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《中国神经再生研究:英文版》 SCIE CAS CSCD 2020年第4期571-572,共2页
Editors-in-Chief:Prof.Kwok-fai So,PhD Member,Chinese Academy of Sciences Jessie Ho Professor in Neuroscience,The University of Hong Kong Director,GHM Institute of Neural Regeneration,Jinan University,Guangzhou,China.P... Editors-in-Chief:Prof.Kwok-fai So,PhD Member,Chinese Academy of Sciences Jessie Ho Professor in Neuroscience,The University of Hong Kong Director,GHM Institute of Neural Regeneration,Jinan University,Guangzhou,China.Prof.Xiao-Ming Xu,MD,PhD Professor and Mari Hulman George Chair of Neurological Surgery Scientific Director,Spinal Cord and Brain Injury Research Group,Indiana University School of Medicine Indianapolis,IN,USA。 展开更多
关键词 SURGERY DIRECTOR China.
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髋膝关节置换应用临床路径与传统方法比较的Meta分析 预览
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作者 董锐 林汉生 《中国组织工程研究》 CAS 北大核心 2020年第3期422-427,共6页
背景:髋膝关节置换已在各级医院普遍开展且手术量逐年增加,手术方法及技巧已发展至瓶颈,所以推广临床路径是目前提升髋膝关节置换临床疗效简单且行之有效的方法。目的:系统评价髋膝关节置换应用临床路径与传统方法效果的差异。方法:计... 背景:髋膝关节置换已在各级医院普遍开展且手术量逐年增加,手术方法及技巧已发展至瓶颈,所以推广临床路径是目前提升髋膝关节置换临床疗效简单且行之有效的方法。目的:系统评价髋膝关节置换应用临床路径与传统方法效果的差异。方法:计算机检索MEDLINE、Cochrane、Embase、CNKI数字图书馆等数据库,并手工检索查找有关比较进入临床路径与接受传统医疗护理方法髋膝关节置换患者的临床试验研究。由2名评价员独立筛查试验、提取资料和评估方法学质量,采用Cochhrane协作网提供的Rev Man 5.0软件进行Meta分析。结果与结论:①共纳入符合研究设计标准的临床试验17篇,其中13篇半随机对照试验,4篇随机对照试验;②传统方法组的并发症发生率高于临床路径组[OR=0.63,95%CI(0.53,0.74),P <0.000 01];③目测类比疼痛评分[MD=1.49,95%CI(0.69,2.85),P=0.001]、术后Harris髋关节评分[MD=19.31,95%CI(-13.98,-4.92),P <0.000 1]、5年假体生存率[OR=0.59,95%CI(0.36,0.98),P=0.04]临床路径组优于传统方法组,差异有显著性意义;④2组全膝关节置换后下肢机械轴线平均偏差值比较差异无显著性意义[MD=0.00,95%CI(-0.14,0.14),P=0.99];⑤结果表明,与传统技术相比,进入临床路径的髋膝关节置换患者能得到更好的临床疗效,并发症更少,术后关节功能更佳。 展开更多
关键词 人工关节置换 临床路径 外科手术 并发症 假体生存率 META分析
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机器人在骨科手术中应用的可靠性与提升空间 预览
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作者 曹旭含 白子兴 +2 位作者 孙承颐 李晏乐 孙卫东 《中国组织工程研究》 CAS 北大核心 2020年第9期1416-1421,共6页
背景:骨科手术机器人是一种集医学、电子信息学、机械物理学等多学科、多领域为一体的新型医疗器械,是当代医学信息化、程控化、智能化的一个重要发展方向,在骨科手术中有着安全可靠性与广泛的应用前景。目的:探讨机器人在骨科手术中的... 背景:骨科手术机器人是一种集医学、电子信息学、机械物理学等多学科、多领域为一体的新型医疗器械,是当代医学信息化、程控化、智能化的一个重要发展方向,在骨科手术中有着安全可靠性与广泛的应用前景。目的:探讨机器人在骨科手术中的应用可靠性及提升空间。方法:以中文检索词“机器人,骨科,手术,精准度”和英文检索词“Robot,Orthopedics,Surgery,Accuracy”分别检索CNKI数据库、维普数据库、万方数据库和PubMed数据库自建库至2049年6月的文献。根据入选标准保留49篇文献,对手术机器人应用于骨科手术的关键问题进行综述。结果与结论:①目前对骨科手术机器人的研究较多,方法较成熟,但是国内手术机器人的研究相对于发达国家还处于初级阶段;②骨科手术机器人技术正朝着人机智能化、图像精细化、形态精微化、手术无创化、远程可控流畅化等方向发展;③推动自主研发骨科手术机器人产品、全方位制定行业规范和临床标准,将是中国智能医疗器械及设备发展的重要导向。 展开更多
关键词 机器人 骨科 手术 人工智能 精准度 提升空间 可靠性 临床应用
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加速康复外科护理专业组管理模式构建及应用研究 预览
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作者 方汉萍 李蓉蓉 +3 位作者 蔡纯 张严丽 余洪兴 刘洪娟 《护理学杂志》 CSCD 北大核心 2019年第20期5-8,共4页
目的评价基于多学科协作的加速康复外科(ERAS)护理专业组管理模式在临床实践中的效果。方法将接受常规ERAS方案的500例外科患者设为对照组,将接受ERAS护理专业组管理(在外科13个病区共设置6个专业小组,在常规ERAS方案的基础上,以专业组... 目的评价基于多学科协作的加速康复外科(ERAS)护理专业组管理模式在临床实践中的效果。方法将接受常规ERAS方案的500例外科患者设为对照组,将接受ERAS护理专业组管理(在外科13个病区共设置6个专业小组,在常规ERAS方案的基础上,以专业组为依托,推动多学科协作,实现ERAS护理精准化)的750例患者作为干预组。比较干预前后护士的专业知识、职业认同水平以及两组患者ERAS相关指标。结果实施后护士专业知识水平及职业认同感均显著高于实施前(均P<0.01);干预组术前禁食水时间、术中低体温发生率、早期下床时间、留置尿管时间以及术后中重度疼痛、营养不良和深静脉血栓发生率显著低于对照组,术后住院时间、住院费用显著少于对照组(P<0.05,P<0.01)。结论多学科ERAS护理专业组管理模式可有效提升护士的专业能力,保障ERAS的实施,改善患者结局。 展开更多
关键词 住院患者 外科手术 多学科协作 加速康复外科 护理专业组 护理管理
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Pancreatic necrosis: Complications and changing trend of treatment 预览
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作者 Mamoon Ur Rashid Ishtiaq Hussain +5 位作者 Sundas Jehanzeb Waqas Ullah Saeed Ali Akriti Gupta Jain Neelam Khetpal Sarfraz Ahmad 《世界胃肠外科杂志:英文版(电子版)》 2019年第4期198-217,共20页
Incidence of acute pancreatitis seems to be increasing in the Western countries and has been associated with significantly increased morbidity. Nearly 80% of the patients with acute pancreatitis undergo resolution;som... Incidence of acute pancreatitis seems to be increasing in the Western countries and has been associated with significantly increased morbidity. Nearly 80% of the patients with acute pancreatitis undergo resolution;some develop complications including pancreatic necrosis. Infection of pancreatic necrosis is the leading cause of death in these patients. A significant portion of these patients needs surgical interventions. Traditionally, the “gold standard” procedure has been the open surgical necrosectomy, which is now being completed by the relatively lesser invasive interventions. Minimally invasive surgical (MIS) procedures include endoscopic drainage, percutaneous image-guided catheter drainage, and retroperitoneal drainage. This review article discusses the open and MIS interventions for pancreatic necrosis with each having its own respective benefits and disadvantages are covered. 展开更多
关键词 Pancreatic NECROSIS NECROSECTOMY Open SURGERY MINIMALLY invasive SURGERY COMPLICATIONS TREATMENT Review article
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Reducing anastomotic leak in colorectal surgery:The old dogmas and the new challenges 预览
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作者 Jeremy Meyer Surennaidoo Naiken +4 位作者 Niki Christou Emilie Liot Christian Toso Nicolas Christian Buchs Frédéric Ris 《世界胃肠病学杂志:英文版》 SCIE CAS 2019年第34期5017-5025,共9页
Anastomotic leak(AL)constitutes a significant issue in colorectal surgery,and its incidence has remained stable over the last years.The use of intra-abdominal drain or the use of mechanical bowel preparation alone hav... Anastomotic leak(AL)constitutes a significant issue in colorectal surgery,and its incidence has remained stable over the last years.The use of intra-abdominal drain or the use of mechanical bowel preparation alone have been proven to be useless in preventing AL and should be abandoned.The role or oral antibiotics preparation regimens should be clarified and compared to other routes of administration,such as the intravenous route or enema.In parallel,preoperative antibiotherapy should aim at targeting collagenase-inducing pathogens,as identified by the microbiome analysis.AL can be further reduced by fluorescence angiography,which leads to significant intraoperative changes in surgical strategies.Implementation of fluorescence angiography should be encouraged.Progress made in AL comprehension and prevention might probably allow reducing the rate of diverting stoma and conduct to a revision of its indications. 展开更多
关键词 Anastomotic LEAKAGE RECTAL SURGERY COLIC SURGERY Prevention Surgical site infection ANASTOMOSIS COMPLICATION
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Seroprevalence of HIV, Hepatitis B and C Viruses Infections among Candidates for Cataract Surgery 预览
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作者 Angue Tatiana Harly Mba Aki Emmanuel Anyunzoghe +4 位作者 Emmanuel Anyunzoghe Patrice Emery Itoudi Bignoumba Stéphanie Ndjillekissa Ndjié Christian Agaya Emmanuel Mve Mengome 《眼科学期刊(英文)》 2019年第2期47-53,共7页
Introduction: The safety issue of mass surgeries in areas of higher endemicity for HIV, HBV and HCV is raised. Objective: The objective was to determine the frequency of HIV, HBV and HCV among people undergoing a cata... Introduction: The safety issue of mass surgeries in areas of higher endemicity for HIV, HBV and HCV is raised. Objective: The objective was to determine the frequency of HIV, HBV and HCV among people undergoing a cataract surgery during humanitarian surgical mission. Patients and Method: This prospective study was conducted at CHU Owendo from April to September 2018. Cataract-operated patients were the targeted population. Rapid screening tests were used for diagnosis. Parameters such as age, sex, frequency of HIV, HBV, HCV, and co-infections were analyzed. Sero-positivity was correlated with age and sex. A total of 1403 patients were included. Statistical analysis was performed with EPI Info 7.2 (Chi2 uncorrected, Mann-Whitnney and Wilcoxon, p Results: Patients mean age was 66.3 ± 11.6 years;42.1% of them were male. With 18.0% of the study population, HIV-positive people had mean age of 78.4 ± 9.3 years, compared to 61.2 ± 10.1 years for sero-negative (p < 0.001). HIV prevalence was 4.6% (95% CI = [3.7 - 5.9]), HBV was 2.9% (95% CI = [2.1 - 3.9]), and HCV was 11.8% (95% CI = [10.2 - 13.6]). Co-infections occurred in 1.2% (95% CI = [0.8 - 1.9]) of patients undergoing surgery. Conclusion: This study showed high prevalence of HIV, HBV and HCV among patients undergoing cataract surgery with predominance for HCV. Viral co-infections prevalence was also significant. 展开更多
关键词 HIV HCV HBV SURGERY CATARACT Libreville
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精准外科理念在鼻内镜下鼻中隔矫正术的应用体会 预览
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作者 沈伟林 洪燕丽 +2 位作者 许振跃 方铭达 游秀华 《中外医疗》 2019年第27期57-59,共3页
目的探讨精准外科理念在鼻内镜下鼻中隔矫正手术围手术期的应用意义及疗效观察。方法方便选取121例鼻中隔偏曲患者(2015年1月—2017年2月间),术前精准评估鼻中隔偏曲形态、位置、程度,手术采用鼻内镜下三线减张鼻中隔矫正术、鼻中隔棘... 目的探讨精准外科理念在鼻内镜下鼻中隔矫正手术围手术期的应用意义及疗效观察。方法方便选取121例鼻中隔偏曲患者(2015年1月—2017年2月间),术前精准评估鼻中隔偏曲形态、位置、程度,手术采用鼻内镜下三线减张鼻中隔矫正术、鼻中隔棘突切除等精准矫正方式,术后鼻内镜下鼻腔换药处理。结果手术结束后对患者跟随访问,随访时间为3~12个月,所有随访患者中,治愈115例,好转6例。无鼻中隔穿孔、塌鼻等严重并发症。结论鼻内镜下鼻中隔矫正术围手术期主动引进精准外科理念,可以极大提高手术精准度,疗效满意,减少并发症,有效提高手术安全性。并且有利于耳鼻喉科医师的规范化培训。 展开更多
关键词 鼻中隔 鼻内镜 手术 精准外科
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Surgical Treatment of a Subtrochanteric Pseudarthrosis in a 5 Year-Old Child at the University Hospital of Tingandogo in Burkina Faso 预览
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作者 Anatole Jean Innocent Ouedraogo Oumar Salia +7 位作者 Sayouba Tinto Alexandre Stanislas Korsaga Ningwende Paul Fernand Ouedraogo Anselme Noaga Nikiema Namori Keita Hamado Kafando Mamoudou Sawadogo Songahir Christophe Da 《矫形学期刊(英文)》 2019年第11期225-230,共6页
The subtrochanteric fractures are relatively rare in the child and they constitute a therapeutic problem. The pseudarthrosis of this fracture in the child is often the complication of a subtrochanteric fracture treate... The subtrochanteric fractures are relatively rare in the child and they constitute a therapeutic problem. The pseudarthrosis of this fracture in the child is often the complication of a subtrochanteric fracture treated orthopedically. We report the case of a subtrochanteric pseudarthrosis in a 5 year-old child occurred following an orthopedic treatment. After surgical treatment by bloody reduction and pinning, the pseudarthrosis consolidated in 10 months with satisfactory functional results. 展开更多
关键词 PSEUDARTHROSIS Sub-Trochanter CHILD Surgery
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A Rare Case of a Thoracic Spinal Hemangiopericytoma 预览
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作者 Derou Keableon Louis Irié Bi Gohi Serge +3 位作者 Tokpa André Konan Serge Yao Bougaci Nassim Lonjon Michel 《现代神经外科学进展(英文)》 2019年第1期1-6,共6页
Spinal hemangiopericytomas are rare tumors. To date, only 80 cases of spinal hemangiopericytomas have been reported in the literature. The postoperative evolution of this condition in rare cases can be complicated by ... Spinal hemangiopericytomas are rare tumors. To date, only 80 cases of spinal hemangiopericytomas have been reported in the literature. The postoperative evolution of this condition in rare cases can be complicated by a symptomatic compressive epidural hematoma that can be the source of serious neurological complications requiring emergency surgery. We report a rare case of intradural and extramedullary spinal hemangiopericytomas with favorable evolution after treatment in an 82 years old woman. 展开更多
关键词 HEMANGIOPERICYTOMA SPINE INTRADURAL EXTRAMEDULLARY RADIOTHERAPY Emergency Surgery
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Impact of age on feasibility and short-term outcomes of ERAS after laparoscopic colorectal resection 预览
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作者 Corrado Pedrazzani Cristian Conti +5 位作者 Giulia Turri Enrico Lazzarini Marzia Tripepi Giovanni Scotton Matteo Rivelli Alfredo Guglielmi 《世界胃肠外科杂志:英文版(电子版)》 2019年第10期395-406,共12页
BACKGROUND There is still large debate on feasibility and advantages of fast-track protocols in elderly population after colorectal surgery.AIM To investigate the impact of age on feasibility and short-term results of... BACKGROUND There is still large debate on feasibility and advantages of fast-track protocols in elderly population after colorectal surgery.AIM To investigate the impact of age on feasibility and short-term results of enhanced recovery protocol(ERP)after laparoscopic colorectal resection.METHODS Data from 225 patients undergoing laparoscopic colorectal resection and ERP between March 2014 and July 2018 were retrospectively analyzed.Three groups were considered according to patients’age:Group A,65 years old or less,Group B,66 to 75 years old and Group C,76 years old or more.Clinic and pathological data were compared amongst groups together with post-operative outcomes including post-operative overall and surgery-specific complications,mortality and readmission rate.Differences in post-operative length of stay and adherence to ERP’s items were evaluated in the three study groups.RESULTS Among the 225 patients,112 belonged to Group A,57 to Group B and 56 to Group C.Thirty-day overall morbidity was 32.9%whilst mortality was nihil.Though the percentage of complications progressively increased with age(25.9%vs 36.8%vs 42.9%),no differences were observed in the rate of major complications(4.5%vs 3.5%vs 1.8%),prolonged post-operative ileus(6.2%vs 12.2%vs 10.7%)and anastomotic leak(2.7%vs 1.8%vs 1.8%).Significant differences in recovery outcomes between groups were observed such as delayed urinary catheter removal(P=0.032)and autonomous deambulation(P=0.013)in elderly patients.Although discharge criteria were achieved later in older patients(3 d vs 3 d vs 4 d,P=0.040),post-operative length of stay was similar in the 3 groups(5 d vs 6 d vs 6 d).CONCLUSION ERPs can be successfully and safely applied in elderly undergoing laparoscopic colorectal resection. 展开更多
关键词 Colorectal surgery Laparoscopic surgery Enhanced recovery protocol Age ELDERLY
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Congenital Cervical Teratoma 预览
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作者 Fatogoma Issa Koné Amal Hajjij +4 位作者 Naouma Cissé Siaka Soumaoro Abdoul Wahabhaidara Samba Karim Timbo Mohamed Amadou Keita 《外科学(英文)》 2019年第1期44-48,共5页
Introduction: The word “Teratoma” derives from the Greek word “teratos” including the meaning show. Teratoid tumors derived from the transformation of multipotent germ cells. They are composed of ectodermal, endod... Introduction: The word “Teratoma” derives from the Greek word “teratos” including the meaning show. Teratoid tumors derived from the transformation of multipotent germ cells. They are composed of ectodermal, endodermic and mesodermal tissues in variable proportions;hence the term “embryonic tumor”. Objectives: We are reporting the case of a mature teratoma discovered in a young child whose delivery was vaginally performed. Through this case we put in diagnostic and therapeutic highlight and we made a literature review. Case report: Patient 17 months admitted for the anterior compartment mass associated with inspiratory dyspnea. No anomaly/abnormality was detected during the follow-up of the pregnancy. The Patient with dyspnea grade 2 was admitted according to Chevaleir-Jackson classification. No abnormalities of stature ponderal developments were noted. Surgery of excision was our therapeutic alternative. Through the pathological examination a mature teratoma was found. Conclusion: Teratoma is a rare condition. Proper management of mature teratoma helps to prevent recurrence. 展开更多
关键词 MATURE TERATOMA CONGENITAL NECK SURGERY
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Patients Body Modeling: A Practical Theoretical Experience in Plastic Surgery 预览
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作者 José Humberto Cardoso Resende Issacar de Oliveira Costa +7 位作者 Pedro Fernando Huertas Granobles Rolando Arturo Romero Balcazar Guilherme Bahia de Carvalho Hugo Rojas Perdomo Edmar Moreira Lisb?a Mohamad Youssef Mohsen álváro Sanchez Vargas Nébia Maria Almeida de Figueiredo 《现代整形外科(英文)》 2019年第3期52-58,共7页
This research is an active pedagogical experience with surgeons who are specialized in reconstructive plastic surgery and nursing. The guiding questions were the statements of each Surgeon’s clients and what they thi... This research is an active pedagogical experience with surgeons who are specialized in reconstructive plastic surgery and nursing. The guiding questions were the statements of each Surgeon’s clients and what they think about them. Modeling the imaginary bodies of the patients and identify what they built in their minds, highlighting topics and the discussion about the practice made in clay modeling. Eight bodies were modeled, with six bodies with all the senses and two incomplete bodies with only the regions of the breasts and buttocks. It was concluded that there are diverse issues emerging such as gender, ethics, care, spirituality and dream as the fulfillment of the wishes of the patients. Where in the body can these surgeons act to improve the patients’ physical and quality of life? There is an important theme when we are generally welcoming women into an anamnesis that considers their body as a whole, but what is their expectation for each patient? This paper showed the importance of the preoperative evaluation of this whole, for the indication of repairs or contraindications of procedures that aim to improve the physical of the patients, with possible bodily surgical modifications as a form of modeling through liposuction, grafting or excision with lipectomy and withdrawal of excess skin to mitigate the effects of the transformations that deform the physical and end up harming the human relationship, especially women. This is a qualitative method showing the meanings of the bodies of the women represented in the modeling by the Surgeons. However, some surgeons stand out by the look of their practice, as greater sensitivity looking at the body as a whole, spiritual and emotional. They need to use their skills as surgical art and gift, to try to achieve a means, but not an end. 展开更多
关键词 Modeling BODIES SURGERY PLASTIC Art
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Learning curve of enhanced recovery after surgery program in open colorectal surgery 预览
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作者 Varut Lohsiriwat 《世界胃肠外科杂志:英文版(电子版)》 2019年第3期169-178,共10页
BACKGROUND Enhanced recovery after surgery (ERAS) reduces hospitalization and complication following colorectal surgery. Whether the experience of multidisciplinary ERAS team affects patients’ outcomes is unknown. AI... BACKGROUND Enhanced recovery after surgery (ERAS) reduces hospitalization and complication following colorectal surgery. Whether the experience of multidisciplinary ERAS team affects patients’ outcomes is unknown. AIM To evaluate and establish a learning curve of ERAS program for open colorectal surgery. METHODS This was a review of prospectively collected database of 380 “unselected” patients undergoing elective “open” colectomy and/or proctectomy under ERAS protocol from 2011 (commencing ERAS application) to 2017 in a university hospital. Patients were divided into 5 chronological groups (76 cases per quintile). Surgical outcomes and ERAS compliance among quintiles were compared. Learning curves were calculated based on criteria of optimal recovery: defined as absence of major postoperative complications, discharge by postoperative day 5, and no 30-d readmission. RESULTS Hospitalization more than 5 d occurred in 22.6%(n = 86), major complication was present in 2.9%(n = 11) and 30-d readmission rate was 2.4%(n = 9) accounting for unsuccessful recovery of 25%(n = 95). Conversely, the overall rate of optimal recovery was 75%. The optimal recovery significantly increased from 57.9% in 1st quintile to 72.4%-85.5% in the following quintiles (P < 0.001). Average compliance with ERAS protocol gradually increased over the time - from 68.6% in 1st quintile to 75.5% in 5th quintile (P < 0.001). The application of preoperative counseling, nutrition support, goal-directed fluid therapy, O-ring wound protector and scheduled mobilization significantly increased over the study period.CONCLUSION A number of 76 colorectal operations are required for a multidisciplinary team to achieve a significantly higher rate of optimal recovery and high compliance with ERAS program for open colorectal surgery. 展开更多
关键词 Enhanced recovery after SURGERY ERAS COLON RECTUM SURGERY Learning CURVE Outcome COMPLIANCE
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59例骶尾部脊索瘤术后放疗后的生存分析
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作者 路顺 邹炳文 +2 位作者 彭新皓 张菡奕 郎锦义 《肿瘤预防与治疗》 2019年第1期38-42,共5页
目的:明确骶尾部脊索瘤患者是否能从术后的辅助放疗中获益,并且探索恰当的术后放疗模式。方法:回顾性纳入59例无远处转移且病理诊断明确为骶尾部脊索瘤的患者,分析其术后辅助放疗的生存情况。患者分为3组:22例为单纯手术切除组,24例为... 目的:明确骶尾部脊索瘤患者是否能从术后的辅助放疗中获益,并且探索恰当的术后放疗模式。方法:回顾性纳入59例无远处转移且病理诊断明确为骶尾部脊索瘤的患者,分析其术后辅助放疗的生存情况。患者分为3组:22例为单纯手术切除组,24例为手术联合术后图像引导下调强放疗(IG-IMRT)治疗组,13例为手术联合伽马刀(GKS)治疗组。结果:所有患者的5年生存率及5年无复发生存率分别为80.1%和44.5%;单纯手术组、IG-IMRT组及GKS组5年生存率分别为90.9%、87.5%及59.3%,5年无复发生存率分别为29.8%、70.9%和35%;术后辅助放疗组对比单纯手术组的5年无复发生存率差异具有统计学意义(P=0.029),IG-IMRT组的5年无复发生存率优于GKS组(P=0.023)。结论:术后辅助放疗有助于提升脊索瘤术后患者的5年无复发生存率,且术后辅助IG-IMRT可能是更为恰当的术后放疗模式。 展开更多
关键词 骶尾部脊索瘤 外科手术 辅助放疗 IG-IMRT GKS
Perforations of Gastro-Duodenal Ulcers in the Surgery Department “A” at the University Hospital Point G Bamako 预览
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作者 O. Sacko S. Diallo +15 位作者 L. Soumaré M. Camara S. Koumaré M. Sissoko S. Keita Carol   D. Dakouo M. Coulibaly M. Traoré G. Soumaré A. F. Traoré H. Dicko Y. Dianessi B. Traoré A. Koita Sanogo Zimogo 《外科学(英文)》 2019年第8期265-270,共6页
The purpose of this study was to investigate the clinical and therapeutic aspects of peritonitis by perforation of gastric and duodenal ulcer. This was a retrospective and descriptive study over 8 years (2010-2018) wh... The purpose of this study was to investigate the clinical and therapeutic aspects of peritonitis by perforation of gastric and duodenal ulcer. This was a retrospective and descriptive study over 8 years (2010-2018) which allowed to collect 54 cases of peptic ulcer. Included in the study were all patients with confirmed gastroduodenal perforation on histology or laparotomy. We collected 54 cases of peptic ulcer perforated s. The age group of 30 - 49 years was the majority. The male sex was dominant with 90.7% of cases;the clinical picture was dominated by abdominal contracture associated with pain in 74.07% of cases. X-ray of the abdomen without preparation (AWP) revealed in 87.03% of cases of pneumoperitoneum. The perforation was in 68.52% of cases on the gastric antrum and in 31.48% on the duodenum. The surgical procedure used was the bank of excision, and a suture reinforcement epiploic in 68.52% of cases, a simple suture made in 31.48% of cases, the disease was marked by a fistula (1.90%) and mortality was 5.55% of cases. The gastroduodenal ulcer perforation is potentially serious and responsible peritonitis whose surgical treatment involves the peritoneal toilet and sutures the puncture. 展开更多
关键词 Perforated Gastric or DUODENAL ULCER PERITONITIS SURGERY
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The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G 预览
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作者 O. Sacko S. Diallo +14 位作者 L. Soumaré M. Camara S. Koumaré M. Sissoko S. Keita I. Diarra M. Konaté M. Traoré G. Soumaré D. Dakouo M. Coulibaly H. Dicko Y. Dianessi A. Koita Z. Sanogo 《外科学(英文)》 2019年第8期281-286,共6页
Considered as rare in Africa lithiasis of the main bile duct (MBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultra-sound, CT, MRI cholangiopancreatography). Its surgical management... Considered as rare in Africa lithiasis of the main bile duct (MBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultra-sound, CT, MRI cholangiopancreatography). Its surgical management is improved by laparoscopy coupled with interventional endoscopy. However, laparotomy remains the only way in Mali. This was a 14-years retrospective and descriptive study (2010-2014). All patients with BPV lithiasis were included. We studied the field, antecedents, clinical, biological, radiological, therapeutic and outcome aspects. 40 cases of stones in the main bile duct were collected during the study period. The hospital frequency was 2.8 cases per year, the clinical signs dominated by the Charcot triad (pain, fever, jaundice) found in 40 cases (100%). The average age was 60 years, female represented 70% of cases. Ultrasonography was the most requested review in 40 cases (100%). The procedure performed was cholecystectomy associated with choledochotomy with calculation extraction in all patients (100% of cases). One case of biliary fistula and one case of wall abscess were observed. The mortality was 5% and the simple suited in 90% of the cases. The lithiasis of the main bile duct is an infrequent pathology in Mali and potentially serious. This diagnosis is assisted in our context by ultrasound and CT. Laparotomy remains the only route of entry in Mali. 展开更多
关键词 LITHIASIS of the CBD SURGERY Cholodochotomy
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Complications Per and Post Operatory (CPPO) at the Gabriel Toure University Hospital in Bamako 预览
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作者 M. Samaké S. B. Dembélé +13 位作者 S. Konaté A. Traoré K. Madiassa A. Diarra Z. Saye B. Tounkara A. Traoré I. Abdillahiiltireh B. T. Dembélé B. Y. Sidibé L. Kanté I. Diakité Adégné Togo G. Diallo 《外科学(英文)》 2019年第8期287-296,共10页
Introduction: Despite the use of less invasive and increasingly effective techniques in order to reduce the morbi-mortality per and post-operative, the CPPO remain an important problem in surgery. Objectives: To deter... Introduction: Despite the use of less invasive and increasingly effective techniques in order to reduce the morbi-mortality per and post-operative, the CPPO remain an important problem in surgery. Objectives: To determine the rate of per and post-operative complications, to describe the types of complications and to identify their risk factors. Methodology: This was a prospective study carried out from 04 April to 03 June 2016 in the surgical department of CHU-Gabriel TOURE. All patients aged 18 and over operated in the Surgical Department (General Surgery, Gynaecology and Obstetrics, Urology, Traumatology, Otolaryngology, Neurosurgery and Emergency Department), having been hospitalized at least for 24 hours after surgery, were retained. The method of sampling N=P(1-P)Za2/I2 was used;the minimum size necessary was 209 patients. We conducted invitations and the phone call to determine the occurrence of complications and survival of patients up to 30 days after surgery. Results: We counted 262 patients, of whom 142 (54.2%) were women and 120 (45.8%) were men with a sex ratio = 0.85. The average age was 41.48 years, with extremes of 18 and 86 years. We found 71 complications in 61 patients, an early CPPO rate of 23.28%. The various complications encountered were: urinary tract infections (26.76%), surgical site infections (28.17%), pulmonary infections (12.68%) and Deaths (21.13%). The occurrence of complications prolonged the hospital stay by 6 days and increased the average cost of care of 102,700 FCFA. According to Clavien Dindo’s classification, the severe postoperative complication in our series was 9.16% (grade III + IV + V). Factors favoring the occurrence of CPPO were age > 41 years old, ASA > II, the classes of Altemeier 3 and 4, NNISS score 1 and 2, diabetes and hemoglobin rate 8 g/dl. Conclusion: Complications per and post-operative (CPPO) are common in the department of Surgery of CHU-Gabriel TOURE and are dominated by post-operative infection. These complications seem to be favored by multiple factors 展开更多
关键词 POST-OPERATIVE COMPLICATIONS Surgery
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Initial Experience with Open Heart Surgery in Sub-Saharan Africa: Challenges in Mali with Minimum Standards for Practice 预览
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作者 Seydou Togo Moussa Abdoulaye Ouattara +22 位作者 Abdoul Aziz Ma?ga Moussa Bazongo Issa Boubacar Ma?ga Cheik Ahmed Sékou Touré Ibrahim Coulibaly Sounkalo Diop Allaye Ombotimbe Sitta Illiassou Souleymane Coulibaly Mamadou Solo Koita Koumba Nelly Dora Ignanga Sanibé Dramane Koné Moussa Oscar Kamano Fatoumata Konaté Adama Issa Koné Amadou Sidibé Ahmadou Dramé Nouhoum Oueloguem Bourama Kané Boubacar Dramé Sékou Koumaré Zimogo Zié Sanogo Sadio Yéna 《心血管外科国际期刊(英文)》 2019年第9期108-118,共11页
Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encounte... Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encountered in establishing OHS though there is a high prevalence of surgically correctable heart diseases. The aim of this paper is to review our initial experience of our first cases in developing OHS program and discuss the challenges and prospects that need to be overcome to further develop it. Methods: A total of 6 patients who underwent OHS during the first “cardiac mission” in July 2016 were included in this retrospective study. The medical records of the patients were examined and data on age, sex, diagnosis, EuroSCORE, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted. Results: Six patients with a male to female ratio of 1, ages ranging between 12 and 35 years (mean of 22.5 ± 12 years) were studied. The mean of EuroSCORE was 6 ± 41. Pericardial patch closure of isolated atrial septal defect was performed in one patient. One patient had mitral valve repair for rheumatic mitral regurgitation consisting of chordal shortening with a tricuspid valvuloplasty. Three patients had mitral valve replacement with tricuspid valvuloplasty. Four patients had mitral valve replacement. Sixty-day mortality?was 0%. Conclusion: Safe conduct of open heart surgery in Mali Hospital setting is feasible. Grant financial aid is required for rapid growth of Open-Heart Surgery in this part of Sub-Saharan Africa. 展开更多
关键词 Open-Heart Surgery MALI AFRICA
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外科腹腔镜手术患者的护理干预进展
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作者 黄辉 《中国城乡企业卫生》 2019年第4期79-81,共3页
现阶段腹腔镜手术是外科疾病治疗的首选手术方案,其相比传统的开腹手术具有明显的优越性,主要体现在手术时间短、对患者的创伤较小、术中出血少、有助于患者早日康复等。近年来随着外科腹腔镜手术应用的不断深入,相应的围术期护理措施... 现阶段腹腔镜手术是外科疾病治疗的首选手术方案,其相比传统的开腹手术具有明显的优越性,主要体现在手术时间短、对患者的创伤较小、术中出血少、有助于患者早日康复等。近年来随着外科腹腔镜手术应用的不断深入,相应的围术期护理措施也备受关注。如何通过有效的护理干预,提高患者在腹腔镜手术过程中的耐受性,降低术后并发症的发生率,促进患者早日康复,是众多专家学者研究的热点问题之一。很多专家学者开展了大量的理论和实践研究工作,并取得了不错的效果。基于此,本文对近些年关于外科腹腔镜手术患者的护理干预进展进行综述,以期为外科腹腔镜手术患者的临床护理提供参考。 展开更多
关键词 外科 腹腔镜手术 护理干预
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