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  1. One of the most important aspects of designing a clinical trial is selecting appropriate outcomes. Patient-reported outcomes (PROs) can provide a personal assessment of the burden and impact of a malignant dis...

    Authors: Christoph A. Fink, Mirco Friedrich, Pia-Elena Frey, Lukas Rädeker, Alexander Leuck, Thomas Bruckner, Manuel Feisst, Solveig Tenckhoff, Christina Klose, Colette Dörr-Harim, Jens Neudecker and André L. Mihaljevic
    Citation: BMC Surgery 2018 18:90
  2. Postoperative pancreatic fistula (PF) is the main cause of operative mortality in patients who undergo pancreatoduodenectomy. Various pancreatoenteric anastomosis techniques have been reported to minimize the ...

    Authors: Shoji Kawakatsu, Yosuke Inoue, Yoshihiro Mise, Takeaki Ishizawa, Hiromichi Ito, Yu Takahashi and Akio Saiura
    Citation: BMC Surgery 2018 18:88
  3. Postoperative complications (POCs) after the resection of locally advanced colorectal cancer (CRC) may influence adjuvant treatment timing, outcomes, and survival. This study aimed to evaluate the impact of PO...

    Authors: Michael Osseis, Francesco Esposito, Chetana Lim, Alexandre Doussot, Eylon Lahat, Liliana Fuentes, Toufic Moussallem, Chady Salloum and Daniel Azoulay
    Citation: BMC Surgery 2018 18:87
  4. THUNDERBEAT® (TB) (Olympus Medical Systems Corp., Tokyo, Japan) is a dynamic energy system device that simultaneously delivers ultrasonically generated frictional heat energy and electrically generated bipolar...

    Authors: Bibek Aryal, Teruo Komokata, Hiroto Yasumura, Daisaku Kamiimabeppu, Maki Inoue, Kota Yoshikawa, Mamoru Kaieda and Yutaka Imoto
    Citation: BMC Surgery 2018 18:86
  5. Adenocarcinoma derived from umbilicus is very rare. Most adenocarcinomas in umbilicus are secondary events. Carcinoma derived from sweat glands is sporadic, highly radioresistant and has a clinical appearance ...

    Authors: Adeodatus Yuda Handaya, Nova Yuli Prasetyo Budi, Guntur Marganing Adi Nugroho and Aditya Rifqi Fauzi
    Citation: BMC Surgery 2018 18:85
  6. Hepaticojejunostomy is commonly used in hepato-bilio-pancreatic surgery and a crucial step in many surgical procedures, including pancreaticoduodenectomy. The most frequently used techniques are the interrupte...

    Authors: Maximilian Brunner, Jessica Stockheim, Christian Krautz, Dimitrios Raptis, Stephan Kersting, Georg F. Weber and Robert Grützmann
    Citation: BMC Surgery 2018 18:84
  7. Video surgery requires acquisition of psychomotor skills that are different from those required for open surgery. The aim of this study was to assess the EndoSuture Trainer Box Simulator (ESTBS), a new bariatr...

    Authors: Luiz Gonzaga de Moura Júnior, Paulo Roberto Leitão de Vasconcelos, Francisco Vagnaldo Fechine, Mayra Sabiá de Moura, Régis Luiz Sabiá de Moura, Hermano Alexandre Lima Rocha and Manoel Odorico de Moraes Filho
    Citation: BMC Surgery 2018 18:83
  8. The lymph node ratio (LNR), i.e. the number of positive lymph nodes (LN) divided by the total number of analyzed LN, has been described as a strong outcome predictor in node-positive colon cancer patients. How...

    Authors: Manuel O Jakob, Ulrich Guller, Alex Ochsner, Daniel Oertli, Markus Zuber and Carsten T Viehl
    Citation: BMC Surgery 2018 18:81
  9. Endoscopic resection is widely accepted treatment option for early gastric cancer if tumors meet the standard or expanded indications. However, the safety of expanded criteria is still under investigation. Fur...

    Authors: Rimantas Bausys, Augustinas Bausys, Kazimieras Maneikis, Viktorija Belogorceva, Eugenijus Stratilatovas and Kestutis Strupas
    Citation: BMC Surgery 2018 18:79
  10. Perforated peptic ulcers (PPU) remain one of the most frequent causes of death. Their incidence are largely unchanged accounting for 2–4% of peptic ulcers and remain the second most frequent abdominal cause of...

    Authors: Antonino Mirabella, Tiziana Fiorentini, Roberta Tutino, Nicolò Falco, Tommaso Fontana, Paolino De Marco, Eliana Gulotta, Leonardo Gulotta, Leo Licari, Giuseppe Salamone, Irene Melfa, Gregorio Scerrino, Massimo Lupo, Armando Speciale and Gianfranco Cocorullo
    Citation: BMC Surgery 2018 18:78
  11. Perineum necrotizing fasciitis, also known as Fournier gangrene (FG), is a rare but highly mortal infectious necrotizing fasciitis with or without involvement of the underlying muscle. Evidence exists that neg...

    Authors: Yuan Tian, Ting Liu, Chuan-qi Zhao, Ze-yuan Lei, Dong-li Fan and Tong-chun Mao
    Citation: BMC Surgery 2018 18:77
  12. We experienced a rare case of benign arterial stricture of the right posterior hepatic artery (RPHA) caused by atherosclerosis in a patient with hilar cholangiocarcinoma.

    Authors: Yuichi Goto, Satoki Kojima, Yoriko Nomura, Daisuke Muroya, Syoichiro Arai, Hisamune Sakai, Ryuichi Kawahara, Toru Hisaka, Yoshito Akagi, Hiroyuki Tanaka and Koji Okuda
    Citation: BMC Surgery 2018 18:76
  13. 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
  14. 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
  15. Following publication of the original article [1], the authors reported that one of the authors’ names is spelled incorrectly.

    Authors: Wei Chen, Xumian Jiang, Hui Huang, Zao Ding and Chihua Li
    Citation: BMC Surgery 2018 18:72

    The original article was published in BMC Surgery 2018 18:63

  16. To compare the clinical efficacy of single posterior debridement, bone grafting and instrumentation with that of single-stage anterior debridement, bone grafting and posterior instrumentation for treatment of ...

    Authors: Yongchun Zhou, Weiwei Li, Jun Liu, Liqun Gong and Jing Luo
    Citation: BMC Surgery 2018 18:71
  17. 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
  18. Following publication of the original article [1], the authors reported that one of the authors’ names is spelled incorrectly.

    Authors: Marco Milone, Mario Musella, Paola Maietta, Dario Gaudioso, Anna Pisapia, Guido Coretti, Giovanni De Palma and Francesco Milone
    Citation: BMC Surgery 2018 18:69

    The original article was published in BMC Surgery 2014 14:90

  19. A wide variety of hemostats are available as adjunctive measures to improve hemostasis during surgical procedures if residual bleeding persists despite correct application of conventional methods for hemorrhag...

    Authors: Osvaldo Chiara, Stefania Cimbanassi, Giovanni Bellanova, Massimo Chiarugi, Andrea Mingoli, Giorgio Olivero, Sergio Ribaldi, Gregorio Tugnoli, Silvia Basilicò, Francesca Bindi, Laura Briani, Federica Renzi, Piero Chirletti, Giuseppe Di Grezia, Antonio Martino, Rinaldo Marzaioli…
    Citation: BMC Surgery 2018 18:68
  20. Morgagni’s hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. An...

    Authors: Zoya Fatima Rizwan Ladiwala, Rija Sheikh, Ayesha Ahmed, Ibrahim Zahid and Amjad Siraj Memon
    Citation: BMC Surgery 2018 18:67
  21. 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
  22. Situs inversus totalis (SIT) refers to an unusual condition involving reversal of abdominal and thoracic viscera, with an incidence rate of 1/5000–20,000 adults. Minimally invasive surgeries for SIT patients a...

    Authors: Beibei Cui, Sanlin Lei, Kuijie Liu and Hongliang Yao
    Citation: BMC Surgery 2018 18:64
  23. 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

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

  24. Since the advent of immunohistochemistry for the diagnosis of stromal tumours, the incidence of leiomyosarcomas has significantly decreased. Nowadays, gastric leiomyosarcoma is an exceptionally rare tumour. We...

    Authors: Anis Hasnaoui, Raja Jouini, Dhafer Haddad, Haithem Zaafouri, Ahmed Bouhafa, Anis Ben Maamer and Ehsen Ben Brahim
    Citation: BMC Surgery 2018 18:62
  25. 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
  26. 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
  27. 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
  28. 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
  29. Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Rec...

    Authors: Francesca Mandolfino, Rosario Fornaro, Cesare Stabilini, Marco Casaccia, Tommaso Testa and Marco Frascio
    Citation: BMC Surgery 2018 18:53
  30. 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
  31. Actinomycosis is a rare chronic invasive disease caused by Actinomyces spp. Although abdominopelvic actinomycosis, which involves the colon and the pelvic organs extensively, has been frequently reported, abdomin...

    Authors: Song Soo Yang and Yeong Cheol Im
    Citation: BMC Surgery 2018 18:51
  32. The genesis of the “complex type” classification of pancreaticobiliary maljunction (PBM) is unclear, and the pancreaticobiliary anatomy is also varied according to each case. We encountered a patient with PBM ...

    Authors: Yukihiro Sanada, Yasunaru Sakuma and Naohiro Sata
    Citation: BMC Surgery 2018 18:50
  33. Lipomas are very common benign tumors of mature fatty tissue that can occur in any part of the body. However, lipomas of the parietal peritoneum are extremely rare.

    Authors: Hanlim Choi, DongHee Ryu, Jae-Woon Choi, Yanjie Xu and Yook Kim
    Citation: BMC Surgery 2018 18:49
  34. Appendiceal intussusception is very rare condition with an estimated incidence of 0.01%. Therefore, it is likely to be overlooked. In addition, making the diagnosis before or during surgery is very difficult.

    Authors: Byung-Soo Park, Dong Hoon Shin, Dong-il Kim, Gyung Mo Son and Hyun Sung Kim
    Citation: BMC Surgery 2018 18:48
  35. 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
  36. 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
  37. Coated polyglactin 910 suture with chlorhexidine (NEOSORB® Plus) has recently been developed to imbue the parent suture with antibacterial activity against organisms that commonly cause surgical site infection...

    Authors: Bum Sik Tae, Ju Hyun Park, Jung Kwon Kim, Ja Hyeon Ku, Cheol Kwak, Hyeon Hoe Kim and Chang Wook Jeong
    Citation: BMC Surgery 2018 18:45
  38. Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical ...

    Authors: Louai R. Zaidan, Elhaitham K. Ahmed, Bachar Halimeh, Yasser Radwan and Khalil Terro
    Citation: BMC Surgery 2018 18:43
  39. Negative pressure wound therapy (NPWT) is a widely accepted technique to treat local infectious wounds of the skin, subcutaneous tissue, fascia, or muscle. Recently, several reports describing the efficacy of ...

    Authors: Yusuke Fujii, Yoshitsugu Tajima, Shunsuke Kaji, Takashi Kishi, Yoshiko Miyazaki, Takahito Taniura and Noriyuki Hirahara
    Citation: BMC Surgery 2018 18:41
  40. The management of metastatic Renal Cell Carcinoma (RCC) has changed dramatically in the last 20 years, and the role of surgery in the immunotherapy’s era is under debate. Metastatic lesions interesting pancrea...

    Authors: Andrea Boni, Giovanni Cochetti, Stefano Ascani, Michele Del Zingaro, Francesca Quadrini, Alessio Paladini, Diego Cocca and Ettore Mearini
    Citation: BMC Surgery 2018 18:40
  41. 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
  42. Safe excision of spinal cord tumors depends on sufficient visualization of the tumor and surrounding structures. In patients with spinal cord tumor adjacent to a stenotic spinal canal, extensive bony decompres...

    Authors: Naohisa Miyakoshi, Daisuke Kudo, Michio Hongo, Yuji Kasukawa, Yoshinori Ishikawa and Yoichi Shimada
    Citation: BMC Surgery 2018 18:38

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