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Asian Journal of Surgery

Lazar B Davidovic, Petar Zlatanovic, Stefan Ducic, Igor Koncar, Vladimir Cvetic, Ilija Kuzmanovic
OBJECTIVE: Subclavian artery aneurysms (SAAs) are rare, but they may cause life- and limb-threatening complications. METHODS: Retrospective review was performed of all SAA patients that underwent treatment at the Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade between January 1st 2006 and January 1st 2018. The paper includes analysis of etiology and therapeutic options based on the experience from our institution. RESULTS: Twenty (80%) of SAAs involved extrathoracic (ET), while five (20%) intrathoracic (IT) segment...
May 18, 2019: Asian Journal of Surgery
Abhishek Choube, Vikesh Agrawal, Pawan Agarwal, Dhananjaya Sharma
No abstract text is available yet for this article.
May 18, 2019: Asian Journal of Surgery
Zheng Yamin, Bai Xuesong, Yao Guibin, Liu Liwei, Li Fei
OBJECTIVE: To perform Meta-analysis to identify risk factors associated with gallbladder polyps (GBP) formation in east Asian population. METHODS: Three English electronic bibliographic databases includes PubMed, Embase and Medline, with reviewed researches from 1986 to 2017. All possible risk factors of GBP formation were recorded. Meta-analyses were performed by Review Manager Software. Pooled odds ratios (OR) or the mean difference (MD) were used to determine risk factors...
May 17, 2019: Asian Journal of Surgery
Lu Wang, Jing-Rui Yang, Jiang Zhou, Bo Wen, Rui Liu, Jian-Jun Ren, Rui Xiao
No abstract text is available yet for this article.
May 10, 2019: Asian Journal of Surgery
Jong-Han Kim, Yeon-Ju Huh, Susan Park, Young Suk Park, Do Joong Park, Jin-Won Kwon, Joo Ho Lee, Yoon Seok Heo, Seung Ho Choi
BACKGROUND/OBJECTIVE: The number of gastric cancer and type II diabetes mellitus is increasing in Korea. Metabolic surgery could be extended to gastric cancer patients with type II diabetes, especially those who are expected to achieve long-term survival. This study aimed to investigate change of diabetic status in patients undergoing long-limb Roux-en-Y bypass reconstruction compared with conventional Billroth II after curative gastrectomy. In total, 130 patients from five university hospital centers underwent long-limb Roux-en Y reconstruction after radical distal gastrectomy...
May 3, 2019: Asian Journal of Surgery
Hironori Hayashi, Hidehiro Tajima, Kazuhiro Hanazaki, Hiroyuki Takamura, Ryosuke Gabata, Mitsuyoshi Okazaki, Yoshinao Ohbatake, Shinichi Nakanuma, Isamu Makino, Tomoharu Miyashita, Itasu Ninomiya, Sachio Fushida, Kenichi Yoshimura, Tetsuo Ohta
BACKGROUND: An artificial pancreas (AP) is useful for intensive insulin treatment (IIT). In this study, the safety and efficacy of an AP in the perioperative period of highly invasive hepato-biliary and pancreatic surgery (HBPS) was validated. METHODS: Fifty patients underwent IIT with an AP during the HBPS perioperative period, including hepatectomy greater than two sectors (MH), pancreatoduodenectomy (PD), and liver transplantation (LT). The primary endpoint was occurrence of hypoglycemia (<60 mg/dL)...
April 30, 2019: Asian Journal of Surgery
Abidin Şehitogullari, Ahmet Nasır, Ruchan Anbar, Kemalettin Erdem, Cahit Bilgin
OBJECTIVE: In this study, the perioperative outcomes of video-assisted thoracoscopic surgery (VATS) and robot-assisted thoracoscopic surgery (RATS) were compared in patients with clinical stage I and stage II thymoma. METHODS: The outcomes of 24 patients (10 males and 14 females; mean age: 42.5 years; range: 18-65 years) with diagnoses of clinical stage I and stage II thymoma who underwent VATS in our clinic between April 2010 and March 2018 were compared with the outcomes of 21 patients (8 males and 13 females; mean age: 41...
April 30, 2019: Asian Journal of Surgery
Zhilin Zhan, Hongchao Han, Dongbo Zhao, Guodong Song, Jie Hua, Bin Xu, Zhenshun Song
OBJECTIVE: Laparoscopic common bile duct exploration (LCBDE) has been demonstrated safety and effective for patients with gallbladder stones and extrahepatic bile duct stones, however few studies reported its suitability for the treatment of elderly patients. Thus, our study aims to investigate the safety and feasibility of primary closure after LCBDE in the treatment of elderly patients. METHODS: 408 out of 499 patients with Gallbladder stones complicated with choledocholithiasis who were undergone LCBDE and primary closure were divided into two groups: Group A (<65 years old, n = 249) and Group B (≥65 years old, n = 159) and the related clinical data were compared and analyzed by statistical method...
April 29, 2019: Asian Journal of Surgery
Yan-Jiun Huang, Yu-Min Huang, Wei-Lin Wang, Yiu-Shun Tong, Wayne Hsu, Po-Li Wei
BACKGROUND: Rectal neoplasm is one of the most common malignancies worldwide. Screening programs for rectal neoplasm result in early diagnosis and a decrease in disease-related mortality and morbidity. In selected patients, early rectal cancer may be treated with local excision. Owing to poor exposure during conventional transanal excision, transanal minimally invasive surgery (TAMIS) was developed, and TAMIS is feasible for the local excision of selected rectal neoplasms. However, the limited range of motion is a major disadvantage of this operation...
April 28, 2019: Asian Journal of Surgery
Takeshi Urade, Hidehiro Sawa, Yoshiteru Iwatani, Tomoki Abe, Ryosuke Fujinaka, Koichi Murata, Yasuhiko Mii, Mariko Man-I, Shigeteru Oka, Daisuke Kuroda
BACKGROUND: Anatomical liver resections guided by a demarcation line after portal staining or inflow clamping of the target area have been established as essential methods for curative treatment of hepatocellular carcinoma (HCC) and have subsequently been applied to other malignancies. However, laparoscopic anatomical liver resection (LALR) procedures are very difficult to reproduce, and the confirmation of demarcation of the hepatic segment on a monitor is also challenging. Recently, indocyanine green (ICG) fluorescence imaging has been used to identify hepatic tumors and segmental boundaries during hepatectomy...
April 28, 2019: Asian Journal of Surgery
Songping Liu, Keqin Hua
No abstract text is available yet for this article.
April 27, 2019: Asian Journal of Surgery
Joo Hyung Kim, Dae Hyun Kim, Yong Pyo Lee
BACKGROUND: Rectocele is often associated with chronic constipation. Various surgical techniques have been described to repair rectoceles, but the results vary. The aim of this study was to compare the outcomes of transanal repair (TAR) and transanal repair with posterior colporrhaphy (TAR + PC). METHODS: While 44 patients underwent TAR, 49 patients underwent TAR + PC for surgical repair of rectocele. Patients were followed up 3 months post-surgery for anorectal physiological changes...
April 26, 2019: Asian Journal of Surgery
Pawan Agarwal, Nisha Agarwal, Dhananjaya Sharma
No abstract text is available yet for this article.
April 26, 2019: Asian Journal of Surgery
Lin Sun, Bochao Zhao, Youyi Huang, Huiwen Lu, Rui Luo, Baojun Huang
OBJECTIVE: The aim of this study was to evaluate the impact of high body mass index (BMI) on surgical outcome of laparoscopic gastrectomy for gastric cancer (GC). METHODS: Systematic literature search was performed using PubMed and Embase databases. The relevant data were extracted, and surgical outcomes and postoperative complications were compared between BMI≥25 kg/m2 and BMI<25 kg/m2 group using a fixed effect model or random effect model. RESULTS: 16 studies, with a total of 9572 GC patients, were included in this meta-analysis...
April 26, 2019: Asian Journal of Surgery
Akio Sakamoto, Takeshi Okamoto, Shuichi Matsuda
No abstract text is available yet for this article.
April 26, 2019: Asian Journal of Surgery
Alberto Aiolfi, Stefania Tornese, Gianluca Bonitta, Marta Cavalli, Emanuele Rausa, Giancarlo Micheletto, Giampiero Campanelli, Davide Bona
Laparoscopic Heller Myotomy (LHM) with partial fundoplication has become the treatment of choice for esophageal achalasia. However, the choice of the partial fundoplication is debated. The aim of this study was to compare outcomes for Dor and Toupet fundoplication after LHM. A systematic search of randomized controlled trials comparing Dor and Toupet fundoplication was performed using PubMed, EMBASE and Web of Science. Three studies met the inclusion criteria. Overall, 174 patients were included in the analysis...
April 25, 2019: Asian Journal of Surgery
Tzu-Yen Chang, Yuan-Yu Hsueh, Yi-Ting Yen, Jing-Wei Lee
No abstract text is available yet for this article.
April 16, 2019: Asian Journal of Surgery
Hıdır Esme, Atilla Can, Abidin Şehitogullari
BACKGROUND: The objectives of this study are to assess the chest drainage volumes of patients undergoing anatomic resection of non-small cell lung carcinoma and to determine the safety and effectiveness of administering enoxaparin for thromboprophylaxis. METHODS: A total of 77 patients were included in the study. A study was conducted on the first group of 42 patients in which enoxaparin prophylaxis (enoxaparin, 40 mg) was subcutaneously injected once a day for a period of three days after the patients underwent anatomic pulmonary resection between March 2016 and March 2018...
April 13, 2019: Asian Journal of Surgery
Jia-Yuan Yang, Jian-Jun Ren, Jun-Hua Jin, Zhen-Fang Yang
In our clinical work, we found that there is a certain angle in the extrahepatic biliary system, that is to say, there is an angle between the extension line of the lower common bile duct and the upper duodenal segment of bile duct system In Magnetic Resonance Cholangiopancreatography (MRCP), the angle of a patient with bile duct injury(BDI) during laparoscopic cholecystectomy (LC) was measured and compared with that of a patient without BDI during LC We suspect that the bigger angle may be related to the occurrence of BDI in LC We named the angle in the coronal and sagittal positions as "proximity angle" and "exposure angle" respectively...
April 13, 2019: Asian Journal of Surgery
Dexin Hu, Jun Fei, Genjun Chen, Yongjie Yu, Zhen Lai
OBJECTIVE: To investigate the clinical efficacy and safety of mini-open anterior approach focal cleaning combined with posterior internal fixation for thoracolumbar tuberculosis. METHODS: A total of 149 patients with thoracolumbar tuberculosis were reviewed retrospectively and divided into 3 groups: mini-open anterior approach (group A), conventional anterior extraperitoneal approach (group B), and posterior approach (group C). After the operation, drainage tubes were routinely placed and the draining fluid was collected on the 4th day for the PCR detection of Mycobacterium tuberculosis (MTB), Mycobacterium tuberculosis DNA test (MTD), and Roche culture...
April 12, 2019: Asian Journal of Surgery
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