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Asian Journal of Surgery

Ahmed Mousa, Ossama M Zakaria, Ibrahim Hanbal, Tamer A Sultan, Amr M El-Gibaly, Mohamed Y Zakaria, Mohammed A Nasr, Bosat E Bosat, Alaa Sharabi, Mohamed Neinaa, Mohamed Abd El-Hamid, Mohamed Y Daoud, Mahsoub M Amin, Ahmed M Odeh, Omer M Alhaieg, Mohamed A Farhan, Mohamed Bubshait, Abdul Rahman S Al-Mulhim
OBJECTIVES: To evaluates the management and outcome of non-iatrogenic pediatric and adolescence extremity arterial injuries in a resource-challenged setting. METHODS: A retrospective study of the surgical management for non-iatrogenic extremity arterial trauma in pediatric and adolescence during the period from January 2008 to December 2015. This study was performed in two different countries at tertiary referral university and teaching hospitals having a specialized emergency and trauma centers...
November 2, 2018: Asian Journal of Surgery
Junyan Qin, RiYang Lin
No abstract text is available yet for this article.
November 2, 2018: Asian Journal of Surgery
Yi Lin, Wei-Guo Ma, Jun Zheng, Xiao-Yan Xing, Xu-Dong Pan, Jun-Ming Zhu, Li-Zhong Sun
OBJECTIVE: To compare the outcomes of the en bloc and branched graft techniques for supra-aortic vessel reconstruction in total arch replacement (TAR) for acute type A aortic dissection (ATAAD). METHODS: In 53 ATAAD patients with intact supra-aortic arch vessels undergoing TAR, the arch vessels were reconstructed using the branched graft technique in 35 patients and en bloc technique in 18, i.e. reimplantation of the innominate artery and the left carotid artery (LCA) and transposition of left subclavian artery to LCA...
October 27, 2018: Asian Journal of Surgery
Turan Acar, Nihan Acar, Feyyaz Güngör, Erdinç Kamer, Hilmi Güngör, Mehmet Sercan Candan, Halis Bağ, Ercüment Tarcan, Osman Nuri Dilek, Mehmet Haciyanli
BACKGROUND: Anal fissure which is defined as a longitudinal tear in anoderm under the dentate line is one of the most common benign diseases of anorectal area, and due to the severe pain during the defecation and emotional stress that it causes may reduce people's quality of life. There are several treatment methods such as medical substances and surgical procedures. In this retrospective study, we aimed to evaluate the safe and adequate option of lateral internal sphincterotomy (LIS) in chronic anal fissure treatment...
October 24, 2018: Asian Journal of Surgery
Jiang Zhou, Jing-Rui Yang, Lu Wang, Jian-Jun Ren, Rui Xiao
No abstract text is available yet for this article.
October 20, 2018: Asian Journal of Surgery
Qiang Zhang, Zhengmin Wang, Xianying Meng, Quan-Yang Duh, Guang Chen
BACKGROUND: Presence of lymph node metastases increases the risk of recurrence, but prophylactic central neck node dissection for patients with micropapillary thyroid cancer (mPTC) is controversial. We aim to find the clinical predictors of central lymph node metastases (CLNM) in patients with cN0 mPTC. METHODS: We retrospectively reviewed the clinicopathological and molecular genetic characteristics of 1304 patients with cN0 mPTC operated at the First Hospital of Jilin University between January 1, 2013 and May 31, 2016, all underwent thyroid lobectomy or total thyroidectomy with unilateral or bilateral prophylactic central neck dissection...
October 19, 2018: Asian Journal of Surgery
Yaobin Zhu, Yaping Zhang, Yang Liu, Xing Fan, Nan Ding, Zhiqiang Li
BACKGROUND: Platelet parameters play an important role in thrombosis. This study investigates the role of platelet parameters in the occlusion of modified Blalock-Taussing (BT). OBJECTIVES: To investigate the association between mean platelet volume (MPV), platelet distribution width (PDW) and BT conduit obstruction and to evaluate the role of MPV and PDW in BT conduit obstruction. METHODS: 388 patients with modified BT shunt in the Pediatric Heart Center, Anzhen Hospital From January 1, 2008 to December 30, 2014 were divided into BT obstruction group (OBS) 11 cases and BT non-obstruction group (N-OBS) 377 cases according to whether the BT tube was occluded...
October 16, 2018: Asian Journal of Surgery
Xiangdong Niu, Bin Yu, Liang Yao, Jinhui Tian, Tiankang Guo, Shixun Ma, Hui Cai
Robot-assisted distal pancreatectomy (RADP) has been developed with the aim of improving surgical quality and overcoming the limitations of laparoscopic distal pancreatectomy (LDP) and open distal pancreatectomy (ODP) for pancreatic resections. A systematic search was performed in the PubMed, EMBASE, Cochrane Library, Web of Science, and China Biology Medicine databases up to December 2016 for studies that compared the surgical outcomes of RADP vs. LDP or ODP for pancreatic resections. The weighted mean differences, odds ratios and 95% confidence intervals were calculated, and the data were combined using the random-effects model...
October 15, 2018: Asian Journal of Surgery
Jun Gyo Gwon, Young Hoon Kim, Duck Jong Han
BACKGROUND: The purpose of this study was to analyze the link between PTLD incidence and its occurrence time in patients at a single center in comparable medical environments after 2000. METHODS: Retrospectively, total 3305 kidney transplantation patients medical data were analyzed. Patients were divided into two groups based on the period from the day of kidney transplantation to the day of PTLD diagnosis. Early-onset was defined as PTLD development within two years after transplantation, whereas all other cases were categorized as late-onset PTLD...
October 13, 2018: Asian Journal of Surgery
Yu-Ting Chen, Kee-Thai Kiu, Min-Hsuan Yen, Tung-Cheng Chang
BACKGROUND: Total mesorectal excision (TME) is the standard surgical principle in the treatment of rectal cancer. However, in recent years, there has been an increasing debate about how to obtain better results in circumferential margin (CRM) and distal margins of the surgical specimen. The CRM and distal margin involvement rates have been linked to local recurrence and disease-free survival rates. In this study, we compared three surgical techniques for the treatment of lower rectal cancer...
October 11, 2018: Asian Journal of Surgery
De-Bang Li, Jun You, Shi-Jie Wang, Yan-Ming Zhou
Little is known about the clinical outcome of pancreaticoduodenectomy (PD) for locally advanced gastric cancer invading the duodenum and/or pancreas. The aim of this study was to define the clinical outcome and prognostic determinants of PD for locally advanced gastric cancer through a systematic review and pooled analysis of relevant data in the literature. A total of 13 articles involving 69 patients were eligible for inclusion. Postoperative morbidity and mortality were 59.4% and 1.4%, respectively. Overall 5-year survival and median survival were 39...
October 10, 2018: Asian Journal of Surgery
Mohammed AbdAllah Salman, Doaa Ahmed Mansour, Hany Armia Balamoun, Mohamed Yehia Elbarmelgi, Kareem Essam Eldin Hadad, Mohammad ElSherbiny Abo Taleb, Ahmed Salman
OBJECTIVE: Emergency surgery is a risk factor for mortality in cirrhotic patients. Portal hypertension is an essential feature of decompensated cirrhosis. This study aimed to assess the value of portal venous pressure (PVP) measurement in prediction of 1-month mortality in cirrhotic patients undergoing emergency laparotomy. METHODS: This prospective study included 121 adults with liver cirrhosis subjected to an emergency laparotomy. Child-Turcotte-Pugh (CTP) score and model for end-stage liver disease (MELD) score were used for preoperative patient evaluation...
October 10, 2018: Asian Journal of Surgery
Tae-Gyun Lee, In-Seob Lee, Beom-Su Kim, Hwoon-Yong Jung, Youn-Baik Choi
BACKGROUND: Laparoscopic antireflux surgery is a standard surgical treatment method for gastroesophageal reflux disease (GERD) in Western countries. However, the procedure has not been actively carried out in Korea because of concerns regarding surgical complications. Here, we conducted this study to evaluate short-term surgical outcomes of laparoscopic Nissen fundoplication (LNF) performed at a single institution. METHODS: From January 2010 to August 2016, totally 29 patients underwent LNF for GERD performed by three surgeons at Asan Medical Center, Korea...
October 10, 2018: Asian Journal of Surgery
Won Jun Jeong, Byung Jo Choi, Sang Chul Lee
AIM: To report our institution's experiences with pure transanal total mesorectal excision (TME) of rectal cancer using single-port equipment and to discuss the feasibility and safety of the technique. METHODS: Between February and December 2017, 12 patients who were selected underwent NOTES TME in our institution. The preoperative assessment included blood analyses with carcinoembryonic antigen serum concentration, full colonoscopy, pelvic magnetic resonance imaging (MRI), and computed tomography (CT) of the abdomen and chest...
October 8, 2018: Asian Journal of Surgery
Muzaffer Akkoca, Mehlika Panpallı Ateş, Kerim Bora Yılmaz, İnanç İmamoğlu, Şener Balas, Serhat Tokgöz, Melih Akıncı, Harun Karabacak, Ece Ünlü
BACKGROUND/OBJECTIVE: The aim of this study was to evaluate with electromyography (EMG) the effect of lateral pectoral nerve sparing technique (LPNST) and radiotherapy (RT) on the lateral pectoral nerve (LPN) in patients applied with modified radical mastectomy (MRM). METHODS: The study included 66 patients who underwent MRM surgery. The patients were separated into 2 groups as those applied with LPNST and those who underwent standard surgery (Control group). Within these 2 groups, patients were again separated as those who received or did not receive RT...
September 26, 2018: Asian Journal of Surgery
Mei-Xuan Li, Peng Cheng, Liang Yao, Hui-Juan Li, Yang-Qin Xun, Pei-Jing Yan, Cai-Wen Han, Cun-Cun Lu, Wen-Bo He, Meng Wang, Rong Liu, Tian-Kang Guo, Ke-Hu Yang
This meta-analysis aimed to compare the effectiveness of the suprapubic drainage and urethral catheterization after robot-assisted radical prostatectomy (RARP). PubMed, EMBASE, Cochrane Library and China Biology Medicine disc were systematically researched from their inception to December 2017. We selected randomized controlled trials, cohort studies comparing suprapubic tube with urethral catheter drainage in RARP patients. A meta-analysis was performed using R software, and a random-effects model was used to pool the effect size...
September 26, 2018: Asian Journal of Surgery
Tae Nam Kim, Moon Kee Chung, Jong Kil Nam, Jeong Zoo Lee, Jae Hoon Chung, Seung Wook Lee
BACKGROUND/OBJECTIVE: Adhesive bowel obstruction is one of the most frequent complications after radical cystectomy, prolonging hospital stay and fasting period and increasing medical expenses. This study evaluated the effectiveness of hyaluronic acid/carboxymethylcellulose (HA/CMC) in preventing adhesive bowel obstruction after laparoscopic radical cystectomy. METHODS: Randomized, controlled, single-blinded study was performed. Of 76 patients who underwent laparoscopic radical cystectomy for bladder cancer, 38 received HA/CMC instillation and 38 did not...
September 25, 2018: Asian Journal of Surgery
Tsung-Kun Chang, Hsiang-Lin Tsai, Wei-Chih Su, Ching-Wen Huang, Yung-Sung Yeh, Cheng-Jen Ma, Jaw-Yuan Wang
BACKGROUND: In colorectal cancer (CRC) patients, pulmonary nodules are usually considered lung metastases (LM). However, approximately 10% of LM is presented as a solitary pulmonary nodule which mimics primary lung cancer (PLC). This study aims to determine the distinguishing characteristics of the two pulmonary nodule types during postoperative surveillance of CRC patients. METHODS: Between March 2009 and February 2018, 47 CRC patients with pulmonary nodules from a single institution were retrospectively analyzed...
September 25, 2018: Asian Journal of Surgery
Kelvin K C Ng, Tan-To Cheung, Tiffany C L Wong, James Y Y Fung, Jeff W C Dai, Ka-Wing Ma, Wong-Hoi She, Chung-Mau Lo
BACKGROUND: Whether primary liver transplantation (PLT) or upfront curative treatment with salvage liver transplantation (SLT) is a better treatment option for early hepatocellular carcinoma (HCC) is controversial. This study aims to compare the long-term survival starting from the time of primary treatment between the two approaches for early HCC using propensity score matching (PSM) analysis. METHODS: From 1995 to 2014, 175 patients with early HCC undergoing either PLT (n = 149) or SLT (n = 26) were retrospectively reviewed in a prospectively collected database...
September 25, 2018: Asian Journal of Surgery
Dong Do You, Kwang Yeol Paik, Il Young Park, Young Kyung Yoo
BACKGROUND: Octreotide is known to decrease the rate of postoperative complication after pancreatic resection by diminishing exocrine function of the pancreas. The aim of this study was to evaluate the effect of octreotide in decreasing exocrine excretion of pancreas and preventing pancreatic fistula. MATERIALS AND METHODS: Prospective randomized trial was conducted involving 59 patients undergoing pancreaticoduodenectomy for either malignant or benign tumor, 29 patients were randomized to receive octreotide; 30 patients allotted to placebo...
September 24, 2018: Asian Journal of Surgery
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