomy appears to be very complex due to the enormous number of vascular and biliary branches as well as the fact that the underlying pathology frequently distorts the anatomy. To prevent damage during surgical or invasive procedures, it is advised to be aware of the arteries’ typical structure and variations. Hepatic surgeons, general surgeons, transplant surgeons, interventional radiologists, and other medical specialists who treat liver problems must have this knowledge. MATERIALS AND METHODS: We have retrospectively evaluated the PubMed databases, Embase, and the Cochrane Library by applying various combinations of subject-related terms. The search terms identified with the medical subject heading were “Anatomy, right hepatectomy, resection, variants.” The databases were used to collect the literature published since 1991. RESULTS: Results delineated that 91.6% of patients had a single right hepatic vein, 81% shared a trunk with their middle hepatic vein (MHV) and left hepatic vein (LHV), and 19% had separate MHV and LHV drainage into the inferior vena cava. Overall prevalences of the abnormal hepatic artery, abnormal right hepatic artery (aRHA), abnormal left hepatic artery (aLHA), and combined aRHA/aLHA were found to be 27.41%, 15.63%, 16.32%, and 4.53%, respectively. The most common variation (type 2) is the so-called “portal vein (PV) trifurcation,” in which the main PV divides into the left PV, the right anterior PV, and the right posterior PV. The right posterior sectoral duct joins the left hepatic duct with a supraportal course, the right posterior sectoral duct joins the right anterior sectoral duct with an infraportal course, the trifurcation variation of the biliary tree, retroportal course, and the left lateral segmental ducts caudal to the umbilical portion of the PV are examples of variant biliary anatomy encountered in PV variations. Duplication of the common bile duct is a very uncommon congenital biliary system defect. CONCLUSION: It is very crucial for surgeon to have abreast knowledge of the tributaries, their anatomy, and variations to limit blood loss and operative morbidities.

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Coco D, Leanza S. Risk calculator score in colorectal surgery: which model?. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023. doi:10.5114/pg.2023.124244. APA Coco, D., & Leanza, S. (2023). Risk calculator score in colorectal surgery: which model?. Gastroenterology Review/Przegląd Gastroenterologiczny. https://doi.org/10.5114/pg.2023.124244 Chicago Coco, Danilo, and Silvana Leanza. 2023. "Risk calculator score in colorectal surgery: which model?". Gastroenterology Review/Przegląd Gastroenterologiczny. doi:10.5114/pg.2023.124244. Harvard Coco, D., and Leanza, S. (2023). Risk calculator score in colorectal surgery: which model?. Gastroenterology Review/Przegląd Gastroenterologiczny. https://doi.org/10.5114/pg.2023.124244 MLA Coco, Danilo et al. "Risk calculator score in colorectal surgery: which model?." Gastroenterology Review/Przegląd Gastroenterologiczny, 2023. doi:10.5114/pg.2023.124244. Vancouver Coco D, Leanza S. Risk calculator score in colorectal surgery: which model?. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023. doi:10.5114/pg.2023.124244.

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Coco D, Leanza S. Current perspective and review of literature on robotic gastrectomy and oncological outcomes. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023. doi:10.5114/pg.2023.124148. APA Coco, D., & Leanza, S. (2023). Current perspective and review of literature on robotic gastrectomy and oncological outcomes. Gastroenterology Review/Przegląd Gastroenterologiczny. https://doi.org/10.5114/pg.2023.124148 Chicago Coco, Danilo, and Silvana Leanza. 2023. "Current perspective and review of literature on robotic gastrectomy and oncological outcomes". Gastroenterology Review/Przegląd Gastroenterologiczny. doi:10.5114/pg.2023.124148. Harvard Coco, D., and Leanza, S. (2023). Current perspective and review of literature on robotic gastrectomy and oncological outcomes. Gastroenterology Review/Przegląd Gastroenterologiczny. https://doi.org/10.5114/pg.2023.124148 MLA Coco, Danilo et al. "Current perspective and review of literature on robotic gastrectomy and oncological outcomes." Gastroenterology Review/Przegląd Gastroenterologiczny, 2023. doi:10.5114/pg.2023.124148. Vancouver Coco D, Leanza S. Current perspective and review of literature on robotic gastrectomy and oncological outcomes. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023. doi:10.5114/pg.2023.124148.

Introduction Solid pseudopapillary tumor of the pancreas (SPTP) or Solid pseudopapillary neoplasm (SPN) of the pancreas, also known as Frantz’s tumor, is a rare phenomenon, and it accounts for 1–3% of all neoplasms of the exocrine pancreas. It mainly occurs in younger individuals, predominantly women; SPNs have a female predilection, with a ratio of female to male of 10:1 [1]. They are typically seen in females in their 20s–30s, but can also be seen in the pediatric population with an incidence of 0.005–0.01 cases per 100,000 [2]. Non–specific symptomatology is often present, such as abdominal pain or sporadic manifestations of nausea, vomiting, and a sense of heaviness in the abdomen. In rare cases, at physical examination, a palpable mass may be present in the abdomen [3]. Frantz’s tumor may be localized in any part of the pancreas. There are rarely metastases, and when they do occur, they are most commonly localized in the liver [1, 3]. Ultrasonography (USG) of the abdomen is the initial diagnostic method; nevertheless, computerized tomography (CT) and magnetic resonance imaging (MRI) of the abdomen is much more precise and superior methods. Frequently, CT and MRI can indicate the presence of a mass in the pancreas, which has the characteristics of cystic degeneration, bleeding within the cyst, and the presence of a capsule [4]. Differential diagnoses include pancreatic ductal adenocarcinoma, cystadenoma, cystadenocarcinoma, or a pancreatic neuroendocrine tumor [5]. The present study was designed to delineate the current perspectives on Solid pseudopapillary tumor of the pancreas, also known as Frantz's tumor, a rare pancreatic tumor.

Colorectal cancer is one of the deadliest diseases on the planet. Rectal cancer (RC) is the 8 th most common type of cancer disease worldwide, accounting for over 300,000 fatalities in 2018. Total mesorectal excision (TME) is considered as the gold standard approach for surgical RC management. To alleviate technical problems associated with dissection of distal rectal, transanal procedure to mesorectum was developed. The robotic operating platforms’ development has brought about the most significant change. The robotic method, which was described first in the year 2001, is gaining popularity in colorectal surgery. A stable camera platform with three-dimensional imaging and tremor filtering, motion scaling, instruments with numerous degrees of freedom, 3 rd arm for fixed retraction, ambidextrous capability, superior ergonomics, and less fatigue, all these advantages have all influenced robotics implementation. However, there are certain disadvantages to robotic surgery, such as high expenses, lengthy time of operation, a bulky cart, and absence of haptic sense. Robotic transanal TME (R-TA TME) is unique method that integrates potential advantages of perineal dissection with precise control of distal margins, along with all robotic technology advantages with respect to dexterity and greater precision. This review goal is to evaluate the available literature critically regarding R-TA TME in comparison to laparoscopic TA TME (L-TA TME) using the most prevalent histopathological metrics, which are the circumferential resection margin, the distal rectal margin, recurrence rate, specimen quality, advantages, and disadvantages. Oncological results for the past 5 years were used. The resources were obtained from electronic sources such as Google Scholar and PubMed. The conclusion of this review revealed that R-TA TME is as safe as well as feasible as L-TA TME, is technically possible, and has comparable oncological results and short-term post-operative outcomes. However, further investigation is required to evaluate long-term oncological or functional results.

From the review of the literature and clinical data, it is clear that the anatomy of the vessels of the right colon is remarkably variable, especially those of Henle branch. This justifies why the laparoscopic colectomy (LRC) plus complete mesocolon excision (CME) is often difficult to perform with the conversion rate due to the lesion of the vessels. The objective of this study was to retrospectively review the videos and literature of the right laparoscopic colectomy plus CME to highlight the greatest number of vascular variations of the right colon, to record them, and to highlight the methods by which cope with these variations during surgery.

This review aimed to define and evaluate the new technique which telescopic anastomosis in managing intestinal injuries like leakages. The method gives a fast, secure, and easy approach in limiting intestine leakages. Moreover, the need to determine the credibility of telescopic anastomosis made the research focus on comparing the new technique with the suturing method. The study applied 18 dogs weighing approximately 20-30 kg and divided into two groups (A and B). All the animals were injected with intra-abdominal infection using small perforation in the bowel. Primarily, the animals were left to settle for almost 24 hours before closing the perforation by telescopic anastomosis in group B and simple hand suturing for group A. Notably, the animals were operated after some time, and the anastomosis regions have taken for radiologic analysis. The results showed stenosis in 6 animals of group B because of telescopic anastomosis even without a leakage. Thus, the outcomes provided telescopic anastomosis as an essential method to repair intestine leakages compared to other methods like a suture.

Background: laparoscopic adjustable gastric banding (LABG) remains the commonest and less invasive bariatric operation. It has many advantages in the treatment of obesity and is associated with low morbidity and mortality rates.When it happens a Gastric Band Slippage (GBS), part of the gastric fundus herniates through the band. Removal of GB is necessary to prevent necrosis of the herniated stomach.Case report: We present a case of a 40-year-old female patient who was admitted for a huge gastric pouch dilatation after 3 years of underwent LAGB.Conclusion: The LAGB is one of the most common procedures used for the treatment of morbid obesity. The complications are generally not mortal but it is necessary that complications have been recognized by general surgeon and physicians should be aware of the symptoms. Diagnosis of GBS can be made with signs or symptoms and patient’s medical history, with the use of oral contrast X-ray studies or CT Scan and surgical intervention is necessary.

Overview on intestinal transplantation: indications, techniques, outcomes, major advancements and future prospectives

The results of meta-analytic review that compared Laparoscopic Distal Pancreatectomy (LDP) versus Robotic Distal Pancreatectomy (RDP) demonstrated the safety and feasibility of the robotic approach. The studies comparison showed no differences in postoperative complications, 30-day mortality, ICU stay, conversion rate, pancreatic fistula,morbidity and mortality rate between the LPD group and the RDP group.

The aim of this study was to retrospective analyzed improvement of technical skills after 30 consecutive videos cases during young surgeons training or training during a novel procedure using YouTube and other platforms such as a potential training aid for young surgeons. Since 1999, when DiNucci et al coined the term ‘Web 2.0’, surgeons have used online platforms to interact with each other, YouTube is one of these platforms and is becoming one of the most important sources of internet-based medical information. The use of interactive videos has changed teaching of surgery. Videos should be used in addition to standard techniques in the surgical education and seem to reduce learning curves for complex procedures, seem to have the potential to identify variations in operative technique as well as their impact on patient outcomes. In this way, surgical training is evolving and Surgical Video Learning (SVL) is became an emerging concept in surgery. YouTube is a potential training aid for young surgeons, but it is important to assess the quality of videos and to use a video-learning criteria to do this. During Literature research we noticed that assessment of the quality of videos and video-learning criteria were necessary. SVL has advantages on the teaching but has many disadvantages because the use of very short videos, not step by step procedures, not correct procedure and because of low quality video. For these reasons, some authors talked about if video learning is a foe not a friend in learning point for surgeons. We selected videos based on number of views, on lengths of the videos between 5 and over 10 minutes; sources of the videos (primary center), quality of view. We reviewed the current evidence for the video-based surgical education methods, discussing the advantages and disadvantages on the teaching of technical and nontechnical surgical skills and propose a criteria of 30 videos for each surgical procedure to improve learning curve, called “Virtual Learning Curve” (VLC).

Recent perspectives on insidious presentation and management options of esophageal perforation

Ex situ hepatectomy is a novel approach, used in treating complicated liver tumors, which are otherwise unresectable via conventional methods including organ perfusion, liver transplant, hemodynamic management, vascular reconstruction or even extended hepatic resection. The Ex situ hepatectomy technique denotes the entire removal of the infected liver, which is then perfused in a cold preservation solution, which allows the surgeon to remove tumors, which were otherwise unreachable when the liver is situated in the body. In so doing, the tumor is restricted ex situ on the surgeon stable, while the remaining liver is implanted orthotopically. Notably, the works on Ex situ hepatectomy techniques are credited to Pichlmary 1990, who proposed the surgical approach in the treatment of bilateral liver leiomyosarcoma. More to that, there are only a handful of successful Ex situ hepatectomy cases which have been recorded on a global scale, given the complexity of the operation. Secondary as well as primary liver tumors are some of the most commonly occurring liver tumors in humans.

Abstract Background: Recent years have seen a substantial rise in the use of Fluorescence-Guided Surgery (FGS) to treat benign and malignant visceral, hepatobiliary and pancreatic neoplasms. Aim: This paper aims to report useful aspects of Indocyanine green fluorescence in the practice of different hepatobiliary surgery. Materials And Methods: Literature research was carried out including PubMed, Medline, Embase, Cochrane, and Google Scholar databases to identify articles reporting on the importance of ICG Fluorescence use in HPB Surgery. Results: Fluorescence imaging allows identification of:1. subcapsular tumors of the liver,2. Millimetric hepatocellular carcinoma (HCC),3. Intrahepatic cholangiocarcinoma (IC),4. Liver Metastases (LM),5. Various types of benign liver neoplasms and 6. non-pathological liver parenchyma. These features increase accuracy and decrease complications during liver surgery. Conclusion. Fluorescence cholangiography is used to obtain fluorescence images of the bile ducts after intra-biliary injection of 0.025−0.5 mg / mL ICG or 2.5 mg ICG intravenous injection. Innovations in imaging systems will increase the use of fluorescence imaging as an intraoperative navigation tool that can improve the safety and accuracy of open, laparoscopic, and robotic surgeries fluorescence imaging is a quick, easy, fairly inexpensive and harmless device with various surgical applications for visceral and HBP benign and malignant neoplasms. Keywords: Indocyanine green; fluorescence imaging; liver surgery; biliary surgery; pancreatic surgery; biliary anatomy; Real-Time Surgery; Hepatectomy; Hepatocellular Carcinoma; Liver Metastases; Extra-hepatic bile duct; Cholangiocarcinoma. Highpoints This paper aims to report useful aspects of Indocyanine green fluorescence in the practice of different hepatobiliary surgery. Fluorescence imaging allows identification of:1. subcapsular tumors of the liver,2. Millimetric hepatocellular carcinoma (HCC),3. Intrahepatic cholangiocarcinoma (IC),4. Liver Metastases (LM),5. Various types of benign liver neoplasms and 6. non-pathological liver parenchyma. ICG fluorescence imaging is a quick, easy, fairly inexpensive, and harmless device with various surgical applications for visceral and HBP benign and malignant neoplasms.

Solid pseudopapillary tumor of the pancreas (Frantz’s tumor)

Outcomes of robotic right colectomy with intracorporeal anastomosis compared with laparoscopic right colectomy

To propose alternative techniques in performing Roux-Y Hapatico-Jejunostomy (RYHJ) during treatment of biliary tree diseases. We have retrospectively evaluated PUBMED articles  to analyze various modified techniques in RYHJ to research an easy technique to log into biliary tree. Modified RYHJ is a safe, feasible and simple technique to permit an alternative method of anastomosis re-esploration.

1. Purpose: The treatment of hepatic neoplasms has undergone, in recent years, various evolution of the surgical technique and extension to the indication for resection. Many patients with liver tumors cannot benefit from resection due to the difficulty of the anatomical site of the lesion.Of these patients, only some can benefit from ex vivo hepatic resection, which consists of a complete hepatectomy, bench tumor resection and self-transplant. 2. Materials and methods: We have retrospectively evaluated PUBMED databases. Studies was evaluated from 2010 to 2020.Only very few studies analyzed “Ex situ liver resection”, “Extracorporeal liver resection”, “Liver auto-transplantation”. Conclusion: Ex vivo liver resection and autotransplantation is fesible in very few patients with unresectable hepatic tumor fit for surgery. R0 resection accounts about 60%-90% but outcomes are less satisfactory due to high complications rate of about 25% and low survival in 3 years.