Journal of Clinical Surgery.2010;18(11):773-775. doi:10.3969/j.issn.1005-6483.2010.11.026
Journal of Clinical Surgery
1993 to Present ISSN: 1005-6483
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The effect of abdominal drains on difficult cholecystectomy
Journal of Clinical Surgery.2001;9(3):163-164.
Objective To evaluate the effect of abdominal drains on difficult cholecystectomy.Method 894 cases of difficult cholecystectomy from Jan. 1988 to Jun. 1999 were retrospectively analysed.Results The incidences of complication, reoperation and death in drain group were 6.81%,1.16% and 0.33%，respectively while those in non-drain group were 33.56%,9.59% and 4.11% respectively.There was significant difference between the two groups.Conclusion Abdominal drains should be laid routinely in difficult cholecystectomy.
The diagnosis and treatment of retroperitoneal fibrosis
Journal of Clinical Surgery.2001;9(3):146-147.
Objective To explore the cause, diagnosis and treatment of retroperitoneal fibrosis.Methods 5 cases of retroperitoneal fibrosis were respectively treated by moving ureter into abdomen cavity, encapsulating with pediculate omenta and ilel ureter.Results Following-up of 5 cases for 1 to 3 years, all cases had normal renal functions and hydronephrosis were much decreased.Conclusions Intravenous urogenous(IVU),retrograde pyelography(RGP) and computed tomography (CT) are important methods to diagnose the disease. And the treatment method chosen depends on the range, location of ureterostenosis, and whether the ureter is open or not.
Role and prognostic impact of E-cadherin expression on invasion and metastasis of gastric carcino-ma
Journal of Clinical Surgery.2014;(5):347-350. doi:10.3969/j.issn.1005-6483.2014.05.017
Objective To investigate the role and prognostic impact of E-cadherin( E-cad)on in-vasion and metastasis of gastric carcinoma by analyzing E-cadherin expression at DNA,RNA and protein levels. Methods RNA and protein expression of E-cad were tested in 60 cases of gastric carcinoma and adjacent tissues by streptavidin peroxidase( SP )immunohistochemistry and in situ hybridization. DNA methylation of E-cad was tested with methylation-specific polymerase chain reaction( MSP). Results The positive rates of E-cadherin protein and mRNA in gastric carcinoma were significantly lower than those in adjacent tissues. DNA methylation of E-cad negatively correlated with the E-cad protein and RNA expres-sion in gastric carcinoma respectively(r= -0. 355,r = -0. 271). DNA methylation of E-cad negatively correlated with the 5-year survival rate of gastric carcinoma(r = -0. 381,P ﹤0. 01). However,E-cad protein positively correlated with the 5-year survival rate of gastric carcinoma(r=0. 378,P﹤0. 01). Con-clusion The decreased expression of E-cad is one of the most important biological features in gastric car-cinoma. Methylation of E-cad DNA may be an important agent causing low expression of E-cad protein and mRNA and it can be used as an important indicator in predicting invasion and metastasis of gastric cancer.
Journal of Clinical Surgery.2014;(5):358-360. doi:10.3969/j.issn.1005-6483.2014.05.021
Objective To analyze the clinical characteristics of coronary artery bypass graft sur-gery for elderly patients over the age of 70 years. Methods The clinical data of 232 elderly patients ( age﹥70 years)who underwent coronary artery bypass graft surgery were collected for analysis,including 208 cases of simple coronary artery bypass graft surgery,11 cases of additional mitral valve replacement or annuloplasty,6 cases of additional aortic valve replacement,1 case of additional mitral and aortic valve re-placement,5 cases of additional mediastinal or pericardial tumor resection and 1 case of additional aneu-rysm resection. Results There were eight cases of postoperative respiratory failure,six cases of poor wound healing,4 cases of secondary exploration for postoperative bleeding,2 cases of perioperative myocar-dial infarction,1case of third-degree atrioventricular block and 1 cases of cardiac tamponade. Deaths oc-curred in 2 cases. Conclusion For elderly patients over the age of 70 years,overall effect of coronary ar-tery bypass graft surgery is satisfied. It can improve the quality of life and prolong survival time.
Journal of Clinical Surgery.2017;25(9):701-703. doi:10.3969/j.issn.1005-6483.2017.09.023
Objective To investigate the clinical effect of adjustable negative pressure drainage technique in the treatment of subcutaneous acute cellulitis.Methods Thirty patients with acute cellulitis were treated with adjustable pressure drainage technique after incision and drainage of subcutaneous infection.Results 22 patients with subcutaneous infectious wounds took the secondary suture after carrying out one-time regulated negative pressure therapy,and 8 patients with subcutaneous infectious wounds took the secondary suture after carrying out twice negative pressure therapies.The average time of negative pressure treatment was (7.3 ± 1.0) days.Thirty patients had subcutaneous infection wounds healed well and no recurrence was observed at 3 months follow-up.ConclusionThe repairment of negative pressure therapy adopted to treat the subcutaneous acute cellulitis can rapidly reduce the local and general symptoms of the patient,and apparently reduce the dressing change times.With simple operation and reliable curative effect the relapse rate of subcutaneous infectious wound can be enormously reduced.
Comparative clinical study between laparoscopic and open radical resection of right colon cancer
Journal of Clinical Surgery.2017;25(9):685-687. doi:10.3969/j.issn.1005-6483.2017.09.017
Objective To investigate the effectiveness and safety of laparoscopic and open radi cal resection of right colon cancer.Methods The clinical data of 81 cases of colon cancer were analyized retrospectively.According to the different surgical methods,all patients were divided into laparoscopic surgery group (n =39) and open surgery group (n =42).Perioperative conditions,postoperative complications and short-term prognosis were compared between these two groups.Results There was significant difference in the length of incision (5.2 ± 1.1) cm,bleeding volume (89.4 ± 30.6) ml as well as the time of exsufflation(4.2 ± 1.5) d and hospitalization after operation(11.8 ± 1.5) d(P ＜ 0.05).There was no remarkable difference in the time of extubation,total number of lymph node dissection,operative time,cost of hospitalization,incidence of postoperative complications,the rate of survival and recurrence in 1 year(P ＞ 0.05).Conclusion There was no significant difference in short-term prognosis between these two groups.laparoscopic radical resection of right colon cancer deserve to be popularized by means of enhance recovery after surgery.
Journal of Clinical Surgery.2017;25(9):698-700. doi:10.3969/j.issn.1005-6483.2017.09.022
Objective To evaluate the clinical effects of bladder perfusion combined with deep hyperthermia on preventing postoperative recurrence of non-muscle invasive bladder cancer.Methods Choose 98 patients with NMIBC who were treated with transurethral bladder cancer resection,and randomly divide them into two groups,research group and control group,49 cases in each.Giving MMC bladder perfusion chemotherapy to the control group,and added deep hyperthermia to the research group on the basis of bladder peffusion.Contrast the relapse rates and condition of adverse events during treatment.Resnits The relapse rates of research group when treatment was continued for 6,9,12,15,18 months were significantly lower than that of control group(4.08％ VS 10.20％,6.12％ VS 12.24％,10.20％ VS 18.37％,10.20％ VS 20.41％,14.29％ VS 24.50％,all P ＜ 0.05).No statistical significance in adverse events between each group was observed (P ＞ 0.05).Conclusion MMC bladder perfusion combined with deep hyperthermia therapy has great clinical value,as it can reduce the rates of postoperative recurrence of NMIBC,as well as not increase the AEs of bladder perfusion.
Diagnostic and therapeutic analysis of acute mesenteric ischemia: A report of 102 cases
Journal of Clinical Surgery.2017;25(9):665-667. doi:10.3969/j.issn.1005-6483.2017.09.009
Objective To conclude the diagnostic and therapeutic experience for acute mesenter ic ischemia(AMI).Methods Clinical data of 102 AMI patients were analyzed retrospectively.The curative effect of conservative management,endovascular treatment and open surgery were evaluated.All patients were treated with anticoagulation,vasodilator,thrombolysis after the diagnosis was made.17 cases were relieved by simple medical therapy.The other 85 patients had no obvious effect within 48 hours after conservative treatment.Of the 63 cases undergone endovascular treatment,58 were relieved.Among other 7 unrelieved cases,2 of them gave up treatment and 5 patients were turned to open surgery.The left 22 cases were converted to open surgery directly.Results Of all 102 cases,92 patients were relieved completely,5 patients were turned to chronic intestinal dysfunction.3 patients died in hospital and 2 patients lost follow-up.Conclusion AMI is a potentially fatal vascular emergency.Early diagnosis by CTA and revascularization of intestine without delay is the pivotal management.Endovascular treatment is the preferred therapeutic options.
Application of lateral lymph node dissection in the cure of rectal carcinoma
Journal of Clinical Surgery.2017;25(11):875-877. doi:10.3969/j.issn.1005-6483.2017.11.025
Rectal carcinoma is one of the most common gastrointestinal malignancies in China.Surgical resection is its preferred treatment.The scope of lymph node dissection influences the postoperative recurrence and metastasis.There are many studies The significance of lateral lymph node dissection in rectal carcinoma is extensively discussed,here we make a review of lateral lymph node dissection in rectal carcinoma,which may provide assistance for the treatment of rectal carcinoma.
Country
China
Publisher
湖北省医学会湖北分会
ElectronicLinks
http://www.lcwkzz.comEditor-in-chief
whlcwk@126.com
Abbreviation
Journal of Clinical Surgery
Vernacular Journal Title
临床外科杂志
ISSN
1005-6483
EISSN
Year Approved
2008
Current Indexing Status
Currently Indexed
Start Year
1993
Description
历史沿革【现用刊名：临床外科杂志;创刊时间：1993】，期刊荣誉【Caj-cd规范获奖期刊】。
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