ARC Journal of Surgery最新文献

{"title":"A Novel Modified Transoral Approach for Endoscopic Thyroidectomy","authors":"Premkumar Anandan","doi":"10.20431/2455-572x.0502002","DOIUrl":"https://doi.org/10.20431/2455-572x.0502002","url":null,"abstract":"Theodor Billroth and Theodor Kocher, the two surgeon-physiologists, revolutionized thyroid surgery. They performed thousands of surgeries with successful results. Kocher was able to reduce the mortality associated with thyroid surgery from 1 in 6 to less than 1 in 500. Kocher was awarded Nobel Prize in 1909 for his pioneering work in thyroid physiology pathology and thyroid surgery. but thyroid surgery has remained stagnant since then. Very few innovations and techniques have been introduced since the times of Kocher.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133214520","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}

{"title":"Quality of Anaesthesiology Care in Postoperative Patients of Outpatient Surgery with Fast Track Protocol","authors":"Mariel Andrea Del Rio Parra, Ángel Medina Andrade, David Alejandro Jurado, S. Guadarrama, Oscar Contreras Martínez, Alejandro Mora Torres, Careli Morado Manríquez, E. Valencia, A. Michael, Sorsby Vargas, Moisés Cherem Soffer, F. Muñoz","doi":"10.20431/2455-572x.0701005","DOIUrl":"https://doi.org/10.20431/2455-572x.0701005","url":null,"abstract":"The presentation of new anesthetic agents with rapid onset and short action time has introduced the concept of \"Fast Track\" or ERAS protocols to improve perioperative efficiency by establishing a rapid recovery from anesthesia, thus facilitating early discharge and rapid resumption of activities. [2, 3] Although these protocols have been in practice in several countries and hospitals, they are not yet widely applied in Mexico. Many surgeons prefer traditional methods instead of adopting the new evidence-based protocols. [2, 4] Despite this, there is little research dedicated to studying the quality and patient safety treated with ERAS protocols in outpatient surgery. Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134371612","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}

{"title":"Laparoscopic Versus Open D2 Gastrectomy for the Treatment of Gastric Cancer: a Singapore Institution’s Experience over 7 Years","authors":"D. Yeo, E. Yong, C. Yeo, J. Rao, A. Koura, S. Kaushal, A. M. Oo","doi":"10.20431/2455-572x.0502003","DOIUrl":"https://doi.org/10.20431/2455-572x.0502003","url":null,"abstract":"Introduction: Gastric cancer is a leading cause of cancer related mortality in Singapore and open surgical resection with en-bloc lymphadenectomy is currently the standard of care. While the benefits of laparoscopic surgery for other cancers such as colorectal cancer have been widely accepted. It has seen slower acceptance for gastric cancer due to the steep learning curve, concerns regarding long-term oncological outcome and adequacy of harvested lymph nodes. Our study aims to compare our institution’s short term outcomes of laparoscopic gastrectomies (LG) for cancer to open gastrectomy (OG). Materials & Methods: A retrospective review of patients who underwent gastrectomies for stomach cancer from July 2008 to December 2015 was done. All patients underwent either partial or total gastrectomy with the intention of D2 lymphadenectomy as per the Japanese gastric cancer guidelines by one of four upper gastrointestinal consultant surgeons. The decision to undertake an open or laparoscopic approach was made after discussion between the surgeon and the patient. Patients who had metastatic gastric cancer or underwent gastrectomy for palliation were excluded. All patients were followed up for at least five years postoperatively. Patient demographics, tumour characteristics, operative details, and post-operative outcomes were analysed using SPSS version 21. Results: 164 patients underwent gastrectomies between 2008 and 2015. 58 were OG and 106 were LG. There were 9 conversions from laparoscopic to open surgery. More stage III cancers underwent OG (n=43) while stage I and II cancers underwent LG (n=75). The laparoscopic group had longer operative time (268 min vs 223 min, p<0.001) with a non-significant trend towards less blood loss (287ml vs 330ml) and shorter length of stay (10 days vs 13 days). There was no significant difference between number of lymph nodes harvested (35 vs 32), re-operation rate, 30-day morbidity and mortality. There was a significantly higher recurrence rate (43% vs 15%, P<0.001) with OG, however this did not affect overall survival between OG and LG (25 months vs 30 months, P=0.173). Conclusion: The number of lymph nodes harvested and 30-day morbidity of LG is equivalent to the current gold standard of OG. The higher recurrence rate of open surgery is likely due to more OG being performed for higher stage tumours. Our study shows that LG for gastric cancer is safe and feasible in experienced hands. *Corresponding Author: Dr. Aung Myint Oo, Consultant, Upper Gastrointestinal Surgery Unit, Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, E-mail: Myint_Oo_Aung@ ttsh.com.sg Laparoscopic Versus Open D2 Gastrectomy for the Treatment of Gastric Cancer: a Singapore Institution’s Experience over 7 Years ARC Journal of Surgery Page |9","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134214699","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}

{"title":"Late Revascularization on Upper Extremity: Case Series","authors":"Salazar Vizuet Israel, D. Andrea, Kist Aguilar Christian, Romero Espinosa, Jesús Fernando, Orozco Morales Jose Antonio, Robles Méndez Hernández Alberto","doi":"10.20431/2455-572x.0701001","DOIUrl":"https://doi.org/10.20431/2455-572x.0701001","url":null,"abstract":"Ischemia is defined as a decrease in perfusion causing limb compromise. Ischemia can be classified into acute and chronic. Acute ischemia is the sudden lack of blood supply, due to intrinsic factors (thrombus occlusion) or extrinsic factors such as compartmental syndrome or an occlusion and / or direct section on the blood vessel. Chronic ischemia is the gradual decrease in diameter secondary to diseases such as atherosclerosis, autoimmune or other causes.[2]","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131606255","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}

{"title":"Klippel-Trenaunay Syndrome: A Case Report and Literature Review","authors":"W. Mak, Q. Hong, S. Chandrasekar, G. Tan, Z. J. Lo","doi":"10.20431/2455-572x.0502001","DOIUrl":"https://doi.org/10.20431/2455-572x.0502001","url":null,"abstract":"The eponymously named Klippel-Trenaunay Syndrome (KTS) is a rare cutaneous vascular condition that was first described in 1900 by two French physicians Klippel and Trenaunay, who first noticed this syndrome in two patients who presented with a port wine stain and varicosities of an extremity associated with hypertrophy of soft and bony tissue. They termed the syndrome “naevus vasculosus osteohypertrophicus”. In 1907, Frederick Parkes Weber, unaware of Klippel and Trenaunay's report, described a patient with the three aforementioned symptoms as well as an arteriovenous malformation of the affected extremity. He termed the process hemangiectatic hypertrophy and more commonly known today as Parkes Weber Syndrome (PWS). KTS must be distinguished from PWS which has a hallmark feature of AVFs [1].","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132689974","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}

{"title":"Prothrombin Time Test in Patient with Spontaneous Pneumothorax","authors":"M. Sakuraba, W. Arai, Daiki Takasugi","doi":"10.20431/2455-572x.0801003","DOIUrl":"https://doi.org/10.20431/2455-572x.0801003","url":null,"abstract":",","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"144 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120882999","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}

{"title":"Intestinal Obstruction Secondary to Intestinal Intussusception in an Adult, Case Report and Review of the Literature","authors":"Medina Andrade Luis Angel, Haizel Valencia Romero, L. Irving, Zamudio Lizarraga Jennifer, Ordoñez Barrera Ana Silvia, Flores Rivera Jesus, Christhoper, A. Hernández, Paz Mendoza Adriana, B. M. Gabriel, S. Maria, Karen Stephanie Reus, Muratalla","doi":"10.20431/2455-572x.0502004","DOIUrl":"https://doi.org/10.20431/2455-572x.0502004","url":null,"abstract":"Female patients of 45 years old came to hospital complaining for abdominal distention and progressive intolerance to feeding. She refers progressive intolerance the last 6 weeks with worsening the last two weeks and only tolerating water, with multiple throwing episodes. With pathological background of laparoscopic cholecystectomy one month ago and allergies or other pathologies denied. At physical exam she was dehydrated, had moderate abdominal pain at deep palpation specially around umbilicus, without clear data of intestinal obstruction, systemic inflammatory response or laboratory alterations. An Abstract: Intussusception of the bowel is defined as the telescoping of a proximal segment of the bowel within the lumen of the distal segment. Intussusception in adults is rare and accounts for only 1–5% of intestinal obstructions in adults.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"16 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132609278","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}

{"title":"Low Value of Activated Coagulation Factor VII in Young Primary Spontaneous Pneumothorax","authors":"Joseph Alape Ariza, Andrea Pinzon Reyes, Arbey Hernan Medina Rocha, Rodrigo Cabrera Perez, Clara Isabel Bermudez Santana","doi":"10.20431/2455-572x.0901001","DOIUrl":"https://doi.org/10.20431/2455-572x.0901001","url":null,"abstract":"Objectives: We previously reported a young patient with a primary spontaneous pneumothorax who had a blood coagulation disorder that was not associated with a clinical bleeding tendency. Many of these patients showed an abnormal prothrombin time (PT). We decided to investigate the relationship between activated coagulation factor VII (FVIIa) and PT abnormalities. Methods: The clinical records of patients treated for primary spontaneous pneumothorax at Sapporo City General Hospital Pneumothorax Center between July 2016 and August 2019 were reviewed retrospectively. Eighteen patients aged 25 years or younger with a spontaneous pneumothorax who had received PT and FVIIa tests during hospitalization were enrolled. The age range of the 17 male and 1 female patients was 13 to 23 years with a mean of 18.2 years. Results: Eleven (61.1%) of the patients had a FVIIa level of <59%. These FVIIa abnormalities were not associated with the degree of the PT abnormality. However, none of the patients showed a bleeding tendency during drainage and surgical procedures. Conclusions: Our results indicate that two-thirds of patients with a PT disorder have a low FVIIa level. However, it remains unknown whether these blood coagulation disorders are related to the onset of a primary spontaneous pneumothorax.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129435910","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}