Current Issue : January - March Volume : 2021 Issue Number : 1 Articles : 6 Articles
Background: The clinical incidence of appendiceal mucinous adenocarcinoma is low. Moreover, the case reports of\npostoperative relapse after surgery are rarely based on literature search results. Here, we report such a case\nspanning nearly 7 years and and review the relevant literature.\nCase presentation: A 50-year-old female underwent additional surgery after appendectomy, and pathological\nexamination confirmed mucinous adenocarcinoma. The patients underwent HIPEC (hyperthermic intraoperative\nchemotherapy) and adjuvant chemotherapy. Twenty-six months after the previous surgeries, another surgery, HIPE\nC, and adjuvant chemotherapy were performed again due to tumour recurrence. To date, the follow-up time is 43\nmonths, and no recurrence or metastasis has been found.\nConclusions: Appendix mucinous adenocarcinoma has a poor prognosis and the diagnosis depends on\npathological and immunohistochemical examinations. Its clinical manifestations are non-specific, and CRS + HIPEC\nshould be used for treatment, which is safe and effective....
Background: Bridge to surgery (BTS) using a self-expandable metallic stent (SEMS) for the treatment of obstructive\ncolorectal cancer improves the patientâ??s quality of life. This study aimed to examine prognostic factors of\nobstructive colorectal cancer.\nMethods: We analyzed stage II-III resectable colon cancer cases (Cur A) retrospectively registered between January\n2005 and December 2017. Overall, 117 patients with Cur A obstructive colorectal cancer were evaluated: 67 of\nthem underwent emergency surgery (ES Group) and 50 of them after BTS with SEMS placement (BTS group). We\ncompared surgical results and prognoses between the two groups.\nResults: A total of 50 patients underwent endoscopic SEMS placement...............................
Background: Using the Latissimus dorsi (LD) muscle flap is one of the popular surgical technique for breast\nreconstruction. However, usually, long postoperative scar was remained on donor site which does not have disease.\nThe authors applied the endoscopy-assisted surgery to harvest the LD muscle flap for breast reconstruction.\nMethods: From July 2018 to July 2019, five consecutive patients with breast cancer underwent partial mastectomy\nwith endoscopy-assisted LD muscle flap reconstruction. The clinic-pathologic factors were analyzed and the\ncosmetic.....................
Background: The prevalence of potential risk factors for postoperative cough after thyroidectomy remain\nunknown. The current study aimed to research postoperative cough in patients undergoing thyroid surgery\nprospectively.\nMethods: Adult patients who underwent primary thyroid surgery were selected prospectively. Data regarding age,\nsex, BMI, pathology and surgical procedure were collected and analyzed. The Leicester Cugh Questionnaire (LCQ)\nwas required to be completed by all patients before operation, 2 weeks and 4 weeks after operation.\nResults: There were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In\npatients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0%\ncompared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For\nbenign patients, the factors of smoking and operation time were independently related to the occurrence of\npostoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the\nnumber of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There\nwas no significant difference regarding the LCQ score in patients with benign or malignant disease at the\npreoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower\nLCQ score than patients with.......................
Background: We aimed to explore the causal analysis, clinical characteristics and treatment strategies of laparoscopic\nconversion to open approach (LCTOA) in radical nephrectomy and tumor thrombectomy.\nMethods: We included all patients with Mayo level Iâ??III renal tumors with inferior vena cava (IVC) tumor thrombus who\nunderwent laparoscopic radical nephrectomy and tumor thrombectomy as the first choice from May 2015 to July 2019..........................
Background: Open surgical repair (OSR) for thoracoabdominal aortic aneurysms (TAA) is associated with a high\npulmonary and renal morbidity rate. Ischemic preconditioning (IPC) is a mechanism of protection against the\ndeleterious effects of ischemia-reperfusion. To our knowledge IPC has never been tested during OSR for TAA.\nMethods: The primary objective of the study is to evaluate the efficacy of IPC during OSR for TAA with respect to\nacute kidney injury (AKI) according to KDIGO and pneumonia/prolonged ventilation-time during the first 8\npostoperative days. The secondary objectives are to compare both arms with respect to cardiac complications\nwithin 48 h, renal and pulmonary complications within 21 days and mortality at 60 days.\nTo assess the efficacy of IPC with respect to pulmonary and renal morbidity, a cox model for competing risks will\nbe used. Assuming that the event occurs among 36% of the patients when no IPC is performed, the allocation of\n55 patients to each arm should allow detecting a hazard ratio of at least 2.75 with a power of 80% when admitting\n5% for an error of first kind. This means that 110 patients, enrolled in this multicenter study, may be randomised\nwithin 36 months of the first randomization......................
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