Abstract:
BACKGROUND:We report the short-term clinical outcomes of a delta-shaped (DS) anastomosis in laparoscopic distal gastrectomy (LDG), comparing Endo GIA™ Reinforced Reload (Reinforced GIA) with Endo GIA™ (GIA) staplers. METHODS:This was a retrospective analysis of 40 patients who underwent totally LDG with DS anastomosis with Reinforced GIA (group A) and 90 patients who underwent the same procedure with GIA (group B) for clinical T1-T3 gastric cancer from May 2013 to December 2016. Operation time, intraoperative blood loss, hospital length of stay, reconstruction time, and complications were compared. RESULTS:No patients required conversion to open surgery, and no patients died. There was no significant difference between the groups regarding patient background, postoperative hospital stay, and operation time. Bleeding from the V-shaped anastomosis was significantly less frequent in group A compared with group B (0% vs 11.2%, p = 0.021). Anastomosis-related complications were less frequent in group A, but there was no statistically significant difference between the groups. The fasting period in group A was significantly shorter than that of group B (2.81 vs 3.39 days, p = 0.034). CONCLUSION:DS anastomosis using Reinforced GIA can prevent minor postoperative anastomosis leakage. Based on our findings and experience, we recommend DS anastomosis with Reinforced GIA after LDG for gastric cancer as an effective procedure with good short-term outcomes.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Nagahisa Y,Morikawa A,Kato T,Hashida K,Ome Y,Kawamoto Kdoi
10.1016/j.asjsur.2017.04.002subject
Has Abstractpub_date
2018-09-01 00:00:00pages
448-453issue
5eissn
1015-9584issn
0219-3108pii
S1015-9584(17)30111-2journal_volume
41pub_type
杂志文章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:BACKGROUND:The reliability of X-ray radiography for diagnosing nasal bone fractures (NBFs) remains controversial. Recent studies show that, for determining the orientation and location of the displaced/depressed fracture, nasal sonography is as accurate as facial computed tomography. This retrospective study compared c...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2014.09.002
更新日期:2015-10-01 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:OBJECTIVE:Eighty to ninety percent of Hirschsprung's disease (HD) patients present in newborns. However, the diagnosis of HD in the neonatal period remains difficult. Our present study aims to propose a diagnostic scoring system and hope this will increase early diagnosis of HD and avoid unnecessary rectal biopsy. MET...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60082-8
更新日期:2006-07-01 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: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: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:BACKGROUND:Little is known about the preoperative predictive factors that could identify subsets of favorable patients who can be possibly cured with robot-assisted radical prostatectomy (RARP) alone in locally advanced prostate cancer (LAPCa). Our study was designed to identify clinical predictors of pathologic organ-...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2017.10.005
更新日期:2019-01-01 00:00:00
abstract::Intracystic carcinoma is not common seen in breast malignancy, here we showed a case of intracystic tumor presented in adenosquamoid differentiation. Negative in ER, PR, and HER2 makes treatment out of hormone and target therapy. After simple mastectomy with sentinel lymph node biopsy, we found isolated tumor cell ove...
journal_title:Asian journal of surgery
pub_type: 信件
doi:10.1016/j.asjsur.2019.02.005
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To assess ultrasonographically (US) guided needle aspiration of breast abscesses as an alternative to surgical incision and drainage. METHODS:In our prospective study, 30 patients with 31 breast abscesses (one patient had bilateral breast abscess) underwent percutaneous breast abscess drainage under US guida...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(09)60126-3
更新日期:2007-01-01 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:BACKGROUND:changes may occur in tumor phenotype and receptor status during the progression of breast cancer. Discordance between primary and metastases has implications for further treatment and prognosis. METHODS:185 patients confirmed breast cancer metastasis were retrospectively analyzed during 1999-2019. All the p...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2020.05.032
更新日期:2021-01-01 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: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: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: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::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: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: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:Posttraumatic dorsal hand defects with exposed tendons and/or bones represent a challenge to reconstructive surgeons. Many options are suggested ranging from local, regional, distant up to free flaps. First dorsal metacarpal artery island flap was commonly prescribed for reconstructing the thumb or first web...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2018.03.004
更新日期:2019-01-01 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: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:OBJECTIVE:Various types and materials of stents have been used for urinary diversion in hypospadias surgery. We evaluated whether double pigtail stents are superior to straight silicone stents. METHODS:We conducted a retrospective chart review of all patients who underwent hypospadias surgery with straight silicone or...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/S1015-9584(11)60015-8
更新日期:2011-01-01 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: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::Lipomatous ganglioneuroma (LG) is a rare variant of ganglioneuroma that is histologically characterized by a mature adipocytic component admixed with a conventional ganglioneuroma. We report the clinicopathological and immunohistochemical features of an LG in a 44-year-old Chinese male; additionally, we review the lit...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/j.asjsur.2013.07.011
更新日期:2016-04-01 00:00:00
abstract::Sarcopenia refers to the progressive and generalised loss of skeletal muscle mass and strength with a risk of adverse outcomes such as physical disability, poor quality of life and mortality. The present review explored the impact, diagnosis, prevention and management of sarcopenia in surgical and trauma patients. Rec...
journal_title:Asian journal of surgery
pub_type: 杂志文章,评审
doi:10.1016/j.asjsur.2019.10.010
更新日期:2020-06-01 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:According to previous studies, low serum total cholesterol (TC) is associated with higher cancer incidence and mortality. However, the prognostic implications of preoperative TC in patients with gastric cancer (GC) remain to be determined. METHODS:A total of 1251 patients with GC, who underwent radical gast...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2020.08.014
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:The concept of salvage pulmonary resection after definitive chemoradiotherapy (dCRT) is not yet commonly accepted in lung cancer treatment. We report our experience of eight patients in whom we performed salvage pulmonary resection for residual disease or isolated locoregional recurrence detected a...
journal_title:Asian journal of surgery
pub_type: 杂志文章
doi:10.1016/j.asjsur.2015.05.006
更新日期:2017-04-01 00:00:00