991 results match your criteria BMC Surgery[Journal]


Hepatic hypertrophy and hemodynamics of portal venous flow after percutaneous transhepatic portal embolization.

BMC Surg 2019 Feb 18;19(1):23. Epub 2019 Feb 18.

Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Kita15-Nishi7, Kita-Ku, Sapporo, Hokkaido, 060-8638, Japan.

Background: Percutaneous transhepatic portal embolization (PTPE) is useful for safe major hepatectomy. This study investigated the correlation between hepatic hypertrophy and hemodynamics of portal venous flow by ultrasound sonography after PTPE.

Methods: We analyzed 58 patients with PTPE, excluding those who underwent recanalization (n = 10). Read More

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http://dx.doi.org/10.1186/s12893-019-0486-8DOI Listing
February 2019

Effect of restrictive fluid therapy with hydroxyethyl starch during esophagectomy on postoperative outcomes: a retrospective cohort study.

BMC Surg 2019 Feb 4;19(1):15. Epub 2019 Feb 4.

Department of Anesthesiology and Pain Medicine, Laboratory for Perioperative Outcomes Analysis and Research, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea.

Background: To improve prognosis after esophageal surgery, intraoperative fluid optimization is important. Herein, we hypothesized that hydroxyethyl starch administration during esophagectomy reduce the total amount of fluid infused and it could have a positive effect on postoperative complication occurrence and mortality.

Methods: All consecutive adult patients who underwent elective esophageal surgery for cancer were studied. Read More

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http://dx.doi.org/10.1186/s12893-019-0482-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360773PMC
February 2019
1 Read

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review.

BMC Surg 2019 Feb 4;19(1):17. Epub 2019 Feb 4.

Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Nanchang University, No. 1, mingde road, Nanchang, Jiang xi, China.

Background: Hepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for literature, but no intestinal necrosis occurred. Read More

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http://dx.doi.org/10.1186/s12893-019-0478-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360744PMC
February 2019
1 Read

Emergency inguinal hernioplasties in a tertiary public Hospital in Athens Greece, during the economic crisis.

BMC Surg 2019 Feb 4;19(1):18. Epub 2019 Feb 4.

1st Department of Surgery, Medical School, National and Kapodistrian University of Athens, Laikon General Hospital, Agiou Thoma 17str, 115-27, Athens, GR, Greece.

Background: Although the effect of the recent Greek economic crisis and austerity on the population's health and the health system effectiveness have been discussed a lot recently, data on common surgical conditions affecting large part of the population are missing. Using inguinal hernia as a model we investigated possible changes of citizens' attitude regarding the time of referral, the perioperative details and the intraoperative findings of the emergency hernioplasties.

Methods: The present retrospective study was conducted by a Department of Surgery in a tertiary public hospital of the Greek capital. Read More

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http://dx.doi.org/10.1186/s12893-019-0477-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362572PMC
February 2019
1 Read

Intrahepatic bile duct exploration lithotomy is a useful adjunctive hepatectomy method for bilateral primary hepatolithiasis: an eight-year experience at a single centre.

BMC Surg 2019 Feb 4;19(1):16. Epub 2019 Feb 4.

Department of Hepatobiliary and Pancreatic surgery, the Second Affiliated Hospital of Nanchang University, Nanchang, China.

Background: To evaluate the perioperative and long-term results of intrahepatic bile duct exploration lithotomy (IHBDIL) combined with hepatectomy for patients with complicated bilateral primary hepatolithiasis.

Methods: A study was conducted involving 56 patients with complicated bilateral primary hepatolithiasis who underwent IHBDIL combined with hepatectomy at our hospital from January 2006 to December 2014. The perioperative and long-term outcomes that were retrospectively analysed included the stone clearance rate, operative morbidity and mortality, and stone recurrence rate. Read More

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http://dx.doi.org/10.1186/s12893-019-0480-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360740PMC
February 2019
1 Read

Radiation-induced thoracic necrosis with a pulmonary cutaneous fistula repaired using a free omental flap: a case report.

BMC Surg 2019 Feb 2;19(1):14. Epub 2019 Feb 2.

Department of Plastic Surgery, National Defense Medical College, 3-2 Namiki Tokorozawa, Saitama, 359-0042, Japan.

Background: Chest wall necrosis can manifest as a late effect of radiation therapy for breast cancer. Only two cases of fistulas communicating with the respiratory tract as a result of radiation-induced necrosis of the lungs or bronchi have been reported. To the best of our knowledge, we report the first case of a pulmonary cutaneous fistula arising as a late effect of radiation therapy for breast cancer, which was successfully repaired using a free omental graft. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0479-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360029PMC
February 2019
4 Reads

Bronchial angiolipoma successfully treated by sleeve resection of the right bronchus intermedius: a case report.

BMC Surg 2019 Jan 31;19(1):13. Epub 2019 Jan 31.

Department of Thoracic Surgery, Iwate Prefectural Central Hospital, Ueda 1-4-1, Morioka, 020-0066, Japan.

Background: Angiolipoma is a rare, benign tumor that primarily develops in the limbs and trunk. The occurrence of angiolipoma in the lungs is extremely rare; to date, only two cases of primary bronchial angiolipoma have been reported. Here, we report a case of angiolipoma of the right bronchus intermedius that was successfully treated with sleeve resection and reconstructive surgery. Read More

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http://dx.doi.org/10.1186/s12893-019-0481-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357366PMC
January 2019

Assessement of postoperative long-term survival quality and complications associated with radical antegrade modular pancreatosplenectomy and distal pancreatectomy: a meta-analysis and systematic review.

BMC Surg 2019 Jan 28;19(1):12. Epub 2019 Jan 28.

Department of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Leshan City, Leshan, Sichuan, 614000, People's Republic of China.

Background: This study evaluated the perioperative complications and the long-term pancreatic survival outcomes in patients treated with radical antegrade modular pancreatosplenectomy (RAMPS) and distal pancreatectomy (DP).

Method: We performed a computer search on the PubMed, Embase and Cochrane Library databases to retrieve the RCT or clinical trials comparing RAMPS and DP published before July of 2018. The quality of the included trials was assessed according to the inclusion and exclusion criteria by two researchers independently. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0476-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348671PMC
January 2019
2 Reads

Abdominal wall complications following renal transplantation in adult recipients - factors associated with interventional management in one unit.

BMC Surg 2019 Jan 21;19(1):10. Epub 2019 Jan 21.

Department of Transplant Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Background: Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if there were any preoperative, intraoperative and postoperative characteristics in our recipients' cohort which were associated with the requirement for such interventions. Read More

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http://dx.doi.org/10.1186/s12893-019-0468-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341541PMC
January 2019
1 Read

Utilizing real-time contrast medium to detect the fistula of giant spinal arachnoid cyst and treat with minimal invasive surgery.

BMC Surg 2019 Jan 21;19(1):11. Epub 2019 Jan 21.

Department of Neurosurgery, Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua, 500, Taiwan, Republic of China.

Background: Spinal arachnoid cysts are rare and have varied clinical manifestations depending on the affected spinal region and nerve roots. A complete cyst excision with fistula closure is the first choice of treatment. However, it might be difficult to localize the specific position of the fistula because previous images have no enhancements or the fistula is too tiny to be detected. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0475-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341693PMC
January 2019
3 Reads

Technical considerations and outcomes for ileal ureter replacement: a retrospective study in China.

BMC Surg 2019 Jan 18;19(1). Epub 2019 Jan 18.

Department of Urology, Peking University First Hospital, Institute of Urology, National Urological Cancer Center, Peking University, No.8 Xishiku St, Xicheng District, Beijing, 100034, China.

Background: Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China.

Methods: We retrospectively collected data of patients who underwent ileal ureter replacement between January 2010 and January 2015. Read More

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http://dx.doi.org/10.1186/s12893-019-0472-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339271PMC
January 2019
3 Reads

Intrabiliary growth type of metastasis from colon cancer, 12 years after curative colectomy: a case report.

BMC Surg 2019 Jan 18;19(1). Epub 2019 Jan 18.

Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 8300011, Japan.

Background: Liver is a common location of colorectal metastasis, but intrabiliary growth of liver metastasis is not well recognized. Furthermore, intrabiliary metastasis that discovered over 10 years after excision has rarely been described.

Case Presentation: An 80-year-old man was admitted due to the presence of a liver mass in segment 5 (S5) concomitant with elevated carcinoembryonic antigen (CEA), and carbohydrate antigen (CA) 19-9. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0466-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339384PMC
January 2019
9 Reads

Cervical spine alignment following surgery for adolescent idiopathic scoliosis (AIS): a pre-to-post analysis of 81 patients.

BMC Surg 2019 Jan 15;19(1). Epub 2019 Jan 15.

Clinic for Orthopaedics and Trauma Surgery, Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstr.200a, 69118, Heidelberg, Germany.

Background: Several studies have emphasized the importance of restoring thoracic kyphosis (TK) in the setting of AIS, but very few have discussed changes in cervical spine alignment following surgery. Aim of this study was to evaluate reciprocal cervical alignment change after modification of global and regional thoracolumbar alignment with surgery in the setting of adolescent idiopathic scoliosis (AIS).

Methods: Baseline and 2-yrs follow-up radiographs of AIS patients (n = 81) were analysed measuring cervical parameters (upper cervical: C2-C0, McGregor Slope; lower cervical: C2-C7, C2-C7 sagittal vertical axis (SVA), C2-T3, C2-T3SVA, C2-T1Harrison (C2-T1Ha), T1 Slope (T1S)), thoracic, lumbar, pelvic and global alignment parameters. Read More

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http://dx.doi.org/10.1186/s12893-019-0471-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334400PMC
January 2019
4 Reads

The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees.

BMC Surg 2019 Jan 14;19(1). Epub 2019 Jan 14.

Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.

Background: Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the experience needed to acquire the skill to perform LPEC adequately. Read More

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http://dx.doi.org/10.1186/s12893-019-0470-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332850PMC
January 2019
3 Reads

Doppler-guided transanal hemorrhoidal dearterilization versus conventional hemorrhoidectomy for treatment of hemorrhoids - early and long-term postoperative results.

BMC Surg 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of General and Hepato-pancreatic Surgery, University Hospital "Alexandrovska", 1 Georgi Sofiiski Str, 1431, Sofia, Bulgaria.

Background: A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about the early postoperative results. The data about long-term outcomes is still limited. Read More

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http://dx.doi.org/10.1186/s12893-019-0469-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327383PMC
January 2019
2 Reads

Surgical therapy of primary hepatic angiosarcoma.

BMC Surg 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of General, Visceral and Transplantation Surgery, University Hospital of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.

Background: Primary hepatic angiosarcoma (PHA) is a rare tumor entity. Radical surgical resection is currently considered the best treatment choice. The aim of this analysis is to report our experience with surgery for PHA. Read More

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http://dx.doi.org/10.1186/s12893-018-0465-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329081PMC
January 2019
2 Reads

A rare intrahepatic subcapsular hematoma (ISH) after laparoscopic cholecystectomy: a case report and literature review.

BMC Surg 2019 Jan 7;19(1). Epub 2019 Jan 7.

Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, China.

Background: Intrahepatic subcapsular hematoma (ISH) is an extremely rare, life-threatening complication after laparoscopic cholecystectomy (LC). Only few cases have been reported. Herein, we reported a rare giant ISH after LC and summarized all of the reported cases. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0453-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323672PMC
January 2019
10 Reads

Anticoagulants is a risk factor for spontaneous rupture and hemorrhage of gallbladder: a case report and literature review.

BMC Surg 2019 Jan 5;19(1). Epub 2019 Jan 5.

Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China.

Background: The spontaneous rupture of the gallbladder is extremely rare, majority of ruptures occur secondary to traumatic injuries. Here, we report a case of spontaneous rupture of the gallbladder with probably cause of oral anticoagulants.

Case Presentation: A 51-year-old woman presented to the emergency room with sudden-onset severe abdominal pain, as well as hypotension and low level of hemoglobin. Read More

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http://dx.doi.org/10.1186/s12893-018-0464-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321697PMC
January 2019
3 Reads

Altemeier's procedure for complete rectal prolapse; outcome and function in 43 consecutive female patients.

BMC Surg 2019 Jan 3;19(1). Epub 2019 Jan 3.

Department of Colorectal Surgery. S Rita Clinic, Vercelli, Italy.

Background: The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier's rectosigmoidectomy for complete rectal prolapse in a referral center for pelvic floor functional disorders.

Methods: Peri-operative data on 43 consecutive female patients were reviewed. At follow-up any change in pelvic floor function and recurrences were determined. Read More

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http://dx.doi.org/10.1186/s12893-018-0463-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318906PMC
January 2019
5 Reads

The addition of simvastatin administration to cold storage solution of explanted whole liver grafts for facing ischemia/reperfusion injury in an area with a low rate of deceased donation: a monocentric randomized controlled double-blinded phase 2 study.

BMC Surg 2018 Dec 27;18(1):122. Epub 2018 Dec 27.

Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, IRCCS-ISMETT (Istituto di Ricovero e Cura a Carattere Scientifico - Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), UPMC (University of Pittsburgh Medical Center) Italy, Via E. Tricomi 5, 90127, Palermo, Italy.

Background: Liver transplantation is the best treatment for end-stage liver disease. The interruption of the blood supply to the donor liver during cold storage damages the liver, affecting how well the liver will function after transplant. The drug Simvastatin may help to protect donor livers against this damage and improve outcomes for transplant recipients. Read More

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http://dx.doi.org/10.1186/s12893-018-0455-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307270PMC
December 2018
2 Reads
1.240 Impact Factor

Management of late-onset deep surgical site infection after instrumented spinal surgery.

BMC Surg 2018 Dec 22;18(1):121. Epub 2018 Dec 22.

Department of Orthopaedics, Guangdong General Hospital, Guangdong Academy of Medical Sciences, P. O. Box 510080, No.106 Zhongshan Er Road, Yuexiu District, Guangzhou, China.

Background: There are no universally accepted protocols for the treatment of late-onset deep surgical site infection. This study retrospectively evaluates the methods of aggressive debridement with instrumentation retention, high vacuum closed-suction drain without irrigation, primary wound closure, and antibiotic therapy for the treatment of late-onset deep surgical site infection after instrumented spinal surgery.

Methods: A total of 4057 patients who underwent instrumented spinal surgeries were surveyed from January 2010 to June 2014. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0458-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303994PMC
December 2018
13 Reads

Paraduodenal hernia complicated with intussusception: case report.

BMC Surg 2018 Dec 22;18(1):120. Epub 2018 Dec 22.

Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, 318000, China.

Background: The diagnosis of paraduodenal hernia is still a challenge in clinical practice due to lacking of specific symptoms.

Case Presentation: An 83-yr-old male patient presented to our department due to severe abdominal pain for 8 h. Abdominal contrast enhanced computerized tomography (CT) scan indicated intussusception in the duodenum and the upper segment of jejunum, as well as internal hernia. Read More

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http://dx.doi.org/10.1186/s12893-018-0460-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303855PMC
December 2018
3 Reads
1.240 Impact Factor

Thoracic splenosis presenting as pulmonary space-occupying lesion.

BMC Surg 2018 Dec 20;18(1):119. Epub 2018 Dec 20.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, No.166 Da Xuedong Road, Nanning, 530007, Guangxi, China.

Background: Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported. Read More

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http://dx.doi.org/10.1186/s12893-018-0461-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302502PMC
December 2018
3 Reads
1.240 Impact Factor

Optimising the antibiotic treatment of uncomplicated acute appendicitis: a protocol for a multicentre randomised clinical trial (APPAC II trial).

BMC Surg 2018 Dec 17;18(1):117. Epub 2018 Dec 17.

Division of Digestive Surgery and Urology, Turku University Hospital, Kiinanmyllynkatu 4-8, 20520, Turku, Finland.

Background: Based on epidemiological and clinical data acute appendicitis can present either as uncomplicated (70-80%) or complicated (20-30%) disease. Recent studies have shown that antibiotic therapy is both safe and cost-effective for a CT-scan confirmed uncomplicated acute appendicitis. However, based on the study protocols to ensure patient safety, these randomised studies used mainly broad-spectrum intravenous antibiotics requiring additional hospital resources and prolonged hospital stay. Read More

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http://dx.doi.org/10.1186/s12893-018-0451-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296129PMC
December 2018
3 Reads

The efficacy and safety of totally laparoscopic hepatectomy for non-cirrhotic hepatocellular carcinoma in the elderly.

BMC Surg 2018 Dec 17;18(1):118. Epub 2018 Dec 17.

Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Institute of Minimally Invasive Surgery of Zhejiang University, Key laboratory of laparoscopic technique of Zhejiang province, Qingchun Road 3, Hangzhou, 310016, China.

Background: Laparoscopic hepatectomy (LH) has been identified to be effective and safe for elderly patients (≥70 years). This study aims to assess the short-and long-term outcome of totally laparoscopic liver resection for elderly patients with Hepatocellular carcinoma (HCC).

Methods: We retrospectively reviewed 93 patients with HCC who underwent LH from August, 2003 to July, 2013 in a single center. Read More

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http://dx.doi.org/10.1186/s12893-018-0444-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296140PMC
December 2018
2 Reads
1.240 Impact Factor

Effects of retrograde reperfusion on the intraoperative internal environment and hemodynamics in classic orthotopic liver transplantation.

BMC Surg 2018 Dec 12;18(1):115. Epub 2018 Dec 12.

Department of Hepatobiliary Surgery, Peking University People's Hospital, Xizhimen, Beijing, 100044, China.

Background: To investigate the effects of retrograde reperfusion on the intraoperative internal environment and hemodynamics in classic orthotopic liver transplantation (OLT).

Methods: Thirty patients were undergone classic OLT using retrograde reperfusion in our center. Blood sampling was done at different time points including: Before blood venting via the portal vein (PV), 10 mL of blood was collected from the inferior vena cava (T); During retrograde reperfusion through the inferior vena cava (IVC), 10 mL of blood was collected when the volume of blood venting reached 10 mL (T), 100 mL (T), and 200 mL (T), respectively. Read More

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http://dx.doi.org/10.1186/s12893-018-0441-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292078PMC
December 2018
2 Reads

Synovial cysts of the hip joint: a single-center experience.

BMC Surg 2018 Dec 5;18(1):113. Epub 2018 Dec 5.

Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Background: Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. Because of its rarity, a symptomatic synovial cyst is often confounded with a tumor as a space-occupying lesion or with other diseases, depending on its various clinical presentations. Read More

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http://dx.doi.org/10.1186/s12893-018-0450-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282245PMC
December 2018
30 Reads

Same-admission versus delayed cholecystectomy for mild acute biliary pancreatitis: a systematic review and meta-analysis.

BMC Surg 2018 Nov 29;18(1):111. Epub 2018 Nov 29.

Department of Hepatobiliary Surgery, Dongyang People's Hospital, 60 West Wuning Road, 322100, Dongyang, Zhejiang, China.

Background: The timing of laparoscopic cholecystectomy (LC) performed after the mild acute biliary pancreatitis (MABP) is still controversial. We conducted a review to compare same-admission laparoscopic cholecystectomy (SA-LC) and delayed laparoscopic cholecystectomy (DLC) after mild acute biliary pancreatitis (MABP).

Methods: We systematically searched several databases (PubMed, EMBASE, Web of Science, and the Cochrane Library) for relevant trials published from 1 January 1992 to 1 June 2018. Read More

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http://dx.doi.org/10.1186/s12893-018-0445-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263067PMC
November 2018
2 Reads

Spigelian hernia in the right upper abdominal wall: a case report.

BMC Surg 2018 Nov 27;18(1):109. Epub 2018 Nov 27.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, China.

Background: Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0449-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260715PMC
November 2018
18 Reads

Platelet count on preoperative day 1 predicts the long-term responses to laparoscopic splenectomy for Chinese patients with medically refractory idiopathic thrombocytopenic purpura.

BMC Surg 2018 Nov 26;18(1):108. Epub 2018 Nov 26.

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Chongqing, 400016, China.

Background: Laparoscopic splenectomy (LS) is regarded as a second-line treatment for medically refractory idiopathic thrombocytopenic purpura (ITP), but the predictive factors for the long-term postoperative responses to ITP are still a matter of debate. We aimed to investigate the factors that can predict the long-term response after LS for Chinese patients with medically refractory ITP.

Methods: From January 2011 to September 2016, 78 Chinese patients with ITP who underwent LS were retrospectively analyzed. Read More

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http://dx.doi.org/10.1186/s12893-018-0446-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260580PMC
November 2018
2 Reads

Learning curve of laparoscopic Kasai portoenterostomy for biliary atresia: report of 100 cases.

BMC Surg 2018 Nov 26;18(1):107. Epub 2018 Nov 26.

Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, #37 Guo-Xue-Xiang, Chengdu, 610041, China.

Background: Laparoscopic Kasai portoenterostomy (LKPE) is performed for biliary atresia (BA). As LKPE is a technically demanding operation, a learning curve should be defined to guide training. The aim of this study was to identify the learning curve of LKPE for BA. Read More

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http://dx.doi.org/10.1186/s12893-018-0443-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260779PMC
November 2018
1 Read

Retained gastric band port and tube 5 years after gastric band removal and laparoscopic Roux-en-Y gastric bypass: a case report.

BMC Surg 2018 Nov 22;18(1):106. Epub 2018 Nov 22.

Faculty of Medicine, University of Aleppo, Aleppo, Syria.

Background: While LAGB has become uncommon in the bariatric surgery practice, band removal with or without revision surgery is still common. Retained postoperative foreign body, of which surgical sponges are the most common, is a rare condition. We report a rare case of retained gastric band port and the attached tube. Read More

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http://dx.doi.org/10.1186/s12893-018-0448-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249761PMC
November 2018
1 Read

Adrenal cavernous hemangioma: a case report.

BMC Surg 2018 Nov 20;18(1):103. Epub 2018 Nov 20.

Department of Clinical and Experimental Medicine, Unit of General Surgery 2, University of Sassari, Sassari, Italy.

Background: Adrenal cavernous hemangiomas are very rare benign tumors that usually present as incidental findings on abdominal imaging. Preoperative differential diagnosis from other benign or malignant adrenal neoplasms may be challenging.

Case Presentation: A 70-year old man was referred for an 8-cm abdominal mass incidentally discovered on a contrast-enhanced computed tomography (CT) performed to investigate a pulmonary nodule. Read More

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http://dx.doi.org/10.1186/s12893-018-0429-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247755PMC
November 2018
11 Reads

A post-market, prospective, multi-center, single-arm clinical investigation of Phasix™ mesh for VHWG grade 3 midline incisional hernia repair: a research protocol.

BMC Surg 2018 Nov 20;18(1):104. Epub 2018 Nov 20.

Erasmus University Medical Centre Rotterdam, Department of Surgery, Rotterdam, The Netherlands.

Background: Incisional heia is a frequent complication of midline laparotomy. The use of mesh in hernia repair has been reported to lead to fewer recurrences compared to primary repair. However, in Ventral Hernia Working Group (VHWG) Grade 3 hernia patients, whose hernia is potentially contaminated, synthetic mesh is prone to infection. Read More

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http://dx.doi.org/10.1186/s12893-018-0439-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247668PMC
November 2018
15 Reads

Use of retrieval bag in the prevention of wound infection in elective laparoscopic cholecystectomy: is it evidence-based? A meta-analysis.

BMC Surg 2018 Nov 19;18(1):102. Epub 2018 Nov 19.

Department of Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.

Background: Surgical site infections complicate elective laparoscopic cholecystectomies in 2,4-3,2% of cases. During the operation the gallbladder is commonly extracted with a retrieval bag. We conducted a meta-analysis to clarify whether its use plays a role in preventing infections. Read More

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http://dx.doi.org/10.1186/s12893-018-0442-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245513PMC
November 2018
3 Reads

Outcomes of early relaparotomy in pediatric patients at Tikur Anbessa teaching hospital, Addis Ababa, Ethiopia: a five-year retrospective review.

BMC Surg 2018 Nov 16;18(1):99. Epub 2018 Nov 16.

Addis Ababa University, Addis Ababa, Ethiopia.

Background: Early relaparotomy is defined as relaparotomy within the first 30 days following surgery. The aim of this study is to explore the indications, outcomes and factors associated with relaparotomy in our pediatric population.

Methods: We performed a retrospective study of pediatric surgical patients (< 13 yrs. Read More

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http://dx.doi.org/10.1186/s12893-018-0436-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240246PMC
November 2018
2 Reads

Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report.

BMC Surg 2018 Nov 16;18(1):100. Epub 2018 Nov 16.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Background: Thoracic endovascular aortic repair (TEVAR) is the therapeutic choice for type B aortic dissection. One of the most unfavored complications of this procedure is hemorrhage, which has a low incidence but high mortality. Renal hemorrhage (RH) after endovascular aortic repair has been rarely reported. Read More

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http://dx.doi.org/10.1186/s12893-018-0440-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240213PMC
November 2018
10 Reads

Factors predicting the need for hemorrhage control intervention in patients with blunt pelvic trauma: a retrospective study.

BMC Surg 2018 Nov 16;18(1):101. Epub 2018 Nov 16.

Department of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Background: Blunt pelvic injuries are often associated with pelvic fractures and injuries to the rectum and genitourinary tract. Pelvic fractures can lead to life-threatening hemorrhage, which is a common cause of morbidity and mortality in trauma. Thus, early identification of patients with pelvic fractures at risk severe bleeding requiring urgent hemorrhage control is crucial. Read More

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http://dx.doi.org/10.1186/s12893-018-0438-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240179PMC
November 2018
11 Reads

Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report.

BMC Surg 2018 Nov 14;18(1):98. Epub 2018 Nov 14.

Department of Cellular Biology and Tissue Engineering, Faculty of Medicine and Psychology, Autonomous University of Baja California, Av. Universidad no 14418, Parque Industrial Internacional Tijuana, CP. 22390, Tijuana, BC, Mexico.

Background: The dermoid cyst considered a cystic teratoma derived from embryonic germinal epithelium is a slow-growing benign tumour. Dermoid cysts may occur in the orbital and periorbital region in paediatric patients and are often recurrent. The surgical approach depends upon the site of the lesion, superficial or deep. Read More

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http://dx.doi.org/10.1186/s12893-018-0426-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236942PMC
November 2018
10 Reads

Treatment of deep cavities using a perforator-based island flap with partial de-epithelization.

BMC Surg 2018 Nov 12;18(1):96. Epub 2018 Nov 12.

Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, 249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Korea.

Background: The perforator-based island flap is a popular option for defect coverage. In cases with deep cavities, however, the classical island flap may not be a suitable option. By de-epithelization of the peripheral portion of a perforator-based island flap, the distal part of the flap can be used to fill deep spaces, as the flap can be folded and inserted into the spaces. Read More

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http://dx.doi.org/10.1186/s12893-018-0431-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233539PMC
November 2018
9 Reads

Hepatic artery pseudoaneurysm, bronchobiliary fistula in a patient with liver trauma.

BMC Surg 2018 Nov 12;18(1):97. Epub 2018 Nov 12.

Department of Surgery, National Academy of Medical Sciences, Kathmandu, Nepal.

Background: Bronchobiliary fistula and hepatic artery pseudoaneurysm are rare complications of hepatic trauma. There are isolated case reports for both pseudoaneurysm and bronchobiliary fistula following hepatic trauma but there aren't reports of both conditions developing in a single patient.

Case Presentation: This case describes an 18 year old hindu male who developed right hepatic artery pseudoaneurysm and bronchobiliary fistula following blunt abdominal trauma. Read More

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http://dx.doi.org/10.1186/s12893-018-0437-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233285PMC
November 2018
17 Reads

Efficacy of irrigation tubes in the management of para rectal cavities associated with complex fistula-in-ano.

BMC Surg 2018 Nov 9;18(1):95. Epub 2018 Nov 9.

Department of Surgery, Faculty of Medicine, University of Colombo, P.O. Box 271, Kynsey Road, Colombo 8, Western Province, Sri Lanka.

Background: Surgical management of complex perianal fistula associated with pararectal cavities can be challenging. We hypothesised that healing of the pararectal cavities prior to healing of the fistula leads to a better outcome. We aimed to assess the efficacy of irrigation catheters in the healing of pararectal cavities associated with fistula-in-ano. Read More

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http://dx.doi.org/10.1186/s12893-018-0430-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234780PMC
November 2018
12 Reads

Spatial cognition in minimally invasive surgery: a systematic review.

BMC Surg 2018 Nov 7;18(1):94. Epub 2018 Nov 7.

Department of General Surgery, Yeovil District Hospital NHS Foundation Trust, Yeovil, UK.

Background: Spatial cognition is known to play an important role in minimally invasive surgery (MIS), as it was found to enable faster surgical skill acquisition, reduce surgical time and errors made and significantly improve surgical performance. No prior research attempted to summarize the available literature, to indicate the level of importance of the individual spatial abilities and how they impact surgical performance and skill acquisition in MIS.

Methods: Psychological and medical databases were systematically searched to identify studies directly exploring spatial cognition in MIS learning and performance outcomes. Read More

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http://dx.doi.org/10.1186/s12893-018-0416-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223063PMC
November 2018
1 Read

Audio-video recording during laparoscopic surgery reduces irrelevant conversation between surgeons: a cohort study.

BMC Surg 2018 Nov 6;18(1):92. Epub 2018 Nov 6.

Department of Surgery, Faculty of Medicine and Health, Örebro University, SE-70185, Örebro, Sweden.

Background: The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant. Read More

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http://dx.doi.org/10.1186/s12893-018-0428-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219023PMC
November 2018
18 Reads

Crystalloid resuscitation in trauma patients: deleterious effect of 5L or more in the first 24h.

BMC Surg 2018 Nov 6;18(1):93. Epub 2018 Nov 6.

Department of Surgery, University of Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.

Background: Over-aggressive intravenous fluid therapy with crystalloids has adverse effects in trauma patients. We assessed the role of large-volume (≥5l) administration of crystalloids within 24h of injury as an independent risk-factor for mortality, in-hospital complications, and prolonged mechanical ventilation.

Methods: A retrospective cohort analysis of adult trauma patients admitted to a level 1-trauma center between December 2011 and December 2012. Read More

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http://dx.doi.org/10.1186/s12893-018-0427-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219036PMC
November 2018
12 Reads

No effect of anti-TNF-α agents on the surgical stress response in patients with inflammatory bowel disease undergoing bowel resections: a prospective multi-center pilot study.

BMC Surg 2018 Nov 3;18(1):91. Epub 2018 Nov 3.

Center for Surgical Science, Department of Surgery, Zealand University Hospital, Roskilde, Denmark.

Background: TNF-α plays a role in angiogenesis and collagen synthesis, both essential in the wound healing process. There are concerns that pre-operative anti-TNF-α treatment may influence the surgical stress response and increase the risk of surgical complications. The aim of this study was to describe the surgical stress response in patients with inflammatory bowel disease (IBD) and to investigate whether the pre-operative administration of anti-tumor necrosis factor alpha (anti-TNF-α) agents modify the surgical stress response. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0425-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215640PMC
November 2018
6 Reads

Prospective multicentre cohort study of patient-reported outcomes and complications following major abdominal neoplastic surgery (PATRONUS) - study protocol for a CHIR-Net student-initiated German medical audit study (CHIR-Net SIGMA study).

BMC Surg 2018 Oct 29;18(1):90. Epub 2018 Oct 29.

Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: One of the most important aspects of designing a clinical trial is selecting appropriate outcomes. Patient-reported outcomes (PROs) can provide a personal assessment of the burden and impact of a malignant disease and its treatment. PROs comprise a wide range of outcomes including basic clinical symptom scores and complex metrics such as health-related quality of life (HRQoL). Read More

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http://dx.doi.org/10.1186/s12893-018-0422-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206710PMC
October 2018
9 Reads

Outcome after hepatic resection for isolated non-colorectal, non-neuroendocrine liver metastases in 100 patients - the role of the embryologic origin of the primary tumor.

BMC Surg 2018 Oct 29;18(1):89. Epub 2018 Oct 29.

Department of General and Visceral Surgery, Center for Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, D-79106, Freiburg, Germany.

Background: The indication for hepatic resection (HR) in patients suffering from liver metastases (LM) other than colorectal and neuroendocrine tumors is one focus of current multidisciplinary, oncologic considerations. This study retrospectively analyzes outcome after HR for non-colorectal, non-neuroendocrine (NCNNE) LM in the absence of distant or extrahepatic metastases.

Methods: We included 100 consecutive patients undergoing HR for isolated NCNNE LM from a prospective database in our institution, including postoperative follow-up. Read More

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http://dx.doi.org/10.1186/s12893-018-0424-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206904PMC
October 2018
10 Reads

Comparison of pancreatojejunostomy techniques in patients with a soft pancreas: Kakita anastomosis and Blumgart anastomosis.

BMC Surg 2018 Oct 24;18(1):88. Epub 2018 Oct 24.

Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Background: Postoperative pancreatic fistula (PF) is the main cause of operative mortality in patients who undergo pancreatoduodenectomy. Various pancreatoenteric anastomosis techniques have been reported to minimize the postoperative PF rate. However, the optimal method remains unknown. Read More

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http://dx.doi.org/10.1186/s12893-018-0420-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201584PMC
October 2018
11 Reads

Impact of postoperative complications on long-term survival following surgery for T4 colorectal cancer.

BMC Surg 2018 Oct 17;18(1):87. Epub 2018 Oct 17.

Department of Digestive, Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, APHP, UPEC, 51 avenue de Lattre de Tassigny, 94010, Créteil, France.

Background: Postoperative complications (POCs) after the resection of locally advanced colorectal cancer (CRC) may influence adjuvant treatment timing, outcomes, and survival. This study aimed to evaluate the impact of POCs on long-term outcomes in patients surgically treated for T4 CRC.

Methods: All consecutive patients who underwent the resection of T4 CRC at a single centre from 2004 to 2013 were retrospectively analysed from a prospectively maintained database. Read More

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http://dx.doi.org/10.1186/s12893-018-0419-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192193PMC
October 2018
6 Reads