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Lymph node metastasis in early gastric cancer with submucosal invasion:Feasibility of minimally invasive surgery 被引量:22
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作者 Do-Joong Park Hyeon-Kook Lee +5 位作者 Hyuk-Joon Lee Hye-SeungLee Woo-HoKim Han-Kwang Yang Kuhn-UkLee Kuk-JinChoe 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第24期3549-3552,共4页
AIM:To explore the feasibility of pertorming minimally invasive surgery(MIS)on subsets of submucosal gastric cancers that are unlikely to have regional lymph node metastasis. METHODS:A total of 105 patients underwent ... AIM:To explore the feasibility of pertorming minimally invasive surgery(MIS)on subsets of submucosal gastric cancers that are unlikely to have regional lymph node metastasis. METHODS:A total of 105 patients underwent radical gastrectomy with lymph node dissection for submucosal gastric cancer at our hospital from January 1995 to December 1995.Besides investigating many clinicopathological features such as tumor size,gross appearance,and differentiation, we measured the depth of invasion into submucosa minutely and analyzed the clinicopathologic features of these patients regarding lymph node metastasis. RESULTS:The rate of lymph node metastasis in cases where the depth of invasion was<500 μm,500-2 000 μm,or >2 000 μm was 9%(2/23),19%(7136),and 33%(15/46), respectively(P<0.05).In univariate analysis,no significant correlation was found between lymph node metastasis and clinicopathological characteristics such as age,sex,tumor location,gross appearance,tumor differentiation,Lauren's classification,and lymphatic invasion.In multivariate analysis, tumor size(>4 cm vs≤2 cm,odds ratio=4.80, P=0.04)and depth of invasion(>2 000 μm vs ≤500 μm, odds ratio=6.81,P=0.02)were significantly correlated with lymph node metastasis.Combining the depth and size in cases where the depth of invasion was less than 500 μm, we found that lymph node metastasis occurred where the tumor size was greater than 4 cm.In cases where the tumor size was less than 2 cm,lymph node metastasis was found only where the depth of tumor invasion was more than 2 000 μm. CONCLUSION:MIS can be applied to submucosal gastric cancer that is less than 2 cm in size and 500 μm in depth. 展开更多
关键词 Surgical Procedures Minimally Invasive ADULT Aged Early Diagnosis Feasibility Studies FEMALE GASTRECTOMY Gastric Mucosa Humans Logistic Models Lymph Node Excision Lymphatic Metastasis Male Middle Aged Stomach Neoplasms
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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 /外科手术 腔静脉 下/外科手术 手术后医护
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Comparing twist-drill drainage with burr hole drainage for chronic subdural hematoma 被引量:3
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作者 LIN Xin 《Chinese Journal of Traumatology》 CAS 2011年第3期170-173,共4页
Objective: of chronic subdural hematoma The surgical management (CSDH) is still a controversial issue, and a standard therapy has not been established because of the unclear pathogenic mechanisms in CSDH. The inten... Objective: of chronic subdural hematoma The surgical management (CSDH) is still a controversial issue, and a standard therapy has not been established because of the unclear pathogenic mechanisms in CSDH. The intention of this paper is to find a simple and efficient surgical procedure for CSDH. Methods: A retrospective study of 448 patients with CSDH by surgical treatment during 2005 to 2009 was conducted in order to compare the efficiency between two diferent primary surgical methods, i.e. twist-drill drainage without irrigation in Group A (n-178) and one burr-hole with irrigation in Group B (n=270). The results were statistically analyzed. Results: The reoperation rates in Group A and Group B were 7.9% and 11.9% respectively. The good outcome rate was 88.8% and 73.5%, the complicatiGn was 7.9% and 20.7% in Group A and Group B, respectively. Conclusions: The burr-hole drainage with irrigation of the hematoma cavity is not beneficial to the outcome and prognosis. Irrigation is not important in the surgical treatmerit for CSDH. Thus in initial treatment, twist-drill drainage without irrigation of the hematoma cavity is recommended because it is relatively safe, time-saving and cost-effective. 展开更多
关键词 Hematoma subdural Brain injury CHRONIC Drainage
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Management of extensive closed internal degloving injury in lower limb and peripelvis 被引量:1
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作者 张奎 李邦春 高劲谋 《Chinese Journal of Traumatology》 CAS 2003年第4期254-256,共3页
In contrast to open degloving injury, extensive closed internal degloving injury (CIDI) is rare, especialy followed by deep injury with bone-articular and neurovascular complications after initial trauma.1-3 Clinicall... In contrast to open degloving injury, extensive closed internal degloving injury (CIDI) is rare, especialy followed by deep injury with bone-articular and neurovascular complications after initial trauma.1-3 Clinically, it 05- be misdiagnosed or mismanaged leading to delayed full-thickness necrosis of the avulsed skin flap and development of wound sepsis, 3 even limbs disability.4 A number of reports have advocated several means for treatment of CIDI1,3,5,6 but they are not ideal.1,6,7 Since 1987 we have treated 132 degloving injuries, 18 (13.6%) of whom were CIDI in the peripelvis and lower limbs. According to the severity of CIDI, it has been managed by replantation of defatted full-thickness degloved skin with refined techniques as salvage procedures for the avulsed skin, and defect coverage with several myocutaneous flaps for denuded wound of specialized areas. Our purpose is to stress the importance of simultaneous management of both CIDI and deep injury and proper options of resurface procedures to provide better appearance and function of limbs. 展开更多
关键词 ADOLESCENT ADULT FEMALE Humans LACERATIONS Lower Extremity MALE Middle Aged Surgical Flaps
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Advances in surgical treatment of chronic subdural hematoma
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作者 张作洪 刘建雄 《Chinese Journal of Traumatology》 CAS 2003年第1期41-44,共4页
关键词 Embolization Therapeutic ENDOSCOPY Hematoma Subdural Chronic Humans Meningeal Arteries Oxygen
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Surgical treatment of traumatic lower limb pseudoaneurysm
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作者 Pan Zhongjie Zhang Hua Li Li Jia Yutao Tian Rong 《Chinese Journal of Traumatology》 CAS CSCD 2014年第5期285-288,共4页
Objective:To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.Methods:Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from Janu... Objective:To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.Methods:Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from January 2007 to January 2012.The treatment protocols included interventional covered-stent placement (10 cases),spring coil embolization (2 cases),and surgical operation (8 cases).Surgical operations included pseudoaneurysm repair (2 cases),autologousvein transplantation (1 case),and artificial-vessel bypass graft (5 cases).Results:All the patients were successfully treated without aggravating lower limb ischemia.Pseudoaneurysm disappeared after treatment.A surgical operation is suitable to most pseudoaneurysms,but its damage is relatively obvious and usually leads to more bleeding.It also requires a longer operating time.Compared to a surgical operation,interventional therapy is less traumatic and patients usually have a quicker recovery (P<0.05).All patients were followed up once per month for 12-36 months by color Doppler ultrasound examination.There were no cases of pseudoaneurysm recurrence.Conclusion:Both surgical operation and interventional therapy are safe and effective in the treatment of pseudoaneurysm. 展开更多
关键词 PSEUDOANEURYSM Lower extremity TRANSPLANTATION
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