Asian Journal of Surgery最新文献_第2页

Ultrasonographic optic nerve sheath diameter for assessing the effect of pneumoperitoneum and Trendelenburg position on intracranial pressure during gynecologic surgery: a prospective observational study 超声视神经鞘直径评价气腹和Trendelenburg体位对妇科手术中颅内压的影响：一项前瞻性观察研究

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.04.036

Xiaoyun Ruan, Di Wu, Bingcheng Zhao, Huamin Liu, Chunhua Lu, Kexuan Liu, Wenting Chen

{"title":"Ultrasonographic optic nerve sheath diameter for assessing the effect of pneumoperitoneum and Trendelenburg position on intracranial pressure during gynecologic surgery: a prospective observational study","authors":"Xiaoyun Ruan, Di Wu, Bingcheng Zhao, Huamin Liu, Chunhua Lu, Kexuan Liu, Wenting Chen","doi":"10.1016/j.asjsur.2025.04.036","DOIUrl":"10.1016/j.asjsur.2025.04.036","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies have shown that pneumoperitoneum and the Trendelenburg position can increase intracranial pressure (ICP). The optic nerve sheath diameter (ONSD) measurement using ultrasound has emerged as a simple, noninvasive, and reliable surrogate for invasive ICP measurement.</div></div><div><h3>Methods</h3><div>This prospective study enrolled 121 patients undergoing gynecologic laparoscopic surgery under general anesthesia. ONSD was measured using ultrasonography at different time points during surgery. All patients were assessed Postoperative headache, nausea and vomiting, blurred vision, and cognitive dysfunction within 1 day of recovery.</div></div><div><h3>Results</h3><div>After establishing the pneumoperitoneum in the Trendelenburg position, ONSD increased over time and decreased significantly upon release of the pneumoperitoneum and return to the supine position (p < 0 .05). However, ONSD did not return to baseline levels 1 h after the release of the pneumoperitoneum and return to the supine position (4.63 mm vs. 4.52 mm, p < 0.05). Different Trendelenburg angles during the surgeries revealed a significant upward trend in ONSD with increasing tilt angles (p < 0.05). Patients with ONSD > 5 mm experienced higher rates of postoperative headache, nausea and vomiting, blurred vision, and cognitive dysfunction than those with ONSD ≤ 5 mm (p < 0.05 respectively).</div></div><div><h3>Conclusions</h3><div>The combination of pneumoperitoneum and Trendelenburg position significantly increased ONSD during surgery. The longer the duration of the pneumoperitoneum and the steeper the Trendelenburg position, the more significant the increase in ONSD. Postoperative headache, nausea and vomiting, blurred vision, and cognitive dysfunction were significantly associated with an intraoperative ONSD > 5 mm.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 9","pages":"Pages 5404-5409"},"PeriodicalIF":3.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921218","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}

引用次数: 0

Long-term quality of life after microscopic and endoscopic transsphenoidal pituitary adenoma surgery: A retrospective cohort study 经蝶窦垂体腺瘤手术后的长期生活质量：一项回顾性队列研究

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.04.035

Rui Fan, Run-sheng Zhao, Yan Zhong, Wei-qing Wan

{"title":"Long-term quality of life after microscopic and endoscopic transsphenoidal pituitary adenoma surgery: A retrospective cohort study","authors":"Rui Fan, Run-sheng Zhao, Yan Zhong, Wei-qing Wan","doi":"10.1016/j.asjsur.2025.04.035","DOIUrl":"10.1016/j.asjsur.2025.04.035","url":null,"abstract":"<div><h3>Background</h3><div>Transsphenoidal surgery is the primary treatment for pituitary adenomas, yet the long-term quality of life (LTQoL) outcomes following microscopic transsphenoidal surgery (MTSS) and endoscopic transsphenoidal surgery (ETSS) remain underexplored. This study compared postoperative complications and LTQoL (>24 months) between these two approaches.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed 103 patients who underwent their first transsphenoidal pituitary adenoma resection at Beijing Tiantan Hospital (2015–2022). Patients were categorized into the MTSS group (n = 55) and ETSS group (n = 48). LTQoL was assessed using the Anterior Skull Base Questionnaire (ASBQ) and Sino-Nasal Outcome Test-22 (SNOT-22). Statistical analyses were performed to compare postoperative complications and LTQoL outcomes.</div></div><div><h3>Results</h3><div>No significant differences were observed in postoperative infections (P = 0.566), diabetes insipidus (P = 0.414), vision recovery (P = 0.064), and hyponatremia (P = 0.931). However, ETSS had a higher cerebrospinal fluid (CSF) leakage rate (16.7 % vs. 3.6 %, P = 0.042) but a significantly higher gross-total resection (GTR) rate (83.3 % vs. 25.5 %, P < 0.05). Regression analysis showed SNOT-22 scores were associated with surgical approach, cavernous sinus invasion, cerebrospinal fluid (CSF) leakage, and visual deterioration. Tumor size and hospital stay negatively impacted both ASBQ and SNOT-22 scores, while PIT1-lineage tumors were protective for ASBQ scores.</div></div><div><h3>Conclusion</h3><div>Both MTSS and ETSS are effective, but ETSS is preferred for tumors extending beyond the sella due to its higher GTR rate and better nasal-related LTQoL, despite an increased risk of CSF leakage.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 9","pages":"Pages 5397-5403"},"PeriodicalIF":3.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921217","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}

引用次数: 0

Tandem duplication hotspots drive enhancer-mediated ERBB2 overexpression in gastroesophageal adenocarcinoma 串联重复热点驱动增强子介导的ERBB2在胃食管腺癌中的过表达

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.060

Shang-Zi Wang , Zhi-Hui Li , Chen Suo , Xing-Dong Chen

引用次数: 0

PCSK9 inhibitors: A comprehensive analysis of the clinical trial landscape PCSK9抑制剂：临床试验前景的综合分析

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.111

Yi Lu, Hao Jiang

引用次数: 0

A bibliometric analysis of research hotspots and trends of enhanced recovery after surgery in pediatric surgery from 2004 to 2024 2004 - 2024年儿科外科术后增强康复研究热点及趋势文献计量学分析

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.112

Yongbo Zhang , Mingqing Xu , Bo Xiang

引用次数: 0

Development and application of proactive health concepts through artificial intelligence 通过人工智能开发和应用主动健康理念

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.113

Anguo Zhao , Rongkang Li , Jianquan Hou , Jun Zhang

引用次数: 0

The value of neutrophil-to-lymphocyte ratio in predicting cardiovascular outcomes for patients with diabetes: A meta-analysis 中性粒细胞与淋巴细胞比值在预测糖尿病患者心血管预后中的价值：一项荟萃分析

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.105

Jiazhu Zhang, Qi Bao, Yingli Mao

引用次数: 0

Emphysematous pyelonephritis combined with hepatic portal venous gas: Report of a rare case 肺气肿性肾盂肾炎合并肝门静脉气体1例

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.095

Xinsen Chen , Meng Shao , Ting Jiang , Lu Zhang

引用次数: 0

Common respiratory diseases and constipation risk: A Mendelian randomization study 常见呼吸系统疾病和便秘风险：一项孟德尔随机研究

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.154

Bo Zhang, Jiaxin Li, Yishuo Zhang, Liya Zhou

引用次数: 0

Efficacy and safety of acupotomy in the treatment of cervical spondylotic radiculopathy: A systematic review and meta-analysis 针刀治疗神经根型颈椎病的疗效和安全性：系统回顾和荟萃分析

IF 3.8 3区医学

Asian Journal of Surgery Pub Date : 2025-09-01 DOI: 10.1016/j.asjsur.2025.03.176

Li-jun Ou , Zhi-hao Wei , Jia-yi Kuang

引用次数: 0