Incidental Diagnosis of Parathyroid Lesions by Preoperative Use of Next-Generation Molecular Testing
ConclusionsIn 0.42% of patients with indeterminate cytology results, next-generation molecular results will indicate the presence of a parathyroid lesion. When this occurs, it is accurate and can robustly impact clinical management (93%). (Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Permanent Hypoparathyroidism After Total Thyroidectomy in Children: Results from a National Registry
ConclusionsThe rate of permanent hypoparathyroidism following total thyroidectomy in children was high and is a cause of concern. (Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

The Impact of Financial Conflict of Interest on Surgical Research: An Observational Study of Published Manuscripts
AbstractBackgroundSubstantial discrepancies exist between industry-reported and self-reported conflicts of interest (COI). Although authors with relevant, self-reported financial COI are more likely to write studies favorable to industry sponsors, it is unknown whether undisclosed COI have the same effect. We hypothesized that surgeons who fail to disclose COI are more likely to publish findings that are favorable to industry than surgeons with no COI.MethodsPubMed was searched for articles in multiple surgical specialties. Financial COI reported by surgeons and industry were compared. COI were considered to be relevant if...
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Improved Outcomes of Enhanced Recovery After Surgery (ERAS) Protocol for Radical Cystectomy with Addition of a Multidisciplinary Care Process in a US Comprehensive Cancer Care Center
AbstractIntroductionAlthough enhanced recovery after surgery (ERAS) components include both anesthesia and surgical care processes, it is unclear whether a multidisciplinary approach to implementing ERAS care processes improves clinical outcomes. The addition of multidisciplinary care with anesthesiology-related components to an existing ERAS protocol for radical cystectomy at a US comprehensive cancer center provided an opportunity to compare short- and long-term outcomes.MethodsWe retrospectively compared the outcomes of 116 consecutive patients who underwent cystectomy after implementation of a multidisciplinary ERAS pr...
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Awake Tracheostomy: Indications, Complications and Outcome
ConclusionWhether the etiology of the AT was related to HN oncological disease or not was the most important clinical factor in our cohort. The non-oncologic group was significantly younger, suffered from more urgent events and tended to have more complications (nonsignificant). ATs had a 97.3% rate of immediate survival, a 5.4% risk of major irreversible complications and a 2.7% risk of mortality. (Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Which End of the Telescope Brings Trauma Triage into True Focus?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Is Partial or Total Thyroidectomy Associated with Risk of Long-Term Osteoporosis: A Nationwide Population-Based Study
This study aimed to determine the effect of thyroidectomy on the risk of OP and OF.MethodsThis retrospective cohort study is based on patient data between January 2000 to December 2005 from the National Health Insurance Research Database. Patients who underwent thyroidectomy were enrolled in the thyroidectomy cohort, and the control cohort was selected by propensity score matching at a ratio of 1:4. Incident OP and OF cases were identified until the end of 2013. The thyroidectomy cohort to control cohort adjusted hazard ratio (aHR) for OP/OF was assessed through multivariable Cox proportional hazard regression analysis.Res...
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Neoadjuvant Chemoradiotherapy for Patients with cT3/Nearly T4 Esophageal Cancer: Is Sarcopenia Correlated with Postoperative Complications and Prognosis?
ConclusionsNACRT could be a useful option for patients with locally advanced esophageal squamous cell carcinoma, even for those with sarcopenia, without increasing the incidence of morbidity and mortality. (Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Letter to the Editor: Postoperative Bleeding After Laparoscopic Pancreaticoduodenectomy: The Achilles ’ Heel?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Safety and Feasibility of a Ketamine Package to Support Emergency and Essential Surgery in Kenya When No Anaesthetist is Available
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Hydatid Cyst of the Liver: A Challenge that can be Amplified Shifting from Open to Laparoscopic Surgery
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Authors ’ Reply: Postoperative Bleeding After Laparoscopic Pancreaticoduodenectomy: The Achilles’ Heel?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

World Journal of Surgery Becomes the Official Publication of the ERAS Society
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Correction to: Safety and Feasibility of a Ketamine Package to Support Emergency and Essential Surgery in Kenya when No Anesthetist is Available: An Analysis of 1216 Consecutive Operative Procedures
AbstractThe corrected order of the authors is as reflected in this erratum. Sebastian Suarez and Ayla Senay are co-second authors. (Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Hydatid Cyst of the Liver: A Challenge That Can Be Amplified Shifting from Open to Laparoscopic Surgery: Reply
(Source: World Journal of Surgery)
Source: World Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Incidence and Predictors of Unsuspected Recurrent Laryngeal Nerve Lymph Node Metastases After Neoadjuvant Chemoradiotherapy in Patients with Esophageal Squamous Cell Carcinoma
ConclusionNearly one-fifth of ESCC patients who were judged to be ycN-RLN( −) unexpectedly had positive ypN-RLN. The pre-nCRT cN-RLN status plays a key role in the selection of patients that should undergo RLN LN dissection after nCRT. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

How Much Data are Good Enough? Using Simulation to Determine the Reliability of Estimating POMR for Resource-Constrained Settings
AbstractIntroductionPerioperative mortality rate (POMR) is a suggested indicator for surgical quality worldwide. Currently, POMR is often sampled by convenience; a data-driven approach for calculating sample size has not previously been attempted. We proposed a novel application of a bootstrapping sampling technique to estimate how much data are needed to be collected to reasonably estimate POMR in low-resource countries where 100% data capture is not possible.Material and methodsSix common procedures in low- and middle-income countries were analysed by using population database in New York and California. Relative margin ...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Cysto-cholecystostomy: A More Physiological Procedure for Hepatic Cysts with Biliary Communications and Cystic Dilatations of Main Intrahepatic Ducts
ConclusionsLaparoscopic cysto-cholecystostomy is a simpler and more physiological surgical alternative for managing HC with biliary communication and CIHD. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Long-Term Follow-Up of Retromuscular Incisional Hernia Repairs: Recurrence and Quality of Life: Reply
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Hakim Mohammad: A Persian Military Surgeon in Safavid Era (1501 –1736 CE)
This study presents a brief biography of Hakim Mohammad (a military surgeon in Safavid era) and introduces his book,Dhakhira-yi-Kamilah.Results and DiscussionSafavid kings (1501 –1736 CE) with unifying all of Persian regions and provinces reconstructed the Persian Empire. Great scholars and physicians were raised in this era. It seems that Persian physicians and surgeons were well trained in Safavid era and many of them were even employed by other countries like Ottoman E mpire and India. Hakim Mohammad as a military surgeon was one of such physicians who served in Ottoman Empire for some time. He gathered his surgic...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Post-operative Complications Following Emergency Operations Performed by Trainee Surgeons: A Retrospective Analysis of Surgical Deaths
AbstractBackgroundAdequate surgical care of patients and concurrent training of residents is achieved in elective procedures through careful case selection and adequate supervision. Whether this applies when trainees are involved in emergency operations remains equivocal. The aim of this study was therefore to compare the risk of post-operative complications following emergency procedures performed by senior operators compared with supervised trainees.MethodsThis is a retrospective cohort study examining in-hospital deaths of patients across all surgical specialties who underwent emergency surgery in Australian public hosp...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Aggressive and Multidisciplinary Local Approach to Iterative Recurrences of Colorectal Liver Metastases
AbstractBackgroundLiver resection (LR) of colorectal metastases is associated with high recurrence risk. Aggressive local retreatment is advocated, but further recurrences may occur. Poor is known about presentation, treatment, and outcome of iterative recurrences.MethodsA series of 323 consecutive patients undergoing first LR in the period 2004 –2013 was reviewed. Patients with recurrence were included. Any local treatment (surgery, radiofrequency ablation (RFA) and stereotactic body radiation therapy (SBRT)) was analyzed. If first recurrence (1st Rec) was treated, further recurrences and treatments were considered....
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Early Consequences of Pectus Excavatum Surgery on Self-Esteem and General Quality of Life
AbstractBackgroundAn early observation after chest wall correction is direct inspection from the PE patient of their “new” thorax. Changes in self-perception may give raise to other psychological adaptations. The aim of this study was to evaluate the early changes in the fields of self-esteem, body image and QoL.MethodsProspective observational longitudinal multicenter cohort study. Self-esteem, emotional limitations and general health were assessed using the Child Health Questionnaire (CHQ) in patients under 18 and the World Health Organization Quality of Life Questionnaire-bref (WHOQOL-bref) was used for body...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Cost-Effectiveness of Minimally Invasive Esophagectomy for Esophageal Squamous Cell Carcinoma
ConclusionsMIE for ESCC failed to show cost-effectiveness regarding overall expense in our study, but costs less in the postoperative care, especially for ICU care. More cost studies on MIE in other health care systems are warranted to verify the cost-effectiveness of MIE. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Validation of the Japanese Version of the Low Anterior Resection Syndrome Score
AbstractBackgroundThe low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score.MethodsThe LARS score was translated in Japanese following current international recommendations. A total of 149 rectal cancer patients completed the LARS score questionnaire and were also asked a single question assessing the impact of bowel function on ...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Adrenal Ganglioneuroma: Features and Outcomes of 42 Cases in a Chinese Population
This study is to share our experience regarding diagnostic and operative management of these tumors.MethodsClinical details as well as follow-up data were retrospectively analyzed in 42 primary AGN patients who received operative resection at a tertiary referral hospital in China between May 2005 and July 2016.ResultsThe mean age of the patients at diagnosis was 35.3  years (range 13–59 years). Among the patients, 28 were asymptomatic. The mean preoperative size was 5.3 ± 2.2 cm (range 2.1–14.0 cm), and 17 cases were larger than 5 cm. All patients underwent operative re...
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Trauma Care in Mongolia: INTACT Evaluation and Recommendations for Improvement
ConclusionThe Mongolian trauma system utilizes regionalized care to provide emergency services. Among surveyed hospitals, 60% met GETC standards. Areas for improvement include increased resourcing of primary and secondary facilities, development of rural prehospital systems, adoption of universal standards for patient care, and creation of post-acute rehabilitation facilities. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Welcome New Associate Editor David Watson of Australia
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

14-French Pigtail Catheters for Traumatic Hemothorax/Hemopneumothorax: Size Does Not Matter
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

14-French Pigtail Catheters for Traumatic Hemothorax/Hemopneumothorax: Size Does Not Matter: Reply
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Joint Statement by the Surgery Journal Editors Group
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Long-Term Follow-Up of Retromuscular Incisional Hernia Repairs: Recurrence and Quality of Life
(Source: World Journal of Surgery)
Source: World Journal of Surgery - July 9, 2018 Category: Surgery Source Type: research

Associations of Hospital Length of Stay with Surgical Site Infections
This study aims at identifying the associations of pre- and postoperative LOS in hospital and intensive care with the occurrence of SSI.MethodsThis observational cohort study includes general, orthopedic trauma and vascular surgery patients at two tertiary referral centers in Switzerland between February 2013 and August 2015. The outcome of interest was the 30-day SSI rate.ResultsWe included 4596 patients, 234 of whom (5.1%) experienced SSI. Being admitted at least 1  day before surgery compared to same-day surgery was associated with a significant increase in the odds of SSI in univariate analysis (OR 1.65, 95% CI 1....
Source: World Journal of Surgery - July 5, 2018 Category: Surgery Source Type: research

Noise in the Operating Room Distracts Members of the Surgical Team. An Observational Study
ConclusionsIn phases with higher concentration demands, noise pollution was particularly distracting for second surgeons and anesthetist, corresponding to their specific task demands (anesthetists) and experience (second surgeons). Reducing noise levels particularly in the main and closing phase of the surgery may reduce concentration impairments. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 5, 2018 Category: Surgery Source Type: research

What Patients Look for When Browsing Online for Pancreatic Cancer: The Bait Behind the Byte
ConclusionSuitability of websites discussing pancreatic cancer treatments as rated by lay audiences differed based on therapy type and website affiliation, and was independent of readability level and accuracy of information. Nonprofit affiliation websites focusing on surgery or radiotherapy were most suitable. Online information should be assessed for suitability by target populations, in addition to readability level and accuracy, to ensure information reaches the intended audience. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 3, 2018 Category: Surgery Source Type: research

Discrimination, Bullying and Harassment in Surgery: A Systematic Review and Meta-analysis
ConclusionsDBH is a significant issue in surgery. The true incidence of these issues may remain underestimated. Actions are being taken by professional bodies to create a positive culture in surgery. The effectiveness of these strategies is yet to be determined. More studies are warranted to investigate the magnitude of these issues given their psychological impact, and more importantly to monitor the effectiveness of current measures. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 3, 2018 Category: Surgery Source Type: research

Afferent Loop Decompression Technique is Associated with a Reduction in Pancreatic Fistula Following Pancreaticoduodenectomy
ConclusionsALDT may reduce the incidence of POPF after PD. (Source: World Journal of Surgery)
Source: World Journal of Surgery - July 2, 2018 Category: Surgery Source Type: research

Operations for Suspected Neoplasms in a Resource-Limited Setting: Experience and Challenges in the Eastern Democratic of Congo
ConclusionAdequate and timely treatment of malignancy in the DRC faces a multitude of challenges. Access to surgical services for diagnosis and management as well as chemotherapeutic agents is prohibitively limited. Increased collaboration with local clinicians and remote specialist consultants is needed to deliver subspecialty care in resource-poor settings. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Characteristics, Stratification and Time to Death in a Population-Based Cohort of Patients with Ruptured Abdominal Aortic Aneurysms Not Undergoing Surgery
AbstractBackgroundThe available literature on ruptured abdominal aortic aneurysms (rAAA) centers on survival after operation and commonly, reasons why some patients do not undergo surgery are not addressed. The aim of the present study is to examine, in a population-based cohort, the characteristics, stratification and time to death of patients admitted to hospital, but not undergoing operation for rAAA.MethodsA retrospective, single-center study. All patients admitted to Stavanger University Hospital from the primary catchment area with rAAA on admission or in-hospital from 2000 to 2014 were included.ResultsAltogether 214...
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Inflammation-Based Prognostic Score Predicts Postoperative Survival of Patients with Interstitial Pneumonia After Undergoing Lung Cancer Resection
AbstractObjectivesIdiopathic interstitial pneumonias (IIPs) are associated with an increased risk of lung cancer. Glasgow prognostic score (GPS), which uses serum C-reactive protein (CRP) and albumin levels to indicate systemic inflammatory response and nutrition level, has been reported to be a predictor of overall survival in patients with various types of cancer. We evaluated the usefulness of GPS for prediction of survival of patients with both lung cancer and IIPs following a lung resection procedure.MethodsPatients with IIPs who underwent lung cancer resection from January 2006 through December 2015 were investigated...
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Long-Lasting Voice-Related Symptoms in Patients Without Vocal Cord Palsy After Thyroidectomy
AbstractBackgroundSome patients complain of long-lasting voice symptoms after thyroid surgery without objective vocal fold pathology. We assessed the factors that may influence voice symptoms more than 12  months after thyroidectomy.MethodsWe performed a retrospective analysis of 68 patients from July 2010 to May 2012. The voices of all patients were analyzed before and after thyroid surgery (2  weeks and 2, 4, 6, 8, 10, and 12 months after surgery). According to the recovery of postoperative voice symptoms, patients were divided into two groups: the non-recovery group and the recovery group. Voice symptoms ...
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Treatment Outcomes and Prognostic Factors After Recurrence of Esophageal Squamous Cell carcinoma
ConclusionDespite the poor survival of patients with ESCC and early or distant recurrence or recurrence in ≥3 recurrent organs, appropriate multimodal therapies should be tailored for individual patients with recurrent ESCC. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Changes in Clinical Practice Reduce the Rate of Anastomotic Leakage After Colorectal Resections
ConclusionImplementing a structured change of clinical practice can significantly reduce the anastomotic leakage rate after colorectal resections.Trial registrationClinical trial registration number: ACTRN12617001497392. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Predicted Coronary Heart Disease Risk Decreases in Obese Patients After Laparoscopic Sleeve Gastrectomy
AbstractPurposeTo assess the reduction of 6 and 12  months postoperatively of Framingham risk score in morbidly obese patients with laparoscopic sleeve gastrectomy (LSG).Material and methodsIn total, 870 morbid obesity patients received LSG in Taipei Medical University Hospital from June 2007 to June 2014 were retrospectively studied preoperatively, 6 and 12  months after surgery. The coronary heart disease risk was calculated using Framingham risk score.ResultsThe body mass index in men and women decreased from 43.3  ± 6.9, 39.2 ± 6.0 kg/m2 preoperatively to 32.9  &plu...
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Impact of a Multidisciplinary Team Approach for Managing Advanced and Recurrent Colorectal Cancer
ConclusionCase discussions in MDT meetings resulted in altered clinical decisions in>10% cases. Implementation rates after MDT discussions might be affected by the treatment decision-making process. Imperfect decisions made by individual physicians can be decreased by the multidisciplinary decision-making process. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Topical Minoxidil Versus Topical Diltiazem for Chemical Sphincterotomy of Chronic Anal Fissure: A Prospective, Randomized, Double-Blind, Clinical Trial
ConclusionTopically administered minoxidil is of equal efficacy as diltiazem in the treatment of chronic anal fissure with low frequency of adverse effects. Thus, it can be considered as an agent for chemical sphincterotomy of anal fissure, but the itching at the beginning of the treatment can affect the adherence of the patient to treatment.Trial registration number IRCT2015041414483N6 (the full trial protocol could be accessed online atwww.irct.ir). (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Correction to: Does Surgery Without Lugol ’s Solution Pretreatment for Graves’ Disease Increase Surgical Morbidity?
AbstractIn the original article, Mathieu Bonal ’s last name was spelled incorrectly. It is correct as reflected here. The original article has also been updated. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Correction to: Depression Induced by Total Mastectomy, Breast Conserving Surgery and Breast Reconstruction: A Systematic Review and Meta-analysis
AbstractThe following grant funding information was omitted from the original article. (Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research

Yonsei Experience of 5000 Gasless Transaxillary Robotic Thyroidectomies
(Source: World Journal of Surgery)
Source: World Journal of Surgery - June 6, 2018 Category: Surgery Source Type: research