After failed ultrasound-guided hydrostatic reduction (USGHR), operative options vary. We evaluated a protocolized laparoscopic-assisted hydrostatic reduction (LAHR) pathway as an escalation strategy. This prospective study included 242 children with intussusception treated at a single tertiary center between January 2023 and December 2024. All children received standardized USGHR...
Postoperative infections are the common cause of morbidity and mortality in colorectal surgery. Calprotectin, an S100 protein, may be a potential marker. The aim was to define the postoperative course (PC) of calprotectin in serum (CIS), compared to white blood cell (WBC), C-reactive protein (CRP), lactate and procalcitonin (PCT). This prospective, single-center study measured...
The postoperative recurrence of gastric cancer, especially early recurrence, significantly impacts the prognosis of patients. We aimed to identify factors affecting patient post-recurrence survival and identify patients who would experience early postoperative recurrence, facilitating prompt preoperative intervention. Clinical and pathological data from 295 gastric cancer...
To compare the perioperative outcomes and technical proficiency between the retroperitoneal laparoscopic single-layer renal surface approach (SLRS) and the standard three-layer approach (TLA) for benign adrenal tumors. A retrospective cohort of 117 patients undergoing retroperitoneal laparoscopic adrenalectomy (66 TLA vs. 51 SLRS) was analyzed. Primary outcomes included operative...
This study aimed to evaluate the comparative effectiveness, safety, and recurrence rates of endoscopic sclerotherapy (ES), endoscopic rubber band ligation (RBL), and combined ligation - sclerotherapy (CT) for grades I - III internal hemorrhoids. A retrospective analysis was conducted on patients who underwent endoscopic minimally-invasive treatment for internal hemorrhoids at...
Robot-assisted gastrectomy (RAG) is a promising alternative treatment for gastric cancer. However, the therapeutic efficacy of the Toumai system in RAG remains unexplored. This study aimed to analyzed the outcomes of the Toumai system versus the DaVinci system in RAG. This was a retrospective propensity score-matched analysis from January 2022 and March 2024. Patients who...
To compare outcomes of nasogastric (NGT) or nasoenteric tube decompression against no decompression in the non-operative management of adhesional small bowel obstruction (ASBO) using a systematic review and meta-analysis. Database searches up to February 2025 were conducted using Cochrane Library, EMBASE, MEDLINE and SCOPUS. Abstract screening and data extraction were performed...
Recent data reveals an association between preoperative mental health and postoperative outcomes in spine surgery. Patients with poor mental health often experience less favorable recovery trajectories, though long-term quality of life improvements may still be achieved. Understanding this relationship is essential for optimizing surgical planning and patient care. Several...
To investigate the risk factors associated with early-onset hyperuricemia and gout attacks after Laparoscopic Sleeve Gastrectomy (LSG). A total of 535 obese patients who underwent LSG at Tianjin Medical University General Hospital between January 2022 and December 2024 were retrospectively enrolled according to predefined inclusion and exclusion criteria.Baseline and 1-month...
Although thoracoscopic treatment of congenital esophageal atresia is widely accepted among pediatric surgeons, its application in recurrent tracheoesophageal fistula (RTEF) remains rare because of its technical difficulty. This study retrospectively analyzed thoracoscopic RTEF repairs at a single center to evaluate the safety, feasibility, and outcomes of this approach, providing...
This study aimed to evaluate the impact of sputum viscosity on postoperative recovery among patients with laryngeal malignancies. Additionally, it sought to identify risk factors associated with postoperative sputum viscosity and to develop a risk prediction model for its occurrence. Convenience sampling was employed to enroll 130 laryngeal malignancy patients hospitalized at a...
Postpartum diastasis recti abdominis (PDRA), characterized by pathological separation of the rectus abdominis muscles, affects 30%-60% of women, with many cases persisting beyond 6 months postpartum and having significant impacts on musculoskeletal function and quality of life. This review synthesizes recent advancements across molecular pathogenesis, precision diagnostics, and...
Delayed neurocognitive recovery (dNCR) is a prevalent postoperative complication in elderly patients. Currently, there is no effective treatment for it. Consequently, timely risk identification and prevention of it are crucial. The aim of our study is to provide a clinical tool for the prediction of dNCR by exploring the relationship between the surgical Apgar score (SAS) and...
Data on outcomes of ambulatory surgery in Thailand remain limited. Laparoscopic cholecystectomy is the first procedure included in Thailand’s national policy for ambulatory surgery requiring more than local anesthesia or intravenous sedation. This study aimed to compare outcomes of ambulatory versus conventional inpatient laparoscopic cholecystectomy in a regional hospital...
Cecal duplication cysts are a rare congenital anomaly, particularly uncommon in adults. With no clear etiology behind it, duplication cysts typically appear before 2 years of age. Their presentation is diverse, often mimicking other right lower quadrant pathologies. We report a case of an adult cecal duplication cyst treated successfully with laparoscopic resection, highlighting...
To investigate the potential factors of false-negative sentinel lymph node biopsies (SLNB) for breast cancer and the clinical decision-making value of axillary lymph node dissection (ALND). We retrospectively selected 312 patients with breast cancer who underwent SLNB in our hospital from May 2021 to July 2024. These subjects were divided into a false negative group and a true...
Intra-abdominal hypertension and abdominal compartment syndrome are frequently presented in critically ill patients admitted to intensive care units. Patients undergoing pancreatic procedures are susceptible to gastroparesis, postoperative ileus, intra-abdominal collection or extensive fluid resuscitation, all of which are risk factors for elevation of intra-abdominal pressure...
Although the incidence of contrast media extravasation (CME) is low and severe complications are rarer, when it occurs, it can lead to serious complications and patient dissatisfaction. In most cases, CME resolves with conservative treatment. However, some cases require invasive interventions for treatment. We report a case of CME in which the patient developed skin ulcers...
Obstructive colorectal cancer (OCC) often has a poor prognosis. The traditional TNM stage does not effectively predict disease prognosis, so there is an urgent need to establish a more suitable prognostic staging system for patients with OCC. This study analyzed 164 patients treated for OCC at a single center between February 1, 2010, and January 31, 2020. The integrative two...
There have been few reports that have focused on the combination of the laparoscopic approach and natural orifice specimen extraction (NOSE) surgery for complete rectal prolapse (CRP). The aim of this study was to compare the feasibility, safety and short-term clinical efficacy of NOSE surgery with those of conventional laparoscopic resection rectopexy in the treatment of CRP. In...
Breast cancer is the most common malignancy among women globally, with 2.3 million new cases in 2022. Advances in early detection and treatment have improved survival, but long-term complications like breast cancer-related lymphoedema (BCRL) remain underrecognized. Affecting 6–40% of patients following axillary lymph node dissection, BCRL leads to chronic swelling, pain, and...
Suboptimal tendon-bone interface healing remains a critical challenge affecting outcomes of anterior cruciate ligament (ACL) reconstruction. This study investigates whether BMP-2 gene-modified bone marrow mesenchymal stem cells (MSCs) enhances tendon-bone osseointegration. An ACL reconstruction model was established in 18 New Zealand white rabbits, randomized into three groups...
Pancreatic exocrine insufficiency due to pancreatic atrophy is considered a major factor in the occurrence of liver fat deposition after pancreaticoduodenectomy (PD). This study aimed to investigate whether liver fat deposition was less frequent in patients who received combination therapy with high-titer pancreatic enzyme and zinc supplementation, considering the severity of...