Background/Purpose: Some children dependent on total parenteral nutrition for long periods have no more axillary, internal jugular, external jugular, saphenous, and femoral veins available for cannulation. In such pat...Background/Purpose: Some children dependent on total parenteral nutrition for long periods have no more axillary, internal jugular, external jugular, saphenous, and femoral veins available for cannulation. In such patients, the central venous system can still be accessed via the azygos vein by placing an implantable port catheter through one of the right posterior intercostal veins. This is the first known description of such procedure. Methods: We report the use of the second and third right intercostal veins for placement of the catheter by right intrapleural thoracotomy in 2 pediatric patients with short gut syndrome. Results: Recovery from the thoracotomy was uncomplicated, and the patients could receive complete intravenous nutritive mixtures immediately after the insertion of the catheter. Both patients remain dependent on total parenteral nutrition and are awaiting an intestinal transplantation. Conclusion: The knowledge of alternate routes to obtain central venous access for prolonged parenteral nutrition is critically important, and the azygos system can be used when more accessible veins are unavailable.展开更多
Objective:To evaluate a better method for the outcome of achalasia between laparoscopic Heller procedures(LHP)with partial fundoplications and thoracoscopic procedures(TP).Methods: Eighty patients with achalasia were ...Objective:To evaluate a better method for the outcome of achalasia between laparoscopic Heller procedures(LHP)with partial fundoplications and thoracoscopic procedures(TP).Methods: Eighty patients with achalasia were treated by LHP with partial fundoplications and another 120 cases re- ceived TP treatment.All the patients were from the First and Second Hospital of Xi'an Jiaotong Universi- ty.Their clinical information including dysphagia after surgery,operation time,staying in hospital,ab- normal gastroesophageal reflux and pH assay were recorded.Results:Achalasia treated by LHP with par- tial fundoplications can make a higher outcome remission rate compared to TP.Conclusion:LHP with par- tial fundoplications is better than TP.It is an ideal surgery for achalasia up to now.展开更多
文摘Background/Purpose: Some children dependent on total parenteral nutrition for long periods have no more axillary, internal jugular, external jugular, saphenous, and femoral veins available for cannulation. In such patients, the central venous system can still be accessed via the azygos vein by placing an implantable port catheter through one of the right posterior intercostal veins. This is the first known description of such procedure. Methods: We report the use of the second and third right intercostal veins for placement of the catheter by right intrapleural thoracotomy in 2 pediatric patients with short gut syndrome. Results: Recovery from the thoracotomy was uncomplicated, and the patients could receive complete intravenous nutritive mixtures immediately after the insertion of the catheter. Both patients remain dependent on total parenteral nutrition and are awaiting an intestinal transplantation. Conclusion: The knowledge of alternate routes to obtain central venous access for prolonged parenteral nutrition is critically important, and the azygos system can be used when more accessible veins are unavailable.
文摘Objective:To evaluate a better method for the outcome of achalasia between laparoscopic Heller procedures(LHP)with partial fundoplications and thoracoscopic procedures(TP).Methods: Eighty patients with achalasia were treated by LHP with partial fundoplications and another 120 cases re- ceived TP treatment.All the patients were from the First and Second Hospital of Xi'an Jiaotong Universi- ty.Their clinical information including dysphagia after surgery,operation time,staying in hospital,ab- normal gastroesophageal reflux and pH assay were recorded.Results:Achalasia treated by LHP with par- tial fundoplications can make a higher outcome remission rate compared to TP.Conclusion:LHP with par- tial fundoplications is better than TP.It is an ideal surgery for achalasia up to now.
