Koshi Kumagai, Souya Nunobe, Naoki Hiki, Masaru Hayami, Naoki Ishizuka, Satoshi Ida, Rie Makuuchi, Xiaohua Jiang, Manabu Ohashi, Takeshi Sano
BACKGROUND: Laparoscopic gastrectomy is more frequently associated with postoperative pancreatic fistula than is open gastrectomy. We assumed that compression of the pancreas with various devices to obtain a proper operative view is associated with the higher incidence of PF in LG and that the extent of the compression differs depending on the anatomical position of the pancreas. The present study aimed to elucidate the correlation between the anatomical position of the pancreas and PF after LG for gastric cancer...
March 25, 2023: World Journal of Surgery
Megan O'Connor, MarĂ­ Thiart
No abstract text is available yet for this article.
March 24, 2023: World Journal of Surgery
Daniele Fusario, Alessandro Neri, Ludovico Carbone, Luca Resca, Luigi Marano, Giulia Gassi, Natale Calomino, Luigi Verre, Franco Roviello, Daniele Marrelli
BACKGROUND: Identification of reliable risk-stratification tools is critical for surgical decision making, particularly in frail and elderly. The aim of the study is to validate the Emergency Surgery Frailty Index (EmSFI), in over 65 years old patients operated on for acute appendicitis. METHODS: An observational study was conducted enrolling elderly patients with diagnosis of acute appendicitis who underwent emergency appendicectomy or right colectomy, between 2016 and 2021...
March 22, 2023: World Journal of Surgery
Tomotaka Kato, Yoshihiro Ono, Atsushi Oba, Takafumi Sato, Hiromichi Ito, Yosuke Inoue, Akio Saiura, Yu Takahashi
BACKGROUND: Pancreas-sparing distal duodenectomy (PSDD) is a favorable option for distal duodenal neoplasms, and its procedure, including the extent of lymphadenectomy, should be modified according to the malignancy of the tumor. However, there are no coherent reports on the details of this procedure or long-term outcomes after each resection. METHODS: This study included 24 patients who underwent PSDD at our institution between January 2009 and October 2020. Patients were divided into two groups according to the tumor progression: nine with (Lv-II) and fifteen without (Lv-I) mesopancreas dissection...
March 20, 2023: World Journal of Surgery
Jared Gallaher, Selena J An, Linda Kayange, Dylane Davis, Anthony Charles
BACKGROUND: Advances in trauma care in high-income countries have significantly reduced late deaths following trauma, challenging the classical trimodal pattern of trauma-associated mortality. While studies from low and middle-income countries have demonstrated that the trimodal pattern is still occurring in many regions, there is a lack of data from sub-Saharan Africa evaluating the temporal epidemiology of trauma deaths. METHODS: We conducted a retrospective analysis of the trauma registry at Kamuzu Central Hospital in Lilongwe, Malawi, including all injured patients presenting to the emergency department (ED) from 2009 to 2021...
March 20, 2023: World Journal of Surgery
Anna Kuligowska, Magdalena O'Connor-Manson, Giordano Perin, Sabapathy Balasubramanian
No abstract text is available yet for this article.
March 20, 2023: World Journal of Surgery
Haruhiko Yamazaki, Katsuhiko Masudo, Yasushi Rino
BACKGROUND: This study aimed to investigate outcomes in the same cohort of patients with papillary thyroid carcinoma (PTC) risk-stratified according to the Japan Association of Endocrine Surgery (JAES) and American Thyroid Association (ATA) guidelines. METHODS: A total of 1044 patients with PTC who underwent initial thyroidectomy at Yokohama City University Medical Center between January 2000 and June 2022 were included. RESULTS: According to the JAES guidelines, 480 (46%), 386 (37%), and 178 (17%) patients were classified as low, intermediate, or high risk, respectively...
March 15, 2023: World Journal of Surgery
Gordana Rasic, Susanna W L de Geus, Marianna V Papageorge, Alison P Woods, Sing Chau Ng, David McAneny, Jennifer F Tseng, Teviah E Sachs
BACKGROUND: In early-stage hepatocellular carcinoma (HCC), the receipt of recommended care is critical for long-term survival. Unfortunately, not all patients decide to undergo therapy. We sought to identify factors associated with the decision to decline recommended intervention among patients with early-stage HCC. METHODS: The National Cancer Database was queried for patients diagnosed with clinical stages I and II HCC (2004-2017). Cohorts were created based on the receipt or decline of recommended interventions-hepatectomy, liver transplantation, and ablation...
March 14, 2023: World Journal of Surgery
Savannah Starr, Rasheedat Oke, Silas Okullu, Mary Goretty Ariokot, Andrew Hyginus Wange, Esther Agwang, Peter Ekuchu, Catherine Juillard, Mary Margaret Ajiko, Rochelle A Dicker
INTRODUCTION: The impact of COVID-19 on low-resource surgical systems is concerning but there are limited studies examining the effect in low- and middle-income countries. This study assesses changes in surgical capacity during the COVID-19 pandemic at Soroti Regional Referral Hospital, a tertiary healthcare facility in Soroti, Uganda. METHODS: Patients from a prospective general surgery registry at SRRH were divided into cohorts admitted prior to the pandemic (January 2017 to February 2020) and during the pandemic (March 2020 to May 2021)...
March 12, 2023: World Journal of Surgery
McKayla Poppens, Rasheedat Oke, Melissa Carvalho, Yeranui Ledesma, Silas Okullu, Mary Goretty Ariokot, Esther Agwang, Peter Ekuchu, Hyginus Wange, Marissa Boeck, Catherine Juillard, Mary Margaret Ajiko, Rochelle Dicker
BACKGROUND: Deaths related to pregnancy and childbirth are extremely high in low-resource countries such as Uganda. Maternal mortality in low- and middle-income countries is related to delays in seeking, reaching, and receiving adequate health care. This study aimed to investigate the in-hospital delays to surgical care for women in labor arriving to Soroti Regional Referral Hospital (SRRH). METHODS: From January 2017 to August 2020, we collected data on obstetric surgical patients in labor using a locally developed, context-specific obstetrics surgical registry...
March 10, 2023: World Journal of Surgery
Yaniv Yonai, Rawan Masarwa, Yaniv Steinfeld, Merav Ben Natan, Yaron Berkovich
BACKGROUND: Orthopedics is not a popular field of specialization among female medical students. Therefore, the purpose of the study was to examine factors related to women's choice of orthopedics as their field of specialty, compared to those who chose other fields. METHODS: In this cross-sectional survey, 149 female medical residents from Israel-33 specializing in orthopedics and 116 in other fields-completed a questionnaire. A comparison was held between the two groups...
March 9, 2023: World Journal of Surgery
Genki Watanabe, Shouichi Satou, Motomu Tanaka, Masashi Momiyama, Kentaro Nakajima, Atsuki Nagao, Hitoshi Satodate, Tamaki Noie
BACKGROUND: Although intestinal derotation procedure has advantages of facilitating mesopancreas excision during pancreaticoduodenectomy, the wide mobilization takes time and risks injuring other organs. This article describes a modified intestinal derotation procedure in pancreaticoduodenectomy and its clinical impact on short-term outcomes. METHODS: The modified procedure comprised the pinpoint mobilization of the proximal jejunum following reversed Kocherization...
March 8, 2023: World Journal of Surgery
Helena Franco, Samuel Simister, Abdoulie Njai, Pierre Marie Woolley, Michelle Nyah Joseph
BACKGROUND: In 2021, a 7.2 magnitude earthquake struck Haiti resulting in a surge of orthopaedic trauma requiring immediate surgical treatment. Safe and efficient operative management of orthopaedic trauma injuries requires intraoperative fluoroscopy through C-arm machines. The Haitian Health Network (HHN) received a philanthropic donation of three C-arm machines and considered an analytical tool may guide efficacious placement of those machines. The study objective was to develop and apply a clinical needs and hospital readiness measuring tool relevant to C-arm machines, which may guide decision-makers, such as HHN, in response to an emergency situation with a surge in need for orthopaedic treatment...
March 8, 2023: World Journal of Surgery
Tatiana Codjia, Edouard Roussel, Eloise Papet, Jean Pinson, Matthieu Monge, Pauline Tortajada, Jean-Jacques Tuech, Lilian Schwarz
BACKGROUND: Clinically relevant postoperative pancreatic fistula (POPF) occurs in 15-20% of patients after pancreaticoduodenectomy (PD) and reintervention in the setting of Grade C POPF remains associated with a mortality rate of up to 25%. In patients at high risk of POPF, PD with external wirsungostomy (EW) could be a safe alternative that avoids pancreatico-enteric anastomosis while preserving the remnant pancreas. METHODS: Of the 155 consecutive patients who underwent PD from November 2015 to December 2020, 10 patients were managed using an EW, all with a fistula risk score (FRS) ≥ 7 and BMI ≥30 kg/m2 , and/or major associated abdominal surgery...
March 8, 2023: World Journal of Surgery
Jia-Xing Hou, Zhen Deng, Yan-Yu Liu, Shao-Kang Xu, Zi-Xin Li, Ji-Chun Sun, Ming-Yi Zhao
BACKGROUND: Liver cancer resection is an effective but complex way to treat liver cancer, and complex anatomy is one of the reasons for the difficulty of surgery. The use of 3D technology can help surgeons cope with this dilemma. This article intends to conduct a bibliometric analysis of the role of 3D technology in liver cancer resection. METHODS: (TS = (3D) OR TS = (three-dimensional)) AND (TS = (((hepatic) OR (liver)) AND ((cancer) OR (tumor) OR (neoplasm)))) AND (TS = (excision) OR TS = (resection)) was used as a search strategy for data collection in the Web of Science (WoS) Core Collection...
March 7, 2023: World Journal of Surgery
Busisiwe Mrara, Olanrewaju Oladimeji
No abstract text is available yet for this article.
March 6, 2023: World Journal of Surgery
Zeyu Tang, Derick Kayondo, Sarah J Ullrich, Martha Namugga, Peter Muwanguzi, Gregory Klazura, Doruk Ozgediz, Mari Armstrong-Hough
BACKGROUND: Despite the growth of trauma training courses worldwide, evidence for their impact on clinical practice in low- and middle-income countries (LMICs) is sparse. We investigated trauma practices by trained providers in Uganda using clinical observation, surveys, and interviews. METHODS: Ugandan providers participated in the Kampala Advanced Trauma Course (KATC) from 2018 to 2019. Between July and September of 2019, we directly evaluated guideline-concordant behaviors in KATC-exposed facilities using a structured real-time observation tool...
March 5, 2023: World Journal of Surgery
Lorenzo Del Nero, Afscin Djahandideh Sheijani, Antonella De Ceglie, Marco Bruzzone, Marcello Ceppi, Rosa Angela Filiberti, Peter Siersema, Massimo Conio
BACKGROUND AND AIM: Surgical gastrojejunostomy (GJJ) and endoscopic stenting (ES) are the two most available treatments for palliation of malignant gastric obstruction (MGOO). The aim of this study is to compare these two techniques regarding efficacy, safety, time of hospitalization and survival. METHODS: We performed a literature search from January 2010 to September 2020 to identify available randomized controlled studies and observational studies that compared ES and GJJ for the treatment of MGOO...
March 3, 2023: World Journal of Surgery
Song Xu, Yiran Chen, Na Luo, Ang Zhong, Kun Yang
BACKGROUND: An accurate and objective measuring tool is lacking for laparoscopic suture accuracy assessment in simulation training. We designed and developed the suture accuracy testing system (SATS) and aimed to determine its construct validity in this study. METHODS: Twenty laparoscopic experts and 20 novices were recruited to perform a suturing task in three sessions using traditional laparoscopic instruments (Tra. session), a handheld multi-degree-of-freedom (MDoF) laparoscopic instrument (MDoF session) and a surgical robot (Rob...
March 2, 2023: World Journal of Surgery
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