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History and Recent Advances in Microsurgery

Yoo H, Kim BJ

Since the late 19th century, microsurgery has achieved many miracles in history of surgery. With the development of microsurgical instruments and techniques, especially the first operating microscope invented by Carl...
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Cystic duct anastomosis can be a viable option for biliary reconstruction in case of multiple ducts in right lobe living-donor liver transplantation

Vijayashanker A, Chikkala BR, Ghimire R, Nidoni R, Pandey Y, Dey R, Agarwal S, Gupta S

Backgrounds/Aims: Multiple ducts in right lobe living-donor liver transplant (LDLT) pose a technical challenge in biliary reconstruction. In the absence of separate recipient hepatic ducts for duct-to-duct anastomoses and certain...
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Effectiveness and stability of robot-assisted anastomosis in minimally invasive pancreaticoduodenectomy

Park SE, Choi HJ, You YK, Hong TH

Purpose: Reconstruction using robotic assistance in pancreaticoduodenectomy (PD) was expected to be an effective means to overcome the limitations of laparoscopic surgery. To our knowledge, few comparative reports exist on...
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Effect of the Proximal Anastomosis Configuration of the Radial Artery in Patients Undergoing Coronary Artery Bypass Grafting

Yoon SK, Song H, Lim JY

Background: Several factors, such as the degree of target vessel stenosis, are known to be associated with radial artery (RA) graft patency in coronary artery bypass grafting (CABG). There is...
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Proximal Anterior-Antrum Posterior (PAAP) Overlapping Anastomosis in Minimally Invasive Pylorus-Preserving Gastrectomy for Early Gastric Cancer Located in the High Body and Posterior Wall of the Stomach

Park JH, Kong SH, Choi JH, Park SH, Suh YS, Park DJ, Lee HJ, Yang HK

Purpose: To evaluate the feasibility and safety of intracorporeal overlapping gastrogastrostomy between the proximal anterior wall and antrum posterior wall (PAAP; PAAP anastomosis) of the stomach in minimally invasive pylorus-preserving gastrectomy...
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How to Prevent Anastomotic Leak in Colorectal Surgery? A Systematic Review

Chaouch MA, Kellil T, Jeddi C, Saidani A, Chebbi F, Zouari K

Anastomosis leakage (AL) after colorectal surgery is an embarrassing problem. It is associated with poor consequence. This review aims to summarize published evidence on prevention of AL after colorectal surgery...
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Compression injury of the circular stapler for gastrointestinal end-to-end anastomosis: preliminary in-vitro study

Son GM, Kwon MS, Ahn Hm, Lee IY, Kim GH, Nam KW, Lee J, Kong CS

Purpose: This preliminary in-vitro study was designed to evaluate the risk factors of compression injury from use of a circular stapler for end-to-end anastomosis. Methods: Transparent collagen plates were prepared in...
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Natural Orifice Specimen Extraction (NOSE) with SingleStapling Anastomosis for Left Colon Cancer

Shen MY, Chen WTL

One of the major criticisms of laparoscopic colectomy is the requirement of an additional mini laparotomy to remove the resected specimen. This may be associated with postoperative pain and wound...
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Modified Book Binding Technique (MBBT) for Intracorporeal Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy: Initial Experience

Kim JS, Park EY, Park DJ, Kim GY

Totally laparoscopic distal gastrectomy (TLDG) frequently involves the use of delta shaped gastroduodenostomy (DSG) for intracorporeal anastomosis. However, DSG has some drawbacks, and the book binding technique (BBT) was developed...
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Intracorporeal Esophagojejunostomy Using a Circular or a Linear Stapler in Totally Laparoscopic Total Gastrectomy: a Propensity-Matched Analysis

Kang SH, Cho YS, Min SH, Park YS, Ahn SH, Park DJ, Kim HH

PURPOSE: There is no consensus on the optimal method for intracorporeal esophagojejunostomy (EJ) in laparoscopic total gastrectomy (LTG). This study aims to compare 2 established methods of EJ anastomosis in...
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A novel and simple method using a transanal intestinal long tube for protecting intestinal anastomosis and decompressing the small bowel

Nam SH

PURPOSE: I introduce the use of transanal intestinal long tube (TILT) using nasogastric tube. TILT passes from anus to the anastomosis, helping to decompress a dilated bowel loop. METHODS: TILT procedure...
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Laparoscopic Proximal Gastrectomy as a Surgical Treatment for Upper Third Early Gastric Cancer

Park DJ, Park YS, Ahn SH, Kim HH

Recently, the incidence of upper third gastric cancer has increased, and with it the number of endoscopic submucosal dissection (ESD) procedures performed has been increasing. However, if ESD is not...
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Comparison of effects of the tacrolimus and cyclosporine A on the colon anastomosis recovery of rats

Uysal E, Dokur M

PURPOSE: This study aims to examine and compare the effects of immunosuppressant cyclosporine A (CsA) and tacrolimus (TAC) on colon anastomosis recovery. METHODS: Forty rats were randomly divided into 4 groups....
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Management of Lymphedema

Choi J, Lee S, Son D

Lymphedema is a frequent complication after the treatment of various cancers, particularly breast cancer, gynecological cancers, melanomas, and other skin and urological cancers. Lymphedema patients have chronic swelling of the...
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An intuitive method of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy: use of one-step circumferential interrupted sutures

Kim M, Shin WY, Lee KY, Ahn SI

Pancreaticoenteric anastomosis is the origin of postoperative pancreatic fistula (POPF). Although a variety of methods have been proposed to decrease the POPF rate, randomized controlled trials performed so far have...
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The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection

Karaca G, Pekcici MR, Altunkaya , Fidanci V, Kilinc A, Ozer H, Tekeli A, Aydinuraz , Guler O

PURPOSE: In our study, the effects of harmonic scalpel, scalpel, and monopolar electrocautery usage on the health and healing of colon anastomosis after resection was investigated. METHODS: In this study, 120...
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Anastomotic Airway Complications after Lung Transplantation

Cho EN, Haam SJ, Kim SY, Chang YS, Paik HC

PURPOSE: Anastomotic airway complications are a major cause of morbidity and mortality after lung transplantation (LTx). In this study, the authors identified types and clinical outcomes of airway complications after...
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Comparison of perioperative outcomes between running versus interrupted vesicourethral anastomosis in open radical prostatectomy: A single-surgeon experience

Lim JH, Park CM, Kim HK, Park JY

PURPOSE: To compare perioperative outcomes between running and interrupted vesicourethral anastomosis in open radical prostatectomy (RP). MATERIALS AND METHODS: The medical records of 112 patients who underwent open RP for prostate...
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Safety of a Single Venous Anastomosis in Anterolateral Thigh Free Flap for Extremity Reconstruction

Yu SS, Shin HW, Cho PD, Lee SH

PURPOSE: The main cause of flap loss in microsurgical tissue transfer is venous insufficiency. Whether or not multiple venous anastomoses prevents vascular thrombosis and reduces the risk of flap failure...
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A Comparison of Outcomes of Three Reconstruction Methods after Laparoscopic Distal Gastrectomy

Kim CH, Song KY, Park CH, Seo YJ, Park SM, Kim JJ

PURPOSE: The aim of this study was to compare the short-term surgical and long-term functional outcomes of Billroth I, Billroth II, and Roux-en-Y reconstruction after laparoscopic distal gastrectomy. MATERIALS AND METHODS:...
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