The operative mortality and morbidity of pancreaticoduodenectomy (PD) remain high. We analyzed PD patients' clinical characteristics and surgical outcomes and discuss how PD clinical outcomes could be improved. We retrospectively reviewed the cases of 400 patients who underwent a PD between January 1998 and April 2014 at Okayama University Hospital, a very-high-volume center. We identified and ...

The purpose of this study was to determine the treatment modalities with sinogenic complications. We present a retrospective assessment of 11 patients who developed various types of complications, including an abscess within the temporal bone pyramid, frontal sinus and orbital mucocele, and a subperiosteal abscess with orbital apex syndrome. Three patients have suffered from decreased visual ac...

PURPOSE We compared the efficacy of patient-controlled analgesia (PCA), with or without a background infusion of morphine, on postoperative pain relief in patients extubated in the operating room after coronary artery bypass grafting (CABG) surgery. METHODS With Faculty Ethics approval, 60 consenting adults undergoing elective coronary artery surgery were randomly assigned to receive either m...

PURPOSE The place of oncological cases of upper urinary system in the laparoscopic learning curve was investigated. MATERIALS AND METHODS A total of 139 patients from two different centers underwent laparoscopic operations and were included in this retrospective study. RESULTS Mean operative times for oncological, and non-oncological cases were 101.3 (range 60-450), and 102.7 (45-490) minut...

PURPOSE Electrogastrography is a method of measuring action potentials of the stomach. The purpose of this study was to investigate early postoperative changes in the electrogastrography and determine the correlation between electrogastrography and quality of life of patients with stomach cancer who underwent distal gastrectomy. MATERIALS AND METHODS This study analyzed 20 patients with stoma...

BACKGROUND The treatment of secondary pneumothorax in elderly patients is difficult because of underlying diffuse lung injury and complex medical comorbidities. Such patients still have high morbidity rates, resulting in longer periods of hospitalization. METHODS To examine the results of video-assisted thoracic surgery for elderly patients (aged 70 years or over) with secondary pneumothorax ...

BACKGROUND Data on postoperative acute kidney injury (AKI) in octogenarians are limited. This study examines the AKI occurrence and clinical impact in octogenarians following open-heart valve replacement surgery in two periods over the last 15 years. METHODS A total of 452 consecutive octogenarians (non-kidney transplant and non-dialysis) who underwent heart valve replacement at the Mayo Clin...

OSA is a commonly encountered comorbid condition in surgical patients. The risk of cardiopulmonary complications is increased by two to threefold with OSA. Among the different treatment options for OSA, CPAP is an efficacious modality. This review examines the evidence regarding the use of CPAP in the preoperative and postoperative periods in surgical patients with diagnosed and undiagnosed OSA.

Nosocomial-acquired infections remain a serious problem in patients undergoing coronary artery bypass grafting (CABG) surgery. The objective of this retrospective study was to compare the incidence of nosocomial infections in patients undergoing CABG surgery within two periods (1994 and 2003). A single dose of a second generation cephalosporin (cefuroxime) was administered as antibiotic prophyl...