World Journal of Gastrointestinal Surgery最新文献

{"title":"Clip-stone and T clip-sinus post laparoscopic biliary surgery: Two case reports and review of the literature.","authors":"Ying-Zi Huang, Yuan-Yu Lin, Ju-Ping Xie, Gang Deng, Di Tang","doi":"10.4240/wjgs.v17.i2.99423","DOIUrl":"10.4240/wjgs.v17.i2.99423","url":null,"abstract":"<p><strong>Background: </strong>Laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) are widely used in gallbladder and biliary tract diseases. During these procedures, vessels or tissues are commonly ligated using clips. However, postoperative migration of clips to the common bile duct (CBD) or T-tube sinus tract is an overlooked complication of laparoscopic biliary surgery. Previously, most reported cases of postoperative clip migration involved metal clips, with only a few cases involving Hem-o-lok clips and review of the literature.</p><p><strong>Case summary: </strong>This report describes two cases in which Hem-o-lok clips migrated into the CBD and the T-tube sinus tract following laparoscopic surgery. Case 1 is a 68-year-old female admitted due to abdominal discomfort, and two Hem-o-lok clips were found to have migrated into the CBD 17 months after LC and LCBDE with T-tube drainage, and were removed using a stone extraction balloon. The patient was discharged smoothly after recovery. Case 2 is a 74-year-old male who underwent LC and LCBDE with T-tube drainage and laparoscopic biliary tract basket stone extraction. Nine weeks postoperatively, following T-tube removal, a Hem-o-lok clip was found in the sinus tract, and was extracted from the T-tube sinus tract. The patient recovered smoothly postoperatively. This study also reviews the literature from 2013 to July 2024 on using Hem-o-lok clips in LC and/or LCBDE treatment of gallbladder and biliary diseases and the postoperative migration of these clips into the CBD, T-tube sinus tract, or duodenum.</p><p><strong>Conclusion: </strong>In patients with a history of LC and/or LCBDE, clip migration should be considered as a differential diagnosis.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"99423"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587357","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}

{"title":"Comparative study of cylindrical <i>vs</i> circular ring magnets for colonic anastomosis in rats.","authors":"Miao-Miao Zhang, Ai-Hua Shi, Oliver J Muensterer, Ibrahim Uygun, Yi Lyu, Xiao-Peng Yan","doi":"10.4240/wjgs.v17.i2.94270","DOIUrl":"10.4240/wjgs.v17.i2.94270","url":null,"abstract":"<p><strong>Background: </strong>Magnetic compression anastomosis (MCA) offers a simple and reliable technique for inducing anastomoses at any point along the digestive tract. Evidence regarding whether the design of the MCA device influences the anastomosis effect is lacking.</p><p><strong>Aim: </strong>To investigate any difference in the side-to-side colonic anastomosis effect achieved with cylindrical <i>vs</i> circular ring magnets.</p><p><strong>Methods: </strong>We designed cylindrical and circular ring magnets suitable for side-to-side colonic anastomosis in rats. Thirty Sprague-Dawley rats were randomly divided into a cylindrical group, circular ring group, and cylindrical-circular ring group (<i>n</i> = 10/group). Side-to-side colonic anastomosis was completed by transanal insertion of the magnets without incision of the colon. Operation time, perioperative complications, and magnet discharge time were recorded. Rats were euthanized 4 weeks post-operatively, and anastomotic specimens were obtained. The burst pressure and anastomotic diameter were measured sequentially, and anastomosis formation was observed by naked eye. Histological results were observed by light microscopy.</p><p><strong>Results: </strong>In all 30 rats, side-to-side colonic anastomosis was completed, for an operation success rate of 100%. No postoperative complications of bleeding and intestinal obstruction occurred, and the postoperative survival rate were 100%. The operation time, magnet discharge time, anastomotic bursting pressure, and anastomotic diameter did not differ significantly among the three designs (<i>P</i> > 0.05). Healing was similar across the groups, with gross specimens showing good anastomotic healing and good mucosal continuity observed on histological analysis.</p><p><strong>Conclusion: </strong>This study found no significant difference in the establishment of rat side-to-side colonic anastomosis with the use of cylindrical <i>vs</i> circular ring magnets.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"94270"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586745","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}

{"title":"Feeding tube self-management experience of patients at home after discharge following esophageal cancer surgery.","authors":"Guo-Li Miao, Qing-Jun You, Xiao-Yan Feng, Jiang-Hui Chu, Jin-You Li, Ping Cai","doi":"10.4240/wjgs.v17.i2.100197","DOIUrl":"10.4240/wjgs.v17.i2.100197","url":null,"abstract":"<p><strong>Background: </strong>Esophageal cancer (EC) is an aggressive malignancy with low survival (10%-30%). Nutritional problems are present throughout the perioperative period and are key to prognosis. Home enteral nutrition appears to improve the nutritional status of patients with EC. Few studies have addressed the experience of patients administering their own nutritional fluids and managing their own feeding tubes at home. The aim of this study was to explore the real-life experience of self-management of feeding tubes in patients at home after EC surgery in the first 3 months after discharge following surgery.</p><p><strong>Aim: </strong>To explore feeding tube self-management experience of patients at home 3 months after discharge following EC surgery.</p><p><strong>Methods: </strong>Face-to-face semi-structured interviews were conducted with 18 patients using a feeding tube at home after EC surgery. Thematic analysis of the recordings identified themes related to feeding tube self-management.</p><p><strong>Results: </strong>Patients expressed similar feelings about their tube management experiences concerning three contextualized themes: Self-management dilemmas, distressing experiences, and self-management facilitators.</p><p><strong>Conclusion: </strong>There are many dilemmas and problems in self-managing feeding tubes in postoperative homebound patients with EC. Clinical staff should provide guidance to promote a positive change in self-management behavior.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"100197"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586923","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}

{"title":"Extracellular matrix gene set and microRNA network in intestinal ischemia-reperfusion injury: Insights from RNA sequencing for diagnosis and therapy.","authors":"Dao-Jian Xu, Guo-Tao Wang, Qiang Zhong","doi":"10.4240/wjgs.v17.i2.100034","DOIUrl":"10.4240/wjgs.v17.i2.100034","url":null,"abstract":"<p><p>Intestinal ischemia-reperfusion injury (IIRI) is a complex and severe pathophysiological process characterized by oxidative stress, inflammation, and apoptosis. In recent years, the critical roles of extracellular matrix (ECM) genes and microRNAs (miRNAs) in IIRI have garnered widespread attention. This review aims to systematically summarize the diagnostic and therapeutic potential of ECM gene sets and miRNA regulatory networks in IIRI. First, we review the molecular mechanisms of IIRI, focusing on the dual role of the ECM in tissue injury and repair processes. The expression changes and functions of ECM components such as collagen, elastin, and matrix metalloproteinases during IIRI progression are deeply analyzed. Second, we systematically summarize the regulatory roles of miRNAs in IIRI, particularly the mechanisms and functions of miRNAs such as miR-125b and miR-200a in regulating inflammation, apoptosis, and ECM remodeling. Additionally, this review discusses potential diagnostic biomarkers and treatment strategies based on ECM genes and miRNAs. We extensively evaluate the prospects of miRNA-targeted therapy and ECM component modulation in preventing and treating IIRI, emphasizing the clinical translational potential of these emerging therapies. In conclusion, the diagnostic and therapeutic potential of ECM gene sets and miRNA regulatory networks in IIRI provides new directions for further research, necessitating additional clinical and basic studies to validate and expand these findings for improving clinical outcomes in IIRI patients.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"100034"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587004","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}

{"title":"Unmasking gastric carcinoma: Unveiling diagnostic biomarkers and the role of critical care.","authors":"Qun-Zhe Ding, Rui-Lan Wang, Yun Xie","doi":"10.4240/wjgs.v17.i2.102444","DOIUrl":"10.4240/wjgs.v17.i2.102444","url":null,"abstract":"<p><p>We discuss the findings of Wu <i>et al</i> on the utility of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune-inflammatory index as diagnostic markers for gastric carcinoma (GC). We commend the study's contributions to the field and suggest a prospective study to validate these markers' sensitivity and specificity for early GC detection. We also propose developing surveillance protocols that incorporate these markers with other diagnostic methods to enhance clinical decision-making. Furthermore, we highlight the need for a more diverse patient cohort to assess the generalizability of these markers across different ethnic groups and demographic factors. Our suggestions aim to refine the application of these markers in clinical practice and to understand their potential in diverse clinical scenarios.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"102444"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587274","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}

{"title":"Analysis of risk factors for dysphagia in patients after laparoscopic radical gastrectomy.","authors":"Sang-Sang Chen, Zhe-Bin Dong, Han-Ting Xiang, Zheng-Wei Chen, Tian-Ci Chen, Jia-Rong Huang, Chao Liang, Wei-Ming Yu","doi":"10.4240/wjgs.v17.i2.98535","DOIUrl":"10.4240/wjgs.v17.i2.98535","url":null,"abstract":"<p><strong>Background: </strong>Gastric cancer is among the most prevalent malignancies worldwide. Despite significant advancements in chemoradiotherapy, targeted therapy, and neoadjuvant therapy, conventional surgical intervention remains the cornerstone of gastric cancer management. Improvements in surgical techniques, coupled with the use of staplers and other advanced instruments, have substantially reduced the incidence of complications and mortality following gastric cancer surgery. However, dysphagia remains a common postoperative complication.</p><p><strong>Aim: </strong>To retrospectively investigate the potential factors contributing to dysphagia in patients who have undergone laparoscopic radical gastrectomy for gastric cancer and to explore effective strategies for its postoperative management.</p><p><strong>Methods: </strong>In this retrospective study, we analyzed data from patients who underwent elective laparoscopic total gastrectomy at Lihuili Hospital, Ningbo University, between January 2018 and May 2022. A total of 115 eligible postoperative patients were included. Postoperatively, patients completed questionnaires and were categorized into two groups based on their responses: The dysphagia group (Eating Assessment Tool-10 score ≥ 3) and the non-dysphagia group (Eating Assessment Tool-10 score < 3). Risk factors associated with dysphagia following total gastrectomy were assessed using <i>χ</i> ² tests, Fisher's exact tests, <i>t</i>-tests, Pearson correlation coefficients, and univariate and multivariate regression analyses.</p><p><strong>Results: </strong>Multivariate analysis further identified anastomotic style, prolonged intubation time, advanced age, and low albumin (ALB) levels as independent risk factors for postoperative dysphagia. Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.</p><p><strong>Conclusion: </strong>Univariate analysis revealed that anastomotic style, low serum ALB levels, advanced age, and prolonged intubation time were significantly associated with postoperative dysphagia in gastric cancer patients. Multivariate analysis further identified anastomotic style, prolonged intubation time, advanced age, and low ALB levels as independent risk factors for postoperative dysphagia. Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"98535"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587354","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}

{"title":"Navigating the challenges of laparoscopic anatomical SVIII resection: A step forward in hepatobiliary surgery.","authors":"Jin-Wei Zhang","doi":"10.4240/wjgs.v17.i2.100847","DOIUrl":"10.4240/wjgs.v17.i2.100847","url":null,"abstract":"<p><p>This article comments on the study by Peng <i>et al</i>, published in the <i>World Journal of Gastrointestinal Surgery</i>, representing a notable advancement in hepatobiliary surgery. This article examines laparoscopic anatomical segment VIII resection, a challenging procedure due to the complex liver anatomy and difficulty in accessing deep-seated lesions. Peng and colleagues' experience with caudal and cranial approaches in 34 patients underscores the feasibility of these techniques while sparking debates about the optimal approach. Their study's strengths lie in technique standardization and comprehensive analysis, although its limitations highlight the need for further research. As minimally invasive liver surgery progresses, larger, prospective trials and integration of advanced technologies are essential for establishing best practices.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"100847"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587244","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}

{"title":"Prognostic value of combined detection of alpha-fetoprotein, plasma prothrombin activity, and serum prealbumin in acute-on-chronic liver failure.","authors":"Rui-Xian Duan, Ling Liu, Yan Wang, Wen-Ming Wu","doi":"10.4240/wjgs.v17.i2.99531","DOIUrl":"10.4240/wjgs.v17.i2.99531","url":null,"abstract":"<p><strong>Background: </strong>Acute-on-chronic liver failure (ACLF) is a liver disease based on chronic liver disease, which is significantly influenced by clinical treatment regimen and disease status, and despite the existence of multiple prognostic assessment indicators for ACLF, the overall sensitivity and accuracy are relatively low.</p><p><strong>Aim: </strong>To investigate the prognostic value of the combined detection of alpha-fetoprotein (AFP), plasma prothrombin activity (PTA), and serum prealbumin (PA) in ACLF.</p><p><strong>Methods: </strong>This retrospective study included 87 patients with ACLF admitted from February 2021 to February 2023 and categorized them into the survival (<i>n</i> = 47) and death (<i>n</i> = 40) groups according to their clinical outcomes 3 months posttreatment. All the participants underwent AFP, PTA, and PA level measurements upon admission. Baseline data, as well as AFP, PTA, and PA levels, were comparatively analyzed. Pearson correlation coefficients were utilized to analyze the correlations of AFP, PTA, and PA with different survival outcomes in patients with ACLF. Receiver operating characteristic (ROC) curves and areas under the curves were used to evaluate the predictive value of AFP, PTA, and PA for ACLF prognosis.</p><p><strong>Results: </strong>AFP, PTA, and PA levels were markedly decreased in the death group than in the survival group (<i>P</i> < 0.05). Pearson analysis indicated a positive association of the AFP, PTA, and PA levels with the survival of patients with ACLF (<i>P</i> < 0.05). ROC curve analysis determined the sensitivity and specificity of the combined diagnosis at 91.24% and 100.00%, respectively, both of which were notably increased compared to the single-index diagnosis. The ROC of their combined diagnosis was 0.989, significantly surpassing 0.907, 0.849, and 0.853 of AFP, PTA, and PA, respectively. No statistically significant variance was determined in the sensitivity and specificity of the combined diagnosis <i>vs</i> the single detection (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>The combined detection of AFP, PTA, and PA levels demonstrates favorable diagnostic value for the short-term prognosis of patients with ACLF, featuring high sensitivity and specificity.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"99531"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587266","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}

{"title":"Acute abdominal pain complicated by cecal perforation caused by an unnoticed swallowed toothpick: A case report.","authors":"Tao Chen","doi":"10.4240/wjgs.v17.i2.102354","DOIUrl":"10.4240/wjgs.v17.i2.102354","url":null,"abstract":"<p><strong>Background: </strong>Acute abdominal pain is one of the most common gastrointestinal symptoms. The etiology of acute abdomen can be challenging for gastroenterologists to establish. Cecal foreign body is a rare cause of cecal perforation.</p><p><strong>Case summary: </strong>We report a 35-year-old male from China who initially exhibited symptoms suggestive of acute appendicitis. However, during a minimally invasive colonoscopy procedure, the authors found that a wooden toothpick caused the perforation. The patient presented to our emergency department with a 2 days history of right lower abdominal pain and low grade fever. The patient was in good health and had eaten fish 2 days earlier. Physical examination revealed mild pain with positive rebound tenderness in the right lower abdomen. However, computed tomography of the abdomen confirmed a strip of high-density shadows protruding beyond the intestinal cavity outline, with a small amount of peritoneal seepage in the ileocecal area. Combined with the medical history, the possibility of foreign body perforation by a fishbone and peripheral peritonitis were considered. However, the high-density shadow was identified as a wooden toothpick, which was removed via a minimally invasive procedure using a foreign body forceps under colonoscopy. The patient's condition improved significantly within 5 days after treatment.</p><p><strong>Conclusion: </strong>We emphasize the importance of a detailed patient history, accurate diagnosis and proper treatment in patients with acute abdomen.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"102354"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587353","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}

{"title":"Parameter changes and influencing factors in sixty patients with interventional surgery for liver cancer diagnoses.","authors":"Lin Zhi, Zhi-Hai Chen, Jun Deng","doi":"10.4240/wjgs.v17.i2.99581","DOIUrl":"10.4240/wjgs.v17.i2.99581","url":null,"abstract":"<p><strong>Background: </strong>The development of hepatocellular carcinoma (HCC) is influenced by multiple factors. Interventional therapy offers an effective treatment option for patients with unresectable intermediate-to-advanced HCC. Interventional therapy can induce electrocardiographic (ECG) abnormalities that may be associated with liver dysfunction, electrolyte disorders, and cardiac injury.</p><p><strong>Aim: </strong>To explore the ECG alterations and determinants following interventional therapy in patients with HCC.</p><p><strong>Methods: </strong>Sixty patients undergoing interventional treatment for liver cancer were selected as study participants. According to the results of the dynamic ECG examination 1 day after surgery, the patients were divided into an abnormal group (<i>n</i> = 21) and a nonabnormal group (<i>n</i> = 39). With the help of dynamic ECG examination, the ECG parameters were compared and the baseline data of patients was recorded in the two groups.</p><p><strong>Results: </strong>The 24 hours QT interval variability, 24 hours normal atrial polarization to ventricular polarization (R-R) interval (standard deviation), 24 hours consecutive 5 minutes normal R-R interval, and 24 hours continuous 5 minutes normal R-R interval (standard deviation mean) were lower than patients in the nonabnormal group (<i>P</i> < 0.05). The logistic analysis showed that age > 60 years, liver function grade B, and postoperative body temperature 38 °C were risk factors for abnormal dynamic electrocardiogram in patients with liver cancer intervention (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Interventional therapy for HCC can lead to ECG abnormalities, underscoring the clinical need for enhanced cardiac monitoring to mitigate myocardial complications.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 2","pages":"99581"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587258","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}