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Complications of extrahepatic echinococcosis:Fistulization of an adrenal hydatid cyst into the intestine 被引量:1
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作者 Juan Francisco Ruiz-Rabelo Manuel Gomez-Alvarez +1 位作者 Joaquin Sanchez-Rodriguez Sebastian Rufian Pea 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第9期1467-1469,共3页
Echinococcal cysts are usually found in liver and lungs, but any other organ can potentially be involved. Extrahepatic disease due to hydatid cyst may develop in the abdominal and pelvic cavity, aside from in other le... Echinococcal cysts are usually found in liver and lungs, but any other organ can potentially be involved. Extrahepatic disease due to hydatid cyst may develop in the abdominal and pelvic cavity, aside from in other less common locations, which may make both diagnosis and treatment more complex. We present a rare case of extrahepatic echinococcosis in a 70-year old patient with a 4-d history of dull abdominal pain, anemia within the transfusion range and fever. She underwent surgery for left renal hydatid cysts 30 years ago. After non operative treatment, imaging studies showed a calcified hydatid cyst in a retrogastric location communicating with a proximal jejunal loop. En-block resection of the mass together with the adrenal gland was performed including closure of the enteric fistula. Anatomic pathology confirmed the diagnosis of a calcified hydatid cyst of left adrenal origin. Surgery is the treatment of choice and most authors recommend removal of cyst and adrenal gland. 展开更多
关键词 ECHINOCOCCOSIS Adrenal cyst SURGERY
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Clinical Research of a Modified Midfacial Degloving in a Maxillectomy (with a Report of a Typical Case)
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作者 Yuanqing Zhao Jialiang Guo Yongtuan Li 《Chinese Journal of Clinical Oncology》 CSCD 2008年第3期191-194,共4页
OBJECTIVE To investigate the feasibility of employing a modified midfacial degloving in maxillectomy. METHODS Eight patients with carcinoma of the maxillary sinus underwent a modified midfacial degloving operation. Th... OBJECTIVE To investigate the feasibility of employing a modified midfacial degloving in maxillectomy. METHODS Eight patients with carcinoma of the maxillary sinus underwent a modified midfacial degloving operation. The tumors were classified according to the 2002 AJCC system. The TNM staging of the cases was as follows: 1 T4aN0M0, 2 T3N0M0 and 5 T2N0M0. Of the 8 cases, 1 patient underwent extended maxillectomy; exenteration of the orbit; tumorectomy of the sphenomaxillary and infratemporal fossae. Two patients received a total maxillectomy, and 5 a partial resection of the maxilla. Postoperative pathological report: 4 well-differentiated squamous carcinoma, 2 moderately-differentiated squamous carcinoma, 1 mucoepidermoid carcinoma and 1 adenoid cystic carcinoma.RESULTS A modified midfacial degloving operation can sufficiently expose a field of operation, resect the tumor within a safe margin, and leave no facial cicatricles. One patient died of intracranial metastasis 8 months after operation. We observed no recurrences or metastasis in other patients during the period of follow-up.CONCLUSION The major advantages of employing the modified midfacial degloving in maxillectomy is that a facial incision can be avoided. It has an advantage of minimal invasive surgery 展开更多
关键词 maxilla neoplasm SURGERY operation midfacial degloving operation maxillectomy.
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心外管道全腔静脉肺动脉连接术患者的术后护理干预
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作者 郑利娜 《中国校医》 2018年第2期130-130,134,共2页
目的分析心外管道全腔静脉肺动脉连接术患者的术后护理干预效果。方法选取本院2015年5月至2016年5月收治的40例实施心外管道全腔静脉肺动脉连接术的患者作为研究对象,将患者随机分为对照组和观察组各20例,给予对照组患者常规的护理方法... 目的分析心外管道全腔静脉肺动脉连接术患者的术后护理干预效果。方法选取本院2015年5月至2016年5月收治的40例实施心外管道全腔静脉肺动脉连接术的患者作为研究对象,将患者随机分为对照组和观察组各20例,给予对照组患者常规的护理方法,给予观察组患者全面的护理干预。通过严密观察患者的病情,比较分析2组患者的护理效果。结果与对照组相比,观察组患者的治疗效果更显著,且患者的护理满意度较高,患者术后不良症状发生较低。结论将全面护理干预应用于心外管道全腔静脉肺动脉连接术患者的术后护理,取得的效果十分显著,该护理方法值得在临床中推广应用。 展开更多
关键词 心脏缺陷 先天性/外科手术 肺动脉/外科手术 腔静脉 上/外科手术 腔静脉 /外科手术 手术后医护
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Use of pedicled latissimus dorsi myocutaneous flap to reconstruct the upper limb with large soft tissue defects
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作者 QU Zhi-gang LIU Yu-jie +2 位作者 HE Xu DING Xiao-hen FANG Guan-grong 《Chinese Journal of Traumatology》 CAS 2012年第6期352-354,共3页
[Abstract] Objective: To report the technique of reconstruction of large skin and soft tissue defects in the upper extremity using pedicled latissimus dorsi myocu- taneous flaps. Methods: Six patients with large sk... [Abstract] Objective: To report the technique of reconstruction of large skin and soft tissue defects in the upper extremity using pedicled latissimus dorsi myocu- taneous flaps. Methods: Six patients with large skin and soft tissue defects were included in this report. There were 5 trauma patients and the rest one needed to receive plastic surgery for his extremity scar. All wounds were in the upper extremity. The sizes of defects ranged from 15 cmx6 cm to 30 cmx 18 cm. Pedicled latissimus dorsi myocutaneous flaps were designed according to the defect area and raised with part of latissi- mus dorsi. The thoracodorsal artery and its perforators were carefully protected during surgery. Results: All flaps healed primarily without flap congestion, margin necrosis or infection. The skin donor sites either received split-thickness skin graft (3 cases, mostly from the anterior thigh) or was closed primarily (3 cases) and had minimal morbidity. Follow-up of 6-12 months showed that the contour of flap was aesthetic and the func- tion of limb was excellent. Conclusion: Our experience indicates that the pedicled latissimus dorsi myocutaneous flap is favorable for recon- struction of large skin and soft tissue defects in the upper extremity 展开更多
关键词 Surgical flaps Upper extremity Softtissue injuries Reconstructive surgical procedures
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