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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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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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Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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第58卷 第2期 2025-3
Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm

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Operations for choledochal cysts: A 25-year experience at a tertiary care center in India

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第58卷 第2期 2025-3
A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?

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第58卷 第2期 2025-3
Recurrent gallstone ileus, a deadly encounter: A case report

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第58卷 第2期 2025-3
The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan

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第58卷 第2期 2025-3
Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study

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第58卷 第2期 2025-3
Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis

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第58卷 第2期 2025-3
Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study

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Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies

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第58卷 第1期 2025-1
Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols

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Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones

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Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report

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Pilonidal sinus of scrotum: A rare clinical entity

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Incidental autopsy finding of retiform hemangioendothelioma of the spleen

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Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series

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篇名 Learning curve for two-site incision laparoscopic Roux-en-Y gastric bypass
作者 Jung-Chien Chen, Tsang-Pai Liu, Wei-Jei Lee, Kong-Han Ser
卷期/出版年月 47卷2期 (2014/4)
頁次 57-61
摘要 Background: Single-incision laparoscopic surgery (SILS) has emerged recently, and this procedure minimizes surgical trauma. Laparoscopic Roux-en-Y gastric bypass is one of the most effective bariatric surgeries. From five to seven small skin incisions are usually required to perform this procedure. In regard to the single-incision laparoscopic surgery procedure, we developed a modified single-laparoscopic technique (2-site incision technique) to perform a Roux-en-Y gastric bypass. Our method and the associated learning curve will be presented here. Methods: Three hundred consecutive patients with a mean age of 31.7 years (range, 19-52 years) underwent a two-site incision laparoscopic Roux-en-Y gastric bypass (TILRYGB) between February 2009 and December 2010. The mean body mass index of the patients was 40.5 kg/m2 (range, 30.1e59.9 kg/m2) preoperatively. The same perioperative protocol and surgical technique were used in all patients. These 300 patients were equally divided into three groups in sequence. The pre- and postoperative data were collected and compared. Results: The TILRYGB procedure was performed successfully in all patients. The mean operative time of the groups in sequence was 170.9 minutes, 157.3 minutes, and 149.0 minutes. No perioperative major complications occurred. Minor complications occurred in these three groups in five, three, and zero cases. These minor complications included gastrointestinal bleeding and ileus, all of which resolved with conservative treatment. The mean hospital stay in sequence was 4.1 days, 3.8 days, and 3.5 days. Conclusion: TILRYGB is a safe, feasible, and reproducible bariatric procedure; once the learning curve is overcome, it can provide better postoperative results than other surgical procedures.
關鍵詞 bariatric surgery;morbid obesity;Roux-en-Y bypass;single-incision laparoscopic surgery
分類 Original Articles

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