Hepato Gastroenterol
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Hepato Gastroenterol · Oct 2012
Comparative StudyEarly or delayed cholecystectomy (LC) for acute gallstone pancreatitis? An experience and review.
The timing for the management of gallstones pancreatitis remains a contentious issue. Various scholars have their own achievement in in regards to this issue. ⋯ Our study reveals that early cholecystectomy has nice outcomes in terms of shorter hospital stay and expenses. Proper consultation should be taken from radiological colleague if CBD dilations are >6 mm and contraction of gallbladder appears on imaging modalities. Comorbid conditions, past history of cholecystitis cannot be avoided for proper surgical outcomes. Postoperative complications can be deterred by early LC for mild gallstone pancreatitis. However, large volume studies are essential from different places to answer the debated topic of which management protocol is justifiable for the management of mild to moderate gall stone pancreatitis.
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Hepato Gastroenterol · Sep 2012
Review Meta AnalysisMeta-analysis of randomized controlled trials on laparoscopic gastrectomy vs. open gastrectomy for distal gastric cancer.
To evaluate the safety and practicability of laparoscopic gastrectomy (LG) by comparing the short-term and long-term outcomes of LG and open gastrectomy (OG) for gastric cancer. ⋯ Considering its lower morbidity and enhanced postoperative recovery, LG is a safe technical alternative to OG for distal gastric cancer.
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Hepato Gastroenterol · Sep 2012
Comparative StudyShort-term versus long-term administration of single prophylactic antibiotic in elective gastric tumor surgery.
To evaluate short-term versus long-term single prophylactic antibiotic for elective gastric tumor surgery. ⋯ Short-term administration did not increase the risk of postoperative complications and was more cost-effective.
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Hepato Gastroenterol · Sep 2012
Case Reports Comparative StudySafety of hepatectomy accompanying combined resection of other organs.
The present study analyzed postoperative outcomes for patients who underwent hepatectomy accompanied by resection of other organs, to clarify operative safety. ⋯ Good postoperative outcomes in multi-organ resections with hepatectomy were observed by careful perioperative management based on adequate indications for hepatectomy.
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Hepato Gastroenterol · Sep 2012
Comparative StudyA retrospective analysis of ultralow anterior resection vs. abdomino-perineal resection for lower rectal cancer.
The aim of this study was to compare the oncological outcome of ultralow anterior resection (ULAR) and abdominoperineal resection (APR) for lower rectal cancer. ⋯ Ultralow anterior resection and abdominoperineal resection have similar long-term outcome in lower rectal cancer. In tumor local relapse, APR is more effective than ULAR, but in distant metastasis, it not better than ULAR.