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Asian Journal of Surgery

Yuk Law, Yiu Che Chan, Stephen W K Cheng
BACKGROUND/OBJECTIVE: Deep vein thrombosis (DVT) was thought to be uncommon in Asians and routine thromboprophylaxis in the form of anticoagulation for surgical patients was considered to be unnecessary. The current study aims to provide a contemporary epidemiology of venous thromboembolism in a population-based scale. METHODS: Information from January 1, 2010 to December 31, 2011 was retrieved from a centralized computer public healthcare database serving mainly an ethnic Han Chinese population of 7...
December 21, 2016: Asian Journal of Surgery
Chih-Po Hsu, Jun-Te Hsu, Chien-Hung Liao, Shih-Ching Kang, Being-Chuan Lin, Yu-Pao Hsu, Chun-Nan Yeh, Ta-Sen Yeh, Tsann-Long Hwang
OBJECTIVE: Pancreatic ductal adenocarcinoma is one of the most malignant types of cancer. This study evaluated the 3-year and 5-year surgical outcomes associated with the cancer and determined whether statistically identified factors can be used to predict survival. METHODS: This retrospective review was conducted from 1995 to 2010. Patients who had resectable pancreatic ductal adenocarcinoma and received surgical treatment were included. Cases of hospital mortality were excluded...
December 20, 2016: Asian Journal of Surgery
Fang-Liang Huang, Sheng-Jie Yu
The poor prognosis and rising incidence of esophageal cancer highlight the need for improved detection and prediction methods that are essential prior to treatment. Esophageal cancer is one of the most fatal malignancies worldwide, with a dramatic increase in incidence in the Western world occurring over the past few decades. Despite improvements in the management and treatment of esophageal cancer patients, the general outcome remains very poor for overall 5-year survival rates (∼10%) and 5-year postesophagectomy survival rates (∼15-40%)...
December 13, 2016: Asian Journal of Surgery
Akira Hayashibe, Nobuo Ogino
BACKGROUND: The purpose of this cohort study was to determine whether distal pancreatectomy with mesh reinforcement can reduce postoperative pancreatic fistula (POPF) rates compared with bare stapler. METHODS: In total, 51 patients underwent stapled distal pancreatectomy. Out of these, 22 patients (no mesh group) underwent distal pancreatectomy with bare stapler and 29 patients (mesh group) underwent distal pancreatectomy with mesh reinforced stapler. The risk factor for clinically relevant POPF (grades B and C) after distal pancreatectomy was also evaluated...
December 10, 2016: Asian Journal of Surgery
Ayman El Nakeeb, Ali Salem, Yousef Mahdy, Mohamed El Dosoky, Rami Said, Mohamed Abd Ellatif, Helmy Ezzat, Ahmed M Elsabbagh, Hosam Hamed, Talaat Abd Alah, Gamal El Ebidy
BACKGROUND/OBJECTIVE: The potential benefit of preoperative biliary drainage (PBD) on postoperative outcomes remains controversial. The aim of this study was to elucidate surgical outcomes of pancreaticoduodenectomy (PD) in patients with PBD and to show the impact of bilirubin level. METHODS: We retrospectively studied all patients who underwent PD in our center between January 2003 and June 2015. Patients were divided into: Group A (PBD) and Group B (no PBD). The primary outcome was the rate of postoperative complication...
December 9, 2016: Asian Journal of Surgery
Fikret Aksoy
BACKGROUND: The objective of this study was to investigate the outcome of modified three-dimensional (3D) anterior polypropylene mesh technique for recurrent inguinal and femoral hernias. METHODS: This study was designed as a prospective cohort clinical trial and 75 patients with femoral hernia and/or recurrent hernia were recruited between 2005 and 2014. Patients were operated upon using a modified 3D anterior polypropylene mesh technique. RESULTS: Sixty-three femoral and 12 recurrent hernias in 75 patients were treated by a single surgeon through a 9-year period using a modified 3D polypropylene mesh, fashioned by the same surgeon...
December 8, 2016: Asian Journal of Surgery
Chia-Yen Lin, Cheng-Kuang Yang, Yen-Chuan Ou, Kun-Yuan Chiu, Chen-Li Cheng, Hao-Chung Ho, Shian-Shiang Wang, Chuan-Shu Chen, Jian-Ri Li
BACKGROUND/OBJECTIVE: To present the long-term result and efficacy of robotic partial nephrectomy (RPN) for renal angiomyolipomas (AMLs) with perioperative outcome and renal function preservation. METHODS: From September 2006 to October 2014, the database of a single medical center was reviewed and patients who underwent RPN for AMLs were enrolled. The patient demographics, perioperative complications, and postoperative outcomes were analyzed. RESULTS: We identified 23 patients who were treated with RPN for renal AMLs...
December 7, 2016: Asian Journal of Surgery
Sze Li Siow, Hans Alexander Mahendran, Chee Ming Wong, Mark Hardin, Tien Loong Luk
BACKGROUND/OBJECTIVE: The objective of this study was to compare the outcomes of patients who underwent laparoscopic and open repair of perforated peptic ulcers (PPUs) at our institution. METHODS: This is a retrospective review of a prospectively collected database of patients who underwent emergency laparoscopic or open repair for PPU between December 2010 and February 2014. RESULTS: A total of 131 patients underwent emergency repair for PPU (laparoscopic repair, n=63, 48...
December 7, 2016: Asian Journal of Surgery
Raza Aboobakar, Shalen Cheddie, Bhugwan Singh
OBJECTIVES: Thai aims of this study were to provide an epidemiological and microbiological analysis of psoas abscess in the human immunodeficiency virus (HIV)-infected population, and to describe the optimal investigative and management approach of this condition. METHODS: A retrospective chart analysis of 20 patients with a diagnosis of psoas abscess admitted to a regional academic hospital from January 2012 to December 2014 was performed. RESULTS: Twenty patients with psoas abscess were identified, of which 14 were HIV positive (70%) and five HIV negative (25%)...
December 7, 2016: Asian Journal of Surgery
Yoichi Matsui, So Yamaki, Satoshi Hirooka, Tomohisa Yamamoto, Hiroaki Yanagimoto, Sohei Satoi, Masanori Kon
BACKGROUND/OBJECTIVE: Although single-incision laparoscopic cholecystectomy (SILC) has no advantage over conventional laparoscopic cholecystectomy (LC), except for better cosmesis, few reports have discussed the criteria for SILC. The aim of this study was to evaluate the suitability of our criteria for SILC. METHODS: During the study period, SILC was performed at our institution under the following criteria. The inclusion criteria were elective surgery, age of < 60 years, and body mass index of < 30 kg/m(2)...
December 5, 2016: Asian Journal of Surgery
Hiroshi Matsuoka, Kotaro Maeda, Tsunekazu Hanai, Harunobu Sato, Koji Masumori, Yosikazu Koide, Hidetoshi Katsuno, Tomoyoshi Endo, Miho Shiota, Kenichi Sugihara
OBJECTIVE: The treatment policy of colorectal cancer in elderly patients is controversial due to a lack of specific guidelines. To clarify the present management of colorectal cancer for aged patients, a questionnaire survey was conducted by the Japanese Society for Cancer of the Colon and Rectum. METHODS: Questionnaire forms were sent to the 430 member institutions of the Japanese Society for Cancer of the Colon and Rectum. RESULTS: The response rate of the surgical department to the questionnaire was 39%...
November 14, 2016: Asian Journal of Surgery
Ozgur Katrancioglu, Yucel Akkas, Sule Karadayi, Ekber Sahin, Melih Kaptanoğlu
BACKGROUND: The minimally invasive pectus carinatum (PC) surgery described by Abramson has been performed in many centers. We have been using this technique since 2011. This article describes our experience with PC correction. METHODS: Between 2011 and 2016, 32 patients at our institution underwent minimally invasive repair of a PC deformity. All patients presented with cosmetic complaints. The deformity involved the lower sternum (all had chondrogladiolar type PC), and three patients had asymmetrical deformities...
November 4, 2016: Asian Journal of Surgery
Shao-Ciao Luo, Shao-Bin Cheng, Cheng-Chung Wu, Chu-Chun Huang, Yi-Ling Lin, Fang-Ku P'eng
BACKGROUND: Refractory external pancreatic fistula (REPF) is a rare but troublesome event. Fistulojejunostomy with direct suture of the fistula wall to jejunal wall has been demonstrated as a solution. However, it is sometimes technically difficult and some cases of failure were reported. METHODS: An embedding fistulojejunostomy (EFJ) was designed. The fistula tract was detached from the abdominal wall and impactedly inserted into a Roux-en-Y jejunal lumen without direct suture of the fistula wall to the jejunal wall...
November 2, 2016: Asian Journal of Surgery
Toshitaka Takagi, Hiroyuki Tsujimoto, Hiroko Torii, Yuki Ozamoto, Akeo Hagiwara
BACKGROUND/OBJECTIVE: Uncontrolled surgical bleeding is associated with increased morbidity, mortality, and hospital cost. Topical hemostatic agents available today have problems controlling hemostatic effects; furthermore, their handling is difficult and they are unsafe. METHODS: We devised a new hemostatic agent comprising gelatin sponge and film designed to be applied to the bleeding site, thereby creating a topical hemostatic agent made of gelatin alone. The gelatin was prepared by alkali treatment to eliminate viral activity...
November 2, 2016: Asian Journal of Surgery
Sophon Siwachat, Apichat Tantraworasin, Worakitti Lapisatepun, Chidchanok Ruengorn, Emanuela Taioli, Somcharoen Saeteng
BACKGROUND: Thymectomy is an effective treatment option for long-term remission of myasthenia gravis. The superiority of the trans-sternal and thoracoscopic surgical approaches is still being debated. The aims of this study are to compare postoperative outcomes and neurologic outcomes between the two approaches and to identify prognostic factors for complete stable remission (CSR). METHODS: Myasthenia gravis patients who underwent thymectomy with trans-sternal or thoracoscopic approach in MahaRaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand between January1, 2006 and December 31, 2013 were retrospectively reviewed...
November 1, 2016: Asian Journal of Surgery
Yuka Nagano, Keiichi Uchida, Mikihiro Inoue, Shozo Ide, Tadanobu Shimura, Kiyoshi Hashimoto, Yuki Koike, Masato Kusunoki
A 1-year-old boy with no underlying disorder presented with non-bilious vomiting since 4 days before admission. He was referred to our hospital and was diagnosed with a small bowel obstruction due to an intraabdominal tumor. Laparotomy revealed an intestinal volvulus with a soft and lobulated tumor arising from the mesentery. The resected tumor with a small part of the small bowel was diagnosed as lipoblastoma histologically. From a literature review, mesenteric lipoblastoma with an intestinal volvulus showed different characteristics such as greater frequency of vomiting and less frequency of abdominal mass as clinical symptoms, and the size of the tumor was smaller than that of the tumor without the intestinal volvulus...
January 2017: Asian Journal of Surgery
Changyuan Wang, Xiaohua Chen, Xiaoyu Wei, Feng Chen, Yang Wang, Zhiyong Shen
BACKGROUND/OBJECTIVE: To investigate the factors associated with recurrence of differentiated thyroid cancer in children. We combined the clinical and pathological features to guide surgical treatment options, ensure efficacy, and reduce complications. METHODS: A prospective analysis of clinical data of 43 cases of pediatric differentiated thyroid cancer from March 2008 to June 2014 admitted in our department, including 38 cases of papillary cancers and five cases of follicular cancer; 40 cases were Stage I and three cases were Stage II (Union for International Cancer Control [UICC] Tumor Node Metastasis classification [TNM] staging)...
January 2017: Asian Journal of Surgery
Hyeong Yong Jin, Haeng Jin Ohe, Jeong Kye Hwang, Sang Dong Kim, Jang Yong Kim, Sun Cheol Park, Ji Il Kim, Yong Sung Won, Sang Seob Yun, In Sung Moon
BACKGROUND AND OBJECTIVES: Endovenous treatment is increasingly supplanting open surgery for the treatment of varicose veins. Among emerging endovenous techniques, radiofrequency ablation (RFA) with a ClosureFast catheter is popular in Korea. The objective of this study was to evaluate and compare the efficacy and patient-reported outcomes of RFA of varicose veins. METHODS: This is a retrospective study of a prospectively registered database of patients who underwent RFA for varicose veins from 2012 to 2013 in St...
January 2017: Asian Journal of Surgery
Xizhao Huang, Rongfang Deng, Weifeng Tu, Zurong Hu
BACKGROUND: Dexmedetomidine has been proposed as a novel anesthetic adjuvant. However, it remains unclear whether peripheral administration of dexmedetomidine is safe and effective to reduce acute postoperative pain. This study aimed to examine the effects of dexmedetomidine on neuropathic pain. METHODS: Adult male Sprague-Dawley rats were anaesthetized and randomly allocated into four groups (n = 8): Groups S, R, RD1, and RD5 were injected with saline, 0.5% ropivacaine, 0...
January 2017: Asian Journal of Surgery
Constanze Bening, Anjuli Sikand, Lars Oliver Conzelmann, Nicole Stumpf, Christian-Friedrich Vahl
BACKGROUND/OBJECTIVE: The aim of our study was to evaluate right heart contractile force in patients with diastolic dysfunction (DD) with preserved left heart ejection fraction undergoing cardiac surgery. We examined the contractile properties of skinned human fibers obtained from the right auricle in two groups (DD and controls). METHODS: Right atrial tissue from 64 patients, who were undergoing cardiac surgery, were collected before extracorporal circulation. Tissue was conserved and prepared as "skinned fibers"...
January 2017: Asian Journal of Surgery
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