Publications by authors named "Felix Che-Lok Chow"
Introduction: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is increasingly used to treat peritoneal metastases from appendiceal or colorectal origin. We evaluate our institution's experience and survival outcomes with this procedure, and its efficacy in symptom relief.
Methods: This is a single-centre retrospective observational study on patients with peritoneal metastases (PM) from appendiceal neoplasm or colorectal cancer who underwent CRS/HIPEC in Queen Mary Hospital.
. Endoscopic ultrasound (EUS) and fine-needle aspiration (FNA) are commonly used for assessing pancreatic lesions. This study aimed to evaluate the diagnostic yield and accuracy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in a single tertiary institution.
View Article and Find Full Text PDFLiver metastasis is the commonest form of distant metastasis in colorectal cancer. Selection criteria for surgery and liver-directed therapies have recently been extended. However, resectability remains poorly defined.
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- The study investigates whether discolored parathyroid glands (PGs) that appear bruised but still have blood supply should be kept during total thyroidectomy or removed for transplantation.
- Analyzing 103 patients, the research categorized PGs based on discoloration and assessed impacts on hypoparathyroidism post-surgery, with findings indicating that patients with more severely discolored glands were more likely to experience transient hormone deficiency.
- The results emphasize that just because a PG seems normal in appearance and blood flow, it doesn't guarantee it is functioning properly, suggesting a need for better methods to evaluate PG viability during surgery.
Background: It remains uncertain whether the number of parathyroid glands (PGs) seen during extra-capsular dissection impacts short- and long-term hypoparathyroidism. Our study aimed to address this by analyzing patients who underwent total thyroidectomy for benign disease.
Methods: Consecutive patients undergoing total thyroidectomy were analyzed.
Background: Unplanned 30-day readmission and emergency department (ED)/general practitioner (GP) visit after thyroidectomy are important healthcare quality measures and may reduce any cost savings from performing it as a short-stay (<24-h admission) procedure. Our study aimed to examine the incidence, cause, and risk factors for unplanned 30-day readmissions and ED/GP visits together following short-stay thyroidectomy.
Methods: One-thousand and four patients who underwent short-stay thyroidectomy were reviewed.
Article Synopsis
- IVC filters are used to prevent pulmonary embolism in patients unable to take anticoagulants, and this study reviews their outcomes in a single institution over 15 years.
- A total of 109 patients, primarily older adults with a history of venous thromboembolism, underwent IVC filter placement, with low rates of serious complications and no new symptomatic pulmonary embolism after the procedure.
- The study highlighted significant mortality rates, with nearly half of the patients dying during follow-up, while some experienced further venous thromboembolism and post-thrombotic syndrome symptoms.
Introduction: During examination of the vocal cords (VC) using transcutaneous laryngeal ultrasonography (TLUSG), 3 sonographic landmarks (namely, false VC [FC], true VC [TC], and arytenoids [AR]) are often seen. However, it remains unclear which landmark provides a more reliable assessment and whether seeing more landmarks improves the diagnostic accuracy and reliability.
Methods: We evaluated prospectively 245 patients from 2 centers.
Article Synopsis
- Transcutaneous laryngeal ultrasound (TLUSG) is a useful noninvasive tool for assessing vocal cord function post-thyroidectomy, but some patients present "unassessable" or "inaccurate" results.
- A study involving 581 patients found 5% had unassessable vocal cords, and 5.3% of assessable patients had inaccurate findings, with older age, male sex, and physical factors influencing these results.
- The research highlights the need for laryngoscopic validation in patients with abnormal TLUSG results, as a significant portion of vocal cord palsies may actually be normal.