Asian Journal of Surgery最新文献_第2页

One-stage flexible ureteroscopic laser lithotripsy: A case report 一期输尿管软腔镜激光碎石1例

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-13 DOI: 10.1016/j.asjsur.2025.10.236

Weimin Kong, Yuzhi Li, Zhongming He, Guangxiong Luo

引用次数: 0

Pathologic diagnosis of a rare case of primary ovarian undifferentiated sarcoma 罕见的原发卵巢未分化肉瘤1例的病理诊断

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-24 DOI: 10.1016/j.asjsur.2025.10.239

Wenting Zhou, Linhui Wang, Xue Zhang, Xiaoyang Huang

引用次数: 0

Microsurgical resection and Gamma Knife radiosurgery for olfactory groove meningiomas: A retrospective cohort study 显微外科切除和伽玛刀放射治疗嗅沟脑膜瘤：回顾性队列研究

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-02 DOI: 10.1016/j.asjsur.2025.12.132

Datong Zheng, Wenbo He, Yucheng Chen, Yu Hu, Ruilian Chen, Zhouhaoran Chen, Jingxuan Hou, Zhiyong Liu, Jianguo Xu

{"title":"Microsurgical resection and Gamma Knife radiosurgery for olfactory groove meningiomas: A retrospective cohort study","authors":"Datong Zheng, Wenbo He, Yucheng Chen, Yu Hu, Ruilian Chen, Zhouhaoran Chen, Jingxuan Hou, Zhiyong Liu, Jianguo Xu","doi":"10.1016/j.asjsur.2025.12.132","DOIUrl":"10.1016/j.asjsur.2025.12.132","url":null,"abstract":"<div><h3>Background</h3><div>Olfactory groove meningiomas (OGMs) are common anterior skull base tumors. While microsurgery is standard, it risks complications like olfactory impairment. Upfront Gamma Knife radiosurgery (GKRS) is an alternative, but comparative studies against surgery as an initial treatment are scarce.</div></div><div><h3>Methods</h3><div>This retrospective study (2009–2023) compared 59 patients undergoing initial microsurgery with 54 receiving upfront GKRS for OGMs at West China Hospital. Tumor control rates, Karnofsky Performance Status (KPS), and neurological function outcomes were analyzed to evaluate the appropriate treatment strategy for OGMs.</div></div><div><h3>Results</h3><div>Long-term tumor control was similar between initial microsurgery and upfront GKRS (Ten-year tumor control rates: 91.9% vs. 84.2%, P = 0.99). Upfront GKRS was associated with better patient quality of life (Mean KPS scores 93.1 vs. 87.0, P < 0.001), predicted by treatment modality (P = 0.027) and baseline KPS (P < 0.001). Olfactory preservation was superior after GKRS (98.0% vs. 86.4%, P = 0.048). Initial microsurgery (OR = 6.36, P = 0.032) and pre-treatment anosmia (OR = 91.05, P < 0.001) were independent predictors of post-treatment anosmia.</div></div><div><h3>Conclusions</h3><div>Both upfront GKRS and microsurgery offer excellent long-term OGM control. Treatment should be individualized. GKRS provides lower morbidity and superior olfactory preservation, making it preferable for smaller tumors without significant mass effect. Surgery remains necessary for larger or compressive lesions.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4586-4594"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atypical bronchiolar adenoma with impaired reticular fibers and p53 overexpression: A case suggesting malignant potential 网状纤维受损及p53过表达的非典型细支气管腺瘤：提示恶性潜能的病例

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-02 DOI: 10.1016/j.asjsur.2026.01.054

Fang Han, Yi-Ran Zhao, Liang Wang

引用次数: 0

Comparison of the efficacy and safety of thermal ablation techniques (microwave, radiofrequency and cryoablation) for lung cancer: A systematic review based on multicenter studies 热消融技术（微波、射频和冷冻消融）治疗肺癌的疗效和安全性比较：基于多中心研究的系统综述

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-12 DOI: 10.1016/j.asjsur.2025.12.168

Bo Zhang, Weilin Wu, Deshuang Xiao

{"title":"Comparison of the efficacy and safety of thermal ablation techniques (microwave, radiofrequency and cryoablation) for lung cancer: A systematic review based on multicenter studies","authors":"Bo Zhang, Weilin Wu, Deshuang Xiao","doi":"10.1016/j.asjsur.2025.12.168","DOIUrl":"10.1016/j.asjsur.2025.12.168","url":null,"abstract":"<div><div>This study systematically evaluated the efficacy and safety of three thermal ablation techniques—microwave ablation (MWA), radiofrequency ablation (RFA), and cryoablation (CA)—for lung cancer to support evidence-based, individualized therapy. A systematic review was conducted using multicenter data from randomized controlled trials and cohort studies retrieved from PubMed, Embase, Web of Science, and Cochrane Library. Key endpoints included local control rate, progression-free survival (PFS), overall survival (OS), and complication incidence. Quality assessment used the Cochrane risk-of-bias tool. Twelve studies were included. MWA showed the highest local control and long-term survival, especially for tumors >3 cm. RFA was effective for small tumors (≤3 cm), while CA, due to minimal collateral damage, was preferable for tumors in critical locations or ≤1.2 cm. CA had the lowest complication rate and no treatment-related mortality. Each technique showed distinct advantages depending on tumor size and location. Thermal ablation techniques provide significant clinical value in treating inoperable stage I NSCLC and oligometastatic lesions. While MWA is preferable for larger tumors, RFA and CA are optimal for small or critically located tumors. Despite promising outcomes, risks of recurrence and complications persist. Future research should focus on optimizing ablation strategies, exploring combination therapies, and validating long-term efficacy through prospective trials.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4505-4513"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mirizzi syndrome type IV complicated with cholecystocolonic fistula: A rare manifestation Mirizzi综合征IV型合并胆囊结肠瘘：一种罕见的表现

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-13 DOI: 10.1016/j.asjsur.2026.01.079

Ruiqi Zou, Qianbin Jia, Fuyu Li, Fei Liu

引用次数: 0

Laparoscopic peritoneal vaginoplasty with rudimentary uterus resection for Mayer-Rokitansky-Küster-Hauser syndrome: Technical details with video 腹腔镜腹膜阴道成形术加子宫切除术治疗mayer - rokitansky - k<s:1> ster- hauser综合征：技术细节与视频

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-29 DOI: 10.1016/j.asjsur.2025.12.101

Yifei Dai, Linling Zhu, Chenglu Qin, Xinyun Yang, Xiangjuan Li

{"title":"Laparoscopic peritoneal vaginoplasty with rudimentary uterus resection for Mayer-Rokitansky-Küster-Hauser syndrome: Technical details with video","authors":"Yifei Dai, Linling Zhu, Chenglu Qin, Xinyun Yang, Xiangjuan Li","doi":"10.1016/j.asjsur.2025.12.101","DOIUrl":"10.1016/j.asjsur.2025.12.101","url":null,"abstract":"<div><h3>Technique</h3><div>Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, a congenital condition of vaginal and uterine agenesis, has significant impacts on patients' physical and psychosocial health. Vaginal construction is considered the intervention of choice for mature patients who intend to initiate sexual activity. However, existing surgical approaches, such as the McIndoe vaginoplasty and the Davydov vaginoplasty, are limited by their invasiveness, technical complexity and associated risk of complications. This study aims to present laparoscopic peritoneal vaginoplasty (Luohu II technique) combined with bilateral resection of the rudimentary uterus as a surgical intervention for MRKH syndrome.</div></div><div><h3>Result</h3><div>An 18-year-old patient presenting with primary amenorrhea underwent a comprehensive diagnostic evaluation, which confirmed the diagnosis of MRKH syndrome. The patient subsequently underwent definitive surgical management with laparoscopic peritoneal vaginoplasty (Luohu II technique) and bilateral resection of the rudimentary uteri. The surgery took 1 h, with an intraoperative blood loss of 20 mL. After instruction on postoperative self-dilation, the patient achieved a neovaginal dimensions of 11 cm in length and 2.5 cm in width at the six-month follow-up.</div></div><div><h3>Discussion</h3><div>Laparoscopic peritoneal vaginoplasty (Luohu II technique) is a safe, effective, and minimally invasive procedure for patients with MRKH syndrome that offers satisfactory anatomical and functional outcomes.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4616-4620"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic biliary drainage as a safe and effective bridging therapy for complicated pediatric choledochal cysts 内镜下胆道引流作为复杂小儿胆总管囊肿安全有效的桥接治疗

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2025-12-27 DOI: 10.1016/j.asjsur.2025.12.109

Hongxi Guo, Juan Luo, Hongqiang Bian, Hu Yang, Peng Huang, Xufei Duan, Jun Yang, Xin Wang

{"title":"Endoscopic biliary drainage as a safe and effective bridging therapy for complicated pediatric choledochal cysts","authors":"Hongxi Guo, Juan Luo, Hongqiang Bian, Hu Yang, Peng Huang, Xufei Duan, Jun Yang, Xin Wang","doi":"10.1016/j.asjsur.2025.12.109","DOIUrl":"10.1016/j.asjsur.2025.12.109","url":null,"abstract":"<div><h3>Background</h3><div>Management of choledochal cysts (CC) complicated by severe cholangitis, perforation, or pancreatitis remains challenging. Traditional external drainage carries substantial morbidity, highlighting the need for less invasive alternatives.</div></div><div><h3>Objective</h3><div>To evaluate the safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP)-guided biliary drainage as a bridging therapy prior to definitive surgery in pediatric complicated CC.</div></div><div><h3>Methods</h3><div>In this retrospective study, we reviewed 32 children (mean age 3.3 years; 25 girls) who underwent ERCP-guided nasobiliary or stent drainage between August 2019 and March 2025. Clinical outcomes included procedural success, complication rates, laboratory improvement, and the results of subsequent definitive surgical. A comparative analysis was also performed between patients who received ERCP drainage and those who underwent conventional external drainage for complicated CC.</div></div><div><h3>Results</h3><div>ERCP was performed for severe cholangitis (n = 26, 81.3 %), giant choledochal cysts (n = 3, 9.4 %), and biliary perforation (n = 3, 9.4 %). The overall technical success rate was 93.75 % (30/32). Post-drainage laboratory indices showed significant improvements in all parameters (all P < 0.05). All patients underwent successful definitive surgery after a mean interval of 16 days, with 96.7 % (29/30) completed laparoscopically or robotically without conversion. Compared with traditional drainage. Endoscopic drainage reduced conversion-to-open-surgery rate (0 % vs. 37.5 %, P = 0.006).</div></div><div><h3>Conclusion</h3><div>Endoscopic biliary drainage represents a safe and effective bridging strategy for complicated pediatric CC, facilitating subsequent minimally invasive definitive surgery. It provides clear advantages over traditional external drainage in specialized centers.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4547-4553"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Zone-specific intrathoracic volume remodeling following single-bar, cross-bar and XI-bar repair of pectus excavatum 漏斗胸单棒、交叉棒和xi -棒修复后的区域特异性胸内体积重塑

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-07 DOI: 10.1016/j.asjsur.2025.12.175

Gongmin Rim, Kwanyong Hyun, Hyung Joo Park

{"title":"Zone-specific intrathoracic volume remodeling following single-bar, cross-bar and XI-bar repair of pectus excavatum","authors":"Gongmin Rim, Kwanyong Hyun, Hyung Joo Park","doi":"10.1016/j.asjsur.2025.12.175","DOIUrl":"10.1016/j.asjsur.2025.12.175","url":null,"abstract":"<div><h3>Background</h3><div>The primary objective of pectus excavatum (PE) repair is to correct chest wall deformity, relieve cardiac compression, and expand thoracic volume. However, quantitative comparisons of volumetric remodeling among different bar configurations are scarce.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 151 patients who underwent PE repair using single-bar (S, n = 42), cross-bar (C, n = 49), or XI-bar (X, n = 60) techniques between April 2019 and February 2021. Pre- and postoperative thoracic volumes in three anatomical zones were measured using SYNAPSE 3D imaging software (Fujifilm, Tokyo, Japan). Propensity score matching (PSM) based on age and body mass index was applied to minimize baseline differences.</div></div><div><h3>Results</h3><div>In the unmatched cohort, Group X demonstrated the greatest anterior thoracic volume expansion in Zones 1 and 2 (p < 0.01). After PSM, Group X (n = 16) maintained significantly larger volume gains in Zone 1 (294 ± 238 mL vs. 200 ± 152 mL) and Zone 2 (147 ± 168 mL vs. −36 ± 92 mL) compared with Group C (n = 16) (both p < 0.01). Hospital stay was shorter in Group X (4.4 ± 0.7 vs. 5.5 ± 1.4 days, p = 0.012), while ΔHaller index and complication rates were comparable among groups.</div></div><div><h3>Conclusions</h3><div>The XI-bar technique achieves superior anterior thoracic remodeling and shorter hospitalization compared with the cross-bar, without compromising safety or correction outcomes. It also produces greater volumetric gains than the single-bar technique. These results demonstrate that bar configuration directly influences zone-specific thoracic remodeling and support the XI-bar as the optimal approach for achieving comprehensive and balanced correction in PE repair.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4602-4609"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of involuting or involuted hemangiomas causing facial asymmetry: A tailored algorithm based on magnetic resonance imaging findings 治疗引起面部不对称的渐开式或渐开式血管瘤：一种基于磁共振成像结果的定制算法

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-07 DOI: 10.1016/j.asjsur.2025.12.065

Yajing Qiu, Jingjing Sun, Wei Gao, Yunbo Jin, Shih-Jen Chang, Lei Chang, Xiaoxi Lin

{"title":"Treatment of involuting or involuted hemangiomas causing facial asymmetry: A tailored algorithm based on magnetic resonance imaging findings","authors":"Yajing Qiu, Jingjing Sun, Wei Gao, Yunbo Jin, Shih-Jen Chang, Lei Chang, Xiaoxi Lin","doi":"10.1016/j.asjsur.2025.12.065","DOIUrl":"10.1016/j.asjsur.2025.12.065","url":null,"abstract":"<div><h3>Background</h3><div>Large unilateral facial hemangiomas, particularly those involving the parotid gland, are significant due to their potential to cause severe facial asymmetry. No universally accepted classification exists for assessing the severity or determining appropriate surgical interventions. This study proposes an algorithm for managing involuting or involuted hemangiomas with facial asymmetry, based on magnetic resonance imaging (MRI) findings.</div></div><div><h3>Methods</h3><div>Sixteen patients presenting with facial asymmetry who underwent surgical procedures for involuting or involuted hemangiomas were included in this study. Patients were categorized into four types based on the association between MRI findings of hemangiomas and surgical procedures. Those without facial asymmetry who did not require surgery were classified as Type I and were therefore excluded from analysis.</div></div><div><h3>Results</h3><div>Ten patients who received liposuction were classified as Type II, three patients who underwent lipectomy with a minimal access cranial suspension lift were classified as Type III, and three patients who underwent lipectomy with formal facial nerve dissection were classified as Type IV. All 16 patients showed improvement in facial asymmetry and deformity. The mean postoperative follow-up period was 7.8 months. No major complications were observed in any of the types.</div></div><div><h3>Conclusion</h3><div>Surgical interventions of hemangiomas associated with facial asymmetry are typically performed during the involuting or involuted phase, offering a less invasive approach with lower morbidity. Preoperative MRI findings can effectively delineate the extent and depth of fibrofatty tissue, assisting surgeons in selecting the optimal therapeutic strategy. Our classification system may serve as a practical guide for surgical planning.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4569-4575"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0