Publications by authors named "M Schiesser"
Purpose: The laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the standard procedures in metabolic surgery. Different limb lengths have been proposed in the past to maximize weight loss (WL) and reduce metabolic complications. Distal gastric bypass surgery with a very short common channel (CC) (up to 100 cm) has been often criticized due to frequent side effects such as malnutrition, bone weakening and short-bowel syndrome.
View Article and Find Full Text PDFArticle Synopsis
- - The study explores how liver growth behaves after a procedure called ALPPS (associating liver partition and portal vein ligation for staged hepatectomy) by using MRI with a contrast agent (gadoxetic acid) to measure liver volume and function in Wistar rats.
- - Rats were divided into three groups: ALPPS, major liver resection (LR), and portal vein ligation (PVL), and their liver volume and function were tracked for five days post-surgery.
- - The results showed that liver function increased more than volume in the ALPPS and LR groups after the first day, with total liver function remaining well above 60% of pre-op values for ALPPS and PVL
Article Synopsis
- - Liver resections are vital for treating liver cancers, but many patients aren't resectable due to the risk of post-hepatectomy liver failure, as only about 70% of liver tissue can be safely removed.
- - Regenerative liver surgery techniques, like portal vein embolization (PVE) and the newer Associating Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS), have evolved to increase the amount of healthy liver left after surgery, improving resection rates.
- - Despite the promise of accelerated liver regeneration from methods like ALPPS, challenges remain, including a high mortality rate and the need for careful patient selection, prompting a plethora of modifications to enhance safety and effectiveness.
Background: For patients with esophageal adenocarcinoma or cancer of the gastroesophageal junction, radical esophagectomy with 2-field lymphadenectomy is the cornerstone of the multimodality treatment with curative intent. Both conventional minimally invasive esophagectomy (MIE) and robot assisted minimally invasive esophagectomy (RAMIE) were shown to be superior compared to open transthoracic esophagectomy considering postoperative complications. However, no randomized comparison exists between MIE and RAMIE in the Western World for patients with esophageal adenocarcinoma.
View Article and Find Full Text PDFBouveret's syndrome is a rare complication resulting from gallstone disease. Both surgical and endoscopical procedures are performed, with the disease to be seen as strictly interdisciplinary. There are no well-established recommendations for this condition.
View Article and Find Full Text PDF