Journal of the Korean Surgical Society最新文献

{"title":"Papillary thyroid carcinoma with thyroiditis: lymph node metastasis, complications.","authors":"Yon Seon Kim,&nbsp;Hye-Jeong Choi,&nbsp;Eun Sook Kim","doi":"10.4174/jkss.2013.85.1.20","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.20","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the clinicopathologic characteristics of papillary thyroid cancer with thyroiditis, and to determine the rate of its complications for it.</p><p><strong>Methods: </strong>A retrospective review of 1,247 patients with papillary thyroid cancer who underwent primary thyroidectomy was performed. Among them, 316 patients had thyroiditis (group I) while 931 patients had no thyroiditis (group II), as reflected in the final pathologic reports. The two groups' clinicopathologic results and rate of complications were compared.</p><p><strong>Results: </strong>Female gender, preoperative hypothyroidism, total thyroidectomy, no extrathyroid extension, no lymphovascular invasion, and no perineural invasion were associated with group I. More central lymph nodes were removed in group I than in group II, but there were fewer central lymph nodes with metastasis in group I than in group II. For the lateral lymph nodes, the two groups had the same numbers of removed nodes and nodes with metastatic tumor. Multivariate analysis revealed female predominance, more cases of preoperative hypothyroidism, more dissected lymph nodes, and fewer lymph nodes with metastasis in group I. Among the patients who underwent lobectomy, postoperative hypothyroidism occurred more in group I than in group II (P < 0.001). There was no difference in postoperative complications between the two groups.</p><p><strong>Conclusion: </strong>Papillary thyroid cancer with thyroiditis showed less aggressive features. Postoperative hypothyroidism occurred more in the patients with thyroiditis.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563102","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}

{"title":"Acute gastric volvulus treated with laparoscopic reduction and percutaneous endoscopic gastrostomy.","authors":"Sang-Ho Jeong,&nbsp;Chang-Youn Ha,&nbsp;Young-Joon Lee,&nbsp;Sang-Kyung Choi,&nbsp;Soon-Chan Hong,&nbsp;Eun-Jung Jung,&nbsp;Young-Tae Ju,&nbsp;Chi-Young Jeong,&nbsp;Woo-Song Ha","doi":"10.4174/jkss.2013.85.1.47","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.47","url":null,"abstract":"<p><p>Acute gastric volvulus requires emergency surgery, and a laparoscopic approach for both acute and chronic gastric volvulus was reported recently to give good results. The case of a 50-year-old patient with acute primary gastric volvulus who was treated by laparoscopic reduction and percutaneous endoscopic gastrostomy is described here. This approach seems to be feasible and safe for not only chronic gastric volvulus, but also acute gastric volvulus. </p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563107","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}

{"title":"Comparison of neoadjuvant adriamycin and docetaxel versus adriamycin, cyclophosphamide followed by paclitaxel in patients with operable breast cancer.","authors":"Woo Sung Hong,&nbsp;Ja Young Jeon,&nbsp;Seok Yun Kang,&nbsp;Yong Sik Jung,&nbsp;Ji Young Kim,&nbsp;Mi Sun Ahn,&nbsp;Doo Kyoung Kang,&nbsp;Tae Hee Kim,&nbsp;Hyun Ee Yim,&nbsp;Young-Sil An,&nbsp;Rae Woong Park,&nbsp;Ku Sang Kim","doi":"10.4174/jkss.2013.85.1.7","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.7","url":null,"abstract":"<p><strong>Purpose: </strong>Neoadjuvant chemotherapy is the standard treatment for patients with locally advanced breast cancer and is increasingly considered for patients with operable disease. Recently, as many clinical trials have demonstrated favorable outcomes of anthracycline-taxane based regimen, this approach has been widely used in the neoadjuvant setting.</p><p><strong>Methods: </strong>We compared women who received adriamycine and docetaxel (AD) with adriamycin, cyclophosphamide followed by paclitaxel (AC-T) as neoadjuvant chemotherapy. The AD group was scheduled for six cycles of AD (50 mg/m(2) and 75 mg/m(2), respectively) at a 3-week interval. The AC-T group was scheduled for four cycles of adriamycin and cyclophosphamide (50 mg/m(2) and 500 mg/m(2), respectively) followed by four cycles of paclitaxel (175 mg/m(2)) at a 3-week interval.</p><p><strong>Results: </strong>The responses of chemotherapy were equivalent (overall response rate [AD, 75.7% vs. AC-T, 80.9%; P = 0.566], pathologic complete response [pCR] rate [breast and axilla: AD, 10.8% vs. AC-T, 12.8%; P = 1.000; breast only: AD, 18.9% vs. AC-T, 14.9%, P = 0.623], breast conserving surgery rate [P = 0.487], and breast conserving surgery conversion rate [P = 0.562]). The pCR rate in the breast was higher in the human epidermal growth factor receptor 2 (HER2) positive cases (HER2 positive 33.3% vs. negative 10%, P = 0.002). Although nonhematologic toxicities were comparable, hematologic toxicities were more severe in the AD group. Most women in the AD group suffered from grade 3/4 neutropenia (P < 0.001) and neutropenic fever (P < 0.001).</p><p><strong>Conclusion: </strong>Tumor responses were not different in various variables between the two groups. However, AC-T was a more tolerable regimen than AD in patients with breast cancer receiving neoadjuvant chemotherapy.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563100","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}

{"title":"Primary leiomyosarcoma of the thyroid.","authors":"Bahadır Ege,&nbsp;Sezai Leventoğlu","doi":"10.4174/jkss.2013.85.1.43","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.43","url":null,"abstract":"<p><p>A 56-year-old male with primary leiomyosarcoma of the thyroid is presented. The paucity of diagnostic maneuvers, including tumor markers, fine needle aspiration, and frozen section biopsy, are stressed, in addition to the fulminate course of the disease. </p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"43-6"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.43","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563106","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}

{"title":"Clinical impact of fat clearing technique in nodal staging of rectal cancer after preoperative chemoradiotherapy.","authors":"Im-Kyung Kim,&nbsp;Beom Jin Lim,&nbsp;Jeonghyun Kang,&nbsp;Seong-Ah Kim,&nbsp;Dongwon Kang,&nbsp;Seung-Kook Sohn,&nbsp;Kang Young Lee","doi":"10.4174/jkss.2013.85.1.30","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.30","url":null,"abstract":"<p><strong>Purpose: </strong>This study was designed to evaluate the efficacy of a fat clearing technique for accurate nodal staging of rectal cancer patients after preoperative chemoradiotherapy (CRT).</p><p><strong>Methods: </strong>A total of 19 patients with rectal cancer within 10 cm from anal verge were divided into two groups: non-CRT group (n = 10) and CRT group (n = 9). For pathologic assessment, lymph node (LN) harvest was performed using conventional manual dissection followed by a fat clearing technique.</p><p><strong>Results: </strong>A median of 3.0 additional LNs in non-CRT group and 3.8 LNs in CRT group were identified by the fat clearing technique. When subanalysis was performed in patients with fewer than 12 retrieved LNs, a median of 4.0 extra LNs in non-CRT group and 3.5 extra LNs in CRT group were identified after the fat clearing technique. None of additionally identified nodes were metastatic. In both groups, the median size of retrieved LNs following the fat clearing technique was smaller than that obtained by manual dissection (2.0 mm vs. 3.0 mm, P < 0.001).</p><p><strong>Conclusion: </strong>The fat clearing technique allowed detection of additional LNs that were missed by the manual method, but these detected LNs were not proven to be metastatic.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"30-4"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.30","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563104","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}

{"title":"Preoperative constipation is associated with poor prognosis of rectal cancer: a prospective cohort study.","authors":"Gil-Yong Lee,&nbsp;Sung-Min Lee,&nbsp;Je-Ho Jang,&nbsp;Heung-Kwon Oh,&nbsp;Duck-Woo Kim,&nbsp;Soyeon Ahn,&nbsp;Sung-Bum Kang","doi":"10.4174/jkss.2013.85.1.35","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.35","url":null,"abstract":"<p><strong>Purpose: </strong>It is unknown whether patients with advanced rectal cancer develop severe constipation. Therefore, the objective of this study was to assess whether constipation severity is associated with pathologic progression of rectal cancer.</p><p><strong>Methods: </strong>We analyzed 472 patients with rectal cancer who underwent elective surgical resection between January 2005 and December 2010. Constipation severity was prospectively evaluated in 407 patients (86.2%) using the Cleveland Clinic Constipation Score System. Linear regression analysis was performed to identify clinicopathologic variables associated with constipation. Kaplan-Meier analysis and Cox proportional hazard models were used to evaluate the prognostic value of constipation severity on disease-free and overall survival.</p><p><strong>Results: </strong>Multivariable analysis showed that sex (regression coefficient [B] = 1.55; 95% confidence interval [CI], 0.79 to 2.60; P < 0.001), body mass index (B = -0.95; 95% CI, -1.83 to -0.64; P = 0.036), tumor size (B = 1.04; 95% CI, 0.20 to 1.88; P = 0.016), T stage (B = 0.75; 95% CI, 0.23 to 1.27; P = 0.005), and distant metastasis (B = 1.16; 95% CI, 0.03 to 2.30; P = 0.045) were associated with constipation severity. Severe constipation (score ≥ 8) was independently associated with 3-year disease-free survival (vs. scores of 0-3; hazard ratio [HR], 2.39; 95% CI, 1.15 to 4.98; P = 0.020) and 5-year overall survival (HR, 2.30; 95% CI, 1.23 to 4.30; P = 0.009) in multivariable analysis.</p><p><strong>Conclusion: </strong>Our results suggest that preoperative constipation severity is associated with advanced pathologic stage and poor oncologic outcomes in patients with rectal cancer.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563105","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}

{"title":"Clinical implications of preoperative thyrotropin serum concentrations in patients who underwent thyroidectomy for nonfunctioning nodule(s).","authors":"Dongju Kim,&nbsp;Jin-Woo Park","doi":"10.4174/jkss.2013.85.1.15","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.15","url":null,"abstract":"<p><strong>Purpose: </strong>Thyroid stimulating hormone (TSH) measurement is the most sensitive screening test for thyroid dysfunction. TSH is a well-known thyroid growth factor but its pathogenic role in thyroid oncogenesis remains to be clarified. The purpose of the present study was to evaluate the relationship between clinicopathologic characteristics of nonfunctioning thyroid nodules and preoperative TSH serum concentrations.</p><p><strong>Methods: </strong>Serum TSH concentrations can be affected by many factors. After exclusion of these confounding factors, a total of 126 patients who underwent thyroidectomy from Januray 2009 to December 2010 were included in this study. Average age was 45.4 ± 10.6 years and male:female ratio was 1:2.9. There were 11 patients with benign nodules, 34 patients with papillary thyroid microcarcinoma (PTMC) of less than 5 mm in maximal diameter, 66 patients with PTMCs of more than 5 mm but not more than 10 mm in maximal diameter, and 15 patients with papillary thyroid carcinoma (PTC) of more than 10 mm in maximal diameter.</p><p><strong>Results: </strong>TNM stages of PTCs correlated with higher preoperative TSH serum concentrations. There were trends of higher preoperative TSH serum concentrations in patients who had extrathyroidal extension (P = 0.059) and advanced N stages (P = 0.120) but did not reach statistical significance. Patients' age, sex, and tumor volume did not seem to affect preoperative TSH serum concentrations significantly.</p><p><strong>Conclusion: </strong>In patients who have PTCs without clinical, immunological, or ultrasonographic evidence of thyroiditis, higher preoperative TSH serum concentrations within the normal range might suggest advanced TNM stages.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"15-9"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563101","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}

{"title":"Achievement of the National Kidney Foundation Kidney Disease Outcomes Quality Initiative: recommended serum calcium, phosphate and parathyroid hormone values with parathyroidectomy in patients with secondary hyperparathyroidism.","authors":"Woo Young Kim,&nbsp;Jae Bok Lee,&nbsp;Hoon Yub Kim,&nbsp;Sang Uk Woo,&nbsp;Gil Soo Son,&nbsp;Jeoung Won Bae","doi":"10.4174/jkss.2013.85.1.25","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.25","url":null,"abstract":"<p><strong>Purpose: </strong>The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI) 2003 has established guidelines for the treatment of secondary hyperparathyroidism (SHPT) in patients with chronic kidney disease - minerals and bone disorder (CKD-MBD). This study evaluated parathyroidectomy in SHPT patients for the achievement of the NKF-K/DOQI-recommended values of serum calcium, phosphate, and parathyroid hormone (PTH).</p><p><strong>Methods: </strong>Between January 2005 and December 2010, parathyroidectomy was performed as recommended by the NKF-K/DOQI guidelines in 81 patients with SHPT and CKD-MBD. Serum PTH, calcium, and phosphate levels were measured prior to and 6, 12, 36, and 60 months after parathyroidectomy.</p><p><strong>Results: </strong>Calcium, phosphate, and PTH levels dropped shortly after parathyroidectomy; however, a slight increase showed in the long term. Calcium levels increased for up to 60 months. Phosphate and PTH levels increased for up to 36 months but tended to decrease slightly at 60 months. The mean values were within the target ranges, except for PTH at 36 months. The target parameters of serum phosphate (42.9-61.1% of patients) and serum calcium (a peak of 61.1% of patients at 36 months, but only 28.6% at 60 months) were achieved the most. Less than 34% of patients achieved the recommended range for PTH.</p><p><strong>Conclusion: </strong>Parathyroidectomy was not an optimal procedure for achieving all the biochemical parameters recommended by the NKF-K/DOQI. Although it was helpful in attaining the recommended values for serum calcium and phosphate in SHPT patients resistant to medical therapy, the PTH levels did not fall within the recommended range.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31563103","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}

{"title":"Experience of treatment of patients with granulomatous lobular mastitis.","authors":"Sung Mo Hur,&nbsp;Dong Hui Cho,&nbsp;Se Kyung Lee,&nbsp;Min-Young Choi,&nbsp;Soo Youn Bae,&nbsp;Min Young Koo,&nbsp;Sangmin Kim,&nbsp;Jun-Ho Choe,&nbsp;Jung-Han Kim,&nbsp;Jee Soo Kim,&nbsp;Seok-Jin Nam,&nbsp;Jung-Hyun Yang,&nbsp;Jeong Eon Lee","doi":"10.4174/jkss.2013.85.1.1","DOIUrl":"https://doi.org/10.4174/jkss.2013.85.1.1","url":null,"abstract":"<p><strong>Purpose: </strong>To present the author's experience with various treatment methods of granulomatous lobular mastitis (GLM) and to determine effective treatment methods of GLM.</p><p><strong>Methods: </strong>Fifty patients who were diagnosed with GLM were classified into five groups based on the initial treatment methods they underwent, which included observation (n = 8), antibiotics (n = 3), steroid (n = 13), drainage (n = 14), and surgical excision (n = 12). The treatment processes in each group were examined and their clinical characteristics, treatment processes, and results were analyzed respectively.</p><p><strong>Results: </strong>Success rates with each initial treatment were observation, 87.5%; antibiotics, 33.3%; steroids, 30.8%; drainage, 28.6%; and surgical excision, 91.7%. In most cases of observation, the lesions were small and the symptoms were mild. A total of 23 patients underwent surgical excision during treatment. Surgical excision showed particularly fast recovery, high success rate (90.3%) and low recurrence rate (8.7%).</p><p><strong>Conclusion: </strong>The clinical course of GLM is complex and the outcome of each treatment type are variable. Surgery may play an important role when a lesion is determined to be mass-forming or appears localized as an abscess pocket during breast examination or imaging study.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"85 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.85.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31206831","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}

{"title":"Early experiences of minimally invasive surgery to treat gastroesophageal reflux disease.","authors":"Sae Byul Lee,&nbsp;Kyoung Mo Jeon,&nbsp;Beom Su Kim,&nbsp;Kab Choong Kim,&nbsp;Hwoon-Yong Jung,&nbsp;Youn Baik Choi","doi":"10.4174/jkss.2013.84.6.330","DOIUrl":"https://doi.org/10.4174/jkss.2013.84.6.330","url":null,"abstract":"<p><strong>Purpose: </strong>There are fewer patients with gastroesophageal reflux disease (GERD) in Korea compared with Western countries. The incidence of GERD has increased in recent years however, concerning many physicians. Here, we report our early experiences of using a recently introduced method of laparoscopic antireflux surgery for the treatment of GERD in Korean patients.</p><p><strong>Methods: </strong>Fifteen patients with GERD were treated using antireflux surgery between May 2009 and February 2012 at the University of Ulsan College of Medicine and Asan Medical Center. Laparoscopic Nissen fundoplication with 360° wrapping was performed on all patients.</p><p><strong>Results: </strong>Eleven male and four female patients were evaluated and treated with an average age of 58.1 ± 14.1 years. The average surgical time was 118.9 ± 45.1 minutes, and no complications presented during surgery. After surgery, the reflux symptoms of each patient were resolved; only two patients developed transient dysphagia, which resolved within one month. One patient developed a 6-cm hiatal hernia that had to be repaired and reinforced using mesh.</p><p><strong>Conclusion: </strong>The use of laparoscopic surgery for the treatment of GERD is safe and feasible. It is also an efficacious method for controlling the symptoms of GERD in Korean patients. However, the use of this surgery still needs to be standardized (e.g., type of surgery, bougienage size, wrap length) and the long-term outcomes need to be evaluated.</p>","PeriodicalId":49991,"journal":{"name":"Journal of the Korean Surgical Society","volume":"84 6","pages":"330-7"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4174/jkss.2013.84.6.330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486549","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}