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    822 results match your criteria BMC Surgery[Journal]

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    Deltopectoral flap revisited for reconstruction surgery in patients with advanced thyroid cancer: a case report.
    BMC Surg 2017 Sep 15;17(1):101. Epub 2017 Sep 15.
    Department of General Surgery, Yokohama City University Hospital, Yokohama, Japan.
    Background: We present the cases of 2 patients with invasive thyroid cancer, who underwent reconstructive surgery using a deltopectoral flap. Although the overall rate of extrathyroidal extension in patients with thyroid cancer is quite low, skin invasion is the most common pattern observed. Reconstructive surgery, involving local skin flaps, is required in these patients. Read More

    Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital.
    BMC Surg 2017 Sep 11;17(1):100. Epub 2017 Sep 11.
    Operating Room Department, West China Hospital, Sichuan University, Chengdu, China.
    Background: Case cancellation (CC) has significant impact on the efficiency of operating room (OR) management, which can be mitigated by taking preventive measures. In this study, using the data of the West China Hospital (WCH), we identified the effect of contributing factors and recommended hospital interventions to facilitate CC prevention.

    Method: We conducted a retrospective review of 11,331 elective surgical cases from January 1 to December 31, 2014. Read More

    A comparative study of irrigation versus no irrigation during burr hole craniostomy to treat chronic subdural hematoma.
    BMC Surg 2017 Sep 11;17(1):99. Epub 2017 Sep 11.
    Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 JieFang Avenue, Wuhan, 430022, China.
    Background: Burr hole craniostomy is a widely used method for the evacuation of CSDH. However it is not clear whether the irrigation during operation improves the prognosis or gives rise to additional complications instead. This retrospective cohort study was conducted to determine this issue. Read More

    Preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS): a case report.
    BMC Surg 2017 Sep 11;17(1):98. Epub 2017 Sep 11.
    Department of Hepatobiliary Surgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, #32, Section 2, West 1st Ring Road, Chengdu, 610072, China.
    Background: At present, Da Vinci robotic assisted hepatectomy has been routinely carried out in conditional units. But there is no report concerning the use of Da Vinci robots for hepatic hydatid cystectomy and experience on this aspect is seldom mentioned before. This study was to summarize the preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS). Read More

    A case of Adrenocoricotrophic hormone -independent bilateral adrenocortical macronodular hyperplasia concomitant with primary aldosteronism.
    BMC Surg 2017 Sep 6;17(1):97. Epub 2017 Sep 6.
    Department of Surgical Oncology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.
    Background: Adrenocoricotrophic hormone (ACTH) - independent bilateral adrenocortical macronodular hyperplasia (AIMAH) is a rare cause of Cushing's syndrome, and is characterized by bilateral adrenal hyperplasia. However, Primary aldosteronism (PA) is a relatively common adrenal disease.

    Case Presentation: A 56-year-old man who has been treated hypertension and diabetes mellitus was detected low plasma potassium level with an elevated level of plasma aldosterone concentration and bilateral adrenal swelling. Read More

    Open vascular treatment of median arcuate ligament syndrome.
    BMC Surg 2017 Aug 29;17(1):95. Epub 2017 Aug 29.
    Department of Vascular and Endovascular Surgery, Heinrich-Heine University Medical Center, Düsseldorf, Germany.
    Background: Median arcuate ligament syndrome is a rare condition with abdominal symptoms. Accepted treatment options are open release of median arcuate ligament, laparoscopic release of edian arcuate ligament, robot-assisted release of median arcuate ligament and open vascular treatment. Here we aimed to evaluate the central priority of open vascular therapy in the treatment of median arcuate ligament syndrome. Read More

    Metachronous solitary splenic metastasis arising from early gastric cancer: a case report and literature review.
    BMC Surg 2017 Aug 29;17(1):96. Epub 2017 Aug 29.
    Department of Surgery, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan.
    Background: The metastasis of malignant tumors to the spleen is rare, and only a small percentage of cases can be treated surgically, as splenic metastases generally occur in the context of multivisceral metastatic cancer at a terminal stage. We report a rare case of metachronous solitary splenic metastasis arising from early gastric cancer.

    Case Presentation: A 75-year-old man was initially referred to our hospital for examination of gastric cancer, diagnosed at a medical check-up. Read More

    Neoadjuvant chemotherapy versus surgery first for resectable pancreatic cancer (Norwegian Pancreatic Cancer Trial - 1 (NorPACT-1)) - study protocol for a national multicentre randomized controlled trial.
    BMC Surg 2017 Aug 25;17(1):94. Epub 2017 Aug 25.
    Department of Oncology, Oslo University Hospital, Oslo, Norway.
    Background: Pancreatic cancer is the fourth leading cause of cancer-related death. While surgical resection remains the foundation for potentially curative treatment, survival benefit is achieved with adjuvant oncological treatment. Thus, completion of multimodality treatment (surgical resection and (neo)adjuvant chemotherapy) to all patients and early treatment of micrometastatic disease is the ideal goal. Read More

    Robotic versus laparoscopic Gastrectomy for gastric cancer: a systematic review and updated meta-analysis.
    BMC Surg 2017 Aug 24;17(1):93. Epub 2017 Aug 24.
    Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, 310016, China.
    Background: Advanced minimally invasive techniques including robotic surgery are being employed with increasing frequency around the world, primarily in order to improve the surgical outcomes of laparoscopic gastrectomy (LG). We conducted a systematic review and meta-analysis to evaluate the feasibility, safety and efficacy of robotic gastrectomy (RG).

    Methods: Studies, which compared surgical outcomes between LG and RG, were retrieved from medical databases before May 2017. Read More

    Oncological and functional results of the surgical treatment of vertebral metastases in patients with multiple myeloma".
    BMC Surg 2017 Aug 23;17(1):92. Epub 2017 Aug 23.
    Orthopedic Oncology Department of the Podkarpacki Oncology Hospital, Bielawskiego 18, 36-200, Brzozów, Poland.
    Background: In nearly 30% of patients with myeloma, pathological fractures are found to occur in the spine. If the patients are not treated promptly and satisfactorily, the quality of their lives diminishes. Currently, the standard treatment for metastatic lesions of the spine is radiotherapy, but surgical intervention is becoming more frequent. Read More

    Minilaparoscopic versus single incision cholecystectomy for the treatment of cholecystolithiasis: a meta-analysis and systematic review.
    BMC Surg 2017 Aug 22;17(1):91. Epub 2017 Aug 22.
    Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, 430022, China.
    Background: Over the past decade, mini-laparoscopic cholecystectomy (MLC) and single-port laparoscopic cholecystectomy (SILC) have been the two main successful mini-invasive surgical interventions for the treatment of cholecystolithiasis since the advent of laparoscopic cholecystectomy (LC). In this study, we conducted a meta-analysis to compare the two treatment alternatives.

    Methods: We searched PubMed, CNKI and the Cochrane library for trials that compared MLC and SILC. Read More

    Therapeutic effects of flurbiprofen axetil on mesenteric traction syndrome: randomized clinical trial.
    BMC Surg 2017 Aug 11;17(1):90. Epub 2017 Aug 11.
    Department of Anesthesiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15, Koto-bashi, Sumida-ku, Tokyo, 130-8575, Japan.
    Background: This study aimed to reveal the appropriate timing for the intravenous administration of flurbiprofen axetil for preventing mesenteric traction syndrome (MTS), caused by prostacyclin release.

    Methods: In this prospective, randomized, clinical study, forty-five patients who were undergoing elective surgery for colorectal cancer via laparotomy were enrolled. Patients were randomly divided into 3 groups: a preoperative group (n = 16) receiving flurbiprofen axetil directly before surgery; a post-MTS group (n = 14) receiving following MTS onset; and a control group (n = 15) who were not administered flurbiprofen axetil. Read More

    Prognostic factors in endovascular treated pelvic haemorrhage after blunt trauma.
    BMC Surg 2017 Aug 9;17(1):89. Epub 2017 Aug 9.
    Department of Radiology, Medical University Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
    Background: Angioembolization is the method of choice for treating haemorrhage after blunt pelvic trauma. The aim of this study was to determine technical factors related to endovascular procedures which might be related to patient outcome.

    Methods: This retrospective study included 112 consecutive patients (40 women and 72 men; mean age 57. Read More

    A comparative study on the efficacy of a retrograde perfusion technique and an antegrade perfusion technique for donor kidney recovery in transplantation in pigs.
    BMC Surg 2017 Aug 3;17(1):88. Epub 2017 Aug 3.
    Liver and Kidney Transplant Service,Sir Charles Gairdner Hospital, School of Surgery, The University of Western Australia, Nedlands, Perth, WA, 6009, Australia.
    Background: Donor organ shortage is a significant problem in kidney transplantation. Improvement of perfusion techniques can increase the number of available organs. The aim of this study is to investigate the efficiency and safety of retrograde perfusion (RP) of kidney grafts during organ recovery after transplantation in pigs. Read More

    Cost-utility analysis of bariatric surgery compared with conventional medical management in Germany: a decision analytic modeling.
    BMC Surg 2017 Aug 3;17(1):87. Epub 2017 Aug 3.
    University Medical Center Hamburg, Hamburg, Germany.
    Background: The objective was to evaluate cost-utility of bariatric surgery in Germany for a lifetime and 10-year horizon from a health care payer perspective.

    Methods: State-transition Markov model provided absolute and incremental clinical and monetary results. In the model, obese patients could undergo surgery, develop post-surgery complications, experience diabetes type II, cardiovascular diseases or die. Read More

    Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience.
    BMC Surg 2017 Jul 21;17(1):86. Epub 2017 Jul 21.
    Unit of General Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24127, Bergamo, Italy.
    Background: We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique.

    Methods: In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Read More

    Transabdominal laparoscopic retroperitoneal neurectomy for chronic pain after inguinal hernia repair and appendicectomy -a matched-pair study.
    BMC Surg 2017 Jul 20;17(1):85. Epub 2017 Jul 20.
    Department of Surgery, Mannheim University Medical Centre, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
    Background: Chronic debilitating pain is a rare but significant cause of postoperative morbidity after inguinal surgery. Such pain is usually of neuropathic origin and frequently caused by intraoperative nerve damage. In this retrospective matched-pair study we analysed results of a minimal-invasive approach to neurectomy on quality of life and pain relief. Read More

    Prognostic significance of perigastric tumor deposits in patients with primary gastric cancer.
    BMC Surg 2017 Jul 19;17(1):84. Epub 2017 Jul 19.
    Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
    Background: The presence and the prognostic significance of perigastric tumor deposits (TDs) in primary gastric cancer have not been extensively studied. The aim of this study was to evaluate the prognostic significance perigastric TDs in primary gastric cancer.

    Methods: From 2005 to 2010, 1250 patients underwent R0 gastrectomy at the Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China. Read More

    Surgical correction of hyperlordosis in facioscapulohumeral muscular dystrophy: A case report.
    BMC Surg 2017 Jul 17;17(1):83. Epub 2017 Jul 17.
    Department of Orthopedics, Peking Union Medical College Hospital and Graduate School of Peking Union Medical College, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China.
    Background: Hyperlordosis is common in facioscapulohumeral muscular dystrophy (FSHD), which cannot be controlled by bracing. While the surgical treatment is neither reported nor recommended in previous studies, we report the first corrective surgery for hyperlordosis in one wheelchair-dependent FSHD patient.

    Case Presentation: A 15-year-old, wheelchair-dependent girl complaining of hyperlordosis and lower extremity weakness was diagnosed as FSHD. Read More

    Single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation for lumbosacral brucellosis.
    BMC Surg 2017 Jul 14;17(1):82. Epub 2017 Jul 14.
    Department of spine surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region, 830054, China.
    Background: Spinal brucellosis is a less commonly reported infectious spinal pathology. There are few reports regarding the surgical treatment of spinal brucellosis in existing literature. This retrospective study was conducted to determine the effectiveness of single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation for lumbosacral spinal brucellosis. Read More

    A case of bowel perforation due to traumatic hernia at a pelvic fracture site: a case report and review of the literature.
    BMC Surg 2017 Jul 12;17(1):81. Epub 2017 Jul 12.
    Department of Surgical Oncology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.
    Background: Common complications of pelvic fractures include visceral injury, large-volume hemorrhage, genitourinary injury, rectal injury, and pulmonary embolism. On the other hand, traumatic hernia is a rare complication, especially in association with pelvic fractures. We report a case of bowel perforation due to traumatic hernia at a pelvic fracture site. Read More

    Intended cost reduction in laparoscopic appendectomy by introducing the endoloop: a single center experience.
    BMC Surg 2017 Jul 11;17(1):80. Epub 2017 Jul 11.
    Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
    Background: Cost reduction measures in medicine are gaining greater importance nowadays, especially in high-volume procedures such as laparoscopic appendectomy (LAE). Currently there are two common methods of dissecting the appendix from the caecal pole: linear stapler and endoloops. The endoloop is the cheaper device but can only be used in uncomplicated cases of appendicitis. Read More

    Cost-analysis and effectiveness of one-stage laparoscopic versus two-stage endolaparoscopic management of cholecystocholedocholithiasis: a retrospective cohort study.
    BMC Surg 2017 Jul 6;17(1):79. Epub 2017 Jul 6.
    Department of Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, 40640, Jyväskylä, Finland.
    Background: One-stage laparoscopic common bile duct (CBD) stone clearance and laparoscopic cholecystectomy (LCBDE+LC) for cholecystocholedocholithiasis ( CCL) can be performed with similar short and long-term outcomes than two-stage endoscopic retrograde cholangiography followed by subsequent LC (ERCP+LC). This study examined retrospectively the outcome and hospital costs of one-stage versus two-stage treatment of CBD stones.

    Methods: From January 1999 and December 2014, 217 consecutive, elective patients underwent one-stage (LCBDE + LC ) or two-stage (ERCP + subsequent LC ) treatment for CBD stones. Read More

    Factors contributing to airborne particle dispersal in the operating room.
    BMC Surg 2017 Jul 6;17(1):78. Epub 2017 Jul 6.
    Department of Orthopedic Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
    Background: Surgical-site infections due to intraoperative contamination are chiefly ascribable to airborne particles carrying microorganisms. The purpose of this study is to identify the actions that increase the number of airborne particles in the operating room.

    Methods: Two surgeons and two surgical nurses performed three patterns of physical movements to mimic intraoperative actions, such as preparing the instrument table, gowning and donning/doffing gloves, and preparing for total knee arthroplasty. Read More

    The new trauma score (NTS): a modification of the revised trauma score for better trauma mortality prediction.
    BMC Surg 2017 Jul 3;17(1):77. Epub 2017 Jul 3.
    Department of Emergency Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
    Background: Since its introduction, the Revised Trauma Score (RTS) has been widely used to determine the prognosis of trauma patients. Recent studies have revealed a need to change the parameters of the RTS. We have designed a new trauma score (NTS) based on revised parameters, including the adoption of the actual Glasgow Coma Scale (GCS) score instead of a GCS code, the revision of the systolic blood pressure interval used for the code value and the incorporation of peripheral oxygen saturation (SpO2) instead of respiratory rate. Read More

    Patient experience and overall satisfaction after emergency abdominal surgery.
    BMC Surg 2017 Jul 1;17(1):76. Epub 2017 Jul 1.
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, UK.
    Background: There is a growing recognition of the importance of patient experience in healthcare, however little is known in the context of emergency abdominal surgery. This study sought to quantify the association between patient experience and overall satisfaction.

    Methods: Patient demographics, operation details and 30-day clinical outcome data of consecutive patients undergoing emergency abdominal surgery were collected. Read More

    Primary pancreatic-type acinar cell carcinoma of the jejunum with tumor thrombus extending into the mesenteric venous system: a case report and literature review.
    BMC Surg 2017 Jun 29;17(1):75. Epub 2017 Jun 29.
    Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
    Background: Although ectopic pancreatic tissue is common in the upper gastrointestinal tract, the incidence of ectopic pancreatic tissue in the jejunum is low, and malignant transformation in ectopic pancreatic tissue is rare. Furthermore, pancreatic-type acinar cell carcinoma (ACC) developing in the jejunum and ACC accompanied by tumor thrombus are extremely rare.

    Case Presentation: A 78-year-old-woman presented with melena. Read More

    Magnetic foreign body ingestion in pediatric patients: report of three cases.
    BMC Surg 2017 Jun 24;17(1):73. Epub 2017 Jun 24.
    Department of Surgery, The Catholic University of Korea, College of Medicine, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
    Background: Although foreign bodies (FBs) typically pass spontaneously and uneventfully through the digestive tract, a subset of such bodies may become trapped, eventually leading to significant injury. In particular, the ingestion of magnetic materials can cause serious morbidity due to proximate attraction through the intestinal wall.

    Case Presentation: We recently treated three pediatric patients who had ingested several magnetic foreign materials. Read More

    Management of early gastric cancer that meet the indication for radical lymph node dissection following endoscopic resection: a retrospective cohort analysis.
    BMC Surg 2017 Jun 20;17(1):72. Epub 2017 Jun 20.
    Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
    Background: Endoscopic resection (ER) has been widely accepted as the standard treatment for early gastric cancer (EGC). However, in patients considered to have undergone non-curative ER due to their potential risk of lymph node metastasis (LNM), additional gastrectomy is recommended. The aim of the present study was to identify EGC patients after non-curative ER at high risk of LNM. Read More

    The utility of the hematoxylin and eosin staining in patients with suspected Hirschsprung disease.
    BMC Surg 2017 Jun 19;17(1):71. Epub 2017 Jun 19.
    Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281, Indonesia.
    Background: While immunohistochemistry (IHC) methods have been widely conducted for the diagnosis of Hirschsprung disease (HSCR) in developed countries, there are very few studies on their use in developing countries where hematoxylin and eosin (HE) staining is a key element of the diagnosis of HSCR. We aimed to determine the accuracy of HE staining in the diagnosis of HSCR using S100 IHC as the reference standard in Indonesia.

    Methods: All histopathology performed for the suspicion of HSCR patients from January 2013 to August 2015 in Dr. Read More

    Cardiac tamponade associated with delayed ascending aortic perforation after blunt chest trauma: a case report.
    BMC Surg 2017 Jun 17;17(1):70. Epub 2017 Jun 17.
    Department of Thoracic and Cardiovascular Surgery, School of Medicine, Wonkwang University, 460 Iksandae-ro, Iksan, Jeonbuk, 570-749, Republic of Korea.
    Background: Cardiac tamponade due to aortic injury after blunt trauma is a rare and potentially fatal injury. Most aortic injuries caused by blunt trauma present as aortic dissection or rupture of the aortic isthmus. Several cases of delayed aortic injury have been reported. Read More

    Body surface area is a novel predictor for surgical complications following video-assisted thoracoscopic surgery for lung adenocarcinoma: a retrospective cohort study.
    BMC Surg 2017 Jun 12;17(1):69. Epub 2017 Jun 12.
    Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
    Background: Body surface area (BSA) is a biometric unit to measure the body size. Its clinical significance in video-assisted thoracoscopic surgery (VATS) was rarely understood. We aimed to estimate the predictive value of BSA for surgical complications following VATS anatomical resections for lung adenocarcinoma (LAC). Read More

    Comparison of the surgical outcomes of minimally invasive and open surgery for octogenarian and older compared to younger gastric cancer patients: a retrospective cohort study.
    BMC Surg 2017 Jun 12;17(1):68. Epub 2017 Jun 12.
    Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei City, 11217, Taiwan.
    Background: As life expectancy continues to increase around the world, the use of minimally invasive surgery (MIS) could be beneficial for octogenarian and older gastric cancer patients.

    Methods: A total of 359 gastric cancer patients who underwent curative surgery between March 2011 and March 2015 were enrolled; 80 of these patients (22.2%) were octogenarians and older. Read More

    Radical antegrade modular pancreatosplenectomy versus standard procedure in the treatment of left-sided pancreatic cancer: A systemic review and meta-analysis.
    BMC Surg 2017 Jun 5;17(1):67. Epub 2017 Jun 5.
    Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing, 100053, People's Republic of China.
    Background: Radical antegrade modular pancreatosplenectomy (RAMPS), first reported by Strasberg in 2003, has attracted increasing attention in the treatment of left-sided pancreatic cancer. The limited number of cases eligible for RAMPS makes it difficult to perform any prospective randomized trial of RAMPS versus the standard procedure. Therefore, we performed this systemic review and meta-analysis of the current data to clarify the role of the RAMPS procedure. Read More

    A novel variation of the recurrent laryngeal nerve.
    BMC Surg 2017 Jun 2;17(1):66. Epub 2017 Jun 2.
    Department of Thyroid and Breast Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, People's Republic of China.
    Background: Injury to the recurrent laryngeal nerve is one of the most severe complications of thyroid surgery. Several anatomic variations of the nerve increase the likelihood of iatrogenic damage.

    Case Presentation: A 50-year-old woman was presented to our department with a nodule in the right thyroid lobe, and she reported no voice changes. Read More

    Proximal spleno-renal shunt with retro-aortic left renal vein in a patient with extra-hepatic portal vein obstruction: first case report.
    BMC Surg 2017 Jun 2;17(1):65. Epub 2017 Jun 2.
    Department of Anaesthesia, S. R. Kalla Hospital, Jaipur, India.
    Background: Presence of retro-aortic left renal vein poses special challenge in creating spleno-renal shunt potentially increasing the chance of shunt failure. The technical feasibility and successful outcome of splenectomy with proximal spleno-renal shunt (PSRS) with retro-aortic left renal vein is presented for the first time. The patient was treated for portal hypertension and hypersplenism due to idiopathic extra-hepatic portal vein obstruction. Read More

    Kimura's disease affecting the axillary lymph nodes: a case report.
    BMC Surg 2017 May 26;17(1):63. Epub 2017 May 26.
    Department of Surgical Oncology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan.
    Background: Kimura's disease (KD; eosinophilic granuloma of soft tissue) is an inflammatory granulomatous disorder of unknown cause with eosinophilic infiltration that occurs mainly in soft tissue. KD occurs mainly in the head and neck, but development in the axillary region is very rare.

    Case Presentation: A 74-year-old Japanese woman was evaluated for a mass that she noted in the left axillary region. Read More

    Radiographic sarcopenia predicts postoperative infectious complications in patients undergoing pancreaticoduodenectomy.
    BMC Surg 2017 May 26;17(1):64. Epub 2017 May 26.
    Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
    Background: Recently, skeletal muscle depletion (sarcopenia) has been reported to influence postoperative outcomes after certain procedures. This study investigated the impact of sarcopenia on postoperative outcomes following pancreaticoduodenectomy (PD).

    Methods: We performed a retrospective study of consecutive patients (n = 219) who underwent PD at our institution between January 2007 and May 2013. Read More

    Hypomagnesemia predicts postoperative biochemical hypocalcemia after thyroidectomy.
    BMC Surg 2017 May 25;17(1):62. Epub 2017 May 25.
    Department of Thyroid & Parathyroid surgery, West China Hospital, Sichuan University, Guoxue Alley 37#, Chengdu, Sichuan, 610041, People's Republic of China.
    Background: To investigate the role of magnesium in biochemical and symptomatic hypocalcemia, a retrospective study was conducted.

    Methods: Less-than-total thyroidectomy patients were excluded from the final analysis. Identified the risk factors of biochemical and symptomatic hypocalcemia, and investigated the correlation by logistic regression and correlation test respectively. Read More

    Using e-health in perioperative care: a survey study investigating shortcomings in current perioperative care and possible future solutions.
    BMC Surg 2017 May 23;17(1):61. Epub 2017 May 23.
    Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
    Background: An e-health care program has previously shown to have a positive effect on return to work, quality of life and pain in patients who underwent gynaecological surgery. Plausibly, providing the care program to a population undergoing other types of surgery will be beneficial as well. The objectives of this study are to evaluate patients' opinions, needs and preferences regarding the information and guidance supplied to patients during the perioperative period, to investigate whether e-health may be of assistance and to explore if gender specific needs exist. Read More

    Rectal-sparing type of ulcerative colitis predicts lack of response to pharmacotherapies.
    BMC Surg 2017 May 19;17(1):59. Epub 2017 May 19.
    Department of Inflammatory Bowel Disease, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.
    Background: Ulcerative colitis (UC) is known as an immune disorder of the colon that generally involves the rectum, but an atypical distribution of inflamed mucosa has previously been noted in certain subtypes of UC, such as the rectal-sparing type (RST). As noted in a previous report, patients with the RST may be at elevated risk for disease refractoriness, but the clinical significance of RST remains unknown.

    Methods: UC patients who underwent surgery between January 2010 and April 2015 were included. Read More

    Is soft tissue repair a right choice to avoid early dislocation after THA in posterior approach?
    BMC Surg 2017 May 19;17(1):60. Epub 2017 May 19.
    Joint Surgery and Sports Medicine Department, Shanghai Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
    Background: Dislocation is the second most common complication after total hip arthroplasty (THA). The effectiveness of soft tissue repair to reduce dislocation rate is still debated and thus a meta-analysis was conducted.

    Methods: A systematic search in PubMed, Embase, and Cochrane databases was conducted for this meta-analysis. Read More

    Does intraoperative closed-suction drainage influence the rate of pancreatic fistula after pancreaticoduodenectomy?
    BMC Surg 2017 May 16;17(1):58. Epub 2017 May 16.
    Department of Digestive and Hepatobiliary Surgery, Estaing University Hospital, 1, place Lucie et Raymond Aubrac, 63000, Clermont-Ferrand, France.
    Background: Although drainage of pancreatic anastomoses after pancreaticoduodenectomy (PD) is still debated, it remains recommended, especially in patients with a high risk of post-operative pancreatic fistula (POPF). Modalities of drainage of pancreatic anastomoses, especially the use of passive (PAD) or closed-suction (CSD) drains, and their impact on surgical outcomes, have been poorly studied. The aim was to compare CSD versus PAD on surgical outcomes after PD. Read More

    Application of intraoperative limb-length measurement by a new osteotomy device in hemiarthroplasty for treating femoral neck fracture.
    BMC Surg 2017 May 15;17(1):57. Epub 2017 May 15.
    Department of Orthopedic, The Third Hospital of Hebei Medical University and the Key Biomechanical Laboratory of Orthopaedics, No.139, Ziqiang Road, Shijiazhuang, Hebei province, 050051, China.
    Background: Limb length discrepancy is one of the most common complications after hip arthroplasty. We developed a device - intraoperative limb-length measurement and osteotomy device (ILMOD), and applied it to patients who were treated with hemiarthroplasty for femoral neck fracture to improve limb length discrepancy by providing an accurate osteotomy during hemi-arthroplasty.

    Methods: Between April 2012 and October 2013, 65 patients were treated with hip hemiarthroplasty for femoral neck fracture at our trauma center. Read More

    Assessing pre- and postoperative activity levels with an accelerometer: a proof of concept study.
    BMC Surg 2017 May 12;17(1):56. Epub 2017 May 12.
    Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorsstraat 7, 1081 BT, Amsterdam, The Netherlands.
    Background: Postoperative recovery after abdominal surgery is measured mostly based on subjective or self-reported data. In this article we aim to evaluate whether recovery of daily physical activity levels can be measured postoperatively with the use of an accelerometer.

    Methods: In this multicenter, observational pilot study, 30 patients undergoing laparoscopic abdominal surgery (hysterectomy, adnexal surgery, cholecystectomy and hernia inguinal surgery) were included. Read More

    Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair - A systematic review and meta-analysis of randomized controlled trials.
    BMC Surg 2017 May 10;17(1):55. Epub 2017 May 10.
    Department of Visceral, Transplantation, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
    Background: Transabdominal Preperitoneal (TAPP) and Lichtenstein operation are established methods for inguinal hernia repair in clinical practice. Meta-analyses of randomized controlled studies, comparing those two methods for repair of primary inguinal hernia, are still missing. In this study, a systematic review and meta-analysis of published randomized controlled trials was performed to compare early and long term outcomes of the two methods. Read More

    Survival after initial lung metastasectomy for metastatic colorectal cancer in the modern chemotherapeutic era.
    BMC Surg 2017 May 10;17(1):54. Epub 2017 May 10.
    Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
    Background: A clear survival benefit has been reported for lung metastasectomy for colorectal cancer, and several clinicopathological prognostic factors have been proposed in the past. However, clinical advances, such as chemotherapy and radiographic imaging, should have improved patient outcome and may have altered prognosticators. This study aimed to assess patient survival and determine prognostic factors for survival and recurrence in patients who underwent initial lung metastasectomy for colorectal cancer in the modern clinical era. Read More

    Clinical impact of duodenal pancreatic heterotopia - Is there a need for surgical treatment?
    BMC Surg 2017 May 8;17(1):53. Epub 2017 May 8.
    Department of General, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscher Str. 74, 01037, Dresden, Germany.
    Background: Pancreatic heterotopia (PH) is defined as ectopic pancreatic tissue outside the normal pancreas and its vasculature and duct system. Most frequently, PH is detected incidentally by histopathological examination. The aim of the present study was to analyze a large single-center series of duodenal PH with respect to the clinical presentation. Read More

    Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT.
    BMC Surg 2017 May 8;17(1):52. Epub 2017 May 8.
    Department of Surgery, Matsushita Memorial Hospital, 5-55 Sotojima-cho, Moriguchi city, Osaka, 570-8540, Japan.
    Background: This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT).

    Methods: Five hundred sixty nine patients who underwent preoperative DIC-CT and laparoscopic cholecystectomy were reviewed. Accessory hepatic ducts were classified as follows: type I (accessory hepatic ducts that merged with the common hepatic duct between the confluence of the right and left hepatic ducts and the cystic duct confluence), type II (those that merged with the common hepatic duct at the same site as the cystic duct), type III (those that merged with the common bile duct distal to the cystic duct confluence), type IV (the cystic duct merged with the accessory hepatic duct), and type V (accessory hepatic ducts that merged with the common hepatic or bile duct on the left side). Read More

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