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| 1 | Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy显示文摘Endoscopic retrograde cholangiopancreatography(ERCP)in patients with surgically altered anatomy must be performed by a highly experienced endoscopist.The challenges are accessing the afferent limb in different types of reconstruction,cannulating a papilla with a reverse orientation,and performing therapeutic interventions with uncommon endoscopic accessories.The development of endoscopic techniques has led to higher success rates in this group of patients.Device-assisted ERCP is the endoscopic procedure of choice for high success rates in short-limb reconstruction;however,these success rate is lower in long-limb reconstruction.ERCP assisted by endoscopic ultrasonography is now popular because it can be performed independent of the limb length;however,it must be performed by a highly experienced and skilled endoscopist.Stent deployment and small stone removal can be performed immediately after ERCP assisted by endoscopic ultrasonography,but the second session is needed for other difficult procedures such as cholangioscopy-guided electrohydraulic lithotripsy.Laparoscopic-assisted ERCP has an almost 100%success rate in longlimb reconstruction because of the use of a conventional side-view duodenoscope,which is compatible with standard accessories.This requires cooperation between the surgeon and endoscopist and is suitable in urgent situations requiring concomitant cholecystectomy.This review focuses on the advantages,disadvantages,and outcomes of various procedures that are suitable in different situations and reconstruction types.Emerging new techniques and their outcomes are also discussed. | Chonlada Krutsri Mitsuhiro Kida Hiroshi Yamauchi Tomohisa Iwai Hiroshi Imaizumi Wasaburo Koizumi | 2019 | World Journal of Gastroenterology2019，25，26： | 23 |
| 2 | Risk factors for perforation during endoscopic retrograde cholangiopancreatography in post-reconstruction intestinal tract显示文摘BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP) in patients with surgically altered anatomy has been a major challenge to gastrointestinal endoscopists with low success rates for reaching the target site as well as high complication rates. The knowledge of ERCP-related risk factors is important for reducing unexpected complications.AIM To identify ERCP-related risk factors for perforation in patients with surgically altered anatomy.METHODS The medical records of 187 patients with surgically altered anatomy who underwent ERCP at our institution between April 2009 and December 2017 were retrospectively reviewed. An analysis of patient data, including age, sex, type of reconstruction, cause of surgery, aim of ERCP, success rate of reaching target site,success rate of procedure, adverse events, type of scope, time to reach the target site, and duration of procedure, was performed. In patients with Billroth-Ⅱ reconstruction, additional potential risk factors were the shape of the inserted scope and whether the anastomosis was antecolic or retrocolic.RESULTS All patients(n = 187) had surgical anatomy, such as Billroth-Ⅰ(n = 22), Billroth-Ⅱ(n = 33), Roux-en-Y(n = 54), Child, or Whipple reconstruction(n = 75). ERCP was performed for biliary drainage in 43 cases(23%), stone removal in 29 cases(16%),and stricture dilation of anastomosis in 59 cases(32%). The scope was unable to reach the target site in 17 cases(9%), and an aimed procedure could not be accomplished in 54 cases(29%). Adverse events were pancreatitis(3%),hyperamylasemia(10%), cholangitis(6%), cholestasis(4%), excessive sedation(1%), perforation(2%), and others(3%). Perforation occurred in three cases, all of which were in patients with Billroth-Ⅱ reconstruction; in these patients, further analysis revealed loop-shaped insertion of the scope to be a significant risk for perforation(P = 0.01).CONCLUSION Risk factors for perforation during ERCP in patients with surgically altered anatomy were Billroth-Ⅱ reconstruction and looping of the scope during BillrothⅡ procedure. | Shinichi Takano Mitsuharu Fukasawa Hiroko Shindo Ei Takahashi Sumio Hirose Yoshimitsu Fukasawa Satoshi Kawakami Hiroshi Hayakawa Hiroshi Yokomichi Makoto Kadokura Tadashi Sato Nobuyuki Enomoto | 2019 | World Journal of Clinical Cases2019，7，1： | 6 |
| 3 | Effects of steep-axis incision on corneal curvature in onehanded phacoemulsification显示文摘AIM: To examine the effects of one-handed phacoemulsification with steep-axis incision on corneal curvature and analyze surgically induced astigmatism(SIA) on the true net power, anterior and posterior corneal surfaces. METHODS: Patients with cataracts underwent onehanded phacoemulsification with a 2.4-mm steep-axis of clear corneal incision(CCI) based on true net power. CCI was created under the guidance of Verion. Central corneal thickness(CCT), keratometry readings of the true net power and anterior and posterior corneal surface were obtained using Pentacam. Biometry, such as axial length, anterior chamber depth(ACD) and white-to-white(WTW) were performed using Lenstar pre-and 3 mo postoperatively. RESULTS: The study evaluated 68 eyes of 65 patients. The mean age was 65.93±9.40 y;CCT was 529.21±37.40 μm;WTW was 11.59±0.35 mm. Regarding true net power, keratometric value at the flattest corneal meridian for the 3-mm central zone(Ks) was significantly decreased postoperatively(P=0.031). Keratometric value at the steepest corneal meridian for the 3-mm central zone(Kf) was increased postoperatively(P>0.05). Astigmatism of true net power was 1.21±0.56 D preoperatively and significantly decreased to 1.02±0.58 D postoperatively(P=0.021). On the anterior corneal surface, no significant difference in Ks and Kf was noted pre-versus postoperatively. Anterior corneal astigmatism was 1.08±0.51 D preoperativelyand significantly decreased to 0.87±0.46 D postoperatively(P=0.002). On the posterior corneal surface, Ks and Kf were significantly increased postoperatively(all P<0.05), and posterior corneal astigmatism also increased(P=0.008). The SIA values of true net power and the anterior and posterior corneal surfaces at 3 mo postoperatively were 1.26±0.63 D(range: 0.11 to 2.80 D), 1.05±0.54 D(range: 0.23 to 2.40 D), and 0.21±0.17 D(range: 0.01 to 0.07 D), respectively. CONCLUSION: One-handed phacoemulsification with steep-axis incision can effectively decrease astigmatism of true net power and anterior corneal astigmatism. In the same surgery, the difference in personal SIA potentially originated from a difference in personal corneal thickness and diameter, both CCT and WTW distance should always be measured preoperatively when planning steep-axis phacoemulsification. | Pan-Pan Li Ye-Meng Huang Qi Cai Li-Li Huang Yu Song Huai-Jin Guan | 2019 | International Journal of Ophthalmology(English edition)2019，12，8： | 5 |
| 4 | Intraoperative perfusion magnetic resonance imaging: Cutting-edge improvement in neurosurgical procedures显示文摘The goal in brain tumor surgery is to remove the maxi-mum achievable amount of the tumor, preventing damage to 'eloquent' brain regions as the amount of brain tumor resection is one of the prognostic factors for time to tumor progression and median survival. To achieve this goal, a variety of technical advances have been in-troduced, including an operating microscope in the late 1950 s, computer-assisted devices for surgical navigation and more recently, intraoperative imaging to incorporate and correct for brain shift during the resection of the lesion. However, surgically induced contrast enhancement along the rim of the resection cavity hampers interpretation of these intraoperatively acquired magnetic resonance images. To overcome this uncertainty, perfusion techniques [dynamic contrast enhanced magnetic resonance imaging(DCE-MRI), dynamic susceptibility contrast magnetic resonance imaging(DSC-MRI)] have been introduced that can differentiate residual tumor from surgically induced changes at the rim of the resec-tion cavity and thus overcome this remaining uncer-tainty of intraoperative MRI in high grade brain tumor resection. | Stephan Ulmer | 2014 | World Journal of Radiology2014，6，8： | 3 |
| 5 | Endoscopic ultrasound-guided interventions in specialsituations显示文摘Endoscopic ultrasound(EUS) was introduced in 1982 and has since become a popular advanced procedure for diagnosis and therapeutic intervention. Initially, EUS was most commonly used for the diagnosis of pancreatobiliary diseases and tissue acquisition. EUS was first used for guided cholangiography in 1996, followed by EUS-guided biliary drainage in 2001. Advancements in equipment and endoscopic accessories have led to an expansion of EUS-guided procedures, which now include EUS-guided drainage of intra-abdominal abscesses or collections, intravascular treatment of refractory variceal and nonvariceal bleeding, transmural pancreatic drainage, common bile duct stone clearance, enteral feeding tube placement and entero-enteric anastomosis. Patients with surgically altered upper gastrointestinal anatomies have greatly benefited from EUS also. This systematic review describes and discusses EUS procedures performed in uncommon diseases and conditions, as well as applications on more vulnerable patients such as young children and pregnant women. In these cases, routine approaches do not always apply, and thus may require the use of innovative and unconventional techniques. Increased knowledge of such special applications will help increase the success rates of these procedures and provide a foundation for additional advances and utilizations of the technique. | Varayu Prachayakul Pitulak Aswakul | 2016 | World Journal of Gastrointestinal Endoscopy2016，8，2： | 2 |
| 6 | Oinical study on thymomas and thymomas with myasthenia gravis显示文摘Objective To present the clinical experience in treating thymomas and thymomas with myasthenia gravis (MG). Methods Between 1975 to 1997,285 patients with thymoma were surgically treated. 168 cases of thymus tumor (TT,Group Ⅰ ) were compared to 90 cases of thymus tumor with myasthenia gravis (TTMG, Group Ⅱ ). Results In group Ⅰ , the average age was 38. 4 years, the youngest was 4 years old. In 93. 4%, the diameter of tumors was 5 cm. 61. 2% were in stages Ⅲ and Ⅳ of clinical pathology. In group Ⅱ ,the average age was 46.2 with the youngest of 20 years old,the diameter of tumor under 3 cm and 5 cm was 34.6 % and 65.6 % . 55.2 % was in stage Ⅰ of clinical pathology. Conclusion Many cases of thymoma in early stage received early treatment. The diagnostic standard of thymoma in early stage is: (1) the diameter of tumor is below 3 cm. (2) In stage I of clinical pathology. The clinical characteristics of TTMG are: short history, the rapid progress, serious MG symptoms,and the high incidence of thymus- | 曾涟乾 | 2003 | 外科研究与新技术2003，，2： | 1 |
| 7 | PRIMARY TUMORS OF THE SMALL INTESTINE (ANALYSIS OF 102 PATIENTS)显示文摘Primary tumors of the small intestine are uncommon and a correct preoperative diagnosis is extremely difficult. From 1964 to 1983, 102 cases of this disease were detected surgically at our hospital. In order to investigate the problems involved in diagnosis and treatment, a comprehensive analysis of small intestinal tumors is made in this paper. | 张维粦 王吉甫 王成恩 | 1989 | Chinese Journal of Cancer Research1989，1，2： | 0 |
| 8 | AN EXTENSIVE SUBFRONTAL APPROACH TO THE LESIONS INVOLVING THE SKULL BASE显示文摘A modification of the transbasal approach of Dorome called extensive subfrontal approach and the surgical results with this approach in 22 cases are presented. Bilateral frontal craniotomies incorporated with the removal of orbital ridges and part of the orbital roofs were fashioned en bloc. It may give rise to good exposure of the midline lesions of the anterior, middle and posterior skull base, minimizing the need for the retraction of frontal lobes. There was no surgical mortality in this series of cases. Of the 20 cases with tumors, total resections were achieved in 11 cases, subtotal or large resections in 4 cases and partial resection in one case. Two patients with spontaneous rhinorrhea were successively treated surgically, 21 patients had a follow-up with a time ranging from 1-11 years (a mean of 3 years). 15 patients resumed their jobs with no evidence of recurrence of the original disease, and 5 patients able to live self-care. One patient with an olfactory neuroblastoma died 3 years after | 周良辅 郭欢欢 李士其 季耀东 黄峰平 | 1995 | Chinese Medical Journal1995，，6： | 0 |
| 9 | FACTORS INFLUENCING THE EFFECT OF RADIOIMMUNOTHERAPY ON LIVER CANCER显示文摘Factors influencing the therapeutic effect of radiolmmunotherapy with 131I labeled anti- human hepa-tocellular carcinoma (HCC) ferritin antibody (131I -FtAb) on thirty three patients with surgically proven unresectable HCC were studied. Multi- variable analysis with Cox’ s regression model revealed that the statistically sig-nifieant factors include tumor size, activity of 131I administered each time and the second-look resection. Survival of patients with tumor diameter less than 10 cm was higher than that of patients with tumor diameter more than 10 cm (1-year survival; 84% versus 50%) 3-year survival; 63% versus 9% ). Patients administered with 5. 55×108 Bq to 9. 25× 10(?) of 131I-FtAb each time yielded better effect than those administered with more than 9. 25×108 Bq of 131I -FtAb (1-year, survival: 86% ver- sus 55%; 3-year survival: 50% versus 18%). When tumor shrank, patients underwent second-look resection had a higher survival than those without receiving second- look resection (1- year | 范桢 汤钊猷 刘康达 易企龙 张照寰 | 1992 | Chinese Journal of Cancer Research1992，4，2： | 0 |
| 10 | ENTRAPMENT OF POSTERIOR INTEROSSEOUS NERVE OF FOREARM REPORT OF 25 CASES显示文摘Of the 25 cases of entrapment, or compression syndrome of the posterior interosseous nerve of the forearm reported, 23 were treated surgically. The compressing or entrapping factors found during the operatious consisted of 14 sites in tendinous tissues, 12 in vessels, 6 in scar adhesions, and 3 unclear. Of 11 cases each had 2 or more compression sites. 19 patients underwent local decompression. And 4 cases had membranous and degenerated nerves resection and end-to-end anastomoses. Hypertrophy and inflammation appeared to be the main pathological changes in 10 cases. The causes and pathology are discussed and the early diagnosis and treatment emphasized. | 陈德松 顾玉东 张高孟 严计庚 成效敏 张丽银 蔡佩琴 徐建光 | 1994 | Chinese Medical Journal1994，，3： | 0 |
| 11 | Comparison of surgically induced astigmatism in patients with horizontal rectus muscle recession显示文摘·AIM: To compare surgically induced astigmatism(SIA)following horizontal rectus muscle recession surgery between suspension recession with both the 'hang-back' technique and conventional recession technique.·METHODS: Totally, 48 eyes of 24 patients who had undergone horizontal rectus muscle recession surgery were reviewed retrospectively. The patients were divided into two groups. Twelve patients were operated on by the hang-back technique(Group 1), and 12 by the conventional recession technique(Group 2). SIA was calculated on the 1stwk, 1stand in the 3rdmo after surgery using the SIA calculator.·RESULTS: SIA was statistically higher in the Group 1all postoperative follow-up. SIA was the highest in the 1st wk, and decreased gradually in both groups.·CONCLUSION: The suspension recession technique induced much more SIA than the conventional recession technique. This difference also continued in the following visits. Therefore, the refractive power should be checked postoperatively in order to avoid refractive amblyopia.Conventional recession surgery should be the preferred method so as to minimize the postoperative refractive changes in patients with amblyopia. | Harun akmak Tolga Kocatürk Sema Oru Dündar | 2014 | International Journal of Ophthalmology(English edition)2014，7，4： | 0 |
| 12 | SURGICAL MANAGEMENT OF THE HYPOPHARYNGEAL AND CERVICAL ESOPHAGEAL CANCER显示文摘Between December 1979 and December 1992, 15 patients with hypopharyngeal and cervical esophageal cancer were treated surgically. Total pharyngolaryngectomy and partial cervical esophagectomy were performed and the defects were reconstructed with cervical skin flaps in 2 cases. The free jejunal segments were used in 6 cases following total pharyngolaryngectomy and cervical esophagectomy, cervical esophagectomy (larynx preserved) was repaired with free jejunal graft in 1 case. The pharyngogastric anastomosis following total pharyngolaryngoesophagectomy were performed in 4 cases, one of them, used pectoralis major myocutaneous flap for resection of soft tissue and skin of the neck. The pectoralis major myocutaneous flap and forearm free flap in 1 case respectively were used to reconstruct the deficits of total laryngectomy and partial pharyngectomy, and partial pharyngolaryngectomy. In our series, 1, 3, 5 years survival rates were 73.3% (11 / 15), 50% (6 / 12) and 55.6% (5 / 9), respectively. The | 贾深汕 聂松岩 陈云富 刘福盛 李建东 | 1994 | Chinese Medical Journal1994，，12： | 0 |
| 13 | Clinical analysis of congenital diaphragmatic hernia in newborn infants:report of 33 cases显示文摘Objective To review the clinical experience of diagnosis and treatment of the congenital diaphragmatic hernia in newborn infants. Methods Thirty-three neonates were diagnosed having congenital diaphragmatic hernia in our hospitalfrom Jan. 1,2004 to Sept. 30,2009. The clinical data was retrospectively reviewed. Results 21 cases were treated | 应燕芬 | 2011 | 外科研究与新技术2011，，3： | 0 |
| 14 | SPECIAL TYPES OF EARLY GASTRIC CANCER显示文摘Sixty seven cases with special types of early gastric cancer collected from 119 early gastric cancer specimens surgically resected in the Cancer Institute of CMU from 1964 to 1987 are reported. The pathological and biological characteristics of superficial spreading focal penetrating types, microcarcinoma and small carcinoma, 'Pin-point cancer', multiple early cancer and gastric stump cancer were analysed. The authors believe that understanding these special types of early gastric cancer is of great importance not only in the study of histogenesis but also in clinical treatment and prevention of gastric cancer. | 张佩范 张荫昌 王梅先 阎瑞芳 林慧芝 张文范 | 1990 | Chinese Journal of Cancer Research1990，2，3： | 0 |
| 15 | Endoscopic approaches to biliary intervention in patients with surgically altered gastroduodenal anatomy显示文摘Over the past decade the ability of endoscopists to access the biliary tree in patients with surgically altered gastroduodenal anatomy has significantly advanced.Much of the progress has occurred as a result of the development of better tools to navigate the deep small bowel,such as single-balloon-(SBE),double-balloon-(DBE),and spiral-enteroscopy-assisted endoscopic retrograde cholangiopancreatography(ERCP).However,despite using a cap,accessing the papilla or bile duct using these forward-viewing enteroscopy platforms remains challenging,even in expert hands.In patients with Roux-en-Y gastric bypass(RYGB) anatomy,the excluded stomach is a potential point of access for either a delayed transgastric- or immediate laparoscopyassisted-ERCP approach.However,the parallel advancement of therapeutic endoscopic ultrasound(EUS) also provides alternative approaches through which the biliary system can be accessed and intervened on in patients with surgically altered anatomies.Generally speaking,in patients with short gastro-jejunal 'Roux' and bilio-pancreatic limbs,ideally less than 150 cm in length,starting with a(cap-assisted) pushenteroscopy or balloon-enteroscopy approach would offer reasonable diagnostic and therapeutic ERCP suc-cess.When available,short-SBE or short-DBE scopes should be used,as they allow the use of conventional ERCP equipment,are associated with shorter procedure times,and are easier to manipulate.In patients with RYGB who have longer Roux and/or bilio-pancreatic limbs(> 150 cm in total length),or in patients who have failed prior attempts at deep enteroscopy-assisted ERCP,transgastric laparoscopy-assisted-ERCP is associated with higher rates of diagnostic and therapeutic success as compared to deep-enteroscopy-assisted ERCP.Finally,EUS-guided biliary access for antegrade biliary intervention or for rendezvous enteroscopyassisted ERCP is possible.While percutaneous transhepatic biliary drainage and surgical bile duct exploration remain viable alternatives,these methods are not without significant morbidity and mortality and should only be considered if less invasive endoscopic interventions are not feasible or appropriate. | Natalie D Cosgrove Andrew Y Wang | 2014 | World Journal of Surgical Procedures2014，4，2： | 0 |
| 16 | THE SURGICAL TREATMENT OF PSEUDOTRUNCUS显示文摘The article presents two patients with pseudotruncus treated surgically under moderate or profound hypothermia and CPB with excellent results. The risk factors related to the operative mortality, and a brief introduction of the some operative techniques are discussed. | 张石江 高声甫 周采璋 丁永清 | 1989 | 医学研究生学报1989，2，3： | 0 |
| 17 | X-ray DIAGNOSIS OF JUXTACORTICAL CHONDROSARCOMA (A REPORT OF 16 CASES)显示文摘The clinical and radiologic features of 16 cases of surgically and pathologically proved juxtacortical chondrosarcoma were analyzed. The main radiograp-hic findings include: (1) A saucerlike or scalloped defect confined to the outer surface of cortex dut to tumor erosion; (2) Localized cortical proliferation and sclerosis; (3) Soft tissue mass and various forms of calcification within the tumor; but without a bony or calcified shell around the tumor mass and (4) sunray and/or laminated periosteal reaction. The origin of this tumor, its histopathology and classification were discussed. A preliminary investigation on the radiated periosteal reaction and its pathological basis was performed. | 徐德永 曹来宾 宫尚君 庄章圃 张瑞鑫 唐桂长 高士伟 吴树森 | 1990 | Chinese Journal of Cancer Research1990，2，4： | 0 |
| 18 | Comparative analysis of the correlation between HRCT image features and histopathologic characteristics of cyst-like lung adenocarcinoma显示文摘Objective To evaluate the high resolution CT(HRCT)features of cyst-like lung adenocarcinoma,explore the correlation between HRCT image features and histopathological characteristics,and observe the pathological basis of air-containing space.Methods HRCT and histopathologic findings of cyst-like lung adenocarcinoma in 86 patients were investigated retrospectively. | 张丽 | 2014 | China Medical Abstracts(Internal Medicine)2014，31，3： | 0 |
| 19 | Diagnosis and surgical treatment of mixed hepatocellldar and dlolangiocellular carcinoma显示文摘Objective To study the clinical feature, diagnosis and surgical treatment of mixed hepatocellular and cholangiocellular carcinoma ( MHC). Methods The clinical materials of 14 surgically treated patients with MHC were retrospectively analyzed. Results There were nine males and five females, with age ranging from 33 to 62 years (mean 50 years). Some patients had a history of hepatitis B (71%), and cirrhosis (64%). Elevation of serum alpha-fetaprotein (AFP) was observed in nine patients (64%). The resection rate was 86% (12/14), and postoperative overall 1 - , 3 - , 5 - year survival rates were 71% (10/14), 43% (6/14), and 29% (4/14), respectively. In the tumor-resected patients,the 1 - ,3 - , 5-year survival rates were 83% (10/12),50% (6/12), and 33% (4/12), respectively. Conclusion MHC patients lack typical clinical manifestations. Radical surgery is an effective treatment for this disease. The cholangiocellular carcinoma component appears to determine the prognosis. 9 refs,2 figs.1 tab. | 徐立斌 | 2003 | 外科研究与新技术2003，，2： | 0 |
| 20 | X-ray DIAGNOSIS OF EXTRASKELETAL (SOFT TISSUE) CHONDROSARCOMA (A REPORT OF 8 CASES)显示文摘Eight cases of surgically and pathologically verified extraskeletal (soft tissue) chondrosarcoma were analyzed with regard to clinical and X-ray features. The cardinal clinical aspects of this series are: presence of a local soft tissue mass; gradual enlargement of the mass accompanied by increasing pain. The X-ray signs were summarized as follows: formation of a soft tissue mass; various forms of calcifications concentrated in the central area of the tumor; in some instances, presence of a saucer-like defect on the cortical surface of neighbouring bone and periosteal proliferation with mound-like new bone on both sides as well as bending deformity of the affected bone. The incidence and sites of predilection, the main X-ray findings, radiological diagnosis and differential diagnosis of the tumor were discussed. The Roentgen features of synovial chondrosarcoma of the knee joint were especially analyzed. | 徐德永 曹来宾 宫尚君 | 1991 | Chinese Journal of Cancer Research1991，3，1： | 0 |
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