World Journal of Surgery最新文献_第3页

Haemoblock hemostatic substance in reducing seroma formation post axillary lymph node dissection following breast conserving surgery. Haemoblock 止血物质可减少保乳手术腋窝淋巴结清扫术后血清肿的形成。

World Journal of Surgery Pub Date : 2024-04-05 DOI: 10.1002/wjs.12134

Mohamed Izzad Isahak, Muhammad Safwan Abdullah, Raflis Ruzairee Awang, Nor Faezan Abdul Rashid, Seniyah Md Sikin, S. N. Abdullah Suhaimi, Norlia Abdullah, R. Muhammad, Nani Harlina Md Latar

{"title":"Haemoblock hemostatic substance in reducing seroma formation post axillary lymph node dissection following breast conserving surgery.","authors":"Mohamed Izzad Isahak, Muhammad Safwan Abdullah, Raflis Ruzairee Awang, Nor Faezan Abdul Rashid, Seniyah Md Sikin, S. N. Abdullah Suhaimi, Norlia Abdullah, R. Muhammad, Nani Harlina Md Latar","doi":"10.1002/wjs.12134","DOIUrl":"https://doi.org/10.1002/wjs.12134","url":null,"abstract":"BACKGROUND\u0000Axillary lymph node dissection (ALND) in breast cancer management, necessitates a nuanced understanding of complications that may impede treatment progression. This study scrutinize the impact of Haemoblock hemostatic solution, evaluation it's potential in reducing seroma complication by controlling lymph flow and obliterating axillary dead space.\u0000\u0000\u0000METHOD\u0000A prospective, randomized, double-blinded controlled trial was conducted with 58 patients undergoing breast conserving surgery (BCS) and ALND, stratified into two groups: Group A (ALND + Haemoblock, n = 29) and Group B (ALND + placebo, n = 29). Postoperative drainage charts were monitored, with the primary endpoint being the time to drain removal, Additionally, patients were observed for surgical site infection (SSI).\u0000\u0000\u0000RESULTS\u0000Group A exhibited a marginally higher mean total drain output (398 +/- 205 vs. 326 +/- 198) compared to Group B, this difference did not attain statistical significance (p = 0.176). Equally, the mean time to drain removal demonstrated no discernible distinction between the two groups (6 +/- 3.0 vs. 6 +/- 3.0, Group A vs. Group B, p = 0.526). During follow up, nine patients in Group A required seroma aspiration (mean aspiration 31 +/- 73) as compared to Group B, 6 patients required aspiration (mean aspiration 12 +/- 36), p = 0.222). No notable disparity in SSI rates between the groups was identified.\u0000\u0000\u0000CONCLUSION\u0000In conclusion, the administration of Haemoblock did not manifest a discernible effect in mitigating seroma production, hastening drain removal, or influencing SSI rates following ALND. The study underscores the intricate and multifactorial nature of seroma formation, suggesting avenues for future research to explore combined interventions and protracted follow-up periods for a more comprehensive understanding.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive pancreatoduodenectomy by junior surgeon: Initial experience of the next generation. 初级外科医生的微创胰十二指肠切除术：下一代的初步经验。

World Journal of Surgery Pub Date : 2024-04-05 DOI: 10.1002/wjs.12178

Sung Hyun Kim, Seung-Soo Hong, Chang Moo Kang

{"title":"Minimally invasive pancreatoduodenectomy by junior surgeon: Initial experience of the next generation.","authors":"Sung Hyun Kim, Seung-Soo Hong, Chang Moo Kang","doi":"10.1002/wjs.12178","DOIUrl":"https://doi.org/10.1002/wjs.12178","url":null,"abstract":"BACKGROUND\u0000Several guidelines exist for minimally invasive pancreatoduodenectomy (MIPD) regarding its prerequisites and learning curve. However, these guidelines are based on the experience of the pioneers of MIPD; minimal data exist on the experience of the next generation of surgeons. The aim of this study was to compare the two surgeon types (veteran and junior) for MIPD in terms of immediate postoperative outcomes.\u0000\u0000\u0000METHODS\u0000The postoperative outcomes of 22 patients who underwent robot-assisted pancreatoduodenectomy (RAPD) by a junior surgeon from July 2021 to December 2022 were retrospectively reviewed. The outcomes were compared with the initial postoperative outcomes and the contemporary postoperative outcomes of RAPD by a veteran surgeon.\u0000\u0000\u0000RESULTS\u0000In comparing the initial outcomes between the two surgeon types, the veteran surgeons showed a shorter operation time (junior surgeon vs. veteran surgeon: 606 ± 89 vs. 467 ± 77 min, p < 0.001). However, there was no significant difference in terms of postoperative outcomes, such as blood loss (300 [200-600] ml. vs. 200 [100-500] ml, p = 0.208), major complications (≥CDC IIIa: 4 (18.2%) vs. 4 (18.2%), p = 1.000), postoperative pancreatic fistula (POPF; ≥ISGPF Grade B: 2 (9.1%) vs. 3 (13.6%), p > 0.999), and length of hospital stay (18.0 ± 8.9 days vs. 18.3 ± 7.9 days, p = 0.915), between the two surgeon types. In addition, in a comparison of the contemporary outcomes, there was no significant difference in terms of postoperative outcome (complications: 4 (18.2%) vs 11 (11.1%), p = 0.580; POPF: 2 (9.1%) vs. 3 (3.0%), p = 0.484; length of hospital stay: 18.0 ± 8.9 vs. 15.0 ± 6.5 days, p = 0.065).\u0000\u0000\u0000CONCLUSION\u0000The initial outcomes of MIPD by a well-trained junior surgeon were found to be comparable to those of MIPD by a veteran surgeon.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune inflammation index in predicting the necessity for surgery and therapeutic surgery in patients with anterior abdominal stab wounds. 中性粒细胞与淋巴细胞比率、血小板与淋巴细胞比率以及全身免疫炎症指数在预测前腹部刀伤患者是否需要手术和治疗性手术中的作用。

World Journal of Surgery Pub Date : 2024-04-03 DOI: 10.1002/wjs.12177

Muhammed Taha Demirpolat, M. Islam

{"title":"The role of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune inflammation index in predicting the necessity for surgery and therapeutic surgery in patients with anterior abdominal stab wounds.","authors":"Muhammed Taha Demirpolat, M. Islam","doi":"10.1002/wjs.12177","DOIUrl":"https://doi.org/10.1002/wjs.12177","url":null,"abstract":"BACKGROUND\u0000In this diagnostic accuracy study, we examined the effectiveness of neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune inflammation index (SII) in predicting the need for surgical intervention in patients with anterior abdominal stab wounds (AASW) who exhibit unclear findings on physical examination yet remain hemodynamically stable.\u0000\u0000\u0000METHODS\u0000Over a 7-year period, patients with AASW were retrospectively analyzed. Patients were divided into two groups as surgical (SG) and nonsurgical group (nSG). The SG were also divided into two groups as therapeutic surgery (TS) group and the non-therapeutic surgery (nTS) group. The groups were compared in terms of NLR, PLR values and SII scores.\u0000\u0000\u0000RESULTS\u0000In a retrospective analysis of 199 patients with AASW, NLR, PLR and SII obtained during clinical follow-up of patients with AASW in whom the necessity for immediate surgery was unclear significantly predicted therapeutic surgery (p < 0.001 for all). These parameters did not show a significant difference in predicting the need for surgery at the admission. NLR showed an AUC of 0.971 and performed significantly better than PLR and SII (AUC = 0.874 and 0.902, respectively) in predicting TS. The optimal cut-off value for NLR was 3.33, with a sensitivity of 98.2%, a specificity of 90%, and a negative likelihood ratio of 0.02. Time from admission to surgery was significantly shorter in the TS group (p = 0.001).\u0000\u0000\u0000CONCLUSION\u0000NLR, PLR and SII values may be useful in predicting therapeutic surgery during clinical follow-up in AASW patients with unclear physical examination findings and in whom immediate surgical decisions cannot be made.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"144 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140748203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of cholecystectomy on the symptom relief and quality of life of patients with gallbladder dysmotility. 胆囊切除术对胆囊运动障碍患者症状缓解和生活质量的影响。

World Journal of Surgery Pub Date : 2024-04-03 DOI: 10.1002/wjs.12171

Nadeen Alamin, Sara Iqbal, Alizee Baumert, Roland Fernandes

{"title":"The impact of cholecystectomy on the symptom relief and quality of life of patients with gallbladder dysmotility.","authors":"Nadeen Alamin, Sara Iqbal, Alizee Baumert, Roland Fernandes","doi":"10.1002/wjs.12171","DOIUrl":"https://doi.org/10.1002/wjs.12171","url":null,"abstract":"BACKGROUND\u0000The aim of this study was to demonstrate the impact of laparoscopic cholecystectomy on the physical and mental health of patients with gallbladder dysmotility.\u0000\u0000\u0000METHODS\u0000Retrospective data was collected from 314 patients who had undergone a hepatobiliary iminodiacetic acid (HIDA) scan between June 2012 and June 2022 in a District General Hospital in South East England. Sixty-three patients who were diagnosed with gallbladder dysmotility were then contacted and asked to participate in a telephone interview regarding their symptoms. We measured their health-related quality of life using the HRQoL SF-12 v2 (Health Related Quality of Life Short Form-12 version 2) questionnaire. Differences in the resolution of symptoms between those that had undergone a cholecystectomy and those who did not, were assessed using a chi square test. The two groups were then compared using the student t-test to assess statistically significant differences.\u0000\u0000\u0000RESULTS\u000094% (n = 31/33) of the participants in the non-cholecystectomy group demonstrated persistent biliary pain symptoms as opposed to the 6% (n = 2/30) in the cholecystectomy group. A statistically significant improvement in five out of the eight domains of the HRQoL SF-12 questionnaire was demonstrated. These domains include PCS (physical component summary), MCS (mental component summary), mental health, general health and bodily pain.\u0000\u0000\u0000CONCLUSION\u0000The results of our retrospective analysis demonstrate an improvement in both the physical and mental health-related quality of life symptoms in patients who underwent laparoscopic cholecystectomy. These findings support the use of laparoscopic cholecystectomy as an effective method for managing gallbladder dysmotility.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140748431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to “Etiology and management outcomes of adult mechanical bowel obstruction in Nigeria: A systematic review and meta‐analysis” 更正 "尼日利亚成人机械性肠梗阻的病因和管理结果：系统回顾和荟萃分析"

World Journal of Surgery Pub Date : 2024-03-21 DOI: 10.1002/wjs.12145

引用次数: 0

Correction to “Long‐term survival outcomes of surgery combined with hyperthermic intraperitoneal chemotherapy for perforated low‐grade appendiceal mucinous neoplasms: A multicenter retrospective study” 更正 "手术联合腹腔内热化疗治疗穿孔性低级别阑尾粘液性肿瘤的长期生存结果：一项多中心回顾性研究"

World Journal of Surgery Pub Date : 2024-03-19 DOI: 10.1002/wjs.12144

引用次数: 0

Inefficient admissions for abdominal pain under an acute general surgical unit 急诊普通外科因腹痛入院的效率低下问题

World Journal of Surgery Pub Date : 2024-01-09 DOI: 10.1002/wjs.12068

Rahy Farooq, G. Perin, S. Balasubramanian

引用次数: 0

Extremely high peritoneal cancer index in colorectal peritoneal metastases demonstrates safety and overall survival benefit in selected patients undergoing cytoreductive surgery and heated intraperitoneal chemotherapy 结直肠腹膜转移瘤的极高腹膜癌指数显示，接受细胞切除手术和腹腔内加热化疗的特定患者可获得安全性和总生存率优势

World Journal of Surgery Pub Date : 2024-01-09 DOI: 10.1002/wjs.12080

A. Ben-Yaacov, Olivia Levine, G. Schtrechman, M. Adileh, T. Beller, Ben Boursi, N. Halpern, Adam Goldstein, Gil Ben‐Yakov, Aviram Nissan, S. Laks

{"title":"Extremely high peritoneal cancer index in colorectal peritoneal metastases demonstrates safety and overall survival benefit in selected patients undergoing cytoreductive surgery and heated intraperitoneal chemotherapy","authors":"A. Ben-Yaacov, Olivia Levine, G. Schtrechman, M. Adileh, T. Beller, Ben Boursi, N. Halpern, Adam Goldstein, Gil Ben‐Yakov, Aviram Nissan, S. Laks","doi":"10.1002/wjs.12080","DOIUrl":"https://doi.org/10.1002/wjs.12080","url":null,"abstract":"Colorectal peritoneal metastases are a devastating consequence of colorectal cancer (CRC) with extremely poor prognosis. Patients that can undergo complete cytoreduction by cytoreductive surgery and heated intraperitoneal chemotherapy (CRS/HIPEC) have a markedly improved overall survival. Traditionally, patients with extremely high peritoneal cancer index (PCI), PCI >20, are not offered CRS/HIPEC.We performed a retrospective analysis of our prospectively maintained CRS/HIPEC database and evaluated all patients with CRC peritoneal metastases between 2012 and 2022. We divided the cohorts between those with low operative PCI (PCI<20) and high operative PCI (PCI =>20). We examined demographic, clinicopathologic data, perioperative, and oncological outcomes between the cohorts.Of the 691 patients who underwent CRS/HIPEC, 289 were evaluable with CRC metastases, 234 with PCI <20 and 43 with PCI => 20. Median radiologic preoperative and operative PCI was 4 and 10 versus 7 and 24.5 in the low and high PCI cohorts, respectively. Operative time was longer (6 vs. 4 h) and blood loss higher (500 vs. 400 mL) in the high PCI cohort. All other demographic, clinicopathological, and operative characteristics were similar. Median disease free survival (DFS) was longer in the low PCI cohort (11.5 vs. 7 months) but overall survival (OS) showed benefit (41.3 vs. 31.8 months), (p = 0.001 and p = 0.189, respectively), comparatively with an only chemotherapy strategy.Appropriately selected patients with CRC metastases and extremely high PCI demonstrate similar perioperative safety outcomes in experienced tertiary referral centers. Despite a shorter median DFS, these carefully selected patients demonstrated similar median OS.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"26 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhanced recovery after surgery after radical gastrectomy: Improved compliance over time is associated with a shorter postoperative hospital stay 增强根治性胃切除术后的术后恢复：随着时间的推移，依从性的提高与术后住院时间的缩短有关

World Journal of Surgery Pub Date : 2024-01-08 DOI: 10.1002/wjs.12055

J. Tankel, A. Kammili, Andrew Meng, Mehrnoush Dehghani, Rawan Sakalla, Jonathan Spicer, S. Najmeh, J. Cools-Lartigue, Lorenzo Ferri, C. Mueller

{"title":"Enhanced recovery after surgery after radical gastrectomy: Improved compliance over time is associated with a shorter postoperative hospital stay","authors":"J. Tankel, A. Kammili, Andrew Meng, Mehrnoush Dehghani, Rawan Sakalla, Jonathan Spicer, S. Najmeh, J. Cools-Lartigue, Lorenzo Ferri, C. Mueller","doi":"10.1002/wjs.12055","DOIUrl":"https://doi.org/10.1002/wjs.12055","url":null,"abstract":"Changing adherence over time to enhanced recovery after surgery (ERAS) protocols following radical gastrectomy and the impact this has on length of stay (LoS) is not well described. This study aimed to explore the changes in adherence to core ERAS elements over time and the relationship between compliance and LoS.A retrospective, single center cohort study was performed between 01/2016–12/2021. An ad hoc analysis revealed the point at which a significant difference in the number of patients being discharge on postoperative day (PoD) 3 was noted allowing allocation of patients to Group A (01/2016–12/2019) or B (01/2020–12/2021). Compliance with core ERAS elements was compared and the relationship between compliance and discharge by (PoD) 3 assessed. Variables significant on univariate analysis were assessed using binary multivariate regression.Of the 268 patients identified, 187 met the inclusion criteria (Group A 112 and Group B 75). More patients in Group B mobilized on PoD 1 (60.0 vs. 31.3%, p = <0.001), tolerated postgastrectomy diet by PoD 3 (84.6 vs. 62.5%, p = 0.049), and were discharged by PoD 3 (34.7 vs. 20.5%, p = 0.002). Protocol compliance of >75% was associated with discharge on PoD 3 (area under the curve, 0.726). Active mobilization on PoD 1 (OR 3.5, p = 0.009), compliance ≥75% (OR 3.3, p = 0.036), and preoperative nutritional consult (OR 0.2, p = 0.002) were independently associated with discharge on PoD 3. Discharge on PoD 3 did not increase readmission or representation to hospital.Early mobilization, protocol compliance >75%, and preoperative nutritional consult were associated with discharge on PoD 3 after radical gastrectomy.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"17 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single‐port robotic subcostal major pulmonary resection using the single‐port robotic system 使用单孔机器人系统进行肋下大肺切除术

World Journal of Surgery Pub Date : 2024-01-08 DOI: 10.1002/wjs.12051

Jun Hee Lee, J. Hong, Hyun Koo Kim

{"title":"Single‐port robotic subcostal major pulmonary resection using the single‐port robotic system","authors":"Jun Hee Lee, J. Hong, Hyun Koo Kim","doi":"10.1002/wjs.12051","DOIUrl":"https://doi.org/10.1002/wjs.12051","url":null,"abstract":"The da Vinci single‐port system (SPS) (Intuitive Surgical, Sunnyvale, CA, USA) was designed for single‐port (SP) surgery. Although we have reported our clinical outcomes using the SPS for a simple procedure in general thoracic surgery, major pulmonary resection had been performed only in cadaveric experiments to date. This study evaluated the feasibility of SP subcostal robotic major pulmonary resection using the SPS. Here, we present our initial clinical experience of SP subcostal robotic major pulmonary resection at our institution.Twenty‐five patients with lung cancer underwent SP major subcostal pulmonary resection using the SPS between March and November 2022. Patient characteristics, intraoperative and perioperative outcomes were assessed. Questionnaires were used to evaluate patient satisfaction with the cosmetic results and quality of life through face‐to‐face or telephone interviews on postoperative day 30.All patients underwent major pulmonary resection with complete radical resection (R0). Nineteen patients underwent lobectomy, whereas six patients underwent segmentectomy. The mean docking time and total operative time were 4.16 ± 1.19 min (range, 2.3–7.8 min) and 197.6 ± 55.33 min (range, 130–313 min), respectively. No patients underwent conversion to open thoracotomy. One patient required an additional assistant port due to severe pleural adhesions.SP subcostal robotic major pulmonary resection using the SPS is feasible and safe. With the continuous development of robotic technology and surgical techniques, we believe that more complex general thoracic surgeries will be performed in the future using SPS.","PeriodicalId":507313,"journal":{"name":"World Journal of Surgery","volume":"36 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139448052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0