Journal of the Korean Surgical Society最新文献

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Effect of laparoscopic cholecystectomy techniques on postoperative pain: a prospective randomized study. 腹腔镜胆囊切除术技术对术后疼痛的影响:一项前瞻性随机研究。
Journal of the Korean Surgical Society Pub Date : 2013-10-01 Epub Date: 2013-09-30 DOI: 10.4174/jkss.2013.85.4.149
Huseyin Yilmaz, Oguzhan Arun, Seza Apiliogullari, Fahrettin Acar, Husnu Alptekin, Akın Calisir, Mustafa Sahin
{"title":"Effect of laparoscopic cholecystectomy techniques on postoperative pain: a prospective randomized study.","authors":"Huseyin Yilmaz, Oguzhan Arun, Seza Apiliogullari, Fahrettin Acar, Husnu Alptekin, Akın Calisir, Mustafa Sahin","doi":"10.4174/jkss.2013.85.4.149","DOIUrl":"10.4174/jkss.2013.85.4.149","url":null,"abstract":"<p><strong>Purpose: </strong>Minimally invasive surgical technics have benefits such as decreased pain, reduced surgical trauma, and increased potential to perform as day case surgery, and cost benefit. The primary aim of this prospective, randomized, controlled study was to compare the effects of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC) procedures regarding postoperative pain.</p><p><strong>Methods: </strong>Ninety adult patients undergoing elective laparoscopic cholecystectomy were included in the study. Patients were randomized to either SILC or CLC. Patient characteristics, postoperative abdominal and shoulder pain scores, rescue analgesic use, and intraoperative and early postoperative complications were recorded.</p><p><strong>Results: </strong>A total of 83 patients completed the study. Patient characteristics, postoperative abdominal and shoulder pain scores and rescue analgesic requirement were similar between each group except with the lower abdominal pain score in CLC group at 30th minute (P = 0.04). Wound infection was seen in 1 patient in each group. Nausea occurred in 13 of 43 patients (30%) in the SILC group and 8 of 40 patients (20%) in the CLC group (P > 0.05). Despite ondansetron treatment, 6 patients in SILC group and 7 patients in CLC group vomited (P > 0.05).</p><p><strong>Conclusion: </strong>In conclusion, in patients undergoing laparoscopic surgery, SILC or CLC techniques does not influence the postoperative pain and analgesic medication requirements. Our results also suggest that all laparoscopy patients suffer moderate and/or severe abdominal pain and nearly half of these patients also suffer from some form of shoulder pain.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 4","pages":"149-53"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/cb/jkss-85-149.PMC3791356.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31792626","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: 0
Preduodenal portal vein: a 3-case series demonstrating varied presentations in infants. 小儿十二指肠前门静脉:3例不同表现。
Journal of the Korean Surgical Society Pub Date : 2013-10-01 Epub Date: 2013-09-30 DOI: 10.4174/jkss.2013.85.4.195
Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim
{"title":"Preduodenal portal vein: a 3-case series demonstrating varied presentations in infants.","authors":"Soo-Hong Kim,&nbsp;Yong-Hoon Cho,&nbsp;Hae-Young Kim","doi":"10.4174/jkss.2013.85.4.195","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.4.195","url":null,"abstract":"<p><p>Preduodenal portal vein, a rare anomaly, could be found in any age groups. In pediatrics it may present with a duodenal obstruction by itself or other coexisting anomalies; however it usually present with an asymptomatic or incidental findings during other surgery in adults. This anomaly has a clinical importance due to the possibility of accidental damage to portal vein. In addition to describing a series of 3 cases with different manifestation in infants, discuss about this anomaly with a review of relevant literature. </p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 4","pages":"195-7"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.4.195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31791022","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: 22
The role of hand-assisted laparoscopic surgery in total colectomy for colonic inertia: a retrospective study. 手辅助腹腔镜手术在结肠惯性全结肠切除术中的作用:一项回顾性研究。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.123
Dan Yang Wang, Jian Jiang Lin, Xiang Ming Xu, Fan Long Liu
{"title":"The role of hand-assisted laparoscopic surgery in total colectomy for colonic inertia: a retrospective study.","authors":"Dan Yang Wang,&nbsp;Jian Jiang Lin,&nbsp;Xiang Ming Xu,&nbsp;Fan Long Liu","doi":"10.4174/jkss.2013.85.3.123","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.123","url":null,"abstract":"<p><strong>Purpose: </strong>To compare and assess the efficacy, safety and utility of hand-assisted laparoscopic surgery (HALS) with open surgery (OS) in total colectomy with ileorectal for colonic inertia.</p><p><strong>Methods: </strong>From January 2001 to February 2012, 56 patients diagnosed with colonic inertia who failed to respond to medical treatments underwent hand-assisted laparoscopic total colectomy with ileorectal anastomosis. Another 68 patients underwent laparotomy. Main parameters such as clinical manifestations, conversion to open procedure, operative time, incision length, pain score, intraoperative blood loss, time to first flatus and hospitalization, early postoperative complications and hospitalization cost were retrospectively analyzed. Postoperative defecating frequencies were followed up in both groups.</p><p><strong>Results: </strong>All patients received successful operation, no surgical mortality happened and none of the patients required conversion to an exploratory laparotomy in HALS group. The clinical features, the estimated blood loss, incision length, pain score, first passing flatus time, and postoperative hospitalization time were superior in HALS group (P < 0.05). The early postoperative complications and frequency of defecation were similar. However, the mean operative time was longer and hospitalization cost was higher in HALS group than those in OS group (P < 0.05).</p><p><strong>Conclusion: </strong>HALS total colectomy can be a safe and efficient technique in the treatment of colonic inertia. HALS can result in a better cosmetic result and a quicker postoperative recovery, but requires higher direct cost.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"123-7"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719827","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
Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients. 负压伤口治疗危重病人腹股沟淋巴并发症。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.134
Yong-Kyu Cheong, Heungman Jun, Yong-Pil Cho, Gi-Won Song, Ki-Myung Moon, Tae-Won Kwon, Sung-Gyu Lee
{"title":"Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients.","authors":"Yong-Kyu Cheong,&nbsp;Heungman Jun,&nbsp;Yong-Pil Cho,&nbsp;Gi-Won Song,&nbsp;Ki-Myung Moon,&nbsp;Tae-Won Kwon,&nbsp;Sung-Gyu Lee","doi":"10.4174/jkss.2013.85.3.134","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.134","url":null,"abstract":"Purpose In this study, we investigated the therapeutic potential of regulated negative pressure vacuum-assisted wound therapy for inguinal lymphatic complications in critically ill, liver transplant recipients. Methods The great saphenous vein was harvested for hepatic vein reconstruction during liver transplantation in 599 living-donor liver transplant recipients. Fourteen of the recipients (2.3%) developed postoperative inguinal lymphatic complications and were treated with negative pressure wound therapy, and they were included in this study. Results The average total duration of negative pressure wound therapy was 23 days (range, 11 to 42 days). Complete resolution of the lymphatic complications and wound healing were achieved in all 14 patients, 5 of whom were treated in hospital and 9 as outpatients. There was no clinically detectable infection, bleeding or recurrence after an average follow-up of 27 months (range, 7 to 36 months). Conclusion Negative pressure wound therapy is an effective, readily-available treatment option that is less invasive than exploration and ligation of leaking lymphatics and provides good control of drainage and rapid wound closure in critically ill patients.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"134-8"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719829","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: 1
Malignant thyroid bed mass after total thyroidectomy. 甲状腺全切除术后恶性甲状腺床肿块。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.97
Do Sung Park, Jin Seong Cho, Min Ho Park, Young Jae Ryu, Min Jung Hwang, Sun Hyung Shin, Hee Kyung Kim, Hyo Soon Lim, Ji Shin Lee, Jung Han Yoon
{"title":"Malignant thyroid bed mass after total thyroidectomy.","authors":"Do Sung Park,&nbsp;Jin Seong Cho,&nbsp;Min Ho Park,&nbsp;Young Jae Ryu,&nbsp;Min Jung Hwang,&nbsp;Sun Hyung Shin,&nbsp;Hee Kyung Kim,&nbsp;Hyo Soon Lim,&nbsp;Ji Shin Lee,&nbsp;Jung Han Yoon","doi":"10.4174/jkss.2013.85.3.97","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.97","url":null,"abstract":"<p><strong>Purpose: </strong>Ultrasonographic (US) criteria on malignant thyroid bed mass have been suggested, including taller than wide shape, loss of echogenic hilum, abnormal vascularity, and microcalcification. The relationship between fine-needle aspiration (FNA) cytology findings and US findings on thyroid bed mass is unknown. We have retrospectively assessed the malignant thyroid bed mass after total thyroidectomy due to papillary thyroid carcinoma (PTC).</p><p><strong>Methods: </strong>We retrospectively evaluated 2,048 patients who underwent total thyroidectomy due to PTC. FNA was performed in 97 patients on the thyroid bed under US surveillance. The 97 suspicious thyroid bed masses were divided into two groups: metastatic thyroid bed group (n = 34) and nonmetastatic group (n = 63). The groups were evaluated according to various clinical, serologic, and US findings.</p><p><strong>Results: </strong>Within a median 47.0 months of follow-up, the proportion of malignant thyroid bed mass was high in large tumor size (1.37 cm vs. 1.03 cm), isthmic position (10.3% vs. 3.9%), and previous N1a (55.9% vs. 34.9%). US findings revealed that the presence of microcalcification or macrocalcification (47.1% vs. 19.0%) and thyroid bed mass height (5.4 mm vs. 3.9 mm) were the only discriminable criteria for central compartment recurrence. But, degree of echogenicity, loss of hilum, and irregularity of margin failed to discriminate malignant thyroid bed mass.</p><p><strong>Conclusion: </strong>US findings on malignant thyroid bed mass were different from previously reported general criteria on lateral metastatic nodes. Additional FNA cytology should be performed on patients, even low-risk patients, who present the above findings.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.97","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719358","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: 5
Postoperative analgesic effects of ultrasound-guided transversus abdominis plane block for open appendectomy. 超声引导下经腹平面阻滞用于开放性阑尾切除术的术后镇痛效果。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.128
Sooyoung Cho, Youn-Jin Kim, Dong-Yeon Kim, Soon-Sup Chung
{"title":"Postoperative analgesic effects of ultrasound-guided transversus abdominis plane block for open appendectomy.","authors":"Sooyoung Cho,&nbsp;Youn-Jin Kim,&nbsp;Dong-Yeon Kim,&nbsp;Soon-Sup Chung","doi":"10.4174/jkss.2013.85.3.128","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.128","url":null,"abstract":"<p><strong>Purpose: </strong>Transversus abdominis plane (TAP) block is a newly developed and effective peripheral block involving the nerves of the anterior abdominal wall for lower abdominal surgery. We evaluated the postoperative analgesic efficacy of ultrasound-guided TAP block using 20 mL of 0.5% levobupivacaine in patients undergoing open appendectomy.</p><p><strong>Methods: </strong>Forty-four patients undergoing appendectomy were assigned either to undergo a right sided-TAP block (group I, n = 22), or to receive standard care (group II, n = 22). All patients received standard anesthetics, and the TAP block group received ultrasound-guided right side TAP block using 20 mL of 0.5% levobupivacaine after induction of anesthesia. All patients received acetaminophen, and nonsteroidal anti-inflammatory drug as required during the 48 postoperative hours. Each patients was assessed for time to first rescue analgesia, verbal numerical rating pain scores (VNRS), number of rescue analgesic demands, nausea, vomiting, pruritus, and drowsiness by a blinded investigator at 0, 1, 3, 6, 12, 24 and 48 hours postoperatively.</p><p><strong>Results: </strong>The TAP block group with levobupivacaine compared to the control group reduced VNRS significantly up to 12 hours postoperatively. There were no significant differences in time to first analgesia, number of rescue analgesics demands, nausea, vomiting, pruritus and drowsiness between the groups. There were no complications attributable to the TAP block.</p><p><strong>Conclusion: </strong>Ultrasound-guided TAP block using 20 mL of 0.5% levobupivacaine provided effective postoperative analgesia during the 12 postoperative hours after an open appendectomy.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"128-33"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719828","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: 28
On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients. 超声引导下甲状腺乳头状癌不可触及淋巴结复发的原位定位。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.104
Kuk-Jin Kim, Bup-Woo Kim, Yong Sang Lee, Hang-Seok Chang, Cheong Soo Park
{"title":"On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients.","authors":"Kuk-Jin Kim,&nbsp;Bup-Woo Kim,&nbsp;Yong Sang Lee,&nbsp;Hang-Seok Chang,&nbsp;Cheong Soo Park","doi":"10.4174/jkss.2013.85.3.104","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.104","url":null,"abstract":"<p><strong>Purpose: </strong>The cervical lymph nodes are the most common sites of locoregional recurrence in patients with papillary thyroid carcinoma (PTC). Accurate tumor localization is important for the successful removal of impalpable recurrences in the cervical lymph nodes. We evaluated the benefits of ultrasound-guided localization (UGL) performed by a single surgeon on site.</p><p><strong>Methods: </strong>Of 53 PTC patients who underwent reoperation for impalpable nodal recurrences, 32 (group 1) were assessed only using preoperative imaging, while 21 (group 2) were additionally evaluated by on-site UGL performed by the operating surgeon. Postoperative outcomes were compared between the two groups.</p><p><strong>Results: </strong>Operation times were significantly shorter (P < 0.001) and the mean size of the resected lymph nodes were smaller (P = 0.013) for group 2 patients. More lymph nodes were identified and resected in group 1 (3.56 vs. 3.19), but the rate of positive lymph nodes was significantly higher in group 2 (P < 0.001). There were no differences between the two groups in terms of resection success rate, complication rate, and postoperative hospital stay. During a mean follow-up period of 27.6 months, 52 patients (98.1%) showed no evidence of recurrence on routine ultrasound, and serum thyroglobulin concentrations remained < 1 ng/mL in 49 patients (92.5%).</p><p><strong>Conclusion: </strong>On-site UGL performed by the operating surgeon is useful for accurate resection of impalpable nodal recurrences in PTC patients.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"104-8"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719360","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: 0
The effect of duodenojejunal bypass for type 2 diabetes mellitus patients below body mass index 25 kg/m(2): one year follow-up. 十二指肠空肠分流术治疗体重指数低于25 kg/m的2型糖尿病患者的疗效观察(2):1年随访。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.109
Yoonseok Heo, Jong-Hyuk Ahn, Seok-Hwan Shin, Yeon-Ji Lee
{"title":"The effect of duodenojejunal bypass for type 2 diabetes mellitus patients below body mass index 25 kg/m(2): one year follow-up.","authors":"Yoonseok Heo,&nbsp;Jong-Hyuk Ahn,&nbsp;Seok-Hwan Shin,&nbsp;Yeon-Ji Lee","doi":"10.4174/jkss.2013.85.3.109","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.109","url":null,"abstract":"<p><strong>Purpose: </strong>The goals of this study are to evaluate the effect of duodenojejunal bypass (DJB) for type 2 diabetes mellitus (T2DM) patients below body mass index (BMI) 25 kg/m(2) in one year follow-up, and to compare the results of 1 week which we have reported in 2011.</p><p><strong>Methods: </strong>In this prospective observational study, there were 31 type 2 diabetic patients who underwent DJB at Inha University Hospital from July 2009 to January 2011. We did laboratories such as 75-g oral glucose tolerance test (OGTT), insulin level and hemoglobin A1c (HbA1c), etc. and compared their changes of preoperative, a week, 3 months, and 12 months.</p><p><strong>Results: </strong>Mean BMI was 23.1 ± 1.3 kg/m(2), mean duration of T2DM was 8.3 ± 4.7 and mean age was 46.6 ± 7.7 years. There were a significant decrease of 75-g OGTT levels and increase of insulin secretion after 3 months. 13.3% showed diabetic remission (HbA1c < 6.0, medication cessation) and 26.7% showed diabetic improvement. The rates of remission and improvement much declined comparing with that of postoperative 1 week although those were determined by fasting and postprandial 2 hour level of glucose.</p><p><strong>Conclusion: </strong>This is the first study of metabolic surgery in Korean diabetes patients in the healthy weight range. DJB exerted positive influences on insulin resistance as well as beta cell function. Early effects on T2DM after DJB could be estimated as one of good modalities, although the effectiveness seems to be unacceptable. Further studies are mandatory for evaluation of the effectiveness of metabolic surgery and finding prognostic factors.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"109-15"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719361","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
Management of giant hepatic cysts in the laparoscopic era. 腹腔镜时代巨大肝囊肿的处理。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.116
Chan Joong Choi, Young Hoon Kim, Young Hoon Roh, Ghap Joong Jung, Jeong Wook Seo, Yang Hyun Baek, Sung Wook Lee, Myung Hwan Roh, San Young Han, Jin Sook Jeong
{"title":"Management of giant hepatic cysts in the laparoscopic era.","authors":"Chan Joong Choi,&nbsp;Young Hoon Kim,&nbsp;Young Hoon Roh,&nbsp;Ghap Joong Jung,&nbsp;Jeong Wook Seo,&nbsp;Yang Hyun Baek,&nbsp;Sung Wook Lee,&nbsp;Myung Hwan Roh,&nbsp;San Young Han,&nbsp;Jin Sook Jeong","doi":"10.4174/jkss.2013.85.3.116","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.116","url":null,"abstract":"<p><strong>Purpose: </strong>We sought to evaluate the feasibility and outcomes of laparoscopic resection of giant hepatic cysts and surgical success, focusing on cyst recurrence.</p><p><strong>Methods: </strong>From February 2004 to August 2011, 37 consecutive patients with symptomatic hepatic cysts were evaluated and treated at Dong-A University Hospital. Indications were simple cysts (n = 20), multiple cysts (n = 6), polycystic disease (n = 2), and cystadenoma (n = 9).</p><p><strong>Results: </strong>The median patient age was 64 years, with a mean lesion diameter of 11.4 cm. The coincidence between preoperative imaging and final pathologic diagnosis was 54% and half (n = 19) of the cysts were located in segments VII and VIII. Twenty-two patients had American Society of Anesthesiologists (ASA) classification I and II, and nine had ASA classification III. Surgical treatment of hepatic cysts were open liver resection (n = 3), laparoscopic deroofing (n = 24), laparoscopic cyst excision (n = 4), laparoscopic left lateral sectionectomy (n = 2), hand assisted laparoscopic procedure (n = 2), and single port laparoscopic deroofing (n = 2). The mean fellow-up was 21 months, and six patients (16%) experienced radiographic-apparent recurrence. Reoperation due to recurrence was performed in two patients. Among the factors predicting recurrence, multivariate analysis revealed that interventional radiological procedures and pathologic diagnosis were statistically significant.</p><p><strong>Conclusion: </strong>Laparoscopic resection of giant hepatic cysts is a simple and effective method to relieve symptoms with minimal surgical trauma. Moreover, the recurrence is dependent on the type of pathology involved, and the sclerotherapy undertaken.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"116-22"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719826","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: 12
Pinch-off syndrome. 夹止综合症。
Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.139
Jin-Beom Cho, Il-Young Park, Ki-Young Sung, Jong-Min Baek, Jun-Hyun Lee, Do-Sang Lee
{"title":"Pinch-off syndrome.","authors":"Jin-Beom Cho,&nbsp;Il-Young Park,&nbsp;Ki-Young Sung,&nbsp;Jong-Min Baek,&nbsp;Jun-Hyun Lee,&nbsp;Do-Sang Lee","doi":"10.4174/jkss.2013.85.3.139","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.3.139","url":null,"abstract":"<p><p>Subclavian venous catheterization was previously frequently performed, but because of life-threatening complications such as hemothorax, pneumothorax, mediastinal hematoma, and myocardial injury, its use has become less common. However, this practice has some advantages in patient mobility, secured dressing, and rapidity and adequacy of vascular access. In some situations where patient comfort is an especially important consideration, such as with totally implantable venous port insertion for chemotherapy, the subclavian route can be a good choice if an experienced and well-trained faculty is available. The authors have had recent experience with pinch-off syndrome-in other words, spontaneous catheter fracture-in 3 patients who had undergone venous port implantation through the right subclavian route. Through these cases, we intend to review the dangers of subclavian venous catheterization, the causes of pinch-off syndrome, and its clinical presentation, progress, treatments, and prevention. </p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 3","pages":"139-44"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.3.139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31719830","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: 32
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