ISRN surgery最新文献_第6页

Intrahepatic transposition of bile ducts. 胆管肝内转位。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-04-03 DOI: 10.5402/2012/283527

Jasmin Delić, Admedina Savković, Eldar Isaković, Sergije Marković, Alma Bajtarevic, Amir Denjalić

{"title":"Intrahepatic transposition of bile ducts.","authors":"Jasmin Delić, Admedina Savković, Eldar Isaković, Sergije Marković, Alma Bajtarevic, Amir Denjalić","doi":"10.5402/2012/283527","DOIUrl":"https://doi.org/10.5402/2012/283527","url":null,"abstract":"Objective. To describe the intrahepatic bile duct transposition (anatomical variation occurring in intrahepatic ducts) and to determine the frequency of this variation. Material and Methods. The researches were performed randomly on 100 livers of adults, both sexes. Main research methods were anatomical macrodissection. As a criterion for determination of variations in some parts of bile tree, we used the classification of Segmentatio hepatis according to Couinaud (1957) according to Terminologia Anatomica, Thieme Stuugart: Federative Committee on Anatomical Terminology, 1988. Results. Intrahepatic transposition of bile ducts was found in two cases (2%), out of total examined cases (100): right-left transposition (right segmental bile duct, originating from the segment VIII, joins the left liver duct-ductus hepaticus sinister) and left-right intrahepatic transposition (left segmental bile duct originating from the segment IV ends in right liver duct-ductus hepaticus dexter). Conclusion. Safety and success in liver transplantation to great extent depends on knowledge of anatomy and some common embryological anomalies in bile tree. Variations in bile tree were found in 24-43% of cases, out of which 1-22% are the variations of intrahepatic bile ducts. Therefore, good knowledge on ductal anatomy enables good planning, safe performance of therapeutic and operative procedures, and decreases the risk of intraoperative and postoperative complications.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"283527"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/283527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30588111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Robotic colorectal surgery: a systematic review. 机器人结直肠手术:系统综述。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-05-13 DOI: 10.5402/2012/293894

Sami Alasari, Byung Soh Min

引用次数: 72

To Sleeve or NOT to Sleeve in Bariatric Surgery? 减肥手术要套筒还是不套筒?

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-08-16 DOI: 10.5402/2012/674042

P W J van Rutte, M D P Luyer, I H J T de Hingh, S W Nienhuijs

{"title":"To Sleeve or NOT to Sleeve in Bariatric Surgery?","authors":"P W J van Rutte, M D P Luyer, I H J T de Hingh, S W Nienhuijs","doi":"10.5402/2012/674042","DOIUrl":"https://doi.org/10.5402/2012/674042","url":null,"abstract":"Morbid obesity has become a global epidemic during the 20th century. Until now bariatric surgery is the only effective treatment for this disease leading to sustained weight loss and improvement of comorbidities. The sleeve gastrectomy is becoming a promising alternative for the gold standard the gastric bypass and it is gaining popularity as a stand-alone procedure. The effect of the laparoscopic sleeve gastrectomy is based on a restrictive mechanism, but a hormonal effect also seems to play an important role. Similar results are achieved in terms of excess weight loss and resolution of comorbidities compared to the gastric bypass. Inadequate weight loss or weight regain can be treated by revisional surgery. Complication rates after LSG appear to be lower compared with gastric bypass. General guidelines recommend bariatric surgery between the age of 18 and 65. However bariatric surgery in the elderly seems safe with respect to weight loss and resolution of comorbidities. At the same time weight loss surgery is more often performed in adolescent patients failing weight loss attempts. Even though more studies are needed describing long-term effects, there is already enough evidence that this technique is an effective single procedure for a considerable proportion of obese patients.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"674042"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/674042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30887862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Management of type 3 acromioclavicular joint dislocation: comparison of long-term functional results of two operative methods. 3型肩锁关节脱位的治疗:两种手术方法远期功能效果的比较。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-06-13 DOI: 10.5402/2012/580504

Hari Kovilazhikathu Sugathan, Ronald Martin Dodenhoff

{"title":"Management of type 3 acromioclavicular joint dislocation: comparison of long-term functional results of two operative methods.","authors":"Hari Kovilazhikathu Sugathan, Ronald Martin Dodenhoff","doi":"10.5402/2012/580504","DOIUrl":"https://doi.org/10.5402/2012/580504","url":null,"abstract":"Introduction. Treatment of Rockwood Type 3 Acromioclavicular joint dislocation is controversial. We compared the long-term functional outcome of early repair of coracoclavicular ligament and internal fixation (Tension Band Wiring) with delayed reconstruction by modified Weaver-Dunn procedure for Type 3 dislocations. Method. Retrospective analysis of case records and telephone review to assess the long-term functional outcome by patient satisfaction and Oxford shoulder score. Results. We had 18 cases of Type 3 Acromioclavicular dislocations over a period of 10 years. 7 cases had Tension Band Wiring and 11 cases had modified Weaver-Dunn procedure. Early repair group has higher risk (71%) of post operative complications compared to that of the delayed reconstruction group (9%). All 5 patients who developed postoperative complications in the early repair group required a second operation for metal work removal. Long-term functional results of both groups were comparable in terms of Oxford shoulder score and patient satisfaction. Conclusions. We recommend modified Weaver-Dunn procedure for failed conservative management of Grade 3 Acromioclavicular joint dislocation for the following reasons (1). better short-term functional outcome, low risk of complications and hence faster recovery (2). no need for a second surgery.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"580504"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/580504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Surgery for Gynecomastia in the Islamic Golden Age: Al-Tasrif of Al-Zahrawi (936-1013 AD). 伊斯兰黄金时代男性乳房发育症的外科手术:Al-Tasrif of Al-Zahrawi(公元936-1013年)。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-09-20 DOI: 10.5402/2012/934965

Seyed Hadi Chavoushi, Kamyar Ghabili, Abdolhassan Kazemi, Arash Aslanabadi, Sarah Babapour, Rafail Ahmedli, Samad E J Golzari

{"title":"Surgery for Gynecomastia in the Islamic Golden Age: Al-Tasrif of Al-Zahrawi (936-1013 AD).","authors":"Seyed Hadi Chavoushi, Kamyar Ghabili, Abdolhassan Kazemi, Arash Aslanabadi, Sarah Babapour, Rafail Ahmedli, Samad E J Golzari","doi":"10.5402/2012/934965","DOIUrl":"https://doi.org/10.5402/2012/934965","url":null,"abstract":"The rise of European science during the Renaissance is greatly indebted to the flourishing of the sciences during the Islamic Golden Age. However, some believe that medieval Islamic physicians and in particular surgeons had been merely a medium for Greco-Roman ideas. Contrarily, in some medieval Islamic medical books, such as Al-Tasrif of Al-Zahrawi (936-1013), the surgical instructions represent a change in the usual techniques or are accompanied by a case history, implying that the procedure was actually undertaken. Along with the hundreds of chapters on different diseases and related medical and surgical treatments, Al-Tasrif includes a chapter on surgical techniques for gynecomastia. The present paper is a review of the description of the surgical management of gynecomastia by Al-Zahrawi as well as that of the ancient Greek, medieval, and modern medicine. Although Al-Zahrawi seemed to base his descriptions of surgery for gynecomastia upon those of Paulus of Aegina, his modification of the procedure and application of the medicinal substances might be indicative of Al-Zahrawi's own practice of the procedure. Al-Zahrawi's surgical procedures remained unchanged for many centuries thenceforward until the technological evolution in the recent centuries.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"934965"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/934965","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30965048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 33

Computerized decision support system for intraoperative analysis of margin status in breast conservation therapy. 保乳术中切缘状态分析的计算机决策支持系统。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-11-25 DOI: 10.5402/2012/546721

Manuel E Ruidíaz, Sarah L Blair, Andrew C Kummel, Jessica Wang-Rodriguez

{"title":"Computerized decision support system for intraoperative analysis of margin status in breast conservation therapy.","authors":"Manuel E Ruidíaz, Sarah L Blair, Andrew C Kummel, Jessica Wang-Rodriguez","doi":"10.5402/2012/546721","DOIUrl":"https://doi.org/10.5402/2012/546721","url":null,"abstract":"Background. Breast conservation therapy (BCT) is the standard treatment for breast cancer; however, 32-63% of procedures have a positive margin leading to secondary procedures. The standard of care to evaluate surgical margins is based on permanent section. Imprint cytology (IC) has been used to evaluate surgical samples but is limited by excessive cauterization thus requiring experienced cytopathologist for interpretation. An automated image screening process has been developed to detect cancerous cells from IC on cauterized margins. Methods. IC was prospectively performed on margins during lumpectomy operations for breast cancer in addition to permanent section on 127 patients. An 8-slide training subset and 8-slide testing subset were culled. H&E IC automated analysis, based on linear discriminant analysis, was compared to manual pathologist interpretation. Results. The most important descriptors, from highest to lowest performance, are nucleus color (23%), cytoplasm color (15%), shape (12%), grey intensity (9%), and local area (5%). There was 100% agreement between automated and manual interpretation of IC slides. Conclusion. Although limited by IC sampling variability, an automated system for accurate IC cancer cell identification system is demonstrated, with high correlation to manual analysis, even in the face of cauterization effects which supplement permanent section analysis.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"546721"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/546721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31097425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Comparison of Patient's Satisfaction Level after Different Types of Posterior Chamber Intraocular Lens Implantation. 不同类型后房型眼内透镜植入术后患者满意度的比较。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-06-19 DOI: 10.5402/2012/629158

Muhammad Waseem, Sadia Humayun, Omer Farooq, Quratulain Humayun, Sana Sadiq Sheikh

{"title":"Comparison of Patient's Satisfaction Level after Different Types of Posterior Chamber Intraocular Lens Implantation.","authors":"Muhammad Waseem, Sadia Humayun, Omer Farooq, Quratulain Humayun, Sana Sadiq Sheikh","doi":"10.5402/2012/629158","DOIUrl":"10.5402/2012/629158","url":null,"abstract":"Objective. To compare patient's satisfaction level in performing routine activities during daylight and night vision after implantation with rigid, foldable, or rollable posterior chamber intraocular lens implants in uneventful cataract surgery. Design. Retrospective, cross-sectional. Place and Duration of Study. PNS SHIFA Hospital, Karachi, from Nov. 2009 to Nov. 2010. Methodology. 91 cataract surgery patients who had uneventful phacoemulsification, within the bag placement of intraocular lens and achieved best corrected visual acuity 6/9 or better were included in the study. Patients who developed postoperative complications were excluded. A specially designed questionnaire was used to assess patient's satisfaction level of vision for those who underwent cataract surgery at least 3 months ago. Finally, they were categorized into five groups ranging from \"very good\" to \"very poor.\" SPSS version 16 was used to analyze the results. Results. There was a difference in satisfaction level between three groups. Vision was good in the day and the night with foldable posterior chamber intraocular lens implants. Conclusion. It was concluded that visual satisfaction level of patients who had foldable posterior chamber intraocular lens implantation was better during the day and night as compared to patients who had rigid or rollable posterior chamber intraocular lenses implantation.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"629158"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3388380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mortality and survival rates after elective hepatic surgery in a low-volume centre are comparable to those of high-volume centres. 小容量中心择期肝手术后的死亡率和存活率与大容量中心相当。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-07-31 DOI: 10.5402/2012/783932

I E Nygård, K Lassen, J Kjæve, A Revhaug

{"title":"Mortality and survival rates after elective hepatic surgery in a low-volume centre are comparable to those of high-volume centres.","authors":"I E Nygård, K Lassen, J Kjæve, A Revhaug","doi":"10.5402/2012/783932","DOIUrl":"https://doi.org/10.5402/2012/783932","url":null,"abstract":"Background. Over the last decades, liver resection has become a frequently performed procedure in western countries because of its acceptance as the most effective treatment for patients with selected cases of metastatic tumours. The purpose of this study was to evaluate the results after hepatic resections performed electively in our centre since 1979 and compare the results to those of larger high-volume centres. Methods. Medical records of all patients who underwent liver resection from January 1979 to December 2011 were reviewed. Disease-free survival and overall survival were determined by Kaplan-Meier analysis. Risk factors for complications were tested with the log-rank test and the Cox proportional hazard model. Complications were classified according to the modified Clavien classification system. Results. 290 elective liver resections were performed between January 1979 and December 2011. There were 171 males (59.0%) and 119 females (41.0%). Median age was 63 years, range 1-87. Overall survival ranged from 0 to 383 months, with a median of 31 months. Five-year survival rate for patients who underwent liver resection for colorectal metastases was 35.8% (34/95). Discussion. Hepatic resections are safely performed at a low-volume centre, with regard to perioperative- and in-house mortality and 5-year survival rates.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"783932"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/783932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30840625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Skull base inverted papilloma: a comprehensive review. 颅底内翻性乳头状瘤:综合综述。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-12-31 DOI: 10.5402/2012/175903

Shafik N Wassef, Pete S Batra, Samuel Barnett

{"title":"Skull base inverted papilloma: a comprehensive review.","authors":"Shafik N Wassef, Pete S Batra, Samuel Barnett","doi":"10.5402/2012/175903","DOIUrl":"https://doi.org/10.5402/2012/175903","url":null,"abstract":"Skull base inverted papilloma (IP) is an unusual entity for many neurosurgeons. IP is renowned for its high rate of recurrence, its ability to cause local destruction, and its association with malignancy. This paper is a comprehensive review of the reports, studies, and reviews published in the current biomedical literature from 1947 to September 2010 and synthesize this information to focus on its potential invasion to the base of the skull and possible intradural extension. The objective is to familiarize the clinician with the different aspects of this unusual disease. The role of modern diagnostic tools in medical imaging in order to assess clearly the limits of the tumors and to enhance the efficiency and the safety in the choice of a surgical approach is pointed out. The treatment guidelines for IP have undergone a complex evolution that continues today. Radical excision of the tumour is technically difficult and often incomplete. Successful management of IP requires resection of the affected mucosa which could be achieved with open surgery, endoscopic, or combined approach. Radio and chemotherapy were used for certain indications. More optimally research would be a multicenter randomized trials with large size cohorts.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2012 ","pages":"175903"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/175903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31185235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 42

Focus issue: neck dissection for oropharyngeal squamous cell carcinoma. 焦点问题：口咽鳞状细胞癌的颈部切除术。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-01-15 DOI: 10.5402/2012/547017

Kathryn M Van Abel, Eric J Moore

引用次数: 0