Journal Detail Information

1

Cite

Share

Chinese Journal of General Surgery.1993;0(01):-.

This paper reported nine cases of pancreatic lithiasis. Pancreatolithotomy and pancreaticojejunostomy was performed in 4 cases; Pancreatoduodenectomy in 1 case; Laparotomy and biopsy in 1 case complicated with pancreatic carcinoma and hepatic metastasis; And nonoperative treatment in 3 cases. Our data showed that pancreatic fluid stasis caused by stenosis of pancreatic duct and/or the distal segment of bile duct maybe one of the important factors of pancreatic stone formation. The diagnosis and principles of surgical treatment of pancreatic lithiasis were discussed.

2

Cite

Share

EARLY SURGICAL MANAGEMENT OF ACUTE NECROTIZING PANCREATITIS

Zhenjie WANG

Chinese Journal of General Surgery.1993;0(01):-.

From January 1985 to June 1992, 34 patients with acute necrotizing pancreatitis proved by operation and pathology were admitted. The patients consisted of 10 males and 24 females, aged 1～72 with an average age of 43.8years. The time from onset to operation was 10～63 hours (average 30.7 hours). All patients underwent pancreatic capsulotomy, mobilization of pancreatic bed, and necrosectomy with the exception of one treated by subtotal pancreatectomy. Twenty-nine cases were cured, the average hospital stay was 77.4 days. Five patients died with a mortality of 14.7 per cent. We take the view that all patients with acute necrotizing pancreatitis should be early operated when the diagnosis is established, and necrosectomy proved to be a simple, easy, safe and effective mode of operation.

3

Cite

Share

THE DIAGNOSIS AND TREATMENT OF PEPTIC ULCER

Hongxi LONG

Chinese Journal of General Surgery.1993;0(02):-.

This paper reports the results of surgical management of 38 patients with chronic gasric and duodenal ulcer complicted with mycotic infection.This disease was easily be misdiagnosed as gas- tric carcinoma,especially when a mass can be palpated in the upperabdomen.Gastroscopical biopsy was the most effective method of diagnosis.When the ulcer complicated with mild mycotic infection,it can be treated by anti-mycotic drugs.But if the ulcer is large and deep,or complicated with hemorrhage,perforation or malignancy,the treatment of choice is surgery.Before operation,using anti-mycotic drugs to prevent the occurrence of mycotic sepsis must be consider- ated.During operation,if malignancy is suspected,frozen section should be taken.

4

Cite

Share

PREVENTION AND TREATMENT OF HYPOPHOSPHATEMIA IN PATIENT RECEIVING TPN FOLLOWING ABDOMINAL SURGERY

Qinghui QI

Chinese Journal of General Surgery.1993;0(03):-.

Sixteen patients who received TPN treatment after abdominal surgery were studied. The group of phosphorus supplement (9 cases) and the control group (7 cases) were divided at random. After serially phosphorus in 24 hours, we found that the levels of serum phosphorus decreased on the fouth day (2.57?0.48mg/dl) and remained unchanged until the seventh day (2.60?0.27mg/dl) of TPN (P

5

Cite

Share

PRIMARY TUMORS OF THE DUODENUMA REPORT OF EIGHTEEN CASES

Yulong ZHENG

Chinese Journal of General Surgery.1993;0(03):-.

Eighteen cases of primary tumors of the duodenum were reported. There were four cases of benign tumors, and fourteen cases of malignancy. The tumor was located in the bulb of the duodenum in seven cases, the descending part in nine cases and the transversepart in two cases. Five cases were complicated with intestinal perforation. Four cases with hemorrhage, four cases with obstruction and five cases with choledochal obstruction. The pathology, diagnosis and treatment of primary duodenum tumors are discussed.

6

Cite

Share

THE PROGNOSIS OF RECTAL CARCINOMA IN YOUNG COMPARED WITH MIDDLE AGE AND OLD PATIENTS AFTER RADICAL RESECTION

Bonian JIANG

Chinese Journal of General Surgery.1993;0(03):-.

0.05). The number of cases of moderately differentiated adenocarcinoma in the young group was less than in the other group (p0.1). The study shows that after radical resection the 5 years survival rate is the same in the two groups. Thus, for improvement of survival rate of young persons with rectal carcinoma, it is important to make an early diagnosis and perform radical resection of the lesion.

7

Cite

Share

ANALYSIS OF 74 COLORECTAL CANCER PATIENTS WHO SURVIVED OVER 10 YEARS AFTER RADICAL OPERATION

Zongjiang TANG

Chinese Journal of General Surgery.1993;0(03):-.

74 cases of colorectal cancer patients who survived over ten years after radical operation were reported. It showed that the survival rate was significantly related to the location of tumor, Dukes' stage, metastasis of mesenteric lymph nodes and perioperative transfusion. It was emphasised that early diagnosis and treatment are important, and could increase the survival rate after operation. In patients who have local invasion or single metastasis, multiorgan resection should be performed if necessary. Adjunctive multi-treatment measures such as preoperative irradiation, arterial chemotherapy, preoperative chemotherapy per rectum, intra-peritoneal hyperthermic perfusion during operation, postoperative irradiation and chemotherapy may contribute to cure.

8

Cite

Share

CALOT TRIANGLE LUMPISH FIBROSIS AND LAPAROSCOPIC CHOLECYSTECTOMY

Jinde RUAN

Chinese Journal of General Surgery.1994;0(05):-.

This paper reports 6 cases of cholecystitis with cholelithiasis whose calot triangles were thickened and hardened by fibrous tissue among 200 cases treated by laparoscopic cholecystectomy (L. C). The condition is different from common pathological adhesion by replacement of the structures in the calot triangle by hardened and contracted lumpish mass,and the normal anatomy disappears. LC in such condition is very difficult. Three patients were transfered to laparotomy. Three other patients underwent LC after a special effort which required a time comsuming process. The authors suggest that a special term as "Calot Triangle Lumpish Fibrosis" shpuld be given to this special condition and suggest that it is a relative contraindication for LC.

9

Cite

Share

DIAGNOSIS OF CARCINOMA OF AMPULLA VATER WITH SCRAPING PROCEDURE OF DISTAL COMMON BILE DUCT

Chengyi WU

Chinese Journal of General Surgery.1994;0(05):-.

The scraping procedure was adopted in 13 cases for diagnosis.of tumors of the ampulla vater. 11 of the 13 cases obtained tissue from distal common bile duct. Histological diagnoses included 9 adenocarcinoma, one adenoma with high atypical hyperplasia and carcinoma in situ,one villous papilomatous hyperplasia. No tissue obtained in two patients who were suspected to have ampullary carcinoma preoperatively. Adoptation of this method routinely during exploration of common bile duct would help diagnose the neglected carcinoma of ampulla vater. Most patients with malignancy of ampulla vater would obtain a positive result. However,a negative result could not rule out the diagnosis and other diagnostic tools should be used. If the tissues scraped were diagnosed as adenoma or villous tumor histologically, the malignant change might have been missed. Complete excision of the ampullary lesion is required to assess the presence or absence of malignancy accurately.

10

Cite

Share

PREVENTION AND TREATMENT OF EARLY COMPLICATIONS OF PANCREATODUODENECTOMY——AN EXPERIENCE OF 131 CASES

Jingsen SHI

Chinese Journal of General Surgery.1994;0(05):-.

Pancreatoduodenectomy was performed in 131 cases for peri-ampullar carcinoma between 1957~1993. Early operative complications occurred in 61 cases, the incidence was 46.5%. 13 cases died with a mortality of 9.9%. This article discussed the prevention of three major complications namely pancreatic fistula, biliary fistula and massive bleeding.The key means in the prevention of pancreatic fistula included isolating the stump completely, minimizing the tension of anastomtic sterna,accurate suturing of the layers of anastomosis, inserting drainage in the pancreatic duct routinely and placing the anastomotic sites of choledochojejunostomy and pancreatoje-junostomy in a distance of 10 centimeters. In case pancreatic fistula occurred, drainage is very important and TPN could improve its cure rate. To prevent bile leakage, tube strut and drainage should always be used.In choledochojejunostomy, to prevent massive bleeding and shock, careful hemostasis in operation and reduction in the quantity of bank blood transfusion are important measures. Child's reconstruction of the alimentary tract is the procedure of choice.

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share