Abstract：
OBJECTIVE:We tracked various proficiency indicators for the learning curve as a single Taiwanese surgeon became familiar with robotic-assisted laparoscopic radical prostatectomy surgeries by performing 60 initial procedures. METHODS:Between December 2005 and December 2007, 60 consecutive patients were classified into Group 1 (Cases 1-30) or Group 2 (Cases 31-60). Pre-operative clinical characteristics, operative parameters, and postoperative parameters were assessed. RESULTS:Pre-operative biopsy Gleason scores were significantly higher in Group 2 than in Group 1 (7.03 vs. 6.13, P < 0.01). The vesicourethral anastomosis time showed a statistically significant reduction from 46.38 minutes in Group 1 to 31 minutes in Group 2 (p < 0.01). The continence rate at 3 months in Group 2 was higher than that in Group 1 (97.6%vs. 76.7%, p = 0.052); the mean duration to continence was shorter in Group 2 than Group 1 (70.26 ± 67.37 days vs. 39.63 ± 36.48 days, p = 0.056). Group 2 had shorter postoperative stays (3.93 vs. 7.33) and longer durations of Foley catheter removal (9.0 vs. 7.7) than Group 1, representing a statistically significant difference (p < 0.01). CONCLUSION:After gaining experience by performing an initial 30 robotic-assisted laparoscopic radical prostatectomies, the subsequent 30 surgeries established proficiency as determined by vesicourethral anastomosis time and early continence rate.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Ou YC,Yang CR,Wang J,Cheng CL,Patel VRdoi
10.1016/S1015-9584(11)60023-7subject
Has Abstractpub_date
2011-04-01 00:00:00pages
74-80issue
2eissn
1015-9584issn
0219-3108pii
S1015-9584(11)60023-7journal_volume
34pub_type
杂志文章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 appr...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60210-4
更新日期：2003-01-01 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：INTRODUCTION:The traditionally taught technique for conventional open thyroidectomy is via a midline splitting of the strap muscles following a skin crease neck incision - midline approach (MA). The lateral "backdoor" approach (LA) uses the same central neck incision but approaches the thyroid gland between the anterio...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2017.05.003
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:This study investigated the effects of posture and also intermittent foot and calf compression on peak systolic flow of the popliteal artery in a normal population. METHODS:This was a prospective study carried out in normal subjects at the Vascular Laboratory, Department of Surgery, Hospital Kuala Lumpur, fr...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/s1015-9584(08)60072-x
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is increasingly used to treat peritoneal metastases from appendiceal or colorectal origin. We evaluate our institution's experience and survival outcomes with this procedure, and its efficacy in symptom relief. METHODS:This ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2020.05.010
更新日期：2021-01-01 00:00:00
abstract：:We report a patient with familial hypocalciuric hypercalcemia (FHH) associated with primary hyperparathyroidism (PHPT) and incidental papillary thyroid carcinoma. The patient showed hypercalcemia, high parathyroid hormone (PTH) levels and low urinary calcium excretion. A computed tomography (CT) scan revealed an enlar...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60022-1
更新日期：2009-04-01 00:00:00
abstract：:Lymphangiomas are congenital malformations of the lymphatic system, and 90% have manifested by the end of the second year of life. While 75% of these are located in the cervical region, only 2% to 3% are associated with an intrathoracic extension. An isolated mediastinal lymphangioma without a cervical component is an...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60042-7
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVES:Venous thromboembolism (VTE) has historically been perceived to be a rare disorder in Asia. However, new evidence has emerged recently that contradicts this perception. The question of routine VTE prophylaxis has been hotly debated in Asia due to disagreement on its incidence. We reviewed and analysed studie...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60375-4
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVES:To study the clinicopathological characteristics and the risk factors of lymph nodes posterior to the right recurrent laryngeal nerve (LN-prRLN) metastasis in differentiated thyroid carcinoma; and to identify the indication for LN-prRLN dissection. METHODS:We treated 145 patients with differentiated thyroid...
journal_title：Asian journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1016/j.asjsur.2015.12.003
更新日期：2017-07-01 00:00:00
abstract：PURPOSE:Sentinel lymph node biopsy (SLNB) has been rapidly adopted by surgical oncologists in the management of invasive breast cancer. This study reviews the Royal Australasian College of Surgeons (RACS) Sentinel Node versus Axillary Clearance (SNAC) trial and reports an interim analysis of the first 150 subjects. Oth...
journal_title：Asian journal of surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/S1015-9584(09)60052-X
更新日期：2004-10-01 00:00:00
abstract：BACKGROUND:The ipsilateral nipple has been used as a directional guide for needle advance during internal jugular vein (IJV) catheterization. We attempted to validate the utility of the ipsilateral nipple during IJV catheterization. METHODS:One hundred and two patients scheduled for elective surgery were enrolled. In ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2018.04.003
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To investigate efficacy of early prevention of complex decongestive therapy and rehabilitation exercise for prevention of postoperative lower limb extremity lymphedema for patients with gynecologic cancer. METHODS:109 female patients were randomly divided into two groups, the control group who only received ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2020.03.022
更新日期：2021-01-01 00:00:00
abstract：:Surgical smoke is the gaseous by-product formed during surgical procedures. Most surgeons, operating theatre staff and administrators are unaware of its potential health risks. Surgical smoke is produced by various surgical instruments including those used in electrocautery, lasers, ultrasonic scalpels, high speed dri...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60403-6
更新日期：2009-10-01 00:00:00
abstract：OBJECTIVE:This retrospective study aimed to explore the role of Glasgow Aneurysm Score (GAS) and Hardman Index (HI) in predicting outcome after elective endovascular aneurysm repair (EVAR). METHODS:All 71 patients who underwent elective EVAR in a single centre over 9 years were reviewed. Clinical data were used to cla...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60142-1
更新日期：2007-04-01 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:To compare robot-assisted surgery and conventional laparoscopy for gynecologic oncology regarding intra- and post-operative outcomes. METHODS:A retrospective study was performed on consecutive patients with gynecologic oncology from February 2014 to October 2017 at Gansu Provincial Hospital, China. Multivari...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.05.003
更新日期：2020-01-01 00:00:00
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：:Video-assisted thorascopic surgery (VATS) is a common technique for thoracic operations. Surgery with access via a single port has gradually become popular. We herein report the unusual case of a 53-year-old Japanese male patient whose chest X-rays revealed an abnormal shadow, which continued to increase in size. The ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2011.08.006
更新日期：2011-07-01 00:00:00
abstract：:Fulminant hepatic failure can only be treated successfully by liver transplantation, which, however, is not always available. To "bridge" the patient with fulminant hepatic failure until a liver graft is available, various forms of liver support devices had been designed but they were not uniformly successful. To prov...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Retroperitoneal cysts are rare, usually asymptomatic, lesions. We present the case of a 42-year-old woman with an asymptomatic abdominal mass. The mass excised at our district hospital was found in the retroperitoneum. Histologically, the cyst was lined with benign Mullerian-type epithelium. The classification, aetiol...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60062-2
更新日期：2004-10-01 00:00:00
abstract：:Antrochoanal polyps are a rare clinical entity. In this review of patients treated between January 1996 and September 2002, there were 18 cases of antrochoanal polyps. The mean age of patients was 20 years. Nasal obstruction was the most common symptom (17 cases, 94%), followed by rhinorrhoea (44%), epistaxis (33%), p...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60239-6
更新日期：2004-01-01 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：: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: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: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:This study investigated the effectiveness of unilateral nephrectomy in the treatment of renal hypertension in adults with an atrophic kidney, and set out to establish whether this is an appropriate mode of treatment for renal hypertension not otherwise controlled by antihypertensive drugs or other surgical pr...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(08)60083-4
更新日期：2008-10-01 00:00:00
abstract：:Minimally invasive parathyroidectomy (MIP) was introduced into Australia after endocrine surgeons agreed that it should only be undertaken in the context of a feasibility study or controlled trial, and under the auspices of the Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNI...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60225-6
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine the feasibility of using open tension-free mesh repair for adult inguinal hernias performed by resident surgeons under the supervision of a chief surgeon in a community hospital. METHODS:From May, 1992 through April, 2000, we performed 314 open tension-free mesh repairs...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/s1015-9584(09)60158-5
更新日期：2002-04-01 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：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
