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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. Content type: Research article

    Duodenal stump fistula (DSF) remains one of the most serious complications following subtotal or total gastrectomy, as it endangers patient’s life. DSF is related to high mortality (16–20%) and morbidity (75%)...

    Authors: Maurizio Zizzo, Lara Ugoletti, Lorenzo Manzini, Carolina Castro Ruiz, Gabriela Elisa Nita, Magda Zanelli, Loredana De Marco, Giulia Besutti, Rocco Scalzone, Romano Sassatelli, Valerio Annessi, Antonio Manenti and Claudio Pedrazzoli

    Citation: BMC Surgery 2019 19:55

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  30. Content type: Research article

    Appendicitis in elderly patients is associated with increased risk of postoperative complications. The choice between laparoscopy and open appendectomy remains controversial in treating elderly patients with a...

    Authors: Dayun Wang, Ting Dong, Yue Shao, Tingting Gu, You Xu and Yuan Jiang

    Citation: BMC Surgery 2019 19:54

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  31. Content type: Research article

    To assess the ability of the Age-Adjusted Charlson Comorbidity Index (ACCI) to predict survival after radical gastrectomy in patients with gastric cancer (GC).

    Authors: Jian-Xian Lin, Ying-Qi Huang, Jian-Wei Xie, Jia-bin Wang, Jun Lu, Qi-Yue Chen, Long-long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ju-Li Lin, Ping Li, Chang-Ming Huang and Chao-Hui Zheng

    Citation: BMC Surgery 2019 19:53

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  32. Content type: Research article

    Surgeons use the Internet and social media to provide health information, promote their clinical practice, network with clinicians and researchers, and engage with journal clubs and online campaigns. While sur...

    Authors: Leonora E. Long, Christopher Leung, Jonathan S. Hong, Caroline Wright and Christopher J. Young

    Citation: BMC Surgery 2019 19:52

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  33. Content type: Case report

    A pancreaticoduodenal artery aneurysm (PDAA) occurring in close association with median arcuate ligament syndrome (MALS) is rare. A surgical procedure, such as median arcuate ligament (MAL) release, should be ...

    Authors: Takero Terayama, Yoshihiro Tanaka, Shigeyoshi Soga, Hironori Tsujimoto, Yuya Yoshimura, Yasumasa Sekine, Shinji Akitomi and Hisashi Ikeuchi

    Citation: BMC Surgery 2019 19:50

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  34. Content type: Research article

    Performance of gastrectomy in gastric cancer patients can lead to an increased incidence of cholecystolithiasis (CL) and a higher morbidity rate. However, the value of prophylactic cholecystectomy performed du...

    Authors: Zhenhua Tan, Ping Xie, Hai Qian and Xing Yao

    Citation: BMC Surgery 2019 19:48

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  35. Content type: Research article

    This clinical trial evaluated the performance of a newly released fast-absorbable braided synthetic suture (Novosyn® Quick) in adults and paediatric patients undergoing elective skin closures.

    Authors: Stefan Gfroerer, Petra Baumann, Anne-Kathrin Schwalbach and Alexandre Smirnoff

    Citation: BMC Surgery 2019 19:47

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  36. Content type: Case report

    Long standing ostomy related complications such as parastomal hernia and stoma prolapse may be at a higher risk of developing spontaneous rupture and evisceration, especially in patients suffering from chronic...

    Authors: Oshan Basnayake, Umesh Jayarajah, Jayan Jayasinghe, Pradeep Kumara Wijerathne and Dharmabandhu Nandadeva Samarasekera

    Citation: BMC Surgery 2019 19:43

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  37. Content type: Research article

    Recently, laparoscopic appendectomies (LAs) have been widely performed instead of open appendectomies (OAs) during pregnancy. However, concerns about the safety of LA during pregnancy remain. This systematic r...

    Authors: Seung Hwan Lee, Jin Young Lee, Yoon Young Choi and Jae Gil Lee

    Citation: BMC Surgery 2019 19:41

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  38. Content type: Research article

    Postoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.

    Authors: Enric Sebastian-Valverde, Ignasi Poves, Estela Membrilla-Fernández, María José Pons-Fragero and Luís Grande

    Citation: BMC Surgery 2019 19:40

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  39. Content type: Research article

    Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the eff...

    Authors: Yang Won Min, Taewan Kim, Hyuk Lee, Byung-Hoon Min, Hong Kwan Kim, Yong Soo Choi, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim, Jae Ill Zo and Young Mog Shim

    Citation: BMC Surgery 2019 19:37

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  40. Content type: Research article

    We developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpart...

    Authors: Shinya Matsuzaki, Masayuki Endo, Takuji Tomimatsu, Satoshi Nakagawa, Satoko Matsuzaki, Tatsuya Miyake, Tsuyoshi Takiuchi, Aiko Kakigano, Kazuya Mimura, Yutaka Ueda and Tadashi Kimura

    Citation: BMC Surgery 2019 19:33

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  41. Content type: Study protocol

    The current standard treatment for resectable pancreatic cancer is surgical resection followed by adjuvant chemotherapy. Local recurrence rates are high even after curative resection; thus, the long-term outco...

    Authors: Jun Won Kim, Yeona Cho, Hyung Sun Kim, Won Hoon Choi, Joon Seong Park and Ik Jae Lee

    Citation: BMC Surgery 2019 19:31

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  42. Content type: Research article

    Percutaneous transhepatic portal embolization (PTPE) is useful for safe major hepatectomy. This study investigated the correlation between hepatic hypertrophy and hemodynamics of portal venous flow by ultrasou...

    Authors: Shingo Shimada, Toshiya Kamiyama, Hideki Yokoo, Tatsuya Orimo, Kenji Wakayama, Akihisa Nagatsu, Tatsuhiko Kakisaka, Hirofumi Kamachi, Daisuke Abo, Yusuke Sakuhara and Akinobu Taketomi

    Citation: BMC Surgery 2019 19:23

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  43. Content type: Research article

    Although the effect of the recent Greek economic crisis and austerity on the population’s health and the health system effectiveness have been discussed a lot recently, data on common surgical conditions affec...

    Authors: Ioannis G. Karavokyros, George I. Kirkilessis, Demetrios Schizas, Georgios Chelidonis, Emmanouil Pikoulis and John Griniatsos

    Citation: BMC Surgery 2019 19:18

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  44. Content type: Research article

    To evaluate the perioperative and long-term results of intrahepatic bile duct exploration lithotomy (IHBDIL) combined with hepatectomy for patients with complicated bilateral primary hepatolithiasis.

    Authors: En-liang Li, Rong-fa Yuan, Wen-jun Liao, Qian Feng, Jun Lei, Xiang-bao Yin, Lin-quan Wu and Jiang-hua Shao

    Citation: BMC Surgery 2019 19:16

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  45. Content type: Research article

    This study evaluated the perioperative complications and the long-term pancreatic survival outcomes in patients treated with radical antegrade modular pancreatosplenectomy (RAMPS) and distal pancreatectomy (DP).

    Authors: Quanyu Zhou, Fengwei-Gao, Jie Gong, Qingyun Xie, Yu Liu, Qing Wang and Zehua Lei

    Citation: BMC Surgery 2019 19:12

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