International surgery最新文献_第10页

Preoperative intake of carbohydrate-rich drinks is associated with postoperative pulmonary complications in patients after gastric cancer surgery 术前摄入富含碳水化合物的饮料与胃癌术后肺部并发症相关

IF 0.1 4区医学

International surgery Pub Date : 2020-11-02 DOI: 10.9738/intsurg-d-20-00007.1

Miyeong Park, S. Ok, Jiyoung Park, H. Yu, S. Bae, Tae-Han Kim, J. Min, Sangho Jeong

{"title":"Preoperative intake of carbohydrate-rich drinks is associated with postoperative pulmonary complications in patients after gastric cancer surgery","authors":"Miyeong Park, S. Ok, Jiyoung Park, H. Yu, S. Bae, Tae-Han Kim, J. Min, Sangho Jeong","doi":"10.9738/intsurg-d-20-00007.1","DOIUrl":"https://doi.org/10.9738/intsurg-d-20-00007.1","url":null,"abstract":"Background: The aims of this study were: 1) to investigate the correlation between carbohydrate-rich drinks (CRDs) before gastric cancer surgery and postoperative nutrition laboratory findings; and 2) to determine whether CRDs affect the incidence of postoperative complications.Materials and methods: A retrospective study was conducted on 142 patients who underwent radical stomach cancer surgery. The patients were divided into two groups (NPO group vs. CRD group) according to the intake of CRDs prior to surgery. We performed statistical analysis using Student’s t-test, the Chi-square test and a binary logistic regression model (SPSS Statistics software, version 24).Results: Laboratory analysis of the nutrition status showed a significant increase in serum protein and albumin levels in the CRD group after postoperative day 1 (POD#1) (p<0.05).The overall morbidity rate showed no difference between the two groups, but pulmonary complications showed significant differences of 1/72 and 9/70 (p=0.008). In the univariate analysis, there were significantly increased pulmonary complications in patients with higher Eastern Cooperative Oncology Group (ECOG) scores (p = 0.001), existing pulmonary disease (p = 0.003), anastomotic leakage (p = 0.03), and CRD intake (p=0.008). In the multivariate analysis, CRD intake was the only independent factor.ConclusionWe found that administering a CRD is effective in improving albumin and protein levels in the short-term period after surgery but is an independent factor for pulmonary complications after gastrectomy. We recommend that patients with no medications for pulmonary disease and with low ECOG scores can safely ingest CRDs and expect short-term nutritional effects.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42731522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The clinicopathological characteristics and genetic alterations of gastric cancer patients according to the Lauren classification 根据劳伦分类的胃癌患者的临床病理特征和基因改变

IF 0.1 4区医学

International surgery Pub Date : 2020-10-29 DOI: 10.9738/intsurg-d-20-00022.1

Hangjiong Cheng, Kuo-Hung Huang, Ming-Huang Chen, W. Fang, Chien-Hsing Lin, Y. Chao, S. Lo, A. Li, Chew‐Wun Wu, Y. Shyr

{"title":"The clinicopathological characteristics and genetic alterations of gastric cancer patients according to the Lauren classification","authors":"Hangjiong Cheng, Kuo-Hung Huang, Ming-Huang Chen, W. Fang, Chien-Hsing Lin, Y. Chao, S. Lo, A. Li, Chew‐Wun Wu, Y. Shyr","doi":"10.9738/intsurg-d-20-00022.1","DOIUrl":"https://doi.org/10.9738/intsurg-d-20-00022.1","url":null,"abstract":"ObjectiveThe Lauren classification is an important histological classification of gastric cancer (GC) with different biological behaviors between histological types.BackgroundTo date, there are few reports on the genetic alterations and survival differences between different histological types according to the Lauren classification.MethodsIn total, 433 GC patients undergoing surgery were enrolled. The clinicopathological features, prognoses, and genetic alterations of the different Lauren types were compared.ResultsDiffuse-type GC was associated with a younger age, female predominance, more Borrmann type 3 and 4 tumors, more advanced pathological tumor (T) and node (N) categories, more tumor recurrences (especially peritoneal recurrence), and worse 5-year overall survival and disease-free survival rates than intestinal-type GC and mixed-type GC. Regarding genetic alterations, mixed-type GC was associated with more TP53 mutations than intestinal-type GC and diffuse-type GC. Multivariate analysis demonstrated the following independent prognostic factors: age, Lauren classification, and pathological T and N categories. Regarding mixed-type GC, diffuse-type major tumors were associated with more lymphovascular invasion, a more advanced N category and TNM stage, and fewer PI3K/AKT pathway mutations than intestinal-type major tumors.ConclusionsDiffuse-type GC had unfavorable clinicopathological features and a worse prognosis than intestinal-type GC. For mixed-type GC, the clinicopathological features and genetic alterations were different between intestinal-type major tumors and diffuse-type major tumors.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45111118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Palliative surgical treatment for liver metastases arising from breast cancer 乳腺癌症肝转移的姑息性手术治疗

IF 0.1 4区医学

International surgery Pub Date : 2020-10-19 DOI: 10.9738/intsurg-d-20-00009.1

K. Enomoto

引用次数: 0

Outcomes of pancreatic resection for elderly patients with pancreatic cancer 老年胰腺癌患者胰腺切除术的疗效

IF 0.1 4区医学

International surgery Pub Date : 2020-10-18 DOI: 10.9738/intsurg-d-20-00011.1

Shuji Suzuki, M. Shimoda, J. Shimazaki, Y. Oshiro, Kiyotaka Nishida, Yatsuka Sahara, Y. Nagakawa, A. Tsuchida

{"title":"Outcomes of pancreatic resection for elderly patients with pancreatic cancer","authors":"Shuji Suzuki, M. Shimoda, J. Shimazaki, Y. Oshiro, Kiyotaka Nishida, Yatsuka Sahara, Y. Nagakawa, A. Tsuchida","doi":"10.9738/intsurg-d-20-00011.1","DOIUrl":"https://doi.org/10.9738/intsurg-d-20-00011.1","url":null,"abstract":"BackgroundPancreatic ductal adenocarcinoma (PDAC) is a lethal disease with poor, albeit gradually improving, prognosis. We evaluated predictive clinicophysiological outcomes of elderly patients with PDAC.MethodsWe retrospectively examined 260 patients who underwent pancreatic resection classified into two groups: (A) those ≤ 80 (B) and those > 80 years. Operative characteristics, preoperative clinicophysiological parameters (body mass index, jaundice decompression, total bilirubin, albumin, creatinine, HbA1c, amylase, C-reactive protein, white blood cells, lymphocytes, hemoglobin, platelets, cancer antigen 19-9, carcinoembryonic antigen, neutrophil/lymphocyte ratio, prognostic nutritional index, platelet/lymphocyte ratio, and CRP/Alb ratio), disease-free survival (DFS), and overall survival (OS) were reported.ResultsThere were no differences noted in morbidity, mortality, and preoperative clinicophysiological parameters. Median DFS of groups A and B were 15.4 and 15.5 months respectively. One year and 3-year OS of groups A and B were 86.7/68% and 88.4/69.3%, respectively. There were no differences between the groups for DFS and OS.ConclusionCurative resection for PDAC can be safely performed in elderly and younger patients and elderly patients with PDAC can benefit from curative surgery without a significant decrease in survival rates.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42529645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Onlay repair using self-gripping mesh for lateral trocar site hernia after laparoscopic incisional hernia repair: A case report with short and mid-term outcomes 腹腔镜切口疝修补术后外侧套管针部位疝采用自夹持补片补片:中短期疗效1例

IF 0.1 4区医学

International surgery Pub Date : 2020-10-13 DOI: 10.9738/intsurg-d-20-00019.1

S. Tsujinaka, Rintaro Fukuda, Ryo Maemoto, Erika Machida, Nao Kakizawa, Tsutomu Takenami, Y. Miyakura, N. Toyama, T. Rikiyama

{"title":"Onlay repair using self-gripping mesh for lateral trocar site hernia after laparoscopic incisional hernia repair: A case report with short and mid-term outcomes","authors":"S. Tsujinaka, Rintaro Fukuda, Ryo Maemoto, Erika Machida, Nao Kakizawa, Tsutomu Takenami, Y. Miyakura, N. Toyama, T. Rikiyama","doi":"10.9738/intsurg-d-20-00019.1","DOIUrl":"https://doi.org/10.9738/intsurg-d-20-00019.1","url":null,"abstract":"IntroductionTrocar site hernia (TSH) is an uncommon complication after laparoscopic surgery, but may potentially require surgical intervention. The available data have shown the importance of prediction and prevention, and the optimal surgical approach for TSH remains unclear and its long-term outcome is scarcely available. Here, we present a case of a lateral TSH after laparoscopic incisional hernia repair, which was successfully repaired using the onlay technique with a self-gripping mesh.Case PresentationA 74-year-old woman presented with an abdominal incisional hernia at the midline after an open cholecystectomy. She underwent laparoscopic surgery for incisional hernia with intraperitoneal onlay mesh repair. Fascial closure was performed for trocar sites. After 12 months, she noticed a painful bulge in the left upper quadrant suggestive of TSH. At the time of diagnosis, her body mass index was 32 kg/m2. TSH repair was performed under general anesthesia. A 3 × 3 cm defect was identified, and the hernial content was found to be the omentum. Defect closure was performed using interrupted sutures followed by placement of a self-gripping mesh (11 × 11 cm in size, obtaining a 4 cm overlap for the defect). The operative time was 80 min. The postoperative course was uneventful except for a spontaneously resolved seroma. CT scan at the 1-year follow-up and physical examination at the 2-year visit showed no recurrence.ConclusionOur proposed onlay repair using self-gripping mesh may be considered as the treatment of choice for cases of lateral TSH after laparoscopic incisional hernia repair.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":"31 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71208049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety of Bariatric Surgery during COVID-19 Pandemic, is there a need to screen low risk patients? COVID-19大流行期间减肥手术的安全性，是否有必要筛查低风险患者?

IF 0.1 4区医学

International surgery Pub Date : 2020-09-30 DOI: 10.9738/INTSURG-D-20-00021.1

Emad Aljohani, Fahad Almadi, Rami Basardah, M. Banjar, Khadeejah A. Almufawez, H. Tamimi

{"title":"Safety of Bariatric Surgery during COVID-19 Pandemic, is there a need to screen low risk patients?","authors":"Emad Aljohani, Fahad Almadi, Rami Basardah, M. Banjar, Khadeejah A. Almufawez, H. Tamimi","doi":"10.9738/INTSURG-D-20-00021.1","DOIUrl":"https://doi.org/10.9738/INTSURG-D-20-00021.1","url":null,"abstract":"Background There seems to be a general consensus in the current published literature on postponing elective, non-urgent surgery on COVID-19-positive patients. But so far no recommendations have been published on when and how to start carrying out elective, non-urgent surgery on COVID-19-negative patients after the epidemic peak. Objective: to determine the best approach for reintroduction of elective procedures during COVID-19 based on their preoperative screening by the respiratory scoring system. Methodology: retrospective chart review of patients who underwent bariatric surgery between March to June in 2020, during the pandemic of Covid 19. The study was conducted in Riyadh, Saudi Arabia in two different health institutions. Results: The total number of patients were 90. The mean age of the patients was 32.73 ± 7.81 years. Moreover, (n=36; 40.0%) of the patients presented with comorbidities. Only (n=1; 1.1%) of the patient was tested for Covid19 by RT-PCR before surgery and tested negative. Majority of the patients (n=80; 88.9% ) underwent Lap sleeve gasterecomy. Post surgery no patients developed any complications and none of them were admitted to the ICU. Post surgery only (n=2; 2.2%) of the patient were tested for Covid19 by RT-PCR and 100% tested negative. Conclusion: During COVID-19 pandemic before considering patients for elective surgery they should be screened. If their respiratory score is ≤ 3 indicating low risk of respiratory illness, elective procedures should continue. Strict precautionary measures should be followed and limited number of surgeries should be performed.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48445633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Gastric Wall Implantation of Pancreatic Cancer Due to Preoperative Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Case Report 术前超声内镜引导下细针穿刺行胰腺癌胃壁植入术1例

IF 0.1 4区医学

International surgery Pub Date : 2020-08-19 DOI: 10.9738/intsurg-d-17-00039.1

H. Maehira, M. Ogawa, Masayasu Kawasaki, Atsuo Imagawa, K. Yuu, Aya Itoh, Naoto Mizumura, Kansuke Yamamoto, H. Yasuda, Sho Toyoda, H. Kawashima, S. Okumura, M. Yoshimura, M. Kameyama

{"title":"Gastric Wall Implantation of Pancreatic Cancer Due to Preoperative Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Case Report","authors":"H. Maehira, M. Ogawa, Masayasu Kawasaki, Atsuo Imagawa, K. Yuu, Aya Itoh, Naoto Mizumura, Kansuke Yamamoto, H. Yasuda, Sho Toyoda, H. Kawashima, S. Okumura, M. Yoshimura, M. Kameyama","doi":"10.9738/intsurg-d-17-00039.1","DOIUrl":"https://doi.org/10.9738/intsurg-d-17-00039.1","url":null,"abstract":"\u0000 \u0000 Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is often used to diagnose pancreatic tumors. In rare cases, preoperative EUS-FNA can be complicated by gastric wall implantation of pancreatic cancer.\u0000 \u0000 \u0000 \u0000 A 66-year-old woman with pancreatic tail cancer underwent evaluation by EUS-FNA, followed by distal pancreatectomy and splenectomy. Twelve months postoperatively, a submucosal tumor was detected at the posterior gastric wall, at the location where the EUS-FNA was performed, and a boring biopsy from the submucosal tumor showed an adenocarcinoma. Therefore, we performed partial gastrectomy. Immunostaining results of the resected specimen were identical to those of the resected pancreatic cancer. The patient was diagnosed as having gastric wall implantation of pancreatic cancer due to EUS-FNA.\u0000 \u0000 \u0000 \u0000 This case emphasizes the importance of monitoring the site of EUS-FNA for gastric wall implantation of pancreatic cancer, and boring biopsy is a useful diagnostic tool.\u0000","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42054405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative C-reactive protein as a prognostic factor in stage IV colorectal cancer 术前C反应蛋白作为癌症IV期的预后因素

IF 0.1 4区医学

International surgery Pub Date : 2020-08-19 DOI: 10.21203/rs.3.rs-60965/v1

Hiroka Kondo, Y. Hirano, Toshimasa Ishii, Shintaro Ishikawa, Takatsugu Fujii, Masahiro Asari, Atsuko Kataoka, M. Kataoka, S. Shimamura, S. Yamaguchi

{"title":"Preoperative C-reactive protein as a prognostic factor in stage IV colorectal cancer","authors":"Hiroka Kondo, Y. Hirano, Toshimasa Ishii, Shintaro Ishikawa, Takatsugu Fujii, Masahiro Asari, Atsuko Kataoka, M. Kataoka, S. Shimamura, S. Yamaguchi","doi":"10.21203/rs.3.rs-60965/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-60965/v1","url":null,"abstract":"Background A prognosis for stage IV colorectal cancer is generally poor. As a result, the development of an appropriate treatment strategy for each individual with this disease within a limited time frame is important. Few studies have been made of CRP in stage IV cases of colorectal cancer so it is unclear whether CRP is a useful prognostic marker for this disease. Thus, the purpose of this study was to clarify the relationship between the preoperative CRP level and the prognosis of stage IV colorectal cancer. Patients and methods Between April 2007 and December 2015, 384 patients with stage IV colorectal cancer who underwent primary resection were included. Patients were divided into high (HCG) and low (LCG) CRP groups based on a preoperative CRP cut-off value of ≥1.0 mg/dL. Postoperative short- and long-term results were examined retrospectively. Results The 5-year survival rate was 24.6% for HCG and 36.7% for LCG, indicating the survival rate for HCG was lower. The study was limited to patients who were unable to undergo R0 surgery. Preoperative CEA levels were higher in HCG while the postoperative chemotherapy induction rate was lower. HCG also showed a significantly lower survival rate than LCG. Multivariate analysis showed that CRP levels above 1.0 mg/dL, poorly differentiated histopathology, and the absence of chemotherapy were risk factors affecting overall survival. Conclusion These results suggest that the preoperative CRP level may be a useful biomarker for the prognosis of incurable stage IV colorectal cancer.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43776365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of Radiological Intervention in Brain Tumor: A Meta-Analysis 放射治疗在脑肿瘤中的作用：Meta分析

IF 0.1 4区医学

International surgery Pub Date : 2020-08-05 DOI: 10.9738/intsurg-d-20-00014.1

Tareef S Daqqaq

引用次数: 0

A novel modification of the Endorectal Advancement Flap for complex anal fistulas: surgical technique and outcomes 改良直肠内推进皮瓣治疗复杂性肛瘘的手术技术和效果

IF 0.1 4区医学

International surgery Pub Date : 2020-08-04 DOI: 10.21203/rs.3.rs-43719/v1

Hassan Al-Turaihi, E. Blears, K. Sugumar, Ganesh R. Deshmukh

{"title":"A novel modification of the Endorectal Advancement Flap for complex anal fistulas: surgical technique and outcomes","authors":"Hassan Al-Turaihi, E. Blears, K. Sugumar, Ganesh R. Deshmukh","doi":"10.21203/rs.3.rs-43719/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-43719/v1","url":null,"abstract":"\u0000 Background:Fistula-in-ano is a common problem encountered by surgeons which can be classified as either simple or complex. Complex fistulas (CF) cause higher morbidity and are much more challenging to treat. Although numerous treatment options are available for CF, none are proven to be 100% effective. The endorectal advancement flap (EAF) procedure was developed as an alternative to conventional surgical treatments for CF. Herein, we describe a novel modification of the EAF procedure along with surgical outcomes in terms of recurrence, fecal incontinence and factors associated with flap failure. Methods:A retrospective review of patients with CF who underwent EAF between 2004-2019 was done. The conventional EAF procedure was modified by performing transverse imbrication of the internal sphincter over the internal fistula opening. The incidence of post-operative recurrence and fecal incontinence were calculated from chart documentation at the last available date of follow-up. Also, the association between various clinical and demographic factors and post-operative flap failure were using statistical significance at alpha of 0.05. Results: With a median follow-up of 6.6 months (range: 3.3-24 months), 99 patients with CFs underwent a modified EAF. Of these, 93% (92/99) had a successful procedure, 7% (7/99) experienced recurrence and 1% (1/99) experienced new-onset fecal incontinence. Systemic steroid or immunomodulatory therapy use (p=0.001) and patients with diagnosed inflammatory bowel disease (p<0.0001) were associated with increased rate of recurrence.Conclusion:EAF with transverse imbrication of the internal opening using interrupted, absorbable suture is an effective technique to treat complex or recurrent anal fistulas. It is associated with a low risk of recurrence (7%) and fecal incontinence (1%) and a valid treatment option for CFs.","PeriodicalId":14474,"journal":{"name":"International surgery","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43588012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0