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45 results on '"Lee, Po-Hsuan"'

12. Risk Factors for Postoperative Ileus Following Spine Surgery: A Systematic Review With Meta-Analysis.

Author

Chang, Yu, Wong, Chia-En, Chen, Wei-Cheng, Hsu, Hao-Hsiang, Lee, Po-Hsuan, Huang, Chi-Chen, and Lee, Jung-Shun

Subjects
SPINAL surgery, PREOPERATIVE risk factors, BOWEL obstructions, LIVER diseases, ODDS ratio, ELECTIVE surgery
Abstract

Study design: Systematic review and meta-analysis Objectives: Postoperative ileus (POI) can negatively impact patient recovery and surgical outcomes after spine surgery. Emerging studies have focused on the risk factors for POI after spine surgery. This study aimed to review the available literature on risk factors associated with POI following elective spine surgery. Methods: Electronic databases were searched to identify relevant studies. Meta-analysis was performed using random-effect model. Risk factors for POI were summarized using pooled odds ratio (OR) with 95% confidence intervals (CI). Results: Twelve studies were included in the present review. Meta-analysis demonstrated males exhibited a higher risk of POI than females odds ratio (OR, 1.76; 95% CI, 1.54-2.01). Patients with anemia had a higher risk of POI than those without anemia (OR, 1.48; 95% CI, 1.04-2.11). Patients with liver disease (OR, 3.3; 95% CI, 1.2-9.08) had a higher risk of POI. The presence of perioperative fluid and electrolyte imbalances was a predictor of POI (OR, 3.24; 95% CI, 2.62-4.02). Spine surgery involving more than 3 levels had a higher risk of POI compared to that with 1-2 levels (OR, 1.82; 95% CI, 1.03-3.23). Conclusions: Male sex and the presence of anemia and liver disease were significant patient factors associated with POI. Perioperative fluid and electrolyte imbalance and multilevel spine surgery significantly increased the risk of POI. In addition, through this comprehensive review, we identified several perioperative risk factors associated with the development of POI after spine surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Evaluation of the safety, radiographic and resident training results of thoracic pedicle screws placement using resection of the transverse process

Author

Wong, Chia-En, Lee, Po-Hsuan, Chen, Chien-Min, Huang, Chi-Chen, Hsu, Hao-Hsiang, Chen, Liang-Yi, Huang, Chih-Yuan, Wang, Liang-Chao, and Lee, Jung-Shun

Subjects
Surgery, Neurology (clinical), General Medicine
Abstract

This study aimed at the evaluation and assessment of a simple method, the transverse process resection (TPR) technique, for freehand thoracic pedicle screw placement and the learning curve for trainee surgeons. In the TPR technique, the tip of the thoracic transverse process (TP) is removed to create an entry point in the cancellous bone of the TP, and the thoracic pedicle is cannulated from the TP. We retrospectively evaluated the safety and radiographic results of the TPR technique and compared with that of conventional pedicle screws. The training performance of seven neurosurgical residents with TPR techniques were evaluated. Among 46 patients, a total of 322 thoracic screws were analyzed, including 178 screws placed using the TPR technique and 144 screws using the conventional straight-forward (SF) technique. TPR screws had greater medial angulations in all levels from T2 to T12 compared to SF screws (p < 0.001). The incidence of pedicle breach was lower in the TPR screws compared to SF screws (6.2% vs. 21.5%, p < 0.001), especially for screws placed by residents (6.7% vs. 29.6%, p < 0.001). Residents had improved performance following a cadaveric training course on the TPR technique (p = 0.001). This study demonstrated the safety of the TPR technique for thoracic pedicle screw placement and its short learning curve for trainee surgeons.

Published
2023

20. Quantification of vessel separation using the carotid-jugular angle to predict the nerve origin of neck peripheral nerve sheath tumors: A pooled analysis of cases from the literature and a single-center cohort

Author

Wong, Chia-En, primary, Huang, Chi-Chen, additional, Chuang, Ming-Tsung, additional, Lee, Po-Hsuan, additional, Chen, Liang-Yi, additional, Hsu, Hao-Hsiang, additional, Huang, Chih-Yuan, additional, Wang, Liang-Chao, additional, and Lee, Jung-Shun, additional

Published
2023
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22. Supplemental Material - Risk Factors for Postoperative Ileus Following Spine Surgery: A Systematic Review With Meta-Analysis

Author

Chang, Yu, Wong, Chia-En, Chen, Wei-Cheng, Hsu, Hao-Hsiang, Lee, Po-Hsuan, Huang, Chi-Chen, and Lee, Jung-Shun

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, 110904 Neurology and Neuromuscular Diseases, 110314 Orthopaedics
Abstract

Supplemental Material for Risk Factors for Postoperative Ileus Following Spine Surgery: A Systematic Review With Meta-Analysis by Yu Chang, MD, Chia-En Wong, MD, Wei-Cheng Chen, MD, Hao-Hsiang Hsu, MD, Po-Hsuan Lee, MD, Chi-Chen Huang, MD, and Jung-Shun Lee, MD, MSc in Global Spine Journal

Published
2023
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25. Risk Factors for 30-day Unplanned Readmission following Surgery for Lumbar Degenerative Diseases: A Systematic Review.

Author

Chen, Liang-Yi, Chang, Yu, Wong, Chia-En, Chi, Kuan-Yu, Lee, Jung-Shun, Huang, Chi-Chen, and Lee, Po-Hsuan

Subjects
DISEASE risk factors, PATIENT readmissions, DEGENERATION (Pathology), OPERATIVE surgery, SPINAL surgery
Abstract

Study design: Systematic review. Objectives: Surgical procedures for lumbar degenerative diseases (LDD), which have emerged in the 21-century, are commonly practiced worldwide. Regarding financial burdens and health costs, readmissions within 30days following surgery are inconvenient. We performed a systematic review to integrate real-world evidence and report the current risk factors associated with 30-day readmission following surgery for LDD. Methods: The Cochrane Library, Embase, and Medline electronic databases were searched from inception to April 2022 to identify relevant studies reporting risk factors for 30-day readmission following surgery for LDD. Results: Thirty-six studies were included in the review. Potential risk factors were identified in the included studies that reported multivariate analysis results, including age, race, obesity, higher American Society of Anesthesiologists score, anemia, bleeding disorder, chronic pulmonary disease, heart failure, dependent status, depression, diabetes, frailty, malnutrition, chronic steroid use, surgeries with anterior approach, multilevel spinal surgeries, perioperative transfusion, presence of postoperative complications, prolonged operative time, and prolonged length of stay. Conclusions: There are several potential perioperative risk factors associated with unplanned readmission following surgery for LDD. Preoperatively identifying patients that are at increased risk of readmission is critical for achieving the best possible outcomes. [ABSTRACT FROM AUTHOR]

Published
2023
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30. Supplemental Material - Risk Factors for 30-day Unplanned Readmission following Surgery for Lumbar Degenerative Diseases: A Systematic Review

Author

Chen, Liang-Yi, Chang, Yu, Wong, Chia-En, Chi, Kuan-Yu, Lee, Jung-Shun, Huang, Chi-Chen, and Lee, Po-Hsuan

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, 110904 Neurology and Neuromuscular Diseases, 110314 Orthopaedics
Abstract

Supplemental Material for Risk Factors for 30-day Unplanned Readmission following Surgery for Lumbar Degenerative Diseases: A Systematic Review by Liang-Yi Chen, MD, Yu Chang, MD, Chia-En Wong, MD, Kuan-Yu Chi, MD, Jung-Shun Lee, MD, MSc, Chi-Chen Huang, MD, and Po-Hsuan Lee, MD in Global Spine Journal

Published
2022
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43. Study of Nonlinear Plasmonic Scattering in Metallic Nanoparticles

Author

Chen, Yu-Ting, primary, Lee, Po-Hsuan, additional, Shen, Po-Ting, additional, Launer, Jann, additional, Oketani, Ryosuke, additional, Li, Kuan-Yu, additional, Huang, Yen-Ta, additional, Masui, Kyoko, additional, Shoji, Satoru, additional, Fujita, Katsumasa, additional, and Chu, Shi-Wei, additional

Published
2016
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