Background: Patients with acute cholecystitis (AC) often receive antibiotics to reduce the risk of infectious complications after cholecystectomy. This study investigated clinical significance antibiotic use in patients mild-to-moderate AC who required emergency laparoscopic Methods: multicenter, double-blind, randomized controlled trial was conducted at four centers between February 2023 and January 2024. eligible for cholecystectomy were randomly assigned or placebo group. The group...

Many patients receive empirical antibiotics for the prevention of postoperative infectious complications following cholecystectomy due to acute cholecystitis (AC). The purpose this study was investigate clinical significance preoperative in mild moderate AC undergoing emergency laparoscopic cholecystectomy.This a double-blind, placebo-controlled, randomized study. Patients with eligible were randomly assigned an antibiotic or placebo group. Clinical outcomes including reviewed.An imputed...

Abstract Background Substandard and falsified medicine (SFM) sales (an estimated > $200 billion) has become one of the worlds’ fastest growing criminal enterprises. It presents an enormous public health safety challenge. While developed world is not precluded from this challenge, studies focus on low-income countries. They emphasize supply chain processes, technological, legal mechanisms, paying less attention to consumer judgment decision-making aspects. Methods With demand side...

Various social media platforms allow people to participate in activities on causes, including donating money online. We have sought clarify internal (attitudes toward online donation, identification, cause involvement, relationships with SNS connectors) and external factors (perception of features) that predict the publics' behavioral intentions, such as donation sharing words via SNS. This study conducted an survey examine proposed hypotheses based literature review. The results regressions...

Reconstruction using robotic assistance in pancreaticoduodenectomy (PD) was expected to be an effective means overcome the limitations of laparoscopic surgery. To our knowledge, few comparative reports exist on outcomes totally PD (TLPD) and robot-assisted (RLPD). This retrospective study aimed analyze surgical results TLPD RLPD a high-volume pancreatic center.We analyzed consecutive patients who underwent minimally invasive for malignant or benign periampullary lesions between January 2016...

The robot-assisted cholecystectomy could provide a sufficient surgical field with the extremely low-pressure pneumoperitoneum (ELPP; 4 mmHg) by robot arm lifting abdominal wall upward. This study aimed to investigate effect of ELPP on postoperative outcomes in benign gallbladder disease.A retrospective was designed compare pain addition operation time, estimated blood loss, length hospital stay, and complication three types for disease: 75 single site (SSRC), 114 standard-pressure (SPP) SSRC...

In patients who have previously undergone subtotal gastrectomy (STG), the remnant stomach is supplied with arterial blood through splenic artery. It currently unclear whether can be safely preserved when performing distal pancreatosplenectomy (DPS) in these patients. Thus, this study aimed to evaluate safety and feasibility of DPS had a previous STG.A multicenter cohort was performed identify underwent DPS. Electronic medical data Clinical Data Warehouse from 7 representative high-volume...

The Warshaw method as a technique for spleen-preserving distal pancreatectomy (SPDP) carries the risk of splenic infarction following artery ligation. This study introduces modified method, which preserves while sacrificing vein, and compares its outcomes with traditional method.

We investigated the factors that affect occurrence of sinusoidal obstruction syndrome (SOS) and effect SOS on patient's perioperative outcomes through histological review liver resection specimens from patients who underwent chemotherapy.

The aim of this study was to present our initial experience gasless robotic single-port cholecystectomy (RSPC).We reviewed 48 patients who underwent RSPC with a da Vinci SP Robotic Surgical System. Demographic data, intra-operative results, and postoperative outcomes were evaluated.Gasless successfully performed in 53 patients. Five had conversion standard pressure pneumoperitoneum due insufficient surgical space (n = 3), GB perforation 1), or bleeding during surgery 1). mean whole operation...

수평사시에서 조정수술과 비조정수술의 성공률의 장기적 추적관찰 최윤정⋅박성은 을지대학교 의과대학 안과학교실 목적: 수평사시 환자에서 조정수술을 시행한 경우와 시행하지 않은 경우의 수술성공률을 장기적으로 비교하였다.대상과 방법: 2004년 9월부터 2007년 8월까지 수평사시로 진단받은 15세 이상의 환자를 대상으로 하였다.직근 수술 후 11명(Group A)과 직근 수술만 20명(Group B)의 6개월의 수술성공률과 2년 이상 경과관찰 시 10명(Group 12명(Group 비교하였다

신증후군 환아에서 감염은 매우 중요한 사망원인이 된다. 독감 바이러스는 매번 겨울철마다 유행하며, 바이러스의 치명률은 건강한 소아에서 호흡기세포융합바이러스의 사망률과 비슷하므로 독감에 의한 감염도 환아들에게는 치명적일 수 있다. 사망률에는 폐렴으로 인한 사망이 많은 부분...

Abstract Purpose A robotic platform has enabled extremely low-pressure pneumoperitoneum (ELPP, 4 mmHg) to reduce surgical insults human physiology during a minimally invasive surgery. The objective of this study was investigate effect ELPP in single-site cholecystectomy (SSRC) on postoperative pain, shoulder and physiological changes surgery compared standard pressure (SPP, 12-14 mmHg). Methods total 192 patients who underwent an elective were randomized into SSRC group (n = 91) SPP 91)....

Abstract Background In pancreaticoduodenectomy (PD), the duodenum and upper jejunum responsible for iron absorption are removed, which can lead to massive hemorrhage during surgery cause deficiency anemia after PD. The aim of this study was evaluate overall changes in hematologic profiles patients who underwent pancreaticoduodenectomy. Effect preoperative intravenous ferritin treatment on recovery also investigated. Methods From March 2021 December 2021, curative PD at our institution due...

In pancreaticoduodenectomy (PD), the duodenum and upper jejunum responsible for iron absorption are removed, which can lead to massive hemorrhage during surgery cause deficiency anemia after PD. The aim of this study was evaluate overall changes in hematologic profiles patients who underwent pancreaticoduodenectomy. Effect preoperative intravenous treatment on recovery also investigated.From March 2021 December 2021, curative PD at our institution due periampullary lesions were enrolled....