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    966 results match your criteria Asian Journal of Surgery[Journal]

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    Oncologic safety of skin-sparing mastectomy followed by immediate reconstruction in young patients with breast cancer.
    Asian J Surg 2018 Jun 13. Epub 2018 Jun 13.
    Division of Breast and Endocrine Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea. Electronic address:
    Backgrounds: This study aimed to compare the oncologic outcomes of nipple-sparing mastectomy (NSM)/skin-sparing mastectomy (SSM) followed by immediate reconstruction with those of conventional mastectomy (CM) in young patients aged under 35 years old with breast cancer.

    Methods: We analyzed retrospectively 2889 patients who underwent mastectomy for breast cancer at Asan Medical Center from January 2003 to December 2008. We compared NSM/SSM followed by immediate reconstruction with CM in patients under 35 years old by analyzing clinicopathologic features, breast cancer specific survival rate (BCSS), distant metastasis free survival rate (DMFS), and local recurrence rate (LRR). Read More

    Impacts of parathyroidectomy on calcium and phosphorus metabolism disorder, arterial calcification and arterial stiffness in haemodialysis patients.
    Asian J Surg 2018 Jun 13. Epub 2018 Jun 13.
    Department of Rheumatology and Nephrology, General Hospital of Air Force, Haidian District, Beijing, 100142, China. Electronic address:
    Background: Secondary hyperparathyroidism (SHPT) and calcium and phosphorus metabolism disorder are important complications in haemodialysis patients. Parathyroidectomy (PTX) may prevent or delay the progress of vascular calcification in haemodialysis patients.

    Objective: To investigate the impacts of PTX on calcium and phosphorus metabolism, arterial calcification and arterial stiffness in haemodialysis patients with SHPT. Read More

    'Mesh hiatal hernioplasty' versus 'suture cruroplasty' in laparoscopic para-oesophageal hernia surgery; a systematic review and meta-analysis.
    Asian J Surg 2018 Jun 7. Epub 2018 Jun 7.
    University Hospital of North Tees, Hardwick Rd, Hardwick, Stockton-on-Tees TS19 8PE, United Kingdom. Electronic address:
    In laparoscopic 'paraoesophageal hernia' (POH) repair, non-absorbable suture materials have been used to close the crural defects. More recently, various types of prosthetic mesh have been utilized to repair the defect. We conducted a systematic review with meta-analysis of the recent and up to-date studies incorporating 942 POH repairs. Read More

    From diabetes remedy to diabetes remission; could single-anastomosis gastric bypass be a safe bridge to reach target in non-obese patients?
    Asian J Surg 2018 Jun 2. Epub 2018 Jun 2.
    Department of General Surgery, College of Medicine, Ain-Shams University, Cairo, Egypt.
    Background/aims: Type 2 diabetes mellitus (T2DM) is considered a chronic progressive incurable metabolic disease. Single-anastomosis gastric bypass (SAGB) has proved to be effective in obese patients, yet its impact on non-obese diabetics is not extensively studied. The aim is to determine the anthropometric and glycemic outcomes of SAGB as a proposed line of treatment for T2DM patients with body mass index (BMI) 25-30 kg/m. Read More

    Reasonable cholecystectomy of gallbladder polyp - 10 years of experience.
    Asian J Surg 2018 May 26. Epub 2018 May 26.
    Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea. Electronic address:
    Background And Objective: Although the incidence of carcinoma is not high in gallbladder polyps, it is essential to diagnose gallbladder cancer at an early stage to achieve a good therapeutic outcome. Therefore, the aim of this study was to define the characteristics of gallbladder polyps to establish sound criteria for surgical indications.

    Methods: In the current study, data from 516 patients with gallbladder polyps who underwent cholecystectomy were reviewed to correlate clinical features with histopathologic findings and identify risk factors with receiver-operating characteristic curves (ROCs). Read More

    Factors affecting outcomes after endovascular treatment for femoropopliteal atherosclerotic lesions.
    Asian J Surg 2018 May 25. Epub 2018 May 25.
    Division of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of Korea. Electronic address:
    Background/objective: This study aimed to investigate the outcomes of femoropopliteal interventions in relation to various influencing factors.

    Methods: A retrospective review of 243 endovascular procedures for femoropopliteal atherosclerotic lesions on 243 limbs of 197 patients was performed.

    Results: In patients with claudication, the TLR free rates at 1-, 3-, and 5-year intervals were 89. Read More

    Three-dimensional laparoscopy in urology: Initial experience after 100 cases.
    Asian J Surg 2018 May 25. Epub 2018 May 25.
    University Medical Centre of Ho Chi Minh City, 215 Hong Bang Street, District 5, Ho Chi Minh City, Viet Nam.
    Objective: To evaluate the efficacy of three-dimensional (3D) laparoscopy in urological procedures in a cohort study compared to two-dimensional (2D) laparoscopy.

    Methods: From October 2016 to August 2017, 100 patients underwent various urological procedures with 3D laparoscopy performed by a single experienced surgeon at the University Medical Centre of Ho Chi Minh City. The surgeon's subjective assessment of image quality, depth perception, ease of intra-corporeal suturing and knotting was recorded. Read More

    Comparative study of outcomes of Roux-en-Y reconstruction and Billroth Ⅰ reconstruction performed after radical distal gastrectomy.
    Asian J Surg 2018 May 24. Epub 2018 May 24.
    Department of Gastroenterology, The First People's Hospital of Wujiang, Nantong University, Suzhou, 215200, China.
    Background: Billroth Ⅰ (BⅠ) reconstruction and Roux-en-Y (RY) reconstruction are both commonly performed after distal gastrectomy (DG). We conducted a retrospective study to evaluate which is the better option.

    Methods: Included in our study were 162 patients who, between April 2011 and October 2015, underwent DG followed by BⅠ reconstruction (n = 93) or RY reconstruction (n = 69). Read More

    Validation of the ipsilateral nipple as the needle directional guide during right internal jugular vein catheterization: A prospective observational study.
    Asian J Surg 2018 May 25. Epub 2018 May 25.
    Department of Anesthesiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
    Background: The ipsilateral nipple has been used as a directional guide for needle advance during internal jugular vein (IJV) catheterization. We attempted to validate the utility of the ipsilateral nipple during IJV catheterization.

    Methods: One hundred and two patients scheduled for elective surgery were enrolled. Read More

    Long-term follow-up of Starion™ versus Harmonic Scalpel™ hemorrhoidectomy for grade III and IV hemorrhoids.
    Asian J Surg 2018 May 25. Epub 2018 May 25.
    Department of Surgery, Ajou University School of Medicine, Suwon, Republic of Korea.
    Background: This study represented an effort to design an alternative to Harmonic Scalpel™ with the same effectiveness but at a lower cost. The concomitant use of Starion™ and Harmonic Scalpel™ had been evaluated to determine the differences in terms of the effectiveness immediately after the operation and 3 years post-operatively.

    Methods: 114 patients in the SH group (Starion™ hemorrhoidectomy) and 107 patients in the HSH group (Harmonic Scalpel™) were contacted for cumulative inspection 1 week, 4 weeks, and 3 years post-operatively to check for the recurrence rate. Read More

    Letter to the editor on "Vasovagal reflex emergency caused by Riedel's thyroiditis: A case report and review of the literature". Lymphocytic thyroiditis with multifocal non-tumor-associated psammoma bodies.
    Asian J Surg 2018 May 24. Epub 2018 May 24.
    Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. Electronic address:

    HSCRP as surrogate marker in predicting long term effect of bariatric surgery on resolution of non-alcoholic steatohepatitis.
    Asian J Surg 2018 May 24. Epub 2018 May 24.
    Department of Surgery, Min-Sheng General Hospital, Taiwan.
    Background: Nonalcoholic steatohepatitis (NASH) is closely associated with obesity and is one of the important etiologies of hepatocellular carcinoma (HCC and liver failure. Bariatric surgery is proven to be effective in causing weight loss and improvement of NASH) but there is limited long term data.

    Objectives: To identify the predictors of NASH in morbidly obese patients and evaluate long term data of bariatric surgery effects on NASH. Read More

    Long term outcomes of simultaneous laparoscopic versus open resection for colorectal cancer with synchronous liver metastases.
    Asian J Surg 2018 May 25. Epub 2018 May 25.
    Division of Colorectal Surgery, Department of Surgery, Taipei Medical University Shuang-Ho Hospital, Taiwan; Graduate Institute of Clinical Medicine, Taipei Medical University, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taiwan; Department of surgery, Taipei Medical University Shuang-Ho Hospital, Number 291, Zhongzheng Road, Zhonghe District, New Taipei City. 235, Taiwan. Electronic address:
    Background/objective: Because of the advancements in the surgical techniques of liver resection and improvements in anesthesia and postoperative critical care, the simultaneous resection of synchronous colorectal cancer with liver metastasis either by the laparoscopic procedure or by the open resection method has been considered as a safe and acceptable option. However, there is limited information on the comparison of postoperative outcomes between laparoscopic surgery and open surgery. This study investigated the clinical results and postoperative outcomes of laparoscopic simultaneous resection of synchronous colorectal cancer with liver metastasis in comparison with those of open surgery. Read More

    Effects of phased education on attitudes toward organ donation and willingness to donate after brain death in an Asian country.
    Asian J Surg 2018 May 23. Epub 2018 May 23.
    Division of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of Korea. Electronic address:
    Background/objective: This study aims to investigate the effects of phased education on attitudes toward organ donation and willingness to donate after brain death.

    Methods: A survey was conducted using a questionnaire to examine attitudes toward organ donation of the families of patients admitted to a surgical intensive care unit (SICU) between March 1, 2014 and September 30, 2016.

    Results: Ninety-two people voluntarily participated in this survey. Read More

    Definitive chemoradiation therapy or surgery for clinical T1-3N0-1M0 thoracic esophageal squamous cell carcinoma: A propensity score matching analysis.
    Asian J Surg 2018 May 22. Epub 2018 May 22.
    Department of Surgical Oncology, Shantou Central Hospital, Shantou, Guangdong, China.
    Background: To compare overall survival in patients with clinical T1-3N0-1 thoracic esophageal squamous cell carcinoma treated with surgery or definitive chemoradiation therapy (CRT).

    Methods: We used propensity-score matching to derive 1:1 cohorts of surgery versus definitive CRT. Statistical analysis was performed using χ or Fisher's exact tests. Read More

    Outcomes of surgical resection for primary duodenal adenocarcinoma: A systematic review.
    Asian J Surg 2018 May 23. Epub 2018 May 23.
    Department of Hepatobiliary & Pancreatovascular Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, China. Electronic address:
    Primary duodenal adenocarcinoma (PDAC) is a rare malignancy. The aim of this study was to evaluate the published evidence for resection with curative intent in patients with PDAC. A literature search was conducted in PubMed and EMBASE databases for eligible studies that reported 5-year overall survival (OS) after surgical resection of PDAC from January 1990 to January 2018. Read More

    Effects of suture tecnique on mesh shrinkage.
    Asian J Surg 2018 Apr 20. Epub 2018 Apr 20.
    Taksim Gaziosmanpasa Training and Research Hospital, General Surgery Clinic, Istanbul, Turkey.
    Objective: Polypropylene meshes are one of the most frequently used patches in inguinal hernia repairs. This material was proved to be not completely inert, and may cause inflammatory responses like foreign body reactions. One of the physical results of these inflammatory reactions against the mesh is mesh shrinkage which is responsible for recurrence and pain. Read More

    Strategy for the accurate preoperative evaluation of the number of metastatic axillary lymph nodes in breast cancer.
    Asian J Surg 2018 Apr 13. Epub 2018 Apr 13.
    Department of Breast Surgery, Mie University Hospital, Mie, Japan; Breast Center, Mie University Hospital, Mie, Japan.
    Background: After the ACOSOG Z0011 trial, it became important to evaluate the number of metastatic axillary lymph nodes (LNs) preoperatively. The purpose of this paper is to confirm whether the number of metastases can be accurately diagnosed by preoperative computed tomography (CT), ultrasound sonography (US), and US-guided fine-needle aspiration cytology (FNAC).

    Methods: We retrospectively analyzed the axillary LNs finding of preoperative CT/US of 470 breast cancer patients. Read More

    The surgery and repeat aspiration outcomes of the atypia of undetermined significance/follicular lesion of undetermined significance category in The Bethesda System for Reporting Thyroid Cytopathology.
    Asian J Surg 2018 Apr 10. Epub 2018 Apr 10.
    National Taiwan University College of Medicine, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Center of Anti-Aging and Health Consultation, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:
    Background/objective: The atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) category is one of six diagnostic categories of The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). In this study, we report the diagnostic distribution of thyroid fine needle aspiration (FNA) cytology and analyze the outcome of AUS/FLUS cases.

    Methods: A total of 29,937 thyroid FNA results, reported between April 2012 and December 2016, were retrieved from the database of a medical center. Read More

    Study design and recruitment for a prospective controlled study of diabesity: Taiwan Diabesity Study.
    Asian J Surg 2018 Apr 6. Epub 2018 Apr 6.
    Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan.
    Background: Strong evidence has shown that metabolic surgery is more effective than medical treatment in the treatment of type 2 diabetic patients. However, no study demonstrated a survival benefit and reduction of diabetes-related end-organ damage. Here, we describe the study design of a large prospective cohort study, the Taiwan Diabesity Study (TDS) which would compare the long-term survival rate and end-organ damage between overweight/obese type 2 diabetic patients receiving metabolic surgery and medical treatment. Read More

    Letter to the Editor on "Kidney transplantation: A new era of laparoscopic living donor nephrectomy in Indonesia." Evolution of laparoscopic living donor nephrectomy for kidney transplantation: Laparoscopic donor nephrectomy for kidney transplantation.
    Asian J Surg 2018 May 7;41(3):293-294. Epub 2018 Apr 7.
    Division of Vascular and Transplant Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea. Electronic address:

    Evaluation of versatility of use of island first dorsal metacarpal artery flap in reconstruction of dorsal hand defects.
    Asian J Surg 2018 Apr 5. Epub 2018 Apr 5.
    Plastic Surgery Unit, General Surgery Department, Faculty of Medicine, Zagazig University, Egypt.
    Background: Posttraumatic dorsal hand defects with exposed tendons and/or bones represent a challenge to reconstructive surgeons. Many options are suggested ranging from local, regional, distant up to free flaps. First dorsal metacarpal artery island flap was commonly prescribed for reconstructing the thumb or first web space defects. Read More

    Pleural lavage cytology after lung resection in patients with non-small cell lung cancer and the feasibility of 20 mL saline solution.
    Asian J Surg 2018 Apr 5. Epub 2018 Apr 5.
    First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handa-yama, Hamamatsu, Shizuoka, Japan.
    Background: There are two issues to be discussed in pleural lavage cytology (PLC) for resected non-small cell lung cancer (NSCLC) whether it should be performed before (pre-PLC) or after (post-PLC) the lung resection and the dose of saline varies widely among the institutions.

    Methods: We retrospectively reviewed the clinical records of 466 consecutive patients who underwent a curative resection for NSCLC and received both a pre- and post- PLC using 20 mL of saline from January 2001 to December 2011.

    Results: There were 24/28 of positive pre- and post-PLC and 442/438 negative pre- and post-PLCs, respectively. Read More

    Chinese Expert Consensus on Enhanced Recovery After Hepatectomy (Version 2017).
    Asian J Surg 2018 Apr 4. Epub 2018 Apr 4.
    Department of Hepatic Surgery, Anhui Provincial Hospital, The First Affiliated Hospital of University of Science and Technology of China, Anhui Province Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, People's Republic of China.
    Enhanced recovery after surgery (ERAS) is a series of perioperative optimized treatment measures based on evidence-based medicine which can control perioperative pathological and physiological responses, reduce surgical trauma and postoperative stress, and then achieve rapid recovery. This is a new concept in the 21st century, which is a revolution to the medical treatment and rehabilitation mode. Based on the clinical application study and expert experience in present ERAS in hepatectomy field at home and abroad, Chinese Expert Consensus on Enhanced Recovery After Hepatectomy (Version 2017) is established. Read More

    Detection of insulin-like growth factor receptor-1 in the human cremaster muscle and its role in the etiology of the undescended testis.
    Asian J Surg 2018 Mar 31. Epub 2018 Mar 31.
    Department of Urology, Gülhane Medical Faculty, Health Sciences University, Ankara, Turkey. Electronic address:
    Purpose: Previous studies of undescended testis (UT) has focused on insulin-like hormone 3 (INSL3), the genitofemoral nerve, and androgens in the testicular descent. Leydig cells, which are under the control of insulin-like growth factor-1 (IGF1), produce both androgens and INSL3. We aimed to investigate whether insulin-like growth factor receptor-1(IGFR1) exists in the cremaster muscle (CM) complex and is associated with normally descended testis as well as UT cases in humans. Read More

    The application effect of percutaneous cryoablation for the stage IIIB/IV advanced non-small-cell lung cancer after the failure of chemoradiotherapy.
    Asian J Surg 2018 Mar 30. Epub 2018 Mar 30.
    Department of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, People's Republic of China; Key Laboratory of Cancer Prevention and Therapy, Tianjin, People's Republic of China; Tianjin's Clinical Research Center for Cancer, People's Republic of China.
    Background/objective: A retrospective review is required to assess the application effect of percutaneous cryoablation on the stage IIIB/IV advanced non-small-cell lung cancer (NSCLC) after the failure of chemoradiotherapy. A total of twenty-two cases with stage IIIB/IV advanced NSCLC after failure of chemoradiotherapy were enrolled.

    Methods: Computed Tomography (CT) was used for the assessment of tumor response, and Functional Assessment of Cancer Therapy-General (FACT-G) was applied for the evaluation of quality of life. Read More

    Major postoperative complications compromise oncological outcomes of patients with intrahepatic cholangiocarcinoma after curative resection - A 13-year cohort in a tertiary center.
    Asian J Surg 2018 Feb 19. Epub 2018 Feb 19.
    Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, China; State Key Laboratory for Liver Research, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, China.
    Background/objective: Hepatectomy is the mainstay of curative treatment for intrahepatic cholangiocarcinoma (ICC). The relationship between postoperative complication and oncological outcome has not been defined. We aimed to elucidate the effect of postoperative complication on long-term survival of ICC patients after curative resection. Read More

    Otorhinolaryngology surgery analysis in Japan and Thailand: Comparing Nihon University School of Medicine with Thammasat University Faculty of Medicine.
    Asian J Surg 2018 Feb 17. Epub 2018 Feb 17.
    Department of Obstetrics and Gynecology, Thammasat University Faculty of Medicine, Thailand.
    Background/objective: We compared the surgery data of the department of otorhinolaryngology of the university hospitals in Japan and Thailand to make each feature and the differences of both otorhinolaryngology surgeries clear. There are some medical meetings and congresses between Japan and Thailand, but so far it has not reported about the comparison of surgery data.

    Methods: Retrospectively, we analyzed the surgical statistics of department of otorhinolaryngology of Nihon University Itabashi Hospital (Japan) and Thammasat University Hospital (Thailand) between 2013 and 2014. Read More

    Revisiting donor risk over two decades of single-center experience: More attention on the impact of overweight.
    Asian J Surg 2018 Feb 14. Epub 2018 Feb 14.
    Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan; College of Medicine, National Taiwan University, Taipei, Taiwan.
    Objective: Morbidity rates after living donor hepatectomy vary greatly among centers. Donor morbidity in a tertiary center over the past two decades was revisited.

    Methods: Clinical data and grading of complications were reviewed by a nontransplant surgeon based on Clavien 5 tier grading. Read More

    Presence of colon carcinoma cells at the resection line may cause recurrence following stapling anastomosis.
    Asian J Surg 2018 Feb 14. Epub 2018 Feb 14.
    Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan; Department of Surgery, Mackay Medical College, Taipei, Taiwan; Institute of Biomedical Sciences, Mackay Medical College, New Taipei City, Taiwan.
    Background/objective: The presence of carcinoma cells in the suture line may result in local recurrence. The purpose of this study was to assess whether carcinoma cells were present along the resection line where the distal clamp was applied.

    Methods: During surgery, the rectum was clamped at least 3 cm distal to the palpable margin of the tumor mass. Read More

    Feasibility of restorative proctocolectomy in patients with ulcerative colitis-associated lower rectal cancer: A retrospective study.
    Asian J Surg 2018 Feb 14. Epub 2018 Feb 14.
    Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Asahimachi-dori, Chuo-ku, Niigata 951-8510, Japan.
    Background/objective: Restorative proctocolectomy (RP) may improve quality of life in patients with ulcerative colitis (UC)-associated lower rectal cancer to a greater extent than total proctocolectomy. However, patients with UC-associated cancer often have flat mucosal lesions that make it extremely difficult to endoscopically delineate the tumor margins. Therefore, there is a potential risk of residual tumor and local recurrence after RP in patients with UC-associated lower rectal cancer. Read More

    Fibrosis score impacts survival following resection for hepatocellular carcinoma (HCC): A Surveillance, End Results and Epidemiology (SEER) database analysis.
    Asian J Surg 2018 Feb 14. Epub 2018 Feb 14.
    College of Medical and Dental Sciences, University of Birmingham, B15 2TT, United Kingdom. Electronic address:
    Background/objectives: Surgical extirpation for hepatocellular carcinoma (HCC) with background fibrosis remains a challenge. This study evaluated impact of fibrosis score on long term outcomes of patients undergoing surgical resection for HCC.

    Methods: Using the Surveillance, Epidemiology and End Results (SEER) database (2004-2013), complete data on 1433 patients undergoing surgical resection for non-metastatic HCC were identified. Read More

    Risk of recurrence following mesh associated incisional hernia repair using the retromuscular technique in patients with relevant medical conditions.
    Asian J Surg 2018 Feb 14. Epub 2018 Feb 14.
    Department of Surgery, HELIOS Universitätsklinikum Wuppertal, Witten - Herdecke University, Heusnerstr. 40, 42283 Wuppertal, Germany; Department of Visceral, Minimally Invasive and Oncologic Surgery, Marien Hospital Düsseldorf, Rochusstr. 2, 40479, Düsseldorf, Germany. Electronic address:
    Background: Incisional hernia is a common problem following open abdominal surgery. Hernia repair in patients with relevant medical conditions is a topic of controversy due to the high risk of morbidity and recurrence. We investigated the risk of recurrence in patients with relevant medical conditions managed with a prosthesis in the retromuscular position. Read More

    The results of expanded-polytetrafluoroethylene mesh repair in difficult abdominal wall defects.
    Asian J Surg 2018 Feb 2. Epub 2018 Feb 2.
    Department of Radiodiagnostic, Dokuz Eylul University Medical Faculty, Balcova, Izmir, Turkey.
    Background: The repair of difficult abdominal wall defects (AWDs) continues to be a crucial and demanding issue for surgeons. This study aimed to present the risk factors and the long-term results of usage of an expanded-polytetrafluoroethylene (e-PTFE) synthetic mesh for the AWR of difficult abdominal wall defects.

    Methods: This study included 156 adult patients who underwent difficult AWR with e-PTFE mesh for incisional hernia, ventral hernia, and created AWDs of various etiopathologies. Read More

    Effects of quercitrin on bacterial translocation in a rat model of experimental colitis.
    Asian J Surg 2018 Jan 20. Epub 2018 Jan 20.
    Erciyes University School of Medicine, Department of General Surgery, Kayseri, Turkey.
    Background: This study aimed to analyze the effects of quercitrin, which has anti-inflammatory properties, on bacterial translocation in inflammatory bowel diseases by using an experimental colitis model.

    Methods: Forty male Wistar-Albino rats were used in the study. Rats were divided into 4 groups (control, colitis, treatment 1 and 2 groups). Read More

    Laparoscopic transabdominal preperitoneal approach for giant inguinal hernias.
    Asian J Surg 2018 Jan 20. Epub 2018 Jan 20.
    Department of Surgery and Digestive Surgery, Kita-Harima Medical Center, Ono, Japan.
    Background: Many surgical techniques have been developed to treat inguinal hernia. In recent years, the laparoscopic transabdominal preperitoneal (TAPP) approach has been widely performed to repair inguinal hernia. Giant inguinal hernia (GIH) is an extremely rare disease that is a challenge for general surgeons. Read More

    A prospective single-institute study of the impact of Daikenchuto on the early postoperative outcome after living donor liver transplantation.
    Asian J Surg 2018 Jan 20. Epub 2018 Jan 20.
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Japan.
    Background: The aim of this study was to investigate the impact of Daikenchuto (DKT) on early postoperative outcomes after living donor liver transplantation (LDLT), focusing on the prevention of abdominal distension and bacterial translocation.

    Methods: Adult LDLT recipients were prospectively divided into 2 groups, who were administered DKT (n = 20, group A) or not (n = 20, group B). The area of bowel gas defined as gas volume score (GVS) 7 days after LDLT was calculated. Read More

    Prediction of organ-confined disease after robot-assisted radical prostatectomy in patients with clinically locally-advanced prostate cancer.
    Asian J Surg 2017 Dec 20. Epub 2017 Dec 20.
    Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea. Electronic address:
    Background: Little is known about the preoperative predictive factors that could identify subsets of favorable patients who can be possibly cured with robot-assisted radical prostatectomy (RARP) alone in locally advanced prostate cancer (LAPCa). Our study was designed to identify clinical predictors of pathologic organ-confined disease (pOCD) in RARP setting.

    Methods: Between 2007 and 2013, clinicopathological and oncological data from 273 consecutive men undergoing robot-assisted RP with extended PLND for clinically LAPCa were reviewed in a single-institution, retrospectively. Read More

    The safety and efficacy of laparoscopic hepatectomy in obese patients.
    Asian J Surg 2017 Dec 20. Epub 2017 Dec 20.
    Department of Surgery, Kurashiki Central Hospital, Okayama, Japan.
    Background: Obesity is generally reported to increase the risk of surgical complications. There have been few reports of laparoscopic hepatectomy (LH) in obese patients. The purpose of this study was to compare the safety and efficacy of (1) LH versus open hepatectomy (OH) in obese patients and (2) LH in obese patients versus LH in non-obese patients. Read More

    Pediatric differentiated thyroid carcinoma: The clinicopathological features and the coexistence of Hashimoto's thyroiditis.
    Asian J Surg 2017 Dec 15. Epub 2017 Dec 15.
    Department of Thyroid Surgery, The First Hospital of Jilin University, Jilin University, Changchun, 130021, China. Electronic address:
    Background/objective: The purpose of this study is to assess outcomes and the detailed clinicopathological features of differentiated thyroid carcinoma (DTC), including the relation of Hashimoto's thyroiditis and postoperative pathological features in child under 18 years old.

    Methods: We reviewed patients with DTC under 18 years old (pediatric DTC patients) seen during recent 16 years. The clinicopathological features and outcomes of pediatric DTC were analyzed by comparison with patients of 19-20 years old or 21-44 years old. Read More

    Effect of infrahepatic inferior vena cava clamping on bleeding during hepatic resection: A meta-analysis.
    Asian J Surg 2017 Dec 15. Epub 2017 Dec 15.
    Department of Hepatobiliary & Pancreatovascular Surgery, The First affiliated Hospital of Xiamen University, Xiamen, China.
    This meta-analysis aimed to explore the effect of infrahepatic vena cava (IVC) clamping on bleeding during hepatic resection. PubMed and Embase databases were searched systematically to identify randomized controlled trials (RCTs) comparing infrahepatic IVC clamping to IVC nonclamping during hepatic resection. A random-effects model was used to calculate weight and outcome measures. Read More

    Robot-assisted laparoscopic radical cystectomy is a safe and effective procedure for patients with bladder cancer compared to laparoscopic and open surgery: Perioperative outcomes of a single-center experience.
    Asian J Surg 2017 Dec 15. Epub 2017 Dec 15.
    Department of Urology, School of Medicine, Kitasato University, Sagamihara, Japan.
    Objective: We compared the perioperative outcomes of patients with bladder cancer according to three different procedures: robot-assisted laparoscopic radical cystectomy (RALC), laparoscopic radical cystectomy (LRC), and open radical cystectomy (ORC).

    Methods: From April 2008 to March 2017, 36 consecutive patients underwent radical cystectomy and ileal conduit with RALC (n = 10), LRC (n = 10), or ORC (n = 16). All patients underwent RALC and LRC with extracorporeal urinary diversion. Read More

    Oncological outcomes after hepatic resection and/or surgical microwave ablation for liver metastasis from gastric cancer.
    Asian J Surg 2017 Dec 15. Epub 2017 Dec 15.
    Department of Hepato-Biliary-Pancreatic Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
    Background: Indications and efficacy of surgical treatment for liver metastases from gastric cancer (LMGCs) remain controversial. This retrospective study was designed to clarify the benefits of surgical treatment and identify prognostic factors.

    Methods: Between December 1997 and December 2015, 34 consecutive patients underwent hepatic resection and surgical microwave ablation for synchronous or metachronous LMGCs at our institution. Read More

    Clinical impact of margin status on survival and recurrence pattern after curative-intent surgery for pancreatic cancer.
    Asian J Surg 2017 Dec 14. Epub 2017 Dec 14.
    Department of Gastroenterological Surgery and Oncology, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, 2-4-20, Ogimachi, Kita-ku, Osaka 530-8480, Japan.
    Background/objective: The definition of R0 resection for invasive pancreatic ductal carcinoma (IPDC) is important. However, there are different definitions among several countries in the world.

    Methods: From 2001 to 2015, 100 consecutive patients with IPDC who underwent pancreatic resection in our hospital were enrolled. Read More

    Risk factors of secondary intervention for type II endoleaks in endovascular aneurysm repair: An 8-year single institution study.
    Asian J Surg 2017 Dec 14. Epub 2017 Dec 14.
    Department of Radiology, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
    Background/objectives: The natural history of type II endoleaks (T2ELs) is still not completely understood; however, it is widely accepted that those associated with aneurysmal sac growth are harmful. We aimed to review our experience with T2ELs in endovascular aneurysm repair (EVAR).

    Methods: We retrospectively reviewed electronic medical records of all patients who underwent EVAR for infrarenal-type abdominal aortic aneurysms (AAAs) at a single institution from August 2007 to November 2015. Read More

    A prognostic model based on lymph node metastatic ratio for predicting survival outcome in gastric cancer patients with N3b subclassification.
    Asian J Surg 2017 Dec 13. Epub 2017 Dec 13.
    Department of Hematology-Oncology, Chang Gung Memorial Hospital at Linkou, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Background: Determining the survival outcome for gastric cancer patients with metastases to more than 15 regional lymph nodes is difficult. This study aims to develop a lymph node metastatic ratio (LNR)-based prognostic model to predict the survival outcome after D2 surgery in such patient groups.

    Methods: Our study retrospectively enrolled 139 gastric cancer patients with metastases to more than 15 regional lymph nodes who underwent D2 surgery between 2007 and 2014. Read More

    Predictors of early operative mortality and long-term survival in octogenarians undergoing open and endovascular repair of abdominal aortic aneurysm.
    Asian J Surg 2017 Dec 9. Epub 2017 Dec 9.
    Division of Vascular and Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Center, Pokfulam, Hong Kong.
    Background: The study aims to report outcomes of open repair (OR) and endovascular aneurysm repair (EVAR) in octogenarians.

    Methods: Consecutive patients aged between 80 and 89 who underwent OR or EVAR were identified from a prospectively collected departmental database. Short-term outcomes included 30 days mortalities and perioperative complications; long-term outcomes included overall survival and re-intervention using the Kaplan-Meier method. Read More

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