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Annals of Surgical Treatment and Research

Youngeun Park, Min Chung, Min A Lee
Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Results: We included 5 men and 4 women (mean age, 55 years; range, 23-71 years)...
December 2018: Annals of Surgical Treatment and Research
Kyeong Sik Kim, Ji Soo Lee, Gyu Sung Choi, Choon Hyuck David Kwon, Jae-Won Cho, Suk-Koo Lee, Kwang Bo Park, Sung Ki Cho, Sung Wook Shin, Jong Man Kim
Purpose: The purpose of this study was to describe the long-term effects of stenting in patients with hepatic venous outflow obstruction (HVOO), who underwent living donor liver transplantation (LDLT). Methods: Between January 2000 and December 2009, 622 adult patients underwent LDLT at our hospital, and of these patients, 21 (3.3%) were diagnosed with HVOO; among these patients, 17 underwent stenting. The patients were divided into early or late groups according to the time of their HVOO diagnoses (cutoff: 60 days after liver transplantation)...
December 2018: Annals of Surgical Treatment and Research
Hyung Min Hahn, Kwang Sik Jeong, Dong Ha Park, Myong Chul Park, Il Jae Lee
Purpose: We present our experience involving the management of this disease, identifying prognostic factors affecting treatment outcomes. Methods: The patients treated for Fournier gangrene at our institution were retrospectively reviewed. Data collected included demographics, extent of soft tissue necrosis, predisposing factors, etiological factors, laboratory values, and treatment outcomes. The severity index and score were calculated. Multivariate regression analysis was used to determine the association between potential predictors and clinical outcomes...
December 2018: Annals of Surgical Treatment and Research
Duk Yeon Hwang, Gyeo Ra Lee, Ji Hoon Kim, Yoon Suk Lee
Purpose: Currently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections. Methods: From April 2012 to April 2017, 38 patients underwent laparoscopic ileostomy (single-incision; 19 patients referred to as group A, conventional laparoscopy; 19 patients referred to as group B) for anastomotic leakage following laparoscopic low anterior resection...
December 2018: Annals of Surgical Treatment and Research
Tae Yeon Kim, Dong Won Kim, Mi Ae Jeong, Jong Hun Jun, Sung Jeong Min, Su-Jin Shin, Tae Kyung Ha, Dongho Choi
Purpose: Acute normovolemic hemodilution (ANH) is an autologous transfusion method, using blood collected during surgery, to reduce the need for allogeneic blood transfusion. ANH is controversial because it may lead to various complications. Among the possible complications, anastomotic leakage is one that would have a significant effect on the operation outcome. However, the relationship between ANH and anastomotic site healing requires additional research. Therefore, we conducted this prospective study of ANH, comparing it with standard intraoperative management, undergoing gastric anastomosis in rats...
December 2018: Annals of Surgical Treatment and Research
Su-Min Ha, Shin Hwang, Jin Young Park, Young-Joo Lee, Ki-Hun Kim, Gi-Won Song, Dong-Hwan Jung, Yun-Suk Yu, Jinpyo Kim, Kyoung-Jin Lee, Eunyoung Tak, Yo-Han Park, Sung-Gyu Lee
Purpose: OncoHepa test is a multigene expression profile test developed for assessment of hepatocellular carcinoma (HCC) prognosis. Multiplication of α-FP, des-γ-carboxy prothrombin (DCP) and tumor volume (TV) gives the α-FP-DCP-volume (ADV) score, which is also developed for assessment of HCC prognosis. Methods: The predictive powers of OncoHepa test and ADV score were validated in 35 patients who underwent curative hepatic resection for naïve solitary HCCs ≤5 cm...
December 2018: Annals of Surgical Treatment and Research
Dongheon Lee, Hyoun-Joong Kong, Donguk Kim, Jin Wook Yi, Young Jun Chai, Kyu Eun Lee, Hee Chan Kim
Purpose: Increased robotic surgery is attended by increased reports of complications, largely due to limited operative view and lack of tactile sense. These kinds of obstacles, which seldom occur in open surgery, are challenging for beginner surgeons. To enhance robotic surgery safety, we created an augmented reality (AR) model of the organs around the thyroid glands, and tested the AR model applicability in robotic thyroidectomy. Methods: We created AR images of the thyroid gland, common carotid arteries, trachea, and esophagus using preoperative CT images of a thyroid carcinoma patient...
December 2018: Annals of Surgical Treatment and Research
Mattia Portinari, Gabriele Baldini, Massimo Guidoboni, Alessandro Borghi, Stefano Panareo, Simona Bonazza, Gianlorenzo Dionigi, Paolo Carcoforo
Purpose: Sentinel lymph node (SLN) biopsy (SLNB) is widely accepted for staging of melanoma patients. It has been shown that clinico-pathological features such as Breslow thickness, ulceration, age, and sex are better predictors of relapse and survival than SLN status alone. The aims of this study were to evaluate the long-term (10-year) prognostic impact of SLNB and to determine predictive factors associated with SLN metastasis, relapse, and melanoma specific mortality (MSM). Methods: This was a prospective observational study on 289 consecutive patients with primary cutaneous melanoma who underwent SLNB from January 2000 to December 2007, and followed until January 2014, at an Italian academic hospital...
November 2018: Annals of Surgical Treatment and Research
Kyung Jai Ko, Young Hwa Kim, Mi Hyeong Kim, Kang Woong Jun, Kyung Hye Kwon, Hyung Sook Kim, Sang Dong Kim, Sun Cheol Park, Ji Il Kim, Sang Seob Yun, In Sung Moon, Jeong Kye Hwang
Purpose: We investigated the clinical outcomes of deceased donor kidney transplantation (KT) using kidneys with terminal acute kidney injury (AKI). Methods: Between February 2000 and December 2013, we performed 202 deceased donor renal transplants from 159 brain dead donors. According to the expanded criteria donor (ECD) and AKI network criteria, we divided 202 recipients into 4 groups: Group I: Non-AKI & standard criteria donor (SCD) (n = 97); group II: Non-AKI & ECD (n = 15); group III: AKI & SCD (n = 52); and group IV: AKI & ECD (n = 38)...
November 2018: Annals of Surgical Treatment and Research
Bong Jun Kwak, Dong Goo Kim, Jae Hyun Han, Ho Joong Choi, Si Hyun Bae, Young Kyoung You, Jong Young Choi, Seung Kew Yoon
Purpose: The aim of this study was to analyze survival outcomes in 1,000 consecutive liver transplantations (LTs) performed at a single institution from 1993 to April 2017. Methods: The study population was divided into 2 groups based on donor type: deceased donor LT (DDLT; n = 181, 18.1%) and living donor LT (LDLT; n = 819; 81.9%), and into 3 periods based on the number of cases (first 300 cases, middle 300 cases, last 400 cases). Results: Infection was the most common cause of death, accounting for 34...
November 2018: Annals of Surgical Treatment and Research
Jinsoo Rhu, Jong Man Kim, Gyu Seong Choi, Choon Hyuck David Kwon, Jae-Won Joh, Olivier Soubrane
Purpose: This study analyzes the impact of laparoscopic liver resection on intra-abdominal adhesion. Methods: Patients who underwent salvage liver transplantation after liver resection for hepatocellular carcinoma from January 2012 to October 2017 at our institution were included. Information about the severity of intra-abdominal adhesions was collected from a prospectively maintained database. Intra-abdominal adhesions were graded after the agreement of 2 surgeons who participated in the salvage liver transplantation based on predetermined criteria...
November 2018: Annals of Surgical Treatment and Research
Nam-Joon Yi, Joohyun Kim, YoungRok Choi, Heyoung Kim, Kyoung Bun Lee, Ja-June Jang, Jae Young Lee, Jeong Min Lee, Joon Koo Han, Kwang-Woong Lee, Kyung-Suk Suh
Purpose: Multidrug resistance-associated protein (MRP) 2 is a glutathione conjugate in the canalicular membrane of hepatocytes. Early graft damage after liver transplantation (LT) can result in alteration of MRP2 expression. The purpose of this study was to evaluate the relationship between the pattern of MRP2 alteration and graft outcome. Methods: Forty-one paraffin-embedded liver graft tissues obtained by protocol biopsy within 2 months after LT; these were stained using monoclonal antibodies of MRP2...
November 2018: Annals of Surgical Treatment and Research
Eunjoo Hwang, Seong-Hye Hwang, Jongjin Kim, Jin Hyun Park, Sohee Oh, Young A Kim, Ki-Tae Hwang
Purpose: This study aimed to validate the synergistic effect of ABT-737 on docetaxel using MDA-MB-231, a triple negative breast cancer (TNBC) cell line overexpressing B-cell lymphoma-2 (Bcl-2). Methods: Western blot analysis was performed to assess expression levels of Bcl-2 family proteins and caspase-related molecules. Cell viability was assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Cell cycle distribution was determined by flow cytometry analysis...
November 2018: Annals of Surgical Treatment and Research
Dong Jin Kim, Sung Geun Kim
Purpose: In Korea, the working-hour limitation regulation has been implemented in December 2017. We aimed to define the difference in operative experience of surgical residents before and after implementing this policy in 2 hospitals among 8 affiliated hospitals of the Catholic Medical Center where implemented the 80 working-hour limitation policy since March 2015. Methods: All the operation records were reviewed, and the number of resident-participated surgeries between March and August in 2002 and 2017 were compared...
November 2018: Annals of Surgical Treatment and Research
Linda Ll Benskin
No abstract text is available yet for this article.
October 2018: Annals of Surgical Treatment and Research
Kwangsoon Kim, Won Woong Kim, Jung Bum Choi, Min Jhi Kim, Cho Rok Lee, Jandee Lee, Sang-Wook Kang, Kee-Hyun Nam, Woong Youn Chung, Jong Ju Jeong
Purpose: Recently, the American Thyroid Association (ATA) dynamic risk stratification (DRS) has been verified to be more valuable than the static anatomical staging system for predicting prognosis in patients with differentiated thyroid carcinoma (DTC). The purpose of this retrospective study was to compare the clinical usefulness of DRS, which is based on the response to initial treatment, with that of ATA initial risk stratification in pediatric patients. Methods: A total of 144 pediatric patients underwent thyroid operation from August 1982 to December 2013 at Yonsei University Hospital (Seoul, Korea)...
October 2018: Annals of Surgical Treatment and Research
Jungchan Park, Gyu-Seong Choi, Mi Sook Gwak, Justin Sangwook Ko, Sangbin Han, Bobae Han, Jae Won Joh, Sung Joo Kim, Suk-Koo Lee, Choonhyuck David Kwon, Jongman Kim, Chan Woo Cho, Gaab Soo Kim
Purpose: This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT). Methods: From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described. Results: Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis...
October 2018: Annals of Surgical Treatment and Research
Eon Chul Han, Yoon-Hye Kwon, Kyu Joo Park, Seung-Yong Jeong, Sung-Bum Kang, Jae Hwan Oh, Seung Chul Heo
Purpose: Although lymph node (LN) metastasis is an important prognostic marker of colorectal cancer (CRC), the effect of LN metastasis on the survival of stage IV CRC is debated yet. Methods: LN status and survivals as well as clinicopathological features of synchronous stage IV CRC patients, operated for 8 years, were analyzed. Patients with hematogenous metastases were included only but those with peritoneal seeding or preoperative adjuvant therapy were not included...
October 2018: Annals of Surgical Treatment and Research
Ki Bum Park, Oh Kyoung Kwon, Wansik Yu
Purpose: This study evaluated midterm changes in body composition after open distal gastrectomy for early gastric cancer. Methods: Data from 138 gastric cancer patients who underwent open distal gastrectomy at Kyungpook National University Chilgok Hospital between January 2011 and December 2012 were collected and reviewed. Patients with pathological stage I gastric cancer and with no comorbidities at diagnosis were enrolled. Body composition data from segmental multifrequency bioelectrical impedance analysis were obtained preoperatively and at 1, 2, and 3 years after surgery...
October 2018: Annals of Surgical Treatment and Research
Ki-Tae Hwang, Wonshik Han, Sang Mok Lee, Jaewoo Choi, Jongjin Kim, Jiyoung Rhu, Young A Kim, Dong-Young Noh
Purpose: The prognostic influence of 3-dimensional tumor volume (Tv) on breast cancer compared to conventional 1-dimensional tumor size (T) was investigated. Methods: Analysis was performed on a cohort of 8,996 primary breast cancer patients who were initially diagnosed with TNM stage I-III. Tumor size was defined as the maximum tumor dimension, and Tv was calculated by the equation of (4π × r1 × r2 × r3)/3; r1, r2, and r3 were defined as half of the largest, intermediate, and shortest dimension of the tumor, respectively...
October 2018: Annals of Surgical Treatment and Research
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