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Current progress on natural orifice transluminal endoscopic surgery (NOTES)
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《医学前沿(英文)》 2012年 第6卷 第2期 页码 187-194 doi: 10.1007/s11684-012-0198-2
Natural orifice transluminal endoscopic surgery (NOTES) has received considerable interest in recent years as a novel surgical technique. Here, we aim to review the current progress on NOTES, particularly focusing on the advantages and complications related to NOTES, the recent advances of surgical approaches, new instruments for closure of the natural orifice incision, and the newly developed platform for NOTES. Finally, we make a prediction of the conceivable applications of NOTES on human subjects.
关键词: natural orifice transluminal endoscopic surgery (NOTES) laparotomy laparoscopy
Application of endoscopic techniques in orbital blowout fractures
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《医学前沿(英文)》 2013年 第7卷 第3期 页码 328-332 doi: 10.1007/s11684-013-0271-5
Minimally invasive surgical techniques, particularly endoscopic techniques, have revolutionized otolaryngeal surgery. Endoscopic techniques have been gradually applied in orbital surgery through the sinus inferomedial to the orbit and the orbital subperiosteal space. Endoscopic techniques help surgeons observe fractures and soft tissue of the posterior orbit to precisely place implants and protect vital structures through accurate, safe, and minimally invasive approaches. We reviewed the development of endoscopic techniques, the composition of endoscopic systems for orbital surgery, and the problems and developmental prospects of endoscopic techniques for simple orbital wall fracture repair.
Yuyang Chen, Shu’an Zhang, Zhonghao Wu, Bo Yang, Qingquan Luo, Kai Xu
《医学前沿(英文)》 2020年 第14卷 第4期 页码 382-403 doi: 10.1007/s11684-020-0781-x
Laparoscopic surgery for pancreatic lesions: current status and future
Taiping Zhang, Xiao Du, Yupei Zhao
《医学前沿(英文)》 2011年 第5卷 第3期 页码 277-282 doi: 10.1007/s11684-011-0147-5
关键词: minimally invasive surgery pancreatic surgery pancreatic neoplasm distal pancreatic lesions pancreatic fistula
Prevention of laryngeal webs through endoscopic keel placement for bilateral vocal cord lesions
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《医学前沿(英文)》 2018年 第12卷 第3期 页码 301-306 doi: 10.1007/s11684-017-0549-0
Transoral microresection for treatment of vocal cord lesions involving the anterior commissure may result in anterior glottic webs. In this study, we retrospectively reviewed 54 patients who underwent microsurgery for bilateral lesions involving the anterior commissure and categorized them into two groups. The keel placement and control groups received endoscopic keel placement and mitomycin C, respectively. During the follow-up of at least 1 year, the laryngeal web formation rate significantly decreased in the keel placement group compared with that in the control group (18.6% versus 54.5%, <0.05). Furthermore, the voice handicap index-10 scores for patients without web formation decreased in both the keel placement and control groups ( <0.0001 and <0.001, respectively). A pseudomembrane covering the vocal cords was detected in 16.3% (7 of 43) cases after keel removal. A total of 100% (7 of 7) of these cases and 2.8% (1 of 36) of the other cases formed laryngeal webs ( <0.0001). Endoscopic keel placement could be an effective method for preventing anterior glottic webs after surgery for bilateral vocal cord diseases involving the anterior commissure. The pseudomembrane observed at the time of keel removal may imply a high risk of web formation.
关键词: glottic stenosis glottic web laryngeal keel silastic sheets anterior commissure
Advances in tissue state recognition in spinal surgery: a review
Hao Qu, Yu Zhao
《医学前沿(英文)》 2021年 第15卷 第4期 页码 575-584 doi: 10.1007/s11684-020-0816-3
关键词: spinal surgery tissue state recognition image force sensing bioelectrical impedance
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《医学前沿(英文)》 2013年 第7卷 第4期 页码 520-522 doi: 10.1007/s11684-013-0302-2
Achievements in burn surgery over the past 50 years in China
WANG Shiliang
《医学前沿(英文)》 2008年 第2卷 第4期 页码 332-336 doi: 10.1007/s11684-008-0063-5
关键词: immunology scientific nutritional microbiology engineering
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《医学前沿(英文)》 2011年 第5卷 第1期 页码 53-60 doi: 10.1007/s11684-011-0121-2
Video-assisted thoracoscopic surgery (VATS) provides a new approach for treating early-stage lung cancer. Lobectomy by VATS has many advantages over conventional thoracotomy, such as shorter recovery time, less postoperative pain, and faster resumption of a normal lifestyle. However, there is still much debate on the role of VATS in lobectomy for the treatment of lung cancer. Concerns regarding safety, the extent of mediastinal lymph node dissection, and long-term survival have made some surgeons apprehensive of its validity for lung cancer. In this paper, we review the development of thoracoscopy, the present status of VATS for early stage of non-small cell lung cancer (NSCLC), and comparison between VATS and open thoracotomy in the management of NSCLC.
关键词: non-small cell lung cancer video-assisted thoracoscopic surgery lobectomy
Risk factors for ventilator-associated pneumonia among patients undergoing major oncological surgery
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《医学前沿(英文)》 2017年 第11卷 第2期 页码 239-246 doi: 10.1007/s11684-017-0509-8
Patients undergoing major oncological surgery for head and neck cancer (SHNC) have a particularly high risk of nosocomial infections. We aimed to identify risk factors for ventilator-associated pneumonia (VAP) in patients undergoing SHNC. The study included 465 patients who underwent SHNC between June 2011 and June 2014. The rate of VAP, risk factors for VAP, and biological aspects of VAP were retrospectively evaluated. The incidence of VAP was 19.6% (n=95) in patients who required more than 48 h of mechanical ventilation. Staphylococcus (37.7%), Enterobacteriaceae (32.1%), Pseudomonas(20.8%), and Haemophilus (16.9%) were the major bacterial species that caused VAP. The independent risk factors for VAP were advanced age, current smoking status, chronic obstructive pulmonary disease, and a higher simplified acute physiology score system II upon admission. Tracheostomy was an independent protective factor for VAP. The median length of stay in the ICU for patients who did or did not develop VAP was 8.0 and 6.5 days, respectively (P=0.006). Mortality among patients who did or did not develop VAP was 16.8% and 8.4%, respectively (P<0.001). The potential economic impact of VAP was high because of the significantly extended duration of ventilation. A predictive regression model was developed with a sensitivity of 95.3% and a specificity of 69.4%. VAP is common in patients who are undergoing SHNC and who require more than 48 h of mechanical ventilation. Therefore, innovative preventive measures should be developed and applied in this high-risk population.
关键词: ventilator-associated pneumonia (VAP) pneumonia risk factors surgery for head and neck cancer (SHNC)
Evaluation of the harmonic scalpel in open surgery for abdominal aortic aneurysm
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《医学前沿(英文)》 2012年 第6卷 第1期 页码 85-88 doi: 10.1007/s11684-012-0174-x
The harmonic scalpel is a hemostatic device primarily designed for use in laparoscopic surgery. During the last few years, many surgeons have begun to use the harmonic scalpel in open surgery. Several papers have cited the benefits of the device compared with conventional knot-tying techniques; however, no evidence showing the advantages of using the harmonic scalpel in complicated abdominal aortic aneurysm (AAA) surgery has been presented. The aim of the present study is to determine the value of the harmonic scalpel in open operation for AAA. A total of 153 patients who underwent open surgery for AAA at the Department of Vascular Surgery of Guangdong General Hospital, China between January 2001 and December 2010, were retrospectively analyzed. Open surgery performed with the harmonic scalpel on 105 patients was compared with open operation using conventional knot-tying techniques on 48 patients. The operative time, intraoperative blood loss, total postoperative drainage fluid volumes, hospital stay, and postoperative complications between the two groups were compared. The harmonic scalpel group was associated with a shorter operation time (113.2±23.6 min vs. 232.1±39.2 min, P<0.01) and lower intraoperative blood loss (126.1±96.6 ml vs. 592.1±207.2 ml, P<0.01). Postoperative drainage fluid volumes were greater in the conventional surgery group than in the harmonic scalpel group (702.1±192.8 ml vs. 198.5±97.4 ml, P<0.01). The hospital stay was shorter for the harmonic scalpel group than for the conventional surgery group (10.7±3.3 d vs. 16.5±4.7 d, P<0.05). No differences between the postoperative complications or hospital mortality of the two groups were found. The harmonic scalpel is a safe and minimally invasive tool in open surgery for AAA and is associated with shorter operative time, shorter hospital stay, and lower intraoperative blood loss and postoperative drainage fluid volumes compared with conventional knot-tying techniques.
关键词: abdominal aortic aneurysm harmonic scalpel minimally invasive
Development of splenic surgery in China
JIANG Hongchi, ZHAO Xianqi, GAO Yue
《医学前沿(英文)》 2007年 第1卷 第2期 页码 126-129 doi: 10.1007/s11684-007-0024-4
关键词: function respective prosperous discipline knowledge indispensable division
Laparoscopic hepato-biliary-pancreatic surgery: present practices and prospects
Yongjun Chen, Renyi Qin, Xiaoping Chen
《医学前沿(英文)》 2011年 第5卷 第3期 页码 235-238 doi: 10.1007/s11684-011-0156-4
Liver surgery and transplantation in China: Progress and Challenges
LAU W Y, LAI E C H
《医学前沿(英文)》 2007年 第1卷 第1期 页码 1-5 doi: 10.1007/s11684-007-0001-y
关键词: transplantation pyogenic cholangitis available information important hypertension
ZHANG Kangkang, GU Enhua, LU Junjie
《医学前沿(英文)》 2008年 第2卷 第3期 页码 295-297 doi: 10.1007/s11684-008-0056-4
标题 作者 时间 类型 操作
Review of surgical robotic systems for keyhole and endoscopic procedures: state of the art and perspectives
Yuyang Chen, Shu’an Zhang, Zhonghao Wu, Bo Yang, Qingquan Luo, Kai Xu
期刊论文
Laparoscopic surgery for pancreatic lesions: current status and future
Taiping Zhang, Xiao Du, Yupei Zhao
期刊论文
Prevention of laryngeal webs through endoscopic keel placement for bilateral vocal cord lesions
null
期刊论文
hepatectomy: comments on “Expert Consensus on Laparoscopic Hepatectomy (2013 Version) by National Hepatic SurgeryGroup, Society of Surgery, Chinese Medical Association”
null
期刊论文
Lobectomy by video-assisted thoracoscopic surgery (VATS) for early stage of non-small cell lung cancer
null
期刊论文
Risk factors for ventilator-associated pneumonia among patients undergoing major oncological surgery
null
期刊论文
Laparoscopic hepato-biliary-pancreatic surgery: present practices and prospects
Yongjun Chen, Renyi Qin, Xiaoping Chen
期刊论文