Long Ma , Zhangui Gu , Zongqiang Yang , Jiandang Shi
{"title":"Plasmacytoma of the distal tibia: A case report","authors":"Long Ma , Zhangui Gu , Zongqiang Yang , Jiandang Shi","doi":"10.1016/j.asjsur.2025.04.050","DOIUrl":"10.1016/j.asjsur.2025.04.050","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6247-6248"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229543","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":"Knee replacement in a syphilitic patient with pigmented choroidal nodular synovitis and synovial chondromatosis","authors":"Cong Wang , Guorong Zhang , Dongsheng Niu , Yuqi Liang","doi":"10.1016/j.asjsur.2025.04.022","DOIUrl":"10.1016/j.asjsur.2025.04.022","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6215-6216"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229944","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}
QiYi Chen , YuLin Wang , KeJie Shao , Hao Lai , ChunSheng Wang , Qiang Ji
{"title":"Extended arch repair with aortic-femoral/iliac bypass if necessary for treating lower extremity malperfusion secondary to acute type A aortic dissection","authors":"QiYi Chen , YuLin Wang , KeJie Shao , Hao Lai , ChunSheng Wang , Qiang Ji","doi":"10.1016/j.asjsur.2025.05.254","DOIUrl":"10.1016/j.asjsur.2025.05.254","url":null,"abstract":"<div><h3>Objective</h3><div>In patients with acute type A aortic dissection (ATAAD) complicated by lower extremity (LE) malperfusion (MP), the optimal surgical approach and its outcomes remain a topic of debate. This study aimed to assess both in-hospital and midterm outcomes of our strategy, which involves extended arch repair with additional aortic-femoral or iliac bypass when required, for managing ATAAD with LE-MP.</div></div><div><h3>Methods</h3><div>The study included 92 patients with ATAAD and LE-MP and 588 without MP who underwent surgical repair at our center over a 7-year period. From this cohort, 90 matched pairs (1:1) were selected. In-hospital and midterm outcomes were compared between groups in both unmatched and matched cohorts. Additional outcomes, including rates of lower-limb ischemia resolution after central repair alone, limb loss, and bypass patency, were documented.</div></div><div><h3>Results</h3><div>In total, 81 (88.0 %) LE-MP patients achieved resolution of lower-limb ischemia following extended arch repair alone, while 11 required additional aortic-femoral or iliac bypass procedures during the initial repair. Postoperatively, four (4.3 %) LE-MP patients underwent re-intervention due to persistent limb ischemia, with one (1.1 %) eventually requiring a minor amputation. In-hospital mortality for ATAAD patients with LE-MP was 15.2 %, significantly higher than that observed in ATAAD patients without MP (p < 0.001). LE-MP was associated with elevated operative mortality and morbidity in both multivariable and propensity score analyses, and a high cumulative mortality in Cox regression (HR 3.6, 95 % CI 2.2–5.7, p < 0.001). Patent aortic-femoral or aortic-iliac bypass was observed in six (85.7 %) patients during a median follow-up period of 26.1 months.</div></div><div><h3>Conclusion</h3><div>Preoperative LE-MP in ATAAD patients is linked to poorer outcomes. Extended arch repair with selective aortic-femoral or iliac bypass may represent an effective strategy for treating ATAAD with LE-MP.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6037-6046"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230006","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}
Min Yang , Cong-xia Yang , Yu-jia Zhang , Jiang-yuan Zhou, Tong Qiu, Zi-xin Zhang, Yi Ji
{"title":"Comparisons of clinical features between pediatric and adult patients with surgically resected abdominal lymphatic malformations: An observational study of a large cohort","authors":"Min Yang , Cong-xia Yang , Yu-jia Zhang , Jiang-yuan Zhou, Tong Qiu, Zi-xin Zhang, Yi Ji","doi":"10.1016/j.asjsur.2025.06.038","DOIUrl":"10.1016/j.asjsur.2025.06.038","url":null,"abstract":"<div><h3>Introduction</h3><div>Abdominal lymphatic malformations (ALMs) are a rare subgroup of lymphatic anomalies that may manifest differently between paediatric and adult patients. We aimed to systematically compare the clinical features of ALMs in terms of patient sex and clinical presentation, cyst content and location, preoperative complications and surgical treatment regimens between paediatric and adult patients.</div></div><div><h3>Methods</h3><div>Data from patients who were surgically treated and pathologically diagnosed as ALMs were retrospectively compared between paediatric (≤18 years) and adult (>18 years) patients.</div></div><div><h3>Results</h3><div>We ultimately enrolled 320 patients with ALMs, including 162 paediatrics and 158 adults. There were significantly more female patients in the adult group (P = 0.001). Acute abdominal disease occurred more frequently in paediatric patients (P < 0.001), but ALMs were more often detected by incidental health checkups in adults (P < 0.001). Furthermore, ALMs were more often detected in the small intestinal mesentery (P < 0.001), large intestinal mesentery (P = 0.034) and greater omentum (P < 0.001) in paediatric patients, while ALMs in adults were more frequently located in the retroperitoneum (P < 0.001) and spleen (P < 0.001). Simultaneous resection of ALMs and the intestine was performed more frequently in paediatric patients (P < 0.001). Acute abdomen (P < 0.001) was an independent risk factor for preoperative complications in paediatric patients with ALMs, while incidental detection (P = 0.003) and retroperitoneum (P = 0.046) were found to be independent protective factors against preoperative complications in adult patients with ALMs.</div></div><div><h3>Conclusion</h3><div>ALMs in children and adults are rare vascular anomalies with different clinical features and risk factors for preoperative complications. Our study provides a deep understanding of ALMs for clinicians.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6047-6053"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230007","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":"Robot-assisted cortical bone trajectory versus traditional pedicle screws in the treatment of lumbar spinal stenosis with osteoporosis: A retrospective cohort study","authors":"Ruizhao Zhao, Yuyu Fan, Junjie Qiao, Lixiang Ding, Wei Qu, Xiutong Fang","doi":"10.1016/j.asjsur.2025.06.215","DOIUrl":"10.1016/j.asjsur.2025.06.215","url":null,"abstract":"<div><h3>Purpose</h3><div>The aging population has led to a rise in the incidence of lumbar degenerative diseases, especially lumbar spinal stenosis (LSS). When conservative treatment fails, surgical intervention has become the preferred approach. The emerging cortical bone trajectory (CBT) screw technique and the traditional pedicle screw technique remain subjects of debate. A retrospective cohort study was conducted to compare the early efficacy of robot-assisted CBT and traditional pedicle screw (TPS) in the treatment of LSS in patients with Osteoporosis.</div></div><div><h3>Methods</h3><div>A total of 110 patients underwent robot-assisted posterior lumbar interbody fusion (PLIF) between September 2018 to June 2021. They were divided into two groups, the CBT group (N = 55) and the TPS group (N = 55). The general information, surgical related data, postoperative related indicators and functional scores for the two groups were analyzed to evaluate the differences between the two screw placement methods.</div></div><div><h3>Results</h3><div>The CBT group demonstrated significantly lower the intraoperative blood loss, length of surgical incision and visual analogue scale (VAS) scores at 6 months after operation compared with TPS group (P < 0.05). The difference of blood glucose at 1 week after operation was statistically significant (P < 0.05). The rate of screw loosening, adjacent facet joint invasion and the degree of paraspinal muscle fat infiltration in the CBT group were significantly lower than those in the TPS group as at the last follow-up (P < 0.05).</div></div><div><h3>Conclusions</h3><div>Compared to TPS instrumentation, PLIF with robot-assisted CBT screw provides better short-term symptom relief, a lower rate of screw loosening, and reduced adjacent facet joint invasion and paraspinal muscle fat infiltration.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6062-6069"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230008","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}
Guo-Rui Luan , Xiang Shang , De-Hong Meng , Cun-Bin Liu , Shi-Yu Luo , Yong-Hui Yang , Yang-Chun Song , Han-Qing Zhao , Hou-Shan Fang
{"title":"Ultrasound-guided acupotomy release combined with corticosteroid injection for carpal tunnel syndrome: A multicenter retrospective study","authors":"Guo-Rui Luan , Xiang Shang , De-Hong Meng , Cun-Bin Liu , Shi-Yu Luo , Yong-Hui Yang , Yang-Chun Song , Han-Qing Zhao , Hou-Shan Fang","doi":"10.1016/j.asjsur.2025.06.066","DOIUrl":"10.1016/j.asjsur.2025.06.066","url":null,"abstract":"<div><h3>Background</h3><div>The outcomes, both immediate and prolonged, associated with ultrasound-guided acupotomy release in conjunction with corticosteroid injection for patients suffering from carpal tunnel syndrome (CTS) are delineated.</div></div><div><h3>Methods</h3><div>A retrospective analysis was undertaken involving patients diagnosed with CTS who underwent treatment comprising acupotomy release alongside corticosteroid injection during the period from January 2021 to April 2024.</div></div><div><h3>Results</h3><div>A total of 138 patients with CTS were incorporated into this investigation (72 in the corticosteroid injection cohort and 66 in the acupotomy with corticosteroid injection cohort). The outcomes of ultrasound-guided corticosteroid injection revealed comparable or even superior enhancements in Visual Analog Scale and Boston Carpal Tunnel Questionnaire scores within the initial two weeks post-treatment when juxtaposed with the combined acupotomy release and corticosteroid injection approach. Conversely, the latter exhibited more pronounced advancements in median nerve neuroelectrophysiological evaluations and imaging assessments after four weeks of intervention.</div></div><div><h3>Conclusion</h3><div>This investigation suggests that ultrasound-guided acupotomy release paired with corticosteroid injection yields more prolonged therapeutic benefits, whereas corticosteroid injection alone demonstrates enhanced short-term efficacy.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6054-6061"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230014","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":"Clinical characteristics and management of left ventricular assist device-associated infections","authors":"Ling Wu , Tao Wang , Yuqing Zhang , Qiongli Su","doi":"10.1016/j.asjsur.2025.04.052","DOIUrl":"10.1016/j.asjsur.2025.04.052","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 10","pages":"Pages 6251-6252"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229757","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}