中华普通外科杂志最新文献_第9页

Comparison of intravascular ultrasound and venography in the intraoperative evaluation of iliac vein compression syndrome 术中血管内超声与静脉造影评价髂静脉压迫综合征的比较

中华普通外科杂志 Pub Date : 2019-09-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.09.003

Yong Ding, Gefei Zhao, Min Zhou, Liang Cai, Lixing Wang, Xiao Tang, D. Guo, Zhenyu Shi

{"title":"Comparison of intravascular ultrasound and venography in the intraoperative evaluation of iliac vein compression syndrome","authors":"Yong Ding, Gefei Zhao, Min Zhou, Liang Cai, Lixing Wang, Xiao Tang, D. Guo, Zhenyu Shi","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.09.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.09.003","url":null,"abstract":"Objective \u0000To compare intravascular ultrasound (IVUS) with venography in the intraoperative evaluation of iliac vein compression syndrome (IVCS). \u0000 \u0000 \u0000Methods \u0000From Sep 2017 to Mar 2018, consecutive patients with suspicious iliac vein compression, underwent both venography and IVUS. The results were compared between IVUS and venography. \u0000 \u0000 \u0000Results \u000040 patients with 48 limbs were enrolled. Venography underestimated both the diameter and area stenosis compared with IVUS (39.63%±15.48% vs. 64.97%±16.42%, P<0.001; 51.83%±18.23% vs. 59.19%±14.17%, P=0.021, respectively). The eccentricity detected by venography was lower than IVUS (0.69±0.17 vs. 0.93±0.17, P<0.001). Taking IVUS as gold standard, the sensitivity and the specificity of venography for detecting a ≥50% stenosis was 18.92% and 81.82%, and the intertechnique agreement was extremely low between venography and IVUS (κ=0.004). \u0000 \u0000 \u0000Conclusion \u0000Compared with IVUS, venography underestimated the degree of stenosis in IVCS. The sensitivity of venography in detecting a significant stenosis was very low. \u0000 \u0000 \u0000Key words: \u0000Ultrasonography, interventional; Phlebography; Iliac vein compression syndrome","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"753-756"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48961753","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

Pancreatic duct stenting and postoperative pancreatic fistula after pancreaticoduodenectomy 胰管支架置入与胰十二指肠切除术后胰瘘

中华普通外科杂志 Pub Date : 2019-09-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.09.004

Xingyu Chen, Ye Li, Jian Zhou, Dongming Zhu, Zixiang Zhang, Dechun Li

{"title":"Pancreatic duct stenting and postoperative pancreatic fistula after pancreaticoduodenectomy","authors":"Xingyu Chen, Ye Li, Jian Zhou, Dongming Zhu, Zixiang Zhang, Dechun Li","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.09.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.09.004","url":null,"abstract":"Objective \u0000To study the correlation between pancreatic duct stent placement and postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy. \u0000 \u0000 \u0000Methods \u0000We performed a retrospective review on 298 patients who underwent pancreaticoduodenectomy from Jan 2011 to Dec 2016. Patients were divided into none stent group, external stent group and internal stent group according to the placement and drainage of the pancreatic duct stent. \u0000 \u0000 \u0000Results \u0000There were 60 cases in none stent group, 103 cases in external stent group and 135 cases in internal stent group. Altogether there were 52 cases suffering from biochemical pancreatic fistula, 52 cases of grade B fistula and 9 cases of grade C pancreatic fistula. There were three factors with statistical significance: 1, the operative method (χ2=20.947, P=0.000), 2, the diameter of main pancreatic duct (χ2=8.662, P=0.013), and 3, the intraoperative blood loss (χ2=14.03, P=0.001). There were no statistical significance difference between no stenting group and external/ internal stent group in the incidence of pancreatic fistula (P>0.05). The difference between internal stent group and external stent group was of statistical significance (χ2=9.948, P=0.019). The incidence of clinically relevant pancreatic fistula in external stent group was lower than the internal stent group (14.5% vs. 26.6%)(χ2=9.777, P=0.002). \u0000 \u0000 \u0000Conclusions \u0000The pancreatic duct stenting is not a risk factor for pancreatic fistula. The external drainage of pancreatic juice is associated with a lower incidence of pancreatic fistula compared to the internal drainage. \u0000 \u0000 \u0000Key words: \u0000Pancreaticoduodenectomy; Pancreatic fistula; External drainage","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"757-761"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44769675","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

Percutaneous mechanical thrombectomy and angioplasty for femoropopliteal artery stent restenosis 经皮机械血栓切除和血管成形术治疗股腘动脉支架再狭窄

中华普通外科杂志 Pub Date : 2019-09-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.09.002

Hai Feng, Xueming Chen, Zhi-wen Zhang, Bin Liu, Zhao Liu, Chenyu Li, Hongzhi Yu, Xiaobo Guo

{"title":"Percutaneous mechanical thrombectomy and angioplasty for femoropopliteal artery stent restenosis","authors":"Hai Feng, Xueming Chen, Zhi-wen Zhang, Bin Liu, Zhao Liu, Chenyu Li, Hongzhi Yu, Xiaobo Guo","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.09.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.09.002","url":null,"abstract":"Objective \u0000To evaluate percutaneous mechanical thrombectomy and angioplasty in patients with femoropopliteal artery stent restenosis. \u0000 \u0000 \u0000Methods \u0000The clinical data of 41 cases with critical limb ischemia caused by femoropopliteal artery stent restenosis were analyzed retrospectively from Jun 2015 to May 2017, who were treated by percutaneous mechanical thrombectomy(PMT)+ percutaneous angioplasty (PTA) simultaneously. Clinical status assessment, ankle brachial index (ABI) test and color duplex ultrasonography (CDU) were administered at 3rd, 6th and 12th month during follow-up; and computed tomography angiography (CTA) or digital subtraction angiography (DSA) was performed at 6th and 12th month after discharged. \u0000 \u0000 \u0000Results \u0000Procedures were successful in all patients. 27 cases were under PTA after PMT, other 14 cases were under PTA+ stenting after PMT. The average ABI increased from 0.34±0.28 to 0.84±0.32(P=0.00)immediately. There was no perioperative death and major limb amputation.36 cases (36/41, 87.8%) were followed-up from 169 to 698 days (mean 426 days). During follow-up of 12 months, there were 18 cases with in-stent restenosis and/or thrombosis. PMT+ PTA were performed again in 14 cases and 4 cases accepted medication; no case encountered major amputation. The primary patency and second patency were 82.9%and 97.6% respectively at 6th month; Which were 49.8% and 88.8% respectively at 12th month, and the ABI was 0.65±0.10 (P=0.01). \u0000 \u0000 \u0000Conclusion \u0000Percutaneous mechanical thrombectomy and angioplasty is safe, miniinvasive and effective for femoropopliteal artery stent restenosis. \u0000 \u0000 \u0000Key words: \u0000Arterial occlusive diseases; Lower extremity; Stents; Endometrial hyperplasia; Vascular surgical procedures","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"750-752"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48521978","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

Individualized treatment policy for mesh infection after inguinal hernia repair 腹股沟疝修补术后补片感染的个体化治疗策略

中华普通外科杂志 Pub Date : 2019-09-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.09.014

Huiqi Yang, Yiting Liu, Jie Chen, Yingmo Shen, Yuchen Liu, Xue-fei Zhao, Y. Xiong

{"title":"Individualized treatment policy for mesh infection after inguinal hernia repair","authors":"Huiqi Yang, Yiting Liu, Jie Chen, Yingmo Shen, Yuchen Liu, Xue-fei Zhao, Y. Xiong","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.09.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.09.014","url":null,"abstract":"Objective \u0000To evaluate treatment experience for mesh infection after inguinal hernia repair. \u0000 \u0000 \u0000Methods \u0000392 cases underwent surgery for mesh infection after inguinal hernia repair in Beijing Chaoyang Hospital from Jan 2007 to Jun 2018. For mesh infection after open inguinal hernia repair, infected mesh and tissue were removed by open operation, while laparoscopic operation was adopted for mesh infection after laparoscopic inguinal hernia repair. Time of infection, type of bacteria, and hernia recurrence were evaluated. \u0000 \u0000 \u0000Results \u0000369 cases suffered mesh infection after open inguinal hernia repair and 23 cases were after laparoscopic inguinal hernia repair. 61 cases suffered mesh infection within 3 months, 258 cases were from 3 months to 1 year and 73 cases were after one year. During follow up of 6 to 36 months after operation, 29 cases suffered hernia recurrence in 24 to 34 months after removal of mesh. Bacterial culture were positive in 193 cases, including 126 cases of staphylococcus aureus, 18 cases of escherichia coli and 15 cases of pseudomonas aeruginosa. \u0000 \u0000 \u0000Conclusion \u0000Individualized treatment policy based on original mesh placement is safe and effective for mesh infection after inguinal hemiorrhaphy. \u0000 \u0000 \u0000Key words: \u0000Hernia, inguinal; Herniorrhaphy; Infection, mesh","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"795-797"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42945552","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: 2

Surgical treatment of hepatocellular carcinoma with hepatic vein tumor thrombosis 肝细胞癌合并肝静脉肿瘤血栓形成的外科治疗

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.002

Hailiang Liu, Maolin Yan, Yan-nan Bai, Jia-Yi Wu, Shi Chen

{"title":"Surgical treatment of hepatocellular carcinoma with hepatic vein tumor thrombosis","authors":"Hailiang Liu, Maolin Yan, Yan-nan Bai, Jia-Yi Wu, Shi Chen","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.002","url":null,"abstract":"Objective \u0000To evaluate surgical treatment for hepatocellular carcinoma(HCC) with hepatic vein tumor thrombus(HVTT). \u0000 \u0000 \u0000Methods \u0000We retrospectively analyzed the clinical and pathological data of 23 HCC patients with HVTT undergoing surgical treatment at the Department of Hepatobiliary Surgery, Fujian Provincial Hospital from June 2011 to June 2017, including 14 patients with HVTT and 9 patients with inferior vena cava tumor thrombosis (IVCTT). \u0000 \u0000 \u0000Results \u000021 patients with HVTT underwent anatomical hepatectomy and 2 underwent partial resection. The HVTT operation time was (235±45) min, and the IVCTT operation time was (308±75) min. The intraoperative blood loss was (880±677) ml, (1 150±808) ml, respectively. The follow-up time after surgery was 3 to 44 months. The median tumor-free survival time of the 23 patients was 5 months, and the median survival time was 16 months. The median survival time of HVTT and IVCTT was 14 months and 17 months, respectively. The 1-, 2-, and 3-year survival rates of the 23 HCC with HVTT/IVCTT were 56.5%, 21.7%, and 8.7%, respectively. \u0000 \u0000 \u0000Conclusions \u0000Surgical treatment is a choice of therapy for HCC patients with HVTT/IVCTT having good liver function, limited and removable lesion, and no distant metastasis. \u0000 \u0000 \u0000Key words: \u0000Carcinoma hepatocellular; Hepatic vein","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"652-655"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45430916","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

An experimental study on a new type of biodegradable vena cava filter 一种新型可生物降解腔静脉滤器的实验研究

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.007

Shuofei Yang, Pengyu Si, G. Xue, Yongfeng Zhu, Qing Zhu

{"title":"An experimental study on a new type of biodegradable vena cava filter","authors":"Shuofei Yang, Pengyu Si, G. Xue, Yongfeng Zhu, Qing Zhu","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.007","url":null,"abstract":"Objective \u0000To evaluate a new biodegradable inferior vena cava(IVC) filter by in vitro and in vivo experiments. \u0000 \u0000 \u0000Methods \u0000The biodegradable filter consisted of metal stent and absorbable suture, which acts as a degradable deformable switch of the filter. When the suture of the proximal metal filter degrades and lost its tension, the metal filter will change into a stent. In vitro experiments were performed to test the influence of the sterilization method and the tension of absorbable sutures to the filter′s self-convertible time, animal experiments were conducted to evaluate the effectiveness of emboli capture and to observe the in vivo self-convertible time of the filter. IVC stenosis , pulmonary embolus and intimal hyperplasia and inflammation were evaluated. \u0000 \u0000 \u0000Results \u0000Ethylene oxide sterilization did not have an adverse effect on the self-convertible time of the filters. The tension did not affect the degradation rates of the suture significantly. In animal experiments, the VCFs were successfully implanted via femoral vein approach. Not any tilt, migration or structural damage of the filters was found during the follow-up time. Postoperative fluoroscopy and autopsy confirmed that there was no stenosis or thrombosis, IVC perforation. After implantation large thrombi were captured.The sutures degraded and filters transformed into stents in 3 weeks. After 90 days IVC was patent with mild intimal hyperplasia and no thrombosis. \u0000 \u0000 \u0000Conclusions \u0000This study demonstrated the effectiveness and safety of the biodegradable filter we designed. \u0000 \u0000 \u0000Key words: \u0000Venous thrombosis; Pulmonary embolism; Biodegradable vena cava filter; Self-convertible time","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"671-674"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44800107","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

Expression of ASPH protein in retroperitoneal liposarcoma and its clinical significances 腹膜后脂肪肉瘤中ASPH蛋白的表达及其临床意义

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.015

Mengmeng Xiao, Shibo Liu, Yuqing Cui, Lihua Wang, Jun Chen, C. Miao, Xiaosong Rao, Xuesong Chen, Xiao-hong Dong, W. Jack, C. Luo

{"title":"Expression of ASPH protein in retroperitoneal liposarcoma and its clinical significances","authors":"Mengmeng Xiao, Shibo Liu, Yuqing Cui, Lihua Wang, Jun Chen, C. Miao, Xiaosong Rao, Xuesong Chen, Xiao-hong Dong, W. Jack, C. Luo","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.015","url":null,"abstract":"Objective \u0000To investigate the expression of Aspartate Beta-Hydroxylase (ASPH) in retroperitoneal liposarcoma (RL)and evaluate its clinical significances. \u0000 \u0000 \u0000Methods \u0000Relevant clinical data of 69 RL cases after surgical resection were collected. The expression of ASPH in tumor tissues was detected by immunohistochemistry. The CTL epitopes of ASPH protein HLA-A2 were predicted by SYFPEITHI and NetMHCpan software. \u0000 \u0000 \u0000Results \u0000The overall positive rate of ASPH expression for the whole group was 81%, that for well-differentiated liposarcoma was 73%, dedifferentiated liposarcoma was 87%(P<0.05). ASPH expression was positively correlated with the postoperative recurrence free survival rate (P<0.05). Five HLA-A2 restricted CTL epitopes (9 peptides) were screened with the method of motif prediction. \u0000 \u0000 \u0000Conclusions \u0000ASPH expression is positively correlated with the degree of malignancy of RL, and the ASPH expression is an independent risk factor for postoperative recurrence free survival rate of RL. Moreover, ASPH was found to have 5 HLA-A2 restricted CTL epitopes, which are expected to be used for the immunotherapy of RL. \u0000 \u0000 \u0000Key words: \u0000Liposarcoma; Retroperitoneal tumors; Survival rate; Immunotherapy","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"700-703"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45856738","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

Albumin-bilirubin score versus Child-Pugh score as predictors of posthepatectomy liver failure in hepatocellular carcinoma patients 白蛋白-胆红素评分与Child-Pugh评分对肝癌患者肝切除术后肝功能衰竭的预测作用

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.001

Yongchao Zeng, C. Dai, X. Bu, Hongda Ding

{"title":"Albumin-bilirubin score versus Child-Pugh score as predictors of posthepatectomy liver failure in hepatocellular carcinoma patients","authors":"Yongchao Zeng, C. Dai, X. Bu, Hongda Ding","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.001","url":null,"abstract":"Objective \u0000To investigate the perioperative risk factors for posthepatectomy liver failure (PHLF) in patients with hepatocellular carcinoma(HCC). \u0000 \u0000 \u0000Methods \u0000Data of 322 cases of liver resection for HCC were retrospectively analyzed from Sep 2013 to Sep 2018. Logistic regression was used to analyze the risk factors for PHLF. The receiver operating characteristic (ROC) curve was used to analyze the predictive power of the ALBI score and the Child-Pugh score for PHLF. \u0000 \u0000 \u0000Results \u0000Child-Pugh score, ALBI score, intraoperative bleeding amount, ICG R15 and liver fibrosis, peritoneal effusion were independent factors affecting PHLF of HCC patients(P<0.05). ROC analysis of Child-Pugh and ALBI scores predicting PHLF showed that area under the ROC was respectively 0.621 (95% CI: 0.531-0.712) in the Child-Pugh score and 0.729(95% CI: 0.645-0.812)in the ALBI score. The best critical value, sensitivity and specificity of PHLF that were predicted by ALBI score were -2.74, 71.7% and 71.4%, respectively. \u0000 \u0000 \u0000Conclusions \u0000The prognostic power of the ALBI score was greater than that of the Child-Pugh score in predicting PHLF. \u0000 \u0000 \u0000Key words: \u0000Carcinoma, hepatocellular; Hepatctomy; Liver failure","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"649-651"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41794375","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

Laparoscopic surgery for Mirizzi syndrome, a report of 14 cases 腹腔镜手术治疗Mirizzi综合征14例报告

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.010

Yan-Feng Song, Quan Jin, F. Qi

{"title":"Laparoscopic surgery for Mirizzi syndrome, a report of 14 cases","authors":"Yan-Feng Song, Quan Jin, F. Qi","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.010","url":null,"abstract":"Objective \u0000To evaluate laparoscopic surgery for Mirizzi syndrome. \u0000 \u0000 \u0000Methods \u0000A retrospective study was carried out on 14 patients undergoing laparoscopic operation for Mirizzi syndrome from Feb. 2013 to Nov. 2018. There were 4 patients of type Ⅰ, 8 patients of type Ⅱ, 2 patients of type Ⅲ according to Csendes classification. \u0000 \u0000 \u0000Results \u0000Laparoscopic procedures were successfully completed in all patients. All 4 cases of typeⅠ received laparoscopic cholecystectomy. 4 patients of type Ⅱ were given laparoscopic cholecystectomy combined with primary suture of common bile duct; the other 4 patients of type Ⅱ underwent laparoscopic cholecystectomy plus T tube drainage. 2 patients of type Ⅲ were treated with laparoscopic partial-cholecystectomy combined with repair of the duct defect and T tube drainage. All the patients recovered uneventfully. The postoperative hospitalization time was 4 to 7 d, with an average of 5.5 d. There were no major postoperative complications. 14 patients were followed up for 1-8 months, and there was no biliary stricture and no stone recurrences. \u0000 \u0000 \u0000Conclusion \u0000For cases of typeⅠ, typeⅡ and type Ⅲ, laparoscopic surgery is a safe treatment. \u0000 \u0000 \u0000Key words: \u0000Mirizzi syndrome; Laparoscopes; Cholelithiasis","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"682-685"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48048207","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

Newly developed nonalcoholic fatty liver disease after pancreaticoduodenectomy 胰十二指肠切除术后新发的非酒精性脂肪肝

中华普通外科杂志 Pub Date : 2019-08-25 DOI: 10.3760/CMA.J.ISSN.1007-631X.2019.08.006

Jiuxing Dong, Jinmeng Hu, K. Zhao, Song Gao, Weiwei Bai

{"title":"Newly developed nonalcoholic fatty liver disease after pancreaticoduodenectomy","authors":"Jiuxing Dong, Jinmeng Hu, K. Zhao, Song Gao, Weiwei Bai","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.08.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.08.006","url":null,"abstract":"Objective \u0000To study risk factors of newly developed nonalcoholic fatty liver disease (NAFLD) in patients after pancreaticoduodenectomy (PD) and the effect on prognosis. \u0000 \u0000 \u0000Methods \u0000Date of patients undergoing PD surgery at Pancreatic Department, Tianjin Cancer Hospital were collected from Jan 2016 to Dec 2016. Patients were divided into two groups according to occurrence of NAFL Devents. \u0000 \u0000 \u0000Results \u0000There were 22 patients in NAFLD group (group Ⅰ) and 47 patients in non NAFLD group(group Ⅱ). All patients were followed up till the end of 2017.Multi-factor analysis showed that extraintestinal drainage of pancreatic juice (OR=18.118, 95% CI 2.968-114.455, P=0.002) and dissected lymph node number over 30 (OR=8.424, 95% CI 2.272-31.232, P=0.001)were independent factors associated with NAFLD in patients after PD. Survival analysis showed no statistically significance for median progression-free survival (12.7 months in group Ⅰ vs.13.9 months in group Ⅱ, P=0.99) and median overall survival (mOS) (15.4 months in group Ⅰ vs.17.7 months in group Ⅱ, P=0.09). \u0000 \u0000 \u0000Conclusions \u0000Extraintestinal drainage of pancreatic juice and lymph node clearance over 30 are independent risk factors for new NAFLD in PD patients. The effect of new NAFLD on PFS and OS is not statistically significant. \u0000 \u0000 \u0000Key words: \u0000Pancreatoduodenectomy; Fatty liver; Risk factors; Survival analysis","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":"34 1","pages":"667-670"},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41659139","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