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

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
#21
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
#22
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
#23
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
#24
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
#25
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
#26
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
#27
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
#28
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
#29
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
#30
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
#31
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
#32
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
#33
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]
https://read.qxmd.com/read/38682627/-the-efficiency-of-total-endoscopic-surgery-with-preferential-incision-of-the-tendon-sheath-and-traditional-open-surgery-for-the-treatment-of-peroneal-tendondislocation
#34
JOURNAL ARTICLE
M Li, Y Li, R Yin, J C Gui
Objective: To compare the outcomes between the patients of peroneal tendon dislocation treated by either total endoscopic surgery with preferential incision of the tendon sheath or traditional open surgery. Methods: This is a retrospective cohort study. The clinical data of 45 patients with peroneal tendon dislocation were operated on Department of Sports Medicine and Joint Surgery, Nanjing First Hospital from July 2016 to June 2020. There were 26 males and 19 females,aged (31.2±9.3) years (range: 17 to 45 years)...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682626/-short-term-outcomes-of-all-inside-endoscopic-running-locked-stitch-technique-for-acute-achilles-tendon-ruptures
#35
JOURNAL ARTICLE
B Y Zheng, H L Wu, S J Wei
Objective: To evaluate the short-term outcomes of all-inside endoscopic running locked stitch technique for acute Achilles tendon ruptures. Methods: This is a retrospective case series study. Forty cases with acute Achilles tendon rupture were treated with the all-inside endoscopic running locked stitch technique from April 2020 to March 2022. There were 44 males and 4 females, aged (34.8±7.4) years (range: 24 to 50 years). Body mass index was (21.2±2.4)kg/m2 (range: 18 to 26 kg/m2 ); There were 29 cases (60...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682625/-a-retrospective-study-of-postoperative-adjuvant-therapy-following-immunotherapy-combined-with-targeted-therapy-and-sequential-curative-surgical-procedures-for-initially-unresectable-hepatocellular-carcinoma
#36
JOURNAL ARTICLE
Z K Ran, H W Tang, Y B Cao, W W Zhang, Z Liu, T Wan, X R Li, J F Li, T Y Jiao, S C Lu
Objective: To report the clinical efficacy of adjuvant therapy based on pathological results following immunotherapy combined with targeted therapy and sequential curative surgical procedures in patients with initially unresectable hepatocellular carcinoma. Methods: This is a retrospective case series study. Data from 100 patients who underwent adjuvant therapy based on pathological results following immunotherapy combined with targeted therapy and sequential curative surgical procedures with long-term survival were collected from December 2018 to December 2022 at the Faculty of Hepato-Pancreato-Biliary Surgery, First Medical Center, Chinese People's Liberation Army General Hospital...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682624/-the-ninth-edition-of-tnm-staging-for-lung-cancer-precise-staging-for-precise-diagnosis-and-treatment
#37
JOURNAL ARTICLE
H Y Li, Y Y Wang, H Liu, H X Liu, L Y Jiang, Y C Han, W Y Zhou, T Mao, W T Fang
The ninth edition of TNM staging for lung cancer has been announced at the 2023 World Lung Cancer Congress and implemented from January 1, 2024. Te focus of the ninth TNM staging change is dividing N2 into N2a and N2b, as well as M1c into M1c1 and M1c2. Although the T staging has not changed, it has played an important role in verifying the eighth edition of the T staging. The subdivision of stage N2 has led some patients with ⅢA of the eighth edition to experience ascending or descending stages, which will more accurately help to assess the condition and prognosis of patients with mediastinal lymph node metastasis, as well as the design of related clinical studies...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682623/-advances-in-non-invasive-treatment-of-aortic-diseases
#38
JOURNAL ARTICLE
X C Ma, J X Feng, Z P Jing
The current clinical treatment methods for aortic diseases including aortic aneurysm, aortic dissection,etc.,are open surgery and endovascular surgery. Compared to traditional open surgery, endovascular surgery has the advantages of minimal trauma, fast recovery, fewer complications, and better prognosis, which gradually becomes the main trend in the treatment of aortic diseases. However, with the further development and long-term follow-up of endovascular treatment for aortic diseases, increasing evidence shows that in many cases, there are difficulties in the diagnosis of causes, decision-making of treatment timing, and lack of effective evaluation of treatment prognosis in endovascular treatments...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682622/-the-development-and-innovation-of-clinical-nutrition
#39
JOURNAL ARTICLE
G H Wu
The strategy of nutrition therapy in the treatment of diseases is constantly optimized with the development and innovation of the concept and technology in the field of clinical nutrition, especially the rise of multi-disciplines such as imaging omics and artificial intelligence and the latest discoveries of clinical trials. Precise nutrition assessment, diversified products, multimodal nutrition therapy throughout the process and intelligent compliance management have efficiently improved the effect of nutrition therapy...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38682621/-the-current-status-and-challenges-of-surgical-treatment-for-chronic-achilles-tendon-rupture
#40
JOURNAL ARTICLE
S M Feng
With the growing demand for physical activity, an increasing number of individuals with chronic Achilles tendon ruptures are opting for surgical intervention. Surgical approaches encompass end-to end anastomosis, tendon flap techniques, tendon transfer procedures, and free tendon grafting, among others. When selecting the appropriate surgical method and determining the surgical indications, it is imperative to consider factors like the length of the Achilles tendon defect, patient age, aesthetic preferences, functional requirements, and local tissue conditions...
April 29, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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