BACKGROUND Various surgical procedures have been described for gastrointestinal stromal tumors(GISTs)at the esophagogastric junction(EGJ)close to the Z-line.However,surgery for EGJ-GIST involving Z-line has been rarel...BACKGROUND Various surgical procedures have been described for gastrointestinal stromal tumors(GISTs)at the esophagogastric junction(EGJ)close to the Z-line.However,surgery for EGJ-GIST involving Z-line has been rarely reported.AIM To introduce a novel technique called conformal resection(CR)for open resection of EGJ-GIST involving Z-line.METHODS In this retrospective study,43 patients having GISTs involving Z-line were included.The perioperative outcomes of patients receiving CR(n=18)was compared with that of proximal gastrectomy(PG)(n=25).RESULTS CR was successfully performed in all the patients with negative microscopic margins.The mean operative time,time to first passage of flatus,and postoperative hospital stay was significantly shorter in the CR group(P<0.05),while the intraoperative blood loss was similar in the two groups.The postoperative gastroesophageal reflux as diagnosed by esophageal 24-h pH monitoring and quality of life at 3 mo were significantly in favor of CR compared to PG(both P<0.001).The 5-year disease-free survival between the two groups was similar(P=0.163).The cut-off value for the determination of CR or PG was 7.0 mm above the Z-line(83.33%sensitivity,84.00%specificity,83.72%accuracy).CONCLUSION CR is safe and feasible for EGJ-GIST located within 7.0 mm above the Z-line.展开更多
目的了解护理人员生存质量,分析其影响因素。方法采用SF-36量表(shortForm 36 health survey questionnaire,SF-36)对767名护理人员进行调查,分析影响其生存质量的因素。结果护理人员生存质量总得分为(70.80±12.99)分,生理方面得分...目的了解护理人员生存质量,分析其影响因素。方法采用SF-36量表(shortForm 36 health survey questionnaire,SF-36)对767名护理人员进行调查,分析影响其生存质量的因素。结果护理人员生存质量总得分为(70.80±12.99)分,生理方面得分为(74.65±13.07)分,心理方面得分为(67.09±15.29)分。年龄、工龄和工作科室是影响护理人员生存质量的重要因素(均P<0.05)。结论护理人员生存质量处于中等偏下水平。护理管理者应重视对护理人员精神心理、人际关系和社会适应方面的辅导和帮助,从而提高护理人员的生存质量。展开更多
基金Supported by Natural Science Foundation of Liaoning Province,No.20170540567.
文摘BACKGROUND Various surgical procedures have been described for gastrointestinal stromal tumors(GISTs)at the esophagogastric junction(EGJ)close to the Z-line.However,surgery for EGJ-GIST involving Z-line has been rarely reported.AIM To introduce a novel technique called conformal resection(CR)for open resection of EGJ-GIST involving Z-line.METHODS In this retrospective study,43 patients having GISTs involving Z-line were included.The perioperative outcomes of patients receiving CR(n=18)was compared with that of proximal gastrectomy(PG)(n=25).RESULTS CR was successfully performed in all the patients with negative microscopic margins.The mean operative time,time to first passage of flatus,and postoperative hospital stay was significantly shorter in the CR group(P<0.05),while the intraoperative blood loss was similar in the two groups.The postoperative gastroesophageal reflux as diagnosed by esophageal 24-h pH monitoring and quality of life at 3 mo were significantly in favor of CR compared to PG(both P<0.001).The 5-year disease-free survival between the two groups was similar(P=0.163).The cut-off value for the determination of CR or PG was 7.0 mm above the Z-line(83.33%sensitivity,84.00%specificity,83.72%accuracy).CONCLUSION CR is safe and feasible for EGJ-GIST located within 7.0 mm above the Z-line.
文摘目的了解护理人员生存质量,分析其影响因素。方法采用SF-36量表(shortForm 36 health survey questionnaire,SF-36)对767名护理人员进行调查,分析影响其生存质量的因素。结果护理人员生存质量总得分为(70.80±12.99)分,生理方面得分为(74.65±13.07)分,心理方面得分为(67.09±15.29)分。年龄、工龄和工作科室是影响护理人员生存质量的重要因素(均P<0.05)。结论护理人员生存质量处于中等偏下水平。护理管理者应重视对护理人员精神心理、人际关系和社会适应方面的辅导和帮助,从而提高护理人员的生存质量。
