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Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]

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https://www.readbyqxmd.com/read/30032539/-research-progress-on-etiology-and-treatment-of-adolescent-lumbar-disc-herniation
#1
X W Ye, S S Liu, B L Liu
Adolescent lumbar disc herniation(ALDH) is clinically rare. Factors such as dysplasia, genetic factors, trauma, spinal sagittal aligment have been suspected as the pathogenesis of ALDH. The clinical features of ALDH are different from adult lumbar disc herniation: typical physical signs with minor complaints, higher proportion of lumbar deformities. ALDH usually involves one segment, presenting central type, and the herniated disc is larger with bone structure.Conservative treatment is suggested for ALDH patients without severe nerve injury...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032538/-advances-in-diagnosis-and-treatment-of-undifferentiated-pancreatic-carcinoma-with-osteoclast-like-giant-cells
#2
G M Sun, R Kong, S F Yang, B Sun
Undifferentiated pancreatic carcinoma with osteoclast-like giant cell(UOC) published to date, and most have been in Asia, is a rare occurrence making up 1% of all pancreatic malignancies.With the increasing number of reported cases of the disease, the degree of awareness of the disease also gradually deepened, but there are few summary articles for the clinical features, imaging features, pathological features, treatment programs, prognosis and other aspects of UOC.Hence, this article is going to introduce pathological features, clinical manifestations, diagnosis and treatment of adjuvant advances of UOC in detail...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032537/-pik3ca-mutation-analysis-in-isolated-macrodactyly
#3
J H Wu, W Tian, G L Tian, M M Tian, S L Chen, W Tian
Objective: To systematically investigate PIK3CA mutations in isolated macrodactyly. Methods: Overgrowth tissues from 12 isolated macrodactyly patients who were treated at Department of Hand Surgery, Beijing Jishuitan Hospital from May to August 2017 were collected during operation.There were 6 male and 6 female patients with average age of 4.5 years. DNA was tested for PIK3CA mutation using a targeted Sanger DNA sequencing method.Samples with negative Sanger result were tested with a next generation DNA sequencing(NGS)panel targeting 47 cancer hotspot genes including PIK3CA...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032536/-short-term-and-long-term-survival-in-sleeve-lobectomy-by-video-assisted-thoracic-surgery-versus-thoracotomy-basing-on-the-propensity-score-matching
#4
M J Pan, H J Gao, Z H Jiang, D Wang, K Liu, Y C Wei
Objective: To evaluate the safety and efficacy of patients with centrally located lung cancer in sleeve lobectomy by video-assisted thoracic surgery (VATS). Methods: A retrospective analysis was performed on consecutive patients with centrally located lung cancer who underwent sleeve lobectomy admitted in the Affiliated Hospital of Qingdao University from January 2010 to September 2014. Propensity score matching analysis was performed to compare patients for thoracoscopic surgery and open surgery. Twenty-one pairs (42 cases) patients were included for analysis...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032535/-sequential-parathyroidectomy-under-cervical-plexus-anesthesia-for-secondary-hyperparathyroidism-with-renal-function-failure
#5
Y Hu, S R Hua, M Y Wang, Z Su, M Cui, X Zhang, Q Liao, Y P Zhao
Objective: To summarize the strategy of sequential parathyroidectomy for secondary hyperparathyroidism. Methods: Between January 2009 and December 2017, 32 patients with secondary hyperparathyroidism underwent parathyroidectomy in Department of General Surgery, Peking Union Medical College Hospital. There were 11 male and 21 female patients with a mean age of 51.3 years. Eleven of them underwent bilateral neck exploration under general anesthesia, while the rest of them underwent sequential parathyroidectomy...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032534/-strategy-in-management-of-adjacent-organ-lesion-during-laparoscopic-pancreaticoduodenectomy
#6
W W Jin, C Lu, Y P Mou, X W Xu, R C Zhang, Y C Zhou, Z Y Qian, C J Huang
Objective: To evaluate the safety and feasible of adjacent organ resection during laparoscopic pancreaticoduodenectomy(LPD), and summary the surgical strategies. Methods: Clinical data of 15 adjacent organ resections combined with LPD from March 2013 to September 2017 were reviewed.There were 10 male and 5 female patients aging from 20 to 86 years, and the body mass index ranged from 19.6 to 34.5 kg/m(2).Two patients had previous abdominal surgical history.Two patients underwent preoperative chemotherapy. Results: The resected adjacent organs included liver( n =4), stomach( n =3), colon( n =6), right kidney with embolectomy and vasoplastic of inferior vena cava( n =1), and spleen artery aneurysms( n =1)...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032533/-laparoscopic-versus-open-surgery-for-simultaneous-resection-of-synchronous-colorectal-liver-metastases
#7
K Ma, X Y Wang, J H Chen
Objective: To compare the short-term outcomes and long-term outcomes between open and laparoscopic approaches for simultaneous resection of primary colorectal cancer and synchronous liver metastases. Methods: Patients underwent simultaneous resection of primary colorectal cancer and synchronous liver metastases at Department of General Surgery, Huashan Hospital, Fudan University between January 2014 and October 2017 were included.The totally laparoscopic surgery patients were matched 1∶1 based on propensity score to the open surgery patients...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032532/-clinical-study-of-no-necrotic-cavity-lavage-after-debridement-and-drainage-in-patients-with-infected-pancreatic-necrosis
#8
C C Gao, F Cao, D G Liu, K Liang, J Li, A Li, X H Wang, C X Wang, Z Wang, N Duan, Y D Wu, F Li
Objective: To observe the outcomes of no necrotic cavity lavage after debridement and drainage in patients with infected pancreatic necrosis(IPN). Methods: From February 2014 to August 2017, there were 89 patients who were diagnosed as IPN undergoing minimally invasive surgery with no necrotic cavity lavage and large caliber-wide channel drainage in Department of General Surgery, Xuanwu Hospital, Capital Medical University. There were 57 male and 32 female patients aging of (49.5±14.4)years (ranging from 23 to 84 years)...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032531/-application-of-multi-functional-modularized-prosthesis-in-reconstruction-for-sternal-defect
#9
H F Wang, Y Xiao, Y X Jin, Z Shi, C Chen, G N Jiang
Objective: To investigate the feasibility and effectiveness of sternal reconstruction using a multi-functional modularized sternal reconstruction system. Methods: In June 2016 and August 2017, the modularized sternal prosthesis system was used on two patients for sternal reconstruction in the Department of Thoracic Surgery of Shanghai Pulmonary Hospital, Tongji University. Both patients were female aging 48 and 72 years, respectively, with the primary diagnosis of tumor of the lower sternal body and huge mediastinal tumor...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032530/-discussion-on-the-consensus-and-controversies-of-the-concept-and-technique-in-minimally-invasive-spine-surgery
#10
G H Lyu
With the rapid progress of minimally invasive spine surgery(MISS), spine surgery has entered a new historical era. The outcome of MISS technique has already been recognized. However, some problems and disputes that still exist in clinical practice are worthy of concern.Based on personal experience and literature review, the author discussed the issues of the relationship between MISS concept and technique, the relationship between traditional and MISS technique, the border of MISS technique, and how to promote the development of MISS...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032529/-guidelines-for-diagnosis-and-treatment-of-abdominal-wall-incisional-hernia-2018-edition
#11
(no author information available yet)
The clinical treatment of abdominal incisional hernia is complicated, it belongs to Iatrogenic disease. It involves etiology, pathophysiology, classification and typing, surgical methods and so on. According to the clinical practice of our country in recent 4 years, on the basis of the "Guidelines for Abdominal Wall Incision Hernia (2014 edition)" , the author has completed the "Guideline for Abdominal Wall Incisional Hernia (2018 edition)" . Through the discussion and consultation with more than 50 experts and scholars in China...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032528/-guidelines-for-diagnosis-and-treatment-on-the-adult-groin-hernia-2018-edition
#12
(no author information available yet)
Throughout the world, the related etiology, pathology, classification and typing of groin hernia, combined with the clinical practice in China, on the basis of the previous edition of the Guidelines, through the domestic more than 50 experts and scholars to discuss the consultation, completed the "Guidelines for Diagnosis and Treatment on the Adult Groin Hernia (2018 edition)" . The diagnosis, differential diagnosis, surgical treatment and other aspects of inguinal hernia were comprehensively expounded...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/30032527/-comprehensive-guidelines-for-the-diagnosis-and-treatment-of-pancreatic-cancer-2018-version
#13
(no author information available yet)
Pancreatic cancer ranks the fifth leading cause of cancer-related death, while the incidence has increased in the recent years.Although available diagnosis and treatment have failed to significantly improve patients' outcome, some advances have been made along with the understanding of the new concepts from oncology over the past several years.Pancreatic Cancer Committee of Chinese Anti-Cancer Association worked out this latest edition of "The Clinical Practice Guidelines for Pancreatic Cancer(version 2018)" based on current situation to standardize and improve the diagnosis and treatment of pancreatic cancer in China...
July 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886673/-research-advances-in-the-aortic-remodeling-after-thoracic-endovascular-aortic-repair-therapy-of-stanford-type-b-aortic-dissection
#14
H G Zhang, T Qiao
Aortic dissection is one of the most common vascular emergent disease. Thoracic endovascular aortic repair (TEVAR) therapy which created the new era of treatment of Stanford type B aortic dissection (TBAD) has gradually replaced the surgical treatment and becomes the gold standard for treatment of TBAD. Aortic remodeling after TEVAR is the key factor to evaluate the mid-term survival rate and successful treatment of the aortic dissection victims. However, there are few studies on aortic remodeling and lack of unified criteria to evaluate it...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886672/-prognostic-value-of-tumor-infiltration-immune-cells-in-pancreatic-cancer
#15
K L Zhao, J Liu, W N Jiang, J H Hao
Objective: To investigate the prognostic effect of tumour-infiltrating immune cell, including CD8(+) T cell, regulatory T-cell (Treg) and myeloid-derived suppressor cells (MDSC) on pancreatic patients. Methods: This study retrospectively collected the data of 80 patients who were histologically diagnosed of pancreatic cancer and underwent classical R0 surgical resection at Tianjin Medical University Cancer Institute and Hospital from January 2010 to May 2012. All patients survival were followed up until the cut-off date of January 2015...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886671/-sole-angioplasty-with-tiny-balloon-for-high-risk-complex-symptomatic-intracranial-atherosclerotic-stenosis
#16
P Qi, J J Wang, L J Wang, J Lu, S Hu, X M Yang, K P Chen, H F Wang, D M Wang
Objective: To explore the safety and short-term efficacy of sole angioplasty with tiny balloon for symptomatic intracranial atherosclerotic stenosis (ICAS) patients with complex lesions refractory. Methods: Consecutive 11 patients with complex ICAS lesions treated by sole angioplasty with tiny balloon (diameter≤2 mm) from September 2016 to November 2017 at Department of Neurosurgery, Beijing Hospital were retrospectively reviewed. Patients' demographics, lesions characteristics, procedures, complications, and clinical and imaging follow-up data were collected...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886670/-a-prospective-comparative-study-examing-the-impact-of-uniportal-and-three-portal-video-assisted-thoracic-surgery-on-short-term-quality-of-life-in-lung-cancer
#17
G W Xu, R Xiong, H R Wu, C W Li, S B Xu, M R Xie
Objective: To evaluate the effect of the postoperative short-term quality of life between uniportal and three portal video-assisted thoracic surgery for radical lung cancer resection. Methods: The perioperative data and short-term quality of life of 120 patients received uniportal and three portal video-assisted thoracic surgery for radical lung cancer resection were analyzed from September to November 2017 at Department of Thoracic Surgery, the First Affiliated Hospital of University of Science and Technology of China...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886669/-learning-curve-of-uniportal-video-assisted-thoracoscopic-surgery-lobectomy-for-the-treatment-of-resectable-lung-cancer
#18
R Xiong, G W Xu, H R Wu, C W Li, G X Wang, M Q Xu, M R Xie
Objective: To analyze the learning curve of uniportal video-assisted thoracoscopic surgery (VATS) lobectomy for the treatment of resectable lung cancer. Methods: The clinical data of 160 patients with resectable lung cancer who underwent uniportal VATS lobectomy by a single surgical team between May 2016 and April 2017 at Department of Thoracic Surgery, the First Affiliated Hospital of the University of Science and Technology of China were analyzed retrospectively. The study group consisted of 90 male and 70 female patients with age of 28 to 84 years (median: 62 years)...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886668/-clinical-analysis-of-reoperation-for-secondary-hyperparathyroidism
#19
Z Hua, L Zhang, C Li, Z L Deng, L Yao
Objective: To investigate the safety and efficacy for reoperation after parathyroidectomy for persistent and recurrent secondary hyperparathyroidism (HPT). Methods: Totally 10 patients with persistent or recurrent HPT who underwent parathyroidectomy reoperation at Department of General Surgery, China-Japan Friendship Hospital from April 2001 to October 2012 were selected. Among them, 6 were male and 4 were female with age of (46.9±7.7) years (range: 36 to 57 years). There were 8 cases of persistent HPT and 4 cases of recurrent HPT...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29886667/-postoperative-complications-and-survival-analysis-of-1-118-cases-of-open-splenectomy-and-azygoportal-disconnection-in-the-treatment-of-portal-hypertension
#20
R Z Qi, X Zhao, S Z Wang, K Zhang, Z Y Chang, X L Hu, M L Wu, P R Zhang, L X Yu, C H Xiao, X J Shi, Z W Li
Objective: To analyze the recent postoperative and long-term postoperative complications of open-splenectomy and disconnection in patients with portal hypertension. Methods: There were 1 118 cases with portal hypertension who underwent open splenectomy and azygoportal disconnection from April 2010 to September 2015 at Department of Surgery, People's Liberation Army 302 Hospital. Retrospective case investigation and telephone follow-up were conducted in October 2016. All patients had history of upper gastrointestinal bleeding before operation...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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