World journal of surgery
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World journal of surgery · Aug 2014
Impact of spontaneous hepatocellular carcinoma rupture on recurrence pattern and long-term surgical outcomes after partial hepatectomy.
The clinical significance of spontaneous hepatocellular carcinoma (HCC) rupture association with recurrence pattern and long-term surgical outcomes remains under debate. We investigated the impact of spontaneous HCC rupture on recurrence pattern and long-term surgical outcomes after partial hepatectomy. ⋯ Patients with spontaneously ruptured HCC with staged hepatectomy show comparable long-term survival and recurrence pattern as patients with non-ruptured HCC having similar tumor characteristics and liver functional status. Thus, spontaneous HCC rupture may not increase peritoneal recurrence and decrease long-term survival after partial hepatectomy.
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World journal of surgery · Aug 2014
Introduction of an acute surgical unit: comparison of performance indicators and outcomes for operative management of acute appendicitis.
The Acute Surgical Unit (ASU) is a recent change in management of acute general surgical patients in hospitals worldwide. In contrast to traditional management of acute surgical presentations by a rotating on-call system, ASUs are shown to deliver improved efficiency and patient outcomes. This study investigated the impact of an ASU on operative management of appendicitis, the most common acute surgical presentation, by comparing performance indicators and patient outcomes prior to and after introduction of an ASU at the Gold Coast Hospital, Queensland, Australia. ⋯ This study demonstrated that ASUs have potential to significantly improve the outcomes for operative management of acute appendicitis compared to the traditional on-call model. The impact of the ASU was limited by access to theaters and restricted ASU operation hours. Further investigation of site-specific determinants could be beneficial to optimize this new model of acute surgical care.
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World journal of surgery · Aug 2014
Hemoglobin level influences tumor response and survival after neoadjuvant chemoradiotherapy for esophageal squamous cell carcinoma.
Neoadjuvant chemoradiotherapy (nCRT) followed by esophagectomy confers a survival benefit on patients with esophageal cancer. However, nCRT might be less meaningful for poor responders. Thus, being able to predict responses would help ensure the selection of optimal therapy. ⋯ Pretherapeutic hemoglobin levels can influence responses and survival after nCRT for ESCC. Thus, hemoglobin levels can serve as a useful marker for tailoring optimal therapies for individual patients with advanced ESCC.
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World journal of surgery · Aug 2014
Biography Historical ArticleInsights into Avicenna's contributions to the science of surgery.
An influential Persian scholar of the Islamic Golden Age of Medicine (from the ninth to the twelfth centuries AD), Ibn-e Sina (AD 980-1037), also known by the Latinized name Avicenna, is best remembered for his contributions to various aspects of medicine, particularly surgery. In fact, the art of surgery was a major focus of his attention and practice, and one to which he devoted several chapters of his main medical encyclopedia, Al-Qanun fi al-Tibb (The Canon of Medicine). This article presents a brief review of Avicenna's life, introduce his textbook of medicine, and present his significant contributions to the science of surgery.