Abstract:
OBJECTIVE:To review retrospectively our clinical experience with surgical treatment and follow-up of pituitary adrenocorticotropic hormone (ACTH) microadenomas at Rui Jin Hospital of Shanghai Second Medical University. METHODS:Eighty-seven patients with ACTH microadenomas underwent surgery via the transsphenoidal approach. Preoperative computed tomography and/or magnetic resonance imaging revealed microadenomas in only 46 patients and was negative in the remaining 41 patients, which were classified as microadenoma grade 0. High-dose dexamethasone (Dx) suppression testing was positive in 86% of patients and low-dose Dx suppression testing was negative in all patients. RESULTS:Histological confirmation of ACTH microadenoma was made in all 87 cases, with a minimum tumour size of only 1 to 2 mm in diameter. The remission rate was 82% for grade I and 92% for grade 0 microadenomas during 2 to 18 years of follow-up. CONCLUSIONS:Neuroimaging studies have limited value in diagnosing ACTH grade 0 microadenoma. Clinical manifestation combined with positive Dx suppression testing is decisive in these circumstances. Surgical intervention could achieve a high relief rate for ACTH microadenomas, especially in grade 0 group.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Zhao W,Zhan S,Cai Y,Shen J,Zhang Tdoi
10.1016/S1015-9584(09)60210-4keywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
22-5issue
1eissn
1015-9584issn
0219-3108pii
S1015-9584(09)60210-4journal_volume
26pub_type
杂志文章abstract::Perforation of duodenal diverticulum is a rare occurrence but has a potentially fatal outcome. It is a difficult surgical problem because of delayed diagnosis and the attendant risk of duodenal fistula following primary repair. We present a case of posterior perforation of duodenal diverticulitis, diagnosed on compute...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:Core needle biopsy (CNB) was widely used in the diagnosis of ultrasound-detectable breast lesions. We aimed at assessing the diagnostic performance differences between 14- and 16-gauge ultrasound-guided core biopsies. METHODS:This retrospective study enrolled patients receiving CNB from January 20...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2012.09.003
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Papillary thyroid carcinoma (PTC) is the main type of the well-differentiated thyroid carcinomas. Multifocality is regarded as a poor prognostic factor for PTC. METHODS:Documents of 777 patients who underwent thyroidectomy were reviewed retrospectively. A total of 305 PTC patients were included. Patients wi...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2018.05.004
更新日期:2019-01-01 00:00:00
abstract::Magnetic resonance cholangiography (MRC) is a non-invasive imaging modality that has become widely available. In the short time since its introduction, MRC has been shown to possess excellent accuracy for the diagnosis of various biliary pathologies, including choledocholithiasis. Investigations of the clinical applic...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/S1015-9584(09)60321-3
更新日期:2004-04-01 00:00:00
abstract::Spontaneous intramural duodenal haematoma (IDH) is an uncommon pathology and it is usually related to anticoagulant therapy. Other causes include various pancreatic diseases, connective tissue disease, peptic ulcer disease and pancreaticoduodenal aneurysm. IDH of pancreatic origin has been infrequently reported. The d...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/S1015-9584(08)60063-9
更新日期:2008-04-01 00:00:00
abstract::This study retrospectively evaluated bronchoscopic and surgical treatments for patients with central airway stenosis due to tracheal tumours. Seven patients treated by resection and reconstruction of the trachea for tracheal tumours between 1994 and 2008 were retrospectively reviewed. The most common histological find...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(11)60010-9
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:Considerable controversy exists regarding the surgical indications for a concealed penis. We herein describe a modified technique for correction of a concealed penis. The superfluous inner plate is resected to accelerate the disappearance of the postoperative lymphedema, and the skin between the penis and scr...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2018.06.007
更新日期:2019-01-01 00:00:00
abstract::This meta-analysis aimed to explore the effect of infrahepatic vena cava (IVC) clamping on bleeding during hepatic resection. PubMed and Embase databases were searched systematically to identify randomized controlled trials (RCTs) comparing infrahepatic IVC clamping to IVC nonclamping during hepatic resection. A rando...
journal_title:Asian journal of surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.asjsur.2017.11.003
更新日期:2018-11-01 00:00:00
abstract::Over the last three decades, a series of clinical trials have led to the use of adjuvant pelvic radiotherapy and chemotherapy in high-risk (T3-4 or N1) rectal cancer. There is a need to improve patient selection in order to identify the group most at risk for recurrent disease. The toxicity of adjuvant therapy should ...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/S1015-9584(09)60331-6
更新日期:2004-04-01 00:00:00
abstract::Necrotizing fasciitis is a potentially life threatening, rapidly spreading polymicrobial infection rarely seen in the head and neck region. We present our experience of managing five patients with necrotizing fasciitis of head and neck at the Aga Khan University Hospital, Karachi, Pakistan. One patient had necrotizing...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:The neutrophil-to-lymphocyte ratio (NLR) is a simple index that represents systemic inflammatory change. The number of platelets is also known to reflect both post-transplant graft regeneration and dysfunction. Thus, we aimed to investigate the usefulness of NLR and platelet number in predicting th...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2017.02.004
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:This study reviewed the incidence of positive pre-ablative diagnostic scan after total thyroidectomy and the efficacy of the current ablative dose. The predictive factors for outcome using a standard ablative dose and postoperative complications of total thyroidectomy were also examined. METHODS:This was a r...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60269-4
更新日期:2005-04-01 00:00:00
abstract::Parathyroid carcinoma is a rare disease of unknown etiology. This study presents a case of parathyroid carcinoma in a patient with tertiary hyperparathyroidism. Despite a successful kidney transplantation, the intact parathyroid hormone (iPTH) level of the patient was elevated consistently and could not be controlled ...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2013.01.007
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:Eventration of the diaphragm (ED) is defined as the abnormal elevation of the diaphragm. Although asymptomatic ED may be amenable to conservative treatment, symptomatic ED in children, either congenital or acquired, may require surgical treatment. This study evaluated the results of diaphragmatic plication in...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60285-2
更新日期:2006-01-01 00:00:00
abstract::We report two cases of prenatally diagnosed cystic neuroblastoma (PDCN). In the first case, prenatal ultrasonography (US) at 33 weeks' gestation showed a 30 x 20 mm cyst at the upper pole of the right kidney. The size and content of the mass demonstrated no change during pregnancy. Postnatal US showed no change in the...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/s1015-9584(09)60309-2
更新日期:2003-10-01 00:00:00
abstract:PURPOSE:To evaluate the rate of surgical complications during the change from subtotal resection to hemithyroidectomy or thyroidectomy over a period of 17 years. METHODS:All operations for benign goiter at our hospital were analyzed for the periods 1996-2002 (Group 1) and 2003-2012 (Group 2). The groups were compared ...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2016.07.015
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Although the incidence of complications of otitis media that require surgical interventions has decreased substantially over the past few years, it is a prevailing condition for which clinicians should remain vigilant. METHODS:We conducted a 3-year review [June 1998 to June 2001] in our hospital of surgical...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60168-8
更新日期:2002-04-01 00:00:00
abstract::Greater experience and improved outcomes in liver transplantation have necessarily led to longer waiting lists against a constantly limited donor pool. Split liver transplantation has been conceived as a means to increase the supply of liver grafts. The bipartition of a whole liver provides grafts for two recipients i...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60193-7
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Despite many advances in surgery and technology, colonic anastomosis remains a challenge after colonic resection. The purpose of this study is to compare the safety of using diclofenac sodium and paracetamol for analgesia in colonic anastomosis on rats. METHODS:Wistar-Hannover rats were randomly allocated t...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2017.01.002
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:Missed cases of paediatric appendicitis lead to a delay in diagnosis and increased complications during the subsequent surgery. We aim to identify the common clinical features of such cases at the time of first hospital attendance. METHODS:Case records of patients with a missed diagnosis were reviewed retros...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60100-7
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Many techniques have been developed to prevent postoperative pancreatic fistula (POPF) after distal pancreatectomy, but POPF rates remain high. The aim of our study was to analyze POPF occurrence after closure of the pancreatic remnant by different operative techniques. METHODS:Between 2006 and 2017, 284 pa...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.03.009
更新日期:2020-01-01 00:00:00
abstract::We present the case of a 32-year-old woman who, 10 months after abdominoperineal resection and total mesorectal excision for a locally advanced mucinous adenocarcinoma of the rectum, presented with local recurrence and metastases to the breast, spine, the left eye and orbit. Following surgery, due to the patient's per...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60115-9
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:A preoperative reliable classification system between clinical and computed tomography (CT) findings to better plan surgery in acute complicated diverticulitis (ACD) is lacking. We studied the inter-observer agreement of CT scan data and their concordance with the preoperative clinical findings and...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.07.016
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Preservation of the external branch of the superior laryngeal nerve (EBSLN) during thyroidectomy is important because its injury may lead to frequent occurrence of vocal fatigue and the inability to perform superenergetic phonation. Most studies on the anatomy of EBSLN have been performed in Western countrie...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2012.08.003
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open. METHODS:Characteristics of the patients, the hernia and the procedures performed during 2014-2016 were accessed from patient electronic medical files of 137 el...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2020.03.015
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Many surgical techniques have been developed to treat inguinal hernia. In recent years, the laparoscopic transabdominal preperitoneal (TAPP) approach has been widely performed to repair inguinal hernia. Giant inguinal hernia (GIH) is an extremely rare disease that is a challenge for general surgeons. GIH app...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2017.12.004
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Written informed consent forms (ICFs) are important for ensuring that physicians disclose core information to patients to help them autonomously decide about treatment and for providing substantial evidence for the surgeon in case of a legal dispute. This paper aims to assess the legal and ethical appropriat...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.08.008
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION:One of the great challenges in pancreas transplantation is the ischemia reperfusion injury. It is mentioned that free oxygen and/or nitrogen radicals play a prominent role in this phase. To minimize this problem, a modified histidine-tryptophan-ketoglutarate (HTK) solution that contains modified antioxidan...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2015.03.017
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To report our experience in treating endophytic renal tumor by robot-assisted partial nephrectomy (RPN) with a standard laparoscopic ultrasound probe and our original approach for separating renal mass. METHODS:All patients with endophytic renal tumor who underwent RPN in our department from January 2015 to ...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.07.005
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:In this study, the perioperative outcomes of video-assisted thoracoscopic surgery (VATS) and robot-assisted thoracoscopic surgery (RATS) were compared in patients with clinical stage I and stage II thymoma. METHODS:The outcomes of 24 patients (10 males and 14 females; mean age: 42.5 years; range: 18-65 years...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.04.005
更新日期:2020-01-01 00:00:00