abstract：BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...

journal_title：ANZ journal of surgery

authors： Doan P,Lahoud J,Kim L,Patel MI

更新日期：2021-01-21 00:00:00

abstract：BACKGROUND:In Australia, there has been a shift from the traditional 'on-call' surgical model to the 'acute surgical unit' (ASU) model to improve outcomes in acute general surgery. Using emergency appendicectomy as a standardized procedure, we aimed to identify the different patterns of care between these on-call struc...

journal_title：ANZ journal of surgery

authors： Gounder J,Dissanayake B,Burstow MJ,Yuide PJ,Naidu S,Lancashire RP,Chua TC

更新日期：2021-01-18 00:00:00

abstract：BACKGROUND:Pilonidal sinus is a common pathology occurring in a number of sites including the gluteal cleft between the buttocks. Surgery is the principal mode of treatment with a variety of techniques proposed to cure the disease and prevent recurrence. The rate of malignant degeneration is estimated at 0.1% in patien...

journal_title：ANZ journal of surgery

authors： 'Otutaha B,Park B,Xia W,Hill AG

更新日期：2020-12-28 00:00:00

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 la...

journal_title：ANZ journal of surgery

authors： Zhu J,Du P,He J,Tong F,Xiao W,Li Y

更新日期：2020-12-28 00:00:00

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

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

abstract：BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...

journal_title：ANZ journal of surgery

authors： Taylor D,Besson A,Faragher IG,Chan STF,Yeung JM

更新日期：2020-12-09 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

authors： Papadimas E,Tan YK,Qi Q,Ng JJ,Kofidis T,Teoh K,Sorokin V,Choong AMTL

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Post-operative nausea and vomiting (PONV) is often encountered following corrective scoliosis surgery in children, frequently attributed to high-dose opiate administration. PONV is a frequent cause of prolonged hospital stay. Mechanisms related to transient partial duodenal compression by narrow angulation o...

journal_title：ANZ journal of surgery

authors： Dounas GD,Cundy TP,Smith ML,Gent R,Antoniou G,Sutherland LM,Cundy PJ

更新日期：2020-11-26 00:00:00

abstract：BACKGROUND:Increasing age is a well-recognized risk factor for breast cancer. With an increase in life expectancy of women, more older patients are diagnosed with breast cancer. This study aimed to identify the variations in breast cancer attributes and mortality in different age groups in New Zealand. METHODS:This wa...

journal_title：ANZ journal of surgery

authors： Huang Y,Ip EC,Ng AKT,Cohen-Hallaleh R

更新日期：2020-11-20 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

authors： Lee F,Khoma O,Mendu M,Falk G

更新日期：2020-11-08 00:00:00

abstract：BACKGROUND:The correlation of post-operative serum albumin level with the occurrence of anastomotic leakage (AL) in oesophageal squamous cell carcinoma (ESCC) remains unclear. The aim of this study was to evaluate the impact of post-operative serum albumin level on AL after transthoracic oesophagectomy. METHODS:Patien...

journal_title：ANZ journal of surgery

authors： Zhuge L,Zheng D,Mao H,Xiang J,Chen H

更新日期：2020-11-05 00:00:00

abstract：BACKGROUND:Burns are complex, multifaceted injuries that can pose significant challenges to the treating team. The Royal Adelaide Hospital (RAH) Burns Service has undergone a major evolution over the past two decades, with perceived improvement in outcomes. We present here a longitudinal audit of the RAH Burns Service ...

journal_title：ANZ journal of surgery

authors： Stefani K,Wagstaff MJD,Damkat I,Greenwood JE

更新日期：2020-11-02 00:00:00

abstract：BACKGROUND:The rates of breast reconstruction in Australian patients of culturally and linguistically diverse (CALD) backgrounds are currently unknown. This retrospective study determined the rate of breast reconstruction in women who had mastectomy as treatment for breast cancer at public hospitals in South Western Sy...

journal_title：ANZ journal of surgery

authors： Karimi N,Descallar J,Girgis A,Soon PS

更新日期：2020-11-01 00:00:00

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

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

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

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

abstract：BACKGROUND:Progressive musculoskeletal pathology is ubiquitous among children with cerebral palsy (CP). Corrective surgery places them at risk of major blood loss and red blood cell (RBC) transfusion. Significant variability exists in uptake of perioperative patient blood management (PBM) strategies. This study aimed t...

journal_title：ANZ journal of surgery

authors： Lu MZH,Reid SM,Lundine K,Crighton G

更新日期：2020-09-06 00:00:00

abstract：BACKGROUND:Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. A n...

journal_title：ANZ journal of surgery

authors： Gwynne-Jones DP,Wilson R,McEwan C

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...

journal_title：ANZ journal of surgery

authors： Johnson NW,Smoll NR,Tan C,Brooks CE

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Ethnic and rural disparities in medical treatment and outcomes have been demonstrated across a range of conditions, including colorectal cancer. Timely treatment and investigation of symptoms in patients with suspicion of cancer is likely to improve outcomes and patient experience. Achieving equity in timeli...

journal_title：ANZ journal of surgery

authors： Matthews C,Walker M,McLaughlin S,Milloy M,Harmston C

更新日期：2020-08-31 00:00:00

abstract：BACKGROUND:Acute Appendicitis is the most common surgical presentation within Australia. Despite the increasing use of radiological investigations to aid clinical diagnosis, many appendectomies result in a histologically normal appendix. This study examines the histological negative appendicectomy rate (NAR) in a metro...

journal_title：ANZ journal of surgery

authors： Mackay TG,Dissanayake B,Yuide PJ,Burstow MJ,Gundara JS,Chua TC

更新日期：2020-08-17 00:00:00

abstract：BACKGROUND:Debridement and drainage have always been mainstream treatment for infected pancreatic necrosis (IPN), and the application of minimally invasive necrosectomy is becoming increasingly widespread. However, few studies have compared video-assisted retroperitoneal debridement (VARD) and small incision pancreatic...

journal_title：ANZ journal of surgery

authors： Zhang JB,Sun B

更新日期：2020-08-11 00:00:00

abstract：BACKGROUND:Despite conflicting data regarding oncological outcomes, studies demonstrate that complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided colon cancer removes significantly more tissue and yields higher lymph node counts when compared to conventional resection. This study aims t...

journal_title：ANZ journal of surgery

authors： Larach JT,Rajkomar AKS,Narasimhan V,Kong J,Smart PJ,Heriot AG,Warrier SK

更新日期：2020-08-11 00:00:00

abstract：:Mucinous appendiceal neoplasms (MANs) are rare tumours and the primary cause of pseudomyxoma peritonei. These tumours have a much more benign course than typical colorectal cancers, generally growing for many years before giving any clinical signs. The spectrum of presentations, tumour stages and the underlying cytolo...

journal_title：ANZ journal of surgery

authors： Soucisse ML,Lansom J,Alshahrani MS,Morris DL

更新日期：2020-08-05 00:00:00

abstract：BACKGROUND:The outcomes of large-sized graft mismatch in deceased donor liver transplantation (LT) have been rarely studied. The aim of this study was to determine whether a large-sized graft for recipient influenced the post-transplant outcomes. METHODS:A total of 273 patients undergoing LT were enrolled and divided ...

journal_title：ANZ journal of surgery

authors： Shen Z,Wang Z,Jiang Y,Wu T,Zheng S

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Abdominal actinomycosis (AA) is a rare infection. The aim of this study was to summarize the evidence available on AA. METHODS:A systematic review was conducted. Data sources included Trip Database, BIREME, SciELO, Cochrane Library, WoS, MEDLINE, EMBASE, SCOPUS, IBECS and LILACS. Eligibility criteria includ...

journal_title：ANZ journal of surgery

authors： Manterola C,Grande L,Riffo-Campos ÁL,Salgado C,Otzen T

更新日期：2020-07-01 00:00:00

abstract：:The presence of lateral lymph node (LLN) metastasis was associated with higher local recurrence risk in patients with lower rectal cancer. The role of LLN dissection has not been fully determined despite prolonged debate that last for few decades. The practical difference between Japan and the West was the main culpri...

journal_title：ANZ journal of surgery

authors： Fung DTL,Lee PJM

更新日期：2020-07-01 00:00:00

abstract：:Recent advances in understanding of the biology of appendicitis are reviewed. Immunological aspects are discussed in the setting of a changing microbiome. Implications for practice are summarized. ...

journal_title：ANZ journal of surgery

authors： de Costa A

更新日期：2020-06-08 00:00:00

abstract：BACKGROUND:Treatment decisions for metastatic spine disease are complex and depend on prognosis. Four prognostic systems in use are the Oswestry Risk Index, modified Bauer score (MBS), van der Linden score and New England Spinal Metastasis Score (NESMS). We aimed to determine the performance of these scoring systems in...

journal_title：ANZ journal of surgery

authors： Cook WH,Baker JF

更新日期：2020-06-01 00:00:00

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

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

abstract：:Bleeding related to rectal varices associated with portal hypertension is rare but life-threatening, and requires prompt treatment. We reviewed the literature for patients with this complex presentation and current recommendations, and commented on a case at our institution of a 68-year-old man with Child-Pugh B alcoh...

journal_title：ANZ journal of surgery

authors： Lee A,Suhardja TS,Nguyen TC,Chouhan HS

更新日期：2020-05-14 00:00:00

abstract：BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to gen...

journal_title：ANZ journal of surgery

authors： Leong DCW,Lo J,Ryan S,Nguyen H,Lisewski D

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:Bowel resections have high morbidity and mortality rates and are becoming increasingly common in Australia. To reduce the burden on patients and the health system, measures for improving patient outcomes after resection must be investigated. One possible method for improving patient outcomes is prehabilitati...

journal_title：ANZ journal of surgery

authors： Teo JYK,Turner R,Self M

更新日期：2020-05-01 00:00:00

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

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

更新日期：2020-05-01 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

authors： Yeap E,Teoh WMK,Nguyen TC,Suhardja TS

更新日期：2020-05-01 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

authors： Goh BKP,Lee SY,Koh YX,Kam JH,Chan CY

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Optimal management of regional lymph nodes for thin cutaneous melanoma is uncertain. We evaluated regional lymph node involvement and 5-year melanoma-specific survival (MSS) in patients with thin (≤1 mm) primary melanoma. METHODS:Patients with a melanoma, American Joint Committee on Cancer Staging 8th Editi...

journal_title：ANZ journal of surgery

authors： Theile H,Moore J,Dunn N,Cossio D,Forristal CE,Green AC,Smithers BM

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:The aim of this review is to explain the components of emotional intelligence (EI) and explore the benefits within today's health care system with an emphasis on surgery. EI is a person's ability to understand their own emotions and those of the individuals they interact with. Higher individual EI has multip...

journal_title：ANZ journal of surgery

authors： Sharp G,Bourke L,Rickard MJFX

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...

journal_title：ANZ journal of surgery

authors： Surendran A,Smith M,Houli N,Usatoff V,Spelman D,Choi J

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:We aimed to document the anatomical variations of pulmonary fissures found during routine forensic autopsies. METHODS:A total of 256 pairs of lungs were investigated. Presence of any variant and accessory fissures was noted. RESULTS:Seventy-seven percent of the lungs had anatomical variations. In about 2/3...

journal_title：ANZ journal of surgery

authors： Bostanci K,Ozyurtkan MO,Polat MO,Batirel H,Lacin T,Yuksel M,Stamenovic D

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Major trauma activation is a process that mobilizes personnel and resources required to care for severely injured patients. Exsanguinating truncal trauma patients require an additional response beyond major trauma activation aimed at expediting haemorrhage control. To address this requirement, 'Code Crimson'...

journal_title：ANZ journal of surgery

authors： Tovmassian D,Hameed AM,Ly J,Pathmanathan N,Devadas M,Gomez D,Hsu JM

更新日期：2020-04-01 00:00:00