Journal of the Korean Surgical Society最新文献_第5页

Comparison of laparoscopy-assisted and totally laparoscopic Billroth-II distal gastrectomy for gastric cancer. 腹腔镜辅助与全腹腔镜下Billroth-II型胃癌远端切除术的比较。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.135

Junhyun Lee, Dongjin Kim, Wook Kim

{"title":"Comparison of laparoscopy-assisted and totally laparoscopic Billroth-II distal gastrectomy for gastric cancer.","authors":"Junhyun Lee, Dongjin Kim, Wook Kim","doi":"10.4174/jkss.2012.82.3.135","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.135","url":null,"abstract":"Purpose: In laparoscopic distal gastrectomy for gastric cancer, most surgeons prefer extra-corporeal anastomosis because of technical challenges and unfamiliarity with intra-corporeal anastomosis. Herein, we report the feasibility and safety of intra-corporeal Billroth-II anastomosis in gastric cancer.Methods: From April 2004 to March 2011, 130 underwent totally laparoscopic distal gastrectomy with intra-corporeal Billroth-II reconstruction, and 269 patients underwent laparoscopy-assisted distal gastrectomy with extra-corporeal Billroth-II reconstruction. Surgical efficacies and outcomes between two groups were compared.Results: There were no differences in demographics and clinicopathological characteristics. The mean operation and reconstruction times of totally laparoscopic distal gastrectomy were statistically shorter than laparoscopy-assisted distal gastrectomy (P = 0.019; P < 0.001). Anastomosis-related complications were observed in 11 (8.5%) totally laparoscopic distal gastrectomy and 21 (7.8%) laparoscopy-assisted distal gastrectomy patients, and the incidence of these events was not significantly different. Post-operative hospital stays for totally laparoscopic distal gastrectomy were shorter than laparoscopy-assisted distal gastrectomy patients (8.3 ± 3.2 days vs. 9.9 ± 5.3 days, respectively; P = 0.016), and the number of times parenteral analgesic administration was required in laparoscopy-assisted distal gastrectomy patients was more frequent after surgery.Conclusion: Intra-corporeal Billroth-II anastomosis is a feasible procedure and can be safely performed with the proper experience for laparoscopic distal gastrectomy. This method may be less time consuming and may produce a more cosmetic result.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"135-42"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40153021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

The effect of erythromycin on gastrointestinal motility in subtotal gastrectomized patients. 红霉素对胃大部切除术患者胃肠运动的影响。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.149

A-Lan Lee, Choong-Bai Kim

{"title":"The effect of erythromycin on gastrointestinal motility in subtotal gastrectomized patients.","authors":"A-Lan Lee, Choong-Bai Kim","doi":"10.4174/jkss.2012.82.3.149","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.149","url":null,"abstract":"Purpose: Our objective was to determine the effect of erythromycin (EM) in improving gastrointestinal motility in subtotal gastrectomized patients. We used radio-opaque Kolomarks as an objective method. We conducted a prospective, controlled clinical trial study of 24 patients.Methods: All patients underwent subtotal gastrectomy with 3 capsules containing Kolomarks (20 markers per 1 capsule) in the remnant stomach before anastomosis. From the day of the operation to the 2nd postoperative day, patients in the EM group began receiving 200 mg of EM intravenously for 30 minutes continuously. We counted the number of Kolomarks in the stomach, passed by stomach, in rectum, and in stool with serial simple abdominal X-ray films on the first postoperative day up to the 7th postoperative day.Results: The study population included 14 patients in the control group and 10 patients in the EM group. The two study groups were compared in terms of their characteristics including age, gender, past medical history, cancer stage, and operation type. No significant differences were found for the demographics between the two groups. We only found a significant difference for the number of Kolomarks passed by the stomach on the 3rd postoperative day (P = 0.026).Conclusion: Our results demonstrated that 200 mg of EM intravenous infusion during the postoperative period induced rapid gastric emptying, although it did not improve gastrointestinal motility for the entire gastrointestinal tract in subtotal gastrectomized patients.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"149-55"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40153024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Review of 100 cases of single port laparoscopic cholecystectomy. 单孔腹腔镜胆囊切除术100例分析。

Journal of the Korean Surgical Society Pub Date : 2012-03-01 Epub Date: 2012-02-27 DOI: 10.4174/jkss.2012.82.3.179

Eun Jung Koo, Soon Hwa Youn, Yang Hyun Baek, Young Hoon Roh, Hong Jo Choi, Young Hoon Kim, Ghap Joong Jung

{"title":"Review of 100 cases of single port laparoscopic cholecystectomy.","authors":"Eun Jung Koo, Soon Hwa Youn, Yang Hyun Baek, Young Hoon Roh, Hong Jo Choi, Young Hoon Kim, Ghap Joong Jung","doi":"10.4174/jkss.2012.82.3.179","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.3.179","url":null,"abstract":"Purpose: Single port laparoscopic cholecystectomy (SPLC) is a new advanced technique in laparoscopic surgery. Many laparoscopic surgeons seek to gain skill in this new technique. However, little data has been accumulated and published formally yet. This article reports the achievement of 100 cases of SPLC with the hopes it will encourage laparoscopic surgery centers in the early adoption of SPLC.Methods: A retrospective review of 100 prospectively selected cases of SPLC was carried out. All patients had received elective SPLC by a single surgeon in our center from May 2009 to December 2010. Our review suggests patients' character, perioperative data and postoperative outcomes.Results: Forty-two men and 58 women with an average age of 45.8 years had received SPLC. Their mean body mass index (BMI) was 23.85 kg/m(2). The mean operating time took 76.75 minutes. However, operating time was decreased according to the increase of experience of SPLC cases. Twenty-one cases were converted to multi-port surgery. BMI, age, previous low abdominal surgical history did not seem to affect conversion to multi-port surgery. No cases were converted to open surgery. Mean duration of hospital stay was 2.18 days. Six patients had experienced complications from which they had recovered after conservative treatment.Conclusion: SPLC is a safe and practicable technique. The operating time is moderate and can be reduced with the surgeon's experience. At first, strict criteria was indicated for SPLC, however, with surgical experience, the criteria and area of SPLC can be broadened. SPLC is occupying a greater domain of conventional laparoscopic cholecystectomy.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 3","pages":"179-84"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.3.179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40152939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

S-plasty for pilonidal disease: modified primary closure reducing tension. s成形术治疗毛毛疾病:改良初级闭合降低张力。

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.63

Jae Keun Kim, Jin Cheol Jeong, Joung Bum Lee, Kuk Hyun Jung, Byong Ku Bae

{"title":"S-plasty for pilonidal disease: modified primary closure reducing tension.","authors":"Jae Keun Kim, Jin Cheol Jeong, Joung Bum Lee, Kuk Hyun Jung, Byong Ku Bae","doi":"10.4174/jkss.2012.82.2.63","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.2.63","url":null,"abstract":"Purpose S-plasty for pilonidal disease reduces the tension on the midline by distributing it diagonally and flattening the natal cleft. The aim of this study was to evaluate the outcomes of S-plasty on simple midline primary closure and the clinical features of pilonidal patients in a low incidence country. Methods S-plasty was applied on 17 patients from July 2008 to October 2010. Data of these patients were collected with computerized prospective database forms during a perioperative period and via telephone interview for follow-up. Surgical site infection (SSI) was defined according to the Center for Disease Control guidelines. The severity of surgical site infection was graded. Results All patients were treated with primary S-plasty. Two patients (11.7%) developed low grade SSI. The average healing time after S-plasty was 18.1 days. No recurrences were observed. The mean follow-up period was 13.5 months (range, 6 to 33 months). Conclusion We have shown that primary S-plasty for pilonidal disease is simple, and its surgical outcomes are compatible to the results of other surgical treatments. We present primary S-plasty as a feasible treatment option in a low incidence country.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 2","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.2.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30472056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Prevalence, severity, and evolution of postsurgical anemia after gastrectomy, and clinicopathological factors affecting its recovery. 胃切除术后贫血的患病率、严重程度、发展及影响其恢复的临床病理因素

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.79

Oh Jeong, Young Kyu Park, Seong Yeop Ryu

{"title":"Prevalence, severity, and evolution of postsurgical anemia after gastrectomy, and clinicopathological factors affecting its recovery.","authors":"Oh Jeong, Young Kyu Park, Seong Yeop Ryu","doi":"10.4174/jkss.2012.82.2.79","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.2.79","url":null,"abstract":"Purpose: Postsurgical anemia is one of the common unpleasant postoperative sequels during the early postoperative period after gastrectomy, for which no standard care has been established. To facilitate proper management, we investigated the clinical features of postsurgical anemia and sought to identify the factors affecting its subsequent recovery.Methods: A retrospective review of 406 consecutive gastric cancer patients who underwent gastrectomy without systemic chemotherapy between August 2008 and September 2009. Clinical courses of postsurgical anemia were monitored at 3, 6, and 12 months post-surgery. Clinicopathological factors affecting recovery of postsurgical anemia were analyzed using a multivariate logistic regression model.Results: The study subjects consisted of 265 males and 141 females (mean age, 61.8 years). After operation, 318 (78.3%) presented with postsurgical anemia, and 217 (66.7%) and 47 (11.6%) had mild or moderate anemia, respectively, at the time of discharge. During the follow-up, 173 (54.4%) of the 318 with postsurgical anemia showed a spontaneous recovery at 3 months post-surgery, but no significant changes were observed in postsurgical anemia at 6 or 12 months post-surgery. Univariate and multivariate analysis revealed that old age (≥60 years), preoperative anemia, anemia severity (moderate anemia), and total gastrectomy were independent factors that adversely affect the spontaneous recovery of post-surgical anemia after gastrectomy.Conclusion: Proper intervention may be required for postsurgical anemia that does not achieve a spontaneous recovery until postoperative 3 months. However, proper management, such as the use of iron or the best route for iron supplementation, needs to be evaluated in future clinical trials.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 2","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.2.79","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30472058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Utility of digital pulse oximetry in the screening of lower extremity arterial disease. 数字脉搏血氧仪在下肢动脉疾病筛查中的应用。

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.94

Jung-Nam Kwon, Whan-Bong Lee

{"title":"Utility of digital pulse oximetry in the screening of lower extremity arterial disease.","authors":"Jung-Nam Kwon, Whan-Bong Lee","doi":"10.4174/jkss.2012.82.2.94","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.2.94","url":null,"abstract":"Purpose: The aim of this study was to evaluate screening methods in the lower extremities by measurement of the digital pulse oximetry (oxygen percent saturation [SpO(2)]) of toes for peripheral arterial disease (PAD).Methods: A prospective study was performed among 49 patients (98 limbs) with lower extremity arterial occlusive disease. We attempted to measure the ankle-brachial index (ABI), digital pulse oximetry (SpO(2)), and computerized tomographic angiography (CTA). Patients were divided into three groups by the traditional Fontaine classification system by symptom and CTA criteria: 1) Critical limb ischemia (Fontaine III and IV), 2) Claudication; (Fontaine II), and 3) asymptomatic limbs (Fontaine I).Results: The sensitivity, specificity, positive and negative predictive values between active treatment groups (group I and II; endovascular and open surgery) and conservative group (group III) are all statistically significant. ABI; 55.09%, 94%, 96.7%, 39.02% (R = 12.54, P < 0.000) SpO(2); 87.06%, 87.8%, 84.3%, 90% (R = 40.11, P < 0.000). Pre-SpO(2) and pre-ABI all show statistically significant correlation in group I vs. group II, symptomatic PAD (group I and II) vs. asymptomatic PAD (group III), and the total PAD comparison. The Pearson's correlation coefficient between SpO(2) and ABI all show significant correlation in group II. Pre-SpO(2) vs. Pre-ABI show strong positive correlation except asymptomatic group (group III).Conclusion: Digital pulse oximetry can be a useful, simple, noninvasive screening device as well as ABI in PAD.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 2","pages":"94-100"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.2.94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30472060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Small-cell neuroendocrine carcinoma of the breast. 乳腺小细胞神经内分泌癌。

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.116

Jin Kyung An, Jeong Joo Woo, Jae Hee Kang, Eun Kyung Kim

引用次数: 14

Clinicopathologic change of gastrointestinal stromal tumor after neoadjuvant imatinib followed by surgical resection. 新辅助伊马替尼手术切除后胃肠道间质瘤的临床病理变化。

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.120

Gil Ho Kang, Myoung Won Son, Sun Wook Han, Sang Ho Bae, Sung Yong Kim, Yong Jin Kim, Gui Ae Chung, Gyu Seok Cho, Moon Soo Lee, Nae Kyeong Park

引用次数: 8

A stercoral perforation of the descending colon. 降结肠的后珊瑚穿孔

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.125

Jeonghyun Kang, Min Chung

引用次数: 29

Application of single incision laparoscopic surgery for appendectomy in children. 单切口腹腔镜手术在儿童阑尾切除术中的应用。

Journal of the Korean Surgical Society Pub Date : 2012-02-01 Epub Date: 2012-01-27 DOI: 10.4174/jkss.2012.82.2.110

Dong Baek Kang, Seung Hyun Lee, Seok Youn Lee, Jung Taek Oh, Dong Eun Park, Cheol Lee, Duk Hwa Choi, Won Cheol Park, Jeong Kyun Lee

{"title":"Application of single incision laparoscopic surgery for appendectomy in children.","authors":"Dong Baek Kang, Seung Hyun Lee, Seok Youn Lee, Jung Taek Oh, Dong Eun Park, Cheol Lee, Duk Hwa Choi, Won Cheol Park, Jeong Kyun Lee","doi":"10.4174/jkss.2012.82.2.110","DOIUrl":"https://doi.org/10.4174/jkss.2012.82.2.110","url":null,"abstract":"Purpose: Recently, single incision laparoscopic surgery (SILS) has been popular in use with its progress studied for more minimally invasive surgery and cosmetic improvement. We investigated the feasibility and efficacy of SILS for appendectomy (SILS-A) in children and compare it with conventional laparoscopic appendectomy (C-LA).Methods: We studied, retrospectively, adolescent patients who underwent C-LA or SILS-A. There were 25 patients in the C-LA group and 30 patients in the SILS-A group. The clinical outcomes were compared between the groups.Results: The SILS-A procedures were performed successfully in adolescent patients . There were no significant difference between the C-LA and SILS-A group with respect to demographic data and post-operative outcomes. There was one complication (4%) in the C-LA group and two complications (6.6%) in the SILS-A group, but there was no significant difference.Conclusion: SILS-A was technically feasible and safe in children. Considering little postoperative scar and no difference in post-operative outcomes compared to C-LA, SILA could be applicable in adolescent patients. Larger studies and further technical implements will be necessary to assess the true benefit of this approach.","PeriodicalId":49157,"journal":{"name":"Journal of the Korean Surgical Society","volume":"82 2","pages":"110-5"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2012.82.2.110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30472062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13