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International Journal of Surgery

Leonardo Alfonso Bustamante-Lopez, Caio Sergio Rizkallah Nahas, Sergio Carlos Nahas, Carlos Frederico Sparapan Marques, Rodrigo Ambar Pinto, Guilherme Cutait Cotti, Antonio Rocco Imperiale, Evandro Sobroza de Mello, Ulysses Ribeiro, Ivan Cecconello
Studies have suggested that the use of neoadjuvant chemoradiation results in a lower lymph nodes yield in rectal cancer patients. OBJECTIVE: To evaluate factors associated with less than 12 lymph nodes harvested on patients with rectal cancer treated with preoperative chemoradiotherapy followed by total mesorectal excision. PATIENTS: This was a cohort/retrospective single cancer center study. Low and mid locally advanced rectal cancer or T2N0 under risk of sphincter resection underwent chemoradiotherapy followed by total mesorectal excision with curative intent...
July 5, 2018: International Journal of Surgery
Chao Xu, Jie Peng, Su Liu, YiZhou Huang, XiaoWei Guo, HanBing Xiao, DunYi Qi
OBJECTIVES: This meta-analysis was conducted to compare the effects of goal-directed fluid therapy (GDFT) versus conventional fluid therapy (CFT) in colorectal surgery on patients' postoperative outcome and to detect whether the results differ between studies with the Enhanced Recovery After Surgery (ERAS) protocol and those without, between studies using different devices for GDFT, or between different surgical approaches (laparoscopy or laparotomy). METHODS: The Cochrane Library, PubMed, Embase, Wanfang Data and ClinicalTrials...
July 1, 2018: International Journal of Surgery
Li-Xiang Zhang, Zhi-Jian Wei, A-Man Xu
BACKGROUD: Inflammation can promote tumor growth, invasion, angiogenesis and even metastasis. Inflammatory markers have prognostic value in some malignancies. The aim of the present study was to examine whether neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) served as sensitive serum markers for predicting lymph node metastasis and prognostic factors in gastric cancer (GC) patients. METHODS: 904 consecutive patients who underwent radical total or subtotal gastrectomy between 2010 to 2011, were included in this study...
June 30, 2018: International Journal of Surgery
George J M Hourston, Ravi Patel
No abstract text is available yet for this article.
June 29, 2018: International Journal of Surgery
Haroon Rehman, William T Gardner, Iain Rankin, Alan J Johnstone
BACKGROUND: Ankle fractures are amongst the most common surgically treated musculoskeletal injuries. Intramedullary (IM) fixation of the lateral malleolus had been attempted as early as the 1990s. In recent years, dedicated implants have emerged. This review evaluates the design characteristics of the technology used to perform IM fixation of distal fibular fractures. MATERIALS AND METHODS: A search of electronic databases was performed. Medical subject headings (MeSH) and free-text terms were used to optimise search sensitivity and specificity...
June 28, 2018: International Journal of Surgery
Bekir Eray Kilinc, Yunus Oc, Adnan Kara, Ramazan Erden Erturer
INTRODUCTION: To present the effect of the cerclage fixation, which was performed for the purpose of preserving the alignment obtained by open reduction, on the long-term clinical and radiological results of subtrochanteric fractures. MATERIALS AND METHODS: The inclusion criterias were at least 2 years of follow-up, no severe cognitive impairment, and to be able to walk independently prior to fracture. Patients with transverse or short oblique subtrochanteric hip fractures (AO/OTA class 32-A3...
June 28, 2018: International Journal of Surgery
Zhen-Hua Liu, Ning Wang, Fei-Qing Wang, Qi Dong, Jie Ding
BACKGROUND: Widespread adoption of minimally invasive surgery for colon cancer has achieved improved short-term benefits and better long-term oncological outcomes compared with open surgery. However, it is still controversial whether laparoscopic surgery is suitable for patients with stage T4 colon cancer. The aim of this meta-analysis was to compare short- and long-term oncological outcomes associated with laparoscopic and conventional open surgery for pT4 colon cancer. METHODS: Published studies from 2003 to 2018 comparing oncological outcomes following laparoscopic and open surgery for pT4 colon cancer were systematically searched...
June 22, 2018: International Journal of Surgery
Bo Long, Zeyuan Yu, Huinian Zhou, Zhijian Ma, Yanxian Ren, Hao Zhan, Long Li, Hongtai Cao, Zuoyi Jiao
OBJECTIVE: To explore the relationships between the expression level of different galectins and its prognostic value for patients with gastric cancer. METHODS: The PubMed, EMbase, the Cochrane Library and Web of Science databases were systematically searched. All the eligible studies were included according to the inclusion and exclusion criteria. All the relevant data was extracted by two independent researchers. The quality assessment was conducted according to the evaluation of the quality of prognosis study which published by Harden in 2006...
June 22, 2018: International Journal of Surgery
Andrea Balla, Silvia Quaresima, Alessandro M Paganini
BACKGROUND: Aim of this study is to report and to analyze the incidence, clinical impact and treatment options of ectopic air localizations after transanal procedures. METHODS: A systematic literature review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The research was carried out using the PubMed database, identifing 40 articles with the following keywords: "transanal" AND "emphysema"; "transanal" AND "subcutaneous emphysema"; "transanal" AND "pneumomediastinum"; "transanal" AND "pneumothoraces"; "transanal" AND "pneumopericardium"; "transanal" AND "retropneumoperitoneum"...
June 21, 2018: International Journal of Surgery
Linhua Zhou, Yanping Zhu
BACKGROUND: Hepatocellular carcinoma (HCC) is one of most common causes for cancer-related death around the world. Epithelial cell adhesion molecule (EpCAM) is established as a vital prognostic factor for the human malignant tumors. However, the potential role of EpCAM in HCC has largely remained elusive. Herein we aimed to gain insight into the clinicopathological and prognostic role of EpCAM in HCC. METHOD: and materials; The PubMed, Web of Science, EMBASE and SCOPUS databases were systematically searched from their inception up to 5 December 4, 2017...
June 21, 2018: International Journal of Surgery
Xiao Li, Bang An, Qi Zhao, Jianni Qi, Wenwen Wang, Di Zhang, Zhen Li, Chengyong Qin
BACKGROUND: The goal was to determine whether tumor deposits (TDs) had effects on the overall survival (OS), cancer-specific survival (CSS), disease-free survival (DFS) and responses to chemotherapy in advanced colorectal cancer (CRC) patients with different lymph node (N) stages. MATERIALS AND METHODS: The retrospective cohort study recruited 1455 stage III CRC patients diagnosed at a single institution between January 2010 and July 2016. Patients were divided into TDs negative and positive groups...
June 21, 2018: International Journal of Surgery
Hong-De Wang, Hao Zhang, Tian-Rui Wang, Wei-Fei Zhang, Fu-Shun Wang, Ying-Ze Zhang
BACKGROUND: Hamstring tendon autografts and soft-tissue allograft are commonly used for anterior cruciate ligament (ACL) reconstruction. However, the clinical outcomes between these two grafts are controversial. This meta-analysis was performed to compare clinical outcomes of primary ACL reconstruction with hamstring tendon autografts versus soft-tissue allografts. MATERIALS AND METHODS: PubMed, Embase, and the Cochrane Library were searched through 8 September 2017 to identify randomised controlled studies that compared hamstring tendon autografts with soft-tissue allografts for primary ACL reconstruction...
June 21, 2018: International Journal of Surgery
Alexander D Croese, James M Lonie, Alexandra F Trollope, Venkat N Vangaveti, Yik-Hong Ho
AIM: To summarize the reported prevalence and causative factors of Low Anterior Resection Syndrome (LARS) from studies using the LARS score. METHODS: A systematic literature search was conducted using Pubmed, Ovid Medline and the Cochrane database. Searches were performed using a combination of MeSH (medical subject headings) terms and key terms. Studies that were included used the LARS score as their primary collection tool. Studies were excluded if initial surgery was not for malignancy, or if the majority of LARS scores were from patients less than 1 year post initial surgery or closure of diverting stoma...
June 21, 2018: International Journal of Surgery
Yutian Lai, Xin Wang, Hongxia Zhou, Pengfei Li Kunzhou, Guowei Che
OBJECTIVE: This study was conducted to explore the feasibility and safety of postoperative chest drainage with a Foley catheter for lung cancer patients undergoing a video-assisted thoracoscopic surgery (VATS) lobectomy. METHODS: Data from lung cancer patients who underwent a VATS lobectomy with insertion of a catheter (Foley catheter or 28-F chest tube) were analysed. A total of 441 patients were included preoperatively for participation, with 208 patients in the Foley catheter group and 233 in the 28-F group...
June 21, 2018: International Journal of Surgery
George J M Hourston, Hadyn K N Kankam, Riki Houlden
No abstract text is available yet for this article.
June 20, 2018: International Journal of Surgery
Wen-Xin Wei, Zhi-Shi Yang, Li-Hua Lu, Jun Li, Zheng-Qing Lei, Kui Wang, Yong Xia, Zhen-Lin Yan, Feng Shen
BACKGROUND: The current study aimed to examine the long-term survival after partial hepatectomy for patients with BCLC intermediate stage hepatocellular carcinoma (HCC) stratified by the Bolondi's sub-staging model. MATERIALS AND METHODS: This cohort consisted of 360 patients with BCLC intermediate stage HCC who underwent partial hepatectomy between January 2008 and February 2010. Patients were stratified into 3 subgroups (B1-B3) based on the Bolondi's sub-staging model...
June 20, 2018: International Journal of Surgery
Jessica M Ryan, Ailín C Rogers, William B Robb
BACKGROUND: Despite having considerable influence over resource allocation clinicians possess poor knowledge of healthcare costs. This study evaluated surgeons' cost-awareness with regard to surgical equipment and assessed attitudes towards health economics training using survey format. MATERIALS AND METHODS: An online survey was distributed to 326 surgeons across a range of specialties in Ireland. Respondents were asked about their surgical expertise, previous training in health economics, and its role in the surgical curriculum...
June 20, 2018: International Journal of Surgery
Fabian Grasss, Basile Pache, David Martin, Valérie Addor, Dieter Hahnloser, Nicolas Demartines, Martin Hübner
BACKGROUND: Enhanced Recovery After Surgery (ERAS) guidelines advocate early postoperative mobilisation to counteract catabolic changes due to immobilisation and maintain muscle strength. The present study aimed to assess compliance to postoperative mobilisation according to ERAS recommendations. MATERIALS AND METHODS: This is a retrospective cohort study on consecutive colorectal surgical procedures treated within an established ERAS protocol within a single center between May 2011 and May 2017...
June 20, 2018: International Journal of Surgery
Zhi-Cheng Deng, Wen-Zhu Jiang, Xiao-Dong Tang, Shuang-Hai Liu, Lei Qin, Hai-Xin Qian
BACKGROUND: The aim of this study was to investigate the long-term outcomes and perioperative outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) for hepatocellular carcinoma (HCC) between well-matched patient groups. METHODS: We retrospectively reviewed data from 1535 hepatocellular carcinoma patients who underwent liver resection between January 2002 and December 2016 at two Chinese centres. Propensity score matching of patients in a ratio of 1:1 was conducted and 157 patients were matched...
June 20, 2018: International Journal of Surgery
Piotr Major, Piotr Małczak, Michał Wysocki, Grzegorz Torbicz, Natalia Gajewska, Michał Pędziwiatr, Andrzej Budzyński
BACKGROUND: The prevalence of obesity is growing worldwide. Malnutrition has been identified as a risk factor, leading to higher morbidity rate and prolonged length of hospital. So far there are no high quality data on the impact of malnutrition on length of hospital stay and morbidity regarding bariatric surgery. The aim of the study was to assess association between nutritional status and outcomes bariatric surgeries. MATERIAL AND METHODS: The study was a prospective observational study...
June 19, 2018: International Journal of Surgery
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