中华消化外科杂志最新文献_第3页

Research advances in molecular classification for precision diagnosis and treatment of hepatocellular carcinoma 肝细胞癌分子分类精准诊断与治疗的研究进展

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.003

Jia Fan

引用次数: 1

How to promote the standardization of colorectal cancer surgical practice based upon the data analysis of Chinese Colorectal Cancer Surgery Database 基于中国癌症大肠癌手术数据库数据分析如何推进癌症手术规范化

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.009

H. Yao

{"title":"How to promote the standardization of colorectal cancer surgical practice based upon the data analysis of Chinese Colorectal Cancer Surgery Database","authors":"H. Yao","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.01.009","url":null,"abstract":"China has the largest group of patients with colorectal cancer in the world, however, there are few international guidelines for the diagnosis and treatment of colorectal cancer from China, or research of high-level evidence in China. In recent years, colorectal surgery has developed rapidly in China, and great progress has been made both in clinical practice and in clinical research. But there are still many imbalances and under-regulations. In 2018, Chinese Society of Colorectal Surgery led the establishment of Chinese Colorectal Cancer Surgery Database (CCCD). The retrospective and prospective data collection coming from CCCD showed that the standardization of colorectal cancer surgery and data management needed to be improved, and the awareness of clinical research needed to be further improved. Therefore, how to carry out good clinical research and obtain high-level evidence based upon CCCD will be the great challenge for colorectal surgery in China. \u0000 \u0000 \u0000Key words: \u0000Colorectal neoplasms; Standardization; Registry database; Data collection; Clinical research","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44015673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Diagnosis and treatment of liver adenosquamous carcinoma 肝腺鳞癌的诊断与治疗

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.017

Jiang-ming Chen, Zi-Xiang Chen, Kun Xie, Yi-jun Zhao, Fu-bao Liu

引用次数: 0

Application value of multidisciplinary team model in normatively carrying out transanal total mesorectal excision 多学科团队模式在规范实施经肛全肠系膜切除术中的应用价值

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.010

Zhanlong Shen, Y. Ye, M. Yin, Z. Gao, Jian Cao, Long Zhao

{"title":"Application value of multidisciplinary team model in normatively carrying out transanal total mesorectal excision","authors":"Zhanlong Shen, Y. Ye, M. Yin, Z. Gao, Jian Cao, Long Zhao","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.01.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.01.010","url":null,"abstract":"With certain advantages of superior surgical fields and better chances for anus reservation, transanal total mesorectal excision (TaTME) is a novel surgical approach for low rectal cancer. Guidelines recommend multidisciplinary team (MDT) work as a clinical routine for standardized treatment of rectal cancer. Indication of TaTME depends on multidisciplinary discussion including preoperative staging, prediction of recurrence risks. Standardized preoperative evaluation by MDT and decisions after MDT discussion are the guarantee for the stan-dardized implementation and reasonable promotion of TaTME. Meanwhile, as a procedure for improving local efficacy of rectal cancer, TaTME could save a part of patients with low rectal cancer the trouble of neoadjuvant chemoradiotherapy based on accurate staging by radiologists. That might upgrade status of colorectal surgeons in the MDT and contribute to optimize both curative effects and health economics. \u0000 \u0000 \u0000Key words: \u0000Rectal neoplasms; Transanal total mesorectal excision; Multidisciplinary team; Surgery; Standardization; Diagnosis; Treatment; Model","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enlightenment and reflection of laparoscopic radical cholecystectomy 腹腔镜胆囊切除术的启示与思考

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.007

Lei Zhang

{"title":"Enlightenment and reflection of laparoscopic radical cholecystectomy","authors":"Lei Zhang","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.01.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.01.007","url":null,"abstract":"Gallbladder cancer is a biliary malignant disease with difficulty in early diagnosis, high malignancy and poor prognosis. Radical resection is the most effective approach to improve the prognosis of patients. With the update of minimally invasive devices and the accumulation of surgeon experience, laparoscopic surgery has achieved satisfactory results in the treatment of malignant tumors of the digestive tract, but there is still controversy in its application in gallbladder cancer treatment, mainly due to lack of reliable evidence for improved survival outcomes. The current studies indicated that laparoscopic surgery could benefit some patients with early gallbladder cancer in perioperative period and survival. For advanced gallbladder cancer, although there is still no consensus on the resection extent, laparoscopic staging can prevent patients from unnecessary expanded resection. The minimally invasive process of radical cholecystectomy needs to be promoted through a high-quality diagnosis and treatment process. Only in this way can there be practical clinical evidence to guide the best clinical practice. \u0000 \u0000 \u0000Key words: \u0000Bile duct neoplasms; Treatment; Ra-dical cholecystectomy; Laparoscopy","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49613662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enlightenment and reflection of splenic hilar lymph node dissection for advanced proximal gastric cancer 脾门淋巴结清扫对晚期癌症近端的启示与思考

中华消化外科杂志 Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.01.008

Chang-ming Huang

{"title":"Enlightenment and reflection of splenic hilar lymph node dissection for advanced proximal gastric cancer","authors":"Chang-ming Huang","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.01.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.01.008","url":null,"abstract":"Splenic hilar lymph node (LN) is the difficulty and focus of perigastric LN dissection during radical gastrectomy for advanced proximal gastric cancer (APGC). Although the new edition of Japanese Gastric Cancer Treatment Guidelines excluded the splenic hilar LN from the D2 lymphadenectomy in patients with APGC, there are still few high-level evidences. Meanwhile, the guideline recommends that splenectomy is still necessary for patients with APGC involving the greater curvature. With the support of increasing evidences, the spleen-preserving splenic hilar LN dissection has been recognized by more and more scholars. Additionally, the technique of laparoscopy provides a new method for splenic hilar LN dissection. Our center proposed a new technique named Huang′s three-step maneuver for laparoscopic spleen-preserving splenic hilar lymphadenectomy, which not only reduces the difficulty of operation, but also makes the technique easier to popularize and with a significance of minimally invasive effect. During the clinical practice, the dissection of LNs behind the splenic portal vessels is also one of the controversies. Therefore, the difficult technique of splenic hilar LN dissection not only requires us to make a technical exploration, but also requires us to explore precise indications, in order to avoid unnecessary operation in patients who do not require dissection of the No.10 LNs and to avoid missing the opportunity for radical surgery in high-risk patients because of the difficult techniques. \u0000 \u0000 \u0000Key words: \u0000Gastric neoplasms; Surgical procedure, operative; Splenic hilar lymph node; Lymphadenectomy; Laparoscopy","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47403875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of surgeons in the medical model of treating patients infected with COVID-19 in makeshift hospitals 外科医生在方舱医院救治新冠肺炎患者医学模式中的作用

中华消化外科杂志 Pub Date : 2020-01-01 DOI: 10.3760/cma.j.issn.1673-9752.2020.03.008

Jian Chen, M. Yang, Q. Lu

引用次数: 0

Perioperative management strategies for surgical patients during the COVID-19 outbreak 新冠肺炎疫情期间外科患者围手术期管理策略

中华消化外科杂志 Pub Date : 2020-01-01 DOI: 10.3760/cma.j.issn.1673-9752.2020.03.009

W. Guo, J. Yuan, Tao-Ran Fu

引用次数: 0

Strategies for general surgery related issues in the treatment of critically ill patients diagnosed with COVID-19 COVID-19危重症患者普外科治疗相关问题对策

中华消化外科杂志 Pub Date : 2020-01-01 DOI: 10.3760/cma.j.cn115610-20200313-00168

J. Lu, S. Li, C. Zhang, T. Lin, Y. Zhou, Q. Wang, L. Guo, D. Li, Q. Guo, F. Liu, Xuehao Wang, T. Wang, J. Han, H. Deng, Q. Shi, L. Fan

{"title":"Strategies for general surgery related issues in the treatment of critically ill patients diagnosed with COVID-19","authors":"J. Lu, S. Li, C. Zhang, T. Lin, Y. Zhou, Q. Wang, L. Guo, D. Li, Q. Guo, F. Liu, Xuehao Wang, T. Wang, J. Han, H. Deng, Q. Shi, L. Fan","doi":"10.3760/cma.j.cn115610-20200313-00168","DOIUrl":"https://doi.org/10.3760/cma.j.cn115610-20200313-00168","url":null,"abstract":"In order to improve the cure rate of critically ill patients in Wuhan epidemic area and reduce the fatality rate, the state have dispatched medical staffs from the whole country to support Wuhan and treat critically ill patients in dedicated facilities A medical team from the First Affiliated Hospital of Xi'an Jiaotong University, consisting of 133 medical staffs major in critical care medicine, respiralogy, infection, cardiology, and general surgery, entirely took over the critical care unit of the East Hospital of the Renmin Hospital of Wuhan University, and formed a multidisciplinary collaboration team with local medical staffs to treat patients together Up to March 13th in 2020, the author's medical team has admitted a total of 109 patients, of which 48 had been discharged up on recovery Critically ill patients with Corona Virus Disease 2019 mainly have elder age, comorbidities, complicated conditions, and difficult diagnosis and treatment The author and the author's team combined with clinical practice, share experience and strategies of general surgery related issues in the treatment of critically ill patients, providing reference for collegues in general surgery Copyright © 2020 by the Chinese Medical Association","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"352-355"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70011354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Out-of-hospital management strategies for gastric cancer patients during the COVID-19 outbreak 2019冠状病毒病疫情期间胃癌患者院外管理对策

中华消化外科杂志 Pub Date : 2020-01-01 DOI: 10.3760/cma.j.issn.1673-9752.2020.03.004

K. Xue, Zhemin Li, Z. Wu, Shuangxi Li, Y. Jia, R. Miao, C. Yan, Yan Wang, X. Ying, Y. Zhang, J. Ji

引用次数: 0