Asian Journal of Surgery最新文献_第6页

Transient cardiac arrest during bronchoscopy under general anesthesia: A case report 全身麻醉下支气管镜检查时短暂性心脏骤停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.2026.01.216

Jianhua Yu, Zelin Peng, Linyi Zhang, Wen Yang

引用次数: 0

Dynamic changes in kinesiophobia in elderly patients after hip fracture surgery 老年髋部骨折术后运动恐惧症的动态变化

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-03 DOI: 10.1016/j.asjsur.2026.01.070

Pin Wang, Chang Xie

引用次数: 0

The landscape of clinical trials in neuroblastoma therapy: A global analysis of developmental trends and future directions 神经母细胞瘤治疗临床试验的前景：全球发展趋势和未来方向的分析

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.2026.01.072

Jingwen Li, Yuping Zhang, Wei Zhou

引用次数: 0

The application of the “Hand as Foot” teaching method in colorectal cancer “手如脚”教学法在大肠癌教学中的应用

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-02-04 DOI: 10.1016/j.asjsur.2026.01.074

Ri-han Wu, Cai-xia Liu

引用次数: 0

Treatment of giant cell tumor in the fifth thoracic vertebra: A case report 第五胸椎巨细胞瘤的治疗：1例报告

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-31 DOI: 10.1016/j.asjsur.2026.01.057

Hui Zhang, Yuhong Ma

引用次数: 0

Diagnostic accuracy of one-step nucleic acid amplification for detection of sentinel lymph node metastasis in breast cancer: A meta-analysis 一步核酸扩增检测乳腺癌前哨淋巴结转移的诊断准确性：荟萃分析

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.2025.12.208

Yanzhao Liu, Junjie Ren, Pan Zhang, Jie Lv, Hongcheng Zhu, Wei Dong, Changzai Li

{"title":"Diagnostic accuracy of one-step nucleic acid amplification for detection of sentinel lymph node metastasis in breast cancer: A meta-analysis","authors":"Yanzhao Liu, Junjie Ren, Pan Zhang, Jie Lv, Hongcheng Zhu, Wei Dong, Changzai Li","doi":"10.1016/j.asjsur.2025.12.208","DOIUrl":"10.1016/j.asjsur.2025.12.208","url":null,"abstract":"<div><div>The one-step nucleic acid amplification (OSNA) assay has been widely studied for intraoperative diagnosis of sentinel lymph node (SLN) metastasis in breast cancer. However, its diagnostic performance remains inconclusive. The aim of this study was to evaluate the accuracy of OSNA in detecting SLN metastasis in breast cancer. We systematically searched PubMed, Embase, and the Cochrane Library for relevant studies published up to July 2025. All data were analyzed using Stata 16 and RevMan 5.3. Subgroup analysis was performed using a fixed -effects model. A total of 20 eligible studies were included in this analysis, comprising 8917 SLNs from 4645 patients. The sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the summary receiver operating characteristic curve (AUC) of OSNA for detecting SLN metastasis were 0.88 (95 % CI:0.84–0.91), 0.95 (95 % CI:0.94–0.96), 18.0 (95 % CI:14.6–22.1), 0.13(95 % CI:0.10–0.17),141 (95 % CI:97–205), and 0.97 (95 % CI:0.96–0.98), respectively. The overall sensitivity, specificity, PLR, NLR, DOR and AUC for frozen section (FS) were 0.82 (95 % CI: 0.56–0.94), 0.99 (95 % CI: 0.98–1.00), 127.0 (95 % CI: 37.1–435.4), 0.18 (95 % CI: 0.06–0.51), 708 (95 % CI: 198–2541), and 0.99 (95 % CI:0.98–1.00), respectively. There was no statistically significant difference in the AUC between OSNA and FS (p = 0.85, z = 0.19). The OSNA assay is a highly accurate intraoperative tool for detecting SLN metastasis in breast cancer, demonstrating high sensitivity and overall diagnostic performance comparable to FS.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4520-4526"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647130","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

Robot-assisted radical right hemicolectomy with transcolonic specimen extraction employing endoscopic techniques: The first case report with video presentations 采用内窥镜技术的机器人辅助根治性右半结肠切除术与经结肠标本提取：第一例视频报告

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-01-17 DOI: 10.1016/j.asjsur.2025.09.219

Taiyuan Li, Chiying Xu, Jinyuan Duan

{"title":"Robot-assisted radical right hemicolectomy with transcolonic specimen extraction employing endoscopic techniques: The first case report with video presentations","authors":"Taiyuan Li, Chiying Xu, Jinyuan Duan","doi":"10.1016/j.asjsur.2025.09.219","DOIUrl":"10.1016/j.asjsur.2025.09.219","url":null,"abstract":"<div><h3>Background</h3><div>Natural Orifice Specimen Extraction Surgery (NOSES) garners international acclaim for expediting recovery and mitigating incision-related complications, witnessing increased medical significance. While NOSES in right colon cancer surgery, primarily via transvaginal route, parallels open surgery outcomes, its gender-specific limitations persist.</div></div><div><h3>Methods</h3><div>This report delineates three pioneering cases of Robot-Assisted Radical Hemicolectomy coupled with Transcolonic Specimen Extraction (RRH-TCSE), executed meticulously under full laparoscopic guidance. Procedures spanned 180–203 minutes, with blood loss meticulously managed at 50–100ml, exemplifying the apex of minimally invasive surgery. An intricate technique involved specimen extraction via the colon, navigated transanally post-colonoscopic passage from the transected transverse colon to the rectum, illustrating complete intracorporeal retrieval.</div></div><div><h3>Results</h3><div>All patients were discharged swiftly between postoperative days 8–10, exhibiting rapid, complication-free recovery, forecasting favorable prognoses. Follow-ups until June 2024 confirmed no recurrence or metastasis across 6-18-month observation spans. Maintained anal function, unobstructed defecation, and enhanced aesthetics from omitted abdominal incisions optimized patient comfort and satisfaction.</div></div><div><h3>Conclusions</h3><div>This study documents the first employment of robot-assisted, totally laparoscopic right hemicolectomy through the colonic pathway. RRH-TCSE emerges as a surgical breakthrough, furnishing a novel, dependable intervention for both genders with substantial potential to enhance patient quality of life in the future.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4621-4626"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647485","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

Clear cell renal cell carcinoma metastasizing to the third brain ventricle: Report of a rare case 透明细胞肾细胞癌转移至第三脑室1例

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-03-30 DOI: 10.1016/j.asjsur.2026.02.239

Fengli Liang, Yangqing He, Xuhui Song, Xiaozhou Long

引用次数: 0

A decade experiences of transoral endoscopic thyroidectomy vestibular approach (TOETVA) compared to open thyroidectomy: A comparative analysis of outcomes and complications 经口内窥镜甲状腺切除术前庭入路（TOETVA）与开放甲状腺切除术的十年比较：结果和并发症的比较分析

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.2025.12.237

Satchachon Changthom

{"title":"A decade experiences of transoral endoscopic thyroidectomy vestibular approach (TOETVA) compared to open thyroidectomy: A comparative analysis of outcomes and complications","authors":"Satchachon Changthom","doi":"10.1016/j.asjsur.2025.12.237","DOIUrl":"10.1016/j.asjsur.2025.12.237","url":null,"abstract":"<div><h3>Background</h3><div>Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) is an increasingly adopted scarless technique for benign thyroid nodules, offering distinct cosmetic advantages. This study compared TOETVA with conventional open thyroidectomy (OT) regarding safety, operative performance, and postoperative outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted at Mahasarakham Hospital, Thailand (January 2015–January 2025). A total of 286 patients were evaluated: 142 underwent TOETVA and 144 underwent OT. Demographic data, operative parameters, postoperative pain scores, and complications were analyzed. Continuous variables were assessed using independent t-tests, and categorical variables using Pearson's chi-square or Fisher's exact tests. Statistical significance was set at P < 0.05.</div></div><div><h3>Results</h3><div>TOETVA was associated with significantly longer operative duration (102.96 ± 16.51 vs. 76.72 ± 11.23 min; P < 0.001) but slightly reduced intraoperative blood loss (25.43 ± 11.28 vs. 28.02 ± 9.34 ml; P = 0.035). Postoperative pain scores over 72 h were markedly lower in the TOETVA group (1.13 ± 0.41) compared with OT (2.94 ± 0.32; P < 0.001). Rates of transient recurrent laryngeal nerve palsy, transient hypocalcemia, and subcutaneous emphysema were comparable, and no permanent complications occurred in either cohort.</div></div><div><h3>Conclusion</h3><div>TOETVA is a safe, effective, and cosmetically superior alternative for benign thyroid disease. Despite a longer operative duration, it confers substantially lower postoperative pain and maintains complication rates equivalent to OT. These findings support TOETVA as a reliable, truly scarless option with favorable outcomes even early in the learning curve.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4610-4615"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647493","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

Autologous spare-part technique: Free-flap reconstruction from an amputated forearm 自体局部技术：截肢前臂自由皮瓣重建

IF 5.2 3区医学

Asian Journal of Surgery Pub Date : 2026-08-01 Epub Date: 2026-04-18 DOI: 10.1016/j.asjsur.2026.03.218

Jiwei Zhang, Jiajie Liu, Xinshan Wang, Zhenxing Jiang

引用次数: 0