In this Thai Journal of Surgery issue, we present a series of original articles and case reports highlighting the ongoing progress in the field. These contributions reflect the expertise and dedication of Thai surgeons in improving patient care and outcomes.
Among the original articles, we explore the comparison between early breast cancer patients who underwent sentinel lymph node examination using One-Step Nucleic Acid Amplification (OSNA) versus conventional pathological examination. This study offers compelling evidence that could influence treatment decisions and survival outcomes for early-stage breast cancer patients, marking an important step in precision oncology. We also feature a study on laparoscopic surgery for groin hernia repair, showcasing the advantages of minimally invasive techniques in terms of reduced recovery time and lower complication rates. Additionally, an article on central venous catheterization in general surgery patients provides valuable insights into the success rates and complications associated with this critical procedure, emphasizing the importance of proper technique and training.
We also highlight two unique case reports: the first three simultaneous pancreas-kidney transplants performed at Ramathibodi Hospital, which provide invaluable lessons for multi-organ transplantation, and a rare case of axillary cancer of unknown primary in a male patient with PALB2 pathogenic variants. These case reports underline the complexity of surgical decision-making in rare and challenging scenarios.
The pursuit of knowledge through research is key to the advancement of surgery. This issue of TJS also features the abstracts from the 49th Annual Scientific Congress of The Royal College of Surgeons of Thailand, including 35 abstracts from the Free Paper sessions in General Surgery and Pediatric Surgery. These abstracts represent the cutting-edge work being done by surgeons across Thailand, covering a wide range of surgical specialties. The contributions of these researchers are vital to the continuous evolution of surgical practices and will undoubtedly inspire further innovation in the field.