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21 results on '"Kuo, Keng-Liang"'

2. An Analysis of Emergency Surgical Outcomes for Pediatric Traumatic Brain Injury: A Ten-Year Single-Institute Retrospective Study in Taiwan.

Author

Tsai, Cheng-Yu, Kuo, Keng-Liang, Wu, Chieh-Hsin, Tsai, Tai-Hsin, Su, Hui-Yuan, Lin, Chih-Lung, Lieu, Ann-Shung, Kwan, Aij-Lie, Su, Yu-Feng, and Loh, Joon-Khim

Subjects
CEREBRAL edema, DECOMPRESSIVE craniectomy, BRAIN injuries, SURGICAL emergencies, EPIDURAL hematoma, GLASGOW Coma Scale, SKULL fractures, INTRACEREBRAL hematoma
Abstract

Background and Objectives: Pediatric traumatic brain injury (pTBI) remains a major pediatric public health problem, despite well-developed injury prevention programs. The purpose of this study is to analyze the emergency surgical outcomes of pTBI in a single institute ten-year retrospective study to offer a real-world clinical result. Materials and Methods: Our institute presented a clinical retrospective, single-institute research study of 150 pediatric TBI cases that were diagnosed and underwent emergency surgical treatment from 2010 to 2019. Results: The incidence of radiological findings is detailed as follows: brain edema (30%, 45/150), followed by acute subdural hematoma (27.3%, 41/150), epidural hematoma (21.3%, 32/150), chronic subdural hemorrhage (10%, 15/150), skull fracture (6.7%, 10/150), and traumatic subarachnoid hemorrhage (4.7%, 7/150). Surgical intervention data revealed that decompressive craniectomy was still the main effective surgical method. The results showed longer hospital stays and higher morbidity rates in the brain edema, acute subdural hematoma, and chronic subdural hemorrhage groups, which were viewed as poor surgical outcome groups. Epidural hematoma, skull fracture and traumatic subarachnoid hemorrhage were categorized into good surgical outcome groups. Notably, the data revealed gross improvement in Glasgow Coma Scale/Score (GCS) evolution after surgical interventions, and the time to cranioplasty was a significant factor in the development of post-traumatic hydrocephalus (PTH). Conclusions: Our study provided real-world data for the distribution of etiology in pTBI and also categorized it into six groups, indicating disease-orientated treatment. In addition, our data supported that decompressive craniectomy (DC) remains a mainstay surgical treatment in pTBI and early cranioplasty could decrease the incidence of PTH. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Potential Roles of Teamwork and Unmet Needs on Surgical Learning Curves of Spinal Robotic Screw Placement

Author

Su,Yu-Feng, Tsai,Tai-Hsin, Kuo,Keng-Liang, Wu,Chieh-Hsin, Tsai,Cheng-Yu, Lu,Yen-Mou, Hwang,Shiuh-Lin, Lin,Pei-Chen, Lieu,Ann-Shung, Lin,Chih-Lung, Chang,Chih-Hui, Su,Yu-Feng, Tsai,Tai-Hsin, Kuo,Keng-Liang, Wu,Chieh-Hsin, Tsai,Cheng-Yu, Lu,Yen-Mou, Hwang,Shiuh-Lin, Lin,Pei-Chen, Lieu,Ann-Shung, Lin,Chih-Lung, and Chang,Chih-Hui

Abstract

Yu-Feng Su,1– 3 Tai-Hsin Tsai,2– 4 Keng-Liang Kuo,2,4 Chieh-Hsin Wu,2,4 Cheng-Yu Tsai,1,2 Yen-Mou Lu,5 Shiuh-Lin Hwang,6 Pei-Chen Lin,7 Ann-Shung Lieu,2 Chih-Lung Lin,1,2,4 Chih-Hui Chang1,2,4 1Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; 2Department of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; 3Division of Neurosurgery, Department of Surgery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan; 4Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; 5Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; 6Department of Spinal Surgery, Chi-Hsien Spine Hospital, Kaohsiung, Taiwan; 7Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanCorrespondence: Chih-Hui Chang, Email chchang20@gmail.comBackground: The aim of this study was to investigate the learning curve of robotic spine surgery quantitatively with the well-described power law of practice.Methods: Kaohsiung Medical University Hospital set up a robotic spine surgery team by the neurosurgery department in 2013 and the orthopedic department joined the well-established team in 2014. A total of consecutive 150 cases received robotic assisted spinal surgery. The 150 cases, with 841 transpedicular screws were enrolled into 3 groups: the first 50 cases performed by neurosurgeons, the first 50 cases by orthopedic surgeons, and 50 cases by neurosurgeons after the orthopedic surgeons joined the team. The time per screw and accuracy by each group and individual surgeon were analyzed.Results: The time per screw for each group was 9.56 ± 4.19, 7.29 ± 3.64, and 8.74 ± 5.77 minutes, respectively, with p-value 0.0017. The accuracy was 99.6% (253/254), 99.5% (361/363), and 99.1% (222/224), respectively, with p-value 0.77. Though the first group took time significantly more on per screw placement but

Published
2022

12. Higher risk of herpes zoster in stroke patients

Author

Tung, Yi- Ching, primary, Tu, Hung-Pin, additional, Wu, Ming-Kung, additional, Kuo, Keng-Liang, additional, Su, Yu-Feng, additional, Lu, Ying-Yi, additional, Lin, Chih-Lung, additional, and Wu, Chieh-Hsin, additional

Published
2020
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14. Increased Risk of Osteoporosis in Patients With Peptic Ulcer Disease

Author

Wu, Chieh-Hsin, Tung, Yi-Ching, Chai, Chee-Yin, Lu, Ying-Yi, Su, Yu-Feng, Tsai, Tai-Hsin, Kuo, Keng-Liang, and Lin, Chih-Lung

Subjects
Adult, Male, Peptic Ulcer, Time Factors, Adolescent, Taiwan, Observational Study, Proton Pump Inhibitors, Middle Aged, Prognosis, Risk Assessment, Young Adult, Risk Factors, Population Surveillance, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Confidence Intervals, Humans, Osteoporosis, Female, Research Article, Aged, Follow-Up Studies, Retrospective Studies
Abstract

Supplemental Digital Content is available in the text, To investigate osteoporosis risk in patients with peptic ulcer disease (PUD) using a nationwide population-based dataset. This Taiwan National Health Insurance Research Database (NHIRD) analysis included 27,132 patients aged 18 years and older who had been diagnosed with PUD (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 531–534) during 1996 to 2010. The control group consisted of 27,132 randomly selected (age- and gender)-matched patients without PUD. The association between PUD and the risk of developing osteoporosis was estimated using a Cox proportional hazard regression model. During the follow-up period, osteoporosis was diagnosed in 2538 (9.35 %) patients in the PUD group and in 2259 (8.33 %) participants in the non-PUD group. After adjusting for covariates, osteoporosis risk was 1.85 times greater in the PUD group compared to the non-PUD group (13.99 vs 5.80 per 1000 person-years, respectively). Osteoporosis developed 1 year after PUD diagnosis. The 1-year follow-up period exhibited the highest significance between the 2 groups (hazard ratio [HR] = 63.44, 95% confidence interval [CI] = 28.19–142.74, P

Published
2016

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