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Hepatectomy for huge hepatocellular carcinoma in 634 cases

World Journal of Gastroenterology 2006年第29期12卷 4652-4655页

作者： xiao-ping chen fa-zu qiu zai-de wu bi-xiang zhang Hepatic Surgery Center Tongji Hospital MedicalCollegeHuazhong University of Science and Technology Wuhan 430030Hubei Province China

AIM： To clarify the safety and feasibility of hepatectomy for huge hepatocellular carcinoma （HCC）. METHODS： A total of 4765 patients with HCC operated at Tongji Hospital were retrospectively studied, of them, 780 patients had huge HCC （10 cm or more in diameter）. Hepatectomy was carried out on 634 patients （81.2%）. The majority of the liver resection were major resections, and combined resection of the adjacent organs or structures was common （17.2%）. The liver resection was combined with portal vein thrombectomy in 139 patients （21.9%）. RESULTS： Postoperative complications were common （26.8%） and required another laparotomy to prevent the complications in 5 patients （0.8%）. The 30-d mortality was 2.2%. The main causes of postoperative deaths were liver failure （n = 9）, postoperative bleeding （n = 4） and septic complication （n = 1）. The 3-, 5- and 10-year survival rates after liver resection were 35.1%, 18.2% and 3.5%, respectively. CONCLUSION： Hepatectomy for huge HCC is safe and effective. It should be used to treat patients with low surgical risks and resectable tumours.

关键词： Hepatectomy Huge hepatocellular

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Hepatectomy for patients with huge primary liver cancer in Hubei Province of China

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Hepatobiliary & Pancreatic Diseases International 2002年第1期1卷 46-51页

作者： xiao-ping chen bi-xiang zhang zai-de wu fa-zu qiu From the Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, wuhan 430030, China Hepatic Surgery Center Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430030 China.

Objective: To discuss the safety and feasibility of hep-atectomy for huge primary liver cancer (PLC).Methods: The effect of resection of huge PLC was ex-amined retrospectively. Some problems in resection ofhuge PLC were ***: Of 375 patients with huge PLC undergoinghepatectomy, 11 (2.9%) died in one month after op-eration. The 1-, 2-, 3-, 5- and 10-year survivalrates of the patients were 63.3%, 45.6%, 34.7%,16.5% and 1.8%, respectively. The effect of prolong-ing survival time was ***: Hepatectomy for huge PLC is safe, feasi-ble, and effective.

关键词： primary liver cancer hepatectomy

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Diagnosis and Treatment of Cholangiocarcinoma: A Consensus from Surgical Specialists of China

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2014年第4期34卷 469-475页

作者： Jian-qiang Cai Shou-wang Cai Wen-ming Cong Min-shan chen ping chen xiao-ping chen Yan-ling chen Yi-fa chen Chao-liu Dai Qiang Huang Zhi-yong Huang Bo Jiang bin Jiang Ke-wei Jiang Bo Li Zong-fangLi Li-jian Liang bin Liu Hui-chun Liu Lian-xin Liu Qing-guang Liu Rong Liu Ying-bin Liu Jian-guo Lu Shi-chun Lu Yi Lu Yi-lei Mao bin Mei Jun Niu Bao-gang Peng xiao Qin Yu-dong qiu Guang-yi Wang Yao-don Wangg Zhi-ming Wang Ren-hua Wan Ya-fu wu Bao-cai Xing Feng Xia Ge-liang Xu Jia-mei Yang xiao-fang Yu Yong Zeng Yong-yi Zeng bi-xiang zhang bin-hao zhang Qi-yu zhang Shui-jun zhang Wan-guang zhang Yong-jie zhang Zhi-wei zhang Dong Zhou Wei-ping Zhou Cancer Institute and Hospital Chinese Academy of Medical Sciences Chinese PLA General Hospital Eastern Hepatobiliary Surgery Hospital of Second Military Medical University Sun Yat-sen University Cancer Center Daping Hospital of Third Military Medical University Tongji Hospital Tongji Medical CollegeHuazhong University of Science and Technology Fujian Medical University Union Hospital Shengjing Hospital of China Medical University Anhui Provincial Hospital Hunan Provincial People’s Hospital Taihe Hospital Affiliated to Hubei University of Medicine Peking University People’s Hospital West China Hospital Sichuan University The Second Affiliated Hospital of Xi’an Jiao Tong University The First Affiliated Hospital Sun Yat-sen University First Affiliated Hospital of Kunming Medical University The First Affiliated Hospital of Bengbu Medical College The First Affiliated Hospital of Harbin Medical University The First Affiliated Hospital of Xi’an Jiao Tong University Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Tangdu Hospital of Fourth Military Medical University Peking Union Medical College Hospital Qilu Hospital of Shandong University The First Affiliated Hospital of Guangxi Medical University Nanjing Drum Tower Hospital The First Affiliated Hospital of Jilin University Fujian Provincial Hospital xiangya Hospital of Central South University The First Affiliated Hospital of Nanchang University Beijing Cancer Hospital Southwest Hospital of Third Military Medical University Shenzhen People’s Hospital The First Affiliated Hospital of Fujian Medical University The First Affiliated Hospital of Wenzhou Medical University The First Affiliated Hospital of Zhengzhou University Fujian Provincial Cancer Hospital

Cholangiocarcinoma refers to malignant tumors that develop in epithelial lining of biliary system, and it is divided into two categories according to tumor location, intrahepatic cholangiocarcinoma （ICC） and extrahepatic cholangiocarcinoma （ECC）. ICC occurs from the epithelial cells of the intrahepatic bile duct, its branches and interlobular biliary tree; and ECC is divided into hilar cholangiocarcinoma and distal cholangiocarcinoma by the circumscription at the confluence of cystic duct and the common hepatic duct.

关键词： A Consensus from Surgical Specialists of China Diagnosis and Treatment of Cholangiocarcinoma

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Effects of Location and Extension of Portal Vein Tumor Thrombus on Long-Term Outcomes of Surgical Treatment for Hepatocellular Carcinoma

Effects of Location and Extension of Portal Vein Tumor Throm...

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山东抗癌协会普外肿瘤专业委员会第三次学术会议

作者： xiao-ping chen, MD, PhD, faCS, fa-zu qiu, MD, PhD, zai-de wu, MD, PhD, Zhi-Wei zhang, MD, PhD, Zhi-Yong Huang, MD, PhD, Yi-fa chen, MD, PhD, bi-xiang zhang, MD, PhD, Song-Qing He, MD, PhD, and Wan-Guang zhang, MD, PhD Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 wuhan. People''s Republic of China

＜正＞Background: The role of surgical resection and thrombectomy for hepatocellular carcinoma （HCC） with portal vein tumor thrombus （PVTT） is controversial. This study aimed to evaluate the effects of the location and extent of PVTT on the long-term outcomes of surgical treatment for HCC. Methods: A total of 438 patients with HCC and PVTT underwent liver resection with or without thrombectomy. These 438 patients were divided into 2 groups: in group A, PVTT was located in the hepatic resection area or protruded into the first branch of the main portal vein beyond the resection line for ＜ 1 cm （286 patients）, and in group B, PVTT extended into the main portal vein （1S2 patients）. Concomitant thrombectomy was performed in 147 patients （51.4%） of group A and in all patients of group B. Results: PVTT recurrence within 6 months after surgery in group B was significantly higher than that in group A: 76.9% vs. 11.3%. Remnant liver recurrence within 1 year after surgery was 43.0% in group A and 78.8% in group B. The cumulative 1-, 2-. 3-, and 5-year overall survival rates were 58.7%, 39.9%, 22.7%, and 18.1% for group A and 39.5%. 20.4%, 5.7%, and 0% for group B, respectively. The overall survivals were significantly better in group A than group B （P ＜ .02）. Conclusions: Liver resection with thrombectomy yielded better outcomes in the HCC patients with PVTT confined to the first or second branch of the main portal vein compared with PVTT extending into the main portal vein.

关键词： Hepatocellular carcinoma-Portal vein tumor thrombus-Liver resection-Survival-Thrombectomy.

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CEPC Technical design Report

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Radiation detection Technology and Methods 2024年第1期8卷 I0003-I0016,1-1091页

作者： Waleed Abdallah Tiago Carlos Adorno de Freitas Konstantin Afanaciev Shakeel Ahmad Ijaz Ahmed xiaocong Ai Abid Aleem Wolfgang Altmannshofer fabio Alves Weiming An Rui An Daniele Paolo Anderle Stefan Antusch Yasuo Arai Andrej Arbuzov Abdesslam Arhrib Mustafa Ashry Sha Bai Yu Bai Yang Bai Vipul Bairathi Csaba Balazs Philip Bambade Yong Ban Tripamo Bandyopadhyay Shou-Shan Bao desmond P.Barber Ayse Bat Varvara Batozskaya Subash Chandra Behera Alexander Belyaev Michele Bertucci xiao-Jun bi Yuanjie bi Tianjian bian fabrizio bianchi Thomas biekotter Michela biglietti Shalva bilanishvili deng binglin denis Bodrov Anton Bogomyagkov Serge Bondarenko Stewart Boogert Maarten Boonekamp Marcello Borri Angelo Bosotti Vincent Boudry Mohammed Boukidi Igor Boyko Ivanka Bozovic Giuseppe Bozzi Jean-Claude Brient Anastasiia Budzinskaya Masroor Bukhari Vladimir Bytev Giacomo Cacciapaglia Hua Cai Wenyong Cai wujun Cai Yijian Cai Yizhou Cai Yuchen Cai Haiying Cai Huacheng Cai Lorenzo Calibbi Junsong Cang Guofu Cao Jianshe Cao Antoine Chance Xuejun Chang Yue Chang Zhe Chang Xinyuan Chang Wei Chao Auttakit Chatrabhuti Yimin Che Yuzhi Che bin chen Danping chen Fuqing chen Fusan chen Gang chen Guoming chen Hua-Xing chen Huirun chen Jinhui chen Ji-Yuan chen Kai chen Mali chen Mingjun chen Mingshui chen Ning chen Shanhong chen Shanzhen chen Shao-Long chen Shaomin chen Shiqiang chen Tianlu chen Wei chen xiang chen xiaoyu chen Xin chen Xun chen Xurong chen Ye chen Ying chen Yukai chen Zelin chen Zilin chen Gang chen Boping chen Chunhui chen Hok Chuen cheng Huajie cheng Shan cheng Tongguang cheng Yunlong Chi Pietro Chimenti Wen Han Chiu Guk Cho Ming-Chung Chu xiaotong Chu Ziliang Chu Guglielmo Coloretti Andreas Crivellin Hanhua Cui xiaohao Cui Zhaoyuan Cui Brunella D'Anzi Ling-Yun Dai Xinchen Dai Xuwen Dai Antonio de Maria Nicola de Filippis Christophe de La Taille Francesca de Mori Chiara de Sio Elisa del Core Shuangxue deng Wei-Tian deng Zhi deng Ziyan deng Bhupal dev Tang dewen biagio Di Micco Ran Ding Siqin Dingl Yadong Ding Haiyi Dong Jianin AGH University of Science and Technology Faculty of Physics and Applied Computer ScienceKrakow Anhui University HefeiAnhui Applied Physics department Federal Urdu University of ArtsScience and TechnologyIslamabad Banaras Hindu University Institute of ScienceVaranasi Bandirma Onyedi Eylul University Bandirma Beihang University Beijing Beijing Computational Science Research Center Beijing Beijing Conveyi LTD Beijing Beijing Glass Research Institute Co. LtdBeijing Beijing Institute of Technology Beijing Beijing Normal University Beijing Brown University ProvidenceRI Budker Institute of Nuclear Physics Novosibirsk Cadi Ayyad University Laboratory of Fundamental and Applied PhysicsPolydisciplinary FacultyMarrakech Cairo University Giza Center for Theory and Computation National Tsing Hua UniversityHsinchu Central China Normal University WuhanHubei Central South University ChangshaHunan Centro de Fisica Teorica de Particulas Universidade Tecnica de LisboaLisboa chengdu KaitengSifang Digital Radio&TV Equipment Co. LtdChengduSichuan China academy of engineering physics MianyangSichuan China building materials academy Beijing China Center of Advanced Science and Technology Beijing China Institute of Atomic Energy Beijing China Jiliang University HangzhouZhejiang China Nuclear Instrument CO. LTDBeijing China University of Geosciences Beijing China University of Geosciences WuhanHubei China University of Mining and Technology XuzhouJiangsu China West Normal University NanchongSichuan Chongqing University Department of PhysicsChongqing Chulalongkorn University Bangkok City University of Hong Kong Department of PhysicsHong Kong Cockcroft Institute Daresbury Cornell University IthacaNY CPPM(AMU/IPhU&CNRS/INP) Marseille Dalian Minzu University DalianLiaoning Dalian University of Technology Department of PhysicsDalian deutsches Elektronen-Synchrotron deSY Hamburg Dzhelepov Laboratory of Nuclear Problems of Joint Institute for Nuclear Research(DLNP JINR) Dubna East China University Of Science And Technol

The Circular Electron Positron Collider(CEPC)is a large scientific project initiated and hosted by China,fostered through extensive collaboration with international *** complex comprises four accelerators:a 30 GeV Linac,a 1.1 GeV Damping Ring,a Booster capable of achieving energies up to 180 GeV,and a Collider operating at varying energy modes(Z,W,H,and tt).The Linac and Damping Ring are situated on the surface,while the subterranean Booster and Collider are housed in a 100 km circumference underground tunnel,strategically accommodating future expansion with provisions for a potential Super Proton Proton Collider(SPPC).The CEPC primarily serves as a Higgs *** its baseline design with synchrotron radiation(SR)power of 30 MW per beam,it can achieve a luminosity of 5×10^(34)cm^(-2)s^(-1)per interaction point(IP),resulting in an integrated luminosity of 13 ab^(-1)for two IPs over a decade,producing 2.6 million Higgs *** the SR power to 50 MW per beam expands the CEPC's capability to generate 4.3 million Higgs bosons,facilitating precise measurements of Higgs coupling at sub-percent levels,exceeding the precision expected from the HL-LHC by an order of *** Technical design Report(TDR)follows the Preliminary Conceptual design Report(Pre-CDR,2015)and the Conceptual design Report(CDR,2018),comprehensively detailing the machine's layout,performance metrics,physical design and analysis,technical systems design,R&D and prototyping efforts,and associated civil engineering ***,it includes a cost estimate and a preliminary construction timeline,establishing a framework for forthcoming engineering design phase and site selection *** is anticipated to begin around 2027-2028,pending government approval,with an estimated duration of 8 *** commencement of experiments and data collection could potentially be initiated in the mid-2030s.

关键词： initiated exceeding precise

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住院极早产儿宫外生长迟缓及相关因素的多中心前瞻性研究

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中国当代儿科杂志 2022年第2期24卷 132-140页

作者：沈蔚郑直林新祝吴繁田倩欣崔其亮袁媛任玲毛健石碧珍王玉梅刘玲张京慧常艳美童笑梅朱燕张蓉叶秀桢邹静静李怀玉赵宝银邱银萍刘淑华马莉徐颖程锐周文莉武辉刘志勇陈冬梅高金枝刘晶陈玲李丛杨春燕许平张亚昱呼斯乐梅花杨祖铭冯宗太王三南孟二艳尚利宏徐发林欧少苹巨容中国医师协会新生儿科医师分会营养专业委员会全国多中心EUGR协作组厦门大学附属妇女儿童医院/厦门市妇幼保健院福建厦门361003 广州医科大学附属第三医院儿科广东广州510150 中国医科大学附属盛京医院辽宁沈阳110000 贵阳市妇幼保健院·贵阳市儿童医院贵州贵阳550002 北京大学第三医院北京100191 复旦大学附属儿科医院上海201102 广东省妇幼保健院广东广州510030 宁夏医科大学总医院宁夏银川750001 河北省儿童医院河北石家庄050031 南京医科大学附属儿童医院江苏南京210000 吉林大学第一医院吉林长春130000 泉州市妇幼保健院·儿童医院福建泉州362000 华中科技大学同济医学院附属同济医院湖北武汉430000 山东省聊城市人民医院山东聊城252000 内蒙古医科大学附属医院内蒙古呼和浩特010010 苏州市立医院江苏苏州215002 郑州大学第三附属医院(河南省妇幼保健院) 河南郑州450052 电子科技大学医学院附属妇女儿童医院·成都市妇女儿童中心医院四川成都611731 不详

目的了解我国住院极早产儿(very preterm infant,VPI)宫外生长迟缓(extrauterine growth restriction,EUGR)的发生率及影响因素。方法采用多中心前瞻性调查研究方法,纳入2019年9月至2020年12月我国7个地区28家医院新生儿科的2514例VPI... 详细信息

目的了解我国住院极早产儿(very preterm infant,VPI)宫外生长迟缓(extrauterine growth restriction,EUGR)的发生率及影响因素。方法采用多中心前瞻性调查研究方法,纳入2019年9月至2020年12月我国7个地区28家医院新生儿科的2514例VPI临床资料,根据纠正胎龄36周或出院时的体重评估是否发生EUGR,分成EUGR组(n=1189)和非EUGR组(n=1325)。比较两组VPI的临床特征,探讨EUGR的发生情况及相关因素。结果以体重评价,EUGR的发生率为47.30%(1189/2514)。多因素logistic结果显示,恢复出生体重后平均体重增长速率快和住院第1周累计热卡高是EUGR的保护因素(P<0.05),小于胎龄儿、达全肠内营养所需时间长、累计禁食时间长、开始添加母乳强化剂时的母乳量少及达到全强化的所需时间长、中-重度支气管肺发育不良是EUGR发生的危险因素(P<0.05)。结论尽早达全肠内营养,及时强化母乳喂养,增加生后第1周的热卡摄入,提高体重增长速率,以及防治中-重度支气管肺发育不良对降低VPI EUGR的发生率至关重要。

关键词：宫外生长迟缓营养危险因素极早产儿

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