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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

    During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, there...

    Authors: Umberto Bracale, Jacopo Andreuccetti, Maurizio Sodo, Giovanni Merola and Giusto Pignata

    Citation: BMC Surgery 2018 18:75

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  2. Content type: Research article

    Laparoscopic metabolic surgery has been previously shown to be an effective treatment for obese patients with type 2 diabetes (T2DM). The objective of this scoping review is to determine the impact of metaboli...

    Authors: Zhiyong Dong, Sheikh Mohammed Shariful Islam, Ashley M. Yu, Rui Qu, Bingsheng Guan, Junchang Zhang, Zhao Hong and Cunchuang Wang

    Citation: BMC Surgery 2018 18:73

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  3. Content type: Research article

    Primary antireflux surgery has high success rates but 5 to 20% of patients undergoing antireflux operations can experience recurrent reflux and dysphagia, requiring reoperation. Different surgical approaches a...

    Authors: Apostolos Analatos, Mats Lindblad, Ioannis Rouvelas, Peter Elbe, Lars Lundell, Magnus Nilsson, Andrianos Tsekrekos and Jon A. Tsai

    Citation: BMC Surgery 2018 18:70

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  5. Content type: Research article

    Epidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitat...

    Authors: Mehmet Bayrak and Yasemin Altıntas

    Citation: BMC Surgery 2018 18:65

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  6. Content type: Research article

    No consensus exists regarding the best reconstruction style after total gastrectomy (TG). Roux-en-Y oesophagojejunostomy is a simple option for gastrointestinal tract reconstruction. Recently, jejunal pouch re...

    Authors: Wei Chen, Xumian Jiang, Hui Huang, Zao Ding and Chihua Li

    Citation: BMC Surgery 2018 18:63

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    The Correction to this article has been published in BMC Surgery 2018 18:72

  8. Content type: Research article

    Total colonic aganglionosis (TCA) is a rare variant of Hirschsprung’s disease occurring in 3–10% of the cases. Only few studies reported the long-term clinical and metabolic outcomes of patients with TCA. The ...

    Authors: Cristian Urla, Justus Lieber, Florian Obermayr, Andreas Busch, Roland Schweizer, Steven W. Warmann, Hans-Joachim Kirschner and Jörg Fuchs

    Citation: BMC Surgery 2018 18:58

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  9. Content type: Research article

    Distal cholangiocarcinoma (DCC) is a rare but over the last decade increasing malignancy and is associated with poor prognosis. According to the present knowledge curative surgery is the only chance for long t...

    Authors: Oliver Beetz, Michael Klein, Harald Schrem, Jill Gwiasda, Florian W. R. Vondran, Felix Oldhafer, Sebastian Cammann, Jürgen Klempnauer, Karl J. Oldhafer and Moritz Kleine

    Citation: BMC Surgery 2018 18:56

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  10. Content type: Research article

    Thyroid surgeries are among the most common operations performed in the world. Hypocalcemia following total thyroidectomy is a common complication that is sometimes difficult to correct. The aim of this study ...

    Authors: Vitalijus Eismontas, Algirdas Slepavicius, Vinsas Janusonis, Paulius Zeromskas, Virgilijus Beisa, Kestutis Strupas, Zilvinas Dambrauskas, Antanas Gulbinas and Arvydas Martinkenas

    Citation: BMC Surgery 2018 18:55

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  11. Content type: Research article

    Previous gastrectomy can lead to an increased incidence of cholecystocholedocholithiasis (CCL) and increased morbidity rate. However, the appropriate treatment strategy for patients with CCL and a history of g...

    Authors: Mingjie Zhang, Jianxin Zhang, Xu Sun, Jie Xu, Jing Zhu, Wenbin Yuan and Qiang Yan

    Citation: BMC Surgery 2018 18:54

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  12. Content type: Research article

    The optimal treatment of sleeve strictures has not been agreed upon at the current time. At our institution, we began using pneumatic balloon dilation to help resolve these obstructions in 2010. Herein we repo...

    Authors: Aneesh Shrihari Dhorepatil, Daniel Cottam, Amit Surve, Walter Medlin, Hinali Zaveri, Christina Richards and Austin Cottam

    Citation: BMC Surgery 2018 18:52

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  13. Content type: Research article

    Schwannomas of gastrointestinal tract are rare, mostly benign and notably different neoplasms from conventional schwannomas that arise in soft tissue or the central nervous system. These tumors are of clinical...

    Authors: Alexandros Mekras, Veit Krenn, Aristotelis Perrakis, Roland S Croner, Vasileios Kalles, Cem Atamer, Robert Grützmann and Nikolaos Vassos

    Citation: BMC Surgery 2018 18:47

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  14. Content type: Study protocol

    Minimally invasive incisional hernia repair has been established as a safe and efficient surgical option in most centres worldwide. Laparoscopic technique includes the placement of an intraperitoneal onlay mes...

    Authors: Aali J. Sheen, J. James Pilkington, Minas Baltatzis, Ahmed Tyurkylmaz, Panagiotis Stathakis, Saurabh Jamdar and Ajith K. Siriwardena

    Citation: BMC Surgery 2018 18:46

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  16. Content type: Research article

    The aim of this study was to analyze the experience of two surgeons who have different laparoscopic skills and case volume, with single-site robotic cholecystectomy (SSRC) and evaluate their learning curves.

    Authors: Mohamad Dughayli, Sergey Shimunov, Sherry Johnson and Fadi Baidoun

    Citation: BMC Surgery 2018 18:39

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  17. Content type: Research article

    Desmoid-type fibromatosis is a benign mesenchymal neoplastic process. It exhibits an uncertain growth pattern and high recurrence rate. Previously radical surgical resection was the mainstay of treatment, but ...

    Authors: S. D. Couto Netto, F. Teixeira, C. A. M. Menegozzo, H. M. Leão-Filho, A. Albertini, F. O. Ferreira, E. H. Akaishi and E. M. Utiyama

    Citation: BMC Surgery 2018 18:37

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  18. Content type: Research article

    The purpose of this research is to identify the bowel symptoms and self-care strategies for rectal cancer survivors during the recovery process following low anterior resection surgery.

    Authors: Lishi Yin, Ling Fan, Renfu Tan, Guangjing Yang, Fenglin Jiang, Chao Zhang, Jun Ma, Yang Yan, Yanhong Zou, Yaowen Zhang, Yamei Wang and Guifang Zhang

    Citation: BMC Surgery 2018 18:35

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  19. Content type: Research article

    Following injection sclerotherapy using ALTA (aluminum potassium sulfate and tannic acid) (ALTAS) and transanal rectocele repair (TAR), changes in anorectal physiology were analyzed to compare the significance...

    Authors: Joo Hyung Kim, Yong Pyo Lee and Kwang Wook Suh

    Citation: BMC Surgery 2018 18:34

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  21. Content type: Study protocol

    A significant number of patients who undergo a standard inguinal hernia repair or a Pfannenstiel incision develop chronic (> 3 months) post-surgical inguinal pain (PSIP) due to nerve entrapment. If medication ...

    Authors: Frederique M. U. Mol, Rudi M. Roumen and Marc R. Scheltinga

    Citation: BMC Surgery 2018 18:18

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  22. Content type: Research article

    Regardless of developments in thoracoscopic esophagectomy (TE), postoperative complications relative to gastric conduit reconstruction are common after esophagectomy. The aim of the present study was to evalua...

    Authors: Shinichiro Kobayashi, Kengo Kanetaka, Yasuhiro Nagata, Masahiko Nakayama, Ryo Matsumoto, Mitsuhisa Takatsuki and Susumu Eguchi

    Citation: BMC Surgery 2018 18:15

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  23. Content type: Research article

    Pylorotomy and pyloroplasty in thoracoabdominal esophagectomy are routinely performed in many high-volume centers to prevent delayed gastric emptying (DGE) due to truncal vagotomy. Currently, controversy remai...

    Authors: Stefan Fritz, Katharina Feilhauer, André Schaudt, Hansjörg Killguss, Eduard Esianu, René Hennig and Jörg Köninger

    Citation: BMC Surgery 2018 18:13

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  24. Content type: Research article

    For early detection of cancer, we have previously developed the AminoIndex Cancer Screening (AICS) system, which quantifies 6 plasma-free amino acids (PFAAs) in blood samples. Herein, we examined the usefulnes...

    Authors: Kayoko Katayama, Akio Higuchi, Hiroshi Yamamoto, Atsuko Ikeda, Shinya Kikuchi and Manabu Shiozawa

    Citation: BMC Surgery 2018 18:11

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  26. Content type: Research article

    Laparoscopic adrenalectomy is considered the gold standard technique for the treatment of benign small and medium size adrenal masses (<6 cm), due to low morbidity rate, short hospitalization and patient rapid...

    Authors: Giovanni Conzo, Claudio Gambardella, Giancarlo Candela, Alessandro Sanguinetti, Andrea Polistena, Guglielmo Clarizia, Renato Patrone, Francesco Di Capua, Chiara Offi, Mario Musella, Sergio Iorio, Giseppe Bellastella, Daniela Pasquali, Annamaria De Bellis, Antonio Sinisi and Nicola Avenia

    Citation: BMC Surgery 2018 18:2

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  27. Content type: Research article

    Enhanced Recovery After Surgery Programs (ERP) includes multimodal approaches of perioperative patient’s clinical pathways designed to achieve early recovery after surgery and a decreased length of hospital st...

    Authors: Eric Lambaudie, Alexandre de Nonneville, Clément Brun, Charlotte Laplane, Lam N’Guyen Duong, Jean-Marie Boher, Camille Jauffret, Guillaume Blache, Sophie Knight, Eric Cini, Gilles Houvenaeghel and Jean-Louis Blache

    Citation: BMC Surgery 2017 17:136

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  28. Content type: Research article

    Objectively measured levels of physical activity (PA) in patients undergoing Roux-en-Y Gastric Bypass (RYGB) surgery remain essentially unchanged from before to one year after surgery. Effects from RYGB on obj...

    Authors: Fanny Sellberg, Mikaela Willmer, Per Tynelius and Daniel Berglind

    Citation: BMC Surgery 2017 17:133

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  29. Content type: Research article

    Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors have maintained that there is no evidence to suppo...

    Authors: Ping Lu, Chien-Lung Chan, Nan-Ping Yang, Nien-Tzu Chang, Kai-Biao Lin and K. Robert Lai

    Citation: BMC Surgery 2017 17:130

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  30. Content type: Technical advance

    Insertion of a Totally Implantable Access Port (TIAP) can be performed either via Central Vein Puncture (CVP) or Brachiocephalic Vein Cut-down (venous section-VS). The primary success rate of TIAP implantation...

    Authors: Georgios Polychronidis, Roland Hennes, Cosima Engerer, Phillip Knebel, Daniel Schultze, Thomas Bruckner, Beat P. Müller-Stich and Lars Fischer

    Citation: BMC Surgery 2017 17:131

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  31. Content type: Research article

    Convalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms...

    Authors: Esther V. A. Bouwsma, Johannes R. Anema, A. Vonk Noordegraaf, Henrica C. W. de Vet and Judith A. F. Huirne

    Citation: BMC Surgery 2017 17:129

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  32. Content type: Research article

    Antimicrobial resistance may be promoted by divergent routines and lack of conformity in antibiotic treatment, especially regarding the practice of antibiotic prophylaxis. The aim of the present study was to a...

    Authors: Gona Jaafar, Bahman Darkahi, Lars Lindhagen, Gunnar Persson and Gabriel Sandblom

    Citation: BMC Surgery 2017 17:128

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  33. Content type: Research article

    The robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity.

    Authors: Ching-Wen Huang, Hsiang-Lin Tsai, Yung-Sung Yeh, Wei-Chih Su, Ming-Yii Huang, Chun-Ming Huang, Yu-Tang Chang and Jaw-Yuan Wang

    Citation: BMC Surgery 2017 17:126

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  34. Content type: Research article

    The purpose of this review was to identify the relationship between the gut microbiome and the development of postoperative complications like anastomotic leakage or a wound infection. Recent reviews focusing ...

    Authors: Ann-Kathrin Lederer, Przemyslaw Pisarski, Lampros Kousoulas, Stefan Fichtner-Feigl, Carolin Hess and Roman Huber

    Citation: BMC Surgery 2017 17:125

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  35. Content type: Research article

    The aim of this study is to evaluate the clinical value of a prophylactic minitracheostomy (PMT) in patients undergoing an esophagectomy for esophageal cancer and to clarify the indications for a PMT.

    Authors: Yayoi Sakatoku, Masahide Fukaya, Kazushi Miyata, Keita Itatsu and Masato Nagino

    Citation: BMC Surgery 2017 17:120

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  36. Content type: Research article

    Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden of emer...

    Authors: Christophe Mpirimbanyi, Alexandre Nyirimodoka, Yihan Lin, Bethany L. Hedt-Gauthier, Jackline Odhiambo, Theoneste Nkurunziza, Joaquim M. Havens, Jack Omondi, Emile Rwamasirabo, Faustin Ntirenganya, Gabriel Toma, Joel Mubiligi, Scheilla Bayitondere and Robert Riviello

    Citation: BMC Surgery 2017 17:121

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  37. Content type: Research article

    The Tokyo Guidelines 2013 classifies acute cholecystitis (AC) into three grades and recommends appropriate therapy for each grade. For grade II AC, either early laparoscopic cholecystectomy (LC) or percutaneou...

    Authors: Koetsu Inoue, Tatsuya Ueno, Daisuke Douchi, Kentaro Shima, Shinji Goto, Michinaga Takahashi, Takanori Morikawa, Takeshi Naitoh, Chikashi Shibata and Hiroo Naito

    Citation: BMC Surgery 2017 17:114

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  38. Content type: Case report

    Thyroid hemorrhage is considered to be an uncommon complication following blunt trauma to the neck. This condition is potentially life-threatening due to airway compression and may therefore require emergency ...

    Authors: Johannes Lemke, Markus N. Schreiber, Doris Henne-Bruns, Gregor Cammerer and Andreas Hillenbrand

    Citation: BMC Surgery 2017 17:115

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  39. Content type: Research article

    The UICC/AJCC TNM staging system classifies lymph nodes as N0 and N1 in pancreatic cancer. Aim of the study is to determine whether the number of examine nodes, the nodal ratio (NR) and the logarithm odds of p...

    Authors: Giovanni Ramacciato, Giuseppe Nigri, Niccolo’ Petrucciani, Antonio Daniele Pinna, Matteo Ravaioli, Elio Jovine, Francesco Minni, Gian Luca Grazi, Piero Chirletti, Giuseppe Tisone, Fabio Ferla, Niccolo’ Napoli and Ugo Boggi

    Citation: BMC Surgery 2017 17:109

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  40. Content type: Research article

    Current risk factors for lymph node metastasis in early gastric cancer have been primarily determined in Asian countries; however their applicability to Western nations is under discussion. The aim of our stud...

    Authors: Rimantas Bausys, Augustinas Bausys, Indre Vysniauskaite, Kazimieras Maneikis, Dalius Klimas, Martynas Luksta, Kestutis Strupas and Eugenijus Stratilatovas

    Citation: BMC Surgery 2017 17:108

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  41. Content type: Research article

    To identify the rate of and risk factors for contralateral inguinal hernia (CIH) after unilateral inguinal hernia repair in adult male patients.

    Authors: Cheng-Hung Lee, Yu-Ting Chiu, Chi-Fu Cheng, Jin-Chia Wu, Wen-Yao Yin and Jian-Han Chen

    Citation: BMC Surgery 2017 17:106

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  42. Content type: Research article

    Laparoscopic distal pancreatectomy (LDP) reduces postoperative morbidity, hospital stay and recovery as compared with open distal pancreatectomy. Many authors believe that robotic surgery can overcome the diff...

    Authors: Gian Piero Guerrini, Andrea Lauretta, Claudio Belluco, Matteo Olivieri, Marco Forlin, Stefania Basso, Bruno Breda, Giulio Bertola and Fabrizio Di Benedetto

    Citation: BMC Surgery 2017 17:105

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  43. Content type: Research article

    Case cancellation (CC) has significant impact on the efficiency of operating room (OR) management, which can be mitigated by taking preventive measures. In this study, using the data of the West China Hospital...

    Authors: Kaiye Yu, Xiaolei Xie, Li Luo and Renrong Gong

    Citation: BMC Surgery 2017 17:100

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  44. Content type: Case report

    The metastasis of malignant tumors to the spleen is rare, and only a small percentage of cases can be treated surgically, as splenic metastases generally occur in the context of multivisceral metastatic cancer...

    Authors: Tsutomu Namikawa, Yasuhiro Kawanishi, Kazune Fujisawa, Eri Munekage, Masaya Munekage, Takahito Sugase, Hiromichi Maeda, Hiroyuki Kitagawa, Tatsuya Kumon, Makoto Hiroi, Michiya Kobayashi and Kazuhiro Hanazaki

    Citation: BMC Surgery 2017 17:96

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  45. Content type: Study protocol

    Pancreatic cancer is the fourth leading cause of cancer-related death. While surgical resection remains the foundation for potentially curative treatment, survival benefit is achieved with adjuvant oncological...

    Authors: Knut Jørgen Labori, Kristoffer Lassen, Dag Hoem, Jon Erik Grønbech, Jon Arne Søreide, Kim Mortensen, Rune Smaaland, Halfdan Sorbye, Caroline Verbeke and Svein Dueland

    Citation: BMC Surgery 2017 17:94

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  46. Content type: Research article

    Advanced minimally invasive techniques including robotic surgery are being employed with increasing frequency around the world, primarily in order to improve the surgical outcomes of laparoscopic gastrectomy (...

    Authors: Ke Chen, Yu Pan, Bin Zhang, Hendi Maher, Xian-fa Wang and Xiu-jun Cai

    Citation: BMC Surgery 2017 17:93

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  47. Content type: Research article

    Over the past decade, mini-laparoscopic cholecystectomy (MLC) and single-port laparoscopic cholecystectomy (SILC) have been the two main successful mini-invasive surgical interventions for the treatment of cho...

    Authors: Xuan Tan, Guobin Wang, Yong Tang, Jie Bai, Kaixiong Tao and Lin Ye

    Citation: BMC Surgery 2017 17:91

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  48. Content type: Research article

    This study aimed to reveal the appropriate timing for the intravenous administration of flurbiprofen axetil for preventing mesenteric traction syndrome (MTS), caused by prostacyclin release.

    Authors: Hidemasa Takahashi, Dai Shida, Kyoko Tagawa, Ryo Iwamoto, Makoto Arita, Hiroyuki Arai and Takeo Suzuki

    Citation: BMC Surgery 2017 17:90

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  50. Content type: Technical advance

    Donor organ shortage is a significant problem in kidney transplantation. Improvement of perfusion techniques can increase the number of available organs. The aim of this study is to investigate the efficiency ...

    Authors: Xiuwu Han, Xuhui Zhu, Tao Li, Yansheng Li, Hui Shan, Peng Zhang and Bulang He

    Citation: BMC Surgery 2017 17:88

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