Neutrophil-to-lymphocyte ratio predicts anastomotic dehiscence.

Abstract:

BACKGROUND:Anastomotic dehiscence (AD) is the most feared complication following colonic and rectal anastomosis. Multiple attempts have been made to correlate the levels of biomarkers to the risk of AD. This study attempts to compare C-reactive protein (CRP), procalcitonin (PCT) and neutrophil-to-lymphocyte ratio (NLR) as predictors of AD. METHOD:This case-controlled study collected data on patients undergoing colonic and rectal anastomosis over an 18-month period. Levels of CRP, PCT and NLR were recorded daily for the first 5 days post-operatively. These results were then compared between those who developed AD and those who did not. RESULTS:A total of 136 patients were included; 11 (8.1%) patients developed AD. CRP and NLR were useful predictors of AD with an area under the curve of 0.81 and 0.78 on post-operative day 4. PCT was not found to be raised significantly higher in patients who developed AD compared to those who did not. CONCLUSION:CRP and NLR are useful predictors of AD. PCT is not a useful predictor of AD.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Walker PA,Kunjuraman B,Bartolo DCC

doi

10.1111/ans.14369

subject

Has Abstract

pub_date

2018-01-27 00:00:00

eissn

1445-1433

issn

1445-2197

pub_type

杂志文章
  • Nicolaes Tulp and the golden age of the Dutch Republic.

    abstract::In the seventeenth century, Holland and the allied provinces of the northern Netherlands won final independence from their Spanish overlords and formed a worldwide economic empire. Dutch ships dominated the seas from the Caribbean to Japan and reconnoitred the coasts of Australia and New Zealand. Dutch society was cos...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章

    doi:10.1111/j.1445-2197.2007.04327.x

    authors: Simpson D

    更新日期:2007-12-01 00:00:00

  • Conservative approach is feasible in the management of acute diverticulitis of the right colon.

    abstract:BACKGROUND:Acute diverticulitis of the caecum and ascending colon is uncommon. Controversies abound as regards the optimal surgical treatment, ranging from appendectomy, diverticulectomy to right hemicolectomy. The aim of the present paper was to review treatment strategy followed by a critical appraisal. METHODS:The ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-1433.2001.2226.x

    authors: Chiu PW,Lam CY,Chow TL,Kwok SP

    更新日期:2001-11-01 00:00:00

  • N-acetylcysteine in intestinal reperfusion injury: an experimental study in rats.

    abstract:BACKGROUND:The aim of the present study was to investigate the effect of N-acetylcysteine on intestinal reperfusion injury. METHODS:Forty Sprague-Dawley rats were divided into four groups (n = 10): sham, sham + N-acetylcysteine, reperfusion, and reperfusion + N-acetylcysteine. Thirty minutes of ischaemia +/- 30 min of...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03111.x

    authors: Hazinedaroglu SM,Dulger F,Kayaoglu HA,Pehlivan M,Serinsoz E,Canbolat O,Erverdi N

    更新日期:2004-08-01 00:00:00

  • Extended medial gastrocnemius myocutaneous flap in repair of the quadriceps extension mechanism.

    abstract::The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03951.x

    authors: Warrier SK,Mah E,Morrison WA

    更新日期:2006-12-01 00:00:00

  • Laparoscopic and open colorectal surgery in everyday practice: retrospective study.

    abstract:BACKGROUND:Most studies available on laparoscopic colorectal surgery focus on highly selected patient groups. The aim of the present study was to review short- and long-term outcome of everyday patients treated in a general surgery department. METHODS:Retrospective review was carried out of a prospective database of a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03551.x

    authors: Wahl P,Hahnloser D,Chanson C,Givel JC

    更新日期:2006-01-01 00:00:00

  • Neurological deficit as a presentation of occult metastatic thyroid carcinoma.

    abstract::Three cases of occult metastatic thyroid carcinoma presenting with neurological deficits are reviewed. In each case the patient's initial presentation was with symptoms of neurological deficiency secondary to a spinal cord compression. All patients received a combination of surgery, external beam radiotherapy and post...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2006.03898.x

    authors: Izzard M,McIvor N,Chaplin J,Ianovski I

    更新日期:2006-10-01 00:00:00

  • Retrospective survival analysis of stage II-III rectal cancer: tumour regression grade, grading and lymphovascular invasion are the only predictors.

    abstract:BACKGROUND:Tumour regression grade is gaining interest as a prognostic factor of patients undergoing neoadjuvant chemoradiotherapy and surgery for locally advanced rectal cancer. METHODS:A series of 68 consecutive patients with locally advanced rectal cancer treated by neoadjuvant chemoradiotherapy and surgery between...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16476

    authors: Morini A,Annicchiarico A,Romboli A,Ricco' M,Crafa P,Montali F,Dell'Abate P,Costi R

    更新日期:2020-12-14 00:00:00

  • Workplace-based assessment: assessing technical skill throughout the continuum of surgical training.

    abstract::The Royal Colleges of Surgeons and Surgical Specialty Associations in the UK have introduced competence-based syllabi and curricula for surgical training. The syllabi of the Intercollegiate Surgical Curriculum Programme (ISCP) and Orthopaedic Curriculum and Assessment Programme (OCAP) define the core competencies, tha...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04832.x

    authors: Beard J,Rowley D,Bussey M,Pitts D

    更新日期:2009-03-01 00:00:00

  • Gastric antral patch oesophagoplasty for iatrogenic tracheo-oesophageal fistula.

    abstract::Acquired tracheo-oesophageal fistula is a devastating condition, usually occurring as a late manifestation of oesophageal or other thoracic malignancies. In these cases palliation by placement of an oesophageal stent is the preferred option, but management of a large non-malignant fistula is more complex. In many pati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04036.x

    authors: Talbot ML,Hugh TB,Spratt P

    更新日期:2007-04-01 00:00:00

  • Modified elliptical rotation flap for sacrococcygeal pilonidal sinus disease.

    abstract:BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12818

    authors: Dizen H,Yoldas Ö,Yıldız M,Cilekar M,Dilektaşlı E

    更新日期:2014-10-01 00:00:00

  • Achieving quality in colonoscopy: bowel preparation timing and colon cleanliness.

    abstract:BACKGROUND:Colonoscopy is considered the gold standard for investigation of large bowel pathology. Numerous factors influence the efficacy of bowel preparation for colonoscopy. Inadequate bowel preparation can lead to missed pathology. Timing of fasting and bowel preparation, timing of procedure and possibly patient bo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-2197.2010.05429.x

    authors: Athreya PJ,Owen GN,Wong SW,Douglas PR,Newstead GL

    更新日期:2011-04-01 00:00:00

  • Laparoscopic liver resection in cirrhotics: feasibility and short-term outcomes compared to non-cirrhotics.

    abstract:BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This s...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15745

    authors: Srinivasa S,Hughes M,Azodo IA,Adair A,Ravindran R,Harrison E,Wigmore SJ

    更新日期:2020-06-01 00:00:00

  • Impact of post-haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial.

    abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15732

    authors: Huang J,Rickard MJFX,Keshava A,Suen MKL

    更新日期:2020-04-01 00:00:00

  • Surgical volume influences survival in patients undergoing resections for stage II colon cancers.

    abstract:BACKGROUND:There is current interest in the correlation between surgical volume and outcomes. Survival in patients with rectal cancer appears to improve when carried out by surgeons who do high volumes of procedures. A similar correlation for patients with colon cancer has never been clearly established. The aim of thi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2007.04270.x

    authors: Morris M,Platell CF

    更新日期:2007-10-01 00:00:00

  • Anastomotic leak in colorectal surgery: a single surgeon's experience.

    abstract:BACKGROUND:Anastomotic leakage following colorectal resection and anastomosis has been proposed as a colorectal surgical indicator. Leak rates after elective surgery vary and tend to be higher as anastomoses become lower. The present study audits leak rates and outcomes of patients undergoing colorectal surgery, under ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1440-1622.2001.02189.x

    authors: Isbister WH

    更新日期:2001-09-01 00:00:00

  • Art of preserving health: studies on the medical supervision of physical exercise.

    abstract::To the ancient Greeks, physical exercise was an essential part of life, especially during adolescence and young adulthood. Long after the end of the Classical Greek era, Roman conquest brought a shift towards martial training, increased professionalism in athletic competition and a weak strand of restorative gymnastic...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1445-2197.2009.05149.x

    authors: Thurston AJ

    更新日期:2009-12-01 00:00:00

  • Peritoneal carcinomatosis from colorectal cancer and small bowel cancer treated with peritonectomy.

    abstract:BACKGROUND:This study aims to assess the survival of patients who underwent peritonectomy, to assess the morbidity and mortality associated with the procedure and to review the published reports on the survival of patients with peritoneal spread of colorectal cancer (CRC). METHODS:Peritonectomy involves resection of a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03749.x

    authors: Shehata M,Chu F,Saunders V,Kam PC,Links M,Morris DL

    更新日期:2006-06-01 00:00:00

  • Mobility scores as a predictor of length of stay in general surgery: a prospective cohort study.

    abstract:BACKGROUND:Post-operative length of stay (LOS) is an increasingly important clinical indicator in general surgery. Despite this, no tool has been validated to predict LOS or readiness for discharge in general surgical patients. The de Morton Mobility Index (DEMMI) is a functional mobility assessment tool that has been ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14555

    authors: Carroll GM,Hampton J,Carroll R,Smith SR

    更新日期:2018-09-01 00:00:00

  • Patterns of polyp histology: predictors of peril in the mucosa.

    abstract:BACKGROUND:Precursor colonic polyps of varied subtypes correlate with the known neoplastic pathways. When patients present with synchronous pre-malignant polyps of multiple histologies, multiple genetic mechanisms are likely to be active, potentially resulting in a more unstable, tumourigenic mucosa. METHODS:We hypoth...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15662

    authors: Dean M,Plesec T,Kalady MF,Church J

    更新日期:2020-05-01 00:00:00

  • Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave.

    abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16375

    authors: Probert AC,Sivakumar BS,An V,Nicholls SL,Shatrov JG,Symes MJ,Ellis AM

    更新日期:2020-10-13 00:00:00

  • Computed tomography in acute abdominal pain: an overused investigation?

    abstract:BACKGROUND:The use of computed tomography (CT) for the evaluation of patients presenting to the emergency department (ED) with acute abdominal pain has increased. We set out to investigate its effectiveness. METHODS:A prospective study conducted at a tertiary referral centre between August and September 2012, utilizin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12360

    authors: Systermans BJ,Devitt PG

    更新日期:2014-03-01 00:00:00

  • Radioactive iodine ablation post differentiated thyroid cancer surgery: an analysis of use and impact of the American Thyroid Association guidelines.

    abstract:BACKGROUND:The 2009 American Thyroid Association (ATA) three-tiered risk stratification, and its updated version in 2015, provided clearer guidance on the use of radioactive iodine (RAI) ablation in differentiated thyroid cancer (DTC) patients. This study examines the impact of these guidelines on RAI use in our instit...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15522

    authors: Sia Y,Dave RV,Nour D,Miller JA,Skandarajah AR,Tasevski R

    更新日期:2019-11-01 00:00:00

  • Timeliness and outcomes of carotid endarterectomy for symptomatic carotid artery stenosis: a single centre audit.

    abstract:BACKGROUND:For patients presenting with symptomatic internal carotid artery stenosis, carotid endarterectomy (CEA) surgery is recommended to be performed generally within a 48-hr to 14-day window. This study aimed to assess timeliness of delivery, and outcomes, of CEA surgery in a tertiary vascular centre. METHOD:Pati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15757

    authors: Lim ETA,Laws PE,Beresford TP,Khanafer AMA,Roake JA

    更新日期:2020-03-01 00:00:00

  • Laparoscopic-assisted colectomy with Duhamel procedure for idiopathic megacolon in adults: a retrospective study.

    abstract:BACKGROUND:Idiopathic megacolon (IMC) is an uncommon disease in adults. To date, only a few laparoscopic experiences and functional outcomes of IMC have been reported. This study was to retrospectively analyse our 12 year surgical experience and functional outcomes in adult patients with IMC. METHODS:A 12-year retrosp...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15868

    authors: Wang L,Zheng H,Tian Y,Mou J,Zhang L,Liu B,Tong W

    更新日期:2020-11-01 00:00:00

  • Tumour size as a predictor of axillary node metastases in patients with breast cancer.

    abstract:BACKGROUND:The ability to predict the behaviour of breast cancer from its dimensions allows the clinician to inform a woman about the absolute benefits of adjuvant therapies or further surgery to control her disease. Tumour size and grade are independent predictors of nodal disease. This study aims to generate a tool, ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03918.x

    authors: Laura S,Coombs NJ,Ung O,Boyages J

    更新日期:2006-11-01 00:00:00

  • The importance of international consensus statements in surgery.

    abstract::The article is a summary of some of the pertinent literature on professionalism, highlighting the difference between how physicians understand professionalism and how other groups e.g. politicians, nurses and hospital managers might view the professionalism of doctors. It partly explains why surgeons have become incre...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04822.x

    authors: Canter RJ

    更新日期:2009-03-01 00:00:00

  • Wound healing and growth factor expression in T lymphocyte deficiency.

    abstract:BACKGROUND:There are many clinical situations in which immune suppression or deficiency occurs. This may lead to healing impairment. The aim of the present study was to characterize the effect of T lymphocyte deficiency on wound healing, and on -platelet-derived growth factor (PDGF), bFGF (basic fibroblast growth facto...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02424.x

    authors: Chircop MP,Yu Y,Berney CR,Yang JL,Crowe PJ,Walsh WR

    更新日期:2002-07-01 00:00:00

  • Granulomatous appendicitis progressing to Crohn's disease with bleeding complication.

    abstract::Granulomatous appendicitis can be idiopathic or due to a number of specific causes. Idiopathic granulomatous appendicitis is regarded as a separate disease entity and usually has a benign course. We report on a case of granulomatous appendicitis, which progressed to fulminant Crohn's colitis shortly after appendicecto...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1046/j.1445-1433.2003.02663.x

    authors: Ho P,Law WL,Choy C,Chan GS,Chu KW

    更新日期:2003-07-01 00:00:00

  • The Auburn Elective Surgery Pilot Project.

    abstract:BACKGROUND:The aim of this project was to increase rates of day surgery, reduce elective surgical waiting lists, give patients a guaranteed date of surgery and improve operating theatre utilization. The guiding principle behind the project was to treat the administration of elective surgery as a separate business unit,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03526.x

    authors: Singh N,Brooke-Cowden GL,Whitehurst C,Smith D,Senior J

    更新日期:2005-09-01 00:00:00

  • Delivery of surgical care in Samoa: perspectives on capacity, barriers and opportunities by local providers.

    abstract:BACKGROUND:The Pacific Island nation of Samoa faces a number of challenges in delivering surgical care. Our group aimed to identify the barriers and opportunities to improving the delivery of safe, affordable, timely surgical care in Samoa. METHODS:A mixed-methods approach was undertaken. The quantitative analysis use...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15295

    authors: Comery B,Perry WRG,Young S,Dare A,Matalavea B,Bissett IP,Windsor JA

    更新日期:2019-06-18 00:00:00