Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsLeiomyosarcoma of Inferior Vena Cava in an Immunocompetent Young-adult Female Patient.
Leiomyosarcoma of the inferior vena cava is an extremely rare malignancy originating from the smooth muscle of the vessel wall, with only a few hundred cases reported in the literature. There are no clear guidelines for treatment, but surgical resection is currently the only curative option. Further research is needed to better understand the disease and guide its management. ⋯ An abdominal computed tomography revealed a mass in relation with the inferior vena cava and hepatic nodules. Histological examination proved it to be a leiomyosarcoma of inferior vena cava with liver metastases. Key Words: Leiomyosarcoma, Inferior vena cava, Sarcoma.
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J Coll Physicians Surg Pak · Oct 2022
Evaluation of the Effect of Interscalene Brachial Plexus Block on Intracranial Pressure Using Optic Nerve Sheath Diameter and Internal Jugular vein Collapsibility Index.
To determine the effect of single-shot interscalene brachial plexus (ISBP) block on intracranial pressure (ICP) by evaluating the extravascular volume effect of the medicine on the internal jugular vein (IJV). ⋯ Interscalene Brachial Plexus Block, Intracranial pressure, Optic nerve sheath diameter, Internal jugular vein collapsibility index.
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J Coll Physicians Surg Pak · Oct 2022
Surgical and Oncological Outcomes of Hepatic Resection for Hepatocellular Carcinoma: Report from a Low Volume Centre in a Developing Country.
To review the surgical and oncological outcomes of patients who underwent hepatic resection for hepatocellular carcinoma (HCC). ⋯ Hepatocellular carcinoma, Liver resection, Cirrhosis.
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J Coll Physicians Surg Pak · Oct 2022
Meta AnalysisComplication Rates in Different Gastrectomy Techniques of Enhanced Recovery after Surgery for Gastric Cancer: A Meta-analysis.
The purpose of this study was to analyse the postoperative complications of different gastrectomy methods, and provides guidance for the development of enhanced recovery after surgery (ERAS) protocols. We searched EMBASE, Web of Science, CINAHL, PubMed, MEDLINE, and the Cochrane Central Register of Controlled Trials for articles published from database inception to January 30, 2020. Statistical analysis was performed using R version 3.6.3 with single-rate meta-analysis. ⋯ The main complications of laparoscopic-assisted total gastrectomy and laparoscopic-assisted subtotal gastrectomy were pneumonia and pancreatic fistula, the rate was 3.19% (0.94 to 0.637) and 3.06% (0.11 to 8.36), respectively. In order to reduce the incidence of complications, ERAS should be revised from the aspects of rehabilitation, intraoperative application of new technology, shortening the operation time, early detection of high-risk groups, and implementation of audit. Key Words: Enhanced recovery after surgery, Gastric cancer, Postoperative complications.