A5046917020- Gastrointestinal Tumor Research and Treatment
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Enhanced Recovery After Surgery
- Gastrointestinal disorders and treatments
- Infection Control and Ventilation
- Esophageal Cancer Research and Treatment
- Bariatric Surgery and Outcomes
- COVID-19 and healthcare impacts
- Gallbladder and Bile Duct Disorders
- Intraperitoneal and Appendiceal Malignancies
- Hernia repair and management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Disease and Adiposity
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Immune cells in cancer
- Lung Cancer Diagnosis and Treatment
- Colorectal and Anal Carcinomas
- Lung Cancer Treatments and Mutations
- Intestinal and Peritoneal Adhesions
- Cancer Immunotherapy and Biomarkers
- Cancer Cells and Metastasis
- Colorectal Cancer Surgical Treatments
- Infection Control in Healthcare
Siriraj Hospital
2014-2024
Mahidol University
2014-2024
Center for Special Minimally Invasive and Robotic Surgery
2020
Heidelberg University
2014
Recently, histopathological tumour regression, prevalence of signet ring cells, and localisation were reported as prognostic factors in neoadjuvantly treated oesophagogastric (junctional gastric) cancer. This exploratory retrospective study analyses independent within a large patient cohort after preoperative chemotherapy including clinical factors.In all, 850 patients presenting with cancer staged cT3/4 Nany cM0/x neoadjuvant followed by resection two academic centres. Patient data...
Inguinal hernia is one of the most surgical common diseases. Giant inguinal more unusual and significantly challenging in terms management. It defined as an that extends below midpoint inner thigh when patient standing position.A 67-year-old male presented with giant right-side symptoms partial colonic obstruction significant weight loss. Barium enema revealed ascending colon, cecum ileum contained sac without lesions large bowel. He underwent repair omentectomy. Hernioplasty polypropylene...
Abstract Understanding the metastatic cascade is critical for treatment and prevention of cancer-related death. Within a tumor, immune cells have capacity to fuse with tumor generate tumor-immune hybrid (THCs). THCs are hypothesized be subset cancer enter circulation as circulating (CHC) seed metastases. To understand mechanism THC metastasis, we investigated CHCs in peripheral blood from patients stage IV colorectal (CRC), well tissues primary cancers their liver metastasis sites using...
Abstract Background The SARS-CoV2 virus has been identified in abdominal cavity of the COVID-19 patients. Therefore, potential viral transmission from any surgical created smoke these patients is concern especially laparoscopic surgery. This study aimed to compare amount and field contamination between open surgery fresh cadavers. Methods Cholecystectomy 12 cadavers was performed they were divided into 4 groups: approach with or without evacuator, evacuator. increased particle counts each...
Objective: Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that aims to optimize perioperative management, promote postoperative recovery, reduce complications, and improve long-term survival. The current study aimed evaluate compare the physical activity after gastrectomy between patients who underwent upper gastrointestinal surgery according ERAS those based on conventional care (CC) protocol. Materials Methods: This prospective retrospective review enrolled 60 (n =...
Laparoscopic cholecystectomy with common bile duct exploration (LC LCBDE) remains the preferred technique for difficult stone (CBDS) removal. The chopstick method uses commonly available instruments and may be cost-saving compared to other techniques. We studied outcome of LCBDE using determine if it could considered a first-choice method.Data from all patients that underwent January 1, 2012 April 30, 2019 were retrospectively analyzed. A standard 4-port incision CBDS permitted extraction...
This study aimed to investigate the prevalence of and factors associated with complication after gastrectomy for gastric or esophagogastric cancer compared among surgical purpose (curative vs. palliative), extent (subtotal total extended), patient age (adult older adult octogenarian).Medical records patients gastric/esophagogastric junction who underwent at Siriraj Hospital (Bangkok, Thailand) during January 2005 June 2017 were retrospectively reviewed. Complications risk identified.Of 454...
Gastric cancer presenting with peritoneal metastasis is notably associated diminished survival prospects. The use of cytoreductive surgery in conjunction hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to increase rates these patients. Despite advancements, debates persist regarding the magnitude improvement attributed this treatment modality. present investigation examined outcomes following HIPEC individuals diagnosed gastric and metastasis, it took a comparative analysis...
Peritoneal metastasis in gastric cancer has a poor prognosis and is increasing prevalence. Neoadjuvant chemotherapy used for advanced tumors; however, surgery generally not considered metastatic unresectable diseases. Recently, conversion surgery, treatment which aims an R0 resection following chemotherapy, become novel therapeutic option with better survival rates. In addition to hyperthermic intraperitoneal (HIPEC) leads significant tumor reduction, but it limited by its morbidity....
Objective: Radical surgery is the mainstay treatment for adenocarcinoma of esophagogastric junction. The presence microscopic residual tumor tissue after curative-intent associated with recurrence. This study compared outcomes patients (Residual+ group) and those without (Residual- group). Material Methods: We retrospectively reviewed medical records 71 adenocarcinomas junction who underwent between January 2005 August 2018. evaluated clinical pathological characteristics recurrences, rates...
Abstract Background Esophagectomy is a highly invasive surgical procedure for esophageal cancer, with open thoracotomy associated significant risk of pulmonary complications. Minimally techniques, such as minimally esophagectomy (MIE), are expected to reduce these complications and enhance postoperative recovery. This study aimed compare the early outcomes patients who underwent versus MIE. Methods We conducted retrospective using single-center database from January 1, 2010, February 28,...
Patients with symptomatic gastrointestinal stromal tumor (GIST) typically present bleeding and abdominal pain. This report presents an unusual case of fundic GIST complicated by gastroduodenal intussusception, manifesting as acute pancreatitis. The patient presented epigastric pain pancreatic enzyme elevation; thus, he was diagnosed Computed tomography showed evidence pancreatitis a 4×4.7 cm well-defined hyperdense lesion in the 2nd part duodenum, compressing head duct....
Objective: Bariatric surgery is considered the most effective treatment for morbid obesity, and increasingly performed in Thailand globally. We aimed to establish outcomes of bariatric at Siriraj Hospital, Bangkok.
 Materials Methods: This was a retrospective study patients who underwent between January 2012 June 2016.
 Results: The records first 100 were reviewed, comprising 58 laparoscopic sleeve gastrectomy (LSG) 42 Roux-en-Y gastric bypass (LRYGB). median patient age,...
Background: Enhanced recovery after surgery (ERAS) protocol has been shown to reduce period and postoperative complications.This prospective study aimed evaluate the short-term outcomes of ERAS in patients who underwent upper gastrointestinal (UGI) surgery.Methods: Patients for benign or malignant diseases esophagus, esophagogastric junction, stomach during October 2018-December 2019 were included.Outcomes compared between conventional care (CC) included length hospital stay (LOS),...
Despite the infrequency of trocar site hernias (TSHs), fascial closure continues to be recommended for their prevention when using a ≥ 10-mm trocar.To identify necessity 12-mm nonbladed incision in minimally invasive colorectal surgeries.Between July 2010 and December 2018, all patients who underwent surgery at Minimally Invasive Surgery Unit Siriraj Hospital were retrospectively reviewed. All cross-sectional imaging TSH assessment. Clinicopathological characteristics recorded. Incidence...
Abstract Background Benign esophageal lesions are uncommon conditions compared to malignant cases. Thoracotomy is an extremely invasive procedure that can cause severe complications and delay recovery. Conventional VATS limited in its approach deep narrow angles difficult manipulate due abundance of vital structures always mobile mediastinal area. Robotic-assisted surgery a new challenge aims achieve minimally procedures improve postoperative outcomes for benign lesions. Methods We conducted...
Abstract Background Esophageal cancer is sixth leading cause of cancer-related mortality globally in 2020. squamous cell carcinoma one most aggressive and need extensive operative treatment for radical oncologic purpose. Conventional thoracotomy highly invasive, conventional video-assisted quite technical difficulty related with deep narrow angle exposure. Robotic-assisted procedure new challenging to beat this limitation. This descriptive report initial robotic-assisted experiences regard...
The coronavirus disease 2019 pandemic has affected the worldwide practice of upper gastrointestinal endoscopy. Here we designed a modified N95 respirator with channel for endoscope insertion and evaluated its efficacy in