RESUMO
INTRODUCTION: Oesophageal surgery recently became centralised in Belgium. This study aims to evaluate surgical outcomes and service delivered one year after implementation of centralisation. PATIENTS AND METHODS: All patients undergoing an oesophagectomy between the start of the centralisation; 1st of June 2019 and 31st of May 2020, were included from a prospectively maintained database. RESULTS: 53 patients (41 male, 12 female) underwent an oesophagectomy during the study period. Most oesophagectomies were performed through an open left thoracoabdominal approach (64.2%), 30.2% via a minimally invasive approach and hybrid approaches were carried out in 5.7% of patients. In this study population, the 30 day mortality rate was 0% and the 90 day mortality rate was 3.8%, equating to 2 deaths. The overall 30 day readmission rate was 7.5%. Clinically significant anastomotic leaks occurred in 4 patients, (7.5%). Pneumonia and atrial fibrillation were the most frequent complications, both having a prevalence of 32.1%. The median length of stay was 11 days (IQR 9.5-14.5). CONCLUSION: The results from our centre are comparable to those from international registers which demonstrate that centralisation of complex cancer services can be safely implemented.
Assuntos
Neoplasias Esofágicas , Humanos , Masculino , Feminino , Bélgica/epidemiologia , Estudos Retrospectivos , Neoplasias Esofágicas/cirurgia , Fístula Anastomótica , Esofagectomia/métodosRESUMO
We describe the first case of bacteremia due to Actinomyces urogenitalis. Bacteremia was secondary to a tubo-ovarian abscess following transvaginal oocyte retrieval. Identification was established by matrix-assisted desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) and confirmed by 16S rRNA gene sequencing. A. urogenitalis should be considered as a potential causative agent of infection after gynecological procedures.
Assuntos
Abscesso/diagnóstico , Actinomyces/isolamento & purificação , Actinomicose/diagnóstico , Doenças dos Anexos/diagnóstico , Bacteriemia/diagnóstico , Fertilização in vitro/efeitos adversos , Abscesso/complicações , Abscesso/microbiologia , Actinomyces/efeitos dos fármacos , Actinomyces/genética , Actinomicose/microbiologia , Doenças dos Anexos/complicações , Doenças dos Anexos/microbiologia , Adulto , Antibacterianos/farmacologia , Bacteriemia/microbiologia , Técnicas Bacteriológicas , Feminino , Humanos , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por MatrizRESUMO
Pseudoaneurysm formation is a rare complication after knee arthroscopy. Most pseudoaneurysms complicating knee arthroscopy develop on the popliteal and geniculate arteries. We report a case of a pseudoaneurysm developed on an arterial branch to the medial gastrocnemius muscle, as a complication of an arthroscopic meniscectomy in a 66-year-old patient. The patient was treated successfully by resection of the pseudoaneurysm and ligation of the injured artery.