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Asian Journal of Surgery

Yugo Hirata, Hiroaki Nozawa, Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Kazuhito Sasaki, Manabu Kaneko, Shigenobu Emoto
BACKGROUND: It is unclear whether neoadjuvant chemoradiation for lower rectal cancer causes a deterioration in urinary function. This study aimed to prospectively compare the postoperative urinary function of patients with lower rectal cancer treated by surgery after neoadjuvant chemoradiation with that of patients treated with surgery alone. METHOD: Urinary function was assessed before treatment and 1, 3, and 6 months after surgery by calculating the changes in the scores of the seven items of the International Prostatic Symptom Score (incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) and Quality of life index...
January 7, 2019: Asian Journal of Surgery
Yan-Jiun Huang, Yi-No Kang, Yu-Min Huang, Alexander Th Wu, Weu Wang, Po-Li Wei
BACKGROUND: Controversy still surrounds clinical benefits of robotic-assisted (RS) over laparoscopic surgery (LS) despite its popularity in clinical use in terms of outcomes and complication rates. The study aims to systematically review and provide the evidence concerning the risk of conversion to open laparotomy and oncological outcomes of LS vs RS rectal cancer surgery. METHODS: The Cochrane Library (including the Cochrane Central Register of Controlled Trials), EMBASE, PubMed, SCOPUS, and Web of Science were searched for randomized controlled trials (RCTs) comparing LS and RS...
January 2, 2019: Asian Journal of Surgery
Mohammad Al-Saeedi, Hamidreza Fonouni, Arash Kashfi, Omid Ghamarnejad, Ali Majlesara, Negin Gharabaghi, Oliver Stahlheber, Thomas W Kraus, Arianeb Mehrabi, Yakup Kulu
BACKGROUND/OBJECTIVE: Biliary leakage is a potential complication of liver resection and is still a concern. The aim of the present study was to evaluate the effectiveness of four routinely used sealants in preventing bile leakage under pressure from an induced perforation of the gallbladder in a porcine model. METHODS: Forty Landrace pigs were randomly assigned to one of five groups. These included a control group (n = 8) and one group each for the sealants TachoSil®, TissuCol Duo®, Coseal®, and FloSeal® (n = 8 per group)...
December 29, 2018: Asian Journal of Surgery
Jia-Xing Wang, Qian Zhang, Wen-Feng Shen, Jian-Jun Ren, Rui Xiao
No abstract text is available yet for this article.
December 24, 2018: Asian Journal of Surgery
Tian Lv, Maneesh Kumarsing Beeharry, Zheng-Lun Zhu
OBJECTIVE: To explore the quantitative measurements and evaluation of intra-peritoneal fat distribution by MDCT and its significance in predicting intra-operative bleeding volume during D2 lymphadenectomy in gastric cancer (GC) patients. METHODS: From June 2016 to September 2017, GC patients scheduled for open gastrectomy with D2 lymph-node dissection were enrolled. According to the BMI, the subjects were then classified as normal BMI(BMI<25 kg/m2 ); overweight (BMI = 25-30 kg/m2 ) and obese (BMI≥30 kg/m2 )...
December 17, 2018: Asian Journal of Surgery
Sae Rom Chung, Woo Jung Choi, Joo Hee Cha, Hak Hee Kim, Hee Jung Shin, Eun Young Chae, Ga Young Yoon
BACKGROUND/OBJECTIVE: The purpose of this study was to perform a comprehensive analysis of the radiological and clinicopathological factors that could predict recurrence of invasive breast cancer who underwent curative surgery without neoadjuvant chemotherapy. METHODS: Three hundred and sixty-four consecutive women who underwent preoperative mammography, ultrasound, and breast magnetic resonance imaging for newly diagnosed invasive breast cancers and curative surgery between January and December 2010 were included...
December 11, 2018: Asian Journal of Surgery
Ana Alicia Tejera Hernández, Víctor Manuel Vega Benítez, Juan Carlos Rocca Cardenas, María Isabel Gutiérrez Giner, Juan Carlos Díaz Chico, Juan Ramón Hernández Hernández
BACKGROUND: Assessment of local relapse in patients treated with surgery for breast cancer. MATERIALS AND METHODS: This observational study included 673 patients treated with surgery for breast cancer between 2005 and 2010, who were monitored for a 7-year minimum follow-up period. The study was concluded on 2017 and yielded a total of 31 cases of local relapse. RESULTS: 4.6% of patients presented local relapse, most of them during the first 3 years of follow-up; 45% of patients with local relapse subsequently presented the disease at distant points...
December 7, 2018: Asian Journal of Surgery
M S Teh, H Y Chong, A C Roslani
No abstract text is available yet for this article.
December 6, 2018: Asian Journal of Surgery
Jin-Tung Liang, John Huang, Tzu-Chun Chen, Ji-Shiang Hung
To clarify the anatomic concept of Toldt fascia, based on the literature review and the surgical anatomic dissection using laparoscopic or robotic approach. We undertook review of the historic literature and surgical videos from 250 patients with colorectal cancer operated on laparoscopically or robotically to discuss the surgical implications of Toldt fascia in complete mesocolic excision for colon cancer. Toldt fascia, sandwiched by the overlying mesothelial layer of the mesocolon and underlying mesothelial layer of the retroperitoneum, comprised loose fibrous tissues with minute vessels inside, and was contiguous from the ileocecal mesentery radix to the upper rectum...
December 3, 2018: Asian Journal of Surgery
Shixun Ma, Yan Chen, Yifeng Chen, Tiankang Guo, Xiongfei Yang, Yufeng Lu, Jinhui Tian, Hui Cai
To assess the clinical efficacy and safety of robotic-assisted right colectomy (RRC) with conventional laparoscopic right colectomy (LRC) by performing a systematic review and meta-analysis of the published studies. All published literature for comparative studies reporting preoperative outcomes of RRC and LRC were searched. We searched the databases included Cochrane Library of Clinical Comparative Trials, MEDLINE, Embase, Web of Science and Chinese Biomedical Database (CBM) from 1973 to 2018. The censor date was up to January 2018...
November 29, 2018: Asian Journal of Surgery
Qian Zhang, Jia-Xing Wang, Lu Wang, Jian-Jun Ren, Rui Xiao
No abstract text is available yet for this article.
November 24, 2018: Asian Journal of Surgery
Yoichi Matsui, Satoshi Hirooka, So Yamaki, Sohei Satoi
No abstract text is available yet for this article.
November 24, 2018: Asian Journal of Surgery
Eun Jung Cho, Seong Min Kim
BACKGROUND: The aim of the study is to present surgical techniques and treatment outcomes for re-banding and sleeve gastrectomy as a revisional surgery after removing eroded adjustable gastric bands. METHODS: A retrospective analysis was performed to study laparoscopic re-banding or sleeve gastrectomy as revisional surgery for band erosion. Main outcome measures were success of therapeutic strategies, morbidity, body mass index, and percentage total excess weight loss before and after revision...
November 24, 2018: Asian Journal of Surgery
Hoon Sang Sohn, Jun Young Chung, Hyung Keun Song
BACKGROUND/OBJECTIVE: We compared and analysed not only the clinical and radiological results of surgery but also the complications according to the definitive fixation method. METHODS: We retrospectively reviewed the medical records and radiographs of all segmental tibial fracture patients treated with either intramedullary nailing or minimally invasive plate osteosynthesis between 2010 and 2017. We enrolled 69 patients. RESULTS: The patients' mean age was 48...
November 21, 2018: Asian Journal of Surgery
Jeeyeon Lee, Jin Hyang Jung, Wan Wook Kim, Ryu Kyung Lee, Hye Jung Kim, Won Hwa Kim, Ji-Young Park, Ji-Yun Jeong, Yee Soo Chae, Soo Jung Lee, Shin-Hyung Park, Mi Young Kim, Jung Dug Yang, Jeong Woo Lee, Joon Seok Lee, Ho Yong Park
BACKGROUND: axillary lymph nodes dissection (ALND) has been a standard treatment in breast cancer with positive sentinel LNs. However, various short- and long-term postoperative morbidities have been reported after conventional ALND. To define the concept of targeted axillary sampling (AS) and to assess its oncological feasibility for breast cancer. We compared the oncological outcomes in the axillary area between conventional ALND and targeted AS with or without radiotherapy. METHODS: One hundred and twenty-nine female patients with cT1-2N1 breast cancer underwent breast and axillary surgery...
November 20, 2018: Asian Journal of Surgery
Shogo Inoue, Testutaro Hayashi, Keisuke Hieda, Shunsuke Shinmei, Jun Teishima, Akio Matsubara
BACKGROUND/OBJECTIVE: To compare longitudinal patient-reported cosmesis of laparoendoscopic single-site adrenalectomy (LESS-A) to that of conventional laparoscopic adrenalectomy (CLA). METHODS: A total of 23, 15, and 9 patients underwent transumbilical LESS-A (TU-LESS), subcostal LESS-A (SC-LESS), and CLA, respectively. A questionnaire was administered asking the patient to assess wound pain (0: not painful to 10: very painful), satisfaction (0: not satisfied to 10: very satisfied), and cosmesis (0: very ugly to 10: very beautiful) on the basis of a visual analogue scale...
November 13, 2018: Asian Journal of Surgery
Gad Marom, Tawfik Khoury, Samir Abu Gazla, Hadar Merhav, Dan Padawar, Ariel A Benson, Gidon Zamir, Lisandro Luques, Rifaat Safadi, Abed Khalaileh
BACKGROUND: Hydatid cyst is a zoonotic disease caused by Echinococcus genera. Surgery is needed in most cases. We aimed to describe our center's experience in the surgical management of hepatic hydated cysts (HHC). METHODS: Data was retrospectively collected for patients who underwent operative management for HHC between the years 1994-2014. RESULTS: Sixty-nine underwent surgical treatment for HHC. Group A included 34 treated with an unroofing procedure, group B included 24 patients who underwent hepatectomy and group C included 11 patients who underwent peri-cystectomy...
November 13, 2018: Asian Journal of Surgery
Li-Ying Teoh, Shun-Siang Chong, Siew-Yep Hoh, Mei-Shi Teoh, Khoon-Leong Ng
OBJECTIVES: Monofilament sutures, both absorbable and non-absorbable, have been used for wound closure. Tissue adhesive has been used in closure of clean, low tension wounds. However, there have been very few published studies on the aesthetic outcomes in neck surgeries. The aim of this study is to compare the patients' and doctors' satisfaction scores in the aesthetic outcome between both methods of closure of thyroidectomy wounds using validated scoring systems. METHODS: A double-blinded randomised controlled trial comparing the aesthetic outcome between tissue adhesive and conventional suture was conducted among patients undergoing thyroid and parathyroid surgeries...
November 13, 2018: Asian Journal of Surgery
Miju Bae, Sung Woon Chung, Chung Won Lee, Up Huh, Min Su Kim, Seung Hwan Song
BACKGROUND: In Leriche syndrome, postoperative graft thrombosis remains one of the most significant clinical challenges. METHODS: We reviewed 51 patients who underwent surgery for aortoiliac occlusive disease at our hospital from January 2007 to December 2014. The factors associated with graft patency were determined using the Cox proportional hazard model. RESULTS: The 2-year prosthetic graft patency rate was 72.5%. Younger age (p = 0.017, Odd ratio (OR) = 1...
November 12, 2018: Asian Journal of Surgery
Andrew D Ablett, Aimee Browning, Vincent Quan, Hui S Tay, Caroline McCormack, Ben Carter, Jonathan Hewitt, Phyo K Myint
BACKGROUND/OBJECTIVE: The impact of medications with anti-cholinergic properties on morbidity and mortality of unselected adult patients admitted to the emergency general surgical setting has not been investigated. METHODS: All cases were identified prospectively from unselected adult patients admitted to the emergency general surgical ward between May to July 2016 in a UK centre with a catchment population circa 500,000. Prescribed medication lists were ascertained from case notes and electronic medical records...
November 10, 2018: Asian Journal of Surgery
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