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A Huge Gastric Trichobezoar presenting with Rapunzel Syndrome: A Case Report 以莴苣综合征为表现的巨大胃毛虫1例
IF 0.4 Q4 Medicine Pub Date : 2023-09-06 DOI: 10.1097/fs9.0000000000000080
M. L. Lohiya, Parikshit Singh Chandawat, Jay Prakash Rangi, Mohan Lal, Apeksha Kulhari
Trichobezoars are gastrointestinal concretions of ingested hair. These are uncommon conditions that arise in emotionally disturbed or mentally impaired young females during childhood and adolescence. Rapunzel syndrome is rare gastric trichobezoar that extends beyond the pylorus, leading to an intestinal obstruction. Gastric trichobezoars do not manifest symptoms until they are very large. Here, we report a 16-year-old girl, with 5 years history of trichophagia and trichotillomania, who suffered a huge (30 cm × 7.5 cm × 6 cm) gastric trichobezoar extending into duodenum (Rapunzel syndrome) that was successfully addressed by laparotomy, psychiatric treatment and follow-up
毛虫是摄入的头发在胃肠道形成的结块。这些不常见的情况出现在情绪紊乱或精神受损的年轻女性在童年和青春期。莴苣综合征是一种罕见的胃毛状息肉,它延伸到幽门之外,导致肠梗阻。胃毛虫直到很大时才表现出症状。在此,我们报告一名16岁的女孩,有5年的食毛癖和拔毛癖病史,她患有巨大(30 cm × 7.5 cm × 6 cm)的胃拔毛,并延伸到十二指肠(Rapunzel综合征),经剖腹手术、精神治疗和随访成功解决
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引用次数: 0
LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR TREATMENT OF LIVER TUMORS: EARLY EXPERIENCE OUTCOMES 腹腔镜与开放肝切除术治疗肝脏肿瘤:早期经验结果
IF 0.4 Q4 Medicine Pub Date : 2023-08-11 DOI: 10.1097/fs9.0000000000000083
Kitti Wongta, Mati Rattanasakalwong, Jantaluck Nuchanatanon, P. Charutragulchai, Vorapatu Tangsirapat
Although minimally invasive liver surgery has been increasingly practiced worldwide, the lack of experience is a barrier for numerous surgeons to initiate. This study aims to compare the outcome of laparoscopic liver resection (LLR) versus open liver resection (OLR) by surgeons who begin to conduct both procedures through the same period. We retrospectively analyzed the demographic data, the perioperative data, and the surgical outcomes of patients who underwent liver resection for the treatment of liver tumors. All procedures were operated by three hepato-pancreato-biliary (HPB) surgeons. In total 56 hepatectomies were operated on, 13 patients in the LLR group with an average Iwate score of 5, and 43 patients in the OLR group were included in the study. After propensity score matching, comparing 13 patients of each LLR and OLR groups, the operative time (316.5 vs 315.4 minutes, P = 0.98) and the amount of blood loss (929 vs 1500 mL, P = 0.23) were not different. The postoperative length of stay was significantly shorter in the LR group (6 vs 12 days, P = 0.009). The LLR group had a lower severity of the complications (P = 0.02), and the mortality rate was zero in both groups. The margin-free status did not differ between the LLR and OLR groups (92.3% vs 76.9%, P = 0.28). For HPB surgeons with limited experience, LLR is safe to meticulously proceed for liver lesions. The advantage of LLR is fewer complications, and most importantly the margin-free status is comparable between both groups.
尽管微创肝手术在世界范围内的应用越来越广泛,但缺乏经验是许多外科医生的一个障碍。本研究旨在比较在同一时期开始进行腹腔镜肝切除术(LLR)和开放式肝切除术(OLR)的外科医生的结果。我们回顾性分析了接受肝切除术治疗肝脏肿瘤患者的人口统计学资料、围手术期资料和手术结果。所有手术均由三名肝胰胆外科医生进行。共行56例肝切除术,其中LLR组13例,平均Iwate评分为5分,OLR组43例。倾向评分匹配后,LLR组和OLR组各13例患者的手术时间(316.5 vs 315.4 min, P = 0.98)和出血量(929 vs 1500 mL, P = 0.23)差异无统计学意义。LR组术后住院时间明显缩短(6天vs 12天,P = 0.009)。LLR组并发症严重程度较低(P = 0.02),两组死亡率均为零。无边缘状态在LLR组和OLR组之间没有差异(92.3% vs 76.9%, P = 0.28)。对于经验有限的HPB外科医生,LLR是安全的,可以谨慎地进行肝脏病变。LLR的优点是并发症较少,最重要的是两组间无切缘状态具有可比性。
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引用次数: 0
Trends in Global Research for Treating COVID-19 vaccine related acute appendicitis: A Bibliographic Analysis 全球治疗新冠肺炎疫苗相关急性阑尾炎的研究趋势:文献分析
IF 0.4 Q4 Medicine Pub Date : 2023-07-18 DOI: 10.1097/fs9.0000000000000078
B. Joob, V. Wiwanitkit
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引用次数: 0
Comparison between Tubeless Mini-Percutaneous Nephrolithotomy versus Flexible Ureterorenoscopic Lithotripsy for the Treatment of Upper Ureteral Calculi Larger than 1 cm 输尿管上段大于1cm结石的无管微型经皮肾镜取石术与输尿管镜碎石术比较
IF 0.4 Q4 Medicine Pub Date : 2023-07-18 DOI: 10.1097/fs9.0000000000000079
Chu-Min Chou, Chung-Jing Wang, Y. Jou, M. Cheng, Cheng-Huang Shen, Chang-te Lin
To assess the outcome and safety of tubeless mini-percutaneous nephrolithotomy (mPCNL) and flexible ureterorenoscopic lithotripsy (fURSL) in treating upper ureteral stones larger than 1 cm. Between July 2017 and June 2020, 218 patients underwent tubeless mini-PCNL and fURSL for upper ureteral calculi larger than 1 cm were enrolled in this study. Patient characteristics and perioperative outcomes and complications were evaluated by retrospective chart review. Immediate stone-free rates after the procedure were 100 % of patients for the tubeless mini-PCNL and 71.0 % of patients for the fURSL group (P = 0.004). The mean operative time per patient was 79.8 ± 21.8 minutes in the tubeless mini-PCNL group, and it was 99.7 ± 33.8 minutes in the fURSL groups (P = 0.009). The average hospital stay was 2.7 ± 1.9 days in the tubeless mini-PCNL group and 1.5 ± 1.2 days in the fURSL group (P < 0.001). The rate of febrile episode for the tubeless mini-PCNL and fURSL groups were 14.3 % and 2.3%, respectively (P = 0.028) Tubeless mini-PCNL and fURSL are safe and feasible treatment options for proximal ureteral calculi larger than 1 cm. Tubeless mini-PCNL offers better outcome of higher stone-free rate and shorter operation time compared with fURSL, but with a higher rate of febrile complications and longer hospital stay.
为了评估无管小型经皮肾镜取石术(mPCNL)和柔性输尿管肾镜碎石术(fURSL)治疗1cm以上输尿管上段结石的疗效和安全性。2017年7月至2020年6月,218名患者接受了无管小型PCNL和fURSL治疗1cm以下输尿管上段结石。通过回顾性图表回顾评估患者特征、围手术期结果和并发症。术后即刻结石清除率无管迷你PCNL组为100%,fURSL组为71.0%(P=0.004),fURSL组平均住院时间为99.7±33.8分钟(P=0.009),无管迷你PCNL组平均住院2.7±1.9天,分别为(P=0.028)对于直径大于1cm的输尿管近端结石,无管迷你PCNL和fURSL是安全可行的治疗方案。
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引用次数: 0
New generation of COVID-19 vaccine, new form and new material – what to known in clinical surgery 新一代新冠肺炎疫苗、新形式和新材料——临床手术中的已知内容
IF 0.4 Q4 Medicine Pub Date : 2023-07-17 DOI: 10.1097/fs9.0000000000000076
W. Sriwijitalai, V. Wiwanitkit
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引用次数: 0
Heterologous vaccination, from rabies vaccine to COVID-19 vaccine: view in clinical surgery 从狂犬病疫苗到新冠肺炎疫苗的异源疫苗接种:临床外科学观点
IF 0.4 Q4 Medicine Pub Date : 2023-07-17 DOI: 10.1097/fs9.0000000000000077
W. Sriwijitalai, V. Wiwanitkit
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引用次数: 0
LAPAROSCOPIC TREATMENT OF COMPLICATED OBTURATOR HERNIA: A CASE SERIES OF 6 PATIENTS 腹腔镜治疗复杂性闭孔疝6例
IF 0.4 Q4 Medicine Pub Date : 2023-07-13 DOI: 10.1097/fs9.0000000000000075
T. N. Dang, V. A. Pham, T. H. Nguyen
Obturator hernia is a rare type of abdominal hernia. Preoperative diagnosis of obturator hernia is often challenging due to non-specific signs and symptoms, leading to late diagnosis and increased mortality. Laparoscopic repair has been suggested as one of the alternative options for complicated inguinal hernias. We describe a case series of 6 consecutive patients diagnosed with complicated obturator hernia and treated by laparoscopic repair. All patients were females, aged 81 to 90 years old. Most of them were underweight (BMI < 18.5). All cases presented with acute small bowel obstruction. All cases were unilateral obturator hernia. Concomitant femoral hernia existed in 3 cases (50%). Bowel resection was required in 2 cases due to bowel ischemia and perforation. Four of six cases were repaired using synthetic mesh, and the two remaining patients were treated with peritoneal closure and medial umbilical fold flap reinforcement. There were no postoperative deaths. Laparoscopic repair seems to be a safe and effective option for the treatment of complicated obturator hernia.
闭孔疝是一种罕见的腹疝。由于非特异性的体征和症状,闭孔疝的术前诊断往往具有挑战性,导致诊断延迟和死亡率增加。腹腔镜修补术被认为是治疗复杂腹股沟疝的替代选择之一。我们描述了一个连续6例患者的病例系列,这些患者被诊断为复杂性闭孔疝,并通过腹腔镜修复进行治疗。所有患者均为女性,年龄在81至90岁之间。大多数患者体重不足(BMI<18.5),所有病例均表现为急性小肠梗阻。所有病例均为单侧闭孔疝。合并股疝3例(50%)。2例因肠缺血和穿孔需要切除肠道。6例中有4例使用合成网片修复,其余2例使用腹膜闭合和脐内侧折叠皮瓣加固治疗。无术后死亡病例。腹腔镜修补术是治疗复杂性闭孔疝的一种安全有效的选择。
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引用次数: 0
The existence of biliary intraepithelial neoplasia at resection margin is not a risk factor for recurrence of biliary tract cancer 切除边缘的胆道上皮内瘤变不是癌症复发的危险因素
IF 0.4 Q4 Medicine Pub Date : 2023-07-08 DOI: 10.1097/fs9.0000000000000074
Naohiro Yoshida, Kazuhiro Koikawa, T. Aoyagi, T. Ogata, M. Taniguchi
Invasive carcinoma or dysplasia (biliary intraepithelial neoplasia [BilIN]) is often found in the surgical stumps of biliary tract cancer. We investigated whether the presence of BilIN at the surgical margin is a risk factor for recurrence. Seventy-five consecutive patients who underwent curative resection for biliary tract cancer were included in this study. We retrospectively evaluated the surgical margin status (negative, BilIN, or positive) and analyzed the postoperative disease recurrence rate and recurrence pattern by the status. The disease-free survival rate was significantly worse in the positive margin group than in the negative margin group (11 vs 18 months, p = 0.027). There were no statistical differences between the BilIN-positive group and the other two groups. In the multivariate analysis, infiltrative growth (INF) c (HR 3.348, 95%CI 1.368-8.195, p = 0.008) and pathological exhumed margin (pEM) (HR 2.670, 95%CI 1.097-6.495, p = 0.030) were independent recurrence factors. The margin status of BilIN was not associated with recurrence (HR 0.867, 95%CI 0.491-2.946, p = 0.687). The BilIN component at the surgical margin was not associated with short-term recurrence, but the pEM-positive and INFc were. INFc may be a potential predictive factor for recurrence.
侵袭性癌或异型增生(胆管上皮内瘤变〔BilIN〕)常出现在癌症的胆道手术残端。我们研究了在手术边缘存在BilIN是否是复发的危险因素。本研究纳入了连续75例癌症胆道切除术患者。我们回顾性评估了手术边缘状态(阴性、BilIN或阳性),并根据该状态分析了术后疾病复发率和复发模式。阳性边缘组的无病生存率明显低于阴性边缘组(11个月vs 18个月,p=0.027)。BilIN-阳性组与其他两组之间没有统计学差异。在多变量分析中,浸润性生长(INF)c(HR 3.348,95%CI 1.368-8.195,p=0.008)和病理性剥脱边缘(pEM)(HR 2.670,95%CI 1.097-6.495,p=0.030)是独立的复发因素。BilIN的边缘状态与复发无关(HR 0.867,95%CI 0.491-2.946,p=0.687)。手术边缘的BilIN成分与短期复发无关,但pEM阳性和INFc阳性。INFc可能是复发的潜在预测因素。
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引用次数: 0
Systemic diffuse large B-cell lymphoma manifesting initially as scalp hematoma after an acute head injury: case report and literature review 急性颅脑损伤后最初表现为头皮血肿的系统性弥漫性大B细胞淋巴瘤:病例报告和文献复习
IF 0.4 Q4 Medicine Pub Date : 2023-06-27 DOI: 10.1097/fs9.0000000000000071
Peng-chan Huang, Wen-Teng Yao, J. Jhuang, Cheng-Chia Tsai, Shiu-Jau Chen, Chih-Chuan Yang
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引用次数: 0
Deaths among surgeons while on duty: an important issue in surgery and occupational medicine that should not be disregarded 外科医生在值班期间死亡:外科和职业医学中不应忽视的一个重要问题
IF 0.4 Q4 Medicine Pub Date : 2023-06-26 DOI: 10.1097/fs9.0000000000000073
R. Mungmunpuntipantip, V. Wiwanitkit
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引用次数: 0
期刊
Formosan Journal of Surgery
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