Tragic knowledge: truth telling and the maintenance of hope in surgery.

abstract：BACKGROUND:Hepatic resection for hepatocellular carcinoma (HCC) patients with liver cirrhosis and severe hypersplenic thrombocytopenia is risky and controversial. METHODS:From 1989 to 2005, 341 patients underwent hepatic resection for HCC in our hospital. Of these, 15 patients were concomitant with severe thrombocytop...

journal_title：World journal of surgery

authors： Sugimachi K,Ikeda Y,Tomikawa M,Taketomi A,Tsukamoto S,Kawasaki K,Yamamura S,Korenaga D,Maehara Y,Takenaka K

更新日期：2008-06-01 00:00:00

abstract：:Central pancreatectomy is an uncommonly performed procedure that may be particularly useful for the removal of benign and low malignant potential lesions in the neck and body of the pancreas. This procedure may have fewer major complications and better preserve endocrine and exocrine function than the more commonly pe...

journal_title：World journal of surgery

authors： Christein JD,Kim AW,Golshan MA,Maxhimer J,Deziel DJ,Prinz RA

更新日期：2003-05-01 00:00:00

abstract：BACKGROUND:Our aim was to evaluate the advantages and limitations of delayed laparoscopic cholecystectomy (LC) in a tertiary center. MATERIALS AND METHODS:A retrospective analysis of all patients admitted to our institution with acute calculous cholecystitis (ACC) between January 2003 and December of 2012 was performe...

journal_title：World journal of surgery

authors： Yuval JB,Mizrahi I,Mazeh H,Weiss DJ,Almogy G,Bala M,Kuchuk E,Siam B,Simanovsky N,Eid A,Pikarsky AJ

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Routine preoperative staging in pancreas cancer is controversial. We sought to evaluate the rates of diagnostic laparoscopy (DLAP) for pancreatic cancer. METHODS:We queried the National Surgical Quality Improvement Program for patients with pancreas cancer (2005-2013) and compared groups who underwent DLAP,...

journal_title：World journal of surgery

authors： Paracha M,Van Orden K,Patts G,Tseng J,McAneny D,Sachs T

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Idiopathic granulomatous mastitis (IGM) is a rare, benign, and chronic disease of the breast. Despite the various treatment approaches described for this disease, a gold standard treatment modality has not yet been defined. In this study, the effect of topical steroids was reviewed and assessed in patients w...

journal_title：World journal of surgery

authors： Altintoprak F,Kivilcim T,Yalkin O,Uzunoglu Y,Kahyaoglu Z,Dilek ON

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:This study evaluated the impact of tumor regression grading (TRG) and other pathologic variates in a cohort of rectal carcinoma patients treated with neoadjuvant chemoradiotherapy (CRT). The value of a grading less than pCR for predicting survival is unknown. Tumor budding has not been systematically studied...

journal_title：World journal of surgery

authors： Huebner M,Wolff BG,Smyrk TC,Aakre J,Larson DW

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:There are many reports about limited surgery for intraductal papillary mucinous neoplasms (IPMNs) of the pancreas. However, there is no consensus on limited surgery for IPMNs. The primary objective of this study was to define the clinical indications for limited surgery for IPMNs. METHODS:The data of 98 pat...

journal_title：World journal of surgery

authors： Kimura K,Amano R,Ymazoe S,Ohira G,Nishio K,Hirakawa K,Ohira M

更新日期：2017-05-01 00:00:00

abstract：:In a retrospective study the clinical course of 40 patients with symptomatic persistent or recurrent parathyroid cancer was analyzed in order to assess the value of aggressive surgical intervention. Recurrence was diagnosed after a median period of 33 months (1-228 months). Twenty-two patients had locoregional disease...

journal_title：World journal of surgery

authors： Sandelin K,Tullgren O,Farnebo LO

更新日期：1994-07-01 00:00:00

abstract：:Congenital short colon (CSC) is a condition in which the colon is replaced, wholly or partially, by a dilated pouch together with anorectal malformation and a colourinary fistula. Most of the reported series have been from northern India where this malformation is frequent. This paper details the management of 108 pat...

journal_title：World journal of surgery

authors： Wakhlu AK,Wakhlu A,Pandey A,Agarwal R,Tandon RK,Kureel SN

更新日期：1996-01-01 00:00:00

abstract：BACKGROUND:The optimal extent of lung resection and lymph nodes dissection for peripheral early-stage right middle non-small cell lung cancer (NSCLC) still remains controversial. In this study, we analyzed the patterns of lymph nodes metastasis (LNM) of patients with peripheral right middle NSCLC ≤ 3 cm, aiming to prov...

journal_title：World journal of surgery

authors： Wang R,Deng HY,Zhou J,Jiang R,Zhou Q

更新日期：2020-10-01 00:00:00

abstract：:At the time of laparotomy, peritoneal washings were collected from 155 gastric cancer patients and the levels of carcinoembryonic antigen (CEA) determined. The CEA levels in peritoneal washings were statistically independent of those in sera and could more reliably predict the presence of peritoneal metastasis than a ...

journal_title：World journal of surgery

authors： Nishiyama M,Takashima I,Tanaka T,Yoshida K,Toge T,Nagata N,Iwamori S,Tamura Y

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:A PubMed search of the biomedical literature was carried out to systematically review the role of laparoscopy in colonic diverticular disease. All original reports comparing elective laparoscopic, hand-assisted, and open colon resection for diverticular disease of the colon, as well as original reports evalu...

journal_title：World journal of surgery

authors： Gaertner WB,Kwaan MR,Madoff RD,Willis D,Belzer GE,Rothenberger DA,Melton GB

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:The aim of this study was to investigate the factors for considering surgery on thyroid nodules that had non-diagnostic results on two consecutive cytology examinations. METHODS:A total of 104 thyroid nodules with two consecutive non-diagnostic cytology examinations in 104 patients were investigated. Nodule...

journal_title：World journal of surgery

authors： Moon HJ,Kwak JY,Choi YS,Kim EK

更新日期：2012-03-01 00:00:00

abstract：:We reviewed our experience with 34 patients with metastatic endocrine tumors (METs) who were treated by different modalities. Eight patients were treated by chemotherapy or chemoembolization because of stable disease or surgical contraindications. Seventeen patients underwent curative or cytoreductive surgical resecti...

journal_title：World journal of surgery

authors： Dousset B,Saint-Marc O,Pitre J,Soubrane O,Houssin D,Chapuis Y

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:Laparoscopic rectal resection (LRR) for cancer is a challenging procedure, with conversion to open surgery being reported in up to 30% of cases. Since only a few studies with short follow-up have compared converted LRR and open RR (ORR), it is unclear if conversion to open surgery should be prevented by pref...

journal_title：World journal of surgery

authors： Allaix ME,Furnée E,Esposito L,Mistrangelo M,Rebecchi F,Arezzo A,Morino M

更新日期：2018-10-01 00:00:00

abstract：:Jejunostomy is a surgical procedure by which a tube is situated in the lumen of the proximal jejunum, primarily to administer nutrition. There are many techniques used for jejunostomy: longitudinal Witzel, transverse Witzel, open gastrojejunostomy, needle catheter technique, percutaneous endoscopy, and laparoscopy. Th...

journal_title：World journal of surgery

authors： Tapia J,Murguia R,Garcia G,de los Monteros PE,Oñate E

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Approximately half of trauma patients develop post-traumatic depression. It is suggested that beta-blockade impairs trauma memory recollection, reducing depressive symptoms. This study investigates the effect of early beta-blockade on depression following severe traumatic injuries in patients without signifi...

journal_title：World journal of surgery

authors： Ahl R,Barmparas G,Riddez L,Ley EJ,Wallin G,Ljungqvist O,Mohseni S

更新日期：2017-07-01 00:00:00

abstract：:There are many concepts of risk and prognostic factor analysis for differentiated thyroid cancer. The prognostic role of lymph node metastases in follicular thyroid cancer (FTC), however, is still controversial. We performed a retrospective trial in 186 patients with FTC (124 women, 62 men; mean follow-up 5.5 years) q...

journal_title：World journal of surgery

authors： Witte J,Goretzki PE,Dieken J,Simon D,Röher HD

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:The open abdomen (OA) is commonly utilized as a technique during damage control laparotomy (DCL). We propose that a selected group of these OA patients can be extubated prior to abdominal closure to decrease ventilator days and risk of pneumonia. METHODS:A retrospective chart review was performed at a Level...

journal_title：World journal of surgery

authors： Sujka JA,Safcsak K,Cheatham ML,Ibrahim JA

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:The evolution of diagnostic procedures has resulted in an increase in early detection of pathologically T1 (pT1) colorectal cancer (CRC). However, the risk factors affecting long-term outcomes of patients with pT1 CRCs have been unclear. The aim of the present study was to identify risk factors for postopera...

journal_title：World journal of surgery

authors： Iida S,Hasegawa H,Okabayashi K,Moritani K,Mukai M,Kitagawa Y

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:There is a proven relationship between obesity and several cancers including breast, endometrium, colorectal, and esophagus. With the increasing incidence of both obesity and thyroid cancer, we designed the present study to investigate a causal relationship between leptin, which is one of the well known adip...

journal_title：World journal of surgery

authors： Rehem RA,Elwafa WA,Elwafa RA,Abdel-Aziz TE

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy with poor prognosis, as a majority of patients present with advanced disease. Current adjuvant strategies for metastatic patients include mitotane or other cytotoxic agents and carry a significant morbidity as well as a low (<10 %) 5-year sur...

journal_title：World journal of surgery

authors： Subramanian C,Zhang H,Gallagher R,Hammer G,Timmermann B,Cohen M

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Single-incision laparoscopic colorectal surgery (SILS) suggests a promising alternative to conventional laparoscopic surgery. In this report we describe our initial experience with SILS for both right hemicolectomies and anterior resections. METHODS:Between June 2009 and May 2010, SILS was performed for 32 ...

journal_title：World journal of surgery

authors： Chew MH,Wong MT,Lim BY,Ng KH,Eu KW

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:The albumin-bilirubin (ALBI) score was initially developed for assessing liver dysfunction severity and was suggested to have prognostic value in patients with hepatocellular carcinoma. We aimed to evaluate the prognostic impact of ALBI grade in patients with advanced gastric cancer (GC) after radical gastre...

journal_title：World journal of surgery

authors： Kanda M,Tanaka C,Kobayashi D,Uda H,Inaoka K,Tanaka Y,Hayashi M,Iwata N,Yamada S,Fujii T,Sugimoto H,Murotani K,Fujiwara M,Kodera Y

更新日期：2018-03-01 00:00:00

abstract：:Unquestionably, progress has been made in the early detection and early treatment of primary liver cancers (PLCs), although most remain unresectable, mainly because the cancer is advanced and coexists with liver cirrhosis, particularly in Oriental patients. Thanks to the progress of regional cancer therapy, a multidis...

journal_title：World journal of surgery

authors： Tang ZY,Yu YQ,Zhou XD,Ma ZC,Yang BH,Lin ZY,Lu JZ,Liu KD,Fan Z,Zeng ZC

更新日期：1995-01-01 00:00:00

abstract：:The first laparoscopic Nissen fundoplication was performed 20 years ago. Surgical management of gastroesophageal reflux disease (GERD) should be offered only to appropriately studied and selected patients, with the ultimate aim of improving the well-being of the individual, the "quality of life." The choice of fundopl...

journal_title：World journal of surgery

authors： Dallemagne B,Perretta S

更新日期：2011-07-01 00:00:00

abstract：:Although emergency department thoracotomy (EDT) is often considered a controversial "last chance" method of resuscitation, we hypothesized that EDT performed in a busy urban Level I trauma center has significant salvage rates despite the absence of traditional survival predictors. A retrospective review revealed that ...

journal_title：World journal of surgery

authors： Seamon MJ,Fisher CA,Gaughan JP,Kulp H,Dempsey DT,Goldberg AJ

更新日期：2008-04-01 00:00:00

abstract：:Treacher Collins Syndrome is a rare bilateral congenital deformity occurring in 1 in 10,000 births. It is also known, in the European literature, as Franceschetti Syndrome, and is additionally known as mandibulofacial dysostosis. It is a syndrome with a very wide spectrum of manifestations characterized by distortions...

journal_title：World journal of surgery

authors： Argenta LC,Iacobucci JJ

更新日期：1989-07-01 00:00:00

abstract：BACKGROUND:Postoperative ascites (POA) is a common complication after liver resection (LR). The aim of the present study was to identify the risk factors for developing POA and to evaluate its clinical significance in the prognosis of patients with hepatocellular carcinoma (HCC). METHODS:We performed a retrospective a...

journal_title：World journal of surgery

authors： Chan KM,Lee CF,Wu TJ,Chou HS,Yu MC,Lee WC,Chen MF

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies. METHODS:From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anon...

journal_title：World journal of surgery

authors： Rashidian N,Willaert W,Giglio MC,Scuderi V,Tozzi F,Vanlander A,D'Herde K,Alseidi A,Troisi RI

更新日期：2019-11-01 00:00:00