Journal of Laparoendoscopic & Advanced Surgical Techniques最新文献_第10页

The Role of ICG-Guided Fluorescent Mode in Boosting the Learning Curve of Laparoscopic Cholecystectomy. ICG 引导荧光模式在促进腹腔镜胆囊切除术学习曲线中的作用。

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-18 DOI: 10.1089/lap.2024.0056

Tao Wang,Le Xiao,Peng Lu,Chong Wen,Shu-Ting Zhang,Hao Luo

{"title":"The Role of ICG-Guided Fluorescent Mode in Boosting the Learning Curve of Laparoscopic Cholecystectomy.","authors":"Tao Wang,Le Xiao,Peng Lu,Chong Wen,Shu-Ting Zhang,Hao Luo","doi":"10.1089/lap.2024.0056","DOIUrl":"https://doi.org/10.1089/lap.2024.0056","url":null,"abstract":"Background: The most common therapy for gallstones is laparoscopic cholecystectomy (LC). How to help young residents avoid bile duct injuries (BDI) during surgery and grasp LC seems to be a paradox. Methods: We retrospectively reviewed 145 cases of LC operated by two residents under indocyanine green (ICG)-guided mode or normal LC procedures to illustrate the role of ICG mode in boosting the LC learning curve. The clinic data were analyzed by logistic regression, receiver operator curve tests, Cumulative Sum (CUSUM), and Risk-Adjusted Cumulative Sum (RA-CUSUM) analysis. Results: The operation failure rate is similar. However, operation time under ICG mode is shorter than that under normal mode. The peak at the 49th case represented the normal resident's complete mastery of the surgery, while the peak point of ICG mode appeared at the 36th case in the fitting curve. The most significant cumulative risk (peak point) of operation failure of LC was at the 35th case in ICG LC mode, while it appeared in the 49th in normal LC mode. Conclusions: Owing to the advantage of real-time imaging and the stable success rate of cholangiography, ICG-guided LC helps residents shorten the operation time, boost the learning curve, and manage to control the operation failure rate.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"43 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Laparoendoscopic Single-Site Adrenalectomy with the Aid of Intracavitary Retractors and Multiport Laparoendoscopic Adrenalectomy. 借助腔内牵引器的腹腔镜单点肾上腺切除术与多孔腹腔镜肾上腺切除术的比较。

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-18 DOI: 10.1089/lap.2024.0292

Wei Liu,Haibin Hu,Fuyang Liu,Yong Wei,Rongjiang Jiang,Luming Shen,Qingyi Zhu

{"title":"Comparison of Laparoendoscopic Single-Site Adrenalectomy with the Aid of Intracavitary Retractors and Multiport Laparoendoscopic Adrenalectomy.","authors":"Wei Liu,Haibin Hu,Fuyang Liu,Yong Wei,Rongjiang Jiang,Luming Shen,Qingyi Zhu","doi":"10.1089/lap.2024.0292","DOIUrl":"https://doi.org/10.1089/lap.2024.0292","url":null,"abstract":"Objective: To evaluate the operative outcome of the use of intracavitary retractors in transumbilical laparoendoscopic single-site (LESS) adrenalectomy in comparison with the conventional multiport laparoendoscopic procedure. Methods: Between July 2021 and December 2023, 34 patients underwent transumbilical LESS adrenalectomy with intracavitary retractors, while 47 patients underwent conventional multiport laparoscopic adrenalectomy. Comprehensive data were compared, including demographics, intraoperative outcomes, perioperative complications, postoperative visual analog pain scale score, analgesic requirement, and short-term measures of convalescence. Results: Baseline characteristics were similar between the groups. All procedures were successfully completed without additional access or open conversion. The mean operative time and estimated blood loss for LESS adrenalectomy were comparable with multiport adrenalectomy. The LESS group had significantly shorter incision length (3.07 cm versus 5.16 cm, P < .01), lower postoperative pain scores (3.29 versus 4.91, P < .01), less analgesic drug use (29% versus 53%, P = .03), and better cosmetic scores (9.29 versus 7.28, P < .01). No significant differences were observed in time to resume oral intake, time to ambulation, or postoperative hospital stay. Complication rates were similar between the groups. Conclusion: The utilization of intracavitary retractors in transumbilical LESS adrenalectomy has demonstrated feasibility, effectiveness, and the potential to reduce technical complexities with satisfactory cosmetic effects. This technique enhances visualization of the surgical field without the need for extra ports.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"6 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the COVID-19 Lockdown on Primary Bariatric Surgery: A Comparative Study of Weight Loss Trajectories and Perioperative Outcomes. COVID-19 封锁对初级减肥手术的影响：减肥轨迹和围手术期结果的比较研究。

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-13 DOI: 10.1089/lap.2024.0241

Juan S Barajas-Gamboa,Mohammed Sakib Ihsan Khan,Gustavo Romero-Velez,Jerry T Dang,Gabriel Diaz Del Gobbo,Mohammed Abdallah,Juan Pablo Pantoja,Javed Raza,Carlos Abril,Alfredo D Guerron,Terrence Lee-St John,Ricard Corcelles,Matthew Kroh,John H Rodriguez

{"title":"Impact of the COVID-19 Lockdown on Primary Bariatric Surgery: A Comparative Study of Weight Loss Trajectories and Perioperative Outcomes.","authors":"Juan S Barajas-Gamboa,Mohammed Sakib Ihsan Khan,Gustavo Romero-Velez,Jerry T Dang,Gabriel Diaz Del Gobbo,Mohammed Abdallah,Juan Pablo Pantoja,Javed Raza,Carlos Abril,Alfredo D Guerron,Terrence Lee-St John,Ricard Corcelles,Matthew Kroh,John H Rodriguez","doi":"10.1089/lap.2024.0241","DOIUrl":"https://doi.org/10.1089/lap.2024.0241","url":null,"abstract":"Background: The COVID-19 pandemic and subsequent lockdowns led to substantial changes in health-related behaviors and deferred elective surgeries. This study aimed to evaluate the impact of the COVID-19 lockdown on weight loss trajectories (WLT) and perioperative outcomes in primary bariatric surgery at a single tertiary referral center. Methods: Patients who underwent primary bariatric surgery immediately prior to the enforced lockdown (During-Lockdown Group, DLG) were compared with historical controls who underwent surgery before the lockdown (Before-Lockdown Group, BLG). WLT were estimated using a random intercept mixed-effects model with repeated measures. Cross-sectional group differences at 3- and 6-months post-surgery were examined. Perioperative outcomes were also analyzed. Results: A total of 273 patients were included (133 BLG, 140 DLG). The adjusted average weight decreased in both groups over time at different levels. The expected difference in weight between BLG and DLG at 3-months was 1.06 kg (P = .013) and at 6-months was .04 kg (P = .920), respectively. There were no statistically significant differences in postoperative complications, emergency department visits, re-admission rates, re-operation rates, or mortality. Conclusions: This study suggests that bariatric procedures performed before the COVID-19 lockdown were effective and safe. Despite a statistically significant difference in weight between groups at 3- and 6-months post-surgery, the difference was small and unlikely to be clinically significant. Short-term outcomes were comparable between the two groups. Further investigation is warranted to assess the impact of lifestyle changes during the lockdown on long-term bariatric surgery outcomes.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"29 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of External Distractions on Simulated Laparoscopic Performance. 外部干扰对模拟腹腔镜操作的影响

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-12 DOI: 10.1089/lap.2024.0280

Isabel Ingram,Mark A Hughes

{"title":"The Effect of External Distractions on Simulated Laparoscopic Performance.","authors":"Isabel Ingram,Mark A Hughes","doi":"10.1089/lap.2024.0280","DOIUrl":"https://doi.org/10.1089/lap.2024.0280","url":null,"abstract":"Background: Surgeons are exposed to unavoidable distractions while operating. Distractions can cause stress, and stress can impair cognition and motor skills to the detriment of surgeon performance. This study assessed the impact of distractions on surgeon stress levels and surgeon performance during simulated laparoscopic tasks. Methods: Twelve surgical trainees completed a peg-thread transfer task three times on a laparoscopic simulator in a neutral environment. Six trainees then completed the task three more times in an environment overlain with distractions commonly found in the operating theatre. Six others completed three more tasks in a neutral environment. Stress was measured by recording heart rate and by assessing responses to the NASA Task Load Index. Performance was measured using instrument tracking metrics and time to complete the task. Results: The distracted participants reported significantly higher effort, frustration, and physical demand than the neutral group, as measured by the NASA Task Load Index, (P = .001, .031, and .044, respectively). The neutral group completed their final task significantly faster compared with baseline (P = .049), while the distracted group failed to show this improvement. The distracted group showed higher hand discordance, suggesting reduced ambidexterity. Conclusion: Distraction negatively impacted some aspects of performance and resulted in subjective increased stress. In future, simulation may have a role in \"stress inoculation,\" enabling surgeons to maintain performance, despite distractions.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"6 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142214613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-Incision Laparoscopic Totally Extraperitoneal Sublay Repair of Lumbar Hernia: A Novel Technique. 单切口腹腔镜完全腹膜外下腰椎疝修补术：一项新技术

IF 1.1 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 Epub Date: 2024-08-16 DOI: 10.1089/lap.2024.0174

Yizhong Zhang, Weidong Wu, Tingfeng Wang, Xianke Si, Liangliang Huang, Rui Tang, Nan Liu

引用次数: 0

Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for Journal of Laparoendoscopic & Advanced Surgical Techniques. 罗莎琳德-富兰克林学会自豪地宣布《腹腔镜和高级外科技术杂志》2023 年获奖者。

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 DOI: 10.1089/lap.2024.92316.rfs2023

Kelly T Bishop

引用次数: 0

Virtual Reality for Preoperative Surgical Planning in Complex Pediatric Oncology. 虚拟现实技术用于复杂儿科肿瘤的术前手术规划。

IF 1.1 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1089/lap.2023.0039

Matthew Bramlet, Charles J Aprahamian, Paul M Jeziorczak, Anthony J Munaco, Olivia A Perham, Vadim Lyuksemberg, Daniel J Robertson

{"title":"Virtual Reality for Preoperative Surgical Planning in Complex Pediatric Oncology.","authors":"Matthew Bramlet, Charles J Aprahamian, Paul M Jeziorczak, Anthony J Munaco, Olivia A Perham, Vadim Lyuksemberg, Daniel J Robertson","doi":"10.1089/lap.2023.0039","DOIUrl":"10.1089/lap.2023.0039","url":null,"abstract":"Background: Virtual reality modeling (VRM) is a 3-dimensional simulation created from patient-specific 2-dimensional (2D) imaging. VRM creates a more accurate representation of the patient anatomy and can improve anatomical perception. We surveyed surgeons on their operative plan in complex pediatric oncology cases based on review of 2D imaging and subsequently after review of VRM. We hypothesized that the confidence level would increase with the use of virtual reality and that VRM may change the operative plan. Methods: Patients were selected and enrolled based on age (<18) and oncological diagnosis. VRM was created based on the 2D imaging. Surgeons identified surgical plans based on 2D imaging and again after VRM. A blinded surgeon not involved with the case also gave opinions on surgical plans after viewing both the 2D and the VRM imaging. These assessments were compared with the actual operation. Results: A total of 12 patients were enrolled. Diagnoses included six neuroblastomas, two Wilms tumors, one Ewing's sarcoma, one pseudopapillary tumor of the pancreas, one rhabdomyosarcoma, and one mediastinal germ cell tumor. VRM increased the operating surgeon's confidence 63% of the time. The operative plan changed 8.3% of the time after VRM. Conclusion: VRM is useful to help clarify operative plans for more complex pediatric cases.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":" ","pages":"861-865"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Redo Ileocolic Resection for Crohn's Disease, Does It Palliate the Patients as Good as the Primary Resection? 重做回结肠切除术治疗克罗恩病，能像初次切除术一样减轻患者病情吗？

IF 1.1 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1089/lap.2024.0146

David Hazzan, Gali Westrich, Lior Segev

{"title":"Redo Ileocolic Resection for Crohn's Disease, Does It Palliate the Patients as Good as the Primary Resection?","authors":"David Hazzan, Gali Westrich, Lior Segev","doi":"10.1089/lap.2024.0146","DOIUrl":"10.1089/lap.2024.0146","url":null,"abstract":"Objective: We questioned how redo ileocolic resection (R-ICR) in Crohn's disease (CD) alleviates patients in the long-term compared with primary resection. Methods: A single-center retrospective analysis of patients who underwent an elective ICR without diversion between the years 2010-2022. The cohort was divided into two groups, namely, R-ICR and primary ileocolic resection (P-ICR). Results: The study included 181 patients, of which 30 patients are in the R-ICR group (mean age 42.3 years) and 151 patients in the P-ICR group (mean age 32.6 years). The R-ICR patients underwent an open approach (76.7% versus 25.2% among the P-ICR, p < .001), had significantly longer operations (mean 200.9 minutes versus 157.2 minutes, respectively, P = .002), and had higher estimated blood loss (mean 350 mL versus 267.4 mL, P = .043). The groups were similar in overall postoperative morbidity, severe postoperative complications (10% versus 13.2%, P = .762), and median length of hospital stay (12.1 days versus 7.4 days, P = .214). After a median follow-up of 64.2 months, there were no significant differences between the groups in terms of endoscopic recurrence (43.3% versus 60.9% in the P-ICR group, P = .104) or in clinical recurrence (43.3% versus 55.6%, respectively, P = .216), but the R-ICR had a significant higher rate of surgical recurrences (23.3% versus 5.3%, respectively, P = .004). Conclusion: R-ICR for CD is a significantly more challenging operation than the primary resection, and patients undergoing a R-ICR are more susceptible to a future surgical intervention than those having P-ICR.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":" ","pages":"836-844"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contemporary Video-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer. 治疗早期肺癌的当代视频辅助胸腔镜肺叶切除术

IF 1.3 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 DOI: 10.1089/lap.2024.0281

Gustavo R Rodriguez,John Kucera,Jared L Antevil,Philip S Mullenix,Gregory D Trachiotis

{"title":"Contemporary Video-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer.","authors":"Gustavo R Rodriguez,John Kucera,Jared L Antevil,Philip S Mullenix,Gregory D Trachiotis","doi":"10.1089/lap.2024.0281","DOIUrl":"https://doi.org/10.1089/lap.2024.0281","url":null,"abstract":"The treatment of non-small cell lung cancer (NSCLC) has evolved tremendously in recent decades as innovations in medical therapies advanced concomitantly with minimally invasive surgical techniques. Despite early skepticism regarding its benefits, video-assisted thoracoscopic surgery (VATS) techniques for the surgical resection of early-stage NSCLC have now become the standard of care. After being the subject of many studies since its inception, VATS has been shown to cause less postoperative pain, have shorter recovery time, and have fewer overall complications when compared to conventional open approaches. Furthermore, some studies have shown it to have comparable oncological outcomes, though more higher evidence studies are needed. Newer technologies and improved surgical instruments, advancements in nodule localization techniques, and improved preoperative staging procedures have allowed for the development of newer, less invasive techniques such as uniportal VATS and parenchymal-sparing sublobar resections, which might further improve postoperative rates of complications in specific cases. These minimally invasive approaches have allowed surgeons to offer surgery to high-risk patients and those who would otherwise not tolerate conventional thoracotomy, though some relative contraindications still exist. This review aims to describe the evolution of VATS lobectomy, current techniques, its indications, contraindications, preoperative testing, benefits, and outcomes in patients with stage I and II NSCLC.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"2 1","pages":"798-807"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic Cholecystectomy in Cardiogenic Shock And Heart Failure. 心源性休克和心力衰竭患者的腹腔镜胆囊切除术

IF 1.1 4区医学

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1089/lap.2024.0156

Laurel Gieseke, Morgan Vonasek, Christine Lovato, Farah Husain, MacKenzie Landin

{"title":"Laparoscopic Cholecystectomy in Cardiogenic Shock And Heart Failure.","authors":"Laurel Gieseke, Morgan Vonasek, Christine Lovato, Farah Husain, MacKenzie Landin","doi":"10.1089/lap.2024.0156","DOIUrl":"10.1089/lap.2024.0156","url":null,"abstract":"Background: Patients with cardiogenic shock (CS) or heart failure can develop ischemic cholecystitis from a systemic low-flow state. Cholecystectomy in high-risk patients is controversial. Percutaneous cholecystostomy tube (PCT) is often the chosen intervention; however, data on PCT as definitive treatment are conflicting. Data on cholecystectomy in these patients are limited. This study discusses outcomes following laparoscopic cholecystectomy (LC) in this patient population. Methods: This is a retrospective review of patients who underwent LC from 2015 to 2019 while hospitalized for CS or heart failure. Surgical services are provided by fellowship-trained minimally invasive surgeons at a single, academic, tertiary-care center. Patient characteristics are reported as frequencies' percentages for categorical variables. Odds ratio is used to determine the association between comorbidities and complications. Results: Twenty-four patients underwent LC. Around 83% were white and 79% were male. Many were anticoagulated (88%), with Class IV heart failure (63%), and required vasopressors (46%) at the time of surgery. Fourteen of 24 (58%) had at least one circulatory device at the time of surgery: extracorporeal membrane oxygenation, left ventricular assist device, Impella, tandem heart, and total artificial heart. Four patients (17%) had PCT preoperatively. Fifteen days were the average interval between diagnosis and surgery. Pneumoperitoneum was tolerated by all, and 0% converted to open. Most common complication was bleeding (52%). Nine patients (37.5%) underwent 21 reoperations, one of which (4%) was related to cholecystectomy. Mortality occurred in 5 patients (20.8%); interval between cholecystectomy and mortality ranged 6-30 days. Conclusion: Although high risk, LC is a treatment option in patients with ischemic cholecystitis at risk for death from sepsis.","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":" ","pages":"829-835"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0