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| 1 | Pre-operative hypoalbuminemia is a major risk factor for postoperative complications following rectal cancer surgery显示文摘AIM:To determine the relationship between pre-operative hypoalbuminemia and the development of complications following rectal cancer surgery, as well as postoperative bowel function and hospital stay. METHODS:The medical records of 244 patients undergoing elective oncological resection for rectal adenocarcinoma at Siriraj Hospital during 2003 and 2006 were reviewed. The patients had pre-operative serum albumin assessment. Albumin less than 35 g/L was recognized as hypoalbuminemia. Postoperative outcomes, including mortality, complications, time to first bowel movement, time to first defecation, time to resumption of normal diet and length of hospital stay, were analyzed. RESULTS:The patients were 139 males (57%) and 105 females (43%) with mean age of 62 years. Fifty-six patients (23%) had hypoalbuminemia. Hypoalbuminemic patients had a significantly larger tumor size and lower body mass index compared with non-hypoalbuminemic patients (5.5 vs 4.3 cm;P < 0.001 and 21.9 vs 23.2 kg/m2;P = 0.02, respectively). Thirty day postoperative mortality was 1.2%. Overall complication rate was 25%. Hypoalbuminemic patients had a significantly higher rate of postoperative complications (37.5% vs 21.3%;P = 0.014). In univariate analysis, hypoalbuminemia and ASA status were two risk factors for postoperative complications. In multivariate analysis, hypoalbuminemia was the only significant risk factor (odds ratio 2.22,95% CI 1.17-4.23;P < 0.015). Hospitalization in hypoalbuminemic patients was significantly longer than that in non-hypoalbuminemic patients (13 vs 10 d, P = 0.034), but the parameters of postoperative bowel function were not significantly different between the two groups. CONCLUSION:Pre-operative hypoalbuminemia is an independent risk factor for postoperative complications following rectal cancer surgery. | Varut Lohsiriwat Darin Lohsiriwat Wiroon Boonnuch Vitoon Chinswangwatanakul Thawatchai Akaraviputh Narong Lert-akayamanee | 2008 | World Journal of Gastroenterology2008，14，8： | 24 |
| 2 | Surgical Outcomes of Lichtenstein Tension-Free Hernioplasty for Acutely Incarcerated Inguinal Hernia显示文摘 | Varut Lohsiriwat Wasupong Sridermma Thawatchai Akaraviputh Wiroon Boonnuch Vitoon Chinsawangwatthanakol Asada Methasate Narong Lert-akyamanee Darin Lohsiriwat | 2007 | Surgery Today2007，，3： | 1 |
| 3 | Outcomes of sphincter-saving operation for rectal cancer without protective stoma and pelvic drain, and risk factors foranastomotic leakage 显示文摘 | Lohsiriwat V Lohsiriwat D Boonnuch W | 2008 | Dig Surg2008，25，3： | 1 |
| 4 | Long- term results of large diameter hepaticojejunostomy for treatment of Bile Duct Injuries following eholeeystectomy 显示文摘 | Akaraviputh T Boonnuch W Lohsiriwat V | 2006 | J Med Assoc Thai2006，89，5： | 1 |
| 5 | Comparison be- tween midline and right transverse incision in right hemieoleeto- my for fight-sided colon cancer: a retrospective study显示文摘 | Lohsiriwat V Lohsiriwat D Boonnuch W | 2009 | J Med Assoe Thai2009，，11： | 1 |
| 6 | Surgical management of adult choledochal cysts显示文摘 | Akaraviputh T Boonnuch W Watanapa P | 2005 | J Med Assoc Thai2005，88，7： | 1 |
| 7 | Compar- ison between midline and right transverse incision in fight hemicolectomy for fight-sided colon cancer: a retro- spective study显示文摘 | Lohsiriwat V Lohsiriwat D Boonnuch W | 2009 | J Med Assoc Thai2009，92，8： | 1 |
| 8 | Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system显示文摘A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma(HCC) presented with progressive dysphagia.He had undergone liver transplantation for HCC three and a half years prevously.At presentation,his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus,causing a luminal stricture.We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system.Recovery was uneventful and he was been doing well 2 mo after surgery.α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively.During the follow-up period,he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation. | Wiroon Boonnuch Thawatchai Akaraviputh Carnivale Nino Anusak Yiengpruksawan Arthur Andrew Christiano | 2011 | World Journal of Gastrointestinal Surgery2011，3，6： | 1 |
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