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Visceral and general surgery

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. Percutaneous transhepatic gallbladder drainage (PTGBD) is indicated for patients with acute cholecystitis (AC) who are not indicated for urgent surgery, but external tubes reduce quality of life (QOL) while wa...

    Authors: Fumihiro Kawano, Ryuji Yoshioka, Yu Gyoda, Hirofumi Ichida, Tomoya Mizuno, Shigeto Ishii, Toshio Fujisawa, Hiroshi Imamura, Yoshihiro Mise, Hiroyuki Isayama and Akio Saiura

    Citation: BMC Surgery 2021 21:184

    Content type: Research article

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  2. Misdiagnosis or failure to intraoperatively detect occult hernia in the inguinal region can lead to the recurrence of postoperative hernia and the appearance of local pain symptoms, which affect the patient’s ...

    Authors: Jun He, Ying-jie Xu, Peng Sun, Jue Wang and Cheng-guang Yang

    Citation: BMC Surgery 2021 21:182

    Content type: Research article

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  3. COVID-19 pandemic has impacted the Italian National Health Care system at many different levels, causing a complete reorganization of surgical wards. In this context, our study retrospectively analysed the man...

    Authors: Matteo Barabino, Gaetano Piccolo, Arianna Trizzino, Veronica Fedele, Carlo Ferrari, Vincenzo Nicastro, Andrea Pisani Ceretti, Enrico De Nicola, Nicolò Maria Mariani, Marco Giovenzana, Giovanna Scifo, Massimiliano Mazza, Ruggero Vercelli, Roberto Santambrogio, Carmelo Luigiano and Enrico Opocher

    Citation: BMC Surgery 2021 21:180

    Content type: Research article

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  4. The inflammation indexes in blood routine play an essential role in evaluating the prognosis of patients with hepatocellular carcinoma, but the effect on early recurrence has not been clarified. The study aime...

    Authors: YiFeng Wu, ChaoYong Tu and ChuXiao Shao

    Citation: BMC Surgery 2021 21:178

    Content type: Research article

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  5. Postoperative nausea and vomiting (PONV) and postoperative pain (POP) are most commonly experienced in the early hours after surgery. Many studies have reported high rates of PONV and POP, and have identified ...

    Authors: Reem M. Elsaid, Ashraqat S. Namrouti, Ahmad M. Samara, Wael Sadaqa and Sa’ed H. Zyoud

    Citation: BMC Surgery 2021 21:177

    Content type: Research article

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  6. Lymph node metastasis (LNM) plays a vital role in the determination of clinical outcomes in patients with gastric neuroendocrine tumor (G-NET). Preoperative identification of LNM is helpful for intraoperative ...

    Authors: Xianghui Li, Lihua Shao, Xiaofeng Lu, Zhengyang Yang, Shichao Ai, Feng Sun, Meng Wang, Wenxian Guan and Song Liu

    Citation: BMC Surgery 2021 21:174

    Content type: Research article

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  7. Risks for living-liver donors are lower in case of a left liver donation, however, due to lower graft volume, the risk for small-for-size situations in the recipients increases. This study aims to prevent smal...

    Authors: Stefan M. Brunner, Frank W. Brennfleck, Henrik Junger, Jirka Grosse, Birgit Knoppke, Edward K. Geissler, Michael Melter and Hans J. Schlitt

    Citation: BMC Surgery 2021 21:166

    Content type: Case report

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  8. This study aimed to identify socioeconomic predictors of permanent stoma in rectal cancer treatment and examine its association with length of stay at the treatment facility.

    Authors: Riccardo Lemini, Iktej S. Jabbal, Krystof Stanek, Shalmali R. Borkar, Aaron C. Spaulding, Scott R. Kelley and Dorin T. Colibaseanu

    Citation: BMC Surgery 2021 21:163

    Content type: Research article

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  9. Neoadjuvant chemotherapy (NAC) has been the standard treatment for locally advanced breast cancer for the purpose of downstaging or for conversion from mastectomy to breast conservation surgery (BCS). Locoregi...

    Authors: Hsu-Huan Chou, Wei-Shan Chung, Rong-Yao Ding, Wen-Ling Kuo, Chi-Chang Yu, Hsiu-Pei Tsai, Shih-Che Shen, Chia-Hui Chu, Yung-Feng Lo and Shin-Cheh Chen

    Citation: BMC Surgery 2021 21:160

    Content type: Research article

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  10. Laparoscopic paraesophageal hernia repair is associated with higher recurrence rate. Mesh is used to reduce the recurrence rate. This retrospective study is to review our experience of biological mesh fixed wi...

    Authors: Yusheng Nie, Yao Xiong, Lei Guan, Xin Yuan, Fuqiang Chen, Jie Chen and Huiqi Yang

    Citation: BMC Surgery 2021 21:158

    Content type: Research article

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  11. Temporary stomas have been widely used to avoid the risk of complications such as anastomotic leakage after colorectal resection. Stoma closure is relatively easy; however, postoperative surgical site infectio...

    Authors: Yoshinori Yane, Jin-ichi Hida, Yusuke Makutani, Hokuto Ushijima, Yasumasa Yoshioka, Masayoshi Iwamoto, Toshiaki Wada, Koji Daito, Tadao Tokoro, Kazuki Ueda and Junichiro Kawamura

    Citation: BMC Surgery 2021 21:157

    Content type: Technical advance

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  12. Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in ...

    Authors: Jesús Martínez-Hoed, Katherine Cordero-Bermúdez, Providencia García-Pastor, Salvador Pous-Serrano and José A. Ortiz-Cubero

    Citation: BMC Surgery 2021 21:152

    Content type: Research article

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  13. Our aim is to determine the relationships among patient demographics, patient history, surgical experience, and conversion rate (CR) during elective laparoscopic cholecystectomies (LCs).

    Authors: Szabolcs Ábrahám, Tibor Németh, Ria Benkő, Mária Matuz, Dániel Váczi, Illés Tóth, Aurél Ottlakán, László Andrási, János Tajti., Viktor Kovács, József Pieler, László Libor, Attila Paszt, Zsolt Simonka and György Lázár

    Citation: BMC Surgery 2021 21:151

    Content type: Research article

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  14. Bridge to elective surgery (BTS) using self-expanding metal stents (SEMSs) is a common alternative to emergency surgery (ES) for acute malignant left-sided colonic obstruction (AMLCO). However, studies regardi...

    Authors: Yuepeng Cao, Qing Chen, Zhizhan Ni, Feng Wu, Chenshen Huang, Jinzhe Zhou, Songze Zhang, Bujun Ge and Qi Huang

    Citation: BMC Surgery 2021 21:148

    Content type: Research article

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  16. Hepatobiliary mucinous cystic neoplasms (H-MCNs) are relatively rare cystic neoplasms in the liver. The differential diagnosis of H-MCNs remains big challenging, and the management and prognosis between the he...

    Authors: Jiaqi Gao, Junhao Zheng, Jingwei Cai, Mubarak Ali Kirih, Junjie Xu, Liye Tao, Yuelong Liang, Xu Feng, Jing Fang and Xiao Liang

    Citation: BMC Surgery 2021 21:146

    Content type: Research article

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  17. Crohn’s disease (CD) recurrence can occur not only at the site of anastomosis but also elsewhere in the bowel following an ileocolic resection (ICR) procedure. The aims of the present study were to assess long...

    Authors: Hiroki Ikeuchi, Motoi Uchino, Toshihiro Bando, Yuki Horio, Ryuichi Kuwahara, Tomohiro Minagawa, Yoshiko Goto, Kurando Kusunoki, Masataka Ikeda, Naohito Beppu and Yoshio Takesue

    Citation: BMC Surgery 2021 21:145

    Content type: Research article

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  18. There is a general agreement upon the importance of acquiring laparoscopic skills outside the operation room through simulation-based training. However, high-fidelity simulators are cost-prohibitive and elicit...

    Authors: Benjamin De Witte, Charles Barnouin, Richard Moreau, Arnaud Lelevé, Xavier Martin, Christian Collet and Nady Hoyek

    Citation: BMC Surgery 2021 21:139

    Content type: Research article

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  19. To analyze whether neoadjuvant chemoradiotherapy (nCRT) could improve the survival for patients with adenocarcinoma of the esophagogastric junction compared with neoadjuvant chemotherapy (nCT). Both neoadjuvan...

    Authors: Jing Li, Qun Zhao, Xueke Ge, Yuzhi Song, Yuan Tian, Shuoshuo Wang, Ming Liu and Xueying Qiao

    Citation: BMC Surgery 2021 21:137

    Content type: Research article

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  20. The best treatment for perforated colonic diverticulitis with generalized peritonitis is still under debate. Concurrent strategies are resection with primary anastomosis (PRA) with or without diverting ileosto...

    Authors: Maximilian Sohn, Ayman Agha, Igors Iesalnieks, Felix Gundling, Jaroslav Presl, Alfred Hochrein, Dario Tartaglia, Antonio Brillantino, Alexander Perathoner, Johann Pratschke, Felix Aigner and Paul Ritschl

    Citation: BMC Surgery 2021 21:135

    Content type: Research article

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  21. Increasing rates of breast cancer screening have been associated with an increasing frequency of non-palpable breast lesions detection. Preoperative breast lesion localization is essential for optimizing excis...

    Authors: Isaac Kim, Hee Jun Choi, Jai Min Ryu, Se Kyung Lee, Jong Han Yu, Jeong Eon Lee, Seok Jin Nam, Hyuk Jai Shin and Seok Won Kim

    Citation: BMC Surgery 2021 21:134

    Content type: Research article

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  22. Coronavirus Disease 2019 is affecting most countries around the world, including Poland. In response, all elective surgeries have been postponed. We asked patients and surgeons when they want bariatric surgery...

    Authors: Alicja Dudek, Michał Wysocki, Maciej Walędziak, Jacek Szeliga, Monika Proczko-Stepaniak, Michał Pędziwiatr and Piotr Major

    Citation: BMC Surgery 2021 21:131

    Content type: Research article

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  24. Surgical training in the UK and Ireland has faced challenges following the implementation of the European Working Time Directive and postgraduate training reform. The health services are undergoing a digital t...

    Authors: Gemma Humm, Rhiannon L. Harries, Danail Stoyanov and Laurence B. Lovat

    Citation: BMC Surgery 2021 21:123

    Content type: Review

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  25. To investigate the readiness for hospital discharge of patients discharged with tubes from the department of hepatobiliary surgery and to explore the influencing factors.

    Authors: Jingyu Qian, Miaofang Qian, Yanyan Ren, Linyan Ye, Fangfang Qian, Linlin Jin, Lili Chen and Haixia Xu

    Citation: BMC Surgery 2021 21:121

    Content type: Research article

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  26. During March and April 2020, reductions in non-COVID-19 hospital admissions were observed around the world. Elective surgeries, visits with general practitioners, and diagnoses of medical emergencies were cons...

    Authors: Ibrahim Abu Shakra, Maxim Bez, Samer Ganam, Rola Francis, Amir Muati, Amitai Bickel, Fahed Merei, Ziv Talmi, Khatib Kamal and Eli Kakiashvili

    Citation: BMC Surgery 2021 21:119

    Content type: Research article

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  27. The first wave of the COVID-19 pandemic in March 2020 forced our healthcare system in the Bronx, New York to cancel nearly all scheduled surgeries. We developed a framework for prioritizing postponed urologic ...

    Authors: Ahmed Aboumohamed, Josh Gottlieb, Matthew DeMasi, Emily Barry, Alexander Sankin and Kara Watts

    Citation: BMC Surgery 2021 21:116

    Content type: Research article

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  28. There is limited evidence to clarify the specific relationship between preoperative estimated glomerular filtration rate (preop-eGFR) and postoperative 30-day mortality in Asian patients undergoing non-cardiac...

    Authors: Xueying Luo, Sujing Zheng, Baoer Liu, Liping Yang, Ya Li, Feng Li, Rui Gao, Haofei Hu and Jinsong He

    Citation: BMC Surgery 2021 21:114

    Content type: Research article

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  29. Cumulating evidence indicates that the systemic inflammatory response (SIR) plays a crucial role in the prognosis of various cancers. We aimed to generate a preoperative risk grade (PRG) by integrating SIR mar...

    Authors: Jianping Zhao, Yao Chen, Jingjing Wang, Jian Wang, Ying Wang, Songshan Chai, Yuxin Zhang, Xiaoping Chen and Wanguang Zhang

    Citation: BMC Surgery 2021 21:113

    Content type: Research article

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  31. Ductal adenocarcinoma of the pancreas (PDAC) remains one of the most lethal malignancies. To date, no guidelines exists for isolated resectable metachronous disease. It is still unknown, which patients may ben...

    Authors: S. A. Safi, N. Lehwald-Tywuschik, A. Rehders, G. Fluegen, L. Haeberle, V. Keitel and W. T. Knoefel

    Citation: BMC Surgery 2021 21:110

    Content type: Research article

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  32. Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The ...

    Authors: Weigang Gan, Ning Xiao, Yiyuan Feng, Danmei Zhou, Juanjuan Hu, Shixi Liu and Jian Zou

    Citation: BMC Surgery 2021 21:108

    Content type: Research article

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  33. Recent studies suggest red blood cell distribution width (RDW) was a prognostic factor in various types of cancer patients, although the results are controversial. The objective of this study was to investigat...

    Authors: Xingchen Li, Qichen Chen, Xinyu Bi, Jianjun Zhao, Zhiyu Li, Jianguo Zhou, Zhen Huang, Yefan Zhang, Rui Mao, Hong Zhao and Jianqiang Cai

    Citation: BMC Surgery 2021 21:105

    Content type: Research article

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  34. Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. There are no appropriate training systems available outside the operating room (OR). We developed a structu...

    Authors: Kenichi Oshiro, Kazuhiro Endo, Kazue Morishima, Yuji Kaneda, Masaru Koizumi, Hideki Sasanuma, Yasunaru Sakuma, Alan Kawarai Lefor and Naohiro Sata

    Citation: BMC Surgery 2021 21:102

    Content type: Technical advance

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  35. The importance of platelets in the pathogenesis of metastasis formation is increasingly recognized. Although evidence from epidemiologic studies suggests positive effects of aspirin on metastasis formation, th...

    Authors: E. Pretzsch, J. G. D’Haese, B. Renz, M. Ilmer, T. Schiergens, R. C. Miksch, M. Albertsmeier, M. Guba, M. K. Angele, J. Werner and H. Nieß

    Citation: BMC Surgery 2021 21:98

    Content type: Research article

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  37. Digitally designed surgical templates for minimally invasive temporomandibular joint (TMJ) surgery (MITMJS) are a promising tool for improving the safety of these procedures. Given the TMJ anatomy, the templat...

    Authors: Matthias Krause, Mohammad Kamal, Daniel Kruber, Dirk Halama, Thomas Hierl, Bernd Lethaus and Alexander K. Bartella

    Citation: BMC Surgery 2021 21:93

    Content type: Technical advance

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  38. The treatment of chronic pancreatitis requires a surgical approach in patients who are refractory to medical therapy. During surgical treatment, ductal decompression is required, but a pancreatectomy is necess...

    Authors: Kenta Saito, Yoichi Matsuo, Goro Ueda, Kan Omi, Yuichi Hayashi, Hiroyuki Imafuji, Ken Tsuboi, Mamoru Morimoto, Ryo Ogawa, Hiroki Takahashi, Itaru Naitoh, Kazuki Hayashi, Hiromi Kataoka and Shuji Takiguchi

    Citation: BMC Surgery 2021 21:91

    Content type: Technical advance

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  41. The gut microbiota (GM) has been proposed as one of the main determinants of colorectal surgery complications and theorized as the “missing factor” that could explain still poorly understood complications. Her...

    Authors: Annamaria Agnes, Caterina Puccioni, Domenico D’Ugo, Antonio Gasbarrini, Alberto Biondi and Roberto Persiani

    Citation: BMC Surgery 2021 21:83

    Content type: Review

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  42. In recent years, natural orifice specimen extraction surgery (NOSES) has become a field of special interest for colorectal surgeons. Some researchers have reported transanal specimen extraction in the laparosc...

    Authors: Si Yu, Yong Ji, Tedong Luo, Pengjie Xu, Zuojun Zhen and Jianzhong Deng

    Citation: BMC Surgery 2021 21:82

    Content type: Research article

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  43. The prognostic value of external vs internal pancreatic duct stents after pancreaticoduodenectomy remains controversial. This study aimed to evaluate the benefits of external and internal stents using the Fist...

    Authors: Yuancong Jiang, Qin Chen, Yi Shao, Zhenzhen Gao, Ming Jin, Bingqiang Gao, Bo Zhou and Sheng Yan

    Citation: BMC Surgery 2021 21:81

    Content type: Research article

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  44. The radical antegrade modular pancreatosplenectomy (RAMPS) which is a reasonable surgical approach for left-sided pancreatic cancer is emphasis on the complete resection of regional lymph nodes and tumor-free ...

    Authors: Ren-Chao Zhang, Xin-Jun Gan, Wei Song, Song-Tao Shi, Hui-Fang Yu and Yi-Ping Mou

    Citation: BMC Surgery 2021 21:78

    Content type: Research article

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  45. We compared the advantages and disadvantages of modified triangular anastomosis and tubular anastomosis for digestive tract reconstruction in patients undergoing laparoscopic-assisted radical resection of righ...

    Authors: Tianfang Xia, Zhenguo Pan, Jie Zhang and Guo Xu

    Citation: BMC Surgery 2021 21:77

    Content type: Research article

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  46. Intestinal failure (IF) is a rare but severe form of organ failure. The condition is defined as body’s inability to absorb adequate fluids, macronutrients and minerals for growth and development, so that intra...

    Authors: Kiarash Ashrafzadeh, Mojtaba Shafiekhani, Nazanin Azadeh, Maryam Esmaeili and Hamed Nikoupour

    Citation: BMC Surgery 2021 21:73

    Content type: Case report

    Published on:

  47. Most hepatocellular carcinoma (HCC) patients’ liver function indexes are abnormal. We aimed to investigate the relationship between (alkaline phosphatase + gamma-glutamyl transpeptidase)/lymphocyte ratio (AGLR...

    Authors: Yan Liao, Rongyu Wei, Renzhi Yao, Liling Qin, Jun Li, Junxiong Yu and Weijia Liao

    Citation: BMC Surgery 2021 21:72

    Content type: Research article

    Published on:

  48. The present study aims to assess the preliminary outcomes of the effectiveness of wrapping the ligamentum teres hepatis (LTH) around the gastroduodenal artery stump for the prevention of erosion hemorrhage aft...

    Authors: Lingwei Meng, He Cai, Yunqiang Cai, Yongbin Li and Bing Peng

    Citation: BMC Surgery 2021 21:70

    Content type: Research article

    Published on:

  49. Congenital primary inguinal hernia is a common condition among children. Although much literature regarding inguinal hernia is available, large scale analysis are few, and rarely do they expand on gender diffe...

    Authors: Kai Wang, Sarah Siyin Tan, Yue Xiao, Zengmeng Wang, Chunhui Peng, Wenbo Pang, Dongyang Wu and Yajun Chen

    Citation: BMC Surgery 2021 21:67

    Content type: Research article

    Published on:

  50. Perianal/perineal rhabdomyosarcomas (PRMS) are easily misdiagnosed soft tissue tumours with a poor prognosis. This study was designed to analyze the clinical, diagnostic, pathological and prognostic features o...

    Authors: Yaoyu Guo, Bang Hu, Dandan Huang, Xinhua Wang, Juan Li, Di Zhang, Xueying Li, Gong Chen and Donglin Ren

    Citation: BMC Surgery 2021 21:66

    Content type: Research article

    Published on:

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