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Publication Metadata only The analysis of preoperative wire localization in breast conserving surgery and predictors of surgical margin status(2021-10-01) Cholatip Wiratkapun; Pawida Wattanatada; Ramathibodi Hospitalcategories, size, location, modalities of imaging guidance, number of wires used, radiological and surgical margin status, pathological diagnosis, and tumor focality were recorded. Results: A 14.56% of positive surgical margin rate was observed. Mixed-effects... logistic regression analysis showed larger lesion size was a significant predictor for positive surgical margin status at larger than 1.5 cm versus 1.0 cm or smaller (p=0.033). Conclusion: The present study data suggested that larger tumor size is the onlyItem Metadata only The association between surgical margins and local recurrence in women with ductal carcinoma in situ treated with breast conserving therapy: Observational study(2024-01-01) Naowaset P.; Naowaset P.; Mahidol Universitysurvival (DFS) among the margin statuses. Conclusion: Margins wider than 2 mm did not demonstrate a reduction in local recurrence for women receiving adjuvant whole-breast radiation therapy, supporting the recommendation of a negative margin threshold... mortality rate was 3.3 %. Breast-conserving surgery(BCS), followed by radiotherapy, is the treatment of choice. However, an adequate margin for BCS remains unclear. Therefore, we need to investigate the relationship between the margin distance and cancerPublication Metadata only Comparison of extraperitoneal laparoscopic radical prostatectomy and open retropubic radical prostatectomy at Ramathibodi Hospital, Thailand: A retrospective review(2012-08-01) Wisoot Kongcharoensombat; Nakorn Tantirangsee; Suchart Chaimuangraj; Chareon Leelanuphun; Wachira Kochakarn; Suthep Patcharatrakul; Mahidol University, and surgical margin status. Material and Method: The authors reviewed the medical histories of 173 patients treated for prostate cancer by radical prostatectomy at Ramathibodi Hospital between January 1997 and August 2010. Eighty-one patients were treated... treatments, operative time, blood loss, length of hospital stay, time to drain removal, and surgical margin status. Results: Preoperative patient data indicated that both groups were comparable in age, height, prostate-specific antigen (PSA) levelsPublication Metadata only Outcomes and factors influencing prognosis in patients with vascular pythiosis(2016-08-01) Nuttawut Sermsathanasawadi; Banjerd Praditsuktavorn; Kiattisak Hongku; Chumpol Wongwanit; Khamin Chinsakchai; Chanean Ruangsetakit; Suteekhanit Hahtapornsawan; Pramook Mutirangura; Mahidol Universitycharacteristics, type of surgery, adjunctive antifungal treatment, adjunctive immunotherapy, and disease status of surgical arterial and surrounding soft tissue margins were recorded. We calculated the mortality rate and established factors predicting prognosis....3%), and acute limb ischemia (27.3%). Above-knee amputation was required in 10 patients (90.9%). The mortality rate was 36.4%. Independent variables between survivors and nonsurvivors were lack of an arterial disease-free surgical margin (P =.003), lack of aItem Metadata only Role of preoperative magnetic resonance imaging on the surgical outcomes of radical prostatectomy: Does preoperative tumor recognition reduce the positive surgical margin in a specific location? Experience from a Thailand prostate cancer specialized center(2023-01-01) Hansomwong T.; Saksirisampant P.; Isharwal S.; Aussavavirojekul P.; Woranisarakul V.; Jitpraphai S.; Leewansangtong S.; Taweemonkongsap T.; Srinualnad S.; Mahidol UniversityObjective: Multiparametric magnetic resonance imaging (MRI) has become the standard of care for the diagnosis of prostate cancer patients. This study aimed to evaluate the influence of preoperative MRI on the positive surgical margin (PSM) rates... preoperative image was obtained (200 mL vs. 250 mL, p=0.02). Multivariate analysis revealed that only preoperative MRI status was associated with overall PSM and PSM at the prostatic apex. Neither the surgical approach, the neurovascular bundle sparingPublication Metadata only Residual disease following conization of women with stage IA-IB1 cervical carcinoma in a high incidence region(2014-01-01) Usanee Chatchotikawong; Irene Ruengkhachorn; Chairat Leelaphatanadit; Mahidol Universityor invasive lesions at conization margins or disease on endocervical aspect, and higher stage were significantly correlated with residual cancer in surgical treatment specimens. On regression analysis, postmenopause and stage were independent factors... cervical carcinoma patients who had undergoing cervical conization followed by primary surgical treatment during 2006-2013. Independent factors correlating with residual carcinoma in subsequent surgical specimens were analyzed by stepwise regressionPublication Metadata only Perioperative outcomes and the learning curve for robotic-assisted laparoscopic radical prostatectomy in Thailand by a single surgeon: Six years’ experience in Ramathibodi hospital(2019-01-01) W. Kongchareonsombat; Faculty of Medicine, Ramathibodi Hospital, Mahidol University, specimen weight (g), and marginal status. Results: Of the 330 RALRPs performed, the median total operation time, median EBL, surgical laceration, length of hospital stay, and total PSM were 190 (165 to 230) minutes, 300 (200 to 500) ml, 0.6% (2), 5 (4 to 8...© JOURNAL OF THE MEDICAL ASSOCIATION OF Thailand | 2019 Objective: To report the peri-operative outcomes and positive surgical margin (PSM) and to analyze the surgical learning curve of one of the longest single-surgeon experiences in ThailandPublication Metadata only Comparison of the outcomes between laparoscopic radical prostatectomy and robotic-assisted laparoscopic radical prostatectomy: A 4-year single and high volume center experience(2019-02-01) K. Weerapolchai; K. Kijvikai; W. Kochakarn; W. Kongcharoensombat; Mahidol University. The primary outcome was the comparison of free surgical margin and functional outcomes including incontinence rates and erectile dysfunction between LRP and RARP. The secondary outcomes were differences in perioperative parameters. Results: Two-hundred... and forty-five patients were included; 103 in the LRP group and 142 in the RARP group. Baseline characteristics were similar between two groups, except higher pathological stage 3 and prostate volume in the RARP group. The rate of free surgical marginsPublication Metadata only Perioperative outcomes of open radical prostatectomy versus laparoscopic radical prostatectomy in Asian men: Comparison of two initial series by the same surgeon(2009-03-01) Sunai Leewansangtong; Wirat Wiangsakunna; Tawatchai Taweemankongsap; Mahidol Universitytransfusion rate, perioperative complications, pathological stage and margin status were compared between the 2 groups. Results: For each 100 patients in ORP and LRP, mean age and clinical stage were not significantly different. The operative time in LRP....01), respectively. For pathological organ confined disease, the free surgical margin rate of ORP and LRP was not significantly different (88.9% versus 91.3%, respectively, p = 0.58). There was no significant major complication in either group. ConclusionsPublication Metadata only Radical prostatectomy outcomes in renal transplant recipients: a retrospective case series of Thai patients(2021-12-01) Kun Sirisopana; Pocharapong Jenjitranant; Premsant Sangkum; Kittinut Kijvikai; Suthep Pacharatakul; Charoen Leenanupunth; Wachira Kochakarn; Wisoot Kongchareonsombat; Ramathibodi Hospital; Police Hospital, estimated blood loss (EBL), complications, length of hospital stay, complication), pathological stage, Gleason score, surgical margin status, and pre/postoperative creatinine were reviewed. Results: Of the 5 RTR who underwent RPs (1 open radical..., approximately 6 months in RALRP, and about 1 year in ORP and LRP. Three patients with positive surgical margins had prostate-specific antigen (PSA) persistence at the first follow-up and 1 had later PSA recurrence. Two patients with negative margins were free