Table of Content

28 September 2013, Volume 2 Issue 3 Previous Issue    Next Issue

Editorial

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Current and prospective view of hybrid approach in congenital heart disease ZHANG Hai-bo, HU Ren-jie, SU Zhao-kang 2013, 2 (3):  135-138.  Abstract ( 124 )   PDF (825KB) ( 251 )   Save References | Related Articles | Metrics

Expert forum

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Fine liver transection and precise hepatectomy ZHAO Ze-ming, FAN Yue-zu 2013, 2 (3):  139-144.  Abstract ( 130 )   PDF (768KB) ( 290 )   Save Precise liver resection era is coming.Various techniques of liver parenchymal transection have been introduced,including the finger fracture technique,clamp-crush method,Cavitron ultrasonic surgical aspirator (CUSA),waterjet,TissueLink,Ligasure,radio frequency dissection sealer and the Peng’S multifunction operative dissector.Precise hepatectomy much more focus on rapid fine liver parenchymal transection,minimizing blood loss during operation,fast recovery,optimal outcome after surgery and long-term survival.With advances of modern science and technology,Precise hepatectomy surely have broadened application prospects. References | Related Articles | Metrics

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Combined therapy of primary liver cancer with lymph node metastasis WANG Jian-dong 2013, 2 (3):  145-148.  Abstract ( 135 )   PDF (749KB) ( 291 )   Save The treatment of primary liver cancer accompaning with lymph node metastasis is still one of the most challenge clinic task.It has similar prognosis with locally advanced hepatocellular carcinoma(IVA).The exact definition of regional lymph nodes related to liver is not provided in ready literatures.The clinical data of different lymph node metastasis is poor.The surgical treatment of liver cancer accompaning with lymph node metastasis is still controversial.Although survival time of some patients was able to benefit from resection without more mortality and modality,the prophylactic lymph node dissection may remove micrometastases of lymph nodes which can’t be detected through preoperative imaging examination.No critical tumor marker related to lymph node metastasis is found so far.The extent of regional lymphadenectomy to right lobe hepatic cancer should include hepatoduodenal ligament,peripancreatic,periportal,along the common hepatic artery and celiac lymph nodes.As to left lobe hepatic cancer,left gastric artery and omental sac lymph nodes should be dissected.The lymph node metastasis from liver cancer is sensitive to radiotherapy so the dose should be controlled within 56Gy.Radiofrequency ablation,local chemotherapy with percutaneous transhepatic lymphography and immunotherapy are some alternative therapies. References | Related Articles | Metrics

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Surgical treatment of multiple lung cancer JIANG Ge-ning 2013, 2 (3):  149-151.  Abstract ( 171 )   PDF (1204KB) ( 285 )   Save References | Related Articles | Metrics

Original articles

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Laparoscopic common bile duct exploration:a report of 2161 cases WANG Jia-mu, CHEN An-ping, SHAN Chang-xing, GUO Xin, SUO Yuen-sheng, LIU An, YI Bing, SUN Ke 2013, 2 (3):  152-154.  Abstract ( 130 )   PDF (770KB) ( 415 )   Save Objective To summarize the experience of laparoscopic common bile duct exploration (LCDE).Methods The clinical data of 2 161 patients undergoing LCDE were analyzed retrospectively from March 1992 to March 2013 in the Second People,s Hospital of Chengdu.Results The procedure was successful in 1 241(93.8%) in 1 320 cases with primary suture of duct incision and 772(91.7%) in 841 cases with T tube drainage.Twenty-four cases were shifted to open common bile duct exploration .Bile leakage occurred in 67 cases.Residual stones were not removed by endoscopy in 12 cases.Five cases died postoperatively.Forty-nine cases were found with other complications.Conclusion If patients are in indication,LCDE is a feasible,safe and effective method for skilled endoscopists. References | Related Articles | Metrics

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Evaluation of spiral CT in normal stomach TANG Jun-jun, HUANG Zhong-liang, WANG Guo-liang,WANG Pei-jun 2013, 2 (3):  155-158.  Abstract ( 137 )   PDF (2015KB) ( 337 )   Save Objective The purpose of this study is to evaluate the value of spiral CT imaging in normal stomach.Methods A study of 60 adults(with no gastric disease) underwent spiral scans.All adults were scanned with spiral CT and 48 adults underwent contrast within one breathhold each.Results According to the filling degree of stomach,the shape of the wall of stomach was classified into three types:insufficient distention(8),proper distention(35)and full distention(17).In stomachs of all adults,the subareas could be scanned,gastric thickness of different areas could be measured.Spiral CT can get well in detecting gastric structure.Conclusion Spiral CT could not only scan subarea from more planes and angles,but also be used in measuring gastric thickness of different districts.It can well display the anatomic relationship between the stomach and its adjacent organs. References | Related Articles | Metrics

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Study of correlation between stress urinary incontinence and pelvic mesh reconstruction ZHONG Yan-bo, CHU Lei, LI Huai-fang, WANG Jian-jun 2013, 2 (3):  159-162.  Abstract ( 144 )   PDF (751KB) ( 291 )   Save Objective To investigate the correlation between pelvic mesh reconstructive surgery and stress urinary incontinence.Methods This is a retrospective analysis on 123 patients who underwent pelvic mesh reconstructive surgery in obstetrics and gynecology department of our hospital from January 2012 to January 2013.Preoperative SUI assessment and postoperative SUI occurrence were registered.Results 123 patients were followed up for 6 months postoperatively.Two patients,including one with and another without preoperative SUI symptoms,required reoperation because of severe postoperative SUI.Both of them didn’t undergo TVT-O surgery.13 cases(26.5%) were suffered from postoperative SUI in 49 cases without preoperative SUI who didn’t undergo simultaneously TVT-O surgery.None of 4 cases without preoperative SUI but undergone intraoperative TVT-O surgery had postoperative SUI.31 cases with preoperative SUI didn’t undergo TVT-O surgery,6 cases(19.4%) persisted postoperative SUI.39 cases with preoperative SUI underwent intraoperative TVT-O surgery,postoperative SUI existed in 1 case(2.6%).Conclusion The results of this study indicate that pelvic reconstruction surgery with simultaneously TVT-O surgery can release postoperative SUI symptoms and reduce the incidence of postoperative SUI.Pelvic mesh reconstruction surgery can alleviate incontinence symptoms or even the symptoms disappear in the case of pelvic prolapse with stress urinary incontinence.But for patients without preoperative SUI,we generally advocate not do advocate prophylactic anti-incontinence surgery. References | Related Articles | Metrics

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Effects of the agitation in patients received propaganda and education before surgery with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia YANG Jun-jun, ZHANG Xiao-qing 2013, 2 (3):  163-166.  Abstract ( 103 )   PDF (753KB) ( 283 )   Save Objective To observe the agitation in patients with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia in the patients who received propaganda and education before surgery.Methods Sixty ASA Ⅰ~Ⅱ grade patients who were scheduled for Functional Endoscopic Sinus Surgery,were randomly divided into two groups(group C and group P) with 30 cases each.Patients in group C were given the routine pre-anesthetic visit the day before surgery.while the patients in group P were given the propaganda and education besides the routine pre-anesthetic visit.The knowledge of extubation and general anesthesia were introduced to enhance the patients’ confidence and before anesthesia,the patients were informed again about the discomfortable feelings during the recovery period of general anesthesia.The recovery time of patients,the endotracheal extubation time of patients,RSS agitation scale at endotracheal extubation and VAS scale were assessed.Results There were no significant differences in two groups about recovery time and pain intensity.The endotracheal extubation time of group P was significantly shorter than that of group C(P<0.05).The incidence of agitation of group P were significantly lower than that of group C(P<0.05).Conclusion The occurrence of agitation of patients with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia can obviously decrease if the patients received propaganda and education before surgery,which can also improve the quality and safety of resuscitation. References | Related Articles | Metrics

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Analysis of anesthesia induction and intubation on tracheal tumor surgery ZHAO Yan-jing, LIU Ji 2013, 2 (3):  167-169.  Abstract ( 138 )   PDF (733KB) ( 280 )   Save Objective To summarize the clinical experience of anesthesia induction and intubation on tracheal tumor surgery.Methods A retrospective analysis was made in the anesthesia induction and intubation experience of 15 patients with tracheal tumor admitted in our hospital from year of 2011 to 2013.Results There were 7 cases of upper tracheal tumors, 3 cases of middle tracheal tumors and 5 cases of lower tracheal tumors, in which 13 cases adopted rapid sequence induction and intubation and 2 cases adopted awake intubation. We used endotracheal tube, left-side double lumen tube(DLT) and endotracheal tube with Coopdech bronchial blocker to proceed anesthesia intubation. The operations were successful and no adverse event occured.Conclusion The anesthesia induction of tracheal tumor has particularity. The operation of different parts of tracheal tumor need to apply with different approach of anesthesia induction and intubation according to different situation of patients,and thus the induction can be effective and safe. References | Related Articles | Metrics

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Laparoscopy,choledochoscopy and duodenoscopy for treatment of extrahepatic bile duct stones and stenosis of papillory with primary closure of bile duct incision during the course of laparoscopy:a report of 199 cases WANG Jia-mu, CHEN An-ping, SHAN Chang-xing, GUO Xin,SUO Yuen-sheng, LIU An, YI Bing, SUN Ke 2013, 2 (3):  170-172.  Abstract ( 119 )   PDF (735KB) ( 486 )   Save Objective To summarize clinic experience of laparoscopy,choledochoscopy and duodenoscopy for treatment of extrahepatic bile duct stones and stenosis of papillory with primary closure of bile duct incision during the course of laparoscopy.Methods To accomplish LC and common bile duct exploration firstly,through ureteric catheter and zebra guidewire of common bile duct incision into duodenum,through duodenoscopy via oral into the papillary of duodenum,these approaches were used to cut through the stenosis of papillory for electro-knife by pin-head-like .It was received the primary closure of duct incision.Results It was successful in 199 cases removing the gallbladder and the common bile duct stones.Papillotomy was successful in 197 with primary closure of bile duct incision out of 199 cases,two cases were shifted to T tube drainage.Three patients suffered from a slight pancreatitis.Bile leakage of primary closure of duct incision was cured by patent drainage in 4 cases.perforation of intestine and bile duct,bleeding,severe pancreatitis and death were found in all of the patients.Conclusion If patients are suitable,LEST with primary closure of bile duct incision is safe and effective. References | Related Articles | Metrics

Review

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Consensus and the controversy of prophylactic central neck lymphadenectomy applied to differentiated thyroid cancer WAN Hua-jun, ZHANG Sheng-lai 2013, 2 (3):  173-176.  Abstract ( 139 )   PDF (751KB) ( 563 )   Save Differentiated thyroid carcinoma is the most common cervical malignancy,also the most important main type of thyroid cancer.Thyroid lobectomy or total thyroidectomy is the main method for the treatment of primary tumor.Early metastasis to the central cervical lymph node usually occurs in differentiated thyroid carcinoma.Central cervical lymph node is generally considered the first station,called the “sentinel lymph node”,so the central cervical lymph node dissection is particularly important in differentiated thyroid carcinoma .Patients with cN1 require the central cervical lymphadenectomy,but for patients with cN0,the need of prophylactic central neck lymphadenectomy remains controversial.This article aims to discuss the consensus and the controversy on Prophylactic Central Lymph Node Dissection applied in differentiated thyroid cancer. References | Related Articles | Metrics

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Laparoscopic surgery for colorectal cancer treatment present status and prospect ZHANG yuan-wei, HUANG xiong 2013, 2 (3):  177-179.  Abstract ( 90 )   PDF (772KB) ( 190 )   Save Colorectal cancer,now a threat to human health,is one of the common malignant tumors.With the continuous development of society,and people’s growing awareness of beauty,laparoscopic surgery for colorectal cancer has been widely carried out,the technology gradually turns mature.In this paper,laparoscopic treatment of colorectal cancer and prospect are reviewed. References | Related Articles | Metrics

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Progress of clinical application for N-terminal pro-brain natriuretic peptide in cardiac surgery GU Chang, ZHANG Yang-yang 2013, 2 (3):  180-184.  Abstract ( 228 )   PDF (769KB) ( 287 )   Save N-terminal pro-brain natriuretic peptide(NT-proBNP) is a kind of peptide which synthesized and secreted by ventricular muscle.When the stress of ventricular wall changes,NT-proBNP has an increasing secretion.NT-proBNP is recognized as a biomarker which can be used in the diagnosis of heart failure and prognosis prediction.Current studies have shown that NT-proBNP has clinical application value in the diagnosis and prognosis of coronary artery disease (CAD).The clinical value of NT-proBNP in cardiac surgery,especially in coronary artery bypass grafting (CABG) and cardiac valvular surgery gradually attracts popular’s attention.This article reviews the clinical application and research progress of NT-proBNP in cardiac surgery field. References | Related Articles | Metrics

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Research progress of treatment of ingrown toenail YU Yao-ping, YU Guang-rong 2013, 2 (3):  185-188.  Abstract ( 143 )   PDF (749KB) ( 710 )   Save Ingrown toenail refers to the nail plate implanting nail fold which,as a clinical common foot disease,bringing bad effect to patients in their daily life and work.The methods of treatment of ingrown nail were too various to choose.However,there is high rate of relapse if the methods of treatment are chosen incorrectly.It is important to understand and grasp of physiology,pathology and stage the disease in order to formulate proper treatment.This article reviews recent research progress in the pathogenesis and treatment of ingrown toenail. References | Related Articles | Metrics

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Clinical effect of neoadjuvant chemotherapy on advanced cervical cancer LEI Hui, WANG Jian-jun, TONG Xiao-wen 2013, 2 (3):  189-192.  Abstract ( 108 )   PDF (753KB) ( 485 )   Save Cervical cancer is the second commonest cancer in women, the fifth commonest malignancies in worldwide, the first cancer of department of gynecology in China and the prognosis is very bad[1]. The standard treatment was usually radiotherapy or radical hysterectomy, recently more and more reviews found giving chemotherapy before radical surgery(neoadjuvant chemotherapy) might shrink the tumour,remove or suppress subclinical metastasis and improve the follow-up effect.It gets more and more attention.The article stated the definition of Neoadjuvant chemotherapy,the use in treatment of cervical cancer,the relationship with the surgery and radiotherapy and the factors affecting Neoadjuvant chemotherapy. References | Related Articles | Metrics

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New progression of treatment foresophageal anastomotic leakage ZHAO Hang, MEI Yun-qing 2013, 2 (3):  193-197.  Abstract ( 130 )   PDF (763KB) ( 667 )   Save Postoperative anastomotic leakage of esophageal carcinoma is a frequent complication with high mortality rate caused by a variety of reasons.Proper preoperative preventive measures and effective postoperative therapy are the main keys to reduce the mortality caused by anastomotic leakage.The treatment basis is fully open drainage,anti-infective and nutritional support.It gives a new way to treat anastomotic leakage by implanting intraesophageal stent and applying fibrin sealing or titanium clip.The use of biodegradable stent for the healing of anastomotic leakage has a higher success rate,and is worthy of further researching. References | Related Articles | Metrics

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Progress of clinical research on avascular necrosis after austin osteotomy LIANG Tie-jun, HUANG Jian-feng 2013, 2 (3):  198-201.  Abstract ( 142 )   PDF (912KB) ( 327 )   Save Austin osteotomy is a common procedure in the correction of hallux valgus.Avascular necrosis (AVN) of the first metatarsal head is one of the complications of Austin procedure for hallux valgus correction.Although an infrequent complication,it is widely reported that consequences for those who develop postoperative AVN may be severe.This paper presents overview of pathogenesis and classification of AVN.It reviews the vascular anatomy of the first metatarsal with reference to surgical technique of Austin osteotomy with lateral release.Imaging techniques are described and management of AVN and revision surgery are also discussed. References | Related Articles | Metrics

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Progress of prevention and nursing of aspergillus infection after lung transplantation YANG Xiao-qin, XU Ming 2013, 2 (3):  202-205.  Abstract ( 134 )   PDF (742KB) ( 656 )   Save To summary the epidemic situation, predisposing factors and nursing measures of aspergillus infection after lung transplantation, and to provide related data for nursing in aspergillus infection after lung transplant.We can reduce occurrence rate of aspergillus infection after lung transplantation, and improve the survival rate by those measures mentioned above. References | Related Articles | Metrics

Case report

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Case report:clinical diagnosis and surgical treatment of huge pancreatic pseudocyst ZHAO Ze-ming, FAN Yue-zu, WU Zhou-rui 2013, 2 (3):  206-207.  Abstract ( 118 )   PDF (1533KB) ( 245 )   Save References | Related Articles | Metrics

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Bronchial stump punctured pleural vessels treated by thoracotomy for hemotasis after lobectomy of lung cancer: a report of 2 cases YANG Yu-ling, ZHANG Peng, JIANG Ge-ning 2013, 2 (3):  208-209.  Abstract ( 139 )   PDF (718KB) ( 398 )   Save References | Related Articles | Metrics

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Report of 4 cases of esophageal rupture ZHOU Wen-bo, YU Guo-xiang, WANG Jiong, CHEN Ling-jie 2013, 2 (3):  210-211.  Abstract ( 107 )   PDF (738KB) ( 313 )   Save References | Related Articles | Metrics

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Rescue and nursing care of a patient with contrast agent-induced anaphylactic shock when undergoing enhanced chest CT GU Fen, HOU Li-li 2013, 2 (3):  211-215.  Abstract ( 198 )   PDF (722KB) ( 380 )   Save References | Related Articles | Metrics