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Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases

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Hepatobiliary Surgery and Nutrition 2023年第2期12卷 205-215,I0005页

作者： Tan-To Cheung Rong Liu Federica Cipriani Xiaoying Wang Mikhail Efanov David Fuks Gi-Hong Choi Nicholas L.Syn charing C.N.Chong Fabrizio Di Benedetto Ricardo Robles-Campos Vincenzo Mazzaferro Fernando Rotellar Santiago Lopez-Ben James O.Park Alejandro Mejia iswanto Sucandy Adrian K.H.Chiow Marco V.Marino Mikel Gastaca Jae Hoon Lee TPeter Kingham Mathieu D’Hondt Sung Hoon Choi Robert P.Sutcliffe Ho-Seong Han Chung-Ngai Tang Johann Pratschke Roberto i.Troisi Go Wakabayashi Daniel Cherqui Felice Giuliante Davit L.Aghayan Bjorn Edwin Olivier Scatton Atsushi Sugioka Tran Cong Duy Long Constantino Fondevila Mohammad Abu Hilal Andrea Ruzzenente Alessandro Ferrero Paulo Herman Kuo-Hsin Chen Luca Aldrighetti Brian K.P.Goh international robotic and laparoscopic liver resection study group investigators Department of Surgery Queen Mary HospitalThe University of Hong KongHong Kong SARChina Faculty of Hepatopancreatobiliary Surgery The First Medical Center of Chinese People’s Liberation Army(PLA)General HospitalBeijingChina Hepatobiliary Surgery Division IRCCS San Raffaele HospitalMilanItaly Department of Liver Surgery and Transplantation Liver Cancer InstituteZhongshan HospitalFudan UniversityShanghaiChina Department of Hepato-Pancreato-Biliary Surgery Moscow Clinical Scientific CenterMoscowRussia Department of Digestive Oncologic and Metabolic SurgeryInstitute Mutualiste MontsourisUniversite Paris DescartesParisFrance Division of Hepatopancreatobiliary Surgery Department of SurgerySeverance HospitalYonsei University College of MedicineSeoulKorea Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and Yong Loo Lin School of MedicineNational University of SingaporeSingaporeSingapore Division of Hepatobiliary and Pancreatic Surgery Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong KongHong Kong SARChina HPB Surgery and Liver Transplant Unit University of Modena and Reggio EmiliaModenaItaly Department of General Visceral and Transplantation SurgeryClinic and University Hospital Virgen de la ArrixacaIMIB-ARRIXACAMurciaSpain HPB Surgery Hepatology and Liver TransplantationFondazione IRCCS Istituto Nazionale Tumori di MilanoMilanItaly HPB and Liver Transplant Unit Department of General SurgeryClinica Universidad de NavarraUniversidad de NavarraPamplonaSpain institute of Health Research of Navarra(idisNA) PamplonaSpain Hepatobiliary and Pancreatic Surgery Unit Department of SurgeryDr.Josep Trueta HospitalIdIBGiGironaSpain Hepatobiliary Surgical Oncology Department of SurgeryUniversity of Washington Medical CenterSeattleWAUSA The Liver institute Methodist Dallas Medical CenterDallasTXUSA AdventHealth Tampa Digestive Health InstituteTampaFLUSA Hepatopancreatobiliary Unit Department of SurgeryChangi General

Background:The use of laparoscopic(LLR)and robotic liver resections(RLR)has been safely performed in many institutions for liver tumours.A large scale international multicenter study would provide stronger evidence and insight into application of these techniques for huge liver tumours≥10 ***:This was a retrospective review of 971 patients who underwent LLR and RLR for huge(≥10 cm)tumors at 42 international centers between ***:One hundred RLR and 699 LLR which met study criteria were *** comparison between the 2 approaches for patients with huge tumors were performed using 1:3 propensity-score matching(PSM)(73 vs.219).Before PSM,LLR was associated with significantly increased frequency of previous abdominal surgery,malignant pathology,liver cirrhosis and increased median *** PSM,RLR and LLR was associated with no significant difference in key perioperative outcomes including media operation time(242 vs.290 min,P=0.286),transfusion rate rate(19.2%vs.16.9%,P=0.652),median blood loss(200 vs.300 mL,P=0.694),open conversion rate(8.2%vs.11.0%,P=0.519),morbidity(28.8%vs.21.9%,P=0.221),major morbidity(4.1%vs.9.6%,P=0.152),mortality and postoperative length of stay(6 vs.6 days,P=0.435).Conclusions:RLR and LLR can be performed safely for selected patients with huge liver tumours with excellent *** was no significant difference in perioperative outcomes after RLR or LLR.

关键词： Laparoscopic liver resection(LLR) robotic liver resection(RLR) hepatocellular carcinoma colorectal liver metastases huge

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位点特异性小卫星探针的特点及其在法庭科学上的应用

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中国法医学杂志 1988年第3期 158-158页

作者： M.Honma K.Mitan M.Muramatsu i.ishiyama R.Kominami 纪立农东京大学医学部法医学教室东京大学医学部生化教室东京大学医学部生化教室东京大学医学部法医学教室东京大学医学部法医学教室

在人类DNA上发现了许多事变区,它们通常是由前后重复被称为小卫星的短顺列所组成。由于高度变异性,含有微小卫星的DNA为个体识别及亲子鉴定提供了有价值的遗传探针。为了分离出更多的有效的DNA探针,我们建立了一个由许多高度DNA片段组成... 详细信息

在人类DNA上发现了许多事变区,它们通常是由前后重复被称为小卫星的短顺列所组成。由于高度变异性,含有微小卫星的DNA为个体识别及亲子鉴定提供了有价值的遗传探针。为了分离出更多的有效的DNA探针,我们建立了一个由许多高度DNA片段组成的cha-

关键词：微小卫星 DNA 等位基因

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Measurement of^(25)Al+p Resonant Scattering

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iMP & HiRFL Annual Report 2019年第1期 54-55页

作者： Hu Jun H.Yamaguchi Xu Shiwei Zhang Ningtao Ma Shaobo Ru Longhui Liu Enqiang Liu Tong S.Hayakawa Yang Lei H.Shimizu D.Kahl C.B.Hamill A.Murphy Su Jun Fang Xiao K.chae M.Kwag S.cha N.N.Duy N.K.Uyen D.Kim R.G.Pizzone M.La Cognata S.Cherubini S.Romano A.Tumino J.Liang A.Psaltis M.Sferrazza D.Kim S.Kubono 不详

Type i X-ray bursts are the most frequently observed thermonuclear explosions in nature[1].They take place on the surface of accreting neutron star in low-mass X-ray binary systems.

关键词： Scattering systems.

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后交通动脉瘤伴第Ⅲ脑神经麻痹夹闭与盘曲治疗的比较

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世界核心医学期刊文摘（眼科学分册） 2006年第9期2卷 5-5页

作者： Ahn J. Y. Han i. B. Yoon P. H. 张磊(译) Department of Neurosurgery Pundang CHA Hospital 351 Yatap-dong Pundang-gu Sungnam 463-712 South Korea 不详

The authors investigated the evolution of third nerve palsy in patients with posterior communicating artery aneurysms who underwent coiling vs *** was no statistical difference of complete third nerve palsy recovery in both *** techniques were of clinical *** age,diabetes,delayed interventions,and complete third nerve palsy at presentation indicated a poor prognosis for recovery.

关键词：脑神经麻痹后交通动脉瘤治疗后夹闭病情变化临床效果预后不良统计学

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术前肌电图和脑干听觉诱发电位与面肌痉挛微血管减压术后迟发性面瘫发生的关系(英文)

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中华神经外科疾病研究杂志 2012年第4期11卷 326-326页

作者： Kim HJ Park YS Ryu JS Huh R Han i Shin DA Kim TG Cho KG Chung SS Department of Neurosurgery Bundang CHA Medical CenterCHA University

Background Delayed facial palsy ( DFP) after microvascular decompression ( MVD) in patients with hemifacial spasm ( HFS) is not uncommon,but the cause remains unknown. Objectives To assess whether intraoperative electromyography ( EMG) and brainstem auditory evoked potential ( BAEP) can predict DFP after MVD. Methods Between September 2009 and February 2011 we examined 86 patients,9 of whom ( 10. 4% ) developed DFP after MVD on the same side. All patients underwent MVD and were followed - up for a median period of 13 months ( range 6-22) . We retrospectively examined intraoperative facial EMG and BAEP findings using our MVD patients' registry. We excluded secondary HFS and immediate postoperative facial palsy after MVD in this study. We assessed the prevalence and clinical characteristics of DFP and compared EMG and BAEP findings between DFP and non-DFP groups. Results: All pa- tients recovered completely,with a mean time to recovery of 37. 8 days ( range 22-57) . There were no significant differences between DFP and non - DFP patients in terms of the amplitude and latency of intraoperative EMG and BAEP. Conclusion The usefulness of intraoperative facial EMG and BAEP is limited and cannot predict DFP after MVD for HFS. We speculate that DFP after MVD is not associated with permanent nerve damage according to the EMG findings.

关键词：术前肌电图脑干听觉面肌痉挛微血管减压术

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澳門地區心房顫動患病率先導計劃研究

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镜湖医学 2020年第2期20卷 28-30,23页

作者：陳菡子馮秀華招漫玲 Mario Evora 吳燕儀麥惠芝吳寶群陳少穎謝鴻發澳門鏡湖醫院内科中國澳門仁伯爵醫院心臟科中國香港大學内科學系中國

目的調查澳門地區高血壓病或糖尿病的老年人房顫患病率、初診cha_(2)DS_(2)-VASc卒中風險評分,以及患者對房顫的認識程度。方法2019年1月~3月,在門診年齡≥65歲,伴有高血壓病或糖尿病患者中,隨機抽樣210例患者(本院75例,仁伯爵醫院135... 详细信息

目的調查澳門地區高血壓病或糖尿病的老年人房顫患病率、初診cha_(2)DS_(2)-VASc卒中風險評分,以及患者對房顫的認識程度。方法2019年1月~3月,在門診年齡≥65歲,伴有高血壓病或糖尿病患者中,隨機抽樣210例患者(本院75例,仁伯爵醫院135例),採用AliveCor程式初篩可疑房顫患者,後經心電圖檢查確診後行cha_(2)DS_(2)-VASc評分;並在每例入選患者中進行房顫知識問卷調查。結果所調查210例患者(本院75例,仁伯爵醫院135例),其中男性97例,女性113例,平均年齡(74.16±7.08)歲。採用AliveCor程式初篩可疑房顫5例,後經心電圖檢查確診為房顫患者2例(本院1例,仁伯爵醫院1例)。患病率為0.95%。2例房顫患者性別女性,年齡分別為68歲和84歲。其cha_(2)DS_(2)-VASc卒中風險評分分別為3和5分。房顫知曉率為66%;房顫導致相關症狀知曉率為5.5%;瞭解關於房顫導致卒中風險增加知曉率為5.5%。結論這是澳門地區首次開展房顫流行病學調查的先導計劃研究,希望後期通過科學的流行病學調查的方法,明確澳門地區人群房顫患病率,尋找適合地區人文地域特點的房顫早期診斷方法和干預模式。

关键词：心房顫動流行病學 cha_(2)DS_(2)-VASc評分

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