World Journal of Surgery (WORLD J SURG)
World Journal of Surgery publishes original articles that offer significant contributions to knowledge in the broad fields of clinical surgery, experimental surgery and related sciences, surgical education and history, and the socioeconomic aspects of surgical care. The Journal has an international circulation and is designed to serve as a medium for rapid dissemination of new and important information about the science and art of surgery throughout the world. In the interests of a wide international readership, use of the English language is required. Articles that are accepted for publication are done so with the understanding that they, or their substantive contents, have not been and will not be submitted to any other publication.
- Impact factor2.36Show impact factor historyHide impact factor history
- WebsiteWorld Journal of Surgery website
Other titlesWorld journal of surgery (Online), World j. surg
Material typeDocument, Periodical, Internet resource
Document typeInternet Resource, Computer File, Journal / Magazine / Newspaper
- Author can archive a pre-print version
- Author can archive a post-print version
- Authors own final version only can be archived
- Publisher's version/PDF cannot be used
- On author's website or institutional repository
- On funders designated website/repository after 12 months at the funders request or as a result of legal obligation
- Published source must be acknowledged
- Must link to publisher version
- Set phrase to accompany link to published version (The original publication is available at www.springerlink.com)
- Articles in some journals can be made Open Access on payment of additional charge
Publications in this journal
Article: Examination under anesthesia for management of impalpable undescended testis: a traditional technique revisited.[show abstract] [hide abstract]
ABSTRACT: Abstract Background Many new tools for management of impalpable testes have emerged during the last few years, yet, not many studies have compared them to the traditional ways of managing this problem. This work aims to reiterate the importance of the physical examination under general anesthesia prior to the surgical procedure in order to decide the best surgical approach for patients with impalpable undescended testis, especially in developing countries where expensive investigations are at premium. Patients and methods The study included boys who were treated consecutively and recorded prospectively from 2000 to 2010. Examination under anesthesia (EUA) was performed during the study period. Those in whom the testes were palpable underwent the standard orchiopexy procedure. In those boys where EUA failed to detect the testes, laparoscopy or extended inguinal exploration was carried out, and the testes were treated accordingly. Results On initial clinical evaluation at the outpatient clinic, 545 boys were recorded to have impalpable testes. Undescended testis was unilateral in 529 boys and bilateral in 16 boys. However, on examination under anesthesia only 189 (34.7 %) were impalpable. Among boys in whom the testes were palpable after EUA, 38 had small-size testes, 18 had normal size, and the remaining 300 boys had a sac or cord-like structure. Conclusions Meticulous EUA facilitates the accurate diagnosis and planning of the surgical approach to patients with an impalpable testis and should remain part of the surgeon’s skill set. It is an inexpensive initial evaluation tool that may help in saving hospital resources, especially in developing countriesWorld Journal of Surgery 05/2013; 37((5)):1125-9..
Article: Pancreatic Anastomotic Leakage after Pancreaticoduodenectomy. Risk factors, Clinical predictors, and Management (Single Center Experience).[show abstract] [hide abstract]
ABSTRACT: BACKGROUND: Postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) remains a challenge even at high-volume centers. METHODS: This study was designed to analyze perioperative risk factors for POPF after PD and evaluate the factors that predict the extent and severity of leak. Demographic data, preoperative, intraoperative, and postoperative variables were collected. RESULTS: A total of 471 consecutive patients underwent PD in our center. Fifty-seven patients (12.1 %) developed a POPF of any type; 21 patients (4.5 %) had a fistula type A, 22 patients (4.7 %) had a fistula type B, and the remaining 14 patients (3 %) had a POPF type C. Cirrhotic liver (P = 0.05), BMI > 25 kg/m2 (P = 0.0001), soft pancreas (P = 0.04), pancreatic duct diameter <3 mm (0.0001), pancreatic duct located <3 mm from the posterior border (P = 0.02) were significantly associated with POPF. With the multivariate analysis, both BMI and pancreatic duct diameter were demonstrated to be independent factors. The hospital mortality in this series was 11 patients (2.3 %), and the development of POPF type C was associated with a significantly increased mortality (7/14 patients). The following factors were predictors of clinically evident POPF: a postoperative day (POD) 1 and 5 drain amylase level >4,000 IU/L, WBC, pancreatic duct diameter <3 mm, and pancreatic texture. CONCLUSIONS: Cirrhotic liver, BMI, soft pancreas, pancreatic duct diameter <3 mm, pancreatic duct near the posterior border are risk factors for development of POPF. In addition a drain amylase level >4,000 IU/L on POD 1 and 5, WBC, pancreatic duct diameter, pancreatic texture may be predictors of POPF B, C.World Journal of Surgery 03/2013;
World Journal of Surgery 01/2013;
Article: Early structured surgical management plan for neonates with short bowel syndrome may improve outcomes.World Journal of Surgery 01/2013; (In Press).
Article: Possible Role of F18-FDG-PET/CT in Differentiating Benign Lesions versus Malignant after Indeterminate Fine-needle Aspiration Cytology. A Wider and Still Controversial IssueWorld Journal of Surgery 05/2012; 35(5):1146-1147.
Article: Beyond Absolutism: Guiding Principles Needed for Humanitarian Medicine: Letter to the EditorWorld Journal of Surgery 05/2012; 34(10):2507-2507.
Article: Effect of Morbid Obesity and Tumor Diameter on Feasibility of Posterior Retroperitoneoscopic Adrenalectomy for Cushing’s Syndrome: ReplyWorld Journal of Surgery 05/2012; 35(1):238-238.
Article: The Anatomy of the Lateral Ligaments of the Rectum: A New Perspective: Letter to the EditorWorld Journal of Surgery 05/2012; 35(1):227-228.
Article: Cholelithiasis: Causes and treatmentWorld Journal of Surgery 05/2012; 26(11):1403-1403.
World Journal of Surgery 05/2012; 34(1):196-196.
World Journal of Surgery 05/2012; 34(2):368-369.
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ABSTRACT: BackgroundBy comparison with the conventional surgical approach to thyroidectomy, scarless (in the neck) endoscopic thyroidectomy (SET) has a superior cosmetic result but a very long learning curve. The objective of the present study was to compare surgical outcomes of SET performed by an experienced surgeon with the outcomes of conventional thyroidectomy. MethodEnrolled in this study were 25 patients who underwent SET and 18 who underwent conventional surgery. Differences in size of tumor, length of incision, duration of operation, volume of blood loss, pathological findings, postoperative pain, complications, and cosmetic result were investigated. ResultsThe two groups were well matched. The total length of incisions and volume of blood loss of SET were significantly lower than those of conventional surgery. In addition to the superior cosmetic result, postoperative pain was significantly less severe and rates of hypesthesia or paresthesia and discomfort while swallowing were significantly lower in the endoscopy group. ConclusionsIn experienced hands, SET offers more benefits than the conventional approach, including less postoperative pain and discomfort and a better cosmetic outcome.World Journal of Surgery 04/2012; 35(3):553-557.
Article: Posterior Retroperitoneoscopic Adrenalectomy for Clinical and Subclinical Cushing’s Syndrome: LetterWorld Journal of Surgery 04/2012; 35(1):237-237.
Article: Routine Ultrasound and Limited Computed Tomography for the Diagnosis of Acute Appendicitis: A Surgeon’s PerspectiveWorld Journal of Surgery 04/2012; 35(2):295-296.
Article: Modular Training in Laparoscopic Colorectal Surgery Maximizes Training Opportunities without Clinical Compromise[show abstract] [hide abstract]
ABSTRACT: BackgroundLaparoscopic surgery is increasingly proposed as the gold standard technique for colorectal resections and is offered to greater numbers of patients. To meet the rising service demands, more trainees and established consultants need to learn the technique. We sought to establish whether it is feasible and safe to train on a large proportion of patients without adversely affecting clinical outcome or smooth running of clinical service. MethodsBetween September 2006 and July 2008, four senior trainees of the Wessex Specialist Registrar training rotation were involved in training in laparoscopic colorectal surgery. Major colorectal resections were separated into clearly defined modules for training purposes. Right and left hemicolectomies each comprised two modules, and low anterior resection comprised three modules. Prospective data on consecutive patients undergoing laparoscopic colorectal surgery were collected. Data included type of surgery, module of procedure performed by trainee or trainer, body mass index (BMI), conversion rates, median operative time, complications, length of hospital stay, and mortality. ResultsDuring the study period 227 colorectal resections were attempted laparoscopically. Of these, 216 (96%) proved suitable for training and 97% were completed laparoscopically. Some 23% of patients were American Society of Anesthesiologists score (ASA) ≥3; 35% had a BMI ≥28; 38% had a history of previous laparotomy. Trainees performed 96% (142/148) of right hemicolectomy modules, 99% (154/156) of left hemicolectomy modules, and 67% (128/192) of rectal resection modules. Each trainee was competent to do right and left hemicolectomy at the end of the training period. Four patients (2%) required further surgery for postoperative complications. Of the procedures completed by the trainees, 155/171 (91%) cancer resections were potentially surgically curative, and R0 resections were achieved in 99%. The readmission rate was 10% (22/216) and median length of hospital stay was 4days. Postoperative mortality was zero. ConclusionsUsing a modular approach it is possible to provide effective training during almost all laparoscopic colorectal resections while achieving good clinical outcomes for the patients.World Journal of Surgery 04/2012; 35(2):409-414.
Article: Peritoneal Infusion with Cold Saline Decreased Postoperative Intra-abdominal Adhesion Formation: Letter to the EditorWorld Journal of Surgery 04/2012; 35(1):242-242.
World Journal of Surgery 04/2012; 34(7):1627-1628.
World Journal of Surgery 04/2012; 33(12):2735-2735.
Article: War Surgery: Working with Limited Resources in Armed Conflict and Other Situations of Violence, by Christos Giannou and Marco BaldanWorld Journal of Surgery 04/2012; 34(1):197-197.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.
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