检索结果-南通市图书馆

Does the addition of Braun anastomosis to Billroth Ⅱ reconstruction on laparoscopic-assisted distal gastrectomy benefit patients?

引用

World Journal of Gastrointestinal Oncology 2022年第6期14卷 1141-1147页

作者： xiong-guang li Qi-Ying Song Di Wu Shuo li Ben-Long Zhang li-Yu Zhang Da Guan Xin-Xin Wang Lu liu Department of General Surgery The First Medical Center of Chinese PLA General HospitalBeijing 100853China

BACKGROUND Operation is the primary therapeutic option for patients with distal *** anastomosis is usually performed after Billroth Ⅱ reconstruction,which is wildly applied on distal gastrectomy because it is believed to benefit ***,studies are needed to confirm *** To identify whether the addition of Braun anastomosis to Billroth Ⅱ reconstruction on laparoscopy-assisted distal gastrectomy benefits *** A total of 143 patients with gastric cancer underwent laparoscopy-assisted distal gastrectomy at Centre 1 of PLA general hospital between January 2015 and December *** data of the patients were collected,and 93 of the 143 patients were followed *** 93 patients were divided into two groups:Group 1(Billroth Ⅱ reconstruction,33 patients);and Group 2(Billroth Ⅱ reconstruction combined with Braun anastomosis,60 patients).Postoperative complication follow-up data and relevant clinical data were compared between the two *** There were no significant differences between Group 1 and Group 2 in postoperative complications(6.1%vs 6.7%,P=0.679),anal exhaust time or blood *** follow-up prevalence of reflux gastritis indicated no significant difference between Group 1 and Group 2(68.2%vs 51.7%,P=0.109).The followup European Organization for Research and Treatment of Cancer Quality of life Questionnaire Core-30 scores revealed no evident difference between Group 1 and Group 2 as *** 1 had a shorter operating time than Group 2 on average(234.6 min vs 262.0 min,P=0.017).CONCLUSION Combined with Billroth Ⅱ reconstruction,Braun anastomosis has been applied due to its ability to reduce the prevalence of reflux *** in this study,the prevalence of reflux gastritis showed no significant difference,leading to a conclusion that under the circumstance of Braun anastomosis costing more time and more money,simple Billroth Ⅱ reconstruction should be widely applied.

关键词： Gastric cancer BillrothⅡreconstruction Braun anastomosis Bile reflux

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Role of prophylactic hyperthermic intraperitoneal chemotherapy in patients with locally advanced gastric cancer

引用

World Journal of Gastrointestinal Oncology 2020年第7期12卷 782-790页

作者： Tian-Yu Xie Di Wu Shuo li Zhao-Yan Qiu Qi-Ying Song Da Guan li-Peng Wang xiong-guang li Feng Duan Xin-Xin Wang School of Medicine Nankai UniversityTianjin 300071China Department of General Surgery Chinese PLA General HospitalBeijing 100853China

BACKGROUND Gastric cancer is the second most common malignant tumor in China,ranking third among all malignant tumor mortality *** intraperitoneal chemotherapy(HIPEC)has been shown to increase significantly the effectiveness of intraperitoneal chemotherapeutic drugs,prolong the action time of these drugs on intraperitoneal tumor cells,and enhance their diffusion in tumor *** may be one of the best choices for the eradication of residual cancer cells in the abdominal *** The aim of this study was to study the role of preventive HIPEC after radical *** A prospective analysis was performed with patients with c T4 N0-3 M0 gastric cancer to compare the effects of postoperative prophylactic HIPEC plus intravenous chemotherapy with those of routine adjuvant ***’medical records were analyzed,and differences in the peritoneal recurrence rate,diseasefree survival time,and total survival time between groups were *** The first site of tumor recurrence was the peritoneum in 11 cases in the conventional adjuvant chemotherapy group and in 2 cases in the HIPEC group(P=0.020).The 1-year and 3-year disease-free survival rates were 91.9%and 60.4%,respectively,in the conventional adjuvant chemotherapy group and 92.1%and 63.0%,respectively,in the HIPEC *** 1-year and 3-year overall survival rates were 95.2%and 66.3%,respectively,in the conventional adjuvant chemotherapy group and 96.1%and 68.6%,respectively,in the HIPEC *** significant difference in postoperative or chemotherapy complications was observed between *** In patients with c T4 N0-3 M0 gastric cancer,prophylactic HIPEC after radical tumor surgery is beneficial to reduce peritoneal tumor recurrence and prolong survival.

关键词： Hyperthermic intraperitoneal chemotherapy Gastric cancer Prognosis Locally advanced Overall survival Disease-free survival

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of early oral feeding after radical total gastrectomy in gastric cancer patients

引用

World Journal of Gastroenterology 2020年第36期26卷 5508-5519页

作者： Yi-Xun Lu Yan-Jun Wang Tian-Yu Xie Shuo li Di Wu xiong-guang li Qi-Ying Song li-Peng Wang Da Guan Xin-Xin Wang Department of General Surgery Chinese PLA General HospitalBeijing 100853China Department of Surgical Intensive Care Unit Children’s Hospital Affiliated to Zhengzhou UniversityChildren’s Hospital of Henan ProvenceZhengzhou 450018Henan ProvinceChina

BACKGROUND Gastric cancer(GC)is a heavy burden in *** support for GC patients is closely related to postoperative ***,the role of early oral feeding after laparoscopic radical total gastrectomy in GC patients is unclear and high-quality research evidence is *** To prospectively explore the safety,feasibility and short-term clinical outcomes of early oral feeding after laparoscopic radical total gastrectomy for GC *** This study was a prospective cohort study conducted between January 2018 and December 2019 based in a high-volume tertiary hospital in China.A total of 206 patients who underwent laparoscopic radical total gastrectomy for GC were *** which,105 patients were given early oral feeding(EOF group)after surgery,and the other 101 patients were given the traditional feeding strategy(control group)after *** clinical data were recorded and *** primary endpoints were gastrointestinal function recovery time and postoperative complications,and the secondary endpoints were postoperative nutritional status,length of hospital stay and expenses,*** Compared with the control group,patients in the EOF group had a significantly shorter postoperative first exhaust time(2.48±1.17 d vs 3.37±1.42 d,P=0.001)and first defecation time(3.83±2.41 d vs 5.32±2.70 d,P=0.004).In addition,the EOF group had a significant shorter postoperative hospitalization duration(5.85±1.53 d vs 7.71±1.56 d,Plization expenses(16.60±5.10 K¥vs 21.00±7.50 K¥,P=0.014).On the 5th day after surgery,serum prealbumin level(214.52±22.47 mg/L vs 204.17±20.62 mg/L,P=0.018),serum gastrin level(246.30±57.10 ng/L vs 223.60±55.70 ng/L,P=0.001)and serum motilin level(424.60±68.30 ng/L vs 409.30±61.70 ng/L,P=0.002)were higher in the EOF ***,there was no significant difference in the incidence of total postoperative complications between the two groups(P=0.507).CONCLUSION Early

关键词： Gastric cancer Laparoscopic surgery Early oral feeding

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

3D laparoscopic-assisted vs open gastrectomy for carcinoma in the remnant stomach: A retrospective cohort study

引用

World Journal of Gastrointestinal Surgery 2022年第8期14卷 754-764页

作者： Di Wu Qi-Ying Song xiong-guang li Tian-Yu Xie Yi-Xun Lu Ben-Long Zhang Shuo li Xin-Xin Wang Medical School of Chinese PLA Beijing 100853China Department of General Surgery The First Medical CentreChinese PLA General HospitalBeijing 100853China

BACKGROUND Three-dimensional(3D) laparoscopic technique has gradually been applied to the treatment of carcinoma in the remnant stomach(CRS), but its clinical efficacy remains *** To compare the short-term and long-term results of 3D laparoscopic-assisted gastrectomy(3DLAG) with open gastrectomy(OG) for *** The clinical data of patients diagnosed with CRS and admitted to the First Medical Center of Chinese PLA General Hospital from January 2016 to January 2021 were retrospectively collected. A total of 84 patients who met the inclusion and exclusion criteria were enrolled. All their clinical data were collected and a database was established. All patients were treated with 3DLAG or OG by experienced surgeons and were divided into two groups based on the different surgical methods mentioned above. By using outpatient and telephone follow-up,we were able to determine postoperative survival and tumor status. The postoperative short-term efficacy and 1-year and 3-year overall survival(OS) rates were compared between the two *** Among 84 patients with CRS, 48 were treated with OG and 36 with 3DLAG. All patients successfully completed surgery. There was no significant difference between the two groups in terms of age, gender, body mass index, ASA score,initial disease state(benign or malignant), primary surgical anastomosis method,interval time of carcinogenesis, and tumorigenesis site. Patients in the 3DLAG group experienced less intraoperative blood loss(188.33 ± 191.35 mL vs 305.83 ± 303.66 mL;P =0.045) and smaller incision(10.86 ± 3.18 cm vs 20.06 ± 5.17 cm;P lication rate(8.3% vs 20.8%;P = 0.207) and intensive care unit admission rate

关键词： Carcinoma in the remnant stomach Remnant gastric cancer 3D laparoscopic-assisted gastrectomy Open gastrectomy Safe Effective

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Laparoscopic-assisted vs open transhiatal gastrectomy for Siewert type Ⅱ adenocarcinoma of the esophagogastric junction: A retrospective cohort study

引用

World Journal of Gastrointestinal Surgery 2022年第4期14卷 304-314页

作者： Qi-Ying Song xiong-guang li li-Yu Zhang Di Wu Shuo li Ben-Long Zhang Zi-Yao Xu Ri-li-Ge Wu Xin Guo Xin-Xin Wang Medical School of Chinese People’s liberation Army Chinese People’s Liberation Army General HospitalBeijing 100853China School of Medicine Nankai UniversityTianjin 300071China Medical Big Data Research Center Chinese PLA General HospitalBeijing 100853China Air Force Medical University Xijing Hospital Xi’an 710000Shaanxi ProvinceChina Department of General Surgery Chinese People’s Liberation Army General HospitalBeijing 100853China

BACKGROUND The studies of laparoscopic-assisted transhiatal gastrectomy(LTG) in patients with Siewert type Ⅱ adenocarcinoma of the esophagogastric junction(AEG) are *** To compare the surgical efficiency of LTG with the open transhiatal gastrectomy(OTG) for patients with Siewert type Ⅱ *** We retrospectively evaluated a total of 578 patients with Siewert type Ⅱ AEG who have undergone LTG or OTG at the First Medical Center of the Chinese People’s liberation Army General Hospital from January 2014 to December 2019. The short-term and long-term outcomes were compared between the LTG(n = 382) and OTG(n = 196) *** Compared with the OTG group, the LTG group had a longer operative time but less blood loss, shorter length of abdominal incision and an increased number of harvested lymph nodes(P liquid food, ambulate, expel flatus and discharge sooner than the OTG group(P lications and R0 resection. The 3-year overall survival and disease-free survival performed better in the LTG group compared with that in the OTG group(88.2% vs 79.2%, P = 0.011;79.7% vs 73.0%, P = 0.002, respectively). In the stratified analysis, both overall survival and disease-free survival were better in the LTG group than those in the OTG group for stage Ⅱ/Ⅲ patients(P < 0.05) but not for stage I *** For patients with Siewert type Ⅱ AEG, LTG is associated with better short-term outcomes and similar oncology safety. In addition, patients with advanced stage AEG may benefit more from LTG in the long-term outcomes.

关键词： Adenocarcinoma of the esophagogastric junction Siewert type II Laparoscopic-assisted transhiatal gastrectomy Open transhiatal gastrectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

抗菌药物神经毒性的机制及危险因素研究进展

引用

中国抗生素杂志 2023年第4期48卷 381-391页

作者：熊立广李昕向德标袁芳童焕湖南中医药大学长沙410015 长沙市第三医院长沙410015 长沙市抗菌药物临床应用研究所长沙410015

抗菌药物作为治疗及预防细菌感染的特效药,在临床上被广泛使用,同时也存在一系列的副作用。其中,神经毒性是抗菌药物临床使用过程中最常见的一种严重且易混淆的毒副作用。本文就抗菌药物神经毒性的临床症状、作用机制、危险因素以及防... 详细信息

抗菌药物作为治疗及预防细菌感染的特效药,在临床上被广泛使用,同时也存在一系列的副作用。其中,神经毒性是抗菌药物临床使用过程中最常见的一种严重且易混淆的毒副作用。本文就抗菌药物神经毒性的临床症状、作用机制、危险因素以及防治措施进行总结,为抗菌药物临床合理用药及有效防治抗菌药物的神经毒性提供科学依据。

关键词：抗菌药物神经毒性机制危险因素防治措施

来源：

维普期刊数据库

同方期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Influence of introducing Zr,Ti,Nb and Ce elements on externally solidified crystals and mechanical properties of high-pressure die-casting Al–Si alloy

引用

International Journal of Minerals,Metallurgy and Materials 2025年第1期32卷 147-153页

作者： Junjie li Wenbo Yu Zhenyu Sun Weichen Zheng liangwei Zhang Yanling Xue Wenning liu Shoumei xiong Center of Materials Science and Engineering School of Mechanical and Electronic Control EngineeringBeijing Jiaotong UniversityBeijing 100044China Traffic&Transportation Engineering Central South UniversityChangsha 410075China Shanghai Synchrotron Radiation Facility Shanghai Advanced Research InstituteChinese Academy of SciencesShanghai 201204China School of Materials Science and Engineering Tsinghua UniversityBeijing 100084China

High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile *** can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated ***,the development of non-heat treatment Al alloys is becoming the hot *** addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of *** achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and *** influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic *** results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased ***,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical *** introduction of Ce resulted in the poisoning effect and reduced mechanical properties.

关键词： aluminium alloy high-pressure die-casting externally solidified crystals non-heat treatment

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

回转器电路特性的分析

引用

太原工业大学学报 1984年第4期 83-94页

作者：熊光煜李肖伟

本文通过对一种回转器电路的特性进行计算分析,给出分析方法并讨论了回转器设计及应用中所关心的一些问题,如回转频率、稳定性、模拟电感及适用范围、灵敏度等。同样的方法也适用于其他的回转器电路分析,可供回转器的设计及应用时参考。

关键词：回转器绝对稳定运算放大器电路特性模拟电感

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

5A02铝合金薄壁管材热挤压缩径增厚成形试验研究及优化

引用

塑性工程学报 2019年第5期26卷 7-14页

作者：邱泽宇徐雪峰付春林肖洁熊光利南昌航空大学航空制造工程学院江西南昌330063 中航工业洪都航空工业集团公司江西南昌330024

为解决某型飞机拉杆缩径端部直接攻螺纹的问题,首次提出了5A02薄壁铝合金管端热挤压缩径增厚成形方法,设计并制造了成形模具。研究了增厚区直段尺寸、模具肩部长度与模具锥角对薄壁管热挤压缩径增厚行为的影响,并优化了成形工艺路径。... 详细信息

为解决某型飞机拉杆缩径端部直接攻螺纹的问题,首次提出了5A02薄壁铝合金管端热挤压缩径增厚成形方法,设计并制造了成形模具。研究了增厚区直段尺寸、模具肩部长度与模具锥角对薄壁管热挤压缩径增厚行为的影响,并优化了成形工艺路径。试验结果表明:增厚区直段长度和外径过大易导致直段部分失稳起皱;模具肩部过长,材料易在支撑区产生堆积且易出现失稳屈曲,在满足管材可预热的条件下,模具肩部长度应越短越好;采用模具锥角为12°和16°的凹模单道次热挤压成形时,位于缩径区域的管材易出现起皱,且增厚区径向增厚不明显;采用先大锥角后小锥角两道次热挤压成形后,成形件缩径段径向尺寸由1.00增至4.06 mm,增厚率为306%,成形效果良好。

关键词： 5A02铝合金增厚区直段模具肩部模具锥角缩径增厚

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Traditional Chinese medicine in the treatment of Helicobacter pylorirelated gastritis:The mechanisms of signalling pathway regulations

引用

World Journal of Gastroenterology 2025年第3期31卷 11-28页

作者： Pei-Pei Zhang liang li Hao-Yu Qu guang-Yu Chen Meng-Zhou Xie Yan-Kun Chen School of Traditional Chinese Medicine Hunan University of Chinese MedicineChangsha 410200Hunan ProvinceChina Hunan Engineering Technology Research Center for Medicinal and Functional Food Hunan University of Chinese MedicineChangsha 410200Hunan ProvinceChina Key Laboratory of Traditional Chinese Medicine Heart and Lung Syndrome Differentiation and Medicated Diet and Dietotherapy Hunan University of Chinese MedicineChangsha 410200Hunan ProvinceChina School of Informatics Hunan University of Chinese MedicineChangsha 410208Hunan ProvinceChina Precision Medicine Research and Development Center Zhuhai Institute of Advanced TechnologyChinese Academy of SciencesZhuhai 519000Guangdong ProvinceChina

Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal ***,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,gastrointestinal dysfunction,and increased recurrence *** these concerns develop,traditional Chinese medicine(TCM)may have *** is based on the concept of completeness and aims to eliminate pathogens and strengthen the *** has the potential to prevent this condition while also boosting the rate of Helicobacter pylori *** review elaborates on the mechanism of TCM treatment for HPAG based on cellular signalling pathways,which reflects the flexibility of TCM in treating diseases and the advantages of multi-level,multipathway,and multi-target treatments for HPAG.

关键词： Helicobacter pylori Helicobacter pylori-associated gastritis Traditional Chinese medicine Signalling pathway Eliminate pathogens Strengthen the body

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：