Publications by authors named "C M Magistro"
We describe the case of a 72-year-old male suffering from Marfan syndrome, who, because of cardiac abnormalities correlated to the syndrome, received an orthotopic heart transplant four years ago. In 2024, he was diagnosed with right colon cancer. The decision to operate was difficult because of the elevated perioperative risk.
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- A study was conducted to evaluate the effectiveness of a no-drain policy after low anterior resection (LAR) for rectal cancer, comparing outcomes before and after its implementation.
- Two groups were analyzed: patients before 2017 who used anastomotic drains (DP group) and those after 2017 who did not (NDP group), with no significant differences in anastomotic leak rates between the groups.
- The no-drain policy was well adopted, with use of drains dropping from 76.2% to 16.5% three years post-implementation, while maintaining similar postoperative outcomes and management of leaks.
Monopulmonary patients undergoing major abdominal surgery represent a high-risk population. While general anesthesia is typically the standard approach, mechanical ventilation can cause significant complications, particularly in patients with pre-existing lung conditions. Tailored anesthesia strategies are essential to mitigate these risks and preserve respiratory function.
View Article and Find Full Text PDFResearch in surgery faces intrinsic difficulties such as the lack of reproducibility of surgical operations, self-referring surgeons, decentralized data. Establishing a community of qualified researchers across surgeons is crucial. Clinical networks have been proposed as solutions to many challenges in surgical research, yet their implementation remains uncommon, especially for surgical trialists.
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- The study aimed to investigate factors related to lateral lymph node (LLN) involvement in patients with locally advanced rectal cancer (LARC) undergoing neoadjuvant chemoradiotherapy (nCRT) and surgery, focusing on their effect on local recurrence rates.
- The retrospective analysis included 301 LARC patients treated between 2014 and 2019, assessing MRI results for LLN involvement and categorizing patients based on whether they had suspicious nodes.
- Findings revealed that while 15.9% showed suspicious LLNs on initial MRI, abnormal LLNs did not independently affect local recurrence rates after 3 years, suggesting they may not be a significant risk factor in this context.