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第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

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第58卷 第3期 2025-5
Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

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第58卷 第3期 2025-5
Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal

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第58卷 第3期 2025-5
Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

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第58卷 第3期 2025-5
COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

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第58卷 第3期 2025-5
Eggplant deformity in penile fracture

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Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series

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第58卷 第3期 2025-5
Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

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第58卷 第3期 2025-5
Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

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第58卷 第3期 2025-5
Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

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Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

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第58卷 第3期 2025-5
Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

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第58卷 第3期 2025-5
Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

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第58卷 第3期 2025-5
Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

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第58卷 第3期 2025-5
Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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第58卷 第2期 2025-3
Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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第58卷 第2期 2025-3
Spontaneous bilateral basal ganglia hemorrhage

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第58卷 第2期 2025-3
Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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篇名 Surgical Management of Radiation Enterocolitis
作者 Ming-Cheng Chen, Hwei-Ming Wang, Feng-Fan Chiang,Joe-Bin Chen, Te-Hsin Chao, Hsiu-Feng Ma, Chou-Chen Chen
卷期/出版年月 43卷5期 (2010/10)
頁次 236-242
摘要 Background: Pelvic irradiation has been a popular therapy modality for treating cervical cancer for many years, and its usage in rectal cancer and prostate cancer cases is also on the rise. In this study we retrospectively analyzed cases of surgical management for complications after pelvic irradiation. We also discuss the issue of resection of diseased bowel and the safety of anastomosis. Methods: From 1989 to 2007, a total of 31 patients in our hospital underwent gastrointestinal tract surgery for complications of pelvic irradiation and were enrolled in this study. A retrospective review was conducted for demographic data, preoperative status, operative strategy and recurrence of radiation enterocolitis. Results: For resection procedures, the mean length of hospital stay was 38.8 days and 18.8 days for diversion procedures (p=0.003). 21(58%) patients underwent resection procedures, and 15 (42%) patients underwent diversion procedures. The complication rate was 57% for resection procedures and 13% for diversion procedures (p=0.002). The mortality rate was 10% for resection procedures and 0 for diversion procedures (p=0.492). The total two-year recurrence rate for symptomatic radiation enterocolitis was 25%, and the re-operation rate was 22%. There was no significant difference in the recurrence rate and re-operation rate between resection procedures and diversion procedures. There was also no significant difference in the surgical outcome between the group with anastomosis and that without anastomosis. Conclusions: Surgery of radiation enterocolitis is associated with significant morbidity and mortality rates. Conservative procedures, such as bypass, stoma and stricturoplasty, should be considered for patients who are poor surgical candidates. Anastomosis did not increase surgical morbidity or mortality rates.
關鍵詞 radiation colitis, radiation enterocolitis, radiation injury, surgery,surgical management
分類 Original Article

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