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Comparison of surgical indications for hysterectomy by age and approach in 4653 Chinese women
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《医学前沿（英文）》 2014年 第8卷 第4期 页码 464-470 doi: 10.1007/s11684-014-0338-y
Approximately one million hysterectomies are performed each year in China. However, national data regarding the indications and the surgical approaches for hysterectomy are lacking. The aim of this study was to examine the surgical indications for hysterectomy in different age groups and the relative merits of different surgical approaches for hysterectomy in Chinese women. Clinical data from 4653 cases of hysterectomy performed in Tongji Hospital from 2004 to 2009 were analysed. Hysterectomy was most commonly performed among women aged 40--49 years (2299; 49.4%). Overall, colporrhagia and abdominal pain were the two most common indications for hysterectomy. The most common indications by age groups were as follows: malignant ovarian tumour,<20 years; malignant uterine tumour, 20--29 and 30--39 years; uterine myoma, 40--49 and 50--59 years; and uterine prolapse, 60--69 and>70 years. The proportion of malignant aetiology also varied by age, being the highest in women aged<20 years (75.0%) and the lowest in those aged 40--49 years (19.9%). Approximately 35% women who had hysterectomies also had concomitant bilateral oophorectomy. The lowest rate of oophorectomy occurred in women aged 30--39 years (15.8%), whereas the highest rate was in those aged 50--59 years (75.9%). The abdominal surgical approach was used in 84% of all hysterectomies. Surgeries using the vaginal approach required a significantly shorter operating time (118 min average) than all other approaches (P<0.05). Both the amount of bleeding and the blood transfusion volume required were smaller in vaginal approaches, with no significant differences between the others. The surgical approaches used were also related to the scope of surgery. Both the surgical indications and the rates of bilateral oophorectomy varied by age. In terms of both operating time and the amount of bleeding and blood transfusion volume required, the vaginal approach was superior to all other surgical approaches.
关键词： hysterectomy surgical indications surgical approach bilateral oophorectomy
《机械工程前沿（英文）》 2022年 第17卷 第3期 doi: 10.1007/s11465-022-0698-y
关键词： minimally invasive surgery hand−eye calibration intuitive control surgical robot dual quaternion
Cutting performance of surgical electrodes by constructing bionic microstriped structures
《机械工程前沿（英文）》 2023年 第18卷 第1期 doi: 10.1007/s11465-022-0728-9
关键词： surgical electrodes tissue adhesion thermal injury bionic structures cutting performance medical tools
Potential indicators predict progress after surgical resection of gastrointestinal stromal tumors
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《医学前沿（英文）》 2012年 第6卷 第3期 页码 317-321 doi: 10.1007/s11684-012-0203-9
In order to find out the potential indicators predicting prognosis of malignant gastrointestinal stromal tumors (GISTs) after surgical resection, we collected clinical records of 80 patients with malignant GISTs. Tumor location, size, mitotic index, necrosis were compared with the prognosis of malignant GISTs by Kaplan-Meier method and log-rank test. After a median follow-up of 844 days (52–2 145), we found that as National Institutes of Health suggested, tumors with intermediate risk had more favorable prognosis than that with high risk. Their 3-year survival rate were 65.3% and 41.3%, respectively (P<0.001). Moreover, tumor size and mitotic index were associated with free survival. The 3-year survival rate for patients with tumor size≤10 cm and>10 cm were 62.3% and 41.8%, respectively (P = 0.002), Tumors with mitotic index≤5/50 HPF had a higher 3-year survival rate than tumors with mitotic index>5/50 HPF (67.1% versus 40.7%, P = 0.005). The presence of necrosis was directly related to the malignant behavior. The 3-year survival rate for presence and absence necrosis were 50.8% and 64.8% (P = 0.008). From the present study, we can conclude that besides tumors size and mitotic index, tumor location and necrosis also influence on the long-term survival of patient with malignant GISTs after surgical resection.
State-of-the-art of intelligent minimally invasive surgical robots
Masakatsu G. Fujie, Bo Zhang
《医学前沿（英文）》 2020年 第14卷 第4期 页码 404-416 doi: 10.1007/s11684-020-0743-3
关键词： robot history medical robot surgical robot radiofrequency ablation organ model
Advances in the management of the surgical complications for congenital cataract
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《医学前沿（英文）》 2012年 第6卷 第4期 页码 360-365 doi: 10.1007/s11684-012-0235-1
The greatest concern in children with cataracts is irreversible visual loss. The timing of congenital cataract surgery is critical for the visual rehabilitation. Cataract surgery in children remains complex and challenging. The incidence of complications during or after operation is higher in children than adults. Some complications could be avoided by meticulous attention to surgical technique and postoperative care, and others were caused by more exuberant inflammatory response associated with surgery on an immature eye or the intrinsic eyes abnormalities. Utilizing of advanced techniques and timely applying topical corticosteroids and cycloplegic agents can reduce the occurrence of visual axis opacification. Operation on children with strabismus or nystagmus, and applying occlusion therapy on amblyopic eyes can balance the visual inputs to the two eyes. Diagnosis of glaucoma following congenital cataract surgery requires lifelong surveillance and continuous assessment of the problem. So cataract surgeries in children are not the end of journey, but one step on the long road to visual rehabilitation. This paper describes recent evidence from the literature regarding the advance of management after congenital cataract surgery.
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
Zhijian Liu, Haiyang Liu, Hang Yin, Rui Rong, Guoqing Cao, Qihong Deng
《环境科学与工程前沿（英文）》 2021年 第15卷 第3期 doi: 10.1007/s11783-020-1327-9
关键词： Operating room (OR) Bacteria-carrying particles (BCPs) Surgical site infections (SSIs) Ventilation
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《医学前沿（英文）》 2018年 第12卷 第2期 页码 189-195 doi: 10.1007/s11684-017-0533-8
Obstructive sleep apnea syndrome (OSAS) increases the risk of post-surgery complications. This study uses Berlin Questionnaire (BQ) to identify Chinese adult surgical patients who are at a high risk of OSAS and to determine if the BQ could be used to detect potential high risk of adverse respiratory events in the post anesthesia care unit (PACU). Results indicated that only 11.4% of the patients were considered at a high risk of OSAS. Age and body mass index are the key factors for the risk of OSAS prevalence in China and also gender specific. Furthermore, the incidence of adverse respiratory events in the PACU was higher in patients with high risk of OSAS than others (6.8% vs. 0.9%, <0.001). They also stayed longer than others in the PACU (95±28 min vs. 62±19 min, <0.001). Age, high risk for OSAS, and smoking were independent risk factors for the occurrence of adverse respiratory events in the PACU. The BQ may be adopted as a screening tool for anesthesiologists in China to identify patients who are at high risk of OSAS and determine the potential risk of developing postoperative respiratory complications in the PACU.
关键词： obstructive sleep apnea Berlin Questionnaire Chinese surgical patients adverse respiratory event
《医学前沿（英文）》 2021年 第15卷 第3期 页码 416-437 doi: 10.1007/s11684-021-0852-7
关键词： surgical aortic valve replacement trans-catheter aortic valve implantation left ventricular hypertrophy and fibrosis myocardial force-velocity relationship His-Purkinje pacing renin-angiotensin system inhibitors coronary access impairment
The evolution of surgical and medical treatment of aortic root aneurysm
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《医学前沿（英文）》 2014年 第8卷 第4期 页码 427-432 doi: 10.1007/s11684-014-0385-4
Since first report of aortic root replacement in 1968, the surgical risk and long term outcome of patients with aortic root aneurysm have been continuously improving. In the last 30 years, the surgical approach is also evolving towards more valve conservation with prophylactical intervention at an earlier clinical stage. Translational research has also led to emerging surgical innovation and new drug therapy. Their efficacies are currently under vigorous clinical trials and evaluations.
关键词： aortic root aneurysm aortic root replacement valve sparing root replacement personalised external aortic root support
Radical versus conservative surgical treatment of liver hydatid cysts: a meta-analysis
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《医学前沿（英文）》 2018年 第12卷 第3期 页码 350-359 doi: 10.1007/s11684-017-0559-y
To date, the efficacy of radical surgery (RS) versus conservative surgery (CS) for liver hydatid cysts (LHC) remains controversial. This meta-analysis was conducted to compare the two interventions. PubMed, Embase, and Web of Science were searched from their inceptions until June 2016. Meta-analysis was performed using STATA 12.0 software. We identified 19 eligible studies from 10 countries by retrieval. In total, 1853 LHC patients who received RS were compared with 2274 patients treated by CS. The risk of postoperative overall complication, biliary fistula, and recurrence was significantly lower, and operation time was significantly longer in the RS group. However, no statistically significant differences were found in terms of mortality risk and the duration of hospital stay between RS and CS. No significant publication biases were observed in all the above analyses. In conclusion, RS reduces the rates of postoperative complications and recurrence, whereas no trend toward such a reduction in mortality was observed in LHC patients.
关键词： liver hydatid cysts radical surgery conservative surgery meta-analysis complications
Yang LIU, Jing LIU
《机械工程前沿（英文）》 2012年 第7卷 第4期 页码 376-384 doi: 10.1007/s11465-012-0352-1
This article is dedicated to present a review on existing challenges and latest developments in surgical robotics in attempts to overcome the obstacles lying behind. Rather than to perform an exhaustive evaluation, we would emphasize more on the new insight by digesting the emerging bio-inspired surgical technologies with potentials to revolutionize the field. Typical approaches, possible applications, advantages and technical challenges were discussed. Evolutions of surgical robotics and future trends were analyzed. It can be found that, the major difficulties in the field of surgical robots may not be properly addressed by only using conventional approaches. As an alternative, bio-inspired methods or materials may shed light on new innovations. While endeavors to deal with existing strategies still need to be made, attentions should be paid to also borrow ideas from nature.
关键词： minimally invasive surgery surgical robotics haptic feedback miniaturization bio-inspiration bionics
Haolin Sun, Chun Liu, Shunlun Chen, Yanjie Bai, Huilin Yang, Chunde Li, Lei Yang
《医学前沿（英文）》 2019年 第13卷 第5期 页码 590-601 doi: 10.1007/s11684-019-0710-z
关键词： bone cement pedicle screw degenerative spinal diseases calcium phosphate injectable
TRANSLATING THE MULTI-ACTOR APPROACH TO RESEARCH INTO PRACTICE USING A WORKSHOP APPROACH FOCUSING ON
《农业科学与工程前沿（英文）》 2021年 第8卷 第3期 页码 460-473 doi: 10.15302/J-FASE-2021416
The EIP-Agri multiactor approach was exemplified during a 3-day workshop with 63 project participants from the EU H2020 funded project “Redesigning European cropping systems based on species MIXtures”. The objective was to share firsthand experience of participatory research among researchers who were mostly not familiar with this approach. Workshop participants were divided into smaller multidisciplinary groups and given the opportunity to interact with representatives from eight actor positions in the value chain of the agrifood cooperative Terrena located in Western France. The four stages of the workshop were: (1) key actor interviews, (2) sharing proposed solutions for overcoming barriers, and (3) developing possible interdisciplinary concepts. Expressions of frustration were recorded serving both as a motivation for group members to become more aware of the scientific concerns and practices of their colleagues, as well as a recognition that some researchers have better skills integrating qualitative approaches than others. Nevertheless, the workshop format was an effective way to gain a common understanding of the pertinent issues that need to be addressed to meet overall multiactor-approach objectives. Working with the actor networks was identified and emphasized as a means to overcome existing barriers between academia and practice in order to coproduce a shared vision of the benefits of species mixture benefits.
关键词： agroecology codesign intercropping knowledge sharing participatory methods
标题 作者 时间 类型 操作
Comparison of surgical indications for hysterectomy by age and approach in 4653 Chinese women
null
期刊论文
Development of a novel hand−eye calibration for intuitive control of minimally invasive surgical robot
期刊论文
Potential indicators predict progress after surgical resection of gastrointestinal stromal tumors
null
期刊论文
State-of-the-art of intelligent minimally invasive surgical robots
Masakatsu G. Fujie, Bo Zhang
期刊论文
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
Prevention of surgical site infection under different ventilation systems in operating room environment
Zhijian Liu, Haiyang Liu, Hang Yin, Rui Rong, Guoqing Cao, Qihong Deng
期刊论文
Identification of surgical patients at high risk of OSAS using the Berlin Questionnaire to detect potential
null
期刊论文
Challenges and opportunities in improving left ventricular remodelling and clinical outcome following surgical
期刊论文
Surgical robotics: A look-back of latest advancement and bio-inspired ways to tackle existing challenges
Yang LIU, Jing LIU
期刊论文
Effect of surgical factors on the augmentation of cement-injectable cannulated pedicle screw fixation
Haolin Sun, Chun Liu, Shunlun Chen, Yanjie Bai, Huilin Yang, Chunde Li, Lei Yang
期刊论文
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