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Asian Journal of Surgery

Muhammed Hassen Jaffar Al-Sa'adi
BACKGROUND: The surgical anorectal diseases are common and distressful pathologies and their management mostly needs surgical intervention. Caudal anesthesia is effective in doing surgical procedures whenever the surgical area is mainly innervated by the sacral and lower lumbar nerve roots. It is used to give the local anesthesia by surgeons, in the present study the surgeon is the person who also gives the caudal anesthesia. METHODS: 202 patients (118 males vs...
July 13, 2018: Asian Journal of Surgery
Sae Byul Lee, Jong Won Lee, Byung Ho Son, Jin Sup Eom, Eun Key Kim, Taik Jong Lee, Sei-Hyun Ahn
BACKGROUNDS: This study aimed to compare the oncologic outcomes of nipple-sparing mastectomy (NSM)/skin-sparing mastectomy (SSM) followed by immediate reconstruction with those of conventional mastectomy (CM) in young patients aged under 35 years old with breast cancer. METHODS: We analyzed retrospectively 2889 patients who underwent mastectomy for breast cancer at Asan Medical Center from January 2003 to December 2008. We compared NSM/SSM followed by immediate reconstruction with CM in patients under 35 years old by analyzing clinicopathologic features, breast cancer specific survival rate (BCSS), distant metastasis free survival rate (DMFS), and local recurrence rate (LRR)...
June 13, 2018: Asian Journal of Surgery
Zhuo Gao, Xiaomei Li, Jing Miao, Lide Lun
BACKGROUND: Secondary hyperparathyroidism (SHPT) and calcium and phosphorus metabolism disorder are important complications in haemodialysis patients. Parathyroidectomy (PTX) may prevent or delay the progress of vascular calcification in haemodialysis patients. OBJECTIVE: To investigate the impacts of PTX on calcium and phosphorus metabolism, arterial calcification and arterial stiffness in haemodialysis patients with SHPT. METHODS: Twenty-one SHPT-haemodialysis patients were selected for PTX...
June 13, 2018: Asian Journal of Surgery
Rajeev Sathasivam, Gopinath Bussa, Yirupaiahgari Viswanath, Reece-Bolton Obuobi, Talvinder Gill, Anil Reddy, Venkat Shanmugam, Andy Gilliam, Prem Thambi
In laparoscopic 'paraoesophageal hernia' (POH) repair, non-absorbable suture materials have been used to close the crural defects. More recently, various types of prosthetic mesh have been utilized to repair the defect. We conducted a systematic review with meta-analysis of the recent and up to-date studies incorporating 942 POH repairs. We examined the rates of recurrence, reoperation, and complication rates alongside operative time of these two techniques in the management POH. Randomized controlled trials (RCT) and observational studies comparing mesh hiatal hernioplasty versus Suture cruroplasty for Paraoesophageal hernia were selected by searching Medline, Embase, and Cochrane Central database published between January 1995 and December 2016...
June 7, 2018: Asian Journal of Surgery
Tarek Abouzeid Osman Abouzeid, Ahmed Adel Ain Shoka, Karim Sabry Abd Elsamee Atia
BACKGROUND/AIMS: Type 2 diabetes mellitus (T2DM) is considered a chronic progressive incurable metabolic disease. Single-anastomosis gastric bypass (SAGB) has proved to be effective in obese patients, yet its impact on non-obese diabetics is not extensively studied. The aim is to determine the anthropometric and glycemic outcomes of SAGB as a proposed line of treatment for T2DM patients with body mass index (BMI) 25-30 kg/m2 . METHODS: From November 2013 to March 2016, a prospective study has been conducted at Ain-Shams University Hospitals on 17 consecutive patients who have undergone SAGB...
June 2, 2018: Asian Journal of Surgery
Sung Ryol Lee, Hyung Ook Kim, Jun Ho Shin
BACKGROUND AND OBJECTIVE: Although the incidence of carcinoma is not high in gallbladder polyps, it is essential to diagnose gallbladder cancer at an early stage to achieve a good therapeutic outcome. Therefore, the aim of this study was to define the characteristics of gallbladder polyps to establish sound criteria for surgical indications. METHODS: In the current study, data from 516 patients with gallbladder polyps who underwent cholecystectomy were reviewed to correlate clinical features with histopathologic findings and identify risk factors with receiver-operating characteristic curves (ROCs)...
May 26, 2018: Asian Journal of Surgery
Ui Jun Park, Hyoung Tae Kim, Young-Nam Roh
BACKGROUND/OBJECTIVE: This study aimed to investigate the outcomes of femoropopliteal interventions in relation to various influencing factors. METHODS: A retrospective review of 243 endovascular procedures for femoropopliteal atherosclerotic lesions on 243 limbs of 197 patients was performed. RESULTS: In patients with claudication, the TLR free rates at 1-, 3-, and 5-year intervals were 89.1%, 82.2%, and 78.9%, respectively. Amputation-free survival rates in the claudicants at 1-, 3-, and 5-year intervals were 95...
May 25, 2018: Asian Journal of Surgery
Duc Hoang Nguyen, Bac Hoang Nguyen, Huy Van Nong, Tai Huu Tran
OBJECTIVE: To evaluate the efficacy of three-dimensional (3D) laparoscopy in urological procedures in a cohort study compared to two-dimensional (2D) laparoscopy. METHODS: From October 2016 to August 2017, 100 patients underwent various urological procedures with 3D laparoscopy performed by a single experienced surgeon at the University Medical Centre of Ho Chi Minh City. The surgeon's subjective assessment of image quality, depth perception, ease of intra-corporeal suturing and knotting was recorded...
May 25, 2018: Asian Journal of Surgery
Sanghyun Ahn, Ho Geol Ryu, Chang-Hoon Koo, Seungeun Choi, Ji-Hyun Lee, In-Ki Jang
BACKGROUND: The ipsilateral nipple has been used as a directional guide for needle advance during internal jugular vein (IJV) catheterization. We attempted to validate the utility of the ipsilateral nipple during IJV catheterization. METHODS: One hundred and two patients scheduled for elective surgery were enrolled. In the 15° Trendelenberg position with 30° head rotation, the apex of the triangle formed by the sternocleidomastoid muscle and the clavicle was identified...
May 25, 2018: Asian Journal of Surgery
Joo Hyung Kim, Dae Hyun Kim, Yong Pyo Lee, Kwang Wook Suh
BACKGROUND: This study represented an effort to design an alternative to Harmonic Scalpel™ with the same effectiveness but at a lower cost. The concomitant use of Starion™ and Harmonic Scalpel™ had been evaluated to determine the differences in terms of the effectiveness immediately after the operation and 3 years post-operatively. METHODS: 114 patients in the SH group (Starion™ hemorrhoidectomy) and 107 patients in the HSH group (Harmonic Scalpel™) were contacted for cumulative inspection 1 week, 4 weeks, and 3 years post-operatively to check for the recurrence rate...
May 25, 2018: Asian Journal of Surgery
Ying-Wei Chen, Ming-Te Huang, Tung-Cheng Chang
BACKGROUND/OBJECTIVE: Because of the advancements in the surgical techniques of liver resection and improvements in anesthesia and postoperative critical care, the simultaneous resection of synchronous colorectal cancer with liver metastasis either by the laparoscopic procedure or by the open resection method has been considered as a safe and acceptable option. However, there is limited information on the comparison of postoperative outcomes between laparoscopic surgery and open surgery...
May 25, 2018: Asian Journal of Surgery
Jian-Zhong Wu, Tetsu Fukunaga, Shinichi Oka, Satoshi Kanda, Yuji Ishibashi, Yukinori Yube, Gen-Hai Shen
BACKGROUND: Billroth Ⅰ (BⅠ) reconstruction and Roux-en-Y (RY) reconstruction are both commonly performed after distal gastrectomy (DG). We conducted a retrospective study to evaluate which is the better option. METHODS: Included in our study were 162 patients who, between April 2011 and October 2015, underwent DG followed by BⅠ reconstruction (n = 93) or RY reconstruction (n = 69). All patients were followed up for at least 1 year. We compared perioperative outcomes, postoperative complications, gastrointestinal (GI) symptoms, endoscopic findings, and nutritional status between the 2 groups of patients...
May 24, 2018: Asian Journal of Surgery
Chun-Hai Tan, Nawaf Al-Kalifah, Wei-Jei Lee, Kong-Han Ser, Yi-Chih Lee, Jung-Chien Chen
BACKGROUND: Nonalcoholic steatohepatitis (NASH) is closely associated with obesity and is one of the important etiologies of hepatocellular carcinoma (HCC and liver failure. Bariatric surgery is proven to be effective in causing weight loss and improvement of NASH) but there is limited long term data. OBJECTIVES: To identify the predictors of NASH in morbidly obese patients and evaluate long term data of bariatric surgery effects on NASH. METHODS: 308 bariatric patients (mean age 30...
May 24, 2018: Asian Journal of Surgery
Ui Jun Park, Sang Youb Han, Kum Hyun Han, Se Won Oh, Hye-Yeon Jang, Hyoung Tae Kim, Young-Nam Roh
BACKGROUND/OBJECTIVE: This study aims to investigate the effects of phased education on attitudes toward organ donation and willingness to donate after brain death. METHODS: A survey was conducted using a questionnaire to examine attitudes toward organ donation of the families of patients admitted to a surgical intensive care unit (SICU) between March 1, 2014 and September 30, 2016. RESULTS: Ninety-two people voluntarily participated in this survey...
May 23, 2018: Asian Journal of Surgery
Debang Li, Xiaoying Si, Tao Wan, Yanming Zhou
Primary duodenal adenocarcinoma (PDAC) is a rare malignancy. The aim of this study was to evaluate the published evidence for resection with curative intent in patients with PDAC. A literature search was conducted in PubMed and EMBASE databases for eligible studies that reported 5-year overall survival (OS) after surgical resection of PDAC from January 1990 to January 2018. Independent prognostic factors related to OS were evaluated using meta-analytical techniques. Odds ratio (OR) and hazard ratio (HR) with their 95% confidence interval (CI) were calculated as appropriate...
May 23, 2018: Asian Journal of Surgery
Xu-Yuan Li, He-San Luo, Sheng-Xi Wu, Ze-Sen Du, Chun-Peng Zheng, Zhi-Yong Wu
BACKGROUND: To compare overall survival in patients with clinical T1-3N0-1 thoracic esophageal squamous cell carcinoma treated with surgery or definitive chemoradiation therapy (CRT). METHODS: We used propensity-score matching to derive 1:1 cohorts of surgery versus definitive CRT. Statistical analysis was performed using χ2 or Fisher's exact tests. Survival functions were estimated using Kaplan-Meier survival plots, and survival distributions were compared using log-rank tests...
May 22, 2018: Asian Journal of Surgery
Hiroya Akabori, Shigeyuki Naka, Tohru Tani, Masaji Tani
No abstract text is available yet for this article.
July 2018: Asian Journal of Surgery
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