1,326 results match your criteria BMC Surgery[Journal]


Incidental hepatic tuberculosis during planned resection of locally advanced ampullary carcinoma: a case report.

BMC Surg 2020 Jun 30;20(1):145. Epub 2020 Jun 30.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Background: Tuberculosis (TB) is classified according to the site of disease as pulmonary or extrapulmonary. Extrapulmonary TB is less common than its counterpart in which it can be found anywhere in the body including the liver. Similar to ampullary carcinoma, TB liver can manifest with jaundice and deranged liver function tests, particularly in the obstructed biliary systems. Read More

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http://dx.doi.org/10.1186/s12893-020-00806-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325297PMC
June 2020
1.240 Impact Factor

Partial resection of large congenital left ventricular diverticulum in an infant: a case report.

BMC Surg 2020 Jun 30;20(1):146. Epub 2020 Jun 30.

Department of Cardiovascular Surgery, Sichuan University West China Hospital, #37 Guoxue Xiang, Chengdu, 610041, Sichuan, China.

Background: Congenital left ventricular diverticulum is a rare cardiac malformation usually requiring total resection.

Case Presentation: This report describes an infant presenting with a large apical diverticulum with a wide ventricle connection. Given the vicinity of the left anterior descending coronary artery to the diverticulum and its wide ventricular connection, partial resection was undertaken. Read More

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http://dx.doi.org/10.1186/s12893-020-00808-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325025PMC

Design of custom-made navigational template of femoral head and pilot research in total hip resurfacing arthroplasty.

BMC Surg 2020 Jun 30;20(1):144. Epub 2020 Jun 30.

Department of orthopedics, the first people's hospital of yunnan province; Yunnan Provincial Key laboratory of digital orthopedics, Kunming, 650032, China.

Background: To develop a novel custom-made navigational template for accurate prosthesis implantation in total hip resurfacing arthroplasty (THRA) by computer-aided technology.

Methods: The template was produced based on data preoperatively acquired from computed tomography (CT) scan. The position of the drill guide was obtained according to the anatomical axis of the femoral neck which was defined by the point of the femoral head center and another point of the femoral neck center. Read More

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http://dx.doi.org/10.1186/s12893-020-00807-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325234PMC

Recurrent broad ligament leiomyosarcoma with pancreatic and thigh metastasis: a case report.

BMC Surg 2020 Jun 29;20(1):143. Epub 2020 Jun 29.

School of Medicine, Nankai University, Tianjin, 300071, China.

Background: Leiomyosarcoma (LMS) is an uncommon mesenchymal neoplasm, which infrequently metastasizes to pancreas and thigh. Clinical presentation and imaging findings of metastatic broad ligament LMS are often nonspecific. Complete excision plays an important role in treatment of patients with localized LMS. Read More

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http://dx.doi.org/10.1186/s12893-020-00804-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325277PMC

Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature.

BMC Surg 2020 Jun 29;20(1):142. Epub 2020 Jun 29.

Shiraz Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for HH. Read More

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http://dx.doi.org/10.1186/s12893-020-00801-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324977PMC

Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era.

BMC Surg 2020 Jun 22;20(1):141. Epub 2020 Jun 22.

Department of Colorectal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed. Read More

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http://dx.doi.org/10.1186/s12893-020-00802-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310075PMC

The individualized selection of Pancreaticoenteric anastomosis in Pancreaticoduodenectomy.

BMC Surg 2020 Jun 22;20(1):140. Epub 2020 Jun 22.

Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Hepatobiliary and Pancreatic Surgery Unit I, Peking University Cancer Hospital & Institute, No. 52, Fu-Cheng Road, Beijing, 100142, PR China.

Background: The mortality following pancreaticoduodenectomy has markedly decreased but remains an important challenge for the complexity of operation and technical skills involved. The present study aimed to clarify the impact of individualized pancreaticoenteric anastomosis and management to postoperative pancreatic fistula.

Methods: Data from 529 consecutive pancreaticoduodenectomies were retrospectively analysed from the Hepatobiliary and Pancreatic Surgery Unit I, Peking Cancer Hospital. Read More

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http://dx.doi.org/10.1186/s12893-020-00791-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310108PMC

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps.

Authors:
Yuanhong Xiao

BMC Surg 2020 Jun 19;20(1):139. Epub 2020 Jun 19.

Department of Pediatric Surgery, the First Medical Center, Chinese PLA General Hospital, Fuxing Road 28th, Haidian District, Beijing, 100853, China.

Background: The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are still evolving. In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls. Read More

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http://dx.doi.org/10.1186/s12893-020-00800-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304134PMC

Transanal Minimally Invasive Surgery (TAMIS) in Qatar: initial experience.

BMC Surg 2020 Jun 19;20(1):138. Epub 2020 Jun 19.

Colorectal Surgery Section, Department of Surgery, Hamad General Hospital, P.O Box 3050, Doha, Qatar.

Background: Transanal Minimally Invasive Surgery (TAMIS) has revolutionized local excision of mid and high rectal lesions; benign or malignant. It is a technique that is developed as a hybrid between Transanal Endoscopic Microsurgery (TEM) and laparoscopic surgery for resection of rectal lesions.

Methods: We retrospectively reviewed prospectively collected data on patients who underwent TAMIS for benign and early malignant rectal lesions between Jan 2015 and Sept 2019, at Hamad General Hospital, Doha, Qatar. Read More

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http://dx.doi.org/10.1186/s12893-020-00797-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304083PMC

Lower bile duct metastasis from rectal cancer after surgery for liver metastasis and intrahepatic bile duct metastasis: a case report.

BMC Surg 2020 Jun 17;20(1):137. Epub 2020 Jun 17.

Department of Surgery, Ogaki Municipal Hospital, 4-86, Minaminokawa-cho, Ogaki City, Gifu Pref, 503-8502, Japan.

Background: Biliary metastasis of colorectal cancer is a manifestation of metastatic liver carcinoma, and is often difficult to differentiate from cholangiocarcinoma. Further, lower bile duct metastasis of colorectal cancer is rare. We report the case of a 74-year-old woman who underwent pylorus-preserving pancreatoduodenectomy for lower bile duct metastasis of rectal cancer. Read More

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http://dx.doi.org/10.1186/s12893-020-00799-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302383PMC

Creatine kinase elevation after robotic surgery for rectal cancer due to a prolonged lithotomy position.

BMC Surg 2020 Jun 16;20(1):136. Epub 2020 Jun 16.

Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: Robotic surgery for rectal cancer, which is now performed worldwide, can be associated with elevated creatine kinase levels postoperatively. In this study, we compared postoperative complications between patients undergoing robotic surgery and laparoscopic surgery.

Methods: We identified 66 consecutive patients who underwent curative resection for rectal cancer at Juntendo University Hospital between January 2016 and February 2019. Read More

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http://dx.doi.org/10.1186/s12893-020-00771-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298864PMC

Two lucky survivors of thoracic impalement in childhood: case report and literature review.

BMC Surg 2020 Jun 15;20(1):134. Epub 2020 Jun 15.

Division of pediatric surgery, Department of surgery, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Penetrating thoracic injuries are uncommon in childhood. Massive penetrating injury due to impalement is even more rare and has scarcely been reported. It has a dramatic clinical presentation and is often fatal, depending on the organs injured. Read More

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http://dx.doi.org/10.1186/s12893-020-00790-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296619PMC

Pattern and outcome of perforated peptic ulcer disease patient in four teaching hospitals in Addis Ababa, Ethiopia: a prospective cohort multicenter study.

BMC Surg 2020 Jun 15;20(1):135. Epub 2020 Jun 15.

CHS, SOM, AAU, Addis Ababa, Ethiopia.

Background: Perforated peptic ulcer disease is a surgical emergency with a high morbidity and mortality. The socio-demographic characteristic and the factors associated with morbidity and mortality seems to differ between the developed and developing world. This is the first a prospective cohort study in Ethiopia designed to analyze pattern and outcome of patients with perforated peptic ulcer disease in four teaching hospitals affiliated with SOM, CHS of Addis Ababa University. Read More

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http://dx.doi.org/10.1186/s12893-020-00796-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296920PMC
June 2020
1.240 Impact Factor

Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study.

BMC Surg 2020 Jun 12;20(1):132. Epub 2020 Jun 12.

Department of Oral and Maxillofacial surgery, Changhua Christian Hospital, No. 235, Xuguang Rd., Changhua City, Changhua County, 500, Taiwan.

Background: Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap.

Methods: Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. Read More

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http://dx.doi.org/10.1186/s12893-020-00792-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291574PMC

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis.

BMC Surg 2020 Jun 12;20(1):133. Epub 2020 Jun 12.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: The bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis has not been explained in detail. We aimed to analyze the efficacy of bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis.

Methods: We treated 32 thoracic or thoracolumbar tuberculosis patients by one-stage posterior debridement, allograft bone graft using titanium mesh, posterior instrumentation, and fusion from May 2011 to September 2015. Read More

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http://dx.doi.org/10.1186/s12893-020-00793-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291568PMC

Treatment outcomes of Kugel repair for obturator hernias: a retrospective study.

BMC Surg 2020 Jun 12;20(1):131. Epub 2020 Jun 12.

Department of General Surgery, Saitama Medical University, 38 Morohongou, Moroyama, Irumagun, Saitama, 350-0495, Japan.

Background: We examined the validity and applicability of the Kugel repair approach for obturator hernias, whereby we placed a Kugel patch through the preperitoneal space after placing a short 5-cm skin incision just medial to the anterior iliac spine and 2 cm cranial to the expected origin of the internal inguinal ring.

Methods: We studied patients who underwent surgical Kugel repair for obturator hernias at the Department of General Surgery, Saitama Medical University between 2007 and 2017. We examined the operating time, length of hospital stay, postoperative complications, and mortality rate. Read More

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http://dx.doi.org/10.1186/s12893-020-00795-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291628PMC

Pancreas-visceral fat CT value ratio and serrated pancreatic contour are strong predictors of postoperative pancreatic fistula after pancreaticojejunostomy.

BMC Surg 2020 Jun 11;20(1):129. Epub 2020 Jun 11.

Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.

Background: Our aim is to elucidate the true preoperative risk factors for postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD), making it possible to select POPF high-risk patients preoperatively regardless of intraoperative pancreatic consistency judged by the surgeon's hand.

Methods: Among the 298 patients who underwent PD with pancreaticojejunostomy from 2007 to 2016, 262 patients had preoperative CT configurations that could be precisely evaluated. Risk factor analyses were conducted using various perioperative factors, including preoperative CT findings, such as CT values of the pancreas, pancreas-visceral fat CT value ratio and pancreatic outer contour. Read More

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http://dx.doi.org/10.1186/s12893-020-00785-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291550PMC

Giant submandibular sialolipoma masquerading as huge goitre: a case report.

BMC Surg 2020 Jun 11;20(1):130. Epub 2020 Jun 11.

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.

Background: Sialolipoma is a rare tumour which may arise from both major and minor salivary glands and has recently been described as a variant of salivary gland lipomatous lesions.

Case Presentation: We report a 54-year-old male who presented with a 7-year history of large right anterior neck swelling. He was clinically euthyroid and had no compressive or infiltrative symptoms. Read More

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http://dx.doi.org/10.1186/s12893-020-00787-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291645PMC
June 2020
1.240 Impact Factor

Video-assisted thoracoscopic surgery is a safe and effective method to treat intrathoracic unicentric Castleman's disease.

BMC Surg 2020 Jun 10;20(1):127. Epub 2020 Jun 10.

Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730, No 1 ShuaiFuYuan Street, Dong Cheng District, Beijing, People's Republic of China.

Background: Castleman's disease (CD) is a rare non-clonal lymphadenopathy. Application of video-assisted thoracoscopic surgery (VATs) in intrathoracic unicentric Castleman's disease (UCD) is rarely reported. This study is aimed to clarify the role of VATs for diagnosis and treatment in intrathoracic UCD. Read More

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http://dx.doi.org/10.1186/s12893-020-00789-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285469PMC

D1-plus vs D2 nodal dissection in gastric cancer: a propensity score matched comparison and review of published literature.

BMC Surg 2020 Jun 10;20(1):126. Epub 2020 Jun 10.

General Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Largo Francesco Vito 1, 00168, Rome, Italy.

Background: The results of D1-plus lymphadenectomy following gastric resection are seldom investigated. The aim of this study was to compare results of D1-plus vs D2 resections and to provide a literature review.

Methods: Patients who underwent upfront R0 gastrectomy for adenocarcinoma from 2000 to 2016 in three Institutions were selected using propensity scores and categorized according to lymphadenectomy. Read More

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http://dx.doi.org/10.1186/s12893-020-00714-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285465PMC

Hepatic adrenal adenoma-rare tumor on right lobe of liver: a case report and literature review.

Authors:
Haibo Yu Yadong He

BMC Surg 2020 Jun 10;20(1):128. Epub 2020 Jun 10.

Department of Hepatobiliary Surgery, Wenzhou Central Hospital, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China, 325000.

Background: Hepatic adrenal ectopia is a common clinical diagnosis, whereas adrenal tumors developed from hepatic adrenal ectopia are rare. Hepatic adrenal tumors are easily misdiagnosed as hepatic carcinoma and frequently treated by unnecessary operations.

Case Presentation: A 50-year-old female patient was hospitalized due to B-ultrasonic detection of "right focal liver lesions. Read More

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http://dx.doi.org/10.1186/s12893-020-00780-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288671PMC

Giant recurrent left inguinal hernia with femoral nerve injury: a report of a rare case.

BMC Surg 2020 Jun 9;20(1):123. Epub 2020 Jun 9.

Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, Zhanjiang, China.

Background: Giant inguinal hernia(GIH), a rare disease, has brought great challenges to surgeons. GIH is defined as an inguinal hernia that extends below the midpoint of the inner thigh in standing position. However, a giant recurrent inguinal hernia resulting from previous operations that destroy the anatomical structure of the inguinal region is extremely rare. Read More

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http://dx.doi.org/10.1186/s12893-020-00786-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280683PMC

Clinical presentation and surgical treatment of distal fibular non-union with talus chondral lesions in a pediatric patient: a case report.

BMC Surg 2020 Jun 9;20(1):125. Epub 2020 Jun 9.

Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900, Monza, Italy.

Background: In children, fracture non-union is uncommon yet, curiously, non-union of distal fibula fractures are rarely reported. Historically, the most common treatment of a lateral malleolus fracture after an ankle sprain is conservative, which usually leads to fracture union. However, even in clinically stable ankles, subsequent pain arising from fracture site could suggest non-union, thereby necessitating reexamination and possible secondary treatment. Read More

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http://dx.doi.org/10.1186/s12893-020-00782-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285572PMC

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature.

BMC Surg 2020 Jun 9;20(1):124. Epub 2020 Jun 9.

Department of General Surgery, Wuhan Third Hospital, Wuhan, 430060, People's Republic of China.

Background: Cocoon abdomen is a relatively rare abdominal disease characterized by the total or partial encasement of the small intestinal by a dense fibro-collagenous membrane.

Case Presentation: We reported an unusual case of idiopathic cocoon abdomen with congenital colon malrotation. Laparotomy and sac release were performed on the patient. Read More

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http://dx.doi.org/10.1186/s12893-020-00788-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282167PMC

Banded Roux-en-Y gastric bypass in patients with super morbid obesity (BRandY-study): protocol of a cohort study with 10 year follow-up.

BMC Surg 2020 Jun 5;20(1):122. Epub 2020 Jun 5.

Obesity Center Máxima, Máxima Medical Center, Department of Surgery, Eindhoven/Veldhoven, the Netherlands.

Background: Weight loss outcomes after bariatric surgery are less favorable in super morbidly obese patients (BMI ≥50 kg/m). Non-response, either defined as insufficient weight loss or weight regain after initial successful weight loss, is a matter of serious concern in these patients. The primary banded Roux-en-Y gastric bypass has shown promising results regarding weight loss in the bariatric population. Read More

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http://dx.doi.org/10.1186/s12893-020-00784-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275500PMC

A modified surgical technique of shortening renal ischemia time in left renal cancer patients with Mayo level II-IV tumor thrombus.

BMC Surg 2020 Jun 5;20(1):120. Epub 2020 Jun 5.

Urology Department of Peking University Third Hospital, Beijing, 100083, China.

Background: To explore the safety and effectiveness of a modified surgical technique which could shorten the time of renal ischemia in left renal cancer and Mayo level II to IV inferior vena cava (IVC) tumor thrombus.

Method: We retrospectively analyzed the clinical data of 14 cases with left renal cell carcinoma (RCC) and Mayo level II to IV IVC tumor thrombus from February 2015 to July 2019. Preoperative imaging showed that there was no obvious sign of tumor thrombus invading the blood vessel wall. Read More

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http://dx.doi.org/10.1186/s12893-020-00769-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275451PMC

Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report.

BMC Surg 2020 Jun 5;20(1):121. Epub 2020 Jun 5.

Department of Gastroenterological surgery, Osaka City University Graduate School of Medicine, 1-5-7 asahimachi, abeno-ku, osaka-shi, Osaka-fu, 545-8586, Japan.

Background: Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.

Case Presentation: A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. Read More

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http://dx.doi.org/10.1186/s12893-020-00783-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275410PMC

Laparoscopic roux-en-Y gastric bypass versus sleeve gastrectomy for teenagers with severe obesity - TEEN-BEST: study protocol of a multicenter randomized controlled trial.

BMC Surg 2020 Jun 3;20(1):117. Epub 2020 Jun 3.

Obesity Center Máxima - Máxima Medical Center, Eindhoven/Veldhoven, The Netherlands.

Background: Recent data support the use of bariatric surgery in adolescents with severe obesity following unsuccessful non-surgical treatments. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have demonstrated reasonably similar weight loss and reduction of obesity related comorbidities in randomized trials in adults. SG has internationally become the most commonly used procedure in adolescents, yet long-term outcome data are lacking. Read More

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http://dx.doi.org/10.1186/s12893-020-00778-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268239PMC

Adult pancreatic hemangioma: a rare case report and literature review.

BMC Surg 2020 Jun 3;20(1):118. Epub 2020 Jun 3.

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

Background: Adult pancreatic hemangioma is an extremely rare type of benign vascular tumor. To date, about 20 cases have been reported in the English literature. Adult patients with pancreatic hemangiomas usually have no specific symptoms, particularly in early stages. Read More

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http://dx.doi.org/10.1186/s12893-020-00779-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268514PMC
June 2020
1.240 Impact Factor

Sex differences in postsurgical skeletal muscle depletion after donation of living-donor liver transplantation, although minimal, should not be ignored.

BMC Surg 2020 Jun 3;20(1):119. Epub 2020 Jun 3.

Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Donor safety is the top priority in living-donor liver transplantation. Splenic hypertrophy and platelet count decrease after donor surgery are reported to correlate with the extent of hepatectomy, but other aftereffects of donor surgeries are unclear. In this study, we evaluated the surgical effects of donor hepatectomy on skeletal muscle depletion and their potential sex differences. Read More

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http://dx.doi.org/10.1186/s12893-020-00781-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268651PMC

Thermal effects of monopolar electrosurgery detected by real-time infrared thermography: an experimental appendectomy study.

BMC Surg 2020 May 27;20(1):116. Epub 2020 May 27.

Pirogov Russian National Research Medical University, Ostrovitianov str. 1, Moscow, 117997, Russia.

Background: Monopolar energy (ME) is routinely used in appendectomy. This study aimed to investigate the degree of lateral thermal spread generated by ME and to evaluate the thermal injury sustained by the close-lying tissues.

Methods: Appendectomy with a monopolar Maryland dissector was performed in 8 rabbits (at 30 and 60 W power settings). Read More

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http://dx.doi.org/10.1186/s12893-020-00735-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251678PMC

Comparisons of perventricular device closure, conventional surgical repair, and transcatheter device closure in patients with perimembranous ventricular septal defects: a network meta-analysis.

BMC Surg 2020 May 26;20(1):115. Epub 2020 May 26.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, P.R. China.

Background: Treatments for perimembranous ventricular septal defects (pmVSD) mainly include conventional surgical repair (CSR), transcatheter device closure (TDC), and perventricular device closure (PDC). We aimed to perform a network meta-analysis to compare the three approaches in patients with pmVSD.

Methods: We searched for comparative studies on device closure and conventional repair for pmVSD to April 2020. Read More

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http://dx.doi.org/10.1186/s12893-020-00777-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249310PMC

Primary Ewing's sarcoma in a small intestine - a case report and review of the literature.

BMC Surg 2020 May 25;20(1):113. Epub 2020 May 25.

Vilnius University, Faculty of Medicine, Vilnius, Lithuania.

Background: Ewing's sarcoma usually presents in paediatric patients with its primary location being bone tissue. Nevertheless, we present such an adult case which arises from the small intestine. We registered thirty one cases of such origin published so far excluding ours. Read More

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http://dx.doi.org/10.1186/s12893-020-00774-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249351PMC
May 2020
1.240 Impact Factor

Open tibia plateau fracture with intra-osseous dislocation of the patella and quadriceps tendon rupture: a case report.

BMC Surg 2020 May 25;20(1):114. Epub 2020 May 25.

Department of Orthopaedics, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Background: Both tibial plateau fractures and extensor apparatus injuries are serious injuries to the knee joint that generally do not occur in the same patient. We report a rare case of open tibial plateau fracture combined with quadriceps tendon rupture and complete displacement of the patella into the tibial plateau fracture.

Case Presentation: The case involved a male who was 19 years old who had been in a motorcycle accident. Read More

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http://dx.doi.org/10.1186/s12893-020-00770-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249650PMC

Successful surgical drainage with intraoperative ultrasonography for amebic liver abscess refractory to metronidazole and percutaneous drainage: a case report.

BMC Surg 2020 May 24;20(1):112. Epub 2020 May 24.

Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

Background: Metronidazole (MNZ) has been clearly established as a medication for amebic liver abscess. In uncomplicated cases, surgical drainage should be avoided. We report a case of amebic liver abscess refractory to MNZ that was successfully treated using preoperative computed tomography (CT) and percutaneous and surgical drainage with intraoperative ultrasonography (IOUS). Read More

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http://dx.doi.org/10.1186/s12893-020-00776-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247227PMC

The effect of laparoscopy on mast cell degranulation and mesothelium thickness in rats.

BMC Surg 2020 May 24;20(1):111. Epub 2020 May 24.

Department of Biomedical Science, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.

Background: Laparoscopy induces adhesion due to ischemia-reperfusion injury. However, the detail pathomechanism is poorly understood. This study aimed to investigate the impact of laparoscopy on mast cell and mesothelium morphological changes in the rat. Read More

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http://dx.doi.org/10.1186/s12893-020-00775-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247274PMC

Peptic ulcer perforation after cesarean section; case series and literature review.

BMC Surg 2020 May 24;20(1):110. Epub 2020 May 24.

Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Background: Peptic ulcer perforation in the early post-cesarean period is rare but may result in maternal mortality.

Case Presentation: Four cases of post-cesarean peptic ulcer perforation are presented. In all four patients, presentations include peritoneal signs such as acute abdominal pain and progressive distention, hemodynamic instability and intraperitoneal free fluid by ultrasound. Read More

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http://dx.doi.org/10.1186/s12893-020-00732-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245842PMC

Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?

BMC Surg 2020 May 20;20(1):109. Epub 2020 May 20.

Department of General Thoracic and Esophageal Surgery, Helsinki University Hospital, Haartmaninkatu 4, 00290, Helsinki, Finland.

Background: Computed tomography (CT) is widely used in the diagnosis of giant paraesophageal hernias (GPEH) but has not been utilised systematically for follow-up. We performed a cross-sectional observational study to assess mid-term outcomes of elective laparoscopic GPEH repair. The primary objective of the study was to evaluate the radiological hernia recurrence rate by CT and to determine its association with current symptoms and quality of life. Read More

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http://dx.doi.org/10.1186/s12893-020-00772-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238581PMC
May 2020
1.240 Impact Factor

Measuring upper limb function and patient reported outcomes after major breast cancer surgery: a pilot study in an Asian cohort.

BMC Surg 2020 May 19;20(1):108. Epub 2020 May 19.

Department of General Surgery, Khoo Teck Puat Hospital, Singapore, Singapore.

Background: Breast cancer is the most common cancer in women worldwide. Major breast cancer surgery especially with axillary lymph node dissection (ALND), is associated with upper limb functional decline. Majority of studies are conducted in Western population and may not be applicable to Asians. Read More

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http://dx.doi.org/10.1186/s12893-020-00773-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236525PMC

Cardiac overload resolved by resection of a large plexiform neurofibroma on both the buttocks and upper posterior thighs in a patient with neurofibromatosis type I: a case report.

BMC Surg 2020 May 18;20(1):106. Epub 2020 May 18.

Department of Medical Science and Cardiorenal Medicine, Yokohama City University, School of Medicine, Yokohama, Japan.

Background: A large plexiform neurofibroma in patients with neurofibromatosis type I can be life threatening due to possible massive bleeding within the lesion. Although the literature includes many reports that describe the plexiform neurofibroma size and weight or strategies for their surgical treatment, few have discussed their possible physical or mental benefits, such as reducing cardiac stress. In addition, resection of these large tumors can result in impaired wound healing, partly due to massive blood loss during surgery. Read More

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http://dx.doi.org/10.1186/s12893-020-00761-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236506PMC

Surgical site infection and its associated factors in Ethiopia: a systematic review and meta-analysis.

BMC Surg 2020 May 18;20(1):107. Epub 2020 May 18.

College of Nursing, University of Saskatchewan, Saskatoon, Canada.

Background: Despite being a preventable complication of surgical procedures, surgical site infections (SSIs) continue to threaten public health with significant impacts on the patients and the health-care human and financial resources. With millions affected globally, there is significant variation in the primary studies on the prevalence of SSIs in Ethiopia. Therefore, this study aimed to estimate the pooled prevalence of SSI and its associated factors among postoperative patients in Ethiopia. Read More

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http://dx.doi.org/10.1186/s12893-020-00764-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236319PMC

Safety and costs analysis of early hospital discharge after brain tumour surgery: a pilot study.

BMC Surg 2020 May 14;20(1):105. Epub 2020 May 14.

Division of Neurosurgery, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Av Dr Arnaldo 251 Cerqueira Cesar, CEP, São Paulo, 01246-000, Brazil.

Background: A daily algorithm for hospital discharge (DAHD) is a key point in the concept of Enhanced Recovery After Surgery (ERAS) protocol. We aimed to evaluate the length of stay (LOS), rate of complications, and hospital costs variances after the introduction of the DAHD compared to the traditional postoperative management of brain tumour patients.

Methods: This is a cohort study with partial retrospective data collection. Read More

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http://dx.doi.org/10.1186/s12893-020-00767-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227314PMC

Clinical outcome of endovascular coil embolization for cerebral aneurysms in Asian population in relation to risk factors: a 3-year retrospective analysis.

Authors:
Saima Ahmad

BMC Surg 2020 May 14;20(1):104. Epub 2020 May 14.

Pakistan Institute of Neurosciences, Neurointerventional Department, Lahore General Hospital, Ferozpur Road, Lahore, Pakistan.

Background: Long term results of endovascular coiling are yet scarce. This study reviews the impact of comorbidities on the success of endovascular coiling of both ruptured and unruptured intracranial aneurysms. Endovascular treatment has become thetreatment of choice after the ISAT trials. Read More

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http://dx.doi.org/10.1186/s12893-020-00756-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227085PMC

Successful surgical treatment of Cronkhite-Canada Syndrome with bilateral flail chest: a case report.

BMC Surg 2020 May 13;20(1):103. Epub 2020 May 13.

Department of Thoracic Surgery, First Hospital of Jilin University, No. 71, Xinmin Street, Changchun, Jilin, People's Republic of China.

Background: Development of multiple rib fractures leading to bilateral flail chest in Cronkhite-Canada Syndrome (CCS) has not been reported.

Case Presentation: A 59-year-old man presented with complaints of fatigue, chest pain, respiratory distress and orthopnea requiring ventilatory support to maintain oxygenation. CCS with bilateral anterior and posterior flail chest due to multiple rib fractures (2nd-10th on the right side and 2nd-11th on the left side). Read More

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http://dx.doi.org/10.1186/s12893-020-00766-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222535PMC

Surgical-only treatment of pancreatic and extra-pancreatic metastases from renal cell carcinoma - quality of life and survival analysis.

BMC Surg 2020 May 13;20(1):101. Epub 2020 May 13.

Division of General and Transplantation Surgery, University of Pisa, Pisa, Italy.

Background: Treatment of pancreatic metastases (PM) from renal cell carcinoma (RCC) is still an issue between surgeons and oncologists, in the era of target-therapy.

Methods: Data from 26 patients undergoing resection of PM and extra-PM from RCC, with R0 intention were retrospectively analysed. No one received adjuvant chemotherapy. Read More

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http://dx.doi.org/10.1186/s12893-020-00757-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218538PMC

Indocyanine green fluorescence imaging to assess bowel perfusion during totally laparoscopic surgery for colon cancer.

BMC Surg 2020 May 13;20(1):102. Epub 2020 May 13.

Department of Colorectal Surgery, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, No. 17, Pan Jia Yuan Nan Li, Chaoyang District, Beijing, 100021, People's Republic of China.

Background: To retrospectively evaluate the feasibility and safety of intraoperative assessment of bowel perfusion in totally laparoscopic surgery for colon cancer using indocyanine green fluorescence imaging (IGFI).

Methods: From October 2017 to June 2019, consecutive patients with colon cancer who underwent totally laparoscopic surgery were enrolled retrospectively and grouped into the IGFI group (n = 84) and control group (n = 105). In the IGFI group, indocyanine green (ICG) was injected intravenously, and the bowel perfusion was observed using a fluorescence camera system prior to and after completion of the anastomosis. Read More

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http://dx.doi.org/10.1186/s12893-020-00745-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218821PMC

Ingested toothpick retrieved through a lumbar approach: a case report.

BMC Surg 2020 May 12;20(1):99. Epub 2020 May 12.

Department of General and Pediatric Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, 6 Tao Yuan Road, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.

Background: Ingested toothpick may cause severe complications if there is no intervention timely. Toothpicks that required surgical intervention often retrieved through exploratory laparotomy or laparoscopic exploration surgery under general anesthesia, while, those through lumbar approach have been rarely reported. Herein, authors report a case of ingested toothpick which removed through the lumbar surgical approach under local anesthesia and the patient has gained a considerable recovery. Read More

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http://dx.doi.org/10.1186/s12893-020-00768-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216533PMC

Distinct fusion intersegmental parameters regarding local sagittal balance provide similar clinical outcomes: a comparative study of minimally invasive versus open transforaminal lumbar interbody fusion.

BMC Surg 2020 May 12;20(1):97. Epub 2020 May 12.

Department of Spine Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

Background: Most contemporary studies suggested that intersegmental parameters including disc height and local lordosis contribute to the sagittal balance of fused lumbar. Although similar clinical outcomes following MIS- and Open-TLIF were reported essentially at the early postoperative time, the comparison of local balance variables after these two different techniques was lack. The radiological differences maybe not relevant to the postoperative efficacy at an earlier post-operation stage. Read More

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http://dx.doi.org/10.1186/s12893-020-00765-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216338PMC

Intracorporeal esophagojejunostomy using a linear stapler in laparoscopic total gastrectomy: comparison with circular stapling technique.

BMC Surg 2020 May 12;20(1):100. Epub 2020 May 12.

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

Background: Laparoscopic total gastrectomy for gastric cancer is feasible but less commonly performed compared to laparoscopic distal gastrectomy due to technical difficulties such as reconstruction. There is no standard esophagojejunal anastomosis technique in laparoscopic total gastrectomy due to a lack of evidence.

Methods: We retrospectively analyzed data from 213 patients with gastric cancer who underwent laparoscopic total gastrectomy from October 2012 to December 2016. Read More

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http://dx.doi.org/10.1186/s12893-020-00746-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218545PMC

Two-stage pancreatic head resection after previous damage control surgery in trauma: two rare case reports.

BMC Surg 2020 May 12;20(1):98. Epub 2020 May 12.

Department of Surgery, Centro Hospitalar Universitário do Algarve - Unidade de Portimão, Portimão, Portugal.

Background: This study describes the successful treatment of two clinical settings of grade V pancreaticoduodenal blunt trauma only possible due to the prompt collaboration of a peripheral trauma hospital and a central hepatobiliary and pancreatic unit.

Case Presentation: We reviewed the clinical records of two male patients aged 17 and 47 years old who underwent a two-stage pancreaticoduodenectomy after a previous Damage-Control Surgery (DCS). Both patients were transferred to our Hepatobiliopancreatic Unit 2 days after immediate DCS with haemostasis, debridement, duodenostomy, gastroenterostomy, external drainage and laparostomy. Read More

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http://dx.doi.org/10.1186/s12893-020-00763-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216496PMC