Mukti Devkota
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View article: Evolution of Thoracic Surgery at BP Koirala Memorial Cancer Hospital, Nepal: An 18 – Year Journey of Innovation and Growth.
Evolution of Thoracic Surgery at BP Koirala Memorial Cancer Hospital, Nepal: An 18 – Year Journey of Innovation and Growth. Open
Background: Thoracic malignancies constitute 15% of Nepal’s cancer burden, with lung cancer being the leading malignancy. This study aims at evolution of thoracic oncosurgery services at BP Koirala Memorial Cancer Hospital (BPKMCH) - Nepal…
View article: Epidemiological and Molecular Characterization of Breast Cancer Patients: A Retrospective Study at a Nepalese Tertiary Care Hospital
Epidemiological and Molecular Characterization of Breast Cancer Patients: A Retrospective Study at a Nepalese Tertiary Care Hospital Open
Background: Breast cancer is a significant health burden in Nepal, ranking among the most common cancers in women, with increasing incidence in younger populations and limited comprehensive data. This study addresses the gap in understandi…
View article: Profile of patients with lung cancer at a tertiary care hospital in Nepal: A retrospective analysis
Profile of patients with lung cancer at a tertiary care hospital in Nepal: A retrospective analysis Open
Background: Cases of lung cancer are increasing in Nepal. Identifying histological types can influence prognosis and survival rates in different types of lung cancer. Objectives: The primary objective of this retrospective study was to pro…
View article: Trends in Surgical Management of Esophageal Cancer
Trends in Surgical Management of Esophageal Cancer Open
Background: Management of esophageal cancer has changed to a combined modality approach over the past two decades due to poor outcome. Recently, multimodal treatment has become the standard practice. The aim of this study was to evaluate t…
View article: Comparative Study on Laparoscopic Hernia Repair: Totally Extra Peritoneal Repair (TEP) and Transabdominal Preperitoneal (TAPP) at a Tertiary Care Centre
Comparative Study on Laparoscopic Hernia Repair: Totally Extra Peritoneal Repair (TEP) and Transabdominal Preperitoneal (TAPP) at a Tertiary Care Centre Open
Background Minimal invasive surgery (MIS) procedures in the early 90's as laparoscopic transabdominal preperitoneal repair (TAPP) and totally extra peritoneal repair (TEP), have gained popularity worldwide over open hernia mesh repair …
View article: Minimally invasive esophagectomy/ gastroesophagectomy for cancer - Long term results from a single institution
Minimally invasive esophagectomy/ gastroesophagectomy for cancer - Long term results from a single institution Open
Background: Esophagectomy is a complex operation. Minimally invasive esophagectomy (MIE) may decrease the morbidity and mortality of resection. The aim of this study was to produce long term outcome of MIE from a single center in Nepal. Me…
View article: Bronchoscopy findings in 1074 lung cancer patients in a tertiary care center in Nepal
Bronchoscopy findings in 1074 lung cancer patients in a tertiary care center in Nepal Open
Background: Fiberoptic bronchoscopy is the most important diagnostic tool for lung cancer. Early tissue diagnosis and proper staging remains the key to the management of the lung cancer patient. Endobronchial forceps biopsy has high diagno…
View article: DIAGNOSTIC YIELD OF FIBEROPTIC BRONCHOSCOPY IN A TERTIARY CENTER
DIAGNOSTIC YIELD OF FIBEROPTIC BRONCHOSCOPY IN A TERTIARY CENTER Open
Background: Fiberoptic Bronchoscopy is a valuable tool in current respiratory medicine. This study was aimed to evaluate the diagnostic yield of Fiberoptic Bronchoscopy using a wider diameter bronchoscope. Methods: This was a hospital base…
View article: Ultrasound Guided Central Chemotherapy Port Insertion by Surgeon in Cancer Patients.
Ultrasound Guided Central Chemotherapy Port Insertion by Surgeon in Cancer Patients. Open
Purpose: The aim of the study is to report early experience in ultrasound guided central chemo port insertion by surgeons in cancer patients who required chemotherapy. Materials and methods: The procedure was carried out in operation theat…
View article: Use of Indocyanine green (ICG) angiography to minimize anastomotic leak in the neck after esophagectomy
Use of Indocyanine green (ICG) angiography to minimize anastomotic leak in the neck after esophagectomy Open
Introduction: Anastomotic leak after esophagectomy for cancer of mid and lower esophagus and gastroesophageal junction (GEJ) still remains a major challenge. Poor perfusion of the gastric conduit remains the main factor for leak. Intra-ope…
View article: Incorporating Surgery in treatment of Stage IIIA – N2 Non- Small Cell Lung Cancer
Incorporating Surgery in treatment of Stage IIIA – N2 Non- Small Cell Lung Cancer Open
Stage IIIA-N2 Non-small cell lung cancer includes heterogenous group of patients with a poor 5-year survival ranging from 13% to 36% with surgery alone. Various randomized controlled trials established the role of multimodality treatment e…
View article: Hepatoblastoma in a 14-months old child
Hepatoblastoma in a 14-months old child Open
In children, commonest liver tumor is hepatoblastoma. We present a 14-month-old male child who presented with abdominal distension and loose stool. Radiological imaging revealed solid hepatic mass. Hematological investigations revealed ane…
View article: SURGICAL OUTCOME OF THE SUPERIOR MESENTERIC ARTERY FIRST TECHNIQUE COMBINING POSTERIOR AND UNCINATE PROCESS APPROACH TO PANCREATICODUODENECTOMY FOR THE PANCREATIC HEAD AND THE PERIAMPULLARY CANCER
SURGICAL OUTCOME OF THE SUPERIOR MESENTERIC ARTERY FIRST TECHNIQUE COMBINING POSTERIOR AND UNCINATE PROCESS APPROACH TO PANCREATICODUODENECTOMY FOR THE PANCREATIC HEAD AND THE PERIAMPULLARY CANCER Open
Background: Pancreaticoduodenectomy is the only curative treatment for periampullary and head of pancreas cancers. Various approaches have been described as the superior mesenteric artery (SMA) first technique. This study aimed to report …
View article: Management of Locally Advanced Esophageal Cancer
Management of Locally Advanced Esophageal Cancer Open
Esophageal cancer is diagnosed usually at a locally advanced stage. Surgery alone has less optimal results and a multimodality approach has been established as the standard of care for cII-III stages of esophageal cancer. This review focus…
View article: Upper Esophageal Schwannoma: Rare Differential Diagnosis of Dysphagia
Upper Esophageal Schwannoma: Rare Differential Diagnosis of Dysphagia Open
Esophageal schwannomas are rare primary sub mucosal tumors, 45 cases have been reported so far. We herein report the 46th case of an esophageal schwannoma from Nepal. A 60-year-old woman presented with progressivedysphagia. Oesophago-Gastr…
View article: Importance of Circumferential Resection Margin in Management of Esophageal Cancer
Importance of Circumferential Resection Margin in Management of Esophageal Cancer Open
Esophagectomy (R0) remains the gold standard for the management of esophageal cancer. But due to close vicinity of esophagus with the major structures like heart, aorta, vertebral column, tracheobronchial tree and lungs, a wider circumfere…
View article: Medical Thoracoscopy for Undiagnosed Exudative Pleural Effusion: A Descriptive Cross-sectional Study
Medical Thoracoscopy for Undiagnosed Exudative Pleural Effusion: A Descriptive Cross-sectional Study Open
Introduction: Medical thoracoscopy has recently gained renewed interest due to its minimal invasive nature and high yield diagnostic outcome. This study aims to observe diagnostic yield and safety of medical thoracoscopy in undiagnosed exu…
View article: Complications and predictors of diagnostic yield of endobronchial forceps biopsy in visible lesions
Complications and predictors of diagnostic yield of endobronchial forceps biopsy in visible lesions Open
Background: Fiberoptic bronchoscopy is an important and relatively safe procedure for evaluation of various pulmonary diseases. Endobronchial forceps biopsy is commonly performed sampling technique for visible lesions in tracheobronchial t…
View article: Fluoroscence Angiography for Assessment of Gastric Conduit: Initial Experience from a Tertiary Care Center
Fluoroscence Angiography for Assessment of Gastric Conduit: Initial Experience from a Tertiary Care Center Open
Introduction: Anastomotic leak (AL) after surgery for esophageal cancer remains a main cause of postoperative morbidity and mortality. Poor tissue perfusion at the site of anastomosis is one of the major factors for leak. We aimed to revie…
View article: Evidence Based Surgical Approach to Locally Advanced Gastric Cancer
Evidence Based Surgical Approach to Locally Advanced Gastric Cancer Open
Gastric cancer is endemic in China, Japan, Korea, Brazil and Former Soviet Union. Patients are diagnosed usually in locally advanced stage. Endoscopy, Positron Emission Therapy- Computed Tomography, Endoscopic ultrasound and staging laparo…
View article: Occurrence of South American Tomato Leaf Miner (Tuta absoluta) and Current Management Practices Adopted by Farmers in Lalitpur District, Nepal
Occurrence of South American Tomato Leaf Miner (Tuta absoluta) and Current Management Practices Adopted by Farmers in Lalitpur District, Nepal Open
A study was carried out to document occurrence of Tuta absoluta and current management practices adopted by farmers in Lalitpur district (Lele VDC) where a total of 70 respondents were interviewed using random sampling method. The study co…
View article: Effectiveness of Different Types of Traps For Management of Tuta absoluta in Nepal
Effectiveness of Different Types of Traps For Management of Tuta absoluta in Nepal Open
Among the various potential vegetables, tomato is one of the high value crops, with growing market demand and higher level of return per hector. South American Tomato leaf miner, Tuta absoluta is one of the main constrains in tomato produc…
View article: Intravenous Diclofenac vs. Tramadol infusion for Post-operative Pain Management: A Randomized Trial
Intravenous Diclofenac vs. Tramadol infusion for Post-operative Pain Management: A Randomized Trial Open
Purpose: The study was conducted to compare the analgesic and adverse effect profiles of intravenous infusion of Tramadol and Diclofenac in post-operative pain management.
Method: Cancer patients undergoing major surgery were prospectivel…
View article: Surgical strategy for locally advanced gastric cancer
Surgical strategy for locally advanced gastric cancer Open
Gastric cancer is endemic in China, Japan, Korea, Brazil and Former Soviet Union. Patients are diagnosed usually in locally advanced stage. Endoscopy, PET-CT, Endoscopic ultrasound and staging laparoscopy are the tools for proper evaluatio…
View article: Low rectal resection without a diverting stoma
Low rectal resection without a diverting stoma Open
Background: A diverting stoma is a usual practice after low and ultralow rectal resections in a fear to minimize the morbidities related to anastomotic leak. We tried to explore not to use a prophylactic diverting stoma and to assess the r…
View article: Minimally invasive (MIE) vs open surgery for cancer of esophagus and GE junction. Long term results
Minimally invasive (MIE) vs open surgery for cancer of esophagus and GE junction. Long term results Open
Introduction: MIE is becoming a preferred approach for cancer of esophagus and GE junction, but its benefits have yet to be confirmed in randomized controlled trials. We performed a retrospective comparison between these two approaches for…
View article: SMA first approach Pancreaticoduodenectomy for cancer – should it be standard approach?
SMA first approach Pancreaticoduodenectomy for cancer – should it be standard approach? Open
Background: pancreaticoduodenectomy (PD) has become the standard treatment for cancer of head of pancrease and periampullary malignancies. Recently superior mesenteric artery (SMA) first approach has shown to have several advantages over t…
View article: Cancer of esophagus and GE junction– a long-term follow-up results
Cancer of esophagus and GE junction– a long-term follow-up results Open
Background: Esophageal and GE Junction malignancies are diagnosed late and the long-term outcome is still suboptimal. We present our experience.Methods: 421 patients with mean age of 57.6 years with cancer of esophagus and GE Junction were…
View article: Huge adrenal myelolipoma: A rare entity
Huge adrenal myelolipoma: A rare entity Open
Adrenal myelolipoma is a benign uncommon tumor of adrenal gland which is mostly diagnosed incidentally. Huge adrenal myelolipoma are very rare. Histopathological examination gives the confirmed diagnosis. Here we present a 76 years old fem…