Abstract：
BACKGROUND:5-Aminolevulinic Acid (5-ALA) induced fluorescence is useful in guiding glioma resection. The extent of 5-ALA accumulation is beyond gadolinium contrast enhancement.1,2 Supratotal resection may be achieved, potentially granting patients with better survival. We present our experience on 5-ALA guided glioma resection in Chinese ethnics. METHOD:Sixteen Patients ingested 5-ALA (Gliolan, Medas Germany) 20 mg/kg·m2 4 h before surgery. The tumor resection was guided by fluorescence with neurosurgical microscope. Patient was monitored for general condition, especially for new neurological deficits. Postoperative MRI served as the assessment for extent of resection (EOR). RESULT:High grade glioma was confirmed in 12 cases, low grade glioma in three and one inflammation. 5-ALA was used in ten patients with known malignant glioma, and in six patients with presumed diagnosis of malignant glioma. Fifteen cases had positive fluorescence. The intensity was strong in eight and moderate in seven cases. MRI suggested total resection was achieved in 9 patients, near total resection in two and five had subtotal resection. EOR was associated with duration between ingestion of 5-ALA and timing when microscope was brought in for visualization of fluorescence (p = 0.038). Two patients suffered from temporary visual field defects. One patient developed hemiparesis after surgery. CONCLUSION:5-ALA is a useful intra-operative guidance for resection. It increases the percentage of total removal of the tumor. It should be used within the window period of the action (4-12 h).
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Chan DTM,Yi-Pin Sonia H,Poon WSdoi
10.1016/j.asjsur.2017.06.004subject
Has Abstractpub_date
2018-09-01 00:00:00pages
467-472issue
5eissn
1015-9584issn
0219-3108pii
S1015-9584(17)30247-6journal_volume
41pub_type
杂志文章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...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2017.04.002
更新日期：2018-09-01 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：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：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: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
abstract：AIM:To find out the potential benefit of bladder pressure (BP) measurement as a diagnostic tool for acute abdomen. BACKGROUND:Acute abdomen is one of the most important clinical entities among general surgical clinics. The diagnosis can be achieved by considering the patient's history, physical examination, laboratory...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60006-3
更新日期：2009-01-01 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：: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：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：:Magnetic resonance cholangiography (MRC) is a non-invasive imaging modality that has become widely available. In the short time since its introduction, MRC has been shown to possess excellent accuracy for the diagnosis of various biliary pathologies, including choledocholithiasis. Investigations of the clinical applic...
journal_title：Asian journal of surgery
pub_type： 杂志文章,评审
doi：10.1016/S1015-9584(09)60321-3
更新日期：2004-04-01 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：: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：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：BACKGROUND/OBJECTIVE:Patients on hemodialysis (HD) who undergo abdominal surgery for gastrointestinal disease are at increased risk of postoperative complications. In this study, we retrospectively investigated the predictors of postoperative complications among such patients. METHODS:The study group comprised 36 HD p...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2015.03.013
更新日期：2016-10-01 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：: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：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：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/OBJECTIVES:Surgical extirpation for hepatocellular carcinoma (HCC) with background fibrosis remains a challenge. This study evaluated impact of fibrosis score on long term outcomes of patients undergoing surgical resection for HCC. METHODS:Using the Surveillance, Epidemiology and End Results (SEER) database...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2018.01.001
更新日期：2018-11-01 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：: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：OBJECTIVE:Considerable controversy exists regarding the surgical indications for a concealed penis. We herein describe a modified technique for correction of a concealed penis. The superfluous inner plate is resected to accelerate the disappearance of the postoperative lymphedema, and the skin between the penis and scr...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2018.06.007
更新日期：2019-01-01 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:Preoperative hypoalbuminemia is a well-known risk factor for anastomotic leakage after colorectal surgery, but the association between perioperative albumin level and anastomotic leakage has not been fully investigated in curative colorectal cancer (CRC) patients. METHODS:In total, 200 CRC patients (Stage I...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2016.07.009
更新日期：2018-01-01 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：: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：BACKGROUND:Axillary lymph node dissection (ALND) can be avoided in selected patients with positive sentinel lymph nodes (SLNs). However, regional lymph node recurrence may occur after SLN biopsy (SLNB). This study aimed to identify the risk factors for axillary recurrence to ensure safe axillary surgery. METHODS:Betwe...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.05.001
更新日期：2020-01-01 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：OBJECTIVE:We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open. METHODS:Characteristics of the patients, the hernia and the procedures performed during 2014-2016 were accessed from patient electronic medical files of 137 el...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2020.03.015
更新日期：2021-01-01 00:00:00
abstract：:Spontaneous intramural duodenal haematoma (IDH) is an uncommon pathology and it is usually related to anticoagulant therapy. Other causes include various pancreatic diseases, connective tissue disease, peptic ulcer disease and pancreaticoduodenal aneurysm. IDH of pancreatic origin has been infrequently reported. The d...
journal_title：Asian journal of surgery
pub_type： 杂志文章,评审
doi：10.1016/S1015-9584(08)60063-9
更新日期：2008-04-01 00:00:00
