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

    1 OF 19

    Which treatment modality for pediatric pilonidal sinus: Primary repair or secondary healing?
    Asian J Surg 2017 Oct 14. Epub 2017 Oct 14.
    Istanbul University, Cerrahpasa Medical Faculty, Department of Pediatric Surgery, Turkey.
    Objective: To evaluate the outcome and characteristics of patients who were operated for sacrococcygeal pilonidal sinus (SPS) treatment using primary repair or secondary healing technique.

    Methods: Forty-seven patients (female: 25, male: 22) diagnosed with pilonidal sinus operated between 2009 and 2015 were retrospectively analyzed. The cases were evaluated for age, gender, body mass index (BMI), surgical technique, hospital stay, recovery time and recurrence. Read More

    Could post-thyroidectomy bleeding be the clue to modify the concept of postoperative drainage? A prospective randomized controlled study.
    Asian J Surg 2017 Oct 13. Epub 2017 Oct 13.
    General Surgery, College of Medicine, Ain-Shams University, Cairo, Egypt; General Surgery, Abha Private Hospital, Abha, Saudi Arabia.
    Background/objective: To unveil the real effect of surgical drains on the outcomes of thyroidectomy for benign thyroid disorders.

    Methods: A prospective randomized study was conducted at Abha Private Hospital, Saudi Arabia on 108 patients suffered from benign thyroid disorders undergoing elective thyroidectomy from 1 August 2015 to 28 February 2017. Patients were allocated randomly into drainage group (A) and non-drainage group (B). Read More

    Aortic valve replacement in small patients.
    Asian J Surg 2017 Oct 11. Epub 2017 Oct 11.
    Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki City, Nagasaki 852-8501, Japan.
    Objectives: Asians are smaller than Europeans and North Americans, but aortic valve replacement (AVR) in small patients has not been examined. We aimed to compare short- and mid-term outcomes of AVR between small and non-small patients.

    Methods: We retrospectively divided 173 patients who underwent AVR into small (S, n = 95) and non-small (NS, n = 78) groups according to body surface area (≤1. Read More

    Status for clinically complete remission rectal cancer after concomitant chemo-radiotherapy in Taiwan.
    Asian J Surg 2017 Sep 29. Epub 2017 Sep 29.
    Division of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; Department of Clinical Medical Sciences, Chang-Gung University, Taoyuan, Taiwan. Electronic address:
    Treatment for Rectal cancer changed after the induction of concomitant chemo-radiotherapy, CCRT. Complete remission of the tumor leads to debate of the necessity of surgical intervention. We evaluate the treatment outcome to know if operation is beneficial to these patients. Read More

    The masseteric nerve: An anatomical study in Thai population with an emphasis on its use in facial reanimation.
    Asian J Surg 2017 Sep 13. Epub 2017 Sep 13.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
    Background: The use of the masseteric nerve has been escalated as a donor nerve for facial reanimation in facial palsy patient (Wang et al., 2014; Manktelow et al., 2006; Klebuc, 2011; Bianchi et al. Read More

    Effectiveness and safety of robotic-assisted versus laparoscopic hepatectomy for liver neoplasms: A meta-analysis of retrospective studies.
    Asian J Surg 2017 Sep 11. Epub 2017 Sep 11.
    Department of General Surgery, Gansu Province People's Hospital, Lanzhou 730000, People's Republic of China. Electronic address:
    This meta-analysis aimed to investigate the effectiveness and safety of RAH and LLR for liver neoplasms. A systematic search was performed in PubMed, EMbase, the Cochrane Library, Web of science, and China Biology Medicine disc up to July 2016 for studies that provided comparisons between the surgical outcomes of RAH and LLR for liver neoplasms. WMD, OR and 95% CI were calculated and data combined using the random-effect model. Read More

    Clinical manifestations and STK11 germline mutations in Taiwanese patients with Peutz-Jeghers syndrome.
    Asian J Surg 2017 Aug 28. Epub 2017 Aug 28.
    Chang Gung University, College of Medicine, Tao-Yuan, Taiwan; Department of Pathology, Chang Gung Memorial Hospital, Lin-Kou Medical Center, Tao-Yuan, Taiwan. Electronic address:
    Backgrounds: Clinical manifestations and molecular basis of Taiwanese patients with Peutz-Jeghers syndrome (PJS) were investigated to add the knowledge of phenotype and genotype of the disease.

    Methods: Based on the Pathology Data Bank and the Colorectal Cancer Register, we collected their clinical data. The entire coding sequence of the STK11 gene was amplified and analyzed by sequencing using the genomic DNA. Read More

    "All-in-one mesh" hernioplasty: A new procedure for primary inguinal hernia open repair.
    Asian J Surg 2017 Aug 26. Epub 2017 Aug 26.
    University of Milano-Bicocca, Unit of General Surgery, Istituti Clinici Zucchi, Monza, Italy.
    Background: We propose a new open mesh hernia repair procedure for the treatment of inguinal hernias in adults aiming to improve patients' comfort and to reduce the incidence of chronic neuralgia.

    Methods: From September 2012 to August 2015, 250 consecutive patients were treated with "all in-one" mesh hernioplasty procedure in our Institution. According to the devised technique, a new smaller prosthesis was placed on the floor of the inguinal canal in order to strengthen all areas of weakness from which hernias may originate. Read More

    The efficacy of infliximab combined with surgical treatment of fistulizing perianal Crohn's disease: Comparative analysis according to fistula subtypes.
    Asian J Surg 2017 Aug 26. Epub 2017 Aug 26.
    Division of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
    Background/objective: Infliximab is regarded as an effective therapeutic to treat Crohn's disease. This study aimed to assess the efficacy of infliximab combined with surgery and to analyze clinical manifestations according to fistula subtypes in patients with fistulizing perianal Crohn's disease.

    Methods: From April 2013 to December 2015, 47 patients with perianal Crohn's disease in two hospitals of South Korea (Goo Hospital, Gangnam Severance Hospital) were evaluated retrospectively. Read More

    Comparison of efficacies of the self-expandable metallic stent versus transanal drainage tube and emergency surgery for malignant left-sided colon obstruction.
    Asian J Surg 2017 Aug 24. Epub 2017 Aug 24.
    Shonan Kamakura General Hospital, Department of Surgery, Japan.
    Background/objective: Patients with left-sided malignant colorectal obstruction require emergency treatment. Emergency stoma surgery has traditionally been recommended, however many stomas became permanent, decreasing patient quality of life. Recently, self-expandable metallic stents (SEMS) and transanal decompression tubes (TDT) have become widely used decompression methods to avoid stoma surgery. Read More

    5-Aminolevulinic acid fluorescence guided resection of malignant glioma: Hong Kong experience.
    Asian J Surg 2017 Aug 24. Epub 2017 Aug 24.
    CUHK Otto Wong Brain Tumor Centre, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, SAR.
    Background: 5-Aminolevulinic Acid (5-ALA) induced fluorescence is useful in guiding glioma resection. The extent of 5-ALA accumulation is beyond gadolinium contrast enhancement.(1,2) Supratotal resection may be achieved, potentially granting patients with better survival. Read More

    Pros and cons of immediate Vicryl mesh insertion after lumpectomy.
    Asian J Surg 2017 Aug 18. Epub 2017 Aug 18.
    Department of Breast Surgery, Shiga Medical Center for Adults, 5-4-30, Moriyama, Shiga, Japan.
    Background: Lumpectomy is a standard surgery for breast cancer; however, it results in breast deformity, especially after radiation therapy. Wider surgical margin correlates lower local recurrence rate. However, bigger defect brings worse cosmetic outcome. Read More

    Prospective study of sexual dysfunction after proctectomy for rectal cancer.
    Asian J Surg 2017 Aug 8. Epub 2017 Aug 8.
    Marmara University School of Medicine, Department of General Surgery, Istanbul, Turkey.
    Background: Although rectal cancer is a common malignancy and has an improved cure rate in response to oncological treatment, research on rectal-cancer survivors' sexual function remains limited.

    Objective: The aim of this prospective study is to assess sexual dysfunction after rectal cancer surgery.

    Patients And Methods: Patients undergoing curative rectal cancer surgery were included in the study. Read More

    Functional pectoralis minor myocutaneous flap transplantation for reconstruction of thumb opposition: An anatomic study with clinical applications.
    Asian J Surg 2017 Jul 24. Epub 2017 Jul 24.
    Hand and Microvascular Surgery Department, Shenzhen People's Hospital, The 2nd Affiliated Hospital of Jinan University, Shenzhen, Guangdong, People's Republic of China.
    Objective: To develop a myocutaneous flap for reconstruction of thumb opposition function in patients with loss of the thenar muscles and skin.

    Methods: An anatomic experiment on the dimensions of the pectoralis minor muscle and its neurovascular supply in 10 adult human cadavers was conducted to evaluate the feasibility of microsurgical transplantation using part of the muscle for thumb opposition reconstruction. Based on these results, we performed surgical thenar reconstruction with a pectoralis minor myocutaneous flap in seven patients (34. Read More

    Kidney transplantation: A new era of laparoscopic living donor nephrectomy in Indonesia.
    Asian J Surg 2017 Jul 19. Epub 2017 Jul 19.
    Department of Urology, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta 10430, Indonesia.
    Background: Since its introduction in 1995, laparoscopic living donor nephrectomy (LLDN) has been a standard procedure in many transplantation centers worldwide. In 2011, LLDN was performed for the first time in Indonesia and became a standard procedure at our institution. The aim of this study is to evaluate the first 250 cases of LLDN at our institution. Read More

    Expansion of lymph node metastasis in mixed-type submucosal invasive gastric cancer.
    Asian J Surg 2017 Jul 18. Epub 2017 Jul 18.
    Department of Surgery, Fukuoka University Chikushi Hospital, 1-1-1 Zokumyoin, Chikushino City, Fukuoka 818-8502, Japan.
    Background/objective: Mixed-type early gastric cancer (differentiated and undifferentiated components) incurs a higher risk of lymph node metastasis than pure-type early gastric cancer (only differentiated or only undifferentiated components). Therefore, we investigated the expansion of lymph node metastasis in mixed-type submucosal invasive gastric cancer in order to establish the most appropriate treatment for mixed-type cancer.

    Methods: We retrospectively analyzed 279 consecutive patients with submucosal invasive gastric cancer who underwent curative gastrectomy for gastric cancer between 1996 and 2015. Read More

    High incidence of recess formation at myopectineal orifice during laparoscopic surgery.
    Asian J Surg 2017 Jul 14. Epub 2017 Jul 14.
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto,Nagasaki-shi, Nagasaki, 852-8501, Japan.
    Background: Groin hernias are frequently seen in clinical practice. The purpose of this study was to determine the rate of patients who might have latent groin hernia.

    Methods: During laparoscopic abdominal surgery, we observed the area around the groin lesion and attempted to evaluate the degree of recess at myopectineal orifice. Read More

    Topical diltiazem ointment in post-hemorrhoidectomy pain relief: A meta-analysis of randomized controlled trials.
    Asian J Surg 2017 Jul 8. Epub 2017 Jul 8.
    Division of Colorectal Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Graduate Institute of Cancer Biology and Drug Discovery, Taipei Medical University, Taipei, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Division of General Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Cancer Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan; Translational Laboratory, Department of Medical Research, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan. Electronic address:
    Background: Hemorrhoidectomy is commonly associated with postoperative pain. Calcium channel blockers are known to cause relaxation of gastrointestinal smooth muscle and oral diltiazem has also been shown to reduce the resting anal pressure.

    Objective: We attempted to analyze efficacy and side effects of topical diltiazem oint. Read More

    The lateral "backdoor" approach to open thyroid surgery: A comparative study.
    Asian J Surg 2017 Jul 8. Epub 2017 Jul 8.
    Endocrine Surgical Service, Department of Surgery, Khoo Teck Puat Hospital, Singapore.
    Introduction: The traditionally taught technique for conventional open thyroidectomy is via a midline splitting of the strap muscles following a skin crease neck incision - midline approach (MA). The lateral "backdoor" approach (LA) uses the same central neck incision but approaches the thyroid gland between the anterior border of sternocleidomastoid (SCM) and strap muscles. This technique is usually reserved for re-do thyroid surgery. Read More

    Value and limits of stapled transanal rectal repair for obstructed defecation syndrome: 10 years-experience with 450 cases.
    Asian J Surg 2017 Jul 7. Epub 2017 Jul 7.
    University of Milano-Bicocca, General Surgery Department, Istituti Clinici Zucchi, Monza, Italy.
    Background/objective: In the late's 90' a new surgical treatment, the stapled trans-anal rectal resection (STARR) was born to treat obstructed defecation syndrome (ODS). In this study we retrospectively analyze a series of 450 cases that underwent STARR in 10 years.

    Methods: Between January 2001 to December 2011, 450 patients, diagnosed with ODS syndrome caused by rectocele or intussusception, underwent to STARR procedure. Read More

    Long-term outcome of laparoscopic sleeve gastrectomy from a single center in mainland China.
    Asian J Surg 2017 Jul 7. Epub 2017 Jul 7.
    Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. Electronic address:
    Background/objective: Laparoscopic sleeve gastrectomy (LSG) is at present the most popular bariatric procedure due to its significant weight loss, remission of co-morbidities, and acceptable morbidity. But, there are not many studies showing its long term efficacy and safety in Chinese patients. The aim of this study is to give five results of LSG in terms of weight loss, co-morbidity (Type 2 diabetes mellitus) resolution and possible complications from a single center in mainland China. Read More

    Applying preoperative dipyridamole thallium-201 scintigraphy for preventing cardiac mortality and complications for patients with secondary hyperparathyroidism undergoing parathyroidectomy.
    Asian J Surg 2017 Jul 6. Epub 2017 Jul 6.
    Division of General Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
    Background: To evaluate the value of preoperative dipyridamole thallium-201 scintigraphy for reducing cardiovascular complication in secondary hyperparathyroidism (SHPTH) patients.

    Methods: Thallium scintigraphy was arranged for all dialysis patients who underwent parathyroidectomy from Jan 2011 to July 2015. Management of defects on thallium scintigraphy included cardiac catheterization and ultrasonography. Read More

    Surgical management of primary hyperparathyroidism: A single-center experience.
    Asian J Surg 2017 Jul 7. Epub 2017 Jul 7.
    Department of Pathology, Chang Gung Memorial Hospital, No. 123, Dapi Road, Niaosong District, Kaohsiung City 833, Taiwan.
    Background: Primary hyperparathyroidism (PHPT) can occur at any age. This study aimed to compare the necessity, feasibility, safety, and outcomes of parathyroidectomy in the management of minor-symptomatic or asymptomatic PHPT patients according to age (young vs. old). Read More

    Feasibility of Endo GIA™ Reinforced Reload with Tri-Staple™ Technology for delta-shaped anastomosis.
    Asian J Surg 2017 Jul 7. Epub 2017 Jul 7.
    Department of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, 710-8602, Kurashiki City, Okayama, Japan.
    Background: We report the short-term clinical outcomes of a delta-shaped (DS) anastomosis in laparoscopic distal gastrectomy (LDG), comparing Endo GIA™ Reinforced Reload (Reinforced GIA) with Endo GIA™ (GIA) staplers.

    Methods: This was a retrospective analysis of 40 patients who underwent totally LDG with DS anastomosis with Reinforced GIA (group A) and 90 patients who underwent the same procedure with GIA (group B) for clinical T1-T3 gastric cancer from May 2013 to December 2016. Operation time, intraoperative blood loss, hospital length of stay, reconstruction time, and complications were compared. Read More

    Risk factors for severe weight loss at 1 month after gastrectomy for gastric cancer.
    Asian J Surg 2017 May 22. Epub 2017 May 22.
    Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokahama, Japan. Electronic address:
    Background: Body weight loss (BWL) is frequently observed in gastric cancer patients who undergo gastrectomy for gastric cancer. The risk factors for severe BWL after gastrectomy remain unclear.

    Methods: The present study retrospectively examined patients who underwent curative gastrectomy for gastric cancer between January 2012 and June 2014 at Kanagawa Cancer Center. Read More

    Surgical treatment of isolated zygomatic fracture: Outcome comparison between titanium plate and bioabsorbable plate.
    Asian J Surg 2017 May 10. Epub 2017 May 10.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Craniofacial Research Center, Taoyuan, Taiwan. Electronic address:
    Background: Zygoma fracture is of clinical importance because malar prominence plays an essential role in facial appearance. Traditionally, most maxillofacial surgeons perform osteosynthesis with titanium plates and screws for rigid fixation. However, this procedure has certain disadvantages that include the possibility of implant exposure, palpability or loosening of the screws, painful irritation, temperature sensitization, and radiographic artifacts. Read More

    Optimal extent of prophylactic central neck dissection for papillary thyroid carcinoma: Comparison of unilateral versus bilateral central neck dissection.
    Asian J Surg 2017 Apr 25. Epub 2017 Apr 25.
    Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University, Seoul, Republic of Korea. Electronic address:
    Objective: The aim of the study was to determine the optimal extent of prophylactic central neck dissection (pCND) in papillary thyroid carcinoma (PTC).

    Materials And Methods: We studied 384 patients with clinically node-negative unilateral PTC who had undergone total thyroidectomy with pCND. Of these, 169 patients underwent unilateral pCND, and 215, bilateral pCND. Read More

    The relation between the location and the perforation rate of lung hydatid cysts in children.
    Asian J Surg 2017 Apr 17. Epub 2017 Apr 17.
    Department of Thoracic Surgery, Faculty of Medicine, University of Erciyes, Kayseri, Turkey.
    Background/objective: The pressure, size, and central or peripheral location of lung hydatid cysts are the most studied topics among the factors affecting perforation. The aim of this study is to investigate the relation between the location and the perforation rate of lung hydatid cysts in children.

    Methods: 197 patients under the age of 16 years, who were operated between January 2000 and December 2016 due to pulmonary hydatid cysts, were evaluated retrospectively. Read More

    Older age impacts on survival outcome in patients receiving curative surgery for solid cancer.
    Asian J Surg 2017 Apr 17. Epub 2017 Apr 17.
    Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Hematology-Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:
    Background: Given the global increase in aging populations and cancer incidence, understanding the influence of age on postoperative outcome after cancer surgery is imperative. This study aimed to evaluate the impact of age on survival outcome in solid cancer patients receiving curative surgery.

    Methods: A total of 37,288 patients receiving curative surgeries for solid cancers between 2007 and 2012 at four affiliated Chang Gung Memorial Hospital were included in the study. Read More

    Surgical treatment of postintubation tracheal stenosis: A retrospective 22-patient series from a single center.
    Asian J Surg 2017 Apr 12. Epub 2017 Apr 12.
    Department of Thoracic Surgery, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
    Background/objective: We aimed to present cases of postintubation tracheal stenosis (PITS), all due to long-term intubation and treated surgically in a university hospital, and to discuss them in light of the literature.

    Methods: In this retrospective study, 22 patients who were treated with tracheal resection and reconstruction due to PITS were included. Demographics, intubation characteristics, localization of stenosis, surgical technique and material, postoperative complications, and survival of patients were recorded. Read More

    Efficacy of single-stage and two-stage Fowler-Stephens laparoscopic orchidopexy in the treatment of intraabdominal high testis.
    Asian J Surg 2017 Nov 12;40(6):490-494. Epub 2017 Apr 12.
    Department of Pediatric Surgery, Fujian Medical University Union Hospital, Fuzhou City, China.
    Background/objective: To compare the curative effect of single-stage and two-stage Fowler-Stephens (F-S) laparoscopic orchidopexy for intraabdominal high testis and explore the appropriate surgical approach.

    Methods: We performed a prospective analysis of the clinical data of 28 patients who underwent F-S laparoscopic orchidopexy for intraabdominal high testis in our department from May 2012 to April 2015, including 15 cases of the single-stage F-S operation and 13 cases of the two-stage F-S operation. By comparing the two groups preoperative and postoperative (6 months) clinical data of testicular position, testicular volume, and sex hormone levels [testosterone (T), follicle stimulating hormone (FSH), and estradiol (E2)], we analyzed the difference in efficacy between the two procedures. Read More

    A novel transperitoneal abdominal wall nerve block for postoperative pain in laparoscopic colorectal surgery.
    Asian J Surg 2017 Apr 4. Epub 2017 Apr 4.
    Department of Surgery, University of Occupational and Environmental Health, Fukuoka, Japan.
    Background: Although the laparoscopic approach reduces pain associated with abdominal surgery, postoperative pain remains a problem. Ultrasound-guided rectus sheath block and transversus abdominis plane block have become increasingly popular means of providing analgesia for laparoscopic surgery.

    Methods: Ninety patients were enrolled in this study. Read More

    Factors associated with recurrent bacterial empyema thoracis.
    Asian J Surg 2017 Mar 31. Epub 2017 Mar 31.
    Thoracic Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. Electronic address:
    Background: Empyema thoracis (ET) is one of the common thoracic diseases frequently found in developing countries. In the past, only a few studies have analyzed recurrent ET, and none had clearly identified the prognostic factors for recurrence. The aim of this study is to identify the prognostic factors of recurrent ET in Northern Thailand. Read More

    Relationship between the incidence and risk factors of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia.
    Asian J Surg 2017 Mar 31. Epub 2017 Mar 31.
    Department of Anesthesiology and Pain Medicine, Chung-Ang University, College of Medicine, Seoul, Republic of Korea.
    Objective: This study aims to evaluate retrospectively the electronic medical records of surgical patients who received intravenous patient-controlled analgesia, to identify potential relationships between the incidence and risk factors of postoperative nausea and vomiting (PONV).

    Methods: Records of 6773 adult patients who received fentanyl-based intravenous patient-controlled analgesia after surgery at Chung-Ang University Hospital between January 1, 2010 and December 31, 2015 were reviewed. Multiple logistic regressions were used to identify risk factors for PONV. Read More

    Intertrochanteric fracture: Association between the coronal position of the lag screw and stress distribution.
    Asian J Surg 2017 Mar 30. Epub 2017 Mar 30.
    Department of Orthopaedics and Traumatology, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China. Electronic address:
    Background/purpose: The best position of the lag screw in the femoral head for the fixation of intertrochanteric fracture is controversial. Traditional view suggests that it should be positioned in the central axis of the femoral neck with a tip-apex distance (TAD) of <25 mm, but the mechanical properties have not been reported yet. Herein, we aimed to investigate internal fixation with the lag screw placed in different positions on the femoral coronal plane by performing a finite element analysis and to identify a reasonable lag screw position after the internal stress distributions at the femoral head. Read More

    Postoperative changes in neutrophil-to-lymphocyte ratio and platelet count: A simple prognostic predictor for adult-to-adult living donor liver transplantation.
    Asian J Surg 2017 Mar 29. Epub 2017 Mar 29.
    Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan.
    Background/objective: The neutrophil-to-lymphocyte ratio (NLR) is a simple index that represents systemic inflammatory change. The number of platelets is also known to reflect both post-transplant graft regeneration and dysfunction. Thus, we aimed to investigate the usefulness of NLR and platelet number in predicting the clinical course after adult-to-adult living donor liver transplantation (AA-LDLT) in the acute postoperative period in recipients. Read More

    Transplantation of the decellularized tracheal allograft in animal model (rabbit).
    Asian J Surg 2017 Mar 27. Epub 2017 Mar 27.
    Department of Thoracic Surgery, Valiasr Hospital, Tehran University of Medical Science, Iran.
    Background: It has been difficult to perform tracheal allotransplantation without immunosuppression. To determine whether decellularized trachea can be used in tracheal replacement, we evaluated the viability of decellularized tracheal allografts in a rabbit model of immunosuppressant-free transplantation.

    Method: Half allograft (Group 1, n = 7) was harvested from adult New Zealand white rabbits, subjected to a detergent-enzymatic method (containing sodium deoxycholate/DNase lavations) of decellularization for as many cycles as needed, and the other half was stored in phosphate-buffered saline at 4°C as a control (Group 2, n = 7). Read More

    Significance of carcinoembryonic antigen mRNA in peritoneal lavage determined by transcription-reverse transcription concerted method in patients with low rectal cancer.
    Asian J Surg 2017 Mar 11. Epub 2017 Mar 11.
    Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
    Background/objective: Positive carcinoembryonic antigen (CEA) messenger RNA (mRNA) in peritoneal lavage is associated with poor prognosis in patients with colon cancer. However, there are no reports about rectal cancer. Therefore we aimed to evaluate the frequency of positive CEA mRNA in peritoneal lavage and the significance of CEA mRNA in patients with low rectal cancer. Read More

    Role of breast magnetic resonance imaging in predicting residual lobular carcinoma in situ after initial excision.
    Asian J Surg 2017 Mar 9. Epub 2017 Mar 9.
    Department of Surgery, Kyungpook National University, School of Medicine, Daegu, Republic of Korea. Electronic address:
    Background: Breast magnetic resonance (MR) imaging is a useful screening modality in detecting suspicious lesions in patients with a history of lobular carcinoma in situ (LCIS). This study aimed to evaluate the effectiveness of breast MR imaging in detecting remnant LCIS lesions after initial excision.

    Methods: Between 2011 and 2015, 29 patients with LCIS who underwent initial excision were enrolled. Read More

    A modified technique of pancreaticogastrostomy with short internal stent: A single surgeon's experience.
    Asian J Surg 2017 Mar 10. Epub 2017 Mar 10.
    Sunway Institute for Healthcare Development, Sunway University, Bandar Sunway, Selangor, Malaysia; Department of Surgery, Sunway Medical Centre, Selangor, Malaysia. Electronic address:
    Background/objective: Postoperative pancreatic fistula (POPF) remains an important cause of morbidity and mortality after pancreaticoduodenectomy. Pancreaticogastrostomy (PG) as a reconstruction method after pancreaticoduodenectomy is a safe and optional surgical technique in decreasing the risk of POPF. In this study, a retrospective analysis was carried out to evaluate a new modification of PG technique that uses a two-layer anastomoses with an internal stent. Read More

    Can the timing of laparoscopic cholecystectomy after biliary pancreatitis change the conversion rate to open surgery?
    Asian J Surg 2017 Mar 9. Epub 2017 Mar 9.
    General Surgery Department, Goztepe Education and Research Hospital, Medeniyet University, Istanbul, Turkey.
    Background: Biliary pancreatitis (BP) constitutes 30-55% of all cases of acute pancreatitis. Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease. We aimed to compare and evaluate the relation between the timing of LC and the rates and reasons of conversion to open surgery (OS) after BP. Read More

    Prostate cancer detection rate in Indonesian men.
    Asian J Surg 2017 Feb 13. Epub 2017 Feb 13.
    Department of Surgery, Division of Urology, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta 10430, Indonesia. Electronic address:
    Purposes Of The Study: To evaluate the overall detection rate of prostate cancer in biopsies according to serum prostate-specific antigen levels, determine the number of cores biopsied in Indonesian men, and provide a correlated staging of prostate cancer patients at varying intervals of prostate-specific antigen levels.

    Methods: We retrospectively analyzed the data from Indonesian men who had undergone prostate biopsy at two national referral medical centers in Jakarta from January 1995 to December 2014. Prostate biopsy was performed when levels of prostate-specific antigen were>4. Read More

    Expression of the stem cell marker CD133 is related to tumor development in colorectal carcinogenesis.
    Asian J Surg 2017 Feb 10. Epub 2017 Feb 10.
    Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
    Background/objective: CD133 is currently considered the most robust surface marker for colorectal cancer stem cells. Two meta-analysis reports have suggested that CD133 expression is significantly associated with shorter survival, and CD133 may play an important role in the progression of colorectal cancer. However, the role of CD133 in colorectal adenoma has not been fully elucidated. Read More

    Role of diclofenac sodium and paracetamol on colonic anastomosis: An experimental rodent model.
    Asian J Surg 2017 Feb 10. Epub 2017 Feb 10.
    Department of General Surgery, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey. Electronic address:
    Background: Despite many advances in surgery and technology, colonic anastomosis remains a challenge after colonic resection. The purpose of this study is to compare the safety of using diclofenac sodium and paracetamol for analgesia in colonic anastomosis on rats.

    Methods: Wistar-Hannover rats were randomly allocated to four groups: Group 1, sham-operated group; Group 2, control group; Group 3, diclofenac sodium group; Group 4, paracetamol group. Read More

    Natural mastopexy repositioning based on age-related mean breast shape.
    Asian J Surg 2017 Feb 8. Epub 2017 Feb 8.
    Department of Plastic and Reconstructive Surgery and Breast Surgery, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
    Background: The most important element during breast reconstruction preoperative planning is determining the new position and shape of the breast. A youthful breast with no signs of ptosis may not necessarily be the ideal breast for women of all ages. However, indicators have not been established on how breasts should be positioned depending on age. Read More

    Is the superior laryngeal nerve really safe when using harmonic focus in total thyroidectomy? A prospective randomized study.
    Asian J Surg 2017 Feb 6. Epub 2017 Feb 6.
    Department of General Surgery, Sağlık Bilimleri University, Konya Training and Research Hospital, Turkey.
    Background: Harmonic focus (HF) was introduced in thyroid surgery in an effort to reduce operation time and complications.

    Objective: The present study aimed to compare function of superior laryngeal nerve and incidence of other postoperative complications in total thyroidectomies using HF and conventional ligation (CL).

    Methods: The trial is a randomized single-center, single-blinded study. Read More

    Can laparoscopic appendectomy be safely performed by surgical residents without prior experience of open appendectomy?
    Asian J Surg 2017 Jan 27. Epub 2017 Jan 27.
    Department of Digestive Surgery, Colorectal Surgery Unit, Toranomon Hospital Tokyo, Tokyo, Japan.
    Background: As laparoscopic surgery has become the mainstream technique for abdominal surgery, it has become difficult for surgical residents to have opportunities to perform open surgery. This study aimed to examine the appropriateness and feasibility of laparoscopic appendectomy performed by surgical trainees who had little experience with open appendectomy or laparoscopic training with animal models.

    Methods: We retrospectively reviewed all the records of patients who underwent appendectomy for acute appendicitis from April 2008 to December 2014. Read More

    Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review.
    Asian J Surg 2017 Jan 25. Epub 2017 Jan 25.
    Department Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany; BG Trauma Center Bergmannstrost, Halle, Germany.
    Posttraumatic osteoarthritis (PTOA) of the knee is a common complication after intra- and extra-articular fractures. Moreover, PTOA may also be a result of isolated cartilage defects, meniscus resections, and ligament injuries. There are various methods of treatment of knee joint fractures. Read More

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