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

Endovascular repair of bilateral iliac artery aneurysm with branched iliac stents: case report and review of the current literature. 髂支支架血管内修复双侧髂动脉瘤一例报告及文献复习。

Journal of the Korean Surgical Society Pub Date : 2013-09-01 Epub Date: 2013-08-26 DOI: 10.4174/jkss.2013.85.3.145

Ji Hoon You, Hoon-Ki Park, Chang-Bum Park

引用次数: 10

Association between pregnancy and acute appendicitis in South Korea: a population-based, cross-sectional study. 妊娠与韩国急性阑尾炎之间的关系:一项基于人群的横断面研究。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.75

Jin-Sung Yuk, Yong Jin Kim, Jun-Young Hur, Jung-Ho Shin

{"title":"Association between pregnancy and acute appendicitis in South Korea: a population-based, cross-sectional study.","authors":"Jin-Sung Yuk, Yong Jin Kim, Jun-Young Hur, Jung-Ho Shin","doi":"10.4174/jkss.2013.85.2.75","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.75","url":null,"abstract":"Purpose: To estimate the prevalence of acute appendicitis and the relationship between pregnancy and acute appendicitis among South Korean women in 2009.Methods: This was a cross-sectional study over 1 year period using a national registry data. We analyzed a national patient sample (n = 1,116,040) from a database complied by the South Korean National Health Insurance in 2009.Results: We identified 15,974 cases of acute appendicitis from 2009. The prevalence rate of acute appendicitis was 228 ± 2 per 100,000 persons. The prevalence in men was higher than in women. The peak prevalence of the disease in both genders occurred in patients aged 10 to 14 years. After that, prevalence declined with age. The prevalence of acute appendicitis in women aged 20 to 39 years was negatively associated with age and pregnancy (P < 0.001) but was not associated with socioeconomic status. The prevalence of perforated appendicitis cases by age is represented by a U-shaped curve. The prevalence was highest in people less than five years of age and in people older than 60 years.Conclusion: We found that the prevalence of acute appendicitis decreased with increasing age after early teens, and that the prevalence of acute appendicitis in pregnant women was lower than in nonpregnant women.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"75-9"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.75","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31268072","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: 6

Intramural hematomas of the gastrointestinal system: a 5-year single center experience. 胃肠系统内壁血肿:5年单中心经验。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.58

Osman Kones, Ahmet Cem Dural, Murat Gonenc, Mehmet Karabulut, Cevher Akarsu, Ilhan Gok, M Abdussamet Bozkurt, Mehmet Ilhan, Halil Alıs

{"title":"Intramural hematomas of the gastrointestinal system: a 5-year single center experience.","authors":"Osman Kones, Ahmet Cem Dural, Murat Gonenc, Mehmet Karabulut, Cevher Akarsu, Ilhan Gok, M Abdussamet Bozkurt, Mehmet Ilhan, Halil Alıs","doi":"10.4174/jkss.2013.85.2.58","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.58","url":null,"abstract":"Purpose: Although spontaneous intramural hematomas of the gastrointestinal tract are very rare, they may be observed with the use of oral anticoagulant, though less frequently in cases of hematological malignancy and other bleeding disorders. Cases diagnosed as spontaneous intramural hematoma have been assessed in our clinic.Methods: The cases, which were diagnosed as spontaneous intramural hematoma in the gastrointestinal tract (SIHGT) following anamnesis, physical examination, biochemical, radiological and endoscopic findings from July 2008 to July 2012, have been assessed retrospectively.Results: Seven out of 13 cases were women and the mean age was 65.1 years (34 to 82 years). The most frequent complaint on admission was abdominal pain. The most frequent location of SIHGT was the ileum (n = 8). Oral anticoagulant use was the most common cause of etiology (n = 12). In 10 cases, International normalized ratio values were higher than treatment range (2 to 3, where mechanical valve replacement was 2.5 to 3.5) and mean value was 7.6 (1.70 to 23.13). While 12 cases were discharged without problems with medical treatment, one case with acute myeloid leukemia died in the intensive care unit following cerebrovascular attack.Conclusion: Spontaneus bleeding and hematomas that may arise in connection with bleeding diathesis may be fatal in cases with long-term oral anticoagulant treatment and insufficient follow-up. In management of these cases, it may be necessary to arrange conservative follow up and/or initialize low molecular weight heparin, and administer vitamin K as well as replace blood products and coagulation factors when indicated.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.58","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31268069","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

Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease. Limberg皮瓣与V-Y皮瓣治疗毛鞘疾病的比较。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.63

Fatih Altintoprak, Enis Dikicier, Yusuf Arslan, Taner Ozkececi, Gokhan Akbulut, Osman Nuri Dilek

{"title":"Comparision of the Limberg flap with the V-Y flap technique in the treatment of pilonidal disease.","authors":"Fatih Altintoprak, Enis Dikicier, Yusuf Arslan, Taner Ozkececi, Gokhan Akbulut, Osman Nuri Dilek","doi":"10.4174/jkss.2013.85.2.63","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.63","url":null,"abstract":"Purpose: In this study, we investigated whether there is a factor that can aid determi nation of the preferred technique by comparing the early and late results of two different surgical techniques for the treatment of pilonidal sinus.Methods: The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively.Results: The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001).Conclusion: The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients' employment (or position in working life) must be considered when determining the most appropriate surgical technique.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"63-7"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31268070","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: 27

Inflammatory myofibroblastic tumor mimicking hepatocellular carcinoma with dense lipiodol uptake. 模拟肝细胞癌的炎性肌纤维母细胞肿瘤伴致密的脂醇摄取。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.89

Seong Woo Hong, Woo Yong Lee, Yeo Goo Chang, Byungmo Lee, Hye Kyung Lee, Ho Kyun Kim

引用次数: 8

Minimally invasive surgery in infants with congenital diaphragmatic hernia: outcome and selection criteria. 婴儿先天性膈疝的微创手术:结果和选择标准。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.84

Chihwan Cha, Young Ju Hong, Eun Young Chang, Hye Kyung Chang, Jung-Tak Oh, Seok Joo Han

{"title":"Minimally invasive surgery in infants with congenital diaphragmatic hernia: outcome and selection criteria.","authors":"Chihwan Cha, Young Ju Hong, Eun Young Chang, Hye Kyung Chang, Jung-Tak Oh, Seok Joo Han","doi":"10.4174/jkss.2013.85.2.84","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.84","url":null,"abstract":"Purpose: The aim of the study was to determine clinical indications for performing minimally invasive surgery (MIS) with acceptable results by reviewing our experience in congenital diaphragmatic hernia (CDH) repair and comparing outcomes of MIS with open surgery.Methods: Medical records of patients who underwent CDH repair were reviewed retrospectively between January 2008 and December 2012, and outcomes were compared between MIS and open repair of CDH.Results: From 2008 to 2012, 35 patients were operated on for CDH. Among these patients, 20 patients underwent open surgery, and 15 patients underwent MIS. Patients with delayed presentations (60.0% [9/15] in the MIS group vs. 20.0% [4/20] in the open surgery group; P = 0.015) and small diaphragmatic defect less than 3 cm (80.0% [12/15] in the MIS group vs. 0.0% [0/20] in the open surgery group; P < 0.001) were more frequently in the MIS group than the open surgery group. All 10 patients who also had other anomalies underwent open surgery (P = 0.002). Moreover, nine patients who needed a patch for repair underwent open surgery (P = 0.003). Patients in the MIS group showed earlier enteral feeding and shorter hospital stays. There was no recurrence in either group.Conclusion: CDH repair with MIS can be suggested as the treatment of choice for patients with a small sized diaphragmatic defect, in neonates with stable hemodynamics and without additional anomalies, or in infants with delayed presen tation of CDH, resulting in excellent outcomes.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"84-8"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.84","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31270786","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: 6

Is single port incisionless-intracorporeal conventional equipment-endoscopic surgery feasible in patients with retrocecal acute appendicitis? 单孔切口-体外常规器械-内镜手术治疗盲肠后急性阑尾炎可行吗?

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.80

Suleyman Cuneyt Karakus, Huseyin Kilincaslan, Naim Koku, Idris Ertaskin

{"title":"Is single port incisionless-intracorporeal conventional equipment-endoscopic surgery feasible in patients with retrocecal acute appendicitis?","authors":"Suleyman Cuneyt Karakus, Huseyin Kilincaslan, Naim Koku, Idris Ertaskin","doi":"10.4174/jkss.2013.85.2.80","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.80","url":null,"abstract":"Purpose: Since laparoscopic appendectomy was first described, various modifications, such as single port incisionless-intracorporeal conventional equipment-endoscopic surgery (SPICES), have been described for reducing pain and improving cosmetic results. In the retrocecal and retrocolic positions, attachments to the lateral peritoneum and cecum may lead to difficulties during SPICES, which is performed with only one port. Here, we present the effects of variations in the position of the vermiform appendix in treating acute appendicitis with SPICES.Methods: We retrospectively reviewed 52 children who underwent SPICES for acute appendicitis between March 2010 and November 2011 in our institution. One group (group A) consisted of 30 patients (mean age, 10.5 ± 2.5 years) with retrocecal appendix, while the other group (group B) included 22 patients (mean age, 10.9 ± 2.3 years) with the appendix lying free in the peritoneal cavity.Results: There were no significant differences between groups in terms of patient age, gender, success rate of SPICES, mean operating time, mean follow-up period, overall complication rates or mean postoperative hospitalization period.Conclusion: These results suggest that SPICES is a safe and feasible approach even in patients with retrocecal acute appendicitis.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"80-3"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31270785","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: 2

Open surgical decompression of celiac axis compression by division of the median arcuate ligament. 切开正中弓状韧带减压腹腔轴压迫。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.93

Sang Jin Kim, Yang Jin Park, Shin-Seok Yang, Young-Wook Kim

引用次数: 10

A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: from the diagnosis to the hospital cost. 经脐单孔腹腔镜阑尾切除术与常规三孔腹腔镜阑尾切除术的比较:从诊断到住院费用。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.68

Seung Min Baik, Kyung Sook Hong, Yong Il Kim

{"title":"A comparison of transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy: from the diagnosis to the hospital cost.","authors":"Seung Min Baik, Kyung Sook Hong, Yong Il Kim","doi":"10.4174/jkss.2013.85.2.68","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.68","url":null,"abstract":"Purpose: Recently many cases of appendectomy have been conducted by single-incision laparoscopic technique. The aim of this study is to figure out the benefits of transumbilical single-port laparoscopic appendectomy (TULA) compared with conventional three-port laparoscopic appendectomy (CTLA).Methods: From 2010 to 2012, 89 patients who were diagnosed as acute appendicitis and then underwent laparoscopic appendectomy a single surgeon were enrolled in this study and with their medical records were reviewed retrospectively. Cases of complicated appendicitis confirmed on imaging tools and patients over 3 points on the American Society of Anesthesia score were excluded.Results: Among the total of 89 patients, there were 51 patients in the TULA group and 38 patients in the CTLA group. The visual analogue scale (VAS) of postoperative day (POD) #1 was higher in the TULA group than in the CTLA group (P = 0.048). The operative time and other variables had no statistical significances (P > 0.05).Conclusion: Despite the insufficiency of instruments and the difficulty of handling, TULA was not worse in operative time, VAS after POD #2, and the total operative cost than CTLA. And, if there are no disadvantages of TULA, TULA may be suitable in substituting three-port laparoscopic surgery and could be considered as one field of natural orifice transluminal endoscopic surgery with the improvement and development of the instruments and revised studies.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.68","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31268071","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

Efficacy and safety of hyaluronate membrane in the rabbit cecum-abdominal wall adhesion model. 透明质酸膜在兔盲肠-腹壁粘连模型中的疗效和安全性。

Journal of the Korean Surgical Society Pub Date : 2013-08-01 Epub Date: 2013-07-25 DOI: 10.4174/jkss.2013.85.2.51

Jae Young Kim, Wan Jin Cho, Jun Ho Kim, Sae Hwan Lim, Hyun Jung Kim, Young Woo Lee, Sung Won Kwon

{"title":"Efficacy and safety of hyaluronate membrane in the rabbit cecum-abdominal wall adhesion model.","authors":"Jae Young Kim, Wan Jin Cho, Jun Ho Kim, Sae Hwan Lim, Hyun Jung Kim, Young Woo Lee, Sung Won Kwon","doi":"10.4174/jkss.2013.85.2.51","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.2.51","url":null,"abstract":"Purpose: Tissue adhesion is a well-known postsurgical phenomenon, causing pain, functional obstruction, and difficult reoperative surgery. To overcome these problems, various synthetic and natural polymer membranes have been developed as postoperative tissue adhesion barriers. However, limitation in their use has hindered its actual application. We prepared a hyaluronate membrane (HM) to evaluate its efficacy and safety as an adhesion barrier compared to a commercialized product (Interceed, Ethicon).Methods: To evaluate the antiadhesion effect, a cecum-abdominal wall abrasion model was adopted in a rabbit. The denuded cecum was covered by Interceed or HM or neither and apposed to the abdominal wall (each, n = 10). Four weeks after surgery, the level of adhesion was graded. Acute and chronic toxicity of the three groups were also evaluated.Results: Blood samples drawn to evaluate acute toxicity at postoperative day 3 and 7 showed no significant difference among the three groups. The grade and area of adhesion were significantly lower in the HM compared to those of the control and Interceed at four weeks after surgery. Histologic evaluations, which was carried out to estimate tissue reactions at the site of application, as well as to assess chronic toxicity for the major organs, were not significantly different in the three groups.Conclusion: This study showed that the antiadhesion efficacy of HM was superior to commercialized antiadhesion membrane, Interceed. Low inflammatory response and nontoxicity were also demonstrated. From these results, we suggest that the HM is a good candidate as a tissue adhesion barrier.","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 2","pages":"51-7"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.2.51","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31268068","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