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腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的疗效评价 被引量:21
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作者 曾吉林 金键 丁良福 《中国现代普通外科进展》 CAS 2021年第11期907-909,共3页
探讨腹腔镜联合胆道镜微创手术治疗胆囊结石合并胆总管结石的疗效、安全性及应用前景。前瞻性选取162例确诊为胆囊结石合并胆总管结石的患者,根据手术方式随机分为两组,每组81例。对照组行逆行性胰胆管造影(ERCP)+腹腔镜胆囊切除(LC)手... 探讨腹腔镜联合胆道镜微创手术治疗胆囊结石合并胆总管结石的疗效、安全性及应用前景。前瞻性选取162例确诊为胆囊结石合并胆总管结石的患者,根据手术方式随机分为两组,每组81例。对照组行逆行性胰胆管造影(ERCP)+腹腔镜胆囊切除(LC)手术,观察组行腹腔镜联合胆道镜胆总管探查+胆囊切除+胆总管I期缝合手术治疗。观察两组手术时间、引流拔管时间、胃肠道功能恢复时间、住院时间和并发症发生率,并随访术后复发情况。两组均成功完成手术,观察组手术时间、胃肠功能恢复时间、住院时间优于对照组(P<0.05)。术后总并发症率两组差异无统计学意义(P>0.05),观察组远期胆总管结石复发率低于对照组(P<0.05)。腹腔镜联合胆道镜微创取石手术治疗胆囊结石合并胆总管结石,初步结果显示其住院时间短,胃肠功能恢复快,复发率低,疗效确切,可进一步在临床上推广和应用。但以上结论需要进一步多中心研究及长期随访支持。 展开更多
关键词 腹腔镜 胆道镜 胆囊结石 胆总管结石
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Vimentin significantly promoted gallbladder carcinoma metastasis 被引量:2
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作者 DONG Ping HE Xiao-wei +12 位作者 GU Jun WU Wen-guang LI Mao-lan YANG Jia-hua ZHANG Ling ding Qi-chen LU Jian-hua MU Jia-sheng CHEN Lei LI Song-gan ding liang-fu WANG Jian-wei LIU Ying-bin 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第24期4236-4244,共9页
Background The precise molecular mechanisms underlying the gallbladder carcinoma (GBC) metastasis has not been fully elucidated. Methods In the present study, metastasis-associated proteins were identified by compar... Background The precise molecular mechanisms underlying the gallbladder carcinoma (GBC) metastasis has not been fully elucidated. Methods In the present study, metastasis-associated proteins were identified by comparative proteomic analysis. The functional study of the candidate protein vimentin was further investigated. First, a pair of higher and lower metastatic sublines (termed GBC-SD/M3 and GBC-SD, respectively), originated from the same parental cell line, was screened by spontaneous tumorigenicity and metastasis in vivo in animal study and further characterized by metastatic phenotypes analysis in vitro. Subsequently, a proteomic approach comprised two-dimensional gel electrophoresis analysis and mass spectroscopy was used to identify and compare the protein expression patterns between higher metastatic GBC-SD/M3 and lower metastatic GBC-SD cell lines. Then twenty-six proteins were identified. Results Among the 26 proteins identified, fourteen proteins were up-regulated and 12 proteins were down-regulated in GBC-SD/M3. Vimentin was identified and found to be overexpressed in GBC-SD/M3 as compared with GBC-SD. This result was further confirmed by quantitative PCR and Western blotting analysis. Furthermore, the cell migration and invasion potency of GBC-SD/M3 in vitro was remarkably suppressed after small interference RNA-mediated knockdown of vimentin. Moreover, immunoblot and immunohistochemical analysis on 12 human GBC specimens showed consistently increased vimentin expression in metastases compared with primary tumors. Conclusion Tumor vimentin level may reflect the pathological progression in some GBC and may be a useful marker for predicting tumor metastasis and a therapeutic target for the treatment of GBC patients with metastases. 展开更多
关键词 gallbladder neoplasm hepatic metastasis VIMENTIN PROTEOMICS
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