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Gland Surgery

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https://www.readbyqxmd.com/read/28861387/erratum-to-professor-hoon-yub-kim-transoral-robotic-thyroidectomy-shows-promising-results-with-ideal-outcomes
#1
(no author information available yet)
[This corrects the article DOI: 10.21037/gs.2016.12.10.].
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861386/less-postoperative-pain-in-patients-receiving-trans-oral-vestibular-endoscopic-thyroidectomy-a-plausible-finding
#2
Kuo-Mao Lan, Chia-Ming Chen, Chia-Chun Chuang, Chien-Ching Lee, Li-Kai Wang, Yao-Tsung Lin, Wei-Cheng Liu, Jen-Yin Chen
No abstract text is available yet for this article.
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861385/ipth-cost-effectiveness-in-thyroid-surgery
#3
Davide Inversini, Xiaoli Liu, Hui Sun, Gianlorenzo Dionigi
No abstract text is available yet for this article.
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861384/a-rare-presentation-of-malignant-phyllodes-tumor-with-bloody-nipple-discharge-report-of-a-case
#4
Wei-Hsin Chen
Phyllodes tumor of the breast is a rare neoplasm, particularly in young women. It is usually presented as a unilateral palpable mass and nipple discharge presented as a symptom is rare. We reported a 22-year-old Taiwanese woman in our hospital for right breast tumor with nipple discharge. Preoperative diagnosis was intraductal papilloma but the histological examination showed a malignant phyllodes tumor with intraductal growth. Symptom of nipple discharge and intraductal growth in phyllodes tumor are rare presentations...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861383/robotic-transaxillary-parathyroidectomy
#5
Khuzema Mohsin, Hassan Alzahrani, Daniah Bu Ali, Sang-Wook Kang, Emad Kandil
We recently reported on the safety and feasibility of robotic transaxillary approaches for parathyroid surgeries with benefit of avoiding a visible cervical scar. Herein, we demonstrate our technique with utilization of intraoperative nerve monitoring and indocyanine green (ICG) imaging. The patient was discharged a few hours after the surgery.
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861382/minimalist-breast-conserving-surgical-approaches-for-inferiorly-sited-cancers
#6
Mona P Tan
Contemporary data suggests that breast conservation treatment (BCT) may confer a survival advantage when compared to mastectomy. Hence, it would be logical to adopt strategies which increase eligibility of successful BCT without compromising oncologic principles or cosmetic outcome. With respect to achieving good aesthetics, inferiorly sited breast cancers pose a particular technical challenge. A vast array of techniques, collectively referred to as oncoplastic breast surgery (OBS) have been developed to minimise post treatment distortion...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861381/use-of-acellular-dermal-matrix-adm-in-nipple-reconstruction-the-central-pillar-technique
#7
Russell J Bramhall, Paul T R Thiruchelvam, Mae Concepcion, Gerald P Gui
Nipple reconstructions are prone to a variable and unpredictable degree of flattening, which in some cases lead to secondary reconstruction. The use of an acellular dermal matrix (ADM) augmentation may be appropriate in cases with very thin dermis that are particularly prone to flattening or in revision cases where the first procedure has already failed. The authors present a series of 13 nipple reconstructions in ten cases. Average projection at 12 months was 51% in primary cases and 46% in secondary revision cases...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861380/smoking-and-mortality-in-women-diagnosed-with-breast-cancer-a-systematic-review-with-meta-analysis-based-on-400-944-breast-cancer-cases
#8
Martin Sollie, Camilla Bille
BACKGROUND: It is evident that smoking is causing disease and increased mortality in general. Recently published data are now suggesting that smoking might increase both the overall mortality in women diagnosed with breast cancer but also increase their risk of dying from their breast cancer. METHODS: A systematic review and meta-analysis on smoking status in women diagnosed with breast cancer, their mortality rate and cause of death. Based on all cohort studies published within the last ten years...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861379/the-current-status-of-robotic-transaxillary-thyroidectomy-in-the-united-states-an-experience-from-two-centers
#9
Nisar Zaidi, Despoina Daskalaki, Pablo Quadri, Alexis Okoh, Pier Cristoforo Giulianotti, Eren Berber
BACKGROUND: Few studies exist regarding the state of robotic transaxillary thyroidectomy (RT) and its outcomes at high-volume institutions. METHODS: Eighty-nine patients underwent RT between January 2009 and September 2015 at two tertiary centers. Data were collected from prospectively-maintained IRB-approved databases. Patient demographic and clinical data, and trends were evaluated. RESULTS: Indications for RT included biopsy-proven or suspicion for malignancy in 20...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861378/microsurgical-refinements-with-the-use-of-internal-mammary-im-perforators-as-recipient-vessels-in-transverse-upper-gracilis-tug-autologous-breast-reconstruction
#10
Samer Saour, Guido Libondi, Venkat Ramakrishnan
BACKGROUND: The transverse upper gracilis (TUG) flap is the senior authors' second choice for autologous breast reconstruction when the DIEP flap is not available. It provides durable, pliable tissue with well hidden scars. The main criticism of this flap is the limited volume, donor site complications, short pedicle and vessel mismatch depending on which recipient vessels are used. We described methods of reducing vessel mismatch, complications of venous coupler and refinements to help give a more superior aesthetic outcome...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861377/concomitant-thyroid-disease-and-primary-hyperparathyroidism-in-patients-undergoing-parathyroidectomy-or-thyroidectomy
#11
Marie-Christine Wright, Kelly Jensen, Hossam Mohamed, Carolyn Drake, Khuzema Mohsin, Dominique Monlezun, Nuha Alsaleh, Emad Kandil
BACKGROUND: Thyroid abnormalities have been found intraoperatively during parathyroidectomy and have resulted in concomitant thyroidectomy. The identification of concomitant disease is important prior to primary operation in order to minimize reoperations. This study investigates the incidence of concomitant primary hyperparathyroidism (PHPT) and thyroid nodular disease in patients undergoing thyroidectomy or parathyroidectomy. METHODS: We performed a retrospective review of prospectively gathered data for 621 patients who underwent thyroidectomy, parathyroidectomy, or both at Tulane Medical Center...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861376/patient-determinants-as-independent-risk-factors-for-postoperative-complications-of-breast-reconstruction
#12
Andri Thorarinsson, Victoria Fröjd, Lars Kölby, Mattias Lidén, Anna Elander, Hans Mark
BACKGROUND: Breast reconstruction is an essential component in the treatment of breast cancer. Postoperative complications after breast reconstruction are common and affect patient satisfaction. Determining independent risk factors using patient characteristics could be advantageous for patient assessment and counseling. METHODS: We retrospectively enrolled 623 consecutive patients who underwent reconstruction with a deep inferior epigastric perforator flap (DIEP), latissimus dorsi flap (LD), lateral thoracodorsal flap (LTDF), or tissue expander with a secondary implant (EXP) in this study...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861375/the-role-of-laparoscopic-resection-of-metastases-to-adrenal-glands
#13
Marco Puccini, Erica Panicucci, Vincenzo Candalise, Cristina Ceccarelli, Carlo Maria Neri, Piero Buccianti, Paolo Miccoli
BACKGROUND: The potential role of the laparoscopic approach for metastases to the adrenal gland is debated. We review here a series of patients consecutively submitted to laparoscopic adrenalectomy (LA) for suspected adrenal metastasis (AM). METHODS: Retrospective study (consecutive series) of LA for AM. We measured parameters associated to primary tumor and metastasis. Statistical analysis: stepwise regression model. RESULTS: Thirty-seven LA were performed on 36 patients...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861374/oncoplastic-round-block-technique-has-comparable-operative-parameters-as-standard-wide-local-excision-a-matched-case-control-study
#14
Geok-Hoon Lim, John Carson Allen, Ruey Pyng Ng
BACKGROUND: Although oncoplastic breast surgery is used to resect larger tumors with lower re-excision rates compared to standard wide local excision (sWLE), criticisms of oncoplastic surgery include a longer-albeit, well concealed-scar, longer operating time and hospital stay, and increased risk of complications. Round block technique has been reported to be very suitable for patients with relatively smaller breasts and minimal ptosis. We aim to determine if round block technique will result in operative parameters comparable with sWLE...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861373/staged-approach-to-partial-breast-reconstruction-to-avoid-mastectomy-in-women-with-breast-cancer
#15
Pankaj G Roy, Alexandra A Tenovici
BACKGROUND: The lateral chest wall perforator flaps (CWPF) offer an excellent option for partial breast reconstruction (PBR) in women undergoing breast conservation surgery (BCS) for laterally placed tumours in small to moderate non-ptotic breasts. METHODS: A total of 20 patients underwent PBR with lateral CWPF over the last 4 years, as two-stage approach. This approach was undertaken for patients with high tumour to breast ratio (>30% predicted resection) in an attempt to avoid mastectomy...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861372/estimation-of-tumor-size-in-breast-cancer-comparing-clinical-examination-mammography-ultrasound-and-mri-correlation-with-the-pathological-analysis-of-the-surgical-specimen
#16
Tomas Cortadellas, Paula Argacha, Juan Acosta, Jordi Rabasa, Ricardo Peiró, Margarita Gomez, Laura Rodellar, Sandra Gomez, Alejandra Navarro-Golobart, Sonia Sanchez-Mendez, Milagros Martinez-Medina, Mireia Botey, Carlos Muñoz-Ramos, Manel Xiberta
BACKGROUND: To evaluate the best method in our center to measure preoperative tumor size in breast tumors, using as reference the tumor size in the postoperative surgical specimen. We compared physical examination vs. mammography vs. resonance vs. ultrasound. There are different studies in the literature with disparate results. METHODS: This is a retrospective study. All the included patients have been studied by clinical examination performed by gynecologist or surgeon specialists in senology, and radiological tests (mammography, ultrasound and magnetic resonance imaging)...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861371/laparoscopic-versus-open-1-stage-resection-of-synchronous-liver-metastases-and-primary-colorectal-cancer
#17
Emre Gorgun, Pinar Yazici, Akin Onder, Cigdem Benlice, Hakan Yigitbas, Bora Kahramangil, Yunus Tasci, Erol Aksoy, Federico Aucejo, Cristiano Quintini, Charles Miller, Eren Berber
BACKGROUND: The aim of this study is to compare the perioperative and oncologic outcomes of open and laparoscopic approaches for concomitant resection of synchronous colorectal cancer and liver metastases. METHODS: Between 2006 and 2015, all patients undergoing combined resection of primary colorectal cancer and liver metastases were included in the study (n=43). Laparoscopic and open groups were compared regarding clinical, perioperative and oncologic outcomes...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861370/increased-risk-of-recurrence-associated-with-certain-risk-factors-in-breast-cancer-patients-after-diep-flap-reconstruction-and-lipofilling-a-matched-cohort-study-with-200-patients
#18
Sonia Fertsch, Mazen Hagouan, Beatrix Munder, Tino Schulz, Alina Abu-Ghazaleh, Julia Schaberick, Peter Stambera, Mohammed Aldeeri, Christoph Andree, Oliver Christian Thamm
BACKGROUND: Lipofilling is performed in breast cancer patients to optimize the aesthetic outcome following breast reconstruction after mastectomy. Despite its common usage worldwide, little is known about the interaction of the lipoaspirate and dormant cancer cells. Up to date, no risk factors that increase the risk for cancer recurrence have been established. This study aims to identify risk factors for lipofilling candidates after breast cancer and questions the oncological safety of lipofilling in lymph node positive disease...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861369/microsurgical-dissection-of-facial-nerve-in-parotidectomy-a-discussion-of-techniques-and-long-term-results
#19
Fabio Nicoli, Christopher D'Ambrosia, Davide Lazzeri, Georgios Orfaniotis, Pedro Ciudad, Michele Maruccia, Li Tzong Shiun, Bulent Sacak, Shih-Heng Chen, Hung-Chi Chen
BACKGROUND: Parotidectomy has well-documented post-operative complications. Dissection of the facial nerve branches can be challenging even under loupe magnification, and partial, or complete injury of the nerve branches can occur during surgery. To reduce this risk and the associated complications, we propose a number of microsurgical best practices, which can be performed during parotidectomy. METHODS: A retrospective survey was conducted on 109 patients (45 males and 64 females, average age 46...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861368/can-magnetic-resonance-imaging-obviate-the-need-for-biopsy-for-microcalcifications
#20
Shinya Yamamoto, Takashi Chishima
BACKGROUND: Although microcalcifications detected with mammography (MG) are usually biopsied, biopsies cannot be performed in all cases. We sought to determine if magnetic resonance imaging (MRI) findings could indicate whether stereotactic vacuum-assisted biopsy (SVAB) is necessary. METHODS: Patients with mammographically detected Breast Imaging-Reporting and Data System (BI-RADS) 3, 4, and 5 microcalcifications were analyzed from April 2012 to September 2014. All patients underwent MRI...
August 2017: Gland Surgery
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