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Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]

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https://www.readbyqxmd.com/read/30157579/-preoperative-c-reactive-protein-albumin-ratio-predicts-the-prognosis-of-patients-with-resectable-pancreatic-cancer
#1
B Y Luo, Y Yang, Y F Duan, H H Cai, Y An, D L Sun
Objective: To evaluate the clinical significance of C-reactive protein/albumin ratio in predicting the postoperative prognosis of pancreatic cancer patients. Methods: The clinical date of 97 patients with resectable pancreatic cancers who treated at Department of Hepatobiliary and Pancreatic Surgery, the third Affiliated Hospital of Soochow University from January 2005 to December 2015 were analyzed retrospectively. The cut-off value of CRP/Alb ratio was determined by the receiver operating characteristic(ROC) curve...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157578/-a-comparative-study-of-the-short-term-efficacy-and-long-term-efficacy-of-systematic-lymph-node-dissection-and-elective-lymph-node-dissection-in-patients-with-early-esophageal-cancer
#2
H R Wu, C Q Liu, M F Guo, X Y Mei, J Y Tian, M Q Xu
Objective: To investigate the feasibility, safety, short-term efficacy and long-term efficacy of elective lymph node dissection in patients with early esophageal cancer. Methods: The study retrospectively evaluated 405 patients with cT1N0M0 esophageal carcinoma who received minimally invasive esophagectomy in the First Affiliated Hospital of University of Science and Technology of China between March 2007 and March 2013. Of those patients, 208 patients underwent systematic lymph node dissection (SLND) and 197 patients underwent elective lymph node dissection (ELND)...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157577/-analysis-of-blood-flow-energy-characteristics-of-pulsatile-and-non-pulsatile-flow-during-extracorporeal-circulation
#3
Z Guo, X Li, L F Xu, X Chang, J Li, Z Y Xu
Objective: To analyze the magnitude of blood flow energy and characteristics of frequency domain between pulsatile flow and nonpulsatile flow during cardiopulmonary bypass and physiological flow. Methods: From January 2017 to December 2017, 60 cases of patients with mitral valve disease scheduled for mitral valve replacement or repair at Department of Cardiasurgery, Shanghai Chest Hospital, Shanghai Jiaotong University were randomly divided into 2 groups: pulsatile perfusion (PP) and non-pulsatile perfusion (NP)...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157576/-influential-factors-for-failure-of-enhanced-recovery-after-surgery-from-hepatectomy-for-hepatocellular-carcinoma-and-the-establishment-of-risk-prediction-model
#4
R D Wang, W D Jia, Y S Ge, J L Ma, G L Xu
Objective: To investigate the influential factors for failure of enhanced recovery after surgery(ERAS) from hepatectomy for hepatocellular carcinoma(HCC) patients and then to establish a risk prediction model. Methods: The relevant clinical data of 180 patients with HCC undergoing hepatectomy at Department of Hepatic Surgery, Affiliated Provincial Hospital, Anhui Medical University from January 2016 to June 2017 were analyzed retrospectively.There were 149 male patients and 31 female patients aging of (56.5±11...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157575/-clinical-analysis-of-small-incision-minimally-invasive-approach-in-treatment-of-infected-pancreatic-necrosis
#5
X J Lyu, B Sun, L Li, H Chen, R Kong
Objective: To investigate the safety and efficiency of small incision minimally invasive approach pancreatic necrosectomy in the treatment of infected pancreatic necrosis. Methods: The data of 164 patients who underwent small incision minimally invasive approach pancreatic necrosectomy for infected pancreatic necrosis at Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University from January 2012 to December 2016 were analyzed retrospectively.Among 164 patients, there were 102 male and 62 female patients...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157574/-surgical-treatment-of-giant-cell-tumors-with-pathological-fracture-around-the-knee
#6
W F Liu, F J Yang, Y Li, B Li, L Hao, X H Niu
Objective: To compare the local recurrent rate, the persistence of reconstruction and functional recovery of Giant Cell Tumor (GCT) after the treatments of extensive curettage or resection. Methods: A retrospective review was conducted on the clinical data of 50 patients who had giant cell tumor with pathological tracture around the knee treated in our hospital from January 2001 to July 2014. There were 30 males and 20 females. The average age was 33.7 years respectively (range, 17 to 71 years). The fracture localizations of 45 cases were distal femur and of 5 cases were proximal tibia...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157573/-complications-of-2-133-cases-of-pediatric-long-bone-fracture-undergoing-elastic-stable-intramedullary-nailing-in-a-single-medical-center
#7
X S Sun, B Wang, F Wang, K Tang, Z Q Zhang, G Lin, Y Lou
Objective: To summarize the clinical data of elastic stable intramedullary nailing(ESIN) in the treatment of long bone fracture of children in a single medical center, and to analyze the problems occurred after the ESIN surgery and corresponding solutions. Methods: A retrospective analysis was conducted regarding the clinical data of 2 133 pediatric long bone fractures conforming to inclusion and exclusion criteria from June, 2005 to December, 2017 in Department of Orthopedics, Children's Hospital of Nanjing Medical University...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157572/-coronal-lower-limb-alignment-in-total-knee-arthroplasty
#8
S B Zhu, X Chen, W W Qian, X S Weng, C Jiang, C H Ye, W L Deng
Many factors contribute to a successful total knee arthroplasty, and postoperative coronal lower limb alignment has always been a focus of joint surgeons. Previous researches have suggested that neutral alignment can bring higher prosthesis survival rate and better knee function. However, the theory has been challenged in recent years.In this article, the author introduces the axis, alignment and osteotomy of total knee arthroplasty briefly and reviews the studies on the neutral alignment and kinematic alignment of recent years in order to provide some advice for the clinical operation...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157571/-discussion-on-hot-topics-of-skeletal-sternal-reconstruction
#9
H F Wang, G N Jiang
Sternum is an important constituent of the thoracic cage, and a pivotal part of the anterior chest wall. When a considerable portion of the sternum needs to be resected, in order to protect the vital organs beneath, restore the anatomical structure and physiological function, reconstruction is unavoidable. Sternal reconstruction consists of two related parts: skeletal and soft tissue reconstruction. Skeletal reconstruction uses materials such as autograft or allograft of bones, metallic plates, sandwich patch, non-rigid patches, bio-synthetic patches and three-dimensional printing prosthesis...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157570/-how-to-restore-the-proper-lumbar-lordosis-in-spine-surgery
#10
C D Li, Y Zhao
Sagittal alignment of the spine significantly affects the physical function. In this article, we review the clinical application of several spinal-pelvic parameters, analyze the impact factors of sagittal alignment and provide calculating methods to value the correcting degrees. Spine surgeons should get a deep understanding of the spinal-pelvic parameters, differentiate the functional and structural imbalance. Every patient needs thorough preoperative evaluation to restore the proper alignment during surgery and avoid overcorrection...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157569/-surgical-strategy-and-relevant-problems-about-degenerative-spinal-deformity
#11
H Y Liu
As the complicated and three-dimensional deformity, degenerative spinal deformity is common in middle-aged and elderly patients, which often accompanies with severe lumbar spinal stenosis and corresponding symptoms, high surgical difficulties and risks in perioperative periods. The aims of the surgery are removing decompression of spinal cord and nerve root, ending the process of deformity and rebuilding spinal balance. Recently, relevant problems of sagittal balance in degenerative spinal deformity have attracted more and more attention...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157568/-chinese-experts-consensus-on-the-treatment-of-metastatic-prostate-cancer-2018-edition
#12
(no author information available yet)
The prevalence of prostate cancer has shown a marked increase in China. Most patients are presented with metastasis at diagnosis.It has been proven by clinical trials that besides androgen deprivation therapy, Abiraterone and docetaxel can improve the overall survival of metastatic hormone sensitive prostate cancer patients with high risks.For metastatic castration-resistant prostate cancer treatment, docetaxel, abiraterone and enzalutamide, etc., have demonstrated significant overall survival benefit. Among them, docetaxel and abiraterone have accumulated adequate experience in Chinese patients...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30157567/-a-consensus-statement-on-the-diagnosis-and-treatment-of-pancreatic-exocrine-insufficiency-after-pancreatic-surgery-2018
#13
(no author information available yet)
Based on the latest references, combined with China's actual situation, a consensus statement on the diagnosis and treatment of pancreatic exocrine insufficiency after pancreatic surgery was developed by more than 20 Chinese extinguished experts, following 3 times of thorough discussions. This consensus discusses the definition, epidemiology, diagnosis, treatment and follow-up of pancreatic exocrine insufficiency after pancreatic surgery. The authors hope this consensus will promote the standard procedure of diagnosis and treatment of pancreatic exocrine insufficiency in China...
September 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107707/-research-progress-on-the-clinical-significance-of-sagittal-alignment-and-balance-in-cervical-spine
#14
Q Q Huang, S S Liu, G Q Liang
Though great progress on spinal sagittal alignment has been seen recently, which focuses on the lumbar spine-pelvic region and the whole spine, while there is a few research mainly concentrated on the cervical spine. In recent years, a growing number of researchers have been exploring the changes in the compensation of cervical sagittal alignment and their effect on surgery, and the preliminary results of these researches are satisfactory. The present review focuses on the measurement of sagittal plane parameters of cervical spine, changes of sagittal alignment in cervical spine disorders, and its effect on cervical surgery...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107706/-kindlin-2-promotes-gallbladder-cancer-metastasis-and-invasion-by-inducing-epithelial-mesenchymal-transition
#15
X Lu, C Zhou, R F Li, J W Ye, W L Zhai
Objective: To investigate the effects of Kindlin-2 on malignant phenotypes of human gallbladder cancer cells and discuss the mechanisms. Methods: The expression level of Kindlin-2 in 30 cases of gallbladder cancer tissues and adjacent non-tumoral tissues collected from the First Affiliated Hospital of Zhengzhou University between September 2012 and May 2013 was assessed by real-time PCR and immunohistochemistry.Lentivirus-mediated Kindlin-2 overexpression was used in gallbladder cancer cell lines GBC-SD and SGC-996...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107705/-the-sodium-fluorescein-guided-microsurgical-resection-of-glioblastoma
#16
J Hong, B D Chen, X Yao, Y S Yang
Objective: To investigate the clinic effect of the sodium fluorescein-guided microsurgical resection of glioblastoma. Methods: In a retrospective clinical study, 82 patients with glioblastoma confirmed by post-operative pathologic inspection in the Department of Neurosurgery of Tianjin Huanhu Hospital from January 2016 to June 2017 were randomly divided into sodium fluorescein (FL) group (42 cases) and traditional microsurgical (TM) group (40 cases). The tumors were removed by the sodium fluorescein-guided surgical procedure in the FL group...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107704/-a-retrospective-comparative-study-of-continuous-pumping-for-home-enteral-nutrition-after-esophagectomy
#17
L Dai, H Fu, X Z Kang, Y B Yang, H T Zhou, Z Liang, H C Xiong, Y Lin, K N Chen
Objective: To discuss the effect and safety of continuous pumping for home enteral nutrition after esophagectomy. Methods: The current study retrospectively analyzed the esophageal cancer patients who underwent transthoracic esophagectomy between January 2017 and November 2017 at First Department of Thoracic Surgery, Peking University Cancer Hospital and Institute. There were totally 108 cases, including 88 males and 20 females, with an average age of 62 years. The patients were divided into pump feeding group ( n =56) and traditional tube feeding group ( n =52)...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107703/-the-application-of-intestinal-stomas-in-mesenteric-ischemia
#18
S L Sun, W W Ding, B C Liu, X X Fan, X J Wu, J S Li
Objective: To evaluate the application of intestinal stomas in mesenteric ischemia (MI) according to the concept of damage control surgery. Methods: Clinical data of 59 MI patients received intestinal stomas at Jinling Hospital, Nanjing University School of Medicine from January 2010 to June 2017 were analyzed retrospectively. There were 41 male and 18 female patients aging of (51±14) years (ranging from 20 to 86 years). All the patients were divided to two groups according to the degree of bowel ischemia: acute MI group (AMI, bowel necrosis, n =43) and chronic MI group (CMI, bowel stricture, n =16)...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107702/-establishment-of-multiple-predictor-models-of-severe-acute-pancreatitis-in-elderly-patients
#19
Z W Zhu, G Z Li, B Sun, D X Guo, Z Q Zuo, H T Tan, H C Jiang
Objective: To investigate the prognostic factors related to the severity of acute pancreatitis and to establish the multiple predictor models of severe acute pancreatitis(SAP) in elderly patients. Methods: Clinical data of 146 consecutive elderly patients who met the inclusion criteria between January 2014 and May 2017 at Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University were retrospectively collected and analyzed, wherein 88 cases were mild acute pancreatitis, 29 cases were moderately severe acute pancreatitis and 29 cases were SAP...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30107701/-diagnosis-and-treatment-experience-of-161-cases-of-pancreatic-serous-cystic-neoplasm-in-single-center-and-analysis-of-cause-of-preoperation-misjudgement
#20
K R Lin, J Q Zhu, J Li, J C Gu, H C Li, R Wei, Y Guo, Y Y Wang, H Y Wang, D L Fu
Objective: To analyze the causes of preoperative miscarriage of pancreatic serous cystadenoma (SCN) and find the ways to improve it. Methods: Clinical data of 425 pancreatic cystic neoplasm patients who underwent surgical resection from January 2006 to December 2016 in Department of Pancreatic Surgery in Huashan Hospital were retrospectively analyzed.Excel database was created which covered 128 fields of 7 fields: general information of patients, preoperative blood biochemical indexes, tumor markers, surgical related data, postoperative complications, imaging findings and pathology...
August 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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