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Title: Surgical Innovation



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Title: Surgical Innovation


Full Journal Title: Surgical Innovation

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? Cheng, T., Zhang, G.Y. and Zhang, X.L. (2011), Clinical and radiographic outcomes of image-based computer-assisted total knee arthroplasty: An evidence-based evaluation. Surgical Innovation, 18 (1), 15-20.

Abstract: Conventional instrumentation systems have limited accuracy in determining the crucial landmarks needed for alignment in total knee arthroplasty (TKA). Given this, the image-based navigation system was introduced to improve the accuracy of implantation of components into the femur and tibia. PUBMED, EMBASE, Web of Science, and Evidence-Based Medicine databases were electronically searched to identify eligible studies published until October 2008. A systematic review and meta-analysis of 6 randomized/quasi-randomized controlled trials that compared image-based navigation and conventional techniques was conducted. The operative time was longer in the navigation group in 3 studies. Moreover, there was a higher rate of achieving mechanical leg axis within the range of 3 degrees deviation in patients undergoing navigated TKA. However, all studies between the 2 groups were similar in range of motion, knee scores, and postoperative complication rates at the last follow-up. Overall, these short-term follow-up trials show that there were similar early clinical outcomes between image-based navigation and conventional techniques.

Keywords: Accuracy, Arthroplasty, Component, Computer-Assisted Surgery, Coronal Alignment, Databases, Embase, Evaluation, Follow-up, Knee, Leads, Meta Analysis, Meta-Analysis, Metaanalysis, Navigation, Navigation, Outcomes, Patients, Postoperative Alignment, Pubmed, Replacement, Review, Science, Systematic, Systematic Review, TKA, Total Knee Arthroplasty (TKA), Web of Science


Title: Surgical Endoscopy-Ultrasound and Interventional Techniques


Full Journal Title: Surgical Endoscopy-Ultrasound and Interventional Techniques

ISO Abbreviated Title: Surg. Endosc.-Ultrason. Interv. Tech.

JCR Abbreviated Title: Surg Endosc-Ultras

ISSN: 0930-2794

Issues/Year: 12

Journal Country Germany

Language: English

Publisher: Springer Verlag

Publisher Address: 175 Fifth Ave, New York, NY 10010

Subject Categories:

Surgery: Impact Factor

? Dohmoto, M., Hunerbein, M. and Schlag, P.M. (1997), Application of rectal stents for palliation of obstructing rectosigmoid cancer. Surgical Endoscopy-Ultrasound and Interventional Techniques, 11 (7), 758-761.

Abstract: Background: The rationale of palliative endoscopic treatment is to avoid a colostomy in patients with advanced disease and Limited life expectancy. This study was conducted to evaluate the role of endoscopic stent implantation for palliation of obstructing rectal cancer. Methods: Overall, 19 patients (aged 47-87 years) with nonresectable or metastatic rectal cancer were treated by stent insertion after laser recanalization or dilation. Three types of stents, i.e., plastic tubes (n = 8), self-expanding mesh stents (n = 6), and endocoil stents (n = 5), were used to maintain luminal patency. Results: Endoscopic stent implantation was successfully performed in all 19 patients. Long-term luminal patency and satisfactory bowel function were achieved in 16 of 19 patients (84%). After a median follow-up of 6 months, eight of the patients have died and eight are still alive without evidence of recurrent, obstruction. Dislocation of the endoprosthesis occurred in two of eight plastic tubes and one of five mesh stents. Recurrent obstruction due to turner in grow th was only observed in patients treated with self-expanding mesh stents (n = 2). in spite of reinsertion and laser therapy a colostomy was required in three of 19 patients. There was no evidence of treatment failure in five patients who received endocoil stents. None of the patients experienced serious complications related to the endoscopic procedure. Conclusions: Endoscopic stent implantation seems to be a safe and efficient palliative approach to selected patients with obstructing rectal cancer. Currently, self-expanding coil stents are superior to other devices because of lower risk of dislocation and tumor ingrowth.

Keywords: Endoscopic Palliation, Rectal Cancer, Self-Expanding Metal Stent, Endoprosthesis, Recurrent Colorectal-Cancer, Metal Stents, Adenocarcinoma, Stricture, Fistulas


Title: Surgical Oncology-Oxford


Full Journal Title: Surgical Oncology-Oxford

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? Shehzad, K., Mohiuddin, K., Nizami, S., Sharma, H., Khan, I.M., Memon, B. and Memon, M.A. (2007), Current status of minimal access surgery for gastric cancer. Surgical Oncology-Oxford, 16 (2), 85-98.

Abstract: Background: The aim was to conduct a systematic review of the literature on the subject of laparoscopic gastrectomy (LG) and determine the relative merits of laparoscopic (LG) and open gastrectomy (OG) for gastric carcinoma. Material and methods: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified individual retrospective and prospective series on LG (proximal, distal and total). Furthermore, all clinical trials that compared LG and OG published in the English language between January 1990 and the end of December 2006 were also identified. A large number of outcome variables were analysed for individual series and comparative trials between LG and OG and results discussed and tabulated. Results: The majority of the literature is published from Japan showing both oncological adequacy and safety of LG. The majority of early series and comparative studies have utilized laparoscopic resection for early and distal gastric cancer. However, with increasing advanced laparoscopic experience, advancement in digital technology and improvement in instrumentation, more advanced gastric cancers and more extensive procedures such as laparoscopic-assisted total gastrectomy and laparoscopy-assisted D2 dissection are becoming more common. To date lymph node harvesting, resection margins and complication rates seem to be equivalent to open procedures. Furthermore, the earlier fears of port-site metastases have not been borne out. Conclusions: The available data suggests that LG seems to be associated with quicker return of gastrointestinal function, faster ambulation, earlier discharge from hospital, and comparable complications and recurrence rate to OG. However, the operating time for LG remains significantly longer compared to its open counterpart, although with experience it is achieving parity with OG. However, the majority of the comparative trials (if not all) probably do not have the power to detect differences in the outcome. As far as the RCT’s (LG vs. OG) are concerned, the numbers of patients in such trials are small and the majority of patients were operated upon for early distal gastric cancer and, therefore, any meaningful conclusions regarding the advantages or disadvantages of LG for both the ECGs and extensive and advanced gastric tumours are difficult to justify. (c) 2007 Elsevier Ltd. AR rights reserved.

Keywords: 5 Years Experience, Assisted Distal Gastrectomy, Billroth-I Gastrectomy, Cancer, Citation, Clinical Trials, Comparative Studies, Comparing Open, D2, Databases, Discharge, Elsevier, English, Gastrectomy, Gastric Cancer, Hospitalization, Human, Intraoperative Complications, Invasive Treatment, Language, Laparoscopic Method, Laparoscopic Surgery, Literature, Lymph-Node Dissection, Management, Medline, Metastasis, Methods, Patient’S Outcome, Postoperative Complications, Pylorus-Preserving Gastrectomy, Review, Science, Science Citation Index, Surgery, Systematic Review, Technology




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