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Visceral and general surgery

Section edited by René Fahrner

This section publishes articles covering all aspects of visceral surgery and general surgeries not covered by other sections. Submissions can cover training, practice and basic research. Randomized controlled trials are particularly encouraged.

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  1. Content type: Research article

    Simulation in laparoscopic surgery is nowadays recognized as a valid instrument for learning and training surgeons in different procedures. However, its role as evaluation test and self-assessment tool to veri...

    Authors: Paolo Mannella, Elisa Malacarne, Andrea Giannini, Eleonora Russo, Marta Caretto, Francesca Papini, Maria Magdalena Montt Guevara, Federica Pancetti and Tommaso Simoncini

    Citation: BMC Surgery 2019 19:146

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  2. Content type: Research article

    It has been widely accepted that video-assisted thoracoscopic surgery (VATS) lobectomy is superior to conventional open thoracotomy lobectomy in many aspects. However, the direct comparison between VATS and Mu...

    Authors: Zihuai Wang, Long Pang, Jiexi Tang, Jiahan Cheng, Nan Chen, Jian Zhou and Lunxu Liu

    Citation: BMC Surgery 2019 19:144

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  3. Content type: Research article

    The global increase in elderly populations is accompanied by an increasing number of candidates for esophagectomy. Here we aimed to determine the postoperative outcomes after subtotal esophagectomy in elderly ...

    Authors: Mitsuro Kanda, Masahiko Koike, Chie Tanaka, Daisuke Kobayashi, Masamichi Hayashi, Suguru Yamada, Goro Nakayama, Kenji Omae and Yasuhiro Kodera

    Citation: BMC Surgery 2019 19:143

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  4. Content type: Research article

    The outcomes in patients with pancreatic or ampulla tumors remain unsatisfactory, especially with invasion into the hepatic artery (HA) or the superior mesenteric artery (SMA). In this setting, pancreatectomy ...

    Authors: Qiyi Zhang, Jingjin Wu, Yang Tian, Jixuan Duan, Yi Shao, Sheng Yan and Weilin Wang

    Citation: BMC Surgery 2019 19:141

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  5. Content type: Research article

    Chronic pancreatitis is a progressive and persistent inflammatory disease resulting in pancreatic insufficiency leading to diabetes and steatorrhea. Abdominal pain is the most debilitating feature and is often...

    Authors: Dhruba Narayan Sah, Ramesh Singh Bhandari, Yogendra Prasad Singh, Pradeep Vaidya, Prasan B. S. Kansakar, Bikal Ghimire, Bishnu Kandel, Jayant Kumar Sah and Paleswan Joshi Lakhey

    Citation: BMC Surgery 2019 19:139

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  6. Content type: Research article

    Colorectal cancer is common in elderly patients. Laparoscopy is widely used to approach this kind of disease. This study was to examine short-term outcomes and long-term survival for laparoscopic and open surg...

    Authors: Sicheng Zhou, Xuewei Wang, Chuanduo Zhao, Qian Liu, Haitao Zhou, Zhaoxu Zheng, Zhixiang Zhou, Xishan Wang and Jianwei Liang

    Citation: BMC Surgery 2019 19:137

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  7. Content type: Research article

    Tumoral calcinosis (TC) is a rare disease derived from uremic secondary hyperparathyroidism (SHPT). However, parathyroidectomy (PTX) seems to be ineffective at relieving TC in some patients. In this study, we ...

    Authors: Jing Wang, Ming Zeng, Guang Yang, Yaoyu Huang, Buyun Wu, Jing Guo, Ningning Wang and Changying Xing

    Citation: BMC Surgery 2019 19:133

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  8. Content type: Research article

    The use of surgical metal clips is crucial for ligating vessels in various operations. The currently available metal clips have several drawbacks; they are permanent and interfere with imaging techniques such ...

    Authors: Takeshi Urade, Toshihiko Yoshida, Naoko Ikeo, Kosuke Naka, Masahiro Kido, Hirochika Toyama, Kimihiko Ueno, Motofumi Tanaka, Toshiji Mukai and Takumi Fukumoto

    Citation: BMC Surgery 2019 19:130

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  9. Content type: Research article

    In recent years, the clinical evidence of the controlling nutritional status (CONUT) score has increased in patients with gastrointestinal cancers. The purpose of this systematic review and meta-analysis was t...

    Authors: Kosei Takagi, Piotr Domagala, Wojciech G. Polak, Stefan Buettner, Bas P. L. Wijnhoven and Jan N. M. Ijzermans

    Citation: BMC Surgery 2019 19:129

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  10. Content type: Study protocol

    There is increasing evidence of weight regain in patients after bariatric surgery (BS), generally occurring from 12 to 24 months postoperatively. Postoperative exercise has been suggested to ad long-term weigh...

    Authors: Emilio Villa-González, Yaira Barranco-Ruiz, Manuel A. Rodríguez-Pérez, Alejandro Carretero-Ruiz, José María García-Martínez, Alba Hernández-Martínez, María José Torrente-Sánchez, Manuel Ferrer-Márquez, Alberto Soriano-Maldonado and Enrique G. Artero

    Citation: BMC Surgery 2019 19:127

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  11. Content type: Study protocol

    Perioperative care in colorectal surgery is systematically defined in the Enhanced Recovery After Surgery (ERAS) protocol. The ERAS protocol improves perioperative care in a multimodal way to enhance early and...

    Authors: A. Rauwerdink, M. Jansen, C. A. J. M. de Borgie, W. A. Bemelman, F. Daams, M. P. Schijven and C. J. Buskens

    Citation: BMC Surgery 2019 19:125

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  12. Content type: Research article

    By comparing the long-term prognostic outcomes after pancreaticoduodenectomy (PD) and limited resection (LR), this study aimed to investigate the optimal surgical modality for duodenal gastrointestinal stromal...

    Authors: Zefeng Shen, Ping Chen, Nannan Du, Parishit A. Khadaroo, Danyi Mao and Lihu Gu

    Citation: BMC Surgery 2019 19:121

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  13. Content type: Debate

    As it may be argued that many surgical interventions provide obvious patient benefits, formal, staged assessment of the efficacy and safety of surgical procedures has historically been and remains uncommon. Th...

    Authors: Derek J. Roberts, David A. Zygun, Chad G. Ball, Andrew W. Kirkpatrick, Peter D. Faris, Matthew T. James, Kelly J. Mrklas, Brenda D. Hemmelgarn, Braden Manns and Henry T. Stelfox

    Citation: BMC Surgery 2019 19:119

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  14. Content type: Research article

    In theory, proximal gastrectomy with double-tract reconstruction (PG-DT) was superior to total gastrectomy (TG) in hematologic and nutritional outcomes. However, its clinical effects in proximal early gastric ...

    Authors: Shengnan Li, Lihu Gu, Zefeng Shen, Danyi Mao, Parikshit A. Khadaroo and Hui Su

    Citation: BMC Surgery 2019 19:117

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  15. Content type: Research article

    The European Consensus 2018 established a new algorithm with absolute and relative criteria for intraductal papillary mucinous neoplasms of the pancreas (IPMN) management. The aim of this study was to validate...

    Authors: Etienne Buscail, Thomas Cauvin, Benjamin Fernandez, Camille Buscail, Marion Marty, Bruno Lapuyade, Clément Subtil, Jean-Philippe Adam, Véronique Vendrely, Sandrine Dabernat, Christophe Laurent and Laurence Chiche

    Citation: BMC Surgery 2019 19:115

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  16. Content type: Research article

    In gastrectomy, postoperative elevation of C-reactive protein (CRP) is thought to be useful for predicting complications. Laparoscopic gastrectomy (LG) is less invasive than laparotomy and the elevation of CRP...

    Authors: Hiroaki Tanaka, Tatsuro Tamura, Takahiro Toyokawa, Kazuya Muguruma, Naoshi Kubo, Katsunobu Sakurai and Masaichi Ohira

    Citation: BMC Surgery 2019 19:114

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  17. Content type: Research article

    Many surgeons report passion for their work, but not all tasks are likely to be satisfying. Little is known about how hospital surgeons spend their days, how they like specific tasks, and the role of core task...

    Authors: Eliane Holzer, Franziska Tschan, Maria U. Kottwitz, Guido Beldi, Adrian P. Businger and Norbert K. Semmer

    Citation: BMC Surgery 2019 19:112

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  18. Content type: Research article

    Appendectomy is considered the first treatment choice for appendicitis. However, controversy exists since conservative therapy is associated with fewer complications than appendectomy for patients with acute a...

    Authors: Zhengyang Yang, Feng Sun, Shichao Ai, Jiafeng Wang, Wenxian Guan and Song Liu

    Citation: BMC Surgery 2019 19:110

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  19. Content type: Research article

    We aimed to determine the impact of surgical experience and frequency of practice on perioperative morbidity and mortality in pancreatic surgery.

    Authors: Christian Krautz, Elisabeth Haase, Moustafa Elshafei, Hans-Detlev Saeger, Marius Distler, Robert Grützmann and Georg F. Weber

    Citation: BMC Surgery 2019 19:108

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  20. Content type: Research article

    The aim of this study was to investigate the influence of patients’ age on postoperative morbidities including pneumonia.

    Authors: Chikashi Shibata, Hitoshi Ogawa, Toru Nakano, Kaori Koyama, Kuniharu Yamamoto, Munenori Nagao, Daisuke Takeyama, Kazuhiro Takami, Akihiro Yasumoto, Tomohiko Sase, Shun-ichi Kimura, Kentaro Sawada and Yu Katayose

    Citation: BMC Surgery 2019 19:106

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  21. Content type: Research article

    There is currently no established standard tissue sampling method for hypopharyngeal cancer. The present study aimed to evaluate the feasibility of esophagogastroduodenoscopy (EGD) for the pretreatment evaluat...

    Authors: Hyun Jun Hong, Seok-Hoo Jeong, Won Shik Kim and Yu Jin Kim

    Citation: BMC Surgery 2019 19:105

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  22. Content type: Research article

    Recurrence after incisional hernia repair is one of the major problems related with this operation. Our objective is to analyze the influence of abdominal wall surgery expertise in the results of the open elec...

    Authors: J. A. Pereira, A. Bravo-Salva, B. Montcusí, S. Pérez-Farre, L. Fresno de Prado and M. López-Cano

    Citation: BMC Surgery 2019 19:103

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  23. Content type: Research article

    In this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy.

    Authors: Chunlei Fan, Xin Zhou, Guoqiang Su, Yanming Zhou, Jingjun Su, Mingxu Luo and Hui Li

    Citation: BMC Surgery 2019 19:98

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  24. Content type: Technical advance

    Surgical robots are increasingly being used in bariatric surgery. While several studies describe the safety of using barbed sutures in laparoscopic gastric bypass surgery, no reports are available for robotic ...

    Authors: Jan Henrik Beckmann, Jan-Niclas Kersebaum, Witigo von Schönfels, Thomas Becker, Clemens Schafmayer and Jan Hendrik Egberts

    Citation: BMC Surgery 2019 19:97

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  25. Content type: Research article

    The coexistence of hyperparathyroidism and thyroid cancer presents important diagnostic and management challenges. With minimally invasive parathyroid surgery trending, preoperative thyroid imaging becomes mor...

    Authors: Cristina Preda, Dumitru Branisteanu, Ioana Armasu, Radu Danila, Cristian Velicescu, Delia Ciobanu, Adrian Covic and Alexandru Grigorovici

    Citation: BMC Surgery 2019 19:94

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  26. Content type: Research article

    This study assessed clinical outcomes, including safety and recurrence, from the two-year follow-up of patients who underwent open ventral primary hernia repair with the use of the Parietex™ Composite Ventral ...

    Authors: F. Berrevoet, C. Doerhoff, F. Muysoms, S. Hopson, M. G. Muzi, S. Nienhuijs, E. Kullman, T. Tollens, M. Schwartz, K. Leblanc, V. Velanovich and L. N. Jørgensen

    Citation: BMC Surgery 2019 19:93

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  27. Content type: Research article

    The accuracy of deep brain stimulation (DBS) depends on precise electrode positioning, which has been pursued for ideal treatment outcomes. As a critical component of DBS, the fixation performance of lead anch...

    Authors: Tao Wang, Yixin Pan, Chencheng Zhang, Shikun Zhan, Bomin Sun and Dianyou Li

    Citation: BMC Surgery 2019 19:92

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  28. Content type: Research article

    The use of laparoscopic surgery has become widespread, and many surgeons are striving to acquire the necessary techniques for it. The Endoscopic Surgical Skill Qualification System (ESSQS), established by the ...

    Authors: Shota Aoyama, Yuji Inoue, Takeshi Ohki, Michio Itabashi and Masakazu Yamamoto

    Citation: BMC Surgery 2019 19:90

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  29. Content type: Research article

    Despite total thyroidectomy (TT) is the most practiced procedure for a preoperatively diagnosed neoplastic lesion, according to the ATA guidelines, many surgeons perform completion thyroidectomy (CT) after hem...

    Authors: Giuseppe Sena, Gaetano Gallo, Nadia Innaro, Noemi Laquatra, Martina Tolone, Rosario Sacco and Giuseppe Sammarco

    Citation: BMC Surgery 2019 19:87

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  30. Content type: Research article

    Robotic-assisted surgery, a developed technology, is becoming more and more accepted by surgeons. However, the comparison between robotic-assisted total gastrectomy (RATG) and conventional laparoscopy-assisted...

    Authors: Shan-ping Ye, Jun Shi, Dong-ning Liu, Qun-guang Jiang, Xiong Lei, Hua Qiu and Tai-yuan Li

    Citation: BMC Surgery 2019 19:86

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  31. Content type: Research article

    Enterovesical fistula (EVF) is a abnormal connection between the intestine and the bladder. The aim of the study was to analyze whether closure of the defect in the bladder wall during surgery is always necess...

    Authors: Ł. Dziki, M. Włodarczyk, A. Sobolewska-Włodarczyk, M. Mik, R. Trzciński, A. G. Hill and A. Dziki

    Citation: BMC Surgery 2019 19:85

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  32. Content type: Research article

    Although pancreaticoduodenectomy with vein resection (PDVR) is widely performed in selected patients with indications, its benefits remain controversial. In this meta-analysis, we evaluate the safety and effic...

    Authors: Cheng Peng, Di Zhou, Lingjun Meng, Yanlong Cao, Hanwen Zhang, Zheng Pan and Chao Lin

    Citation: BMC Surgery 2019 19:84

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  33. Content type: Research article

    An open abdomen is often necessary for survival of patients after peritonitis, compartment syndrome, or in damage control surgery. However, abdominal wall retraction relieves delays and complicates abdominal w...

    Authors: Roman Eickhoff, Maria Guschlbauer, Alexandra C. Maul, Christian D. Klink, Ulf P. Neumann, Michael Engel, Martin Hellmich, Anja Sterner-Kock and Christian F. Krieglstein

    Citation: BMC Surgery 2019 19:82

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  34. Content type: Research article

    Aim of this study was to evaluate functional outcomes of transanal total mesorectal excision (TaTME) in comparison to conventional laparoscopic approach (LaTME) in terms of low anterior resection syndrome (LARS).

    Authors: Mateusz Rubinkiewicz, Piotr Zarzycki, Jan Witowski, Magdalena Pisarska, Natalia Gajewska, Grzegorz Torbicz, Michał Nowakowski, Piotr Major, Andrzej Budzyński and Michał Pędziwiatr

    Citation: BMC Surgery 2019 19:79

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  35. Content type: Research article

    Whether or not to perform prophylactic central lymph node dissection (CLND) in the case of clinically node-negative papillary thyroid cancer (PTC) is controversial. The purpose of this study was to investigate...

    Authors: Young Jae Ryu, Jin Seong Cho, Min Ho Park and Jung Han Yoon

    Citation: BMC Surgery 2019 19:78

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  36. Content type: Research article

    To establish a scoring model for the risk of postoperative pancreatic fistula (POPF) following pancreatoduodenectomy (PD).

    Authors: Guo Xingjun, Zhu Feng, Yang Meiwen, Jiang Jianxin, He Zheng, Gao Jun, Huang Tao, Zhao Rui, Zhang Leida, Wang Min and Qin Renyi

    Citation: BMC Surgery 2019 19:75

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  37. Content type: Technical advance

    Several studies have demonstrated a direct correlation between lymph node yield and survival after colectomy for cancer. Complete mesocolic excision (CME) in right colectomy (RC) reduces local recurrence but i...

    Authors: Jan Schulte am Esch, Sergio-I. Iosivan, Fabian Steinfurth, Ammar Mahdi, Christine Förster, Ludwig Wilkens, Alaa Nasser, Hülya Sarikaya, Tahar Benhidjeb and Martin Krüger

    Citation: BMC Surgery 2019 19:72

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  38. Content type: Research article

    Dementia often adversely affects postoperative outcomes in surgical patients. This study evaluated postoperative outcomes among elderly patients with and without dementia undergoing early cholecystectomy for a...

    Authors: Yasunori Nishida, Noriaki Otagiri, Seijiro Yoshifuku, Kenji Misawa, Kenju Ko, Kotaro Sasahara, Hirofumi Kishimoto, Osamu Mishima and Katsunori Tauchi

    Citation: BMC Surgery 2019 19:71

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  39. Content type: Case report

    Jejunal diverticula are the rarest of all small bowel diverticula. Most patients with jejunal diverticula are asymptomatic. Major complications include diverticulitis, gastrointestinal hemorrhage, intestinal o...

    Authors: Tagleb S. Mazahreh, Abdelwahab J. Aleshawi, Mohammed S. Alorjani, Rasheed Elayyan and Nabil A. Al-Zoubi

    Citation: BMC Surgery 2019 19:70

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  40. Content type: Research article

    The abdomen is one of the most commonly injured regions in trauma patients. Abdominal injury surgeries are common in Tanzania and in many parts of the world.

    Authors: Shilanaiman Hilary Ntundu, Ayesiga M. Herman, Alfred Kishe, Heri Babu, Ola F. Jahanpour, David Msuya, Samuel G. Chugulu and Kondo Chilonga

    Citation: BMC Surgery 2019 19:69

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  41. Content type: Research article

    Clarifying the biomechanics of abdominal skin could lead to different uses for this tissue such as the ventral repair of hernias in patients with excess skin and incisional hernias. The objective of this study...

    Authors: Guilherme Barreiro, Vinícius S. de Lima and Leandro T. Cavazzola

    Citation: BMC Surgery 2019 19:68

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  42. Content type: Research article

    The postoperative and survival outcomes of patients with primary advanced colorectal cancer who undergo partial versus total cystectomy have not been adequately compared, as studies of this topic are rare and ...

    Authors: Akihiro Kondo, Takeshi Sasaki, Daichi Kitaguchi, Yuichiro Tsukada, Yuji Nishizawa and Masaaki Ito

    Citation: BMC Surgery 2019 19:63

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  43. Content type: Research article

    Retroperitoneal sarcomas (RPS) include a heterogeneous group of rare malignant tumours, and various treatment algorithms are still controversially discussed until today. The present study aimed to examine post...

    Authors: Thomas Malinka, Maxim Nebrig, Fritz Klein, Johann Pratschke, Marcus Bahra and Andreas Andreou

    Citation: BMC Surgery 2019 19:61

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  44. Content type: Study protocol

    Extended liver resections still bear the risk of severe haemorrhage. Moreover, the amount of blood loss during liver resection determines the need for perioperative blood transfusions and is of prognostic rele...

    Authors: Philipp Houben, Ulf Hinz, Phillip Knebel, Markus K. Diener, Arianeb Mehrabi and Peter Schemmer

    Citation: BMC Surgery 2019 19:60

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