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  1. Article ; Online: Laparoscopic extended left hepatectomy with main portal-vein thrombectomy for hepatocellular carcinoma.

    Lin, Yi-Ting / Chang, Yin-Jen / Wu, Yun-Shao / Chen, Kuo-Hsin

    Asian journal of surgery

    2024  Volume 47, Issue 4, Page(s) 1970–1971

    MeSH term(s) Humans ; Carcinoma, Hepatocellular/surgery ; Carcinoma, Hepatocellular/pathology ; Liver Neoplasms/surgery ; Liver Neoplasms/pathology ; Hepatectomy ; Thrombectomy ; Laparoscopy
    Language English
    Publishing date 2024-01-25
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 1068461-x
    ISSN 0219-3108 ; 1015-9584
    ISSN (online) 0219-3108
    ISSN 1015-9584
    DOI 10.1016/j.asjsur.2023.12.189
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2831: Show issues Location:
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  2. Article ; Online: Role of laparoscopy in management of patients with anterior abdominal stab wounds.

    Wu, Chien / Lin, Keng-Li / Chang, Yin-Jen / Lin, Heng-Fu

    Surgical endoscopy

    2023  Volume 37, Issue 12, Page(s) 9173–9182

    Abstract: Background: In this retrospective cohort study, we assessed the utility of laparoscopic surgery for diagnostic and therapeutic purposes in patients with anterior abdominal stab wounds (AASWs). We also investigated patient characteristics that might ... ...

    Abstract Background: In this retrospective cohort study, we assessed the utility of laparoscopic surgery for diagnostic and therapeutic purposes in patients with anterior abdominal stab wounds (AASWs). We also investigated patient characteristics that might suggest a greater suitability of laparoscopic interventions.
    Methods: Over a 25-year span, we analyzed AASW patients who had operations, categorizing them based on the presence of significant intra-abdominal injuries and whether they received laparoscopic surgery or laparotomy. We compared variables such as preoperative conditions, surgical details, and postoperative outcomes. We further evaluated the criteria indicating the necessity of direct laparotomies and traits linked to overlooked injuries in laparoscopic surgeries.
    Results: Of 142 AASWs surgical patients, laparoscopic surgery was conducted on 89 (62.7%) patients. Only 2 (2.2%) had overlooked injuries after the procedure. Among patients without significant injuries, those receiving laparoscopic surgery had less blood loss than those receiving laparotomy (30.0 vs. 150.0 ml, p = 0.004). Patients who underwent laparoscopic surgery also had shorter hospital stays (significant injuries: 6.0 vs. 11.0 days, p < 0.001; no significant injuries: 5.0 vs. 6.5 days, p = 0.014). Surgical complications and overlooked injury rates were comparable between both surgical methods. Bowel evisceration correlated with higher laparotomy odds (odds ratio = 16.224, p < 0.001), while omental evisceration did not (p = 0.107).
    Conclusions: Laparoscopy is a safe and effective method for patients with AASWs, fulfilling both diagnostic and therapeutic needs. For stable AASW patients, laparoscopy could be the preferred method, reducing superfluous nontherapeutic laparotomies.
    MeSH term(s) Humans ; Retrospective Studies ; Wounds, Stab/surgery ; Wounds, Stab/diagnosis ; Laparoscopy/methods ; Wounds, Penetrating/surgery ; Abdomen/surgery ; Abdominal Injuries/surgery ; Laparotomy/methods
    Language English
    Publishing date 2023-10-14
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-023-10487-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Laparoscopic extended left hepatectomy with middle hepatic vein reconstruction for intrahepatic cholangiocarcinoma with a video vignette.

    Chang, Yin-Jen / Siow, Tiing-Foong / Lin, Tzu-Chao / Chen, Kuo-Hsin

    Asian journal of surgery

    2022  Volume 45, Issue 3, Page(s) 941–942

    MeSH term(s) Bile Duct Neoplasms/pathology ; Bile Duct Neoplasms/surgery ; Bile Ducts, Intrahepatic/surgery ; Cholangiocarcinoma/pathology ; Cholangiocarcinoma/surgery ; Hepatectomy ; Hepatic Veins/surgery ; Humans ; Laparoscopy
    Language English
    Publishing date 2022-01-07
    Publishing country China
    Document type Letter ; Video-Audio Media
    ZDB-ID 1068461-x
    ISSN 0219-3108 ; 1015-9584
    ISSN (online) 0219-3108
    ISSN 1015-9584
    DOI 10.1016/j.asjsur.2021.12.061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Laparoscopic central hepatectomy with right anterior portal vein thrombectomy for hepatocellular carcinoma.

    Siow, Tiing-Foong / Lin, Yi-Ting / Chang, Yin-Jen / Chen, Kuo-Hsin

    Asian journal of surgery

    2022  

    Language English
    Publishing date 2022-07-19
    Publishing country China
    Document type Letter
    ZDB-ID 1068461-x
    ISSN 0219-3108 ; 1015-9584
    ISSN (online) 0219-3108
    ISSN 1015-9584
    DOI 10.1016/j.asjsur.2022.06.176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Risk of urinary stones among women with pelvic organ prolapse: A national population-based cohort study.

    Chang, Yin-Jen / Chen, Wen-Chi / Chiang, Jen-Huai / Su, Yuan-Chih / Chen, Yung-Hsiang / Chen, Huey-Yi

    International journal of urology : official journal of the Japanese Urological Association

    2018  Volume 25, Issue 9, Page(s) 836–837

    MeSH term(s) Adult ; Aged ; Cohort Studies ; Comorbidity ; Female ; Humans ; Kaplan-Meier Estimate ; Middle Aged ; Pelvic Organ Prolapse/epidemiology ; Proportional Hazards Models ; Risk Factors ; Taiwan/epidemiology ; Urinary Calculi/epidemiology
    Language English
    Publishing date 2018-05-31
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1328401-0
    ISSN 1442-2042 ; 0919-8172
    ISSN (online) 1442-2042
    ISSN 0919-8172
    DOI 10.1111/iju.13702
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    Zs.MO 278: Show issues

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  6. Article ; Online: Traditional Chinese medicine decreases the obstructive uropathy risk in uterovaginal prolapse: A nationwide population-based study.

    Chang, Yin-Jen / Chen, Wen-Chi / Chiang, Jen-Huai / Su, Yuan-Chih / Tsai, Kao-Sung / Man, Kee-Ming / Tsai, Ming-Yen / Chen, Yung-Hsiang / Chen, Huey-Yi

    Medicine

    2018  Volume 97, Issue 38, Page(s) e12369

    Abstract: Traditional Chinese medicine (TCM) is a popular treatment for voiding dysfunction in Eastern countries. However, no previous studies have investigated the effects of TCM on preventing obstructive uropathy in uterovaginal prolapse women. We conducted a ... ...

    Abstract Traditional Chinese medicine (TCM) is a popular treatment for voiding dysfunction in Eastern countries. However, no previous studies have investigated the effects of TCM on preventing obstructive uropathy in uterovaginal prolapse women. We conducted a large-scale nationwide population-based cohort study to investigate the relationship between TCM and obstructive uropathy in uterovaginal prolapse women. This is a retrospective cohort study with the Taiwan National Health Insurance Research Database (NHIRD). The study population was newly diagnosed uterovaginal prolapse patients between 1997 and 2010 year. Among patients, 762 uterovaginal prolapse patients in this cohort. Significant adjusted HRs of urine retention or hydronephrosis in Cox proportional hazard models were uterovaginal prolapse (hazard ratio [HR]: 1.74, 95% confidence intervals [CI]: 1.43-2.14), age 40 to 64 years (1.51, 1.01-2.27), ≥60 years (3.52, 2.32-5.34), DM (1.52, 1.23-1.89), hypertension (1.38, 1.13-1.7), constipation (1.35, 1.05-1.75), urinary tract calculi (1.54, 1.06-2.23), and TCM users (0.34, 0.28-0.41). The Kaplan-Meier analysis showed a higher incidence rate of urine retention or hydronephrosis in the uterovaginal prolapse cohort compared with that of the without uterovaginal prolapse cohort. The results of this nationwide population-based study support a relationship between TCM and a reduced risk of obstructive uropathy in uterovaginal prolapse women.
    MeSH term(s) Adult ; Databases, Factual ; Female ; Humans ; Hydronephrosis/epidemiology ; Hydronephrosis/etiology ; Incidence ; Kaplan-Meier Estimate ; Medicine, Chinese Traditional/methods ; Middle Aged ; Proportional Hazards Models ; Retrospective Studies ; Taiwan/epidemiology ; Urinary Retention/epidemiology ; Urinary Retention/etiology ; Uterine Prolapse/complications ; Uterine Prolapse/therapy
    Language English
    Publishing date 2018-09-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000012369
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.171: Show issues Location:
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  7. Article ; Online: Association of congenital anomalies with fracture of spine, trunk, and upper and lower limbs among young people: A population-based matched cohort study in Taiwan.

    Ma, Chia-Man / Lin, Lih-Hwa / Chang, Hsing-Yi / Chou, Pei-Chi / Liao, Po-Chi / Chen, Huey-Yi / Man, Kee-Ming / Chiang, Jen-Huai / Chang, Yin-Jen / Tsai, Ming-Yen / Chen, Wen-Chi / Chen, Yung-Hsiang

    Medicine

    2017  Volume 96, Issue 36, Page(s) e7980

    Abstract: According to the Traditional Chinese Medicine (TCM) theory, congenital anomalies are caused by kidney malfunctions, which decreased the bone quality, and may eventually result in bone fractures. This retrospective cohort study investigated the ... ...

    Abstract According to the Traditional Chinese Medicine (TCM) theory, congenital anomalies are caused by kidney malfunctions, which decreased the bone quality, and may eventually result in bone fractures. This retrospective cohort study investigated the relationship between congenital anomalies and fracture of spine, trunk, and upper and lower limbs in young people. We utilized data from the National Health Insurance Research Database of Taiwan. This study included patients with congenital anomalies (International Classification of Diseases/ICD-9 code: 740-759) and a comparison group of patients without congenital anomalies. Cases evaluated were fracture of spine and trunk (ICD-9 codes: 805-809), fracture of upper limbs (ICD-9 codes: 810-819), and fracture of lower limbs (ICD-9 codes: 820-829). Our study shows that in comparison to the control group, patients with congenital anomalies are 1.11 times more likely to develop fractures. This is the first documented research study that supports the TCM theory that "the Kidney governs the bones, and healthy bones give the body stabilization and prevent fracture."
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Congenital Abnormalities/epidemiology ; Female ; Fractures, Bone/complications ; Fractures, Bone/epidemiology ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Proportional Hazards Models ; Retrospective Studies ; Taiwan/epidemiology
    Language English
    Publishing date 2017-09-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000007980
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.171: Show issues Location:
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  8. Article ; Online: Robotic left hepatectomy with revision of hepaticojejunostomy.

    Chen, Kuo-Hsin / Chen, Shian-Dian / Chen, Ying-Da / Chang, Yin-Jen / Lin, Tzu-Chao / Siow, Tiing-Foong / Chio, U-Chon / Huang, Shu-Yi / Wu, Jiann-Ming / Jeng, Kuo-Shyang

    Asian journal of surgery

    2014  Volume 37, Issue 2, Page(s) 106–109

    Abstract: Laparoscopic hepatectomy and hepaticojejunostomy remain a surgical challenge despite the recent advances in minimally invasive surgery. A robotic surgical system has been developed to overcome the inherent limitations of the traditional laparoscopic ... ...

    Abstract Laparoscopic hepatectomy and hepaticojejunostomy remain a surgical challenge despite the recent advances in minimally invasive surgery. A robotic surgical system has been developed to overcome the inherent limitations of the traditional laparoscopic approach. However, techniques of robotic hepatectomy have not been well described, and a description of robotic major hepatectomy with bilioenteric anastomosis can be found only in two previous reports. Here, we report a 33-year-old man with a history of choledochocyst resection. The patient experienced repeat cholangitis with left hepatolithiasis during follow-up. Robotic left hepatectomy and revision of hepaticojejunostomy were performed smoothly. The patient recovered uneventfully and remained symptoms-free at a follow-up of 20 months. The robotic approach is beneficial in the fine dissection of the hepatic hilum and revision of hepaticojejunostomy in this particular patient.
    MeSH term(s) Adult ; Anastomosis, Surgical ; Hepatectomy/methods ; Humans ; Jejunum/surgery ; Male ; Reoperation ; Robotic Surgical Procedures ; Robotics
    Language English
    Publishing date 2014-04
    Publishing country China
    Document type Case Reports ; Journal Article
    ZDB-ID 1068461-x
    ISSN 0219-3108 ; 1015-9584
    ISSN (online) 0219-3108
    ISSN 1015-9584
    DOI 10.1016/j.asjsur.2014.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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