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Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]

Q Q Huang, S S Liu, G Q Liang
Lumbosacral transitional vertebrae (LSTV) is a common phenomena of developmental anomaly, which is characterized by anatomic variation and biomechanical changes. LSTV is often accompanied with low back pain, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis and other spinal diseases. The diagnosis of LSTV has a great significance for proper treatment process. Early imageological studies have limitations on distinguishing different types of LSTV from the aspect of morphological changes...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
F E Zhang, J Y Li, P Bo, J Q Zhang, T Ren, X R Cao
Objective: To investigate the indication and midterm outcomes of surgical treatment of traumatic tricuspid insufficiency. Methods: Totally 19 patients with traumatic tricuspid insufficiency who underwent surgical treatment at Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University from January 2002 to January 2018 were included in this retrospective study. There were 12 male and 7 female patients, aged (43.1±12.9) years (range: 17-68 years). The main causes of traumatic tricuspid insufficiency included blunt chest trauma following high-speed vehicle accidents (17 patients) and high-fall trauma (2 patients)...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
R F Wang, Y Lou, K Tang, G P Liu, M C Chen, G Lin
Objective: To investigate the early clinical outcomes of hip anterior short incision and open reduction and internal fixation for the treatment of children with Delbet Ⅱ femoral neck fracture. Methods: A retrospective analysis of 12 children with DelbetⅡ femoral neck fractures was performed with the anterior short incision approach at Department of Pediatric Orthopaedic, Children's Hospital, Nanjing Medical University from January 2014 to August 2016. There were 7 males and 5 females including 8 cases at left side and 4 cases at right side,aged (11...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
S X Ren, B Zhang, D S Ma, L Zhou, Y Lin
Objective: To analyze the clinical effects of reverse shoulder arthroplasty (RSA) for the patients with the cuff tear arthritis(CTA). Methods: A retrospective analysis of 12 patients who had underwent primary RSA for treatment of CTA from January 2012 to June 2017 in Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University. There were 8 males and 4 females, aged 69.4 years (range: 64-73 years). The operation was performed in a conventional manner, the subscapularis and biceps tendon were repaired separately...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
D Liu, Y Li, B L Shi, S Q Xia, B Shi, Z Liu, X Sun, Z Z Zhu, Y Qiu
Objective: To evaluate the efficiency of preoperative Halo-gravity traction (HGT) in the treatment of severe kyphoscoliosis secondary to neurofibromatosis type Ⅰ (NF1). Methods: A retrospective review was conducted on patients with severe kyphoscoliosis secondary to NF1 at Department of Spinal Surgery, Drum Tower Hospital, Medical School of Nanjing University between July 2007 and May 2016. A total of 29 patients including 17 males and 12 females were finally enrolled and the age was (13.7±2.9) years. The Cobb angle of major coronal curve and global kyphosis were measured before and after HGT...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
N Xu, J H Dong, W H Zhang, K Tao, Q X Huang, Z G Li, L Zong
Objective: To evaluate the clinical efficacy of two different digestive tract reconstruction methods in the Siewert Ⅱ or Ⅲ adenocarcinoma of esophagogastric junction underwent proximal gastrectomy and piggyback jejunal interposition. Methods: A total of 84 patients with Siewert Ⅱ or Ⅲ AEG who underwent proximal gastrectomy and interposition jejunal anastomosis were enrolled prospectively according to the exclusion criteria, from October 2015 to August 2017 at Department of Digestive Minimally Invasive Surgery, Shanxi Cancer Hospital...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Y P Zhou, S Li, X X Zhang, Z D Zhang, Y X Gao, L Ding, Y Lu
Objective: To investigate the clinical significance of high definition (HD) MRI rectal lymph node aided diagnostic system based on deep neural network. Methods: The research selected 301 patients with rectal cancer who underwent pelvic HD MRI and reported pelvic lymph node metastasis from July 2016 to December 2017 in Affiliated Hospital of Qingdao University. According to the chronological order, the first 201 cases were used as learning group. The remaining 100 cases were used as verification group. There were 149 males (74...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
X C Lin, H G Huang, Y C Chen, F C Lu, R G Lin, Y Y Yang, C F Wang, H Z Fang
Objective: To compare the short-term clinical outcomes and cost differences of robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP). Methods: The retrospective descriptive study was adopted.The clinical data of 158 patients underwent minimally invasive distal pancreatectomy who were admitted to Fujian Medical University Union Hospital between January 2016 and July 2018 were collected.A 1∶1 matched propensity score (PSM) analysis was performed for the RDP group and the LDP group...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
D Wu, S Y Liu, Maimaitiaili Amina, Z M Fan
Downstaging of breast cancer primary lesions and metastatic axillary lymph nodes among patients who underwent neoadjuvant chemotherapy (NAC) has raised the new challenges and opportunities on individualized breast cancer surgical treatment. Downstaging of the primary lesion has given patients that were previously deemed inoperable or not suitable for surgery a second chance. While downstaging of the lymph nodes has made it possible for sentinel lymph node biopsy (SLNB) to safely replace axillary lymph node dissection...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
X S Chen, K W Shen
Breast conserving surgery and sentinel lymph node biopsy are widely used in early breast cancer treatment. Right now, the mode of local regional recurrence (LRR) has significantly changed and the rate of ipsilateral breast tumor recurrence and axillary lymph node recurrence are steadily increasing. Due to its relatively low incidence of LRR compared with distant metastasis, inconsistent of pre-recurrence treatment, difficulty in surgical treatment, and few prospective clinical studies, there are rising new challenges for clinical management of LRR patients...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
J M Ye, L Xin, Y Wang, S Guan, Y H Liu
In recent years, with the improvement of screening and early diagnosis, the overall prognosis of breast cancer patients has been greatly improved in China. Breast reconstruction is an option to improve cosmetic outcomes and quality of life for the patients received mastectomy, this procedure has attracted a lot of attention. The breast reconstruction surgery is recommended by the 2018 NCCN Clinical Practice Guidelines in Oncology for Breast Cancer in patients with appropriate indications. Despite the high proportion of breast reconstruction after mastectomy in western countries, Chinese breast surgeon should objectively understand the differences in breast structure and cultural backgrounds between Chinese and foreign women, and conduct rigorous clinical practice on the basis of calm thinking...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Z F Jiang, F Li, F R Xu
Artificial intelligence clinical decision-support system is an important direction of artificial intelligence in the medical field. Both international and domestic researchers are exploring the application value of intelligent decision-making system in the field of cancer. But at the same time of the craze, there are still some problems in the intelligent decision-making system. Combining the work of the research groups in this field, this paper explores the current confusions and solutions, and hopes to help clinicians better understand intelligent decision-making...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
(no author information available yet)
To facilitate the progress of the standardization of performing breast-conserving therapy in China, the Chinese Association of Breast Surgery organized the Chinese experts to discuss the latest domestic and international breast surgical treatment guidelines and reached a consensus about breast-conserving surgery of early-stage breast cancer based on the actual clinical situation of China. The contents include recommendations about the indication and contraindications of breast-conserving surgery, preoperative imaging examinations, and standardized techniques of breast-conserving surgery...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
J Shen, S W Guo, G Jin
Because of the high malignancy of pancreatic ductal adenocarcinoma, the cancer-related mortality of pancreatic ductal adenocarcinoma is increasing year by year. Despite advance in surgical techniques, the 5-year survival rate of patients after resection is still less than 30%. Recent studies have found that pancreatic ductal adenocarcinoma is a systemic disease, which may not be cured completely by up-front resection, but requires perioperative multidisciplinary therapy. With the concept of "potentially curable pancreatic cancer" , clinicians need to evaluate the resectability of pancreatic ductal adenocarcinoma accurately before operation, and use the innovative multidisciplinary therapy including neoadjuvant chemoradiotherapy,surgery and adjuvant chemoradiotherapy to improve the R0 resection rate and reduce the risk of early metastasis...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
H M Dai, X F Hong, H Y Pang, W M Wu, Y P Zhao
Pancreatic cancer has poor prognosis and lymph node metastasis is a poor prognostic factor in patients with resectable pancreatic cancer. The metastatic prevalence of para-aortic lymph node (PALN) ranges from 9.1% to 26.5% and it is listed as the distant metastatic group in pancreatic cancer. Nevertheless, it is controversial whether PALN metastasis is the contraindication of surgery in resectable pancreatic cancer for the shortage of level Ⅰ evidence.This study concluded that PALN metastasis indicated poor prognosis in patients with pancreatic cancer, but some patients with PALN metastases could benefit from surgery and their survival could be much improved after the combination of surgery and adjuvant therapy...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
D Xing, Q Wang, Y L Chen, J H Lin
At present, several clinical practice guidelines for osteoarthritis have been developed. Although contradictions about some recommendations are still in dispute, large number of clinical practice guidelines recommended core treatments, namely education, weight loss and exercise therapy. Thus, the diagnosis and treatment of primary osteoarthritis should focus on the above three treatments. However, we have to develop the clinical practice guidelines for osteoarthritis in primary hospital, based on the characteristics of osteoarthritis in China, the burden of disease, the health literacy of patients and the clinical decision-making of diagnosis and treatment of primary osteoarthritis in primary medical care...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
W Yu, Z S He
In recent years, the field of medical treatment of genitourinary tract tumors has made rapid progress. Precision medicine has provided important role in selecting the potential patients. Immunotherapy is a new choice for metastatic disease. The combination therapy has also brought the light for better tumor control. This article briefly introduces these progresses and provides new conception and research directions for treatment of genitourinary tract tumors.
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
H Li, W T Fang
With the emergence of new concepts and new technologies, the mode of diagnosis and treatment of thoracic surgery in China has changed greatly. Under this background, Chinese thoracic surgery ushered in its "golden age" . This paper expounds the new challenges of thoracic surgery in China from many aspects, and points out that with the advent of precision medicine and modern science and technology, thoracic surgery will continue to develop rapidly. We should seize the opportunity, further expand our advantages, and strive to create a new era of Chinese thoracic surgery...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
W Guo
With the rapid development of modern medicine, significant stride has been achieved in the field of bone and soft tissue tumor in China.The early efforts in the treatment of bone tumor led to the foundation of Bone Tumor Group of Chinese Medical Association in 1985, which marked the initial formation of standardized diagnosis and treatment of bone tumor.Since then, the guidelines of diagnosis and treatment of bone tumor were widely spread and obeyed. The gradually evolution of limb-salvage technique, the improved en-bloc resection procedure in spine and pelvis tumor,the effective bleeding control measure have made concrete basis for higher survival rate, better functional status and life quality for patients than before...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Y Z Zhang
The development of medicine technology is supported by the progress of materials, electronics, machinery, physics and other related fields.The article mainly reviews the research achievements of traumatic orthopedics from four aspects: big data, new theory, new technology and new implants. The prospects of intelligent minimally invasive, new materials, three-dimensional printing technology, surgical assistant robot of fracture reduction, digital orthopedics and other aspects are presented.Aiming at improving the treatments of traumatic orthopedics in China, this paper tracks the frontier of the orthopedics and absorbed advanced concepts and technologies of treatments on traumatic orthopedics in the world...
January 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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