مقالههای Ahmadreza Soroush
توجه: محتویات این صفحه به صورت خودکار پردازش شده و مقالههای نویسندگانی با تشابه اسمی، همگی در بخش یکسان نمایش داده میشوند.
نویسنده(ها): Zhamak Khorgami، Saeed Shoar، Nasrin Shoar، Delaram Shakoor، Shirin Mahdavian، Shirzad Nasiri، Ahmadreza Soroush، Ali Aminian
اطلاعات انتشار: Academic Journal of Surgery، اول،شماره۱-۲، ۲۰۱۴، سال ۰
تعداد صفحات: ۸
Despite huge advances in minimally invasive surgeries, efforts still continue for finding less invasive methods of surgery. Patients desire less postoperative pain as well as better cosmetic outcomes. This may be achieved by decreasing the number of laparoscopic ports in which all the surgical maneuvers are performed through a single incision. However, surgeons should be also equipped to act well while avoiding adverse events of the new practicing approach. Along with increasing trends in performing of single incision laparoscopic surgery (SILS) in routine practice, the number of assessing the pros and cons of this new modality is also on the rise. Although it has been claimed that SILS is able to make the dream of invisible laparoscopy true for patients and surgeons, consecutive studies regarding postoperative outcomes questioned the benefits of the new evolved technique. Subsequent meta–analysis also revealed equal outcomes for SILS in comparison to the standard laparoscopy. Our review aimed to outline the pros and cons of SILS.
۲Outcome of Common Bile Duct Exploration without Intraoperative Cholangiography: a Case Series and Review of Literature
نویسنده(ها): Abolfazl Shojaiefard، Zhamak Khorgami، Ali Ghafouri، Ahmadreza Soroush، Anushiravan Hedayat، Ehsan Kaveie، Behtash Ghazi، Nezami
اطلاعات انتشار: Academic Journal of Surgery، اول،شماره۳-۴، ۲۰۱۴، سال ۰
تعداد صفحات: ۶
Background: Open or laparoscopic surgical exploration of common bile duct (CBD) is performed when endoscopic approaches fail to extract CBD stones. Intraoperative cholangiography (IOC) through T –tube is performed in order to reduce the rate of retained stones. The aim of this study was to evaluate results of CBD exploration without IOC through T–tube and reviewing existing literature.Methods: A retrospective medical chart review of 392 patients who underwent surgical CBD exploration was performed. All patients had proven CBD stones and had previously undergone failed attempts of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES). T –tube insertion or biliary–enteric anastomosis was performed after open CBD exploration with regard to patient’s presentation and CBD diameter. IOC was not performed after T–tube insertion and cholangiography was postponed until 7th postoperative day. Postoperative retained stone and their management were reviewed.Results: Of 392 patients with CBD explorations, T–tube was placed in 215 (54.8%) including 66 (30.7%) emergent biliary drainage and 149 (69.3%) elective operations. A number of 177 of 392 (45.2%) patients underwent biliary– enteric anastomosis. In 6 of 215 patients (2.8%) with T–tube placement, retained CBD stones were detected by T –tube cholangiography during postoperative period. All of them were treated successfully by ERCP.Conclusions: T–tube placement without IOC is accompanied by a low rate of retained stone. Omitting IOC may decrease the operation time which is especially important in emergent cases. Retained stones following CBD exploration and T–tube placement can be treated successfully using ERCP.
۳Comparison of the Rate of Thyroid Malignancies in Patient with Single Thyroid Nodules and Multi–Nodular Goiter
نویسنده(ها): Abolfazl Shojaiefard، Maryam Sharifi، Ahmadreza Soroush، Hosein Mahmoodzadeh، Anooshirvan Hedayat
اطلاعات انتشار: Academic Journal of Surgery، دوم،شماره۱-۲، ۲۰۱۵، سال ۰
تعداد صفحات: ۳
Background: Thyroid nodules are a common clinical finding and differentiating benign ones from malignant ones is a clinical challenge. The aim of this study was to compare the rate of thyroid malignancies in patients with single thyroid nodules (STN) and multi–nodular goiter (MNG).Methods: This retrospective study was conducted on 200 patients who underwent surgical thyroidectomy, between 2008 and 2010, in Shariati hospital, affiliated with Tehran University of Medical Sciences. Data analysis performed using SPSS (version 13).Results: Of these, 63 patients (12 male and 51 female) had STN and 137 subjects (28 male and 109 female) were MNG. The mean ± standard deviation of age in patients with STN and MNG were 39.1 ± 7.1 and 42.7 ± 6.2, respectively. The two groups had no significant difference in age or sex. The rate of thyroid malignancies in patients with MNG and STN were 34.4% and 36.5% respectively, showing no significance difference.Conclusions: The study did not show any statistically significant difference between the frequency of malignant and benign nodules in single and multiple thyroid. Therefore, performing accurate pathologic assessment is recommended for all cases of thyroid nodules (MNG or STN).
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