Asian Journal of Surgery最新文献

{"title":"Multispecialty management of metachronous gliomatosis and rectal adenocarcinoma post teratoma","authors":"Faxin Li , Xuedong Zhang , Mingming Chai , Tao Wang","doi":"10.1016/j.asjsur.2025.10.074","DOIUrl":"10.1016/j.asjsur.2025.10.074","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2761-2762"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing an early prediction model for acute respiratory distress syndrome complicated by pancreatitis using machine learning","authors":"Chen Fang, Weiwei Qian, Jiale Tong, Yue Zhou","doi":"10.1016/j.asjsur.2025.10.075","DOIUrl":"10.1016/j.asjsur.2025.10.075","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2763-2764"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using three-dimensional stomach models to identify anatomical landmarks and estimate the resection site in gastric cancer surgery","authors":"Ji-Hyeon Park ,&nbsp;Ji-Yeon Shin ,&nbsp;JeeSun Kim ,&nbsp;Jaegyun Park ,&nbsp;Cheong-Il Shin ,&nbsp;Se Hyung Kim ,&nbsp;Do Joong Park ,&nbsp;Hyuk-Joon Lee ,&nbsp;Han-Kwang Yang ,&nbsp;Seong-Ho Kong","doi":"10.1016/j.asjsur.2025.10.159","DOIUrl":"10.1016/j.asjsur.2025.10.159","url":null,"abstract":"<div><h3>Background</h3><div>Estimating the exact resection site and resected gastric volume in various gastrectomies is challenging. This study used three-dimensional (3D) stomach models to simulate different gastrectomies and identify anatomical landmarks for resection sites.</div></div><div><h3>Methods</h3><div>We constructed 3D stomach models from preoperative computed tomography scans of 42 early gastric cancer patients who underwent total gastrectomy, using artificial intelligence–based software. Additional 3D perigastric vascular models were generated for 30 patients to identify landmarks for resection. The lengths and volumes of the resected and remaining stomachs were measured.</div></div><div><h3>Results</h3><div>In both distal gastrectomy (DG) and proximal gastrectomy (PG), the landmark of the resection line on the lesser curvature (LC) side was defined as the lower border of the esophagogastric junction. On the greater curvature (GC) side, the simulated resection line in DG was close to the first branch of the left gastroepiploic artery (18/30), while that in PG corresponded to the last branch of the right gastroepiploic artery (15/30). The mean total volume of the 3D stomach model was 614.5 ± 182.0 mm³. When cutting along the GC and LC at 3, 5, and 7 cm from the pylorus, the remaining mean antrum volumes (%) were 7.8 ± 3.22 mm³, 12.83 ± 4.72 mm³, and 18.72 ± 6.15 mm³, respectively.</div></div><div><h3>Conclusions</h3><div>Preoperative CT-based 3D stomach models were feasible for estimating remnant gastric volume and predicting resection landmarks, which frequently corresponded with conventional resection lines for DG, PG and PPG, despite individual variations. These findings suggest potential value for surgical planning, although further prospective validation is warranted.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2551-2558"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anorectal primary polypoid amelanotic malignant melanoma","authors":"Yajie Wang ,&nbsp;Yuhan Zhou ,&nbsp;Limin Lei,&nbsp;Songwei Yue","doi":"10.1016/j.asjsur.2025.10.089","DOIUrl":"10.1016/j.asjsur.2025.10.089","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2794-2795"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided hydrodilatation of the glenohumeral joint combined with acupotomy release improves shoulder function in patients with frozen shoulder: A multicenter retrospective study","authors":"Xiang Shang ,&nbsp;Guo-Rui Luan ,&nbsp;De-Hong Meng ,&nbsp;Yang-Chun Song ,&nbsp;Fen Zhang ,&nbsp;San-Bing Wu ,&nbsp;Kai Geng ,&nbsp;Hou-Shan Fang ,&nbsp;Wei Wei ,&nbsp;Rui-Rui Ma ,&nbsp;Yong-Hui Yang ,&nbsp;Fei Li","doi":"10.1016/j.asjsur.2025.09.217","DOIUrl":"10.1016/j.asjsur.2025.09.217","url":null,"abstract":"<div><h3>Background</h3><div>Patients with frozen shoulder (FS) typically present with shoulder pain and restricted range of motion (ROM). This multi-center retrospective study aims to evaluate the ultrasound-guided hydrodilatation of the glenohumeral joint combined with acupotomy release in improving shoulder function in FS patients.</div></div><div><h3>Methods</h3><div>Retrospective analysis of patients who received ultrasound-guided hydrodilatation of the glenohumeral joint combined with acupotomy release for frozen shoulder between January 2023 and February 2025.</div></div><div><h3>Results</h3><div>A total of 258 FS patients were included, with 123 in ultrasound-guided hydrodilation of the glenohumeral joint combined with acupotomy release group (HAG) and 135 in the ultrasound-guided hydrodilation of the glenohumeral joint group(HG). The short-term(3 weeks) improvement in ROM was similar between two groups (<em>P</em> &gt; 0.05), but the mid-term(6 weeks) and mid-to-long term(12 weeks) efficacy of HAG was better (<em>P</em> &lt; 0.05). In terms of Constant-Murley Score(CMS), HAG showed better short-term efficacy in pain score, activities of daily living score, active range of motion, and abduction muscle strength (<em>P</em> &lt; 0.05), while there was no significant difference in abduction muscle strength between two groups in the mid-to-long term (<em>P</em> &gt; 0.05). HAG showed better improvement in Visual Analog Scale (VAS) scores in the short-term and mid-term(<em>P</em> &lt; 0.05), but did not show enough advantages in mid-to-long term efficacy(<em>P</em> &gt; 0.05). HAG showed better improvement in Shoulder Pain and Disability Index (SPADI) scores than AG in all of short-term mid-term and mid-to-long term (<em>P</em> &lt; 0.05). All of the patients did not experience any serious adverse events during the treatment period.</div></div><div><h3>Conclusions</h3><div>ultrasound-guided hydrodilatation of the glenohumeral joint combined with acupotomy release effectively improves shoulder range of motion and function in patients with FS, demonstrating superior mid-term efficacy and enhanced safety.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2585-2593"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful rescue through chest compression for a patient with laryngospasm induced by sugammadex","authors":"Yingjie Wang,&nbsp;Yi Tian","doi":"10.1016/j.asjsur.2025.10.106","DOIUrl":"10.1016/j.asjsur.2025.10.106","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2820-2821"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indocyanine green fluorescence imaging with coaxial projective lymphography improves the accuracy of sentinel lymph node detection in lower extremity malignant melanoma","authors":"Ru Zhang ,&nbsp;Ruijie Yang ,&nbsp;Xiaohong Zhong ,&nbsp;Pengfei Shao ,&nbsp;Peng Liu ,&nbsp;Jinyu Xing ,&nbsp;Tao Lin ,&nbsp;Liping Zhao ,&nbsp;Hong Fang ,&nbsp;Guangdi Yin ,&nbsp;Zhongliang Lang ,&nbsp;Ronald X. Xu","doi":"10.1016/j.asjsur.2025.09.194","DOIUrl":"10.1016/j.asjsur.2025.09.194","url":null,"abstract":"<div><h3>Background</h3><div>Sentinel lymph node biopsy (SLNB) plays a crucial role in the management of patients with malignant melanoma. However, limited studies have been conducted in SLNB for lower extremity malignant melanoma in Asians.</div></div><div><h3>Objectives</h3><div>We used coaxial projective lymphography to demonstrate a technique for SLNB in lower extremity malignant melanoma and evaluated the accuracy and efficacy of this new technique.</div></div><div><h3>Methods</h3><div>Twenty patients with lower extremity malignant melanoma who underwent SLNB were enrolled in this prospective study. All the patients had SLNB performed under the guidance of Indocyanine Green (ICG) based coaxial projective lymphography. Tissue samples of suspicious lymph nodes with or without ICG labeling were excised, and analyzed by intraoperative frozen section examination and pathological examination. The SLNs were identified by coaxial projective lymphography before and after skin incision and the localization accuracy was compared with that based on the surgeons’ experience.</div></div><div><h3>Results</h3><div>The accuracy of locating SLNs with ICG-based coaxial projective lymphography was 95 % (n = 19) before skin incision and 100 % (n = 20) after skin incision. All 20 ICG-labeled tissues contained SLNs, and a total of 46 SLNs were detected. The surgeons empirically identified 65 % (n = 13) of lymph nodes after skin incision. The coaxial projective lymphography detection rate of lymph nodes was significantly higher than that of surgeons based on their experience.</div></div><div><h3>Conclusions</h3><div>ICG-based coaxial projective lymphography can accurately localize SLNs on the inguinal surface of patients with lower extremity malignant melanoma. It provides an alternative solution for SLNB in lower extremity malignant melanoma when ^99mTc cannot be used to locate SLNs preoperatively.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2608-2613"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior fossa group A ependymoma with metastases to mastoid sinus: The first report of a rare case","authors":"Yen-Chen Lee,&nbsp;Pao-Shu Wu","doi":"10.1016/j.asjsur.2025.08.383","DOIUrl":"10.1016/j.asjsur.2025.08.383","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2684-2685"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initial therapeutic protocol for a neonate with sex chromosome mosaicism","authors":"Xiaoyu Yang,&nbsp;Yi Zhang","doi":"10.1016/j.asjsur.2025.10.036","DOIUrl":"10.1016/j.asjsur.2025.10.036","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2696-2697"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on the relationship between tumor microenvironment and pancreatic cancer: Global research status and trends","authors":"Yang Xu ,&nbsp;ZhiHua Huang ,&nbsp;Ju Wu,&nbsp;JiaJun Yin","doi":"10.1016/j.asjsur.2026.01.049","DOIUrl":"10.1016/j.asjsur.2026.01.049","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 5","pages":"Pages 2672-2673"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}