Table of Content

28 March 2015, Volume 4 Issue 1 Previous Issue    Next Issue

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Early diagnosis of colorectal cancer liver metastasis and 2015, 4 (1):  1-3.  Abstract ( 110 )   PDF (1133KB) ( 415 )   Save Liver metastasis is the most important one of the reasons for colorectal cancer treatment failure. As radiological diagnosis technology and the development of precise surgical technique, liver resection rate and survival rate of patients increased significantly, greatly improved the prognosis of patients with metastatic liver cancer and survival quality. Taken to surgery and surgical comprehensive treatment method of minimally invasive treatment is given priority to, can maximize the remission, improve the patients life quality, prolong survival time. Related Articles | Metrics

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Surgical clinic status of phyllodes tumors 2015, 4 (1):  4-8.  Abstract ( 111 )   PDF (1163KB) ( 527 )   Save Phyllodes tumor of the breast is a rare fibroepithelial neoplasm of the breast and is often confused with fibroadenoma. Accurate preoperative diagnosis and effective therapy are crucial to improve the prognosis. Thus, we view the clinicopathological feature，diagnosis，therapy present condition and prognosis of phyllodes Tumor in the paper. Related Articles | Metrics

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Construct breast carcinoma T7 phage display cDNA library 2015, 4 (1):  9-11.  Abstract ( 139 )   PDF (1178KB) ( 302 )   Save Related Articles | Metrics

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Clinieal study on using Tissue-selecting TheraPy stapler to Treatment of Hemorrhoid disease 2015, 4 (1):  12-14.  Abstract ( 122 )   PDF (1173KB) ( 274 )   Save [Abstract] Objective To observe and evaluate the selective hemorrhoid studs of mucosal resection combined surgery（TST）the clinical curative effect of treating hemorrhoids sickness. Methods 198 patients with Ⅲ∽Ⅳdegree hemorrhoids，were evenly randomized to TST(treatment group)and Milligan-Morgan(M-M) haemorrhoidectomy (control group) respectively．Operation time，blood loss at surgery，post-operative cure rate of prolapse and bleeding were compared．significant postoperative anal pain，incontinence anal stenosis, and length of stay． Results The operating and wound healing times and hospital stays were and respectively in TST group，all significantly shorter than in Milligan—Morgan group(P<0．01)．We observe the treatment effect about the intraoperative stretch reflex feelings and the intraoperative and postoperative haemorrhage, and surgery side effects including anal ache, oedem, uroschesis and postoperative anal function. While there was significant difference in both. Conclusions As compared with the traditional Milligan-Morgan operation．TST is a safe and effective procedure for Ⅲ and IV degree hemorrhoids．The disease recover faster. It has any advantages of simple about operation, short times about operation and hosptial and less complications, so the technique is worth recommending. References | Related Articles | Metrics

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Comprehensive Treatment of Elderly Thoracic Injury 2015, 4 (1):  15-16,20.  Abstract ( 107 )   PDF (1092KB) ( 335 )   Save Objective To investigate the clinical features and treatment of chest trauma in elderly patients. Methods Data of 156 over-60-year-old elderly people with chest trauma were reviewed retrospectively. Results Traffic accident injury and fall injury were the most common causes(80.1%),more complications and higher mortality rate(5.8%).Conclusions Elderly chest trauma is usually critical in varied and complex conditions,we must try interdisciplinary cooperation and comprehensive treatment. Related Articles | Metrics

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An Anatomy Study of Reserving Pronator Quadratus in treating unstable Distal Radius Fractures via volar approach 2015, 4 (1):  17-20.  Abstract ( 121 )   PDF (1362KB) ( 410 )   Save Objective To explore anatomic basis of reserving pronator quadratus(PQ) in treating unstable distal radius fractures via volar approach.Methods 18 human cadaveric forearms were used to dissected to observe and measure the morphologic features around the muscle,the distribution of pronator quadratus,the course of its neurovascular bundles and the length of the distal radius that can be exposed by mobilizing the distal edge of pronator quadratus from its radial attachment. Conclusion The study confirmed the anatomical basis and the potential apllied value of reserving pronator quadratus(PQ) in treating unstable distal radius fractures via volar approach. References | Related Articles | Metrics

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Interventional treatment of ischemic cerebrovascular disease associated with non-dominant vertebral artery 2015, 4 (1):  21-22,43.  Abstract ( 125 )   PDF (1088KB) ( 254 )   Save Objective To retrospectively study the necessity and efficacy of interventional treatment for ischemic cerebrovascular disease associated with non-dominant vertebral artery. Methods Ten patients (including eight males and two females, averaged 52 years old) who were diagnosed as arteriostenosis or dissection were retrospectively studied. All the patients were underwent angiography and the non-dominant vertebral artery was confirmed as the responsible vessel. Results Five Wingspan stents were deployed in four patients and five Apollo stents were deployed in the other four. And two SD stents were deployed in the left two. Six months later, there were two patients were found light in-stent stenosis on DSA (digital subtract angiography). The residual stenosises were absolutely eliminated in eight patients. None of the patients were found with ischemic symptoms. Conclusions Our study suggested that arteriostenosis or dissection in the non-dominant vertebral artery should be treated by stenting. DSA should be performed in non-dominant vertebral artery disease in order to evaluate the potential risk. Treatment or follow up alone should be adopted individually for this kind of patients. Related Articles | Metrics

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Evaluation of clinical application of CTU in diagnosis of urinary tract obstruction 2015, 4 (1):  23-26.  Abstract ( 131 )   PDF (1549KB) ( 316 )   Save [Abstract] Objective To investigate the clinical application of urography by 320 row of dynamic volume CT for urinary tract obstruction. Methods 64 patients with urinary symptoms received urography by 320 row dynamic volume CT. All pathological changes through surgery or conventional pathology inspection confirmation, including ureteral calculus( n= 51)，urinary tract neoplasms(n= 4)，urinary tuberculosis ( n= 4). Results CTU can clearly demonstrate the location of urinary tract obstruction，morphology and the relationship with the surrounding tissue, so as to make the qualitative diagnosis.Conclusion CTU is a new and safe imaging technique with excellent accuracy in the diagnosis of urinary tract obstruction，it has an important clinical value. References | Related Articles | Metrics

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A comparison of the clinical efficacy of LCP and PFNA for surgical treatment of intertrochanteric fractures 2015, 4 (1):  27-29,47.  Abstract ( 123 )   PDF (1284KB) ( 328 )   Save 【Abstract】 Objective Through a retrospective study to compare anatomical proximal femoral locking compression plate(LCP) and proximal femoral nail antirotation blade(PFNA) in the treatment of intertrochanteric fractures applications and clinical efficacy. Methods A retrospective analysis was performed using between LCP and PFNA treatment of intertrochanteric fractures of 60 cases, which are divided into LCP group and PFNA group. LCP group is the patients (30 cases) early using LCP therapy. PFNA group is the patients (30 cases) late using PFNA therapy. Comparative analysis two operative time, intraoperative blood loss and surgical excellent rates. Results All patients in PFNA group was 10 to 15 months follow-up, an average of 12.8 months. PFNA group excellent rate was 83.33%, higher than the excellent rate of LCP group which is 60%. The difference was significant (P <0.05). The average time of surgery and blood loss volume of PFNA group are all less than LCP group. PFNA group found no significant complications. Conclusions LCP and PFNA fixation are all safe and effective method to treat intertrochanteric fractures. PFNA internal fixation have better efficacy, shorter operative time, less blood loss, but also safe and worthy of further clinical application. References | Related Articles | Metrics

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A Study on the Application of Fast Track Surgery (FTS) In Acute?Abdomen 2015, 4 (1):  30-32.  Abstract ( 119 )   PDF (1162KB) ( 489 )   Save Objective: To discuss the application of fast track surgery (FTS) in the acute?abdomen laparoscopic?exploration surgery. Methods: 300 patients of acute abdomen diseases receiving the treatment of laparoscopic exploration surgery in our hospital from March 2014 to March 2015 were divided into the control group and the treatment group by the method of random number table, with 150 patients in each group. The control group received the traditional perioperative treatment and nursing while the treatment group adopted FTS measures. PCT changes of the measured values between two groups at the same day before surgery, the first day, and the third day after surgery were compared. The duration of postoperative flatus,?bowel movement, feeding, and venous transfusion, hospital stay, hospitalization costs and postoperative complications were compared between two groups. Results: PCT indexes between the two groups on the same day before surgery were of no significant difference. The PCT of the treatment group was better than that of the control group at the first day and the third day after surgery, and the difference was of statistical significance(P <0.05). The indexes of the treatment group including the duration of postoperative flatus,?bowel movement, feeding, and venous transfusion, hospital stay, and hospitalization costs were better than those of the control group, and the difference was of statistical significance (P <0.05). The rates of postoperative complications of the treatment group and the control group were respectively 2.0% and 16.0%, and the difference was of statistical significance(P <0.05). Conclusion: When fast track surgery is applied to patients of the acute?abdomen laparoscopic?exploration surgery, the curative rate is greatly improved, the postoperative complications are reduced, the hospital stay is shortened, and the hospitalization costs are reduced. Therefore, it is worth clinical expansion. References | Related Articles | Metrics

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Clinical Effect Comparison of VATS and Conventional Thoracotomy for Esophageal Cancer 2015, 4 (1):  33-35.  Abstract ( 123 )   PDF (1169KB) ( 271 )   Save Objective:To analyze the clinical effect of VATS and conventional thoracotomy for esophageal cancer. Method:116 patients with esophageal cancer in our hospital were selected and randomly divided into two groups, 58 cases each group. The control group adopted the conventional thoracotomy and experimental group adopted VATS. The hospitalization conditions and postoperative complications of two groups were compared. Result:The operation time of experimental group was significantly longer than that of control group (P＜0.05); The time of surgical drainage, average length of stay and bleeding volume of experimental group was significantly better than that of control group (P＜0.05); the incidence rate of postoperative complications of experimental group (6.9%) was significantly lower than that of control group (20.7%)(P＜0.05).Conclusion: Compared with conventional thoracotomy, VATS has a better effect in esophageal cancer. It is featured as shorter lengthen of stay, faster recovery, fewer bleeding volume and lower incidence rate of postoperative complications. It has promoted the postoperative recovery and improved the patients’ lives and physical and mental health. It shall be applied in clinical practices. References | Related Articles | Metrics

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Anatomical plate through medial operative approach to treat femoral condylar fractures: a case report 2015, 4 (1):  36-39.  Abstract ( 111 )   PDF (1241KB) ( 311 )   Save Femoral condylar fracture is a common disease which usually caused by a high-energy violence, how selective a suitable therapeutic schedule has become a hotspot in clinical. Surgery is preferred to be the suitable method for most of the doctors to treat supracondylar comminuted fracture which usually through the lateral operative approach, only a few surgery through medial operative approach to treating it. Internal fixation of the equipment which used in this disease including the following: less invasive stabilization system (LISS), dynamic condyle screw fixation (DCS), kitchen wire fixation and condyle plate fixation. This is a case report of a patient who uses anatomical plate which usually utilized in proximal tibia fracture to treat femoral condylar fracture through the medial operative way and successfully fix the avulse fragment. References | Related Articles | Metrics

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The advance of Diagnose and Therapy of Intraductal Papillary Mucinous Neoplasm of the Bile Duct 2015, 4 (1):  40-43.  Abstract ( 174 )   PDF (1150KB) ( 363 )   Save Intraductal papillary mucinous neoplasm of the bile duct is a rare kind of papillary neoplasm of the bile duct. In the recent years, relative reports have been growing in the number quality. The main clinical manifestation is the obstructive jaundice caused by mucinous proteins secreting by the mucinous neoplasms. With the help of computed tomography and magnetic resonance cholangio paneretography, the bile dilation, the bile occupying and filling-defect can be observed. Through the choledochoscope large amounts of mucous-like gall can be seen. And the pathological tissue biopsy can confirme the diagnosis. This disease is mostly benign but at times malignant. Almost limited lesions are treated by radical excision and prognosis is always be fine, while diffuse lesions prefer the chemotherapy but the effect is poor and the prognosis is not good. References | Related Articles | Metrics

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Roles of Dachshund homologue 1 (DACH1) in growth of malignant tumors and their mechanisms Yue-Zu FAN 2015, 4 (1):  44-47.  Abstract ( 246 )   PDF (1195KB) ( 515 )   Save This paper reviews the source, structure and function of the cell fate determination factor 1 (Dachshund homologue 1, DACH1), and roles in growth of malignant tumors and their regulation mechanisms, in order to explore DACH1 as a target for targeting diagnosis and adjuvant therapy of malignant tumors. Related Articles | Metrics

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Pathogenic mechanism advances of microcirculatory disturbance in Hyperlipidemic acute pancreatitis 2015, 4 (1):  48-51.  Abstract ( 135 )   PDF (1177KB) ( 505 )   Save The research of Hyperlipidemic acute pancreatitis (HLAP) has attracted wide attention around the world, especially the pathogenic mechanism. And the microcirculatory disturbance is closely associated with the result of HLAP. Hypertriglyceridemia can change hemodynamics, damage endothelial cells and result in ischaemia-reperfusion injury. Furthermore, inflammatory mediator release plays a key role in the exacerbation of pancreatitis. Related Articles | Metrics

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The progression of acute kidney injury following adult cardiac surgery 2015, 4 (1):  57-63.  Abstract ( 122 )   PDF (1274KB) ( 645 )   Save References | Related Articles | Metrics

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Quality of Life in Patients with Renal Cell Carcinoma 2015, 4 (1):  64-67.  Abstract ( 165 )   PDF (1177KB) ( 824 )   Save [ABSTRACT] Renal cell carcinoma (RCC), is one of the most common malignant tumor in urological system. RCC with high recurrence rate and metastasis rate , is relatively resistant to radiation therapy and chemotherapy, which affects the quality of life(QoL) and prognosis of patients with RCC. In recent years, increasing attentions have been paid to the research of QoL, especially in available instruments to measure QoL, impact of surgical removal and targeted therapy. This review includes related researches and provides reference for clinical practice in RCC treatment. References | Related Articles | Metrics

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Appraisal two conclusions from a case of medical negligence odds talk that standard 2015, 4 (1):  68-70.  Abstract ( 109 )   PDF (1166KB) ( 331 )   Save 【Abstract 】Through the analysis of the two identified cases together come to different conclusions, to clarify methods and standards for medical identification correct judgment of medical negligence, but warned medical personnel considerations in medical activities to further prevent the occurrence of medical damage. Related Articles | Metrics