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World Journal of Surgery

Eran Sadot, Jian Zheng, Rami Srouji, Vivian E Strong, Mithat Gönen, Vinod P Balachandran, Michael I D'Angelica, Peter J Allen, Ronald P DeMatteo, T Peter Kingham, Yuman Fong, Martin R Weiser, William R Jarnagin
In the original version of this article, Martin R. Weiser's last name was spelled incorrectly. It is correct as reflected here. The original article has been updated.
November 7, 2018: World Journal of Surgery
Jamie E Anderson, Aliyu Baba Ndajiwo, Susuti Aaron Nuhu, Olubunmi Aiyedun Lawal, Joseph O Amedu, Emmanuel A Ameh
BACKGROUND: This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS: In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were surveyed using a modified World Health Organization Hospital Assessment Tool and a qualitative semi-structured hospital interview tool of the medical Director (MdD)...
November 7, 2018: World Journal of Surgery
Morten Alstrup, Jeppe Meyer, Martin Schultz, Line Jee Hartmann Rasmussen, Lars Simon Rasmussen, Lars Køber, Jakob Lundager Forberg, Jesper Eugen-Olsen, Kasper Iversen
BACKGROUND: Risk assessment strategies, such as using the American Society of Anesthesiologists (ASA) physical status classification, attempt to identify surgical high-risk patients. Soluble urokinase plasminogen activator receptor (suPAR) is a biomarker reflecting overall systemic inflammation and immune activation, and it could potentially improve the identification of high-risk surgical patients. METHODS: We included patients acutely admitted to the emergency department who subsequently underwent surgery within 90 days of admission...
November 2, 2018: World Journal of Surgery
Adam Gyedu, Sam Debrah, Kwabena Agbedinu, Stephanie K Goodman, Jacob Plange-Rhule, Peter Donkor, Charles Mock
BACKGROUND: Prior to 2003, production of new surgeons in Ghana was limited. In 2003, the Ghana College of Physicians and Surgeons (GCPS) initiated the first wholly in-country training and credentialing of surgeons. The purpose of this study was to assess the impact of in-country training of surgeons in Ghana. METHODS: We interviewed 117 (80%) of the 146 surgeons trained through the GCPS from inception through 2016. We gathered data on type of training, practice location, clinical workload, and administrative and teaching roles...
November 1, 2018: World Journal of Surgery
Kun-Kun Li, Yin-Jian Wang, Xue-Hai Liu, Ru-Wen Wang, Yao-Guang Jiang, Wei Guo
BACKGROUND: Hybrid thoracoscopic-laparotomy esophagectomy (hTE) and complete thoracoscopic-laparoscopic esophagectomy (cTLE) are the two most frequently used minimally invasive esophagectomy (MIE) procedures and are broadly utilized for esophageal cancer. We evaluated differences in short- and long-term outcomes between hTE and cTLE in patients with esophageal squamous cell carcinoma (ESCC). METHODS: Patients who underwent MIE for ESCC between September 2009 and February 2016 were included in this retrospective study...
November 1, 2018: World Journal of Surgery
G Manzini, C Kuemmerli, C S Reiner, H Petrowsky, C A Gutschow
BACKGROUND: Enterothorax (ET) is a rare complication after hepatic surgery. The literature in this field is limited and mainly based on case reports. The aim of this study was to review our department's experience. PATIENTS AND METHODS: We retrospectively analyzed 602 patients who underwent hepatic resection between November 2008 and December 2016. Major hepatic surgery (n = 321) was defined as right or extended right hepatectomy (n = 227), left or extended left hepatectomy (n = 63), trisegmentectomy (n = 13), and living donor liver transplantation (n = 18)...
November 1, 2018: World Journal of Surgery
T A K Gandamihardja, T Soukup, S McInerney, J S A Green, N Sevdalis
BACKGROUND: Multidisciplinary team (MDT)-driven cancer care is a mandatory UK national policy, widely used globally. However, few studies have examined how MDT members make decisions as a team. We report a single-centre prospective study on team working within breast cancer MDT. METHODS: This was a prospective observational study of 10 breast MDT meetings (MDM). Trained clinical observer scored quality of presented information and disciplinary contribution to case reviews in real time, using a validated tool, namely Metric for the Observation of Decision-Making...
October 31, 2018: World Journal of Surgery
James A Balogun, Adefisayo Adekanmbi, Folusho M Balogun
BACKGROUND: Medical error (ME) remains central to discussions regarding patient's safety and its frequency appears high in surgical specialties because of some peculiarities. We set out to study the perception of surgical residents about medical errors, their ability to recognize them and predisposition to disclosing their errors. METHODS: This was a cross-sectional study among surgical residents at the University College Hospital, Nigeria. Data about their knowledge, perception and recognition of medical errors were obtained...
October 31, 2018: World Journal of Surgery
M Sandini, C Fernández-Del Castillo, C R Ferrone, K J Ruscic, M Eikermann, A L Warshaw, K D Lillemoe, M Qadan
BACKGROUND: While intraoperative fluid overload is associated with higher complication rates following surgery, data for pancreaticoduodenectomy are scarce and heterogeneous. We evaluated multiple prior definitions of restrictive and liberal fluid regimens and analyzed whether these affected surgical outcomes at our tertiary referral center. METHODS: Studies evaluating different intraoperative fluid regimens on outcomes after pancreatic resections were retrieved...
October 30, 2018: World Journal of Surgery
Patrick Sven Plum, Till Herbold, Felix Berlth, Hildegard Christ, Hakan Alakus, Marc Bludau, De-Hua Chang, Christiane Josephine Bruns, Arnulf Heinrich Hölscher, Seung-Hun Chon
BACKGROUND: Esophageal anastomotic leakages after Ivor Lewis esophagectomy are severe and life-threatening complications. We analyzed the outcome of using self-expanding metal stents (SEMS) in the treatment of postoperative leakage after esophagogastrostomy. METHODS: Seventy patients with esophageal anastomotic leakage after Ivor Lewis esophagectomy for esophageal cancer who had received SEMS treatment between January 2006 and December 2015 at our clinic were identified in this retrospective study...
October 30, 2018: World Journal of Surgery
Yuki Ito, Mitsuro Kanda, Seiji Ito, Yoshinari Mochizuki, Hitoshi Teramoto, Kiyoshi Ishigure, Toshifumi Murai, Takahiro Asada, Akiharu Ishiyama, Hidenobu Matsushita, Chie Tanaka, Daisuke Kobayashi, Michitaka Fujiwara, Kenta Murotani, Yasuhiro Kodera
BACKGROUND: The influence of intraoperative blood loss (IBL) on postoperative long-term outcomes of patients with gastric cancer is controversial. Here, we used a large multicenter dataset from nine institutes to evaluate the prognostic impact of IBL on patients with stage II/III gastric cancer. METHODS: The study analyzed 1013 patients with stage II/III gastric cancer who underwent gastrectomy without preoperative treatment and intraoperative transfusion. Patients were equally divided into learning and validation cohorts using a table of random numbers...
October 30, 2018: World Journal of Surgery
M M J van Rooijen, L F Kroese, J L A van Vugt, J F Lange
BACKGROUND: Incisional hernia is a frequent complication after abdominal surgery. A risk factor for incisional hernia, related to body composition, is obesity. Poor skeletal muscle mass might also be a risk factor, as it may result in weakness of the abdominal wall. However, it remains unknown if sarcopenia (i.e. low skeletal muscle mass) is a risk factor for incisional hernia. Therefore, this study aims to investigate whether a relation between sarcopenia and incisional hernia exists...
October 30, 2018: World Journal of Surgery
Teiichi Sugiura, Yukiyasu Okamura, Takaaki Ito, Yusuke Yamamoto, Ryo Ashida, Katsuhisa Ohgi, Masahiro Nakagawa, Katsuhiko Uesaka
BACKGROUND: Right hepatectomy with caudate lobectomy (RHx) is considered an appropriate procedure for Bismuth type I/II perihilar cholangiocarcinoma in terms of its anatomical and oncological aspect. However, validity of left hepatectomy with caudate lobectomy (LHx) concomitant with arterial resection and reconstruction (AR) is not fully evaluated. METHODS: The patients who underwent surgical resection for Bismuth type I/II perihilar cholangiocarcinoma between 2002 and 2013 were studied...
October 30, 2018: World Journal of Surgery
Lau Caspar Thygesen, Ismail Gögenur
BACKGROUND: Many patients who undergo emergency laparotomy are working, which is a key determinant for an individual's socio-economic status and financial security. The objectives of this study were to compare labour market participation and sick leave in a nationwide patient population undergoing non-malignant emergency resections with a matched reference population. METHODS: This nationwide prospective cohort study included all patients aged 18+ years undergoing emergency laparotomy for non-malignant disease resulting in intestinal resections, ostomy or drainage at Danish hospitals 2003-2014 and who were active on the labour market (n = 2895)...
October 26, 2018: World Journal of Surgery
Tadahiro Uemura, Alexander Kirichenko, Mark Bunker, Molly Vincent, Lorenzo Machado, Ngoc Thai
BACKGROUND: Trans-arterial chemoembolization and radiofrequency ablation are commonly used for control of hepatocellular carcinoma (HCC) on liver transplant (LTx) waiting list. Stereotactic body radiation therapy (SBRT) was introduced to our institution for HCC as a bridging or downsizing therapy to LTx. PATIENTS AND METHODS: Twenty-five HCC lesions in 22 patients were treated with SBRT while waiting for LTx from January 2010 to December 2015. Nineteen of these patients received deceased donor LTx...
October 25, 2018: World Journal of Surgery
Brian K P Goh, Nicholas Syn, Jin-Yao Teo, Yu-Xin Guo, Ser-Yee Lee, Peng-Chung Cheow, Pierce K H Chow, London L P J Ooi, Alexander Y F Chung, Chung-Yip Chan
BACKGROUND: This study aims to determine the safety and efficacy of laparoscopic repeat liver resection (LRLR) for recurrent hepatocellular carcinoma (rHCC). METHODS: Twenty patients underwent LRLR for rHCC between 2015 and 2017. The control groups consisted of 79 open RLR (ORLR) for rHCC and 185 LLR for primary HCC. We undertook propensity score-adjusted analyses (PSA) and 1:1 propensity score matching (PSM) for the comparison of LRLR versus ORLR. Comparison of LRLR versus LLR was done using multivariable regression models with adjustment for clinically relevant covariates...
October 25, 2018: World Journal of Surgery
H Khalayleh, G Lin, H Kadar Sfarad, M Mostafa, N Abu Abed, A Imam, A P Zbar, E Mavor
BACKGROUND: There is debate concerning the need for specialist neurosurgical transfer of patients presenting to Level II trauma centers with a minimal head injury (Glasgow Coma Scale ≥13) and a small non-progressive intracranial bleeding (ICB). METHODS: A retrospective chart analysis was performed assessing the outcomes of adult patients presenting with a minor traumatic ICB on initial CT scan (minimal subarachnoid hemorrhage; small-width subdural hematoma without shift; punctate cerebral contusion)...
October 25, 2018: World Journal of Surgery
J D Luiten, A Verhemel, Y Dahi, E J T Luiten, P S Gadjradj
INTRODUCTION: Honorary authorship (HA) is defined as an enlisted co-author who did not make sufficient contributions to merit being included as a co-author according to the ICMJE guidelines on authorship. It is unknown if HA is present in the surgical literature. METHODS: We analysed studies published in 2016 in five journals with the highest impact factor in general surgery. All original articles, reviews and clinical trials with more than one author were included...
October 25, 2018: World Journal of Surgery
Maximilian P Nerlander, Rawand Musheer Haweizy, Moayad Abdullah Wahab, Andreas Älgå, Johan von Schreeb
INTRODUCTION: Most epidemiological studies from conflicts are restricted to either combatants or civilians. It is largely unknown how the epidemiology differs between the two groups. In 2016, an Iraqi-led coalition began retaking Mosul from the terrorist group Islamic State of Iraq and Syria. One key institution that received trauma patients from Mosul was Emergency Management Center (EMC) in Erbil, 90 km away. The aim of this study was to describe the epidemiology, morbidity, and mortality of civilians and combatants admitted during the ongoing conflict...
October 24, 2018: World Journal of Surgery
Masato Hayashi, Hirofumi Kawakubo, Yoshiaki Shoji, Syuhei Mayanagi, Rieko Nakamura, Koichi Suda, Norihito Wada, Hiroya Takeuchi, Yuko Kitagawa
BACKGROUND: Although esophagectomy is the only curative option for esophageal cancer, the associated invasiveness is high. Nasogastric (NG) tube use may prevent complications; however, its utility remains unclear, and the decompression period depends on the doctor. This study aimed to reveal the effect of conventional versus early NG tube removal on postoperative complications after esophagectomy. METHODS: This single-center prospective randomized controlled clinical trial enrolled patients aged 20-80 years with histologically proven primary esophageal squamous cell carcinoma...
October 23, 2018: World Journal of Surgery
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