Publications by authors named "Yit J Leang"
Background: Surgical audit is key in upholding the standards of surgical care but may be inadequate in capturing morbidity experienced by patients being transferred across different health systems. The aim of this study was to assess the utility of an objective framework in the evaluation of clinical issues surrounding interhospital transfers (IHTs).
Methods: A retrospective cohort study was conducted at a Victorian state bariatric hospital.
Background: Gastro-esophageal reflux (GORD) following sleeve gastrectomy (SG) is a central challenge, and precise indications for revisional surgery or the physiology have not been precisely defined. We aimed to determine whether OAGB performed for reflux post-SG (1) accelerates gastric emptying half-time, (2) reduces the frequency and severity of reflux events, and (3) improves reflux symptoms.
Methods: We undertook a prospective trial (ACTRN12616001089426).
Multiple novel multi-port robotic surgical systems have been introduced into clinical practice. This systematic review aims to evaluate the clinical outcomes of these novel robotic systems to conventional laparoscopic technique and established da Vinci robotic surgical platforms. A literature search of Embase, Medline, Pubmed, Cochrane library, and Google Scholar was performed according to the PRISMA guidelines from 2012 to May 2023.
View Article and Find Full Text PDFBackground: Robotic-assisted surgery has emerged as a compelling approach to bariatric surgery. However, current literature has not consistently demonstrated superior outcomes to laparoscopic bariatric surgery to justify its higher cost. With its mechanical advantages, the potential gains from the robotic surgical platform are likely to be apparent in more complex cases such as gastric bypass, especially revisional cases.
View Article and Find Full Text PDFBackground: Pancreatic trauma is rare and complex. Non-operative management of pancreatic injuries is often appropriate, and when surgical intervention is required there may be a choice between resectional or more conservative approaches. This is especially true for distal injuries.
View Article and Find Full Text PDFArticle Synopsis
- Thyroid nodules are becoming more common, yet 30% of fine needle aspirate cytology (FNAC) results are inconclusive, leading to varied surgical management decisions between patients with clear and unclear diagnoses.
- The study analyzed 3,821 patients who had thyroidectomies from 2001 to 2015, revealing that those with indeterminate cytology were more likely to have less invasive initial surgeries and higher rates of further surgeries compared to those with definitive diagnoses.
- Findings suggest that better preoperative diagnostic methods could improve treatment decisions, as up to 60% of patients with indeterminate results may have received inappropriate treatment initially.
Background: Enterocutaneous fistulas (ECFs) are complex and can result in significant morbidity and mortality. The study aimed to evaluate ECF outcomes in a single tertiary hospital.
Methods: A retrospective study of all patients treated with ECF between the period of January 2009 and June 2014 was conducted.