Abstract:
BACKGROUND/OBJECTIVE:One thousand liver transplantations have been performed at the only liver transplant center in Hong Kong over a period of 22 years, which covered the formative period of living donor liver transplantation. These 1000 transplantations, which marked the journey of liver transplantation from development to maturation at the center, should be educational. This research was to study the experience and to reflect on the importance of technical innovations and case selection. METHODS:The first 1000 liver transplantations were studied. Key technical innovations and surgical therapeutics were described. Recipient survival including hospital mortality was analyzed. Recipient survival comparison was made for deceased donor liver transplantation and living donor liver transplantation indicated by hepatocellular carcinoma and other diseases. RESULTS:Among the 1000 transplantations, 418 used deceased donor grafts and 582 used living donor grafts. With the accumulation of experience, hospital mortality improved to < 2% in the past 2 years. In the treatment of diseases other than hepatocellular carcinoma, living donor liver transplantation was superior to deceased donor liver transplantation, with a 10-year recipient survival around 90%. CONCLUSION:Transplant outcomes have been improving consistently over the series, with a very low hospital mortality and a predictably high long-term survival.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Chan SC,Cheung TT,Chan AC,Chok KS,Sharr WW,Fung JY,Liu CL,Fan ST,Lo CMdoi
10.1016/j.asjsur.2015.03.018subject
Has Abstractpub_date
2016-10-01 00:00:00pages
202-10issue
4eissn
1015-9584issn
0219-3108pii
S1015-9584(15)00065-2journal_volume
39pub_type
杂志文章abstract:BACKGROUND:Hemorrhoidectomy is commonly associated with postoperative pain. Calcium channel blockers are known to cause relaxation of gastrointestinal smooth muscle and oral diltiazem has also been shown to reduce the resting anal pressure. OBJECTIVE:We attempted to analyze efficacy and side effects of topical diltiaz...
journal_title:Asian journal of surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.asjsur.2017.06.002
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:To review currently available evidence on the use of adjuvant therapy to reduce the formation of postoperative intra-abdominal adhesions. METHODS:A search on Pubmed and the Cochrane library was undertaken using the keywords "abdominal", "adhesion", "postoperative", "prevention" and "reduction". Only randomi...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/S1015-9584(09)60392-4
更新日期:2009-07-01 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: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:OBJECTIVE:Vesicovaginal fistula is mostly iatrogenic in origin and causes devastating medical, social, psychogenic and hygienic consequences. The aetiology has changed since the nineteenth century, becoming more associated with hysterectomy rather than other obstetric procedures, which were common in the past. We studi...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(08)60037-8
更新日期:2007-10-01 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::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::Intestinal volvulus is not an uncommon cause of obstruction in pregnancy. Diagnosis is often delayed due to poor knowledge of the condition and a hesitation to use abdominal X-rays in a pregnant patient. Here, two cases of caecal volvulus in pregnancy are reported. Proper diagnosis and early treatment of the condition...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60260-8
更新日期:2005-01-01 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:BACKGROUND:Splenectomy is a common surgical procedure, but few reports focus on nontraumatic splenectomies. The aim of this study was to determine the predictors of morbidity and mortality of patients submitted to elective nontraumatic splenectomy. METHODS:A descriptive cross-sectional study of 152 consecutive, nonsel...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2013.09.002
更新日期:2014-04-01 00:00:00
abstract::Bilateral cortisol-secreting adenomas are a rare cause of Cushing's syndrome. We report a case of a 35-year-old woman who presented with ACTH-independent Cushing's syndrome and bilateral adrenal adenomas. Adrenal venous sampling confirmed both adenomas to be hyper-secreting cortisol. She underwent bilateral laparoscop...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60152-4
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Routine therapy of metabolic bone disorder (MBD) after gastrectomy for gastric cancer has not been established yet. We have reported that administering an active vitamin D3 agent to patients who had undergone gastrectomy for gastric cancer improved MBD. Recently, the usefulness of alendronate, an osteoclast ...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2016.07.003
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:Hemiarthroplasty is recommended for treatment of displaced femoral neck fractures in physically compromised elderly patients. The objective of this study was to analyze survival of patients aged >80 years after the implantation of either an Austin-Moore type prosthesis or a bipolar bearing prosthesis. METHO...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2012.04.002
更新日期:2012-04-01 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
abstract:OBJECTIVES:The aim of this study was to examine the distribution of neuroendocrine cells (NEC) in patients with chronic constipation (CC) as a means of establishing a relationship between pathology, symptomatology and treatment. METHODS:Rectal biopsy specimens from 43 patients with CC (aged 17-82 years) and 20 age-mat...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60032-4
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Esophageal foreign bodies (EFBs) are a relatively common clinical problem in pediatric patients. The majority of EFBs pass harmlessly through the gastrointestinal tract; however, some EFBs can cause significant morbidities. This study was conducted to review our experience in managing esophageal foreign bodi...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2015.12.008
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head. METHODS:A retrospective analysis of the clinical data o...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2019.05.016
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients. METHODS:This was a prospective randomized study that included all adults with traumatic severe head injury who had a Glasgow Coma Score < 9 ...
journal_title:Asian journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/S1015-9584(08)60023-8
更新日期:2007-07-01 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: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: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: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::Chylous ascites specifically after anterior resection for rectal cancer has not been documented in the literature thus far. All previously reported postoperative chylous ascites developed in other types of malignancies and were diagnosed within a few days of surgery. However, the patient we report had symptoms 2 years...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60295-5
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:An effective regimen to treat patients suffering from acute necrotizing fasciitis requires surgical removal of devitalized tissues, systemic administration of broad antimicrobials and ameliorating underlying systemic disease processes. The task of managing wounds consequential to surgical debridement, on the...
journal_title:Asian journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/S1015-9584(09)60072-5
更新日期:2006-07-01 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::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::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:INTRODUCTION:Single-incision laparoscopic cholecystectomy (SILC) is an evolving concept in minimally invasive surgery. It utilizes the concept of inline viewing and a single incision that accommodates all of the working instruments. Here, we describe a single surgeon's initial experiences of using this technique in a t...
journal_title:Asian journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.asjsur.2012.04.004
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Massive hemorrhage and the need for blood transfusion carry a high rate of morbidity and mortality after hepatectomy. The aim of this study was to evaluate the safety and potential benefit of infrahepatic inferior vena cava (IVC) clamping in hepatectomy for tumors involving hepatocaval confluence. METHODS:W...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2013.01.002
更新日期:2013-07-01 00:00:00
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 ...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(11)60023-7
更新日期:2011-04-01 00:00:00