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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. Several topical hemostats are available to help control surgical bleeding. Cutanplast is a highly absorbent and porous gelatin product that is available in Fast sponge and powder forms. This study investigated...

    Authors: Valerio Antonio Paternò, Alessandro Bisin and Alessandro Addis

    Citation: BMC Surgery 2020 20:215

    Content type: Research article

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  2. The critical view of safety (CVS) method can be achieved by avoiding vasculo-biliary injury resulting from misidentification during laparoscopic cholecystectomy (LC). Although achieving the CVS has become popu...

    Authors: Shuichi Fujioka, Keigo Nakashima, Hiroaki Kitamura, Yuki Takano, Takeyuki Misawa, Yu Kumagai, Taigo Hata, Tadashi Akiba, Toru Ikegami and Katsuhiko Yanaga

    Citation: BMC Surgery 2020 20:214

    Content type: Case report

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  3. Sacrococcygeal pilonidal sinus disease (PSD) is an infection of the skin and subcutaneous tissue at the upper part of the natal cleft of the buttocks. Excision and healing by granulation “lay-open” method is s...

    Authors: Mohamed M. Gohar, Reda F. Ali, Khaled A. Ismail, Taha A. Ismail and Nahla A. Nosair

    Citation: BMC Surgery 2020 20:212

    Content type: Research article

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  4. Perioperative complications cause significant pediatric morbidity and mortality in low- and lower middle -income countries. This study investigates factors associated with prolonged length of stay, 90-day read...

    Authors: Sarah Peiffer, Anna E. Ssentongo, Laura Keeney, Forster Amponsah-Manu, Richard Yeboako, Richard Ofosu-Akromah, Temitope Ebenezer Arkorful, Eric Agyemang, Anthony Tsai, John Oh and Paddy Ssentongo

    Citation: BMC Surgery 2020 20:211

    Content type: Research article

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  5. The continuously increasing survivorship of female breast cancer makes the monitoring and improvement of patients’ quality of life ever so important. While globally there is a growing body of research on healt...

    Authors: Aris Yfantis, Pavlos Sarafis, Ioannis Moisoglou, Maria Tolia, George Intas, Ioanna Tiniakou, Konstantinos Zografos, George Zografos, Marianna Constantinou, Athanasios Nikolentzos and Michalis Kontos

    Citation: BMC Surgery 2020 20:210

    Content type: Research article

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  6. We have previously shown the value of next-generation des-r-carboxy prothrombin (NX-DCP) for predicting vascular invasion in hepatocellular carcinoma (HCC). Since conventional DCP is inaccurate under some cond...

    Authors: Shintaro Yamazaki, Tadatoshi Takayama, Tomoharu Kurokawa, Naoaki Shimamoto, Yusuke Mitsuka, Nao Yoshida, Tokio Higaki and Masahiko Sugitani

    Citation: BMC Surgery 2020 20:201

    Content type: Research article

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  7. Although considered complex and challenging, esophagectomy remains the best potentially curable treatment option for resectable esophageal and esophagogastric junction (AEG) carcinomas. The optimal surgical ap...

    Authors: Dino Kröll, Yves Michael Borbély, Bastian Dislich, Tobias Haltmeier, Thomas Malinka, Matthias Biebl, Rupert Langer, Daniel Candinas and Christian Seiler

    Citation: BMC Surgery 2020 20:197

    Content type: Research article

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  8. Studies have suggested differences in postoperative outcomes between patients with obesity and those without following adrenalectomy, but these remained to be ascertained with synthesis of available evidence. ...

    Authors: Celestin Danwang, Valirie Ndip Agbor and Jean Joel Bigna

    Citation: BMC Surgery 2020 20:194

    Content type: Research article

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  9. Using the Latissimus dorsi (LD) muscle flap is one of the popular surgical technique for breast reconstruction. However, usually, long postoperative scar was remained on donor site which does not have disease....

    Authors: Jeeyeon Lee, Jin Hyang Jung, Wan Wook Kim, Chan Sub Park, Ryu Kyung Lee and Ho Yong Park

    Citation: BMC Surgery 2020 20:192

    Content type: Technical advance

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  10. Gastric artery aneurysms are rarely caused by segmental arterial mediolysis (SAM), a condition that often involves multiple vessels. The clinical course of SAM after vessel rupture may vary depending on the in...

    Authors: Yuichiro Kohara, Koji Fujimoto, Hikotaro Katsura, Takashi Komatsubara, Kazuhito Ichikawa and Hiroshi Higashiyama

    Citation: BMC Surgery 2020 20:191

    Content type: Case report

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  11. Novel coronavirus pneumonia (NCP) outbreak in Wuhan, China in early 2020, resulted in over 80 thousand infections in China. At present, NCP has an explosive growth in the world. Surgeons could refuse selective...

    Authors: Yuchen Liu, Minggang Wang, Yingmo Shen and Jie Chen

    Citation: BMC Surgery 2020 20:190

    Content type: Research article

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  12. Bridge to surgery (BTS) using a self-expandable metallic stent (SEMS) for the treatment of obstructive colorectal cancer improves the patient’s quality of life. This study aimed to examine prognostic factors o...

    Authors: Katsuya Ohta, Masakazu Ikenaga, Masami Ueda, Kiyotsugu Iede, Yujiro Tsuda, Shinsuke Nakashima, Takashi Nojiri, Jin Matsuyama, Shunji Endo, Jun Murata, Ichizo Kobayashi, Masahiko Tsujii and Terumasa Yamada

    Citation: BMC Surgery 2020 20:189

    Content type: Research article

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  13. Diabetes is known to increase morbidity and 30-day mortality in adults undergoing non-cardiac surgery, but longer term outcomes are less studied. This study was done to explore how undiagnosed and known diabet...

    Authors: Wei W. Teo, Lian K. Ti, Lyn L. Lean, Edwin Seet, Ambika Paramasivan, Weiling Liu, Jiexun Wang, Vanessa Chua and Lydia Q. Liew

    Citation: BMC Surgery 2020 20:188

    Content type: Research article

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  14. Flank hernias are uncommon, surgical treatment is challenging and the minimally-invasive approach not always feasible. The aim of this study was to report the safety and feasibility of the robotic-assisted rep...

    Authors: Matteo Di Giuseppe, Francesco Mongelli, Maria Marcantonio, Davide La Regina and Ramon Pini

    Citation: BMC Surgery 2020 20:184

    Content type: Research article

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  15. Robot assisted surgery has expanded considerably in the past years. Compared to conventional open or laparoscopic surgery, virtual reality (VR) training is an essential component in learning robot assisted sur...

    Authors: Erik Leijte, Ivo de Blaauw, Camiel Rosman and Sanne M. B. I. Botden

    Citation: BMC Surgery 2020 20:183

    Content type: Research article

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  16. The bare area was reportedly formed by direct adhesion between the liver and diaphragm, meaning that the bare area lacked serosal components. This study aimed to analyze the structure of the bare area by an in...

    Authors: Takamichi Ishii, Satoru Seo, Takashi Ito, Satoshi Ogiso, Ken Fukumitsu, Kojiro Taura, Toshimi Kaido and Shinji Uemoto

    Citation: BMC Surgery 2020 20:172

    Content type: Research article

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  17. Submucosal tumors (SMTs) of different etiologies exist from esophagus to rectum. Esophagogastric junction (EGJ) is one of the known difficult locations for tumor resection. Although minimally invasive surgery ...

    Authors: Yi-Chun Huang, Chun-Nan Yeh, Ming-Yang Chen, Shang-Yu Wang, Keng-Hao Liu, Chun-Yi Tsai and Ta-Sen Yeh

    Citation: BMC Surgery 2020 20:179

    Content type: Research article

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  18. The aim of this study was to investigate the usefulness of the range of change in prognostic nutritional index (PNI) during the early postoperative period as a predictor of postoperative pancreatic fistula (PO...

    Authors: Teruhisa Sakamoto, Takuki Yagyu, Ei Uchinaka, Masaki Morimoto, Takehiko Hanaki, Joji Watanabe, Manabu Yamamoto, Tomoyuki Matsunaga, Naruo Tokuyasu, Soichiro Honjo and Yoshiyuki Fujiwara

    Citation: BMC Surgery 2020 20:178

    Content type: Research article

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  19. To determine if improvement in imaging reduces the non-resection rate (NRR) among patients with pancreatic ductal adenocarcinoma (PDAC).

    Authors: C. Mattevi, J. Garnier, U. Marchese, J. Ewald, M. Gilabert, F. Poizat, G. Piana, J. R. Delpero and O. Turrini

    Citation: BMC Surgery 2020 20:176

    Content type: Research article

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  20. Recent observational studies on volume-outcome associations in hepatobiliary surgery were not designed to account for the varying extent of hepatobiliary resections and the consequential risk of perioperative ...

    Authors: Christian Krautz, Christine Gall, Olaf Gefeller, Ulrike Nimptsch, Thomas Mansky, Maximilian Brunner, Georg F. Weber, Robert Grützmann and Stephan Kersting

    Citation: BMC Surgery 2020 20:171

    Content type: Research article

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  21. While emergent pancreatic resection for trauma has been previously described, no large contemporary investigations into the frequency, indications, and outcomes of emergent pancreatectomy (EP) secondary to com...

    Authors: Michael R. Driedger, Carlos A. Puig, Cornelius A. Thiels, John R. Bergquist, Daniel S. Ubl, Elizabeth B. Habermann, Travis E. Grotz, Rory L. Smoot, David M. Nagorney, Sean P. Cleary, Michael L. Kendrick and Mark J. Truty

    Citation: BMC Surgery 2020 20:169

    Content type: Research article

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  22. Adhesive small bowel obstruction (ASBO) is one of the most common causes of postoperative morbidity. According to Boyle’s law, decreased barometric pressure expands the volume of intestinal gas. We aimed to el...

    Authors: Yuta Yamamoto, Yusuke Miyagawa, Masato Kitazawa, Hirokazu Tanaka, Masatsugu Kuroiwa, Nao Hondo, Makoto Koyama, Satoshi Nakamura, Shigeo Tokumaru, Futoshi Muranaka and Yuji Soejima

    Citation: BMC Surgery 2020 20:168

    Content type: Research article

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  23. Surgical resection is the main treatment for pheochromocytoma (PHEO). Although open surgery (OS) has been shown to be safe and feasible, the safety and efficacy of laparoscopic surgery (LS) for PHEO remain con...

    Authors: Sheng-Qiang Fu, Si-Yuan Wang, Qiang Chen, Yu-Tang Liu, Zhi-Long Li and Ting Sun

    Citation: BMC Surgery 2020 20:167

    Content type: Research article

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  24. Anastomotic leakage (AL) is one of the most severe early complications after rectal cancer surgery. Many studies and meta-analysis results show that the indentation of transanal drainage tubes (TDT) can preven...

    Authors: Yun Luo, Chang-Kang Zhu, Ding-Quan Wu, Liang-Bi Zhou and Chong-Shu Wang

    Citation: BMC Surgery 2020 20:166

    Content type: Research article

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  25. Abdominoperineal resection (APR) for rectal cancer is associated with high morbidity of the perineal wound, and controversy exists about the optimal closure technique. Primary perineal wound closure is still t...

    Authors: Sarah Sharabiany, Robin D. Blok, Oren Lapid, Roel Hompes, Wilhelmus A. Bemelman, Victor P. Alberts, Bas Lamme, Jan H. Wijsman, Jurriaan B. Tuynman, Arend G. J. Aalbers, Geerard L. Beets, Hans F. J. Fabry, Ivan M. Cherepanin, Fatih Polat, Jacobus W. A. Burger, Harm J. T. Rutten…

    Citation: BMC Surgery 2020 20:164

    Content type: Study protocol

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  26. Bariatric surgery is an effective treatment for obesity and its associated comorbidities. This is the first comprehensive report of a prospective cohort study, comparing sleeve gastrectomy (SG) with gastric by...

    Authors: Alireza Khalaj, Erfan Tasdighi, Farhad Hosseinpanah, Maryam Mahdavi, Majid Valizadeh, Elham Farahmand, Hamidreza Taheri and Maryam Barzin

    Citation: BMC Surgery 2020 20:160

    Content type: Research article

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  27. RefluxStop™ is an implantable, non-active, single use device used in the laparoscopic treatment of GERD. RefluxStop™ aims to block the movement of the LES up into the thorax and keep the angle of His in its or...

    Authors: Miloš Bjelović, László Harsányi, Áron Altorjay, Zsolt Kincses and Peter Forsell

    Citation: BMC Surgery 2020 20:159

    Content type: Research article

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  28. Minimally invasive techniques have gradually come to take a leading position in the surgical treatment of gastrointestinal malignancies. In order to define an effective process for the implementation of simila...

    Authors: Andrianos Tsekrekos, Tania Triantafyllou, Fredrik Klevebro, Masaru Hayami, Mats Lindblad, Magnus Nilsson, Lars Lundell and Ioannis Rouvelas

    Citation: BMC Surgery 2020 20:157

    Content type: Research article

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  29. At present, the gastric tube is the first choice for esophageal reconstruction after esophagectomy for various benign and malignant diseases. However, when the stomach is not available, a pedicled jejunum or c...

    Authors: Sicong Jiang, Changying Guo, Bin Zou, Jianguo Xie, Zhihui Xiong, Yukang Kuang and Jianjun Tang

    Citation: BMC Surgery 2020 20:156

    Content type: Research article

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  30. Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. Albumin is considered a negative active phase protein because it decreases...

    Authors: Christian Ephata Issangya, David Msuya, Kondo Chilonga, Ayesiga Herman, Elichilia Shao, Febronia Shirima, Elifaraja Naman, Henry Mkumbi, Jeremia Pyuza, Emmanuel Mtui, Leah Anku Sanga, Seif Abdul, Beatrice John Leyaro and Samuel Chugulu

    Citation: BMC Surgery 2020 20:155

    Content type: Research article

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  31. This is the response article to correspondence article received for our published article in BMC surgery titled “A prospective single-center protocol for using near-infrared fluorescence imaging with indocyani...

    Authors: Sachiyo Shirakawa, Hirochika Toyama, Masahiro Kido and Takumi Fukumoto

    Citation: BMC Surgery 2020 20:153

    Content type: Correspondence

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    The original article was published in BMC Surgery 2019 19:165

  32. Gastric cancer (GC) has been considered as the 5th most common type of cancer and the third leading cause of cancer-associated death worldwide. The aim of this historical cohort study was to evaluate the survi...

    Authors: Atefeh Talebi, Afsaneh Mohammadnejad, Abolfazl Akbari, Mohamad Amin Pourhoseingholi, Hassan Doosti, Bijan Moghimi-Dehkordi, Shahram Agah and Mansour Bahardoust

    Citation: BMC Surgery 2020 20:152

    Content type: Research article

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  33. Right colectomy is the standard surgical treatment for tumors in the right colon and surgical complications are reduced with minimally-invasive laparoscopy compared with open surgery, with potential further be...

    Authors: Marcos Gomez Ruiz, Paolo Pietro Bianchi, Sanjay Chaudhri, Roger Gerjy, Ismail Gögenur, David Jayne, Jim S. Khan, Tero Rautio, Luis Sánchez-Guillén, Giuseppe Spinoglio, Alexis Ulrich and Philippe Rouanet

    Citation: BMC Surgery 2020 20:151

    Content type: Study protocol

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  34. The surgical Apgar score (SAS) or modified SAS (mSAS) has been reported as a simple and easy risk assessment system for predicting postoperative complications in primary surgery for gastric cancer. However, fe...

    Authors: Masato Hayashi, Takaki Yoshikawa, Masahiro Yura, Sho Otsuki, Yukinori Yamagata, Shinji Morita, Hitoshi Katai and Toshirou Nishida

    Citation: BMC Surgery 2020 20:150

    Content type: Research article

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  35. Delayed gastric emptying (DGE) is a common and frustrating complication of pancreaticoduodenectomy (PD). Studies suggest that surgical methods and other clinical characteristics may affect the occurrence of DG...

    Authors: Xianlei Cai, Miaozun Zhang, Chao Liang, Yuan Xu and Weiming Yu

    Citation: BMC Surgery 2020 20:149

    Content type: Research article

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  36. Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of paras...

    Authors: Takuya Shiraishi, Yuji Nishizawa, Koji Ikeda, Yuichiro Tsukada, Takeshi Sasaki and Masaaki Ito

    Citation: BMC Surgery 2020 20:141

    Content type: Research article

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  37. The mortality following pancreaticoduodenectomy has markedly decreased but remains an important challenge for the complexity of operation and technical skills involved. The present study aimed to clarify the i...

    Authors: Ke-Min Jin, Wei Liu, Kun Wang, Quan Bao, Hong-Wei Wang and Bao-Cai Xing

    Citation: BMC Surgery 2020 20:140

    Content type: Research article

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  38. The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are...

    Authors: Yuanhong Xiao

    Citation: BMC Surgery 2020 20:139

    Content type: Research article

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  39. Robotic surgery for rectal cancer, which is now performed worldwide, can be associated with elevated creatine kinase levels postoperatively. In this study, we compared postoperative complications between patie...

    Authors: Yuki Tsuchiya, Shinya Munakata, Ryoichi Tsukamoto, Yu Okazawa, Kosuke Mizukoshi, Kiichi Sugimoto, Makoto Takahashi, Yutaka Kojima Yuichi Tomiki and Kazuhiro Sakamoto

    Citation: BMC Surgery 2020 20:136

    Content type: Research article

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  40. Perforated peptic ulcer disease is a surgical emergency with a high morbidity and mortality. The socio-demographic characteristic and the factors associated with morbidity and mortality seems to differ between...

    Authors: Jatani Arero Bupicha, Hailu Wondimu Gebresellassie and Abebe Alemayehu

    Citation: BMC Surgery 2020 20:135

    Content type: Research article

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