Successful laparoscopic treatment of advanced rectal cancer in an extremely elderly man (101 years and 9 months)

The effect of breastfeeding on body temperature, body weight, and jaundice of 0-72h old infants

OBJECTIVE

The research aimed to determine the effect of breastfeeding on body temperature, body weight, and jaundice of 0-72h-old infants in Sitti Khadijah I Mother and Child Hospital of Makassar.

METHOD

The research was an observational longitudinal design. The samples were breastfeeding mothers and 0-72h-old newborn infants consisting of 70 people selected using the purposive sampling method. The data were analyzed using the Chi-square test.

RESULT

The result of the research indicated that there are 29 respondents (41.4%) giving exclusive breastfeeding with infants normal body temperature 29 people (100%), decreasing body weight 28 people (96.6%), and no jaundice 29 people (100%), while the respondents who do not give breastfeeding consist of 41 people (58.6%) with body temperature undergoing hyperthermia one respondent (2.4%), increasing body weight three people (7.3%) and jaundice four people (9.8%).

CONCLUSION

There is an effect of giving breastfeeding on body temperature (p=0.016), but there is no effect on body weight (p=0.168) and jaundice (p=0.083) of 0-72h-old infants.

Laparoscopic Surgery for Colorectal Cancer in Super-Elderly Patients: A Single-Center Analysis

BACKGROUND

Super-elderly patients with colorectal cancer are being encountered with increasing frequency in Japan. Laparoscopic surgery is considered a less invasive surgery in these patients; however, it is difficult to conduct controlled clinical trials in this super-elderly population. This study assessed the feasibility and safety of laparoscopic colorectal surgery in patients over 85 years old.

MATERIALS AND METHODS

Open and laparoscopic surgeries for colorectal cancer in super-elderly patients (aged 85 y and older) were performed under general anesthesia in a single medical center. Records were retrospectively reviewed, and the clinicopathologic features of each patient and the surgical time and outcomes were recorded and analyzed.

RESULTS

Records of colorectal surgery were reviewed for 108 super-elderly patients. Twenty-six open surgeries and 82 laparoscopic surgeries were performed. The mean operation times were 215 and 228 minutes in open and laparoscopic surgeries, respectively. Intraoperative bleeding in laparoscopic surgery was lesser than that in open surgery. There were 2 cases with major postoperative complications in open surgery, and mortality occurred in one case within 1 month after surgery. No major complications were observed in laparoscopic surgery. In survival analysis, disease-free survival did not differ between the 2 groups. The oldest patient was a man aged 102 years and 6 months who underwent laparoscopic anterior resection with lymph node dissection.

CONCLUSION

Laparoscopic surgery in super-elderly patients with colon cancer is feasible and safe. The authors report the success of laparoscopic colectomy for rectosigmoid colon cancer in the oldest known patient and the positive outcomes of laparoscopic colectomy in super-elderly patients.

Endoscopic placement of pancreatic stent for "Deep" pancreatic enucleations operative technique and preliminary experience at two high-volume centers

BACKGROUND

Pancreatic enucleation (PE) is a viable option for the removal of non-malignant pancreatic masses leading to complete preservation of organ function. Nevertheless, PE is associated with substantial rates of post-operative pancreatic fistula (POPF), particularly when the mass is close to the main pancreatic duct (MPD). Preoperative stenting of the MPD may prevent its injury when performing PE. This paper describes a novel technique of "deep" PE preceded by endoscopic stenting of the MPD.

METHODS

From January 2017 to May 2019, patients with small pancreatic neuroendocrine tumors proximal to the MPD were candidates for PE with previous stenting of the MPD at the University of Verona, Italy, and at the UCLA Medical Center, Los Angeles, California. The endoscopic stenting was scheduled either the day before or 3 weeks before surgery, depending on the participating institute.

RESULTS

Ten patients were included in this pilot study. The endoscopic procedure was successful and well tolerated in all cases. Open, laparoscopic and robotic PE were performed. Seven patients had surgical complications. Among these, six developed a post-operative pancreatic fistula (POPF), but neither grade C fistulas nor disruptions of the MPD were detected. At pathology, a low grade pancreatic neuroendocrine tumor was confirmed in all cases.

CONCLUSION

In the setting of high-volume centers, this procedure is safe, and it is associated with acceptable short-term surgical morbidity. The preoperative stenting of the MPD might extend the surgical indications for PE.