Asian Journal of Surgery最新文献

英文中文

A rare cardiac hemangioma in right ventricular outflow tract: A case report 罕见的右心室流出道心脏血管瘤1例

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.025

Jianxian Xiong , Kangcheng Yan , Zixuan Chen , Shaoming Guo

引用次数: 0

Bricker ileal conduits after kidney auto-transplantation for UTUC treatment: Experience of kidney-sparing strategy 自体肾移植后砖头回肠导管治疗UTUC：保肾策略的经验

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.027

Wei Zuo , Bing Wang , Xiaoying Li , Xuesong Li

引用次数: 0

Predicting early postoperative recovery in minimally invasive esophagectomy: A model based on key perioperative factors 预测微创食管切除术术后早期恢复：基于关键围手术期因素的模型

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.028

Hongwei Zhang , Huaiming Wang , Hai Yu , Xuefei Li

引用次数: 0

Three-dimensional reconstruction of complex thumb avulsion injury using dual island flaps: A case report 双岛状皮瓣三维重建复杂拇指撕脱伤1例

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.030

Xilin Gao , Renci Pan , Xingyu Jiang , Si Wu

引用次数: 0

A pioneering framework integrating expanded polytetrafluoroethylene and costal cartilage for rhinoplasty in Asian patients: With a video vignette 一个开创性的框架整合膨胀聚四氟乙烯和肋软骨鼻整形亚洲患者：与视频短片

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.03.200

Bao-Fu Yu , Xiao-Xue Chen , Jin-Guang He , Jiao Wei , Chuan-Chang Dai

Technique

Due to the prevalence of septal hypoplasia among many Asian individuals, traditional approaches to rhinoplasty employing an endogenous extension framework face inherent limitations. Herein, we present a pioneering exogenous extension framework that integrates expanded polytetrafluoroethylene (ePTFE) with costal cartilage for the enhancement of rhinoplastic procedures. The nasal dorsal ePTFE serves to augment the nasal dorsum and root, while the mushroom-shaped graft derived from costal cartilage provide essential support to both the nasal columella and tip elevation. These components were meticulously mortised and tenoned together, resulting in a stable exogenous support structure for nasal architecture that is independent of septal integrity.

Results

Our cohort encompassed 85 patients-comprising 61 females and 24 males-with a mean age of 31 years. The mean duration of surgical intervention was approximately 3.5 h. Notably, there were no significant complications reported, such as wound infection, ischemic conditions affecting either the nasal tip or column. There were two patients who expressed dissatisfaction regarding the shape of their nasal tip; however, following minor modifications performed six months post-operatively, both patients reported satisfaction with the final contour. Long-term follow-up extending beyond one year indicated significant improvements in the morphology of various nasal subunits after surgical intervention. Other patients also conveyed general satisfaction with their surgical outcomes. None of the individuals presented symptoms indicative of restricted nasal ventilation.

Conclusions

This pioneering framework is specifically tailored for Asian rhinoplasty, and offers distinct advantages for patients with nasal septum dysplasia by eliminating reliance on support from the nasal septum.

由于许多亚洲人普遍存在鼻中隔发育不全，采用内源性延伸框架的传统鼻整形方法面临固有的局限性。在此，我们提出了一个开创性的外源性扩展框架，该框架将扩展聚四氟乙烯（ePTFE）与肋软骨结合，以增强鼻整形手术。鼻背ePTFE用于增强鼻背和鼻根，而来自肋软骨的蘑菇形移植物为鼻小柱和鼻尖抬高提供必要的支持。这些部件被精心地榫卯和榫合在一起，从而形成一个稳定的外源性支撑结构，用于独立于鼻中隔完整性的鼻结构。结果本研究共纳入85例患者，其中女性61例，男性24例，平均年龄31岁。手术干预的平均持续时间约为3.5小时。值得注意的是，没有明显的并发症报道，如伤口感染，鼻尖或鼻柱的缺血情况。有两名患者对他们鼻尖的形状表示不满；然而，在术后6个月进行了轻微的修改后，两名患者都报告了对最终轮廓的满意。超过一年的长期随访表明，手术干预后各种鼻亚单位的形态学有显著改善。其他患者也对手术结果表示总体满意。没有人出现限制鼻腔通气的症状。这个开创性的框架是专门为亚洲鼻整形量身定制的，通过消除对鼻中隔支撑的依赖，为鼻中隔发育不良患者提供了明显的优势。

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引用次数: 0

Organ transplantation in Central Asia countries: A review and challenges in the development of organ donation 中亚国家器官移植：器官捐献发展的回顾与挑战

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.07.112

Gani Kuttymuratov , Kuat Oshakbayev , Ardak Ainakulov , Daulet Zharassov , Askar Ayaganov , Arman Mirmanov , Zhandos Imanberdiyev , Bakhytzhan Abdimazhitov , Abdurakhman Tuleuzhan , Nurlybek Uderbayev , Aruzhan Asanova

This article aims to examine the challenges in the development of deceased organ donation and assess the current state of transplantation practices in Central Asian countries.

A comprehensive literature review was carried out, expert opinions were gathered, and the websites of the Ministries of Health in Central Asian countries were analyzed.

The current state of deceased organ donation and transplantation activities, in general, showed a heterogeneous appearance in the Central Asian countries. Our findings showed that organ transplantation, especially deceased organ donation, is still in the early stages of development. Several key factors contributing to the weak or, in some countries, complete absence of deceased organ donation were identified. The ambiguous role of religion, especially the concept of Tengrism, on the successful development of deceased donation was revealed. Additionally, significant improvements are needed in the legislative framework, public awareness, societal attitudes towards donation, infrastructure, and the provision of necessary education and equipment to support the development of transplantation in these countries.

The development of deceased organ donation in Central Asian countries is heavily influenced by the country's economic development, government support, and the understanding and awareness of both the public and healthcare professionals regarding deceased organ donation and its benefits for individuals in need of transplants.

本文旨在研究在发展死者器官捐赠的挑战，并评估移植实践在中亚国家的现状。进行了全面的文献综述，收集了专家意见，并对中亚国家卫生部网站进行了分析。总体而言，中亚国家死者器官捐献和移植活动的现状呈现出异质性。我们的研究结果表明，器官移植，特别是死者器官捐献，仍处于发展的早期阶段。确定了导致死者器官捐赠薄弱或在某些国家完全没有器官捐赠的几个关键因素。揭示了宗教，特别是腾格里主义的概念在死者捐赠成功发展中的模糊作用。此外，需要在立法框架、公众意识、社会对捐赠的态度、基础设施以及提供必要的教育和设备方面进行重大改进，以支持这些国家移植的发展。中亚国家死者器官捐献的发展在很大程度上受到国家经济发展、政府支持以及公众和医疗保健专业人员对死者器官捐赠及其对需要移植的个人的益处的理解和认识的影响。

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引用次数: 0

Antecolic vs retrocolic gastrojejunostomy after laparoscopic gastrectomy for cancer. A multicenter propensity matched analysis 胃癌腹腔镜胃切除术后结肠前结肠与结肠后结肠胃空肠造口术。多中心倾向匹配分析

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.06.214

M. Milone , S. Vertaldi , M. Manigrasso , A. D’Amore , M.S. Alfano , A. Agrusa , G. Anania , G.L. Baiocchi , P.P. Bianchi , A. Biondi , U. Bracale , S. Buscemi , M. Chiozza , F. Corcione , D. D’Ugo , M. Degiuli , G. De Simone , U. Elmore , F. Galli , G. Giuliani , L. Boni

Background

Intracorporeal Roux-en-Y reconstruction has been shown to be the most effective reconstruction method after minimally invasive distal gastrectomy. The aim of this study is to compare postoperative complications and early outcomes after antecolic and retrocolic gastro-jejunal anastomoses reconstructions.

Methods

A multicentric retrospective cohort study was designed to compare only laparoscopic Roux-en-Y procedures with intracorporeal antecolic and retrocolic reconstruction of gastro-jejunal anastomoses performed on posterior wall of the stomach from January 2009 to December 2019. After performing propensity score matching analysis (PSM), data from 258 patients were analysed. Intraoperative data included fashion of gastro-jejunal anastomosis; length and type of cartridge used; total operative time. To evaluate safety and efficacy of anastomoses, early postoperative complications and recovery outcomes were examined.

Results

Operative time was statistically significant lower for the antecolic group (192,88 ± 42,60 min vs. 227,09 ± 81,26 min; p < 0,001). No differences between the two groups were identified in the incidence of postoperative complications neither in recovery outcomes.

Conclusions

Both antecolic and retrocolic techniques are reliable and effective to perform, since the route of the alimentary limb does not affect the incidence of postoperative complications and gastric emptying function. Considering its safety and efficacy and the shorter operative time, the antecolic approach with a large stapled anastomosis could be recommended.

微创Roux-en-Y重建是微创胃远端切除术后最有效的重建方法。本研究的目的是比较结肠前和结肠后胃空肠吻合术重建的术后并发症和早期结果。方法采用多中心回顾性队列研究，比较2009年1月至2019年12月在胃后壁行胃-空肠吻合口体外结肠前和结肠后重建的腹腔镜Roux-en-Y手术。在进行倾向评分匹配分析（PSM）后，分析了258例患者的数据。术中资料包括胃-空肠吻合方式；所用药筒的长度和类型；总手术时间。为了评价吻合器的安全性和有效性，我们观察了术后早期并发症和恢复情况。结果前压组手术时间（192,88±42,60 min vs. 22,09±81,26 min; p < 0.001）显著低于前压组。两组在术后并发症发生率和恢复结果方面均无差异。结论前结肠和后结肠技术均可靠有效，因为消化肢的路径不影响术后并发症的发生和胃排空功能。考虑到其安全性、有效性和较短的手术时间，推荐采用前结肠大吻合器吻合。

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引用次数: 0

The distribution and significance of RNA N6-methyladenosine regulators in osteoarthritis for diagnostic and subtype identification RNA n6 -甲基腺苷调节因子在骨关节炎诊断和亚型鉴定中的分布及意义

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.051

Yulong Hou , Yunfei Li , Xiangyang Leng , Zhenhua Li

引用次数: 0

The “Hand-as-Foot” teaching method in sincipital presentation “手即脚”教学法在初级报告教学中的应用

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.04.059

Na Di, Qian Li

引用次数: 0

Well -differentiated papillary mesothelioma combined with teratoma: A case report and literature review 分化良好的乳头状间皮瘤合并畸胎瘤1例并文献复习

IF 3.8 3区医学 Q1 SURGERY

Asian Journal of Surgery

Pub Date : 2025-10-01 DOI: 10.1016/j.asjsur.2025.02.267

Ruisen Zhu, Ruoqing Li, Cunhua Zou, Dongdong Song

引用次数: 0

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