Formosan Journal of Surgery最新文献_第4页

LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR TREATMENT OF LIVER TUMORS: EARLY EXPERIENCE OUTCOMES 腹腔镜与开放肝切除术治疗肝脏肿瘤:早期经验结果

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Formosan Journal of Surgery Pub Date : 2023-08-11 DOI: 10.1097/fs9.0000000000000083

Kitti Wongta, Mati Rattanasakalwong, Jantaluck Nuchanatanon, P. Charutragulchai, Vorapatu Tangsirapat

{"title":"LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR TREATMENT OF LIVER TUMORS: EARLY EXPERIENCE OUTCOMES","authors":"Kitti Wongta, Mati Rattanasakalwong, Jantaluck Nuchanatanon, P. Charutragulchai, Vorapatu Tangsirapat","doi":"10.1097/fs9.0000000000000083","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000083","url":null,"abstract":"\u0000 \u0000 \u0000 Although minimally invasive liver surgery has been increasingly practiced worldwide, the lack of experience is a barrier for numerous surgeons to initiate. This study aims to compare the outcome of laparoscopic liver resection (LLR) versus open liver resection (OLR) by surgeons who begin to conduct both procedures through the same period.\u0000 \u0000 \u0000 \u0000 We retrospectively analyzed the demographic data, the perioperative data, and the surgical outcomes of patients who underwent liver resection for the treatment of liver tumors. All procedures were operated by three hepato-pancreato-biliary (HPB) surgeons.\u0000 \u0000 \u0000 \u0000 In total 56 hepatectomies were operated on, 13 patients in the LLR group with an average Iwate score of 5, and 43 patients in the OLR group were included in the study. After propensity score matching, comparing 13 patients of each LLR and OLR groups, the operative time (316.5 vs 315.4 minutes, P = 0.98) and the amount of blood loss (929 vs 1500 mL, P = 0.23) were not different. The postoperative length of stay was significantly shorter in the LR group (6 vs 12 days, P = 0.009). The LLR group had a lower severity of the complications (P = 0.02), and the mortality rate was zero in both groups. The margin-free status did not differ between the LLR and OLR groups (92.3% vs 76.9%, P = 0.28).\u0000 \u0000 \u0000 \u0000 For HPB surgeons with limited experience, LLR is safe to meticulously proceed for liver lesions. The advantage of LLR is fewer complications, and most importantly the margin-free status is comparable between both groups.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42313159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in Global Research for Treating COVID-19 vaccine related acute appendicitis: A Bibliographic Analysis 全球治疗新冠肺炎疫苗相关急性阑尾炎的研究趋势：文献分析

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Formosan Journal of Surgery Pub Date : 2023-07-18 DOI: 10.1097/fs9.0000000000000078

B. Joob, V. Wiwanitkit

引用次数: 0

Comparison between Tubeless Mini-Percutaneous Nephrolithotomy versus Flexible Ureterorenoscopic Lithotripsy for the Treatment of Upper Ureteral Calculi Larger than 1 cm 输尿管上段大于1cm结石的无管微型经皮肾镜取石术与输尿管镜碎石术比较

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Formosan Journal of Surgery Pub Date : 2023-07-18 DOI: 10.1097/fs9.0000000000000079

Chu-Min Chou, Chung-Jing Wang, Y. Jou, M. Cheng, Cheng-Huang Shen, Chang-te Lin

{"title":"Comparison between Tubeless Mini-Percutaneous Nephrolithotomy versus Flexible Ureterorenoscopic Lithotripsy for the Treatment of Upper Ureteral Calculi Larger than 1 cm","authors":"Chu-Min Chou, Chung-Jing Wang, Y. Jou, M. Cheng, Cheng-Huang Shen, Chang-te Lin","doi":"10.1097/fs9.0000000000000079","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000079","url":null,"abstract":"\u0000 \u0000 \u0000 To assess the outcome and safety of tubeless mini-percutaneous nephrolithotomy (mPCNL) and flexible ureterorenoscopic lithotripsy (fURSL) in treating upper ureteral stones larger than 1 cm.\u0000 \u0000 \u0000 \u0000 Between July 2017 and June 2020, 218 patients underwent tubeless mini-PCNL and fURSL for upper ureteral calculi larger than 1 cm were enrolled in this study. Patient characteristics and perioperative outcomes and complications were evaluated by retrospective chart review.\u0000 \u0000 \u0000 \u0000 Immediate stone-free rates after the procedure were 100 % of patients for the tubeless mini-PCNL and 71.0 % of patients for the fURSL group (P = 0.004). The mean operative time per patient was 79.8 ± 21.8 minutes in the tubeless mini-PCNL group, and it was 99.7 ± 33.8 minutes in the fURSL groups (P = 0.009). The average hospital stay was 2.7 ± 1.9 days in the tubeless mini-PCNL group and 1.5 ± 1.2 days in the fURSL group (P < 0.001). The rate of febrile episode for the tubeless mini-PCNL and fURSL groups were 14.3 % and 2.3%, respectively (P = 0.028)\u0000 \u0000 \u0000 \u0000 Tubeless mini-PCNL and fURSL are safe and feasible treatment options for proximal ureteral calculi larger than 1 cm. Tubeless mini-PCNL offers better outcome of higher stone-free rate and shorter operation time compared with fURSL, but with a higher rate of febrile complications and longer hospital stay.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41984665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New generation of COVID-19 vaccine, new form and new material – what to known in clinical surgery 新一代新冠肺炎疫苗、新形式和新材料——临床手术中的已知内容

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Formosan Journal of Surgery Pub Date : 2023-07-17 DOI: 10.1097/fs9.0000000000000076

W. Sriwijitalai, V. Wiwanitkit

引用次数: 0

Heterologous vaccination, from rabies vaccine to COVID-19 vaccine: view in clinical surgery 从狂犬病疫苗到新冠肺炎疫苗的异源疫苗接种：临床外科学观点

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Formosan Journal of Surgery Pub Date : 2023-07-17 DOI: 10.1097/fs9.0000000000000077

W. Sriwijitalai, V. Wiwanitkit

引用次数: 0

LAPAROSCOPIC TREATMENT OF COMPLICATED OBTURATOR HERNIA: A CASE SERIES OF 6 PATIENTS 腹腔镜治疗复杂性闭孔疝6例

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Formosan Journal of Surgery Pub Date : 2023-07-13 DOI: 10.1097/fs9.0000000000000075

T. N. Dang, V. A. Pham, T. H. Nguyen

引用次数: 0

The existence of biliary intraepithelial neoplasia at resection margin is not a risk factor for recurrence of biliary tract cancer 切除边缘的胆道上皮内瘤变不是癌症复发的危险因素

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Formosan Journal of Surgery Pub Date : 2023-07-08 DOI: 10.1097/fs9.0000000000000074

Naohiro Yoshida, Kazuhiro Koikawa, T. Aoyagi, T. Ogata, M. Taniguchi

{"title":"The existence of biliary intraepithelial neoplasia at resection margin is not a risk factor for recurrence of biliary tract cancer","authors":"Naohiro Yoshida, Kazuhiro Koikawa, T. Aoyagi, T. Ogata, M. Taniguchi","doi":"10.1097/fs9.0000000000000074","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000074","url":null,"abstract":"\u0000 \u0000 \u0000 Invasive carcinoma or dysplasia (biliary intraepithelial neoplasia [BilIN]) is often found in the surgical stumps of biliary tract cancer. We investigated whether the presence of BilIN at the surgical margin is a risk factor for recurrence.\u0000 \u0000 \u0000 \u0000 Seventy-five consecutive patients who underwent curative resection for biliary tract cancer were included in this study. We retrospectively evaluated the surgical margin status (negative, BilIN, or positive) and analyzed the postoperative disease recurrence rate and recurrence pattern by the status.\u0000 \u0000 \u0000 \u0000 The disease-free survival rate was significantly worse in the positive margin group than in the negative margin group (11 vs 18 months, p = 0.027). There were no statistical differences between the BilIN-positive group and the other two groups. In the multivariate analysis, infiltrative growth (INF) c (HR 3.348, 95%CI 1.368-8.195, p = 0.008) and pathological exhumed margin (pEM) (HR 2.670, 95%CI 1.097-6.495, p = 0.030) were independent recurrence factors. The margin status of BilIN was not associated with recurrence (HR 0.867, 95%CI 0.491-2.946, p = 0.687).\u0000 \u0000 \u0000 \u0000 The BilIN component at the surgical margin was not associated with short-term recurrence, but the pEM-positive and INFc were. INFc may be a potential predictive factor for recurrence.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47167897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systemic diffuse large B-cell lymphoma manifesting initially as scalp hematoma after an acute head injury: case report and literature review 急性颅脑损伤后最初表现为头皮血肿的系统性弥漫性大B细胞淋巴瘤：病例报告和文献复习

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Formosan Journal of Surgery Pub Date : 2023-06-27 DOI: 10.1097/fs9.0000000000000071

Peng-chan Huang, Wen-Teng Yao, J. Jhuang, Cheng-Chia Tsai, Shiu-Jau Chen, Chih-Chuan Yang

引用次数: 0

Deaths among surgeons while on duty: an important issue in surgery and occupational medicine that should not be disregarded 外科医生在值班期间死亡：外科和职业医学中不应忽视的一个重要问题

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Formosan Journal of Surgery Pub Date : 2023-06-26 DOI: 10.1097/fs9.0000000000000073

R. Mungmunpuntipantip, V. Wiwanitkit

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Trends in the incidence of adrenocortical carcinoma and pheochromocytoma/paraganglioma in Taiwan 台湾肾上腺皮质癌及嗜铬细胞瘤/副神经节瘤发病率之趋势

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Formosan Journal of Surgery Pub Date : 2023-06-19 DOI: 10.1097/FS9.0000000000000072

Chung‐Hsin Tsai, Tun-Sung Huang, Shih-Ping Cheng

{"title":"Trends in the incidence of adrenocortical carcinoma and pheochromocytoma/paraganglioma in Taiwan","authors":"Chung‐Hsin Tsai, Tun-Sung Huang, Shih-Ping Cheng","doi":"10.1097/FS9.0000000000000072","DOIUrl":"https://doi.org/10.1097/FS9.0000000000000072","url":null,"abstract":"Abstract Background Adrenal malignancies are rare endocrine tumors. Recent epidemiological studies suggest that incidence rates of adrenal malignancies are increased in certain countries. In this study, we aimed to analyze temporal trends in the incidence of adrenocortical carcinoma and pheochromocytoma/paraganglioma (PPGL). Methods Cases of adrenal malignancies were identified from the Taiwan cancer registry, and age-standardized incidence rates (ASRs) were calculated. Annual percent change (APC) or average APC was obtained using joinpoint regression models. Results The ASRs of adrenocortical carcinoma ranged from 0.021 to 0.135 per 100,000 person-years. The average APC between 1995 and 2020 was 6.633% (95% confidence interval, 2.740 to 9.403). The ASRs of PPGL ranged from 0.005 to 0.056 per 100,000 person-years before 2017, and because of changes in diagnostic criteria, the median ASR of PPGL rose to 0.314 per 100,000 person-years after 2017. The APC between 1996 and 2016 was 3.554% (95% confidence interval, −1.103 to 8.264). Conclusions The annual incidence of adrenocortical carcinoma has significantly increased in Taiwan over the past two decades. The incidence of malignant PPGL remained stable over this period.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"56 1","pages":"147 - 152"},"PeriodicalIF":0.4,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46401456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0