Journal Detail Information

1

Cite

Share

The surgical repair of rectourethral fistula:island skin tubes from perineum and scrotum were adopted

Jiangqiao ZHOU ; Linglong WANG ; Xiaobing ZHANG

Journal of Clinical Surgery.1999;0(05):-.

Objective To study a new procedure of surgical repairment of rectourethral fistula.Method By the perineum approach one stage urethroplasty using island skin tubes from perineum and scrotum has been adopted after the resection of fistular urethra and repairment of the defect of the anterior wall of rectum to substitute the defect of urethra in 9 cases during 1992-1998.Result The 9 cases were all cured and have been followed-up for 2 6 years without recurrence of rectourethral fistula.Conclusion This procedure was regarded as an ideal technique for the closure of rectourethral fistula especially for those complicated with urethra stricture.

2

Cite

Share

A research on PGI_2 and TXA_2 for lung cancer patients and ones with lung cancer metastasis

Yiliu LIAO ; Chifu CHEN

Journal of Clinical Surgery.1999;0(05):-.

Objective To explore the PGI 2 and TXA 2 for lung cancer patients and ones with lung cancer metastasis,in onder to provide nomal index for diagnosis and differential diagnosis in lung cancer metastasis.Methods To test plasma PGI 2 and TXA 2 by means of RIA in all cases.One group of patients who received non operative treatment:Six cases of patients with distant metastasis;Eight cases with hilus of long metastasis;Seven cases without metastasis.The other group of patients who received radical operation;Six cases of patients with distant metastasis;Seven cases with hilus of lung metastasis;Six cases without metastasis.Result The PGI 2/TXA 2 ratio of the patient whether distant metastasis or hilus of lung metastasis was obviously lower than that of the patients without metastasis( P

3

Cite

Share

Esophagogastrostomy encircled by seromuscular gastric wall flap

Chaoyang HAN ; Feilong LIU ; Yuanhong SU

Journal of Clinical Surgery.1999;0(05):-.

Objective To evaluate the effects of esophagogastroplasty of esophagogastrostomy in preventing anastomotic leakage,stricture and reflux esophagitis after resection of lower esophageal or cardiac carcinoma.Methods 273 cases of lower esophageal cardiac carcinoma were randomly divided into 2 groups:The treatment group(145 cases) was treated by esophagogastrostomy encircled by sero muscular gastric wall flap while the control group(128 cases) was performed with esophagogastrostomy only.Results No anastomotic leakage or stricture was observed in treatment group,with 10 cases of reflux esophgitis only.In control group,anastomotic leakage,stricture and reflux esophagitis were 9(7 0%),5(3 9%),and 21(17 1%) respectively.Conclusions The esophagogastroplasty of esophagogastrostomy can completely avoid anastomotic leakage,stricture and significantly reduce reflux esophagitis after resection of lower esophageal or cardiac carcinoma.

4

Cite

Share

Diagnosis and treatment on laparoscope of abdominal trauma in 20 cases.

Qiang HUANG ; Shan LIANG ; Cheng WANG

Journal of Clinical Surgery.1999;0(05):-.

Objective To study the function of the laparoscope in abdominal trauma diagnosis and treatment.Method To use laparoscope in diagnosis and treatment for 20 cases abdominal trauma.Result 11 cases avoided the operation of the open abdomin,7 cases got treatment under the laparoscope;5 cases avoided the negative exploration.Conclusion Laparoscope can be used to clear the diagnosis.avoid negative exploration,treat the injury and help operator to choose incision and type of operation.

5

Cite

Share

Clinical analysis of 37 cases of gallbladder carcinoma

Qin ZHANG ; Yichu ZHANG

Journal of Clinical Surgery.1999;0(05):-.

Objective In order to make clear the clinical characteristics of gallbladder carcinoma.Method 37 cases of gallbladder carcinoma treated in Xinhua hospital have been analyed in recent 5 years.Result The higher incidence was in the elderly and the ratio between femal and male is 2 1 to 1.Clinical symptoms include right upper abdominal pain,nausea,fever,jaundice and abdominal mass.With gallstones is about 81 1%.Conclusion BUS and CT are common diagnostic methods.BUS is more reliable in early case,but CT in late case.The type of operation and the result of treatment are dependent on the pathologic stage and grade.

6

Cite

Share

A comparasion of clinical and financial aspects of laparoscopic versus open cholecystectomy

Zhu LAN ; Yongbi ZHOU ; Changzheng WEI

Journal of Clinical Surgery.1999;0(05):-.

Objective To evaluate the safety,clinical and financial aspects of laparoscopic cholecystectomy(LC).Methods 278 cases undergone LC and 234 cases undergone open cholecystectomy(OC)were compared in retrospective study.Results LC was as safe as OC.In favour of LC,significant differences were observed regarding the time of severe pain,hospitalization and recovery.The total occurences of postoperative complications were low in all the patients undergone LC or OC,and its significantly lower in patients undergone LC than that in those undergone OC.Furthermore,the total charges for LC were significantly lower than that for OC.Conclusions LC is as safe as OC and has clan obvious advantage over OC in clinical,social and financial aspects.

7

Cite

Share

The diagnosis and management of renal angiomyolipoma

Youhua HE ; Yinghe CHEN ; Haibo ZHU

Journal of Clinical Surgery.2000;0(06):-.

Objective To inquire into the diagnosis and management of renal angiomyolipoma.Methods The 22 cases of RAML were studied restrospectively.Results The diagnosis accuracy was 54.5% for B ultrasound and 81.8% for CT,18 were diagnosed as RAML and 4 were misdiagnosed as renal cell carcinoma preoperatively,of which 3 were diagnosed as RAML based on intraoperative frozen section study.11 had been performed enuoleation,7 partial nephrectomy,3 nephrectomy and 1 radical nephrectomy. Conclusions CT is the first line imaging method for RAML.the cow fatty component,intratumor hemorrhage and small tumor are the main canse of misdiagnosis in RAML.careful analysis to clinical feature and imaging data,intraoperative frozen sect,ion study can avoid misdiagnosis.nephron sparing surgery is the best operative management.

8

Cite

Share

The effect of TGF-?_1 and TGF-? on hepatic apopotosis in hepatocelluler carcinoma after transcather arterial chemoembolization

Jinwen LIU ; Jilin YI

Journal of Clinical Surgery.2000;0(06):-.

Objective To investigate the effect of TGF ? 1 and TGF ? on hepatic apoptosis in hepatocelluler carcinoma (HCC) after transcather arterial chemoembolization (TACE).Methods The specimens were surgically obtained from 36 patients who had been treated by TACE (TACE group) and 19 patients without any treatments (no TACE group). Expression of TGF ? 1 and TGF ? in HCC tissues was detected by immunohistochemical method. Apoptosis was detected by ISEL method.Results Expression rates of TGF ? 1 in HCC tissues of TACE group and no TACE group were 86.11% and 36.84% respectively.expression rates of TGF ? in HCC tissues of TACE group and on TACE group were 0.0088 and 0.1901 respectively.Conclusions After TACE, the expression of TGF ? 1 was enhanced to accelerate the hepatic apoptosis in HCC.TGF ? was mainly related to the cell proliferation in HCC.That the expression of TGF ? was inhibited after TACE might accelerate the hepatic apoptosis of HCC.

9

Cite

Share

Single balloon dilatation and placement of stent in the treatment of Budd Chiari syndrome

Hejie HU ; Geliang XU ; Jiansheng LI

Journal of Clinical Surgery.2000;0(06):-.

Objective To evaluate single balloon dilatation and placenment of the stent for the treatment of Budd Chiari Syndrome.Methods Thirty four patients with Budd Chiari Syndrome underwent covagraphy catheterized through superior and inferior vena cava (IVC) simultaneously and single balloon dilatation of IVC and placement of metallic stents.Results Puncture and dilatation were successful in 33 patients.The obstructed segments of IVC were dilated to 10～20 mm in diameter.Nine metallic stents were placed in 9 cases. The caval pressure below obstruction were reduced from(2.71?0.78) kPa to(1.98?0.85) kPa in average.Conclusions Covagraphy catheterized through superior and inferior vena cava (IVC)simultaneously reveals the site and length of the obstruction clearly.Insertion of large single balloon is technically simple and dilatation is definite.Restenosis in segmental type may be prevented by stent insertion.

10

Cite

Share

The diagnosis and treatment of acute lower gastrointestinal massive bleeding

Xinhai JIANG ; Shilun TONG

Journal of Clinical Surgery.2000;0(06):-.

Objective To investigate the methods of diagnosis and treatment of acute lower gastrointestinal massive bleeding. Methods Retrospective analysis was made on diagnozing and treating of 21 patients with acute lower gastrointestinal massive bleeding Results Within a total of 21 cases,bleeding was controlled by conservative treatment in 6 cases(28.6%),supermesenteric angiography showe positive findings in 92.8% and the interventional therapy was applied successfully in 84.6%. no recurrence was observed after Ⅰ month to 4 year follow up. Conclusions Patients with acute lower gastrointestinal massive bleeding should be treated firstly by conservatie method,uncontrollable bleeding should be evaluated by selective supermesenteric angiography;after the bleeding artery was recongnized by angiography,the intervention embolotherapy should be taken;the patients whose angiography are negative and bleeding cannot be controlled should be operatded

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share