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比较Episure^TM AutoDetect^TM注射器和玻璃注射器用于判断产妇硬膜外间隙的先导研究

麻醉与镇痛 2009年第2期5卷 78-80页

作者： Ashraf S. habib, MBBCh, MSc, FRCA Ronald B. George, md. FRCPC, Terrence K. Allen, MBBS, FRCA Adeyemi J. Olufolabi, MBBS, DCH, FRCA 吴水晶(译) Department of Anesthesiology Division of Women's Anesthesia Duke University Medical Center Durham North Carolina 不详

Episure^TM AutoDetect^TM注射器是一种内置弹簧的新型注射器，由于注射器内部使用压缩弹簧对针栓保持了持续的压力，能够自动检测硬膜外穿刺过程中的阻力丧失。本项先导研究在接受硬膜外镇痛的产妇中，比较了使用Episure^TM AutoDe-tec... 详细信息

Episure^TM AutoDetect^TM注射器是一种内置弹簧的新型注射器，由于注射器内部使用压缩弹簧对针栓保持了持续的压力，能够自动检测硬膜外穿刺过程中的阻力丧失。本项先导研究在接受硬膜外镇痛的产妇中，比较了使用Episure^TM AutoDe-tect^TM注射器和标准玻璃注射器判断穿刺进入硬膜外间隙的准确性。初级观察指标为硬膜外镇痛失败的发生率。研究共纳入325例产妇。其中291例（90％）硬膜外镇痛操作由8名住院医师实施，其余34例（10％）由2名主治医师实施。玻璃注射器组中有5例硬膜外镇痛失败，Episure^TM AutoDetect^TM注射器组无一例硬膜外镇痛失败（P=0．025）。

关键词：玻璃注射器硬膜外间隙产妇硬膜外镇痛硬膜外穿刺注射器内自动检测住院医师

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Robotic pancreaticoduodenectomy:Where do we stand?

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Artificial Intelligence in Gastrointestinal Endoscopy 2021年第4期2卷 103-109页

作者： Hussein H Khachfe Joseph R habib Mohamad A Chahrour Ibrahim Nassour Surgery Department University of Pittsburgh Medical CenterPittsburghPA 15261United States Surgery Department Johns Hopkins UniversityBalitmoreMD 21287United States Surgery Department Henry Ford Health SystemDetroitMI 48202United States

Pancreaticoduodenectomy(PD)is a complex operation accompanied by significant morbidity *** to this complexity,the transition to minimally invasive PD has lagged behind other abdominal surgical *** safety,feasibility,favorable post-operative outcomes of robotic PD have been suggested by multiple *** to open surgery and other minimally invasive techniques such as laparoscopy,robotic PD offers satisfactory outcomes,with a non-inferior risk of adverse *** of robotic PD have been on rise with centers substantially increasing the number the operation *** promising,findings on robotic PD need to be corroborated in prospective trials.

关键词： Pancreaticoduodenectomy Whipple Procedure Pancreas Robotic Surgery

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Management of granulomatous lobular mastitis: an international multidisciplinary consensus(2021 edition)

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Military Medical Research 2022年第4期9卷 389-403页

作者： Qian-Qian Yuan Shu-Yuan Xiao Omar Farouk Yu-Tang Du Fereshte Sheybani Qing Ting Tan Sami Akbulut Kenan Cetin Afsaneh Alikhassi Rami Jalal Yaghan Irmak Durur-Subasi Fatih Altintoprak Tae Ik Eom Fatih Alper Mustafa Hasbahceci David Martínez-Ramos Pelin Seher Oztekin Ava Kwong Cedric W.Pluguez-Turul Kirstyn EBrownson Shirish Chandanwale Mehran habib Liu-Yi Lan Rui Zhou Xian-Tao Zeng Jiao Bai Jun-Wen Bai Qiong-Rong Chen Xing Chen Xiao-Ming Zha Wen-Jie Dai Zhi-Jun Dai Qin-Yu Feng Qing-Jun Gao Run-Fang Gao Bao-San Han Jin-Xuan Hou Wei Hou Hai-Ying Liao Hong Luo Zheng-Ren Liu Jing-Hua Lu Bin Luo Xiao-Peng Ma Jun Qian Jian-Yong Qin Wei Wei Gang Wei Li-Ying Xu Hui-Chao Xue Hua-Wei Yang Wei-Ge Yang Chao-Jie Zhang Fan Zhang Guan-Xin Zhang Shao-Kun Zhang Shu-Qun Zhang Ye-Qiang Zhang Yue-Peng Zhang Sheng-Chu Zhang Dai-Wei Zhao Xiang-Min Zheng Le-Wei Zheng Gao-Ran Xu Wen-Bo Zhou Gao-Song Wu Department of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan UniversityWuhan430071China Department of Pathology University of Chicago Pritzker School of MedicineChicagoIL60637USA Department of Surgical Oncology and Breast Surgery Oncology CenterFaculty of MedicineMansoura UniversityMansoura35516Egypt Department of Breast Surgery Beijing University of Chinese MedicineBeijing100700China Department of Infectious Diseases and Tropical Medicine Faculty of MedicineMashhad University of Medical SciencesMashhad***Iran Breast Department KK Women’s and Children’s Hospital100 Bukit Timah RoadSingapore229899Singapore Department of Surgery Department of Public HealthDepartment of BiostatisticsBioinformatics and Medical InformaticsInonu University Faculty of Medicine44280MalatyaTurkey Department of General Surgery Faculty of MedicineÇanakkale Onsekiz Mart University17020ÇanakkaleTurkey Department of Radiology Cancer InstituteImam Khomeini HospitalTehran University of Medical SciencesTehran***Iran Department of Surgery College of Medicine and Medical SciencesArabian Gulf University-BahrainManama26671Bahrain Department of Radiology International Faculty of MedicineIstanbul Medipol University34810IstanbulTurkey Department of General Surgery Faculty of MedicineSakarya University54050SakaryaTurkey Department of Surgery HiU Clinic170Gwongwang-roPaldal-guSuwon16488Korea Department of Radiology Faculty of MedicineAtaturk University25240ErzurumTurkey Academic Support and Education Center Hırkai Serif DistrictKececi Cesmesi StrDoktorlar BuildingB/734091IstanbulTurkey Department of General and Digestive Surgery Hospital General CastellonAvda Benicassim S/N12812004CastellónSpain Radiology Department Ankara Training and Research Hospital305018AnkaraTurkey Department of Surgery The University of Hong KongChina The University of Hong Kong-Shenzhen Hospital Shenzhen518053China University of Miami Health System and Miller School of Medicine 1475 NW 12th AvenueM

Granulomatous lobular mastitis(GLM) is a rare and chronic benign inflammatory disease of the breast. Difficulties exist in the management of GLM for many front-line surgeons and medical specialists who care for patients with inflammatory disorders of the breast. This consensus is summarized to establish evidence-based recommendations for the management of GLM. Literature was reviewed using PubMed from January 1, 1971 to July 31, 2020. Sixty-six international experienced multidisciplinary experts from 11 countries or regions were invited to review the *** of evidence were determined using the American College of Physicians grading system, and recommendations were discussed until consensus. Experts discussed and concluded 30 recommendations on historical definitions,etiology and predisposing factors, diagnosis criteria, treatment, clinical stages, relapse and recurrence of GLM. GLM was recommended as a widely accepted definition. In addition, this consensus introduced a new clinical stages and management algorithm for GLM to provide individual treatment strategies. In conclusion, diagnosis of GLM depends on a combination of history, clinical manifestations, imaging examinations, laboratory examinations and *** approach to treatment of GLM should be applied according to the different clinical stage of GLM. This evidencebased consensus would be valuable to assist front-line surgeons and medical specialists in the optimal management of GLM.

关键词： Granulomatous mastitis Granulomatous lobular mastitis Idiopathic granulomatous mastitis Diagnosis Treatment

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