Abstract:
BACKGROUND:Laparoscopic common bile duct exploration (LCBDE) is increasingly being used to treat choledocholithiasis. However, few studies have examined the treatment of recurrent common bile duct stones (CBDS) in patients with a history of prior biliary surgery. The current research aimed to compare the outcomes of laparoscopic versus open common bile duct exploration in patients with a history of prior biliary surgery. METHODS:Between March 2010 and August 2019, 162 patients with recurrent CBDS after prior biliary surgery who underwent surgical management in our institution were enrolled in this study. The demographic, intraoperative and postoperative data were retrospectively analysed. RESULTS:Among these 162 patients, 72 underwent laparoscopic approach (LCBDE group), and 90 underwent open surgery (open common bile duct exploration group). The LCBDE group was associated with significantly lower overall complication rate, incision infection rate and blood loss compared to open common bile duct exploration group (all P < 0.05). Moreover, the laparoscopic approach significantly reduced the length of postoperative hospital stay (P < 0.05). However, the operative time, stone clearance rate, and stone recurrence rate were not significantly different between the two groups (P > 0.05). The conversion rate of the laparoscopic approach was 6.9%. CONCLUSIONS:LCBDE is superior to open procedure in terms of blood loss, hospital stay, overall complication and incision infection in patients with a history of prior biliary surgery, and it should be considered as a safe and effective treatment if it is performed by an experienced surgeon.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Zhu J,Du P,He J,Tong F,Xiao W,Li Ydoi
10.1111/ans.16529subject
Has Abstractpub_date
2020-12-28 00:00:00eissn
1445-1433issn
1445-2197pub_type
杂志文章abstract:BACKGROUND:To assess the outcomes of patients undergoing percutaneous renal artery embolization (PRAE) prior to radical nephrectomy. METHODS:We performed retrospective chart review of patients undergoing PRAE in Auckland Public Hospital from January 2004 to December 2011. PRAE was performed under epidural anaesthesia ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12545
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Assessment of vocal cord mobility using Macintosh laryngoscope is frequently performed after extubation following thyroid surgery to rule out laryngeal nerve palsy. This study compared patient comfort and assessment accuracy of post-operative vocal fold mobility with Macintosh laryngoscope and fibreoptic end...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05441.x
更新日期:2010-11-01 00:00:00
abstract::Adequate hepatopetal portal vein blood flow is obligatory to ensure proper liver function after liver transplantation. Large collateral veins as shunts impair portal vein flow and even cause hepatofugal blood flow and portal steal syndrome. In particular, splenorenal shunts in liver transplant recipients can lead to a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.14044
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The recurrence rate following stripping of the long saphenous vein is unacceptable. Repair of the terminal valve of the long saphenous vein is a physiological alternative. The aim of the present study was to prospectively compare the long-term recurrence rates in patients having had reparative and ablative p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02714.x
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Published data indicate that 20-40% of patients undergo breast conservation treatment (BCT) in Asia, which is below an indicative benchmark of 50%. With an increasing body of evidence suggesting that BCT might be associated with improved survival outcomes, it is exigent to increase BCT utilization. This stud...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15084
更新日期:2019-05-01 00:00:00
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
更新日期:2006-10-01 00:00:00
abstract:AIM:To establish a proinflammatory cytokine profile of the cerebrospinal fluid (CSF) following trauma. BACKGROUND:Trauma is associated with a postinjury syndrome consisting of loss of weight and nitrogen, pyrexia, anorexia and fatigue. It has been proposed that cytokines are pathophysiologically involved in this syndr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03530.x
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06198.x
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:The advantages of promoting evidence-based care through implementation of clinical guidelines are well established. Clinical practice guidelines have been developed for lower urinary tract symptoms (LUTS) and prostate cancer screening. Aspects of the delivery of care by urologists or specialist registrars re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1440-1622.2001.02111.x
更新日期:2001-05-01 00:00:00
abstract::Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challeng...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2005.03280.x
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02532.x
更新日期:2002-10-01 00:00:00
abstract:AIM:To examine the outcomes and complications of surgery for recurrent carotid stenosis. METHODS:From 1974 to 2000, 1922 carotid endarterectomies were performed in our unit. A retrospective cohort analysis of these records identified 24 patients (1.2%) who underwent surgery for recurrent stenosis. RESULTS:There were ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.t01-8-.x
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:Paraoesophageal hernia (PEH) is often symptomatic and reduces patients' quality of life (QoL). There is ongoing debate regarding the most effective surgical technique to repair giant PEH. This study aimed to see if an elective laparoscopic non-mesh composite technique of giant PEH repair offered an advantage...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16422
更新日期:2020-11-08 00:00:00
abstract:BACKGROUND:Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS:Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, trea...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03609.x
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Earlier studies have shown that abnormal levels of haemoglobin and platelets may be associated with worse post-operative outcomes. We aim to compare the rates of venous thromboembolism (VTE), anastomotic leak and other complications in patients post-colorectal resection with normal and abnormal levels of hae...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15918
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical data...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13976
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:The role of minimally invasive major hepatectomy (MIMH) remains controversial and questions remain about its safety and reproducibility outside expert centres. This study examines the changing trends, safety and outcomes associated with the adoption of MIMH based on a contemporary single institution experien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15563
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:To date head and neck reconstructions of oncological defects have concentrated on primarily filling the defect to achieve primary wound healing, secondly restore function and lastly cosmesis. This paper describes a refinement of existing free tissue transfer techniques for improvement of contour, function an...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,多中心研究
doi:10.1111/ans.13061
更新日期:2016-09-01 00:00:00
abstract::The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2003.02892.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Chemical burns account for relatively few admissions to a burns unit. These injuries, however, deserve separate consideration because of their ability to cause continuing tissue destruction, their potential to cause systemic toxicity and the value of early treatment with copious lavage. Widespread inexperien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02617.x
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to identify factors associated with rupture in elderly patients with acute appendicitis. METHODS:The medical records of 601 consecutive patients >60 years of age with acute appendicitis between 1995 and 2005 were retrospectively reviewed. Historical, clinical and laboratory factors...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04182.x
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Recent clinical data indicate that fast-track surgery (multimodal rehabilitation) leads to shorter postoperative length of hospital stay, faster recovery of gastrointestinal function as well as reduced morbidity and mortality rates. To date, no study has focused on the effects of fast-track surgery on postop...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04138.x
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:While free flaps can be used in many cases to cover soft tissue defects in the distal leg and ankle in a single stage, factors such as diabetes and advanced age can interfere with success of vascular anastomoses. METHODS:Twenty-five patients with deep tissue exposure of the distal leg and ankle underwent re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12095
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Hepatic resection is a relatively young and complex specialized procedure. A strong relationship between volume and perioperative mortality has been reported internationally. However, there has been no multicentre study into hepatic resection in Australia. This retrospective, population-based cohort study wa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14408
更新日期:2018-10-01 00:00:00
abstract::It is now expected that medical practitioners around the world will engage in ongoing professional development. Many Colleges, medical associations and societies have made completion of appropriate continuing professional development (CPD) mandatory and medical registration in some jurisdictions is predicated on parti...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04842.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:We aimed to evaluate the evolution and implementation of the massive transfusion protocol (MTP) in an urban level 1 trauma centre. Most data on this topic comes from trauma centres with high exposure to life-threatening haemorrhage. This study examines the effect of the introduction of an MTP in an Australia...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15416
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Most large-volume centres use left heart bypass (LHB) as their preferred organ protection strategy during repair of descending thoracic aortic (DTA) and thoracoabdominal aortic (TAA) pathologies. We investigate the use of hypothermic circulatory arrest (HCA) for similar pathologies and compare the outcomes o...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.16287
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:High hospital-volume and service capability are associated with improved mortality following complex cancer surgery. Using a population-based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy, comparing high- and low-volume hospitals stratified by ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15389
更新日期:2019-11-01 00:00:00
abstract::In his position as curator of the Cowlishaw collection of historical medical books in the Library of the College, Kenneth Russell prepared the definitive catalogue of the collection. This catalogue is comprehensive and for almost all entries there is an annotation that demonstrates his meticulous attention to detail a...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章
doi:10.1046/j.1445-1433.2003.02645.x
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:The Nuss procedure is a new minimally invasive repair for pectus excavatum that was first published in 1998. Modifications in technique are constantly evolving to minimize complications, especially bar displacement, which are higher in adolescents and adults. The present study reviews our early experience wi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03402.x
更新日期:2005-06-01 00:00:00