Journal of International Medical Research最新文献

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Meta-analysis of the association between MBD4 Glu346Lys polymorphism and cancer risk. MBD4 Glu346Lys 多态性与癌症风险关系的元分析。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 Epub Date: 2019-12-31 DOI: 10.1177/0300060519895667
Jianguo Wang, Huaxiang Shen, Huijun Liang
{"title":"Meta-analysis of the association between <i>MBD4</i> Glu346Lys polymorphism and cancer risk.","authors":"Jianguo Wang, Huaxiang Shen, Huijun Liang","doi":"10.1177/0300060519895667","DOIUrl":"10.1177/0300060519895667","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to systematically evaluate the association between methyl-CpG binding domain 4, DNA glycosylase (<i>MBD4</i>) Glu346Lys polymorphism and cancer risk.</p><p><strong>Methods: </strong>A comprehensive document retrieval from the Chinese National Knowledge Infrastructure (CNKI), EMBASE, and PubMed databases was performed through 1 September 2019. The strength of the correlation was assessed using the pooled odds ratio (ORs) and 95% confidence interval (CIs).</p><p><strong>Results: </strong>Five relevant studies were retrieved following screening, including 1804 cases and 2193 controls. We found no association between <i>MBD4</i> Glu346Lys polymorphism and cancer risk under all genetic models. Nevertheless, a subgroup analysis based on country showed a strong association in the Chinese population. Under the recessive model, Chinese individuals with the Lys/Lys genotype had a higher risk of cancer (OR = 1.37, 95% CI = 1.11-1.70).</p><p><strong>Conclusion: </strong>Analysis of the <i>MBD4</i> Glu346Lys polymorphism in different populations will help to elucidate the pathogenesis of cancer. The polymorphism can be utilized as a biomarker for cancer susceptibility among Chinese people.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37503496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fetal meconium peritonitis after maternal hepatitis B: a case report and review of the literature. 母婴乙型肝炎后胎儿胎膜腹膜炎:病例报告和文献综述。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241283633
Li Zhang, Baorong Gao
{"title":"Fetal meconium peritonitis after maternal hepatitis B: a case report and review of the literature.","authors":"Li Zhang, Baorong Gao","doi":"10.1177/03000605241283633","DOIUrl":"10.1177/03000605241283633","url":null,"abstract":"<p><p>Maternal hepatitis virus has rarely been implicated in fetal meconium peritonitis (FMP), and its underlying mechanism is largely unknown. We describe a case of FMP presumably caused by maternal chronic hepatitis B virus (HBV). A 29-year-old primigravid woman was referred to our hospital at 35 weeks of gestation for the disappearance of fetal movements. The maternal prenatal history included HBV for more than 10 years. Her HBV DNA level was suppressed (<20 IU/mL) and she was taking oral tenofovir disoproxil fumarate (300 mg/day). At 21<sup>+5</sup> weeks, fetal ascites, echogenic bowel, and intra-abdominal calcifications were observed by abdominal ultrasound. These findings were confirmed by magnetic resonance imaging and were regarded as diagnostic for FMP. Cord blood and amniotic fluid were positive for hepatitis B e antigen and hepatitis B surface antigen. Ascites of the FMP was completely self-absorbed at 27<sup>+3</sup> weeks. At 35 weeks of gestation, fetal movements had vanished and male stillbirth was induced. A histopathological examination of the placenta showed meconium uptake by macrophages in the amniochorionic membranes. Our findings suggest that maternal HBV can cross the placenta and induce FMP. Close surveillance may allow an early diagnosis of FMP and prevent fetal mortality.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral intravenous therapy infiltration and extravasation (PIVIE) risks in 11 006 paediatric surgery inpatients in China: a retrospective observational study. 中国 11 006 名儿科手术住院患者的外周静脉治疗浸润和外渗 (PIVIE) 风险:一项回顾性观察研究。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241283600
WenJiao Huang, Zheng Liu, Liwei Feng, Hong Zhu
{"title":"Peripheral intravenous therapy infiltration and extravasation (PIVIE) risks in 11 006 paediatric surgery inpatients in China: a retrospective observational study.","authors":"WenJiao Huang, Zheng Liu, Liwei Feng, Hong Zhu","doi":"10.1177/03000605241283600","DOIUrl":"10.1177/03000605241283600","url":null,"abstract":"<p><strong>Objective: </strong>To determine the risk factors associated with peripheral intravenous therapy infiltration and extravasation (PIVIE) in paediatric surgery inpatients.</p><p><strong>Methods: </strong>This retrospective observational study was conducted at a tertiary general hospital in Sichuan, China. Logistic regression was employed to identify independent risk factors predictive of PIVIE. Kaplan-Meier survival analysis was undertaken to determine the relationship between the occurrence of PIVIE and the duration of that event (survival time).</p><p><strong>Results: </strong>This study included 11 006 paediatric surgery inpatients and 19 771 peripheral intravenous catheters (PIVCs). The incidence of PIVIE was 16.93% (3347 of 19 771). The following were significant predictors of PIVIE: sex (odds ratio [OR] 0.834; 95% confidence interval [CI] 0.772, 0.900); age (OR 0.945; 95% CI, 0.934, 0.956); disease classification (OR 0.962, 95% CI 0.950, 0.976); puncture site (OR 1.061; 95% CI 1.044, 1.078); and indwelling time (OR 1.257; 95% CI 1.215, 1.300).</p><p><strong>Conclusions: </strong>Sex, age, type of disease, puncture site and indwelling time were risk factors for PIVIE. The puncture site should be effectively assessed and accurately selected. Informed judgements should be based on the child's sex, age and medical condition, so that the appropriate preventive measures to minimize the risk of PIVIE can be implemented.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pseudoaneurysm of the internal iliac artery caused by proximal femoral nail antirotation following intertrochanteric fracture: a case report. 转子间骨折后股骨近端钉反旋转导致的髂内动脉假性动脉瘤:病例报告。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 Epub Date: 2019-12-18 DOI: 10.1177/0300060519892381
Cheng Ren, Qian Wang, Teng Ma, Zhong Li, Huijun Yuan, Yan Huang, Hanzhong Xue, Kun Zhang
{"title":"Pseudoaneurysm of the internal iliac artery caused by proximal femoral nail antirotation following intertrochanteric fracture: a case report.","authors":"Cheng Ren, Qian Wang, Teng Ma, Zhong Li, Huijun Yuan, Yan Huang, Hanzhong Xue, Kun Zhang","doi":"10.1177/0300060519892381","DOIUrl":"10.1177/0300060519892381","url":null,"abstract":"<p><p>Pseudoaneurysm of the internal iliac artery is a very rare complication of intertrochanteric fracture. Here, the case of an 88-year-old female patient, who presented with intense pain following surgery for intertrochanteric fracture of the femur, is reported. Radiography revealed intertrochanteric fracture of the left femur fixed by proximal femoral nail antirotation (PFNA). The PFNA was found to have disassembled, and the screw had penetrated through the acetabulum. As computed tomography (CT) revealed a haematoma behind the acetabulum, CT angiography was immediately performed. A pseudoaneurysm of the internal iliac artery caused by PFNA was revealed. Percutaneous endovascular treatment of the pseudoaneurysm was undertaken on an urgent basis. Three days later, the PFNA was removed, and the fracture was reduced and fixed with locking proximal femoral plate. The patient's pain was significantly reduced following this corrective surgery. This case illustrates that substandard PFNA surgery for intertrochanteric fracture may result in pseudoaneurysm of the internal iliac artery.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37466343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of four CTLA-4 gene polymorphisms with pemphigus risk: a systematic review, meta-analysis, and meta-regression. 四种 CTLA-4 基因多态性与天疱疮风险的关系:系统综述、荟萃分析和荟萃回归。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241282116
Tarak Dhaouadi, Awatef Riahi, Taïeb Ben Abdallah, Yousr Gorgi, Imen Sfar
{"title":"Association of four CTLA-4 gene polymorphisms with pemphigus risk: a systematic review, meta-analysis, and meta-regression.","authors":"Tarak Dhaouadi, Awatef Riahi, Taïeb Ben Abdallah, Yousr Gorgi, Imen Sfar","doi":"10.1177/03000605241282116","DOIUrl":"10.1177/03000605241282116","url":null,"abstract":"<p><strong>Objectives: </strong>This review aimed to summarize the existing data on the contribution of four single nucleotide polymorphisms (SNPs) in the cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) genes to pemphigus susceptibility.</p><p><strong>Methods: </strong>An electronic literature search for eligible studies among those published prior to 30 April 2024 was conducted through the PubMed, EMBASE, Web of Science, and Scopus databases. To minimize publication bias, an additional search was performed via the Google Scholar and Semantic Scholar search engines. Meta-analyses, together with subgroup analyses and meta-regressions, were performed for the following four CTLA-4 SNPs: rs231775, rs5742909, rs3087243, and rs733618.</p><p><strong>Results: </strong>Combined analyses revealed a significant increase in pemphigus risk conferred by the CTLA-4 rs5742909*C and rs733618*C alleles. Conversely, there was no evidence of any significant association between the rs231775*G and rs3087243*G alleles and susceptibility to pemphigus. Subgroup analyses by ethnicity and pemphigus type (vulgaris or foliaceus) and meta-regressions did not reveal any significant difference.</p><p><strong>Conclusion: </strong>This meta-analysis suggested that two of the four investigated CTLA-4 SNPs were significantly associated with increased pemphigus risk.<b>Registration:</b> This review has been registered on PROSPERO: CRD42024550668; available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024550668.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PCSK9 E670G polymorphism increases risk of coronary artery disease in a Chinese Han population. PCSK9 E670G 多态性会增加中国汉族人群罹患冠心病的风险。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 Epub Date: 2019-12-16 DOI: 10.1177/0300060519892177
Zhang Lin, Shi Hong Wang, Da Yong Wei, Lu Min Wang, Zhong Wu Zhang
{"title":"<i>PCSK9</i> E670G polymorphism increases risk of coronary artery disease in a Chinese Han population.","authors":"Zhang Lin, Shi Hong Wang, Da Yong Wei, Lu Min Wang, Zhong Wu Zhang","doi":"10.1177/0300060519892177","DOIUrl":"10.1177/0300060519892177","url":null,"abstract":"<p><strong>Objective: </strong>Coronary artery disease (CAD) is the leading cause of morbidity and mortality in the world. The proprotein convertase subtilisin/kexin type 9 (<i>PCSK9</i>) E670G polymorphism has been reported to be associated with variability in levels of low density lipoprotein cholesterol, a risk factor for CAD. However, the relationship between <i>PCSK9</i> E670G and CAD is still not fully elucidated.</p><p><strong>Methods: </strong>A total of 225 patients and 189 control subjects were recruited in this study. DNA was extracted from peripheral blood samples and was genotyped by mass array method. In addition, we also conducted a meta-analysis of case-control studies to elucidate the relationship of CAD and polymorphism.</p><p><strong>Results: </strong>The GG genotype of <i>PCSK9</i> E670G was associated with a higher risk of CAD [odds ratio (OR) 2.994, 95% confidence interval (CI): 1.174-7.631], even adjusting for risk factors (OR 2.794, 95% CI: 1.215-7.460). Logistic regression analysis showed that the dominant genetic model increased the CAD risk (OR 2.313, 95% CI: 1.070-6.983) after adjusting the confounding factors. Meta-analysis results of 13 studies revealed that <i>PCSK9</i> E670G polymorphism was correlated with CAD risk under different genetic models.</p><p><strong>Conclusion: </strong>Our results demonstrated that <i>PCSK9</i> E670G genotype was associated with a high risk of CAD.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37460100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term administration of alendronate sodium caused an atypical femoral shaft fracture in a 36-year-old woman: a case report and literature review. 长期服用阿仑膦酸钠导致一名 36 岁女性发生非典型股骨干骨折:病例报告和文献综述。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241286650
Wenyu Duan, Maochang Qiang, Haidong Zhang, Dongming Zhou
{"title":"Long-term administration of alendronate sodium caused an atypical femoral shaft fracture in a 36-year-old woman: a case report and literature review.","authors":"Wenyu Duan, Maochang Qiang, Haidong Zhang, Dongming Zhou","doi":"10.1177/03000605241286650","DOIUrl":"10.1177/03000605241286650","url":null,"abstract":"<p><p>Long-term bisphosphonate therapy is associated with atypical or insufficiency fractures, particularly in the proximal femur. We observed a case of an atypical femoral shaft fracture in a patient with a long-term history of alendronate therapy. A 36-year-old woman was admitted with a complaint of pain in her right mid-thigh following low-energy trauma. She had been taking alendronate for more than 15 years. X-rays indicated a fracture of the right femoral shaft. The patient was treated with proximal femoral nail antirotation (PFNA) fixation. This case highlights concerns regarding long-term bisphosphonate therapy and its potential complications.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extensive pedunculated fibrolipoma of the buttocks that had accompanied the patient for 50 years: a rare case report. 伴随患者 50 年之久的臀部大块纤维脂肪瘤:罕见病例报告。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241289029
Yi Jin, Jianmin Li, Jiansong Tang, Zhuoyin Wang
{"title":"Extensive pedunculated fibrolipoma of the buttocks that had accompanied the patient for 50 years: a rare case report.","authors":"Yi Jin, Jianmin Li, Jiansong Tang, Zhuoyin Wang","doi":"10.1177/03000605241289029","DOIUrl":"https://doi.org/10.1177/03000605241289029","url":null,"abstract":"<p><p>Lipomas are the most prevalent benign soft-tissue tumours, however, pedunculated fibrolipoma in the buttock is rare. Here, the case of a Chinese male patient in his early 70s with a 50-year history of a growing pedunculated fibrolipoma on his right buttock is presented. The attending physician and the registered nurse collaborated on a treatment plan, leading to a successful resection with rhomboid flap transfer. The operation went smoothly, and with continued home care and follow-ups, the patient recovered well, without complications. At 4 months post-surgery, the incision had healed perfectly, boosting the patient's psychological state and allowing him to resume his daily activities unhindered.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with severe diabetic ketoacidosis in patients diagnosed with type 1 diabetes: a decade-long cross-sectional analysis. 与确诊为 1 型糖尿病患者的严重糖尿病酮症酸中毒相关的因素:长达十年的横断面分析。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241281654
Ach Taieb, Ghali Hela, Achour Salsabil, Gorchane Asma, Ach Koussay
{"title":"Factors associated with severe diabetic ketoacidosis in patients diagnosed with type 1 diabetes: a decade-long cross-sectional analysis.","authors":"Ach Taieb, Ghali Hela, Achour Salsabil, Gorchane Asma, Ach Koussay","doi":"10.1177/03000605241281654","DOIUrl":"10.1177/03000605241281654","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to identify factors associated with severe diabetic ketoacidosis (DKA) at the onset of type 1 diabetes mellitus (T1DM) in adult patients.</p><p><strong>Methods: </strong>We conducted a retrospective analysis over a 10-year period including adults newly diagnosed with T1DM. Eligible participants were diagnosed with DKA at the time of T1DM diagnosis. DKA severity was categorized as mild, moderate, or severe. Data were collected on age, body mass index, family history of diabetes and autoimmune disorders, lifestyle habits, delayed diagnosis, and preceding factors.</p><p><strong>Results: </strong>A total of 305 participants (69.8% men) with T1DM were included. Overall, 63 patients were admitted with severe DKA (Group 1) and 242 with non-severe DKA (Group 2). Factors associated with severe DKA at diagnosis of T1DM were a long period between symptom onset and first hospitalization, preceding infection, tachypnea, thrombocytopenia, anemia, hepatic cytolysis, polyuria, and tachycardia.</p><p><strong>Conclusions: </strong>The present findings highlight the need for improving awareness about diabetes symptoms among physicians and the public to reduce the occurrence and severity of DKA at the onset of T1DM.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic segmental colectomy with extensive D3 lymph node dissection for right transverse colon cancer. 右横结肠癌的腹腔镜分段结肠切除术和广泛的 D3 淋巴结清扫术。
IF 1.4 4区 医学
Journal of International Medical Research Pub Date : 2024-10-01 DOI: 10.1177/03000605241281870
Xing Huang
{"title":"Laparoscopic segmental colectomy with extensive D3 lymph node dissection for right transverse colon cancer.","authors":"Xing Huang","doi":"10.1177/03000605241281870","DOIUrl":"10.1177/03000605241281870","url":null,"abstract":"<p><strong>Objective: </strong>We herein propose a novel approach, laparoscopic segmental colectomy with extensive D3 lymph node dissection (ED3LND), for right-sided transverse colon cancer (TCC).</p><p><strong>Methods: </strong>Forty-two patients with right-sided TCC were randomly assigned to two groups: Group 1 (segmental colectomy with D3LND) and Group 2 (segmental colectomy with ED3LND). Clinical characteristics, surgical and pathological outcomes, and oncological outcomes were retrospectively compared between the two groups.</p><p><strong>Results: </strong>The number of lymph nodes retrieved, apical lymph nodes retrieved, and apical lymph node metastases were significantly lower in Group 1 than in Group 2. No significant differences were observed in the operation time, length of hospital stay, estimated blood loss, lymph node metastases, postoperative lymphoceles, or other Clavien-Dindo grade ≥III postoperative complications between the two groups. The 3-year disease-free survival rate was 82.6% in Group 1 and 84.2% in Group 2, with no significant difference.</p><p><strong>Conclusions: </strong>Laparoscopic segmental colectomy with ED3LND for right-sided TCC may offer better oncological outcomes than D3LND. A large-scale prospective randomized controlled study is needed to further validate the oncological benefits of this novel procedure.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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