Abstract：
PURPOSE:This study aimed to determine which factors affect the prognosis of hepatectomy for hepatocellular carcinoma (HCC) larger than 5 cm, including the prognostic difference between tumor sizes from 5-10 cm and larger than 10 cm. METHODS:The medical records of 114 patients who underwent hepatectomy for single HCC larger than 5 cm were reviewed and analyzed retrospectively. RESULTS:In the analysis of the entire cohort of 114 patients, the 5-year overall and diseases-free survival rates were 50% and 29%, respectively. In a comparison of survival rates between groups, tumor sizes of 5 to 10 cm and larger than 10 cm, the overall and disease-free survival rates were not significantly different, respectively (54% vs. 41%, P = 0.433 and 33% vs. 23%, P = 0.083). On multivariate analysis, positive hepatitis B, high prothrombin induced by vitamin K absence or antagonist-II levels over 200 mIU/mL, and vascular invasion (micro- and macrovascular invasion) were independent prognostic factors for recurrence after hepatic resection. However, tumor size larger than 10 cm was not significant for recurrence after resection. CONCLUSION:This study shows that surgical resection of solitary HCC larger than 5 cm showed favorable overall survival. And there is no survival difference with tumors between 5-10 cm and larger than 10 cm.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Noh JH,Kim TS,Ahn KS,Kim YH,Kang KJdoi
10.4174/astr.2016.91.3.104subject
Has Abstractpub_date
2016-09-01 00:00:00pages
104-11issue
3eissn
2288-6575issn
2288-6796journal_volume
91pub_type
杂志文章abstract：:The concept of complete mesocolic excision and central vascular ligation for colonic cancer has been recently introduced. The paper describes a technique of right-sided complete mesocolic excision and intracorporeal anastomosis by using a single-port robotic approach with an additional conventional robotic port. We pe...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.91.4.212
更新日期：2016-10-01 00:00:00
abstract：PURPOSE:This study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea. METHODS:We reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity S...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.89.4.215
更新日期：2015-10-01 00:00:00
abstract：:Phytobezoar is a rare cause of gastro-intestinal tract obstruction. Common sites of phytobezoar are the stomach and small bowel. Naturally, extrahepatic duct phytobezoar is near impossible due to anatomical structure and location such as ampulla of vater, common bile duct and bifurcation of bile duct. Here, we present...
journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2014.87.2.100
更新日期：2014-08-01 00:00:00
abstract：Purpose:Infection remains the main cause of morbidity and mortality in liver transplantation (LT) recipients; however infection is notoriously difficult to diagnose because its usual signs and symptoms of infection may be masked or absent. This study comprises an analysis of bacterial infections in the early period aft...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2018.94.3.154
更新日期：2018-03-01 00:00:00
abstract：:Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years...
journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2016.91.5.265
更新日期：2016-11-01 00:00:00
abstract：:Endovascular aneurysm repair is a minimally invasive, durable and effective alternative to open surgery for treatment of abdominal aortic aneurysms (AAA). However, in patients who do not have an adequate sealing zone, open surgical repair is required, which may increase mortality and morbidity. An alternative treatmen...
journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2014.86.5.274
更新日期：2014-05-01 00:00:00
abstract：Purpose:The aim of this study was to compare the large multi-institutional data of surgical outcomes of bilateral axillo-breast approach (BABA) robotic (RT) and endoscopic thyroidectomy (ET) and to evaluate the merits of robotic thyroidectomy. Methods:From 2004 to 2015, 1,029 patients underwent BABA ET, and from 2008 ...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.98.6.307
更新日期：2020-06-01 00:00:00
abstract：:Anastomotic leakage following rectal resection is a serious and fearful complication, and may cause presacral abscess and/or peritonitis. To our knowledge, massive hematochezia secondary to presacral abscess caused by anastomotic leakage has not yet been reported in the literature. We observed this rare and life-threa...
journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2015.88.4.236
更新日期：2015-04-01 00:00:00
abstract：:[This corrects the article on p. 106 in vol. 88, PMID: 25692122.]. ...
journal_title：Annals of surgical treatment and research
pub_type： 已发布勘误
doi：10.4174/astr.2015.88.3.178
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:Severe local and systemic tissue damage called ischemia/reperfusion (IR) injury occurs during the period of reperfusion. Free oxygen radicals and proinflammatory cytokines are responsible for reperfusion injury. IL-18 binding protein (IL-18BP) is a natural inhibitor of IL-18. The balance between IL-18 and IL-18...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.88.2.92
更新日期：2015-02-01 00:00:00
abstract：PURPOSE:To identify the correlation of the model for end-stage liver disease (MELD) scores with the assessment of the risk of hepatic function after hemihepatectomy in patients with hepatocellular carcinoma (HCC) related to hepatitis B virus (HBV). METHODS:A case-control study was performed based on data for 141 conse...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.86.3.122
更新日期：2014-03-01 00:00:00
abstract：Purpose:Spontaneous gastrointestinal perforations (SGIPs; not associated with injury or disease) occur rarely in pediatric patients. This study aimed to define age-specific features associated with SGIPs in pediatric patients. Methods:Retrospectively reviewed the clinical data of children (before adolescence) who rece...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2018.95.3.141
更新日期：2018-09-01 00:00:00
abstract：Purpose:Given the long history of investigation into cancer and its relevance to the lymph node (LN), it would be meaningful to plot the trends of research on cancer-related LN. Methods:Queries such as "cancer," "lymph node," and "cancer and lymph node" were submitted to PubMed to collect articles on cancer and LN pub...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.99.5.305
更新日期：2020-11-01 00:00:00
abstract：PURPOSE:This study aimed to compare the learning curves and early postoperative outcomes for conventional laparoscopic (CL) and single incision laparoscopic (SIL) right hemicolectomy (RHC). METHODS:This retrospective study included the initial 35 cases in each group. Learning curves were evaluated by the moving averag...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.88.5.269
更新日期：2015-05-01 00:00:00
abstract：Purpose:Repeating endoscopic retrograde cholangiopancreatography (ERCP) in patients with recurrent common bile duct (CBD) stones is problematic in many ways. Choledochoduodenostomy (CDS) and choledochojejunostomy (CJS) are 2 surgical treatment options for recurrent CBD stones, and each has different advantages and disa...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.99.6.329
更新日期：2020-12-01 00:00:00
abstract：PURPOSE:Takayasu arteritis is an indication for bypass surgery when this condition results in severe cerebrovascular ischemia due to occlusion of the carotid arteries. We reviewed the patients with Takayasu arteritis who received aorto-carotid bypass due to cerebrovascular ischemia. METHODS:A retrospective review was ...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.93.3.143
更新日期：2017-09-01 00:00:00
abstract：Purpose:Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD. Methods:We perf...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.99.4.213
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:Recently, the number of elderly patients has increased due to a longer life expectancy. Among these elderly patients, more octogenarians will be diagnosed with major hepatobiliary pancreatic (HBP) diseases. Therefore, we need to evaluate the safety and risk factors of major HBP surgery in patients older than 80...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.91.6.288
更新日期：2016-12-01 00:00:00
abstract：PURPOSE:Bariatric surgery has become more prevalent owing to the worldwide obesity epidemic. With the growing number of bariatric procedures performed annually, the requirement for revisional and secondary operations is increasing accordingly. This study aimed to evaluate the initial experience of revisional bariatric ...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.86.6.295
更新日期：2014-06-01 00:00:00
abstract：Purpose:Many patients with cytology proven node-positive breast cancer receive a neoadjuvant chemotherapy (NAC) treatment. We developed a nomogram to predict the breast and axillary pathologic complete responses (pCR) in patients with a cytologically proven axillary node positive breast cancer with NAC. Methods:We sel...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.96.4.169
更新日期：2019-04-01 00:00:00
abstract：Purpose:Tenofovir disoproxil fumarate is accepted as an effective and tolerable drug for treatment of HBV, similar to entecavir. However, there are some concerns about the nephrotoxicity of tenofovir. The aim of this study is to compare the renal-function change of liver recipients who received tenofovir or entecavir f...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.99.3.180
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:The postoperative treatment after appendectomy is usually decided on the basis of the surgeons' intraoperative findings. Comparatively, the pathologic diagnosis of appendicitis is confirmed several days after the surgery; therefore, it usually does not affect the postoperative treatment strategy. The aim of thi...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.93.1.43
更新日期：2017-07-01 00:00:00
abstract：Purpose:Preoperative chemoradiation therapy (CRT) has become the standard treatment for patients with locally advanced rectal cancer, 15%-30% of patients still progress while being treated with CRT. The aim of this study was to identify as important biomarker of poor response and evaluate the mechanism associated with ...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.97.2.83
更新日期：2019-08-01 00:00:00
abstract：PURPOSE:Ultrasound-guided fine needle aspiration (US-FNA) in thyroid nodules is presently most commonly used to identify whether these nodules are benign or malignant. However, atypical or follicular lesions of undetermined significance (AUS/FLUS), as categorized in the Bethesda System for reporting the results of FNA,...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.90.4.201
更新日期：2016-04-01 00:00:00
abstract：Purpose:Recent studies have suggested microscopic positive resection margin should be revised according to the presence of tumor cells within 1mm of the margin surface in resected specimens of pancreatic cancer. However, the clinical meaning of this revised margin status for R1 resection margin was not fully clarified....
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.96.1.19
更新日期：2019-01-01 00:00:00
abstract：Purpose:We conducted a multi-institutional analysis to establish the epidemiological characteristics of recurrent inguinal hernia following hernia repair in patients across 4 institutions in Korea. Methods:The retrospectively reviewed data included patient characteristics, hernia location, year of primary operation, t...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2020.98.1.51
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:We evaluate the operative outcome and oncologic outcome of laparoscopic liver resection for hepatocellular carcinoma (HCC), and compare with open liver resection. METHODS:From January 2004 to December 2012, clinical data of 70 patients who underwent laparoscopic liver resection for HCC (laparoscopic liver rese...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.86.2.61
更新日期：2014-02-01 00:00:00
abstract：PURPOSE:The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device. METHODS:Patients undergoing TLA were m...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.91.2.59
更新日期：2016-08-01 00:00:00
abstract：:We report a case of synchronous multiple colon adenocarcinomas in a patient with neurofibromatosis type 1 (NF1). NF1 is an autosomal dominant inherited disorder and patients with NF1 have high risk for both benign and malignant tumors. However, adenocarcinomas involving the colon have rarely been reported in patients ...
journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2014.87.3.156
更新日期：2014-09-01 00:00:00
abstract：Purpose:To evaluate superiority of a night float (NF) system in comparison to a traditional night on-call (NO) system for surgical residents at a single institution in terms of efficacy, safety, and satisfaction. Methods:A NF system was implemented from March to September 2017 and big data analysis from electronic med...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.96.5.209
更新日期：2019-05-01 00:00:00
