journal
Journals Zhonghua Wai Ke za Zhi [Chines...

Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]

https://read.qxmd.com/read/38808439/-application-and-research-progress-of-patient-derived-organoids-in-the-multimodality-treatment-of-pancreatic-cancer
#1
JOURNAL ARTICLE
H W Wang, X Q Ma, S Gao, J H Hao
Pancreatic cancer is one of the most malignant tumors with a 5-year survival rate of 13%. Difficulty in early diagnosis,high tumor heterogeneity,high rate of drug resistance,and lack of effective new drugs are the main reasons for the poor therapeutic effect. Traditional cell line models cannot simulate the tumor environment in vitro and cannot reflect the heterogeneity of pancreatic cancer,while animal models have a long culture process and cannot be used for high-throughput screening. Pancreatic cancer organoids can be continuously expanded and cultured in vitro,which can realistically reflect the heterogeneity of pancreatic cancer and allow high-throughput drug screening,making it an ideal tool for individualized precision diagnosis and treatment of pancreatic cancer...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808438/-analysis-of-the-efficacy-of-left-subclavian-artery-laser-in-situ-fenestration-combined-with-hybrid-arch-debranching-surgery-for-aortic-arch-reconstruction-in-patients-with-stanford-type-a-aortic-dissection
#2
JOURNAL ARTICLE
Q Zhang, S Zhang, S R Liu, Z H Hua, Z Y Jiao, P Xu, H Cao, Z Li
Objective: To observe the short-and mid-term efficacy of left subclavian artery(LSA) laser in situ fenestration combined with arch debranching surgery for aortic arch reconstruction in patients with Stanford type A aortic dissection aged 60 years and above. Methods: This is a retrospective cohort study. A total of 41 Stanford type A aortic dissection patients aged 60 years and above who received combined surgery in Department of Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University from January 2018 to December 2020 were retrospectively analyzed...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808437/-study-on-the-application-of-self-fixing-and-self-detachable-drainage-stent-in-pancreaticojejunostomy
#3
JOURNAL ARTICLE
X L Liu, G X Jiang, Y Z Zhang, X Y Dong, D F Hong
Objectives: To evaluate the efficacy and safety of the self-fixing and self-detachable drainage stent in pancreaticojejunostomy and to provide supportive data for the follow clinical trials. Methods: This is an experimental research in animals which completed from February 2022 to September 2022. A self-fixing and self-detachable pancreaticojejunostomy drainage stent was designed for Hong's pancreaticojejunostomy technique based on the theory of "fistula healing" in pancreaticojejunostomy. Ten biocompatibility tests were completed in vitro before this study...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808436/-predict-the-effect-of-the-number-of-positive-preoperative-serum-tumor-markers-on-the-surgical-method-and-prognosis-of-intrahepatic-cholangiocarcinoma-patients-based-on-mediation-analysis
#4
JOURNAL ARTICLE
Z L Li, J L Chen, Y Tang, D L Qin, C Chen, Y H Qiu, H Wu, Y He, X H Mao, W L Zhai, J D Li, X Liang, C D Sun, K Ma, Z M Geng, Z H Tang, Z W Quan
Objectives: To investigate the effect of the number of positive preoperative serological tumor markers on the surgical approach and prognosis of patients with intrahepatic cholangiocarcinoma. Methods: This is a retrospective case-series study. Data from 548 patients with intrahepatic cholangiocarcinoma after radical resection from October 2010 to April 2019 were retrospectively collected in 10 hospitals of China. There were 277 males and 271 females with an age of (57.8±10.2)years(range:23 to 84 years)...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808435/-analysis-of-risk-factors-associated-with-postoperative-pancreatic-fistula-after-robotic-assisted-distal-pancreatectomy
#5
JOURNAL ARTICLE
Q H Chen, Y S Shi, B Y Shen
Objective: To investigate pertinent risk factors for postoperative pancreatic fistula(POPF) after robotic-assisted distal pancreatectomy(RDP). Methods: This is a retrospective cohort study. Clinical data of 1 211 patients who underwent various methods of distal pancreatectomy at the Department of General Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,between January 2021 and December 2023 were retrospectively collected. Among the study participants,440 cases were in the robot-assisted group(173 males and 267 females),with an age( M (IQR)) of 55(29)years;720 cases were in the open surgery group (390 males and 330 females),with an age of 64(15)years;and 51 cases were in the laparoscopic group(17 males and 34 females),with an age of 56(25)years...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808434/-perioperative-efficacy-of-laparoscopic-duodenal-preserving-pancreatic-head-resection
#6
JOURNAL ARTICLE
T Y Yin, X X Wang, H Zhang, X J Guo, M Wang, R Y Qin
Objective: To compare the perioperative outcomes of laparoscopic duodenal-preserving pancreatic head resection(LDPPHR) with laparoscopic pancreaticoduodenectomy(LPD) in the treatment of borderline and benign diseases of the pancreatic head. Methods: This is a retrospective cohort study. Perioperative data from 87 patients with non-malignant pancreatic head diseases who underwent LDPPHR or LPD were retrospectively collected in the Department of Biliary-Pancreatic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2020 to December 2022...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808433/-application-and-challenge-of-pathomics-technique-in-the-management-of-hepatocellular-carcinoma
#7
JOURNAL ARTICLE
Z X Chen, J M Chen, X P Geng, F B Liu
The incidence and mortality rate of hepatocellular carcinoma rank among the top of all cancer types,seriously threatening the life and health of human beings. In recent years,the rapid development of artificial intelligence and the deepening of the concept of precision medicine have led to a boom in interdisciplinary research. Pathomics,as an emerging omics technology driven by artificial intelligence,can mine massive information from high-resolution whole slide images,and shows broad application prospects in the diagnosis,treatment and prognosis assessment of hepatocellular carcinoma...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808432/-interpretation-of-the-surgical-treatment-of-pancreatic-cancer-of-the-2024-edition-of-the-nccn-guidelines
#8
JOURNAL ARTICLE
M J Ma, H Cheng, Y S Chen, C Liu, X J Yu
Pancreatic cancer is a highly malignant tumor in the digestive system, and radical surgery is the only possible means to cure pancreatic cancer at present. In the past decade, pancreatic surgery has been developing rapidly, with various new technologies and concepts emerging, among which the use of minimally invasive techniques and the popularization of neoadjuvant therapy concepts are the most notable. At the same time, the surgical treatment of pancreatic cancer still has a long way to go, and many problems need to be solved urgently...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808431/-a-fresh-perspective-on-advances-in-pancreatic-cancer-treatment-over-the-past-two-decades
#9
JOURNAL ARTICLE
L Liu, W H Lou
In the past two decades, significant advances have been made in the treatment of pancreatic cancer.Numerous first-line treatments, such as gemcitabine combined with erlotinib, gemcitabine combined with albumin- bound paclitaxel, FOLFIRINOX, and NALIRIFOX, have emerged;surgery-centered treatment has gradually become the mains clinical strategy.However, behind these achievements, the new drugs developed with substantial funding have not extended the median survival time of patients with advanced pancreatic cancer to more than one year; the 5-year survival rate for postoperative patients remains below 30%...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808430/-innovation-and-development-of-surgical-techniques-for-pancreatic-tumors
#10
JOURNAL ARTICLE
Y P Mou, Q C Zhu, Y Jin, S Y Peng
In recent years, great progress has been made in the diagnosis and treatment of pancreatic tumors. In terms of diagnosis, three-dimensional CT reconstruction, PET-CT scan, endoscopic ultrasound with needle biopsy are used to evaluate the benign or malignant stage and biological characteristics of the tumor, to make treatment decisions more scientific and reasonable. In terms of treatment, new technologies, such as arterial priority arterial sheath dissection and radical resection of the retroperitoneal lipo-lymphatic layer, have continuously emerged to improve radical curability of tumors...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808429/-expert-consensus-on-safety-management-of-vascular-access-devices-for-patients-with-digestive-system-cancer-2024
#11
JOURNAL ARTICLE
(no author information available yet)
The rational selection and standardized management of vascular access devices is an urgent issue in the treatment of digestive system cancer. The purpose of this consensus is to develop solutions for the safe management of intravenous vascular access devices for patients with digestive system cancer and to provide evidence for clinical decision-making. This consensus is developed by a group of experts from multiple-disciplines in China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch, Clinical Nutrition Branch of Chinese Nutrition Society, Chinese Society for Parenteral and Enteral Nutrition...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808428/-chinese-expert-consensus-on-perioperative-nutritional-support-for-elderly-surgical-patients-2024
#12
JOURNAL ARTICLE
(no author information available yet)
The increasing aging population in China leads to an increase in the number of elderly patients undergoing surgical procedures. Elderly patients are characterized with conditions such as multiple comorbidities, high nutritional risk, frailty, decreased organ function, etc. Nutritional support is one of the most significant elements in the perioperative period of elderly surgical patients. Currently, there is a lack of guidelines or expert consensus on nutritional support. To promote the standardized development of clinical work in this field, the Geriatric Surgery Professional Committee of the Chinese Research Hospital Association gathered experts and formulated relevant recommendations for perioperative nutritional therapy for elderly surgical patients based on existing research evidence...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38808427/-pay-attention-to-the-identification-and-management-of-perioperative-stroke
#13
JOURNAL ARTICLE
H Li
Perioperative stroke is a serious complication that leads to perioperative death, prolonged hospitalization, and permanent or temporary neurological impairment. Early identification and diagnosis is the of key improving the prognosis of perioperative stroke patients, which requires surgeons to have a complete understanding of patient risk factors, early rapid identification of symptoms and timely diagnosis. The core of the prevention strategy is delaying the operating time, reducing known risk factors, drug intervention (such as the use of antiplatelet drugs or anticoagulants), optimizing the control of the basic disease, and identifying high-risk patients in the preoperative evaluation to implement a more personalized perioperative management plan, to reduce the incidence of perioperative stroke and related adverse consequences...
May 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682634/-research-progress-of-subchondral-bone-cyst-after-cartilage-repair
#14
JOURNAL ARTICLE
Y Y Yang, L Z Zhang
Subchondral bone cysts after cartilage repair are abnormal cavities that develop near the site of repaired cartilage defects and may communicate with the joint cavity.Research indicates that they may be associated with factors such as elevated external hydraulic pressure, bone bruising due to abnormal stress, internal inflammation, and inadequate blood supply.These cysts are closely linked to bone marrow edema.It has been observed that cysts following cartilage repair frequently occur after various procedures, including bone marrow stimulation, autologous or allogeneic osteochondral transplantation, and autologous chondrocyte transplantation...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682633/-analysis-of-risk-factors-of-short-term-prognosis-in-patients-with-severe-budd-chiari-syndrome
#15
JOURNAL ARTICLE
Z D Wang, S B Ling, S X Li, L H Li, Z C Liu, D Y Li, L Li, Y Yang, S Y Liu, X W Dang
Objective: To explore the risk factors of short-term prognosis of severe BCS patients,established and verified the nomogram prediction model for these BCS patients and evaluated its clinical application value. Methods: This study is a retrospective cohort study. The clinical data of 171 patients with severe BCS diagnosed were retrospectively analyzed in the Department of Hepatopancreatobiliary Surgery First Affiliated Hospital of Zhengzhou University from January 2018 to December 2023. There were 105 males and 66 females, aged (52...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682632/-the-effect-of-the-ratio-of-aneurysm-sac-diameter-to-patient-age-on-the-long-term-efficacy-of-different-surgical-methods-for-infrarenal-abdominal-aortic-aneurysm
#16
JOURNAL ARTICLE
R Lin, S B Zhan, J S Qian, H P He, Y Zhao, J B Lyu, J X Peng, Y B Zhang, H N Chen, H H Yin
Objective: To investigate the effect of the ratio of the maximum diameter of aneurysm sac to age (R) on the long-term efficacy of endovascular aneurysm repair (EVAR) and open surgical repair (OSR) in patients with infrarenal abdominal aortic aneurysm (IAAA). Methods: This is a retrospective cohort study.The clinical data of 317 patients with IAAA who underwent surgical repair in the Department of Vascular Surgery,the Third Affiliated Hospital of Sun Yat-Sen University from January 2016 to October 2022 were retrospectively collected...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682631/-clinical-efficacy-of-intraarticular-vancomycin-in-preventing-early-periprosthetic-joint-infection-after-primary-knee-arthroplasty
#17
JOURNAL ARTICLE
Y F Zhang, M W Hu, C C Guo, X Yang, Y Z Wang, S Xiang, H Xu
Objective: To investigate the clinical effect of intraarticular vancomycin on early periprosthetic joint infection (PJI) in knee arthroplasty and the incidence of postoperative complications. Methods: This is a retrospective cohort study. The clinical data of 1 867 patients who underwent primary knee arthroplasty at Department of Joint Surgery, the Affiliated Hospital of Qingdao University from April 2022 to June 2023 were retrospectively analysed, including total knee arthroplasty (TKA), robotic-assisted total knee arthroplasty (RA-TKA) and unicondylar knee arthroplasty (UKA)...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682630/-comparison-of-the-clinical-efficacy-of-all-inside-arthroscopic-lateral-ligament-augmentation-procedure-and-brostr%C3%A3-m-procedure-for-the-treatment-of-chronic-lateral-rotational-ankle-instability
#18
JOURNAL ARTICLE
X Luo, C Xue, J Chen, Y Xue, S M Feng
Objective: To compare the clinical efficacy of patients with chronic lateral rotational ankle instability(CLRAI) after all-inside arthroscopic lateral ligament augmentation procedure and Broström procedure. Methods: This is a retrospective cohort study. The clinical and imaging data of 106 CLRAI patients were collected at the Xuzhou Central Hospital from January 2021 to December 2022. The patients included 55 males and 51 females with an age of (32.6±8.2) years (range: 16 to 50 years). All patients were treated under all-inside arthroscopic, and were divided into Broström-Gould surgery group ( n =54) and Broström surgery group ( n =52) according to different ligament repair methods...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682629/-application-of-three-dimensional-printed-personalized-guide-plate-assisted-arthroscopic-ankle-arthrodesis-in-the-treatment-of-ankle-arthritis
#19
JOURNAL ARTICLE
G Y Li, C Wang, J Z Wang, C L Wu, J Y Zhang, J Zou, J F Xue, Y Su, G H Mei, Z M Shi, X Ma
Objective: To compare the efficacy of conventional open ankle fusion and three dimensional(3D) printed guide plate assisted arthroscopic ankle fusion. Methods: A retrospective cohort study was performed on 256 patients with advanced traumatic ankle arthritis, who were admitted to the Department of Orthopaedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from May 2018 to February 2023 and underwent ankle fusion procedures. The study cohort comprised 119 males and 137 females, with an age of (59...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682628/-evaluation-of-arthroscopic-atfl-and-cfl-repair-separately-for-chronic-lateral-ankle-instability-in-conjunction-with-subtalar-instability
#20
JOURNAL ARTICLE
W W Mao, J J Tang, Y Zhang, W Li, Y Zhu, Y Wang, J C Gui, J Z Qin
Objective: To investigate the clinical efficacy of simultaneous arthroscopic repair of anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) for treating chronic lateral ankle instability (CLAI) in conjunction with subtalar instability (STI). Methods: This study is a retrospective case series study. The clinical data of 15 patients with ankle arthroscopic in the Department of Hand and Foot Surgery, the Second Affiliated Hospital of Soochow University from January 2019 to December 2022 were analyzed retrospectively...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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