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Roles of combined femoral and acetabular anteversion in pathological changes of hip dysplasia and hip reconstructive surgery
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作者 Can Liu Zheng Xu +5 位作者 Jian-Fa Zeng Zhen-Qi Song Yu-Yin Xie Zhong-Wen Tang Jie Wen Sheng Xiao 《World Journal of Orthopedics》 2024年第5期390-399,共10页
Combined femoral and acetabular anteversion is the sum of femoral and acetabular anteversion,representing their morphological relationship in the axial plane.Along with the increasing understanding of hip dysplasia in... Combined femoral and acetabular anteversion is the sum of femoral and acetabular anteversion,representing their morphological relationship in the axial plane.Along with the increasing understanding of hip dysplasia in recent years,numerous scholars have confirmed the role of combined femoral and acetabular anteversion in the pathological changes of hip dysplasia.At present,the reconstructive surgery for hip dysplasia includes total hip replacement and redirectional hip preservation surgery.As an important surgery index,combined femoral and acetabular anteversion have a crucial role in these surgeries.Herein,we discuss the role of combined femoral and acetabular anteversion in pathological changes of hip dysplasia,total hip replacement,and redirectional hip preservation surgery. 展开更多
关键词 Combined anteversion Femoral anteversion Acetabular anteversion Hip dysplasia Hip preservation surgery Total hip replacement
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Current status of function-preserving surgery for gastric cancer 被引量:18
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作者 Takuro Saito Yukinori Kurokawa +2 位作者 Shuji Takiguchi Masaki Mori Yuichiro Doki 《World Journal of Gastroenterology》 SCIE CAS 2014年第46期17297-17304,共8页
Recent advances in diagnostic techniques have allowed the diagnosis of gastric cancer(GC)at an early stage.Due to the low incidence of lymph node metastasis and favorable prognosis in early GC,function-preserving surg... Recent advances in diagnostic techniques have allowed the diagnosis of gastric cancer(GC)at an early stage.Due to the low incidence of lymph node metastasis and favorable prognosis in early GC,function-preserving surgery which improves postoperative quality of life may be possible.Pylorus-preserving gastrectomy(PPG)is one such function-preserving procedure,which is expected to offer advantages with regards to dumping syndrome,bile reflux gastritis,and the frequency of flatus,although PPG may induce delayed gastric emptying.Proximal gastrectomy(PG)is another functionpreserving procedure,which is thought to be advantageous in terms of decreased duodenogastric reflux and good food reservoir function in the remnant stomach,although the incidence of heartburn or gastric fullness associated with this procedure is high.However,these disadvantages may be overcome by the reconstruction method used.The other important problem after PG is remnant GC,which was reported to occur in approximately 5%of patients.Therefore,the reconstruction technique used with PG should facilitate postoperativeendoscopic examinations for early detection and treatment of remnant gastric carcinoma.Oncologic safety seems to be assured in both procedures,if the preoperative diagnosis is accurate.Patient selection should be carefully considered.Although many retrospective studies have demonstrated the utility of function-preserving surgery,no consensus on whether to adopt functionpreserving surgery as the standard of care has been reached.Further prospective randomized controlled trials are necessary to evaluate survival and postoperative quality of life associated with function-preserving surgery. 展开更多
关键词 Gastric cancer Function preserving surgery Quality of life Pylorus preserving surgery Proximal gastrectomy
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Life prognosis of sentinel node navigation surgery for early-stage gastric cancer:Outcome of lymphatic basin dissection 被引量:5
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作者 Shinichi Kinami Naohiko Nakamura +7 位作者 Tomoharu Miyashita Hidekazu Kitakata Sachio Fushida Takashi Fujimura Yasuo Iida Noriyuki Inaki Toru Ito Hiroyuki Takamura 《World Journal of Gastroenterology》 SCIE CAS 2021年第46期8010-8030,共21页
BACKGROUND Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer.In this method,the dyed lymphatic system is dissected en bloc,and sentinel nodes are identified at the back ta... BACKGROUND Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer.In this method,the dyed lymphatic system is dissected en bloc,and sentinel nodes are identified at the back table(ex vivo).Even with lymphatic basin dissection,blood flow to the residual stomach can be preserved,and functionpreserving curative gastrectomy can be performed.The oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully investigated.We hypothesized that the oncological safety of sentinel node navigation surgery(SNNS)is not inferior to that of the guidelines.AIM To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines surgery.METHODS This was a retrospective cohort study.Patients were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March 2016.Patients from April 1999 to August 2008 were from the Department of Surgery II,Kanazawa University Hospital,and patients from August 2009 to March 2016 were from the Department of Surgical Oncology,Kanazawa Medical University Hospital.Patients who were diagnosed with gastric cancer,which was preoperatively diagnosed as superficial type(type 0),5 cm or less in length,clinical T1-2 and node negative,and underwent various gastrectomies guided by sentinel node navigation were retrospectively collected.The overall survival(OS)and relapsefree survival(RFS)of these patients(SNNS group)were investigated.Patients with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control group.RESULTS A total of 239 patients in the SNNS group and 423 patients in the control group were included.Pathological nodal metastasis was observed in 10.5%and 10.4%of the SNNS and control groups,respectively.The diagnostic abilities of sentinel node biopsy were 84%and 98.6%for sensitivity and accuracy,respectively.In the SNNS group,81.6%of patients underwent modified gastrectomy or functionpreserving curative gastrectomy with lymphatic basin dissection,in which the extent of nodal dissection was further reduced compared to the guidelines.The OS rate in the SNNS group was 96.8%at 5 years and was significantly better than 91.3%in the control group(P=0.0014).The RFS rates were equal in both groups.After propensity score matching,there were 231 patients in both groups,and the cumulative recurrence rate was 0.43%at 5 years in the SNNS group and 1.30%in the control group,which was not statistically different.CONCLUSION The oncological safety of patients who undergo gastrectomy guided by sentinel node navigation is not inferior to that of the guidelines surgery. 展开更多
关键词 Early gastric cancer Sentinel node biopsy Function preserving surgery Lymph node dissection GASTRECTOMY Lymphatic basin dissection
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Advances,breakthroughs,and challenges in gastric cancer surgery 被引量:1
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作者 Hayun Kim Sungsoo Park 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2023年第5期433-437,共5页
Gastric cancer(GC)remains a substantial health burden worldwide,ranking fifth in incidence and third in mortality among all cancer types.Surgeons have persistently attempted to address this growing burden through surg... Gastric cancer(GC)remains a substantial health burden worldwide,ranking fifth in incidence and third in mortality among all cancer types.Surgeons have persistently attempted to address this growing burden through surgical management of GC encompassing various aspects of surgery,including advances in surgical techniques and tools for minimally invasive surgery,novel technology for real-time image-guided surgery,and function-preserving and oncometabolic surgeries,aimed at improving patients’quality of life.The current perspective discusses the five most critical dimensions of the recent technical improvements and conceptual changes in GC surgery.We recommend further exploration of long-term benefits of these advancements,identification of breakthrough solutions to address current challenges,and delivery of the best quality of care. 展开更多
关键词 Gastric cancer surgery minimally invasive surgery function preserving surgery oncometabolic surgery quality of life
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The Author Reply
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作者 Volker Schmitz 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2014年第5期555-556,共2页
I have read with interest the comment on our manuscript[1]on different outcomes following cava reconstruction in liver transplantation using either cava replacement or piggy-back technique.Since its initial publicatio... I have read with interest the comment on our manuscript[1]on different outcomes following cava reconstruction in liver transplantation using either cava replacement or piggy-back technique.Since its initial publication by Tsakis in 1989,2]the piggy-back technique has been variously modified.The 展开更多
关键词 comment replacement probably anastomosis surgery preservation Berlin superiority today veins
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Combination of balanced ultrafiltration with modified ultrafiltration attenuates pulmonary injury in patients undergoing open heart surgery 被引量:19
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作者 黄惠民 姚廷俊 +4 位作者 王伟 朱德明 张蔚 陈虹 付维定 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第10期1504-1507,共4页
Objective To explore the effects of ultrafiltration technique in preventing and relieving pulmonary injury in children undergoing open heart surgery and cardiopulmonary bypass (CPB). Methods Thirty cases with congenit... Objective To explore the effects of ultrafiltration technique in preventing and relieving pulmonary injury in children undergoing open heart surgery and cardiopulmonary bypass (CPB). Methods Thirty cases with congenital heart defects were divided into a control group and an experimental group. In the control group,conventional cardiopulmonary bypass was used without ultrafiltration; while in the experimental group,cardiopulmonary bypass with balanced ultrafiltration and modified ultrafiltration were used. Pulmonary static compliance (C stat ),airway resistance (R aw ),alveolar-arterial oxygen difference (A-a DO 2),hematocrit (HCT),serum albumin (Alb),interleukin-6 (IL-6),endothelia-1 (ET-1) and thromboxane (TXB 2) were measured. Results The pulmonary function was improved,HCT and serum albumin concentrations were increased,and some harmful medium-size solutes were decreased in the experimental groups compared with the control group.Conclusions Combination of balanced ultrafiltration with modified ultrafiltration can effectively concentrate blood,exclude harmful inflammatory mediators,and attenuate lung edema and inflammatory responsive pulmonary injury. 展开更多
关键词 ultrafiltration · open heart surgery · cardiopulmonary bypass · pulmonary preservation
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Finite Element Analysis on the Diagnosis and Treatment of Osteonecrosis of Femoral Head 被引量:1
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作者 HONG Guo-ju HAN Xiao-rui +3 位作者 CHEN Lei-lei HE Wei FANG Bin ZHOU Guang-quan 《Chinese Journal of Biomedical Engineering(English Edition)》 2017年第4期172-179,184,共9页
Developing the radiographic images from two to three-dimensional, finite element analysis(FEA) technology can set up the model, predicting diagnosis, treatment design, as well as surgical plan. FEA provides an accurat... Developing the radiographic images from two to three-dimensional, finite element analysis(FEA) technology can set up the model, predicting diagnosis, treatment design, as well as surgical plan. FEA provides an accurate three-dimensional finite element biomechanical study in osteonecrosis of femoral head(ONFH). The papers in the latest 5 years related to femoral head osteonecrosis and finite element analysis application are concentrated on. We summarize the latest research progress and problems, including the applied research carried out in the femoral head osteonecrosis clinical cases,innovational skills, so as to point out the direction of future research in FEA. 展开更多
关键词 finite element analysis(FEA) osteonecrosis of femoral head(ONFH) hip preservation surgery stress distribution analysis collapse prediction
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