Dear Editor,I am Rosa Gutiérrez Bonet,former ophthalmology resident at Puerta de Hierro University Hospital,Madrid,Spain.I write to present four cases of cortical blindness(CB)after bilateral lung transplant(L...Dear Editor,I am Rosa Gutiérrez Bonet,former ophthalmology resident at Puerta de Hierro University Hospital,Madrid,Spain.I write to present four cases of cortical blindness(CB)after bilateral lung transplant(LT).展开更多
Bariatric surgery is a routinely performed procedure and is associated with a reduction in all-cause mortality in patients with obesity.However,bariatric sur-gery has also been linked to increased alcohol use with up ...Bariatric surgery is a routinely performed procedure and is associated with a reduction in all-cause mortality in patients with obesity.However,bariatric sur-gery has also been linked to increased alcohol use with up to 30%of these patients developing alcohol use disorder(AUD).The mechanism of AUD after bariatric surgery is multifactorial and includes anatomic,metabolic,and neurohumoral changes associated with post-surgical anatomy.These patients are at increased risk of alcohol associated liver disease and,in some cases,require liver trans-plantation.In this article,we provide a scoping review of epidemiology,patho-physiology,and clinical outcomes of alcohol-related health conditions after bariatric surgery.展开更多
Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within ev...Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within evidence-based frameworks in order to justify its widespread utilization and ensure safe and effective innovation.A comprehensive literature review was conducted to identify studies reporting on techniques used in RKT between 2010 and 2020.Conference abstracts,published papers and the latest guidelines were reviewed in this rapidly progressing field.Promising results have been demonstrated so far with unique benefits identified for obese patients who would have otherwise been denied an open kidney transplant.Other developments have been found in gasless surgery,scarless surgery,RKT using grafts with multiple vessels and robotic dual kidney transplantation.In order to continue advancing innovation in kidney transplant surgery,further expansion of RKT is needed to deceased donor programs.Progression in the robotic technology itself will also improve technique,and as the financial costs of the technology decrease the use of RKT is set to grow.展开更多
文摘Dear Editor,I am Rosa Gutiérrez Bonet,former ophthalmology resident at Puerta de Hierro University Hospital,Madrid,Spain.I write to present four cases of cortical blindness(CB)after bilateral lung transplant(LT).
文摘Bariatric surgery is a routinely performed procedure and is associated with a reduction in all-cause mortality in patients with obesity.However,bariatric sur-gery has also been linked to increased alcohol use with up to 30%of these patients developing alcohol use disorder(AUD).The mechanism of AUD after bariatric surgery is multifactorial and includes anatomic,metabolic,and neurohumoral changes associated with post-surgical anatomy.These patients are at increased risk of alcohol associated liver disease and,in some cases,require liver trans-plantation.In this article,we provide a scoping review of epidemiology,patho-physiology,and clinical outcomes of alcohol-related health conditions after bariatric surgery.
文摘Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within evidence-based frameworks in order to justify its widespread utilization and ensure safe and effective innovation.A comprehensive literature review was conducted to identify studies reporting on techniques used in RKT between 2010 and 2020.Conference abstracts,published papers and the latest guidelines were reviewed in this rapidly progressing field.Promising results have been demonstrated so far with unique benefits identified for obese patients who would have otherwise been denied an open kidney transplant.Other developments have been found in gasless surgery,scarless surgery,RKT using grafts with multiple vessels and robotic dual kidney transplantation.In order to continue advancing innovation in kidney transplant surgery,further expansion of RKT is needed to deceased donor programs.Progression in the robotic technology itself will also improve technique,and as the financial costs of the technology decrease the use of RKT is set to grow.