1.Clinical efficacy of laparoscopic liver resection versus open liver resection for hepato-cellular carcinoma
Qiyu CHI ; Zheng SHI ; Shangeng WENG ; Yansong ZHENG ; Zhibo ZHANG ; Mingzhi YANG ; Youting CHEN
Chinese Journal of Clinical Oncology 2017;44(14):706-711
Objective:To compare the short-and long-term outcomes of laparoscopic liver resection (LLR) with those of open liver re-section (OLR) for hepatocellular carcinoma (HCC). Methods:Clinical data from patients who suffered from HCC and received LLR or OLR from January 2013 to May 2016 in The First Affiliated Hospital of Fujian Medical University were analyzed restrospectively. To over-come selection bias, a 1:1 match was performed via a case-control study. After case-control matching was completed, 105 patients were included in each group. Short-term outcomes of operation and postoperation as well as long-term outcomes, including disease-free survival and overall survival rates, were evaluated. Relevant statistical methods were used for statistical analysis. Results: The postoperative hospital stay of the laparoscopic group was shorter (8.68 ± 2.82 vs. 10.61 ± 2.95 days, P<0.01) and its use of portal triad clamping was less (20.0%vs. 41.0%, P<0.01) than those of the open group. The abdominal drainage tube of the laparoscopic group was also removed at an earlier time than that of the open group (4.45±2.53 vs. 5.40±2.43 days, P<0.01). The 1-, 2-, and 3-year overall survival rates of the laparoscopic group were 96.88%, 87.54%, and 79.50%, respectively. By comparison, the 1-, 2-, and 3-year overall survival rates of the open group were 94.91%, 86.29%, and 76.37%, respectively (P=0.670). The 1-, 2-, and 3-year disease-free survival rates of the laparoscopic group were 72.09%, 60.16%, and 52.08%, respectively, while the 1-, 2-, and 3-year disease-free survival rates of the open group were 69.48%, 56.50%, 48.13%, respectively (P=0.388). Conclusion:LLR is a safe and feasible procedure. LLR in the selected patients with HCC showed similar long-term outcomes to those of OLR. The postoperative hospital stay of these patients who underwent LLR was shorter and their use of portal triad clamping was less than those of the patients who received OLR. The abdomi-nal drainage tube of the former was also removed at an earlier time than that of the latter. Therefore, the short-term outcomes of LLR were better than those of OLR.
2.Survey of information needs and its influencing factors in nursing administrators
Ping FANG ; Li YANG ; Qianya MA ; Youting SHI ; Ying ZHU ; Xuemei ZHU ; Ningning XIAO ; Dan CUI
Chinese Journal of Modern Nursing 2014;20(21):2694-2696
Objective To understand the current situation and influencing factor of information needs in nursing administrators , so as to seek the effective methods and ways to meet their needs and improve their information ability .Methods Sixty-eight nursing administrators were surveyed by the self -designed questionnaire about the demographic data , the contents, the ways and barriers of information needs and so on .Results The percent of nursing administrators who often participated in the training of management related knowledge and information retrieval were respectively 23.5% and 1.5%.The information needs in daily work is mainly the business management (38.3%) and professional knowledge and skills (36.8%).The contents of information needs in nursing administrators were mainly the nursing quality management (42.6%), final cost management (23.5%) and management psychology (22.1%).The analysis of the location of searching the information showed that the cases of nurses who searched the information in the library , department , home and internet bar were respectively 58 (85.3%),3 (4.4%),27 (39.7%),2 (2.9%).The main obstacles to search the information were respectively the poor level of computer (3,4.4%), the poor level of English (44,64.7%), the lack of time (32,47.1%) and the lack of retrieval knowledge (28,41.2%).Conclusions The information needs in nursing administrators is mainly the information of increasing the quality of nursing management , and the main factors on affecting the needs were the level of English and the knowledge of literature retrieval .The management departments should strengthen the training of nursing administrators , and the library should play its functions to meet the needs of nursing administrators .