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Annals of Surgical Treatment and Research

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https://www.readbyqxmd.com/read/28382296/spontaneous-dissections-of-multiple-visceral-arteries-an-extremely-rare-case
#1
Trong Binh Le, Yong Sun Jeon, Kee Chun Hong, Soon Gu Cho, Keun-Myoung Park
Spontaneous dissections of visceral arteries without aortic involvement are very rare. The etiologies of these entities are unclear and their clinical managements remain controversial. We report a case of spontaneous multiple dissections affecting 4 visceral arteries including the superior mesenteric artery, the celiac artery and the bilateral renal arteries. The patient was managed conservatively and endovascularly. The clinical manifestation markedly improved and laboratory tests returned to normal limits within 1 week...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382295/acetic-acid-sclerotherapy-for-treatment-of-biliary-leak-from-an-isolated-right-posterior-sectoral-duct-after-cholecystectomy
#2
Jeong-Ik Park, Young-Kil Choi, Bo-Hyun Jung
Bile duct injury is one of the most serious complications of both laparoscopic and open cholecystectomy. Isolated bile duct injury can occur from the misidentification of aberrant right hepatic ducts, and it is troublesome because the early diagnosis is easy to miss and the definite treatment is controversial. We report a case of an isolated right posterior sectoral duct injury following cholecystectomy managed successfully with acetic acid sclerotherapy combined with coil embolization for a fistula tract.
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382294/the-correlation-between-preoperative-volumetry-and-real-graft-weight-comparison-of-two-volumetry-programs
#3
Nadiar Mussin, Marco Sumo, Kwang-Woong Lee, YoungRok Choi, Jin Yong Choi, Sung-Woo Ahn, Kyung Chul Yoon, Hyo-Sin Kim, Suk Kyun Hong, Nam-Joon Yi, Kyung-Suk Suh
PURPOSE: Liver volumetry is a vital component in living donor liver transplantation to determine an adequate graft volume that meets the metabolic demands of the recipient and at the same time ensures donor safety. Most institutions use preoperative contrast-enhanced CT image-based software programs to estimate graft volume. The objective of this study was to evaluate the accuracy of 2 liver volumetry programs (Rapidia vs. Dr. Liver) in preoperative right liver graft estimation compared with real graft weight...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382293/combined-spinal-epidural-anesthesia-in-laparoscopic-appendectomy-a-prospective-feasibility-study
#4
Sinan Uzman, Turgut Donmez, Vuslat Muslu Erdem, Adnan Hut, Dogan Yildirim, Muzaffer Akinci
PURPOSE: Laparoscopic appendectomy (LA) is routinely performed under general, not regional anesthesia. This study assessed the feasibility, efficacy, and side effects of combined spinal-epidural anesthesia (CSEA) in LA. METHODS: Thirty-three American Society of Anesthesiologist (ASA) physical status classification grade I patients underwent LA under CSEA. CSEA was performed using the needle-through-needle technique at the L3-L4 interspace. Preoperative and postoperative adverse events related to CSEA, patient satisfaction, and postoperative pain levels were recorded...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382292/matched-case-control-analysis-comparing-oncologic-outcomes-between-preoperative-and-postoperative-chemoradiotherapy-for-rectal-cancer
#5
Byoung Chul Lee, In Ja Park, Chan Wook Kim, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
PURPOSE: To investigate patterns of recurrence and oncologic outcomes after recurrence between preoperative and postoperative chemoradiotherapy (CRT). METHODS: Records of patients with stage II or III locally advanced rectal cancer seen between January 2000 and December 2010 were analyzed. The outcomes for patients undergoing preoperative CRT followed by radical resection (n = 466) were compared with outcomes of patients matched for sex, age, and stage who had surgery and then postoperative CRT (n = 466)...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382291/differences-in-the-survival-rates-of-older-patients-with-colorectal-cancers-in-2003-and-2009
#6
Je-Wook Shin, Byung Kwan Park, Min Jung Kim, Bun Kim, Byung Chang Kim, Sung Chan Park, Kyung Su Han, Dae Kyung Sohn, Jae Hwan Oh
PURPOSE: The aim of this study was to investigate survival in patients aged ≥70 years who underwent colorectal cancer surgery in 2003 and 2009. In addition, we aimed to identify the factors that could affect survival in these patients. METHODS: In a cross-sectional study, a retrospective review of the data for 878 patients who underwent colorectal cancer surgery with curative intent in the years 2003 and 2009 was performed. The primary outcome was the 5-year overall survival rate (5-OSR), and the clinicopathologic factors that could affect overall survival were analyzed...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382290/factors-predicting-outcomes-of-laparoscopic-nissen-fundoplication-for-gastroesophageal-reflux-disease-experience-at-a-single-institution-in-korea
#7
Joong-Min Park, Beom Jin Kim, Jae Gyu Kim, Kyong-Choun Chi
PURPOSE: Laparoscopic fundoplication is considered the standard surgical treatment for gastroesophageal reflux disease (GERD) in Western countries. However, some patients experience poor surgical outcomes with this procedure. The study aimed to identify the predictive factors of the surgical outcomes of laparoscopic Nissen fundoplication for the treatment of Korean GERD patients. METHODS: Sixty-one patients with GERD were treated using laparoscopic Nissen fundoplication between November 2012 and February 2015...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382289/the-effect-of-single-incision-laparoscopic-cholecystectomy-on-systemic-oxidative-stress-a-prospective-clinical-trial
#8
Ilhan Ece, Bahadir Ozturk, Huseyin Yilmaz, Serdar Yormaz, Mustafa Şahin
PURPOSE: Single incision laparoscopic cholecystectomy (SILC) has become a more frequently performed method for benign gallbladder diseases all over the world. The effects of SILC technique on oxidative stress have not been well documented. The aim of this study was to evaluate the effect of laparoscopic cholecystectomy techniques on systemic oxidative stress by using ischemia modified albumin (IMA). METHODS: In total, 70 patients who had been diagnosed with benign gallbladder pathology were enrolled for this prospective study...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28382288/routine-calcitonin-measurement-in-nodular-thyroid-disease-management-is-it-worthwhile
#9
Yigit Turk, Ozer Makay, Murat Ozdemir, Gozde Ertunc, Batuhan Demir, Gokhan Icoz, Mahir Akyildiz, Mustafa Yilmaz
PURPOSE: To evaluate the diagnostic accuracy of routine calcitonin measurement in patients with nodular thyroid disease. METHODS: Consecutive patients with nodular thyroid disease (n = 640) were studied. Serum calcitonin levels were measured under basal conditions, and when basal values were between 10-100 pg/mL, testing was repeated after pentagastrin (PG) stimulation. Patients with previously diagnosed or familial medullary thyroid cancer (MTC) were excluded. Patients were operated on when basal or stimulated calcitonin >100 pg/mL or when other surgical indications were present...
April 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289672/en-bloc-transplantation-of-horseshoe-kidney-in-korea
#10
Jun Bae Bang, Jae Myeong Lee, Chang-Kwon Oh, Kyo Won Lee, Jae Berm Park, Sung Joo Kim, Su Hyung Lee
Transplantation of the horseshoe kidney can be performed en bloc or split into 2 grafts according to the vascular anomaly and the existence of the urinary collecting system in isthmus. From 2011 to 2014, there were 3 horseshoe kidney transplantations in Korea and transplantations were performed at 2 different centers. The transplantations were carried out successfully for all recipients without complications. All recipients have shown good graft kidney function after transplantation. No severe complication was revealed during follow-up period...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289671/encapsulating-peritoneal-sclerosis-in-liver-transplant-recipients-a-report-of-2-cases
#11
Kyo Won Lee, Chan Woo Cho, Nuri Lee, Sanghoon Lee, Jong Man Kim, Gyu-Seong Choi, Choon Hyuck David Kwon, Jae-Won Joh, Suk-Koo Lee
Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction by a thick fibrous membrane wrapping around the small intestine. It is a possible complication after liver transplantation (LT) that can be fatal. This report describes 2 cases of EPS after LT that were successfully treated with surgery, corticosteroids, tamoxifen, and mammalian target of rapamycin inhibitor. After treatment in both cases, the patients were able to start oral feeding and have been symptom free for more than 1 year...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289670/radiation-hazards-to-vascular-surgeon-and-scrub-nurse-in-mobile-fluoroscopy-equipped-hybrid-vascular-room
#12
Jong Bin Kim, Jaehoon Lee, Kihyuk Park
PURPOSE: The aim of the present study was to identify the radiation hazards to vascular surgeons and scrub nurses working in mobile fluoroscopy equipped hybrid vascular operation rooms; additionally, to estimate cumulative cancer risk due to certain exposure dosages. METHODS: The study was conducted prospectively in 71 patients (53 men and 18 women) who had undergone vascular intervention at our hybrid vascular theater for 6 months. OEC 9900 fluoroscopy was used as mobile C-arm...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289669/laparoscopic-resection-of-retroperitoneal-benign-neurilemmoma
#13
Jung Hwan Ji, Joon Seong Park, Chang Moo Kang, Dong Sup Yoon, Woo Jung Lee
PURPOSE: The aim of this study was to verify that laparoscopic resection for treating retroperitoneal benign neurilemmoma (NL) is expected to be favorable for complete resection of tumor with technical feasibility and safety. METHODS: We retrospectively analyzed 47 operations for retroperitoneal neurogenic tumor at Yonsei University College of Medicine, Severance Hospital and Gangnam Severance Hospital between January 2005 and September 2015. After excluding 21 patients, the remaining 26 were divided into 2 groups: those who underwent open surgery (OS) and those who underwent laparoscopic surgery (LS)...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289668/the-efficacy-of-laparoscopic-cholecystectomy-without-discontinuation-in-patients-on-antithrombotic-therapy
#14
Jong Hyuk Yun, Hae Il Jung, Hyoung Uk Lee, Moo-Jun Baek, Sang Ho Bae
PURPOSE: Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgeries in the world today. However, there is no consensus regarding whether LC can be performed in patients with acute cholecystitis while on antithrombotic therapy. The objective of our study was to describe postoperative outcomes of patients who underwent emergent LC without interruption to antithrombotic therapy. METHODS: We performed a retrospective review of patients who underwent LC for acute cholecystitis while on antithrombotic therapy from 2010 to 2015 at Soonchunhyang Universtiy Cheonan Hospital...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289667/laparoscopic-cholecystectomy-under-spinal-epidural-anesthesia-vs-general-anaesthesia-a-prospective-randomised-study
#15
Turgut Donmez, Vuslat Muslu Erdem, Sinan Uzman, Dogan Yildirim, Huseyin Avaroglu, Sina Ferahman, Oguzhan Sunamak
PURPOSE: Laparoscopic cholecystectomy (LC) is usually performed under the general anesthesia (GA). Aim of the study is to investigate the availability, safety and side effects of combined spinal/epidural anesthesia (CSEA) and comparison it with GA for LC. METHODS: Forty-nine patients who have a LC plan were included into the study. The patients were randomly divided into GA (n = 25) and CSEA (n = 24) groups. Intraoperative and postoperative adverse events, postoperative pain levels were compared between groups...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289666/is-familial-papillary-thyroid-microcarcinoma-more-aggressive-than-sporadic-form
#16
Cho Rok Lee, Seulkee Park, Sang-Wook Kang, Jandee Lee, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung, Cheong Soo Park
PURPOSE: With the increasing incidence of papillary thyroid microcarcinoma (PTMC), familial papillary thyroid microcarcinoma (FPTMC) is now recognized more frequently. However, the biological behavior of FPTMC is poorly understood. The aim of this study was to investigate the prevalence of FPTMC and its biological aggressiveness. METHODS: Between March 2006 and July 2010, 2,414 patients underwent primary surgical therapy for PTMC and 149 (6.2%) were further classified as FPTMC...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289665/clinical-characteristics-of-papillary-thyroid-carcinoma-arising-from-the-pyramidal-lobe
#17
Sang Gab Yoon, Jin Wook Yi, Chan-Yong Seong, Jong-Kyu Kim, Su-Jin Kim, Young Jun Chai, June Young Choi, Kyu Eun Lee
PURPOSE: Papillary thyroid carcinoma (PTC) arising from the pyramidal lobe is rare; therefore, clinicopathologic evaluation is lacking. In addition, the rate of occult malignancy in the pyramidal lobe after thyroid surgery is unclear. This study is to evaluate the clinical characteristics of PTCs that involve the pyramidal lobe. METHODS: The study enrolled 1,107 patients who underwent thyroid surgery for PTC at Seoul National University Hospital from 2006 to 2015...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28289664/significance-of-micrometastases-in-the-calculation-of-the-lymph-node-ratio-for-papillary-thyroid-cancer
#18
Young Woo Chang, Hwan Soo Kim, Seung Pil Jung, Hoon Yub Kim, Jae Bok Lee, Jeoung Won Bae, Gil Soo Son
PURPOSE: The lymph node ratio (LNR) is an important prognostic factor in papillary thyroid carcinoma (PTC), but micrometastases in cervical lymph nodes (LNs) are not of great clinical importance. In this study, we analyzed the accuracy of prediction of the prognosis depending on whether micrometastases were included in the number of metastatic LNs when calculating LNR. METHODS: The study included 353 PTC patients who underwent total thyroidectomy with neck LN dissection, and calculated LNR by 2 methods according to whether micrometastases were included in the number of metastatic LNs: Method 1 did not and method 2 did include...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28203560/spontaneous-reduction-of-small-bowel-herniation-through-the-foramen-of-winslow-importance-of-a-timely-approach
#19
Hyung-Gyo Cho, Jeonghyun Kang
We present the case of young female patient presenting with acute onset abdominal pain. Abdominopelvic CT revealed herniation through the foramen of Winslow. The patient was transferred to our hospital and underwent laparoscopic exploration. Though spontaneous reduction was detected, segmental resection of the impacted small bowel was inevitable due to ischemic change. Our case suggests that reducing the time until surgery is very important to lower the probability of bowel resection in case of small bowel herniation through the foramen of Winslow...
February 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28203559/fulminant-course-in-a-case-of-malignant-phyllodes-tumor
#20
Young Woo Chang, Hwan Soo Kim, Deok Woo Kim, Gil Soo Son
We present the case of a 31-year-old woman with an inflammatory and ulcerative malignant phyllodes tumor in her right breast. A right modified radical mastectomy and transverse rectus abdominis myocutaneous (TRAM) flap were performed. A month after the initial operation, several masses recurred at the superior margin and deep margin of the TRAM flap. Wide excision was performed, but masses recurred at the inferior margin and in both lung fields 2 weeks after the second operation. Six weeks after the second operation, the patient died due to progression of dyspnea and respiratory failure...
February 2017: Annals of Surgical Treatment and Research
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