ANZ Journal of Surgery

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Table of Contents for ANZ Journal of Surgery. List of articles from both the latest and EarlyView issues.
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Unusual case of a non‐healing sternal wound after ascending aorta surgery

May 8, 2019 - 21:59
ANZ Journal of Surgery, EarlyView.

Extensive lethal gas diffusion complicating a ‘benign’ disease

May 8, 2019 - 21:59
ANZ Journal of Surgery, EarlyView.

Pericaecal hernia: an unusual cause of bowel obstruction

May 8, 2019 - 03:05
ANZ Journal of Surgery, EarlyView.

Laparoscopic versus open transverse‐incision right hemicolectomy: a retrospective comparison study

May 8, 2019 - 03:05

Data on 99 adult patients with right‐side colon cancer undergoing either laparoscopic or open transverse‐incision right hemicolectomy at two different university hospitals were retrospectively reviewed. The aim of this study was to compare the short‐ and long‐term outcomes of laparoscopic and transverse‐incision open approaches to right hemicolectomy. Our results suggest that laparoscopic right hemicolectomy when compared to the transverse‐incision open procedure may guarantee the same oncological radicality, but short‐term functional benefits are still unclear.


Background

The optimal surgical approach to right colon cancer is still under debate. The aim of the present study was to compare the short‐ and long‐term outcomes of laparoscopic and transverse‐incision open approaches to right hemicolectomy for colon cancer.

Methods

Data on 99 adult patients with right‐side colon cancer undergoing either laparoscopic or open transverse‐incision right hemicolectomy at two different university hospitals, between January 2013 and December 2016, were retrospectively reviewed. Data concerning patients’ characteristics, operative details and post‐operative recovery were retrieved from prospective databases and analysed.

Results

Forty‐nine subjects were operated on laparoscopically, while 50 through an open transverse incision. Operating time was significantly longer in the laparoscopic group compared with the open group (182 versus 105 min; P < 0.01). Patients treated laparoscopically had a shorter time to first bowel movement, while time to resume a normal diet and post‐operative length of hospital stay were comparable in between groups. The median number of lymph nodes harvested was higher in the laparoscopic group (25.6 versus 18.6; P < 0.01), but no significant difference in overall survival between groups was detected. At long‐term follow‐up, the incidence of incisional hernia was higher in the laparoscopic group as compared to the open group (24.5% versus 0%; P = 0.0002).

Conclusion

Our results show that laparoscopic right hemicolectomy when compared to the transverse‐incision open procedure may guarantee the same oncological radicality, but short‐term functional benefits are still unclear. Randomized control studies are warranted to better clarify the comparison of these two approaches for right‐sided colon cancers.

Novel treatment for type III Mirizzi syndrome

May 8, 2019 - 03:05
ANZ Journal of Surgery, EarlyView.

Unusual case of post‐operative small bowel obstruction

May 8, 2019 - 03:04
ANZ Journal of Surgery, EarlyView.

Australasian general surgical training and emergency medical teams: a review

May 8, 2019 - 03:04

Emergency medical teams (EMTs) have provided surgical care in sudden‐onset disasters in low‐ and middle‐income countries. General surgeons have been heavily involved in many EMTs due to their traditional broad set of surgical skills and experience. With the increased subspecialization of general surgical training in many high‐income countries, including Australia and New Zealand, finding general surgeons with adequately broad experience is becoming more challenging. Furthermore, it is now considered standard for EMTs deploying to a sudden‐onset disaster to have undergone credentialing, demonstrating sufficient training of their deployed members. The purpose of this review was to highlight the challenges and potential solutions facing those involved in training and recruiting general surgeons for EMTs in Australasia.

Woman with acute abdomen and a free floating pelvic cyst

May 6, 2019 - 21:43
ANZ Journal of Surgery, EarlyView.

Quinke's triad: haemobilia secondary to hepatic artery aneurysm

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E214-E215, May 2019.

Patent processus vaginalis as a conduit for tumoral seeding: a rare presentation of port site metastasis

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E216-E217, May 2019.

Internal hernia as a rare cause of ischaemic colitis: a case report and literature review

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page 608-609, May 2019.

Unique case of a laparoscopic hand‐assisted repair of an intramesosigmoid hernia causing bowel obstruction in a virgin abdomen

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page 602-604, May 2019.

Crohn's disease involving ileal conduit: a case report

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E220-E221, May 2019.

A case of amoebic colitis following remote historical exposure

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E222-E223, May 2019.

Jejuno‐jejunal intussusception following gastrectomy

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E206-E207, May 2019.

Unusual presentation of metastatic gastrointestinal stromal tumour

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E204-E205, May 2019.

Squamous cell carcinoma of unknown primary masquerading as multiple splenic abscesses

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page 606-607, May 2019.

Out of sight, out of mind: perforated distal stump appendicitis

April 30, 2019 - 01:16
ANZ Journal of Surgery, Volume 89, Issue 5, Page E210-E211, May 2019.