Publications by authors named "Julian Tsang"
Background: Colonic perfusion is crucial for anastomotic healing and this could be evaluated intraoperatively using indocyanine-green fluorescence imaging (ICG FI). The aim of this study was to ascertain whether the use of ICG FI resulted in the reduction of anastomotic complications, i.e.
View Article and Find Full Text PDFBackground: Advances in sphincter-saving procedures improved the quality of life of patients with rectal cancer. However, many of them experienced functional disturbances after surgery, including low anterior resection syndrome.
Objective: The aim of this study was to evaluate the severity of low anterior resection syndrome after transanal total mesorectal excision and compare it with the conventional transabdominal, top-to-bottom, total mesorectal excision.
How does lymph node yield affect survival outcomes of stage I and II colon cancer?
World J Surg Oncol
January 2020
Background: According to the American Joint Committee on Cancer staging for cancer of the colon, a minimum of 12 lymph nodes (LN) has to be sampled for accurate staging. This has bearing on the long-term prognosis and the need for adjuvant chemotherapy. The aim of this study was to revisit the association of lymph node yield and the long-term survival in patients with stages I and II, i.
View Article and Find Full Text PDFBACKGROUND Thyroid carcinoma showing thymus-like differentiation (CASTLE) is a rare disease entity. It arises from ectopic thymic tissue in the thyroid gland. Patients usually present with enlarging neck mass and hoarseness.
View Article and Find Full Text PDFArticle Synopsis
- Pancreatic neuroendocrine tumours (PNETs) are uncommon, slow-growing tumors that can be either functioning or non-functioning, with distinct types like insulinomas and gastrinomas.
- Surgery is the primary treatment option, but there's ongoing debate over the best approach for non-functioning tumors smaller than 2 cm, as laparoscopic techniques show similar short-term outcomes to open surgery.
- Liver metastasis affects up to 80% of PNET patients, with a significantly better five-year survival rate for those who undergo complete resection, highlighting the importance of both liver surgery and palliative care for symptom management.
Clinical experience of positron-emission tomography in infective aortic disease.
Asian Cardiovasc Thorac Ann
January 2018
Background Fluorine-18-fluorodeoxyglucose positron-emission tomography with computed tomography has revolutionized medical diagnosis by adding functional activity to anatomic imaging. We report our experience with this technique in patients with mycotic aortic pathology and aortic vascular graft infection. Methods We conducted a retrospective review of a prospective database of patients who underwent F-fluorodeoxyglucose positron-emission tomography with computed tomography for suspected infective aortic disease.
View Article and Find Full Text PDFCombined cavo-atrial thrombectomy and hepatectomy in hepatocellular carcinoma.
Hepatobiliary Pancreat Dis Int
June 2017
Objectives/hypothesis: Despite immense interest, robotic-assisted thyroidectomy (RT) remains controversial in differentiated thyroid carcinoma (DTC). This systematic review and meta-analysis compared surgical completeness and/or oncological outcomes between RT and open thyroidectomy (OT) in low-risk DTC.
Study Design: Systematic review.
Background: Despite its feasibility, using the da Vinci robot in remote-access thyroidectomy remains controversial. This meta-analysis compared surgical and oncological outcomes between robotic-assisted thyroidectomy (RT) and non-robotic endoscopic thyroidectomy (ET).
Methods: A systematic review was performed to identify studies comparing outcomes between RT and ET.
Background: Despite gaining popularity, robotic-assisted thyroidectomy (RT) remains controversial. This systematic review and meta-analysis is aimed at comparing surgically-related complications between RT and conventional open thyroidectomy (OT).
Methods: A systematic review of the literature was performed to identify studies comparing surgically-related outcomes between RT and OT.
Article Synopsis
- Cancer patients face a higher risk of venous thromboembolic events, and some chemotherapy drugs have been linked to these complications, although acute arterial ischemia is less commonly reported.
- In a study over 10 years at a university hospital, 16 out of 419 patients who underwent surgery for acute limb ischemia were found to have cancer, with common cases involving urogenital and lung cancers.
- The majority of these patients received surgical intervention, but there was a notable rate of limb loss and in-patient mortality, pointing to the importance of early diagnosis and treatment in improving survival chances.
Endovascular repair of para-anastomotic aortoiliac aneurysms.
Cardiovasc Intervent Radiol
November 2009
The purpose of this study is to evaluate the use of endovascular stent grafts in the treatment of para-anastomotic aneurysms (PAAs) as an alternative to high-risk open surgical repair. We identified all patients with previous open aortic aneurysm repair who underwent infrarenal endovascular aneurysm repair (EVAR) at our institution from June 1998 to April 2007. Patient demographics, previous surgery, and operative complications were recorded.
View Article and Find Full Text PDF