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Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: A systematic review

World Journal of Hepatology 2022年第2期14卷 442-455页

作者： Patryk Kambakamba Sinead Cremen Beat Möckli Michael Linecker Department of HPB and Transplant Surgery St.Vincent’s University Hospital DublinDublin d04 T6F4Ireland Department of Surgery Cantonal Hospital GlarusGlarus 8750Switzerland Department of Visceral and Transplantation Surgery University of Geneva HospitalsGeneva 1205Switzerland Department of Surgery and Transplantation University Medical Center Schleswig HolsteinKiel 24105Germany

BACKGROUND The surgical management of bile duct injuries(BDIs)after laparoscopic cholecystectomy(LC)is challenging and the optimal timing of surgery remains *** primary aim of this study was to systematically evaluate the evidence behind the timing of BDI repair after LC in the *** To assess timing of surgical repair of BDI and postoperative *** The MEDLINE,EMBASE,and The Cochrane Library databases were systematically screened up to August *** of bias was assessed via the Newcastle Ottawa *** primary outcomes of this review included the timing of BDI repair and postoperative *** A total of 439 abstracts were screened,and 24 studies were included with 15609 patients included in this *** the 5229 BDIs reported,4934(94%)were classified as major *** of bile duct repair was immediate(14%,n=705),early(28%,n=1367),delayed(28%,n=1367),or late(26%,n=1286).Standardization of definition for timing of repair was remarkably poor among *** for immediate repair ranged fromrepair ranged from24 h to>12 wk after LC)and late repair(>6 wk after LC)showed a broad *** The lack of standardization among studies precludes any conclusive recommendation on optimal timing of BDI repair after *** finding indicates an urgent need for a standardized reporting system of BDI repair.

关键词： Bile duct injury Major bile duct injury Laparoscopic cholecystectomy surgical repair Immediate repair Early repair Delayed repair Late repair Biliary reconstruction Standardization of bile duct injury repair reporting

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surgical repair and Detection of Cerebrospinal Fluid Rhinorrhea using Magnetic Resonance Cisternography and Skull Base Coronal Thin-section Computed Tomography Scan

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Chinese Medical Journal 2016年第16期129卷 2005-2006页

作者： Hong-Sheng Du Guang-Shuo Ma Jing-Jian Ma Department of Neurosurgery Tianjin First Central Hospital Tianjin 300192 China

INTRODUCTION Cerebrospinal fluid （CSF） rhinorrhea is a common condition managed by neurosurgeons. The accurate identification of the site of leak plays a key role in facilitating successful surgical repair. We reported two surgery-proven cases of CSF rhinorrhea examined by magnetic resonance （MR） cisternography （Siemens, Berlin, Germany） and skull base coronal thin-section computed tomography （CT） scan （Siemens, Berlin, Germany） before surgical treatment.

关键词： Cerebrospinal Fluid Rhinorrhea Detection Magnetic Resonance Cistemography surgical repair Thin-sectionComputed Tomography Scan

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repair and regeneration of peripheral nerve injuries that ablate branch points

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Neural Regeneration Research 2023年第12期18卷 2564-2568页

作者： JuliAnne E.Allgood George D.Bittner Jared S.Bushman Division of Pharmaceutical Sciences University of WyomingLaramieWYUSA Department of Neuroscience The University of Texas at AustinAustinTXUSA

The peripheral nervous system has an extensive branching organization, and peripheral nerve injuries that ablate branch points present a complex challenge for clinical repair. Ablations of linear segments of the PNS have been extensively studied and routinely treated with autografts, acellular nerve allografts, conduits, wraps, and nerve transfers. In contrast, segmental-loss peripheral nerve injuries, in which one or more branch points are ablated so that there are three or more nerve endings, present additional complications that have not been rigorously studied or documented. This review discusses:(1) the branched anatomy of the peripheral nervous system,(2) case reports describing how peripheral nerve injuries with branched ablations have been surgically managed,(3) factors known to influence regeneration through branched nerve structures,(4) techniques and models of branched peripheral nerve injuries in animal models, and(5) conclusions regarding outcome measures and studies needed to improve understanding of regeneration through ablated branched structures of the peripheral nervous system.

关键词： allograft animal model branched injuries femoral nerve peripheral nerve injury peripheral nervous system regeneration repair sciatic nerve surgical repair

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Stapled transperineal repair for low-and mid-level rectovaginal fistulas:A 5-year experience and comparison with sutured repair

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World Journal of Gastroenterology 2021年第14期27卷 1451-1464页

作者： Qian Zhou Zhi-Min Liu Hua-Xian Chen Dong-Lin Ren Hong-Cheng Lin Department of Coloproctology The Sixth Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510655Guangdong ProvinceChina Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases The Sixth Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510655Guangdong ProvinceChina Guangdong Institute of Gastroenterology The Sixth Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510655Guangdong ProvinceChina

BACKGROUND Currently,rectovaginal fistula(RVF)continues to be a surgical challenge worldwide,with a relatively low healing *** intermittent suture and poor suture materials may be the main reasons for *** To evaluate the efficacy and safety of stapled transperineal repair in treating *** This was a retrospective cohort study conducted in the Coloproctology Department of The Sixth Affiliated Hospital of Sun Yat-sen University(Guangzhou,China).Adult patients presenting with RVF who were surgically managed by perineal repair between May 2015 and May 2020 were *** the 82 total patients,37 underwent repair with direct suturing and 45 underwent repair with *** demographic data,Wexner faecal incontinence score,and operative data were *** rate and associated risk factors were *** The direct suture and stapled repair groups showed similar clinical characteristics for aetiology,surgical history,fistula features,and perioperative Wexner *** stapled repair group did not show superior results over the suture repair group in regard to operative time,blood loss,and hospital ***,the stapled repair group showed better postoperative Wexner score(1.04±1.89 vs 2.73±3.75,P=0.021),less intercourse pain(1/45 vs 17/37,P=0.045),and lower recurrence rate(6/45 vs 17/37,P=0.001).There was no protective effect from previous repair history,smaller diameter of fistula(repair and preoperative high Wexner score(>10)were risk factors for fistula ***,stapled repair gave better efficacy in treating complex RVFs(i.e.,multiple transperineal repair history,mid-level fistula position,and poor control of defecation).CONCLUSION Stapled transperineal repair is advantageous for management of RVF,providing a high primary healing rate and low recurrence rate.

关键词： Rectovaginal fistula surgical repair Transperineal approach Stapled technique Recurrence

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Transcatheter Closure of Postoperative Residual Atrial or Ventricular Septal Shunts in Patients with Congenital Heart Disease

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Congenital Heart Disease 2024年第3期19卷 293-303页

作者： Jiawang Xiao Jianming Wang Zhongchao Wang Lili Meng Ming Zhao Qiguang Wang Department of Congenital Heart Disease General Hospital of Northern Theater CommandShenyang110016China

Background:Transcatheter closure(TCC)has emerged as the preferred treatment for selected congenital heart disease(CHD).While TCC offers benefits for patients with postoperative residual shunts,understanding its mid-and long-term efficacy and safety remains ***:This study aims to assess the mid-and long-term safety and efficacy of TCC for patients with residual atrial or ventricular septal shunts following CHD ***:In this consecutive retrospective study,we enrolled 35 patients with residual shunt who underwent TCC or surgical repair of CHD between June 2011 to October *** candidacy was determined based on established *** and electrocardiogram were conducted during the perioperative period and continued as part of long-term ***:Among the patients,5(14.3%)exhibited interatrial shunt-ing,while 30(85.7%)had interventricular *** was successfully implemented in 33 of 35 patients,with exceptions in two cases of post-ventricular septal defect repair due to anatomical challenges involving the shape and aortic *** resulted in a TCC success rate of 94.3%.Trace residual shunt was detected in two interventricular shunting cases and a mild residual shunt in one interventricular shunting case;all resolved by the three-month follow-up after *** complications included one hematoma at the puncture site and one transient junctional rhythm during the perioperative *** a median follow-up of 73 months,there were no instances of residual shunt,device embolization,occluder displacement,valve insufficiency,malignant arrhythmia,infective endocarditis,death,or other serious ***:TCC is an effective and safe therapy for patients with residual atrial or ventricular septal shunts following CHD *** support the consideration of TCC as the preferred treatment option for appropriate patient populations.

关键词： Congenital heart disease residual shunt transcatheter closure surgical repair

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Post-cholecystectomy iatrogenic bile duct injuries:Emerging role for endoscopic management

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World Journal of Gastrointestinal Surgery 2023年第12期15卷 2709-2718页

作者： Mohamed H Emara Mohammed Hussien Ahmed Mohamed I Radwan Emad Hassan Emara Magdy Basheer Ahmed Ali Asem Ahmed Elfert Department of Hepatology Gastroenterology and Infectious DiseasesKafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Tropical Medicine Zagazig UniversityZagazig 44519Egypt Department of Diagnostic and Interventional Radiology Kafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Surgery Mansoura UniversityMansours 44176Egypt Department of Emergency Hargeisa Group HospitalHargeisa 1235Somalia Department of Tropical Medicine Tanta UniversityTanta 33120Egypt

Post-cholecystectomy iatrogenic bile duct injuries(IBDIs),are not uncommon and although the frequency of IBDIs vary across the literature,the rates following the procedure of laparoscopic cholecystectomy are much higher than open *** injuries caries a great burden on the patients,physicians and the health care systems and sometime are *** are associated with different manifestations that are not limited to abdominal pain,bile leaks from the surgical drains,peritonitis with fever and sometimes *** injuries if not witnessed during the surgery,can be diagnosed by combining clinical manifestations,biochemical tests and imaging *** such techniques abdominal US is usually the first choice while Magnetic Resonance Cholangio-Pancreatography seems the most *** approach was the ideal approach for such cases,however the introduction of Endoscopic Retrograde Cholangio-Pancreatography(ERCP)was a paradigm shift in the management of such injuries due to accepted success rates,lower cost and lower rates of associated morbidity and ***,the literature lacks consensus for the optimal timing of ERCP intervention in the management of *** management of IBDIs can be tailored according to the nature of the underlying *** the subgroup of patients with complete bile duct ligation and lost ductal continuity,transfer to surgery is indicated without *** patients will not benefit from endoscopy and hence should not do unnecessary *** low–flow leaks *** bed leaks,conservative management for 1-2 wk prior to ERCP is advised,in contrary to high-flow leaks *** duct leaks and stricture lesions in whom early ERCP is *** plus stenting is the ideal management line for cases of *** radiologic techniques are promising options especially for cases of failed endoscopic repair and also for cases with altered *** studies will

关键词： Iatrogenic bile duct injuries Cholecystectomy surgical repair Endoscopic Retrograde Cholangio-Pancreatography Interventional radiology

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The impact of cleft lip and palate repair on maxillofacial growth

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International Journal of Oral Science 2015年第1期7卷 14-17页

作者： Bing Shi Joseph E Losee State Key Laboratory of Oral Diseases Department of Cleft Lip and Palate Surgery West China Hospital of Stomatology Sichuan University University Cleft-Craniofacial Center Division of Pediatric Plastic Surgery Children’s Hospital of Pittsburgh

surgical correction is central to current team-approached cleft treatment. Cleft surgeons are always concerned about the impact of their surgical maneuver on the growth of the maxilla. Hypoplastic maxilla, concaved mid-face and deformed dental arch have constantly been reported after cleft treatments. It is very hard to completely circumvent these postoperative complications by current surgical protocols. In this paper, we discussed the factors that inhibit the maxillofacial growth on cleft patients. These factors included pre-surgical intervention, the timing of cleft palate and alveolae repair, surgical design and treatment protocol. Also, we made a review about the influence on the maxillary growth in un-operated cleft patients. On the basis of previous researches, we can conclude that most of scholars express identity of views in these aspects： early palatoplasty lead to maxilla growth inhibition in all dimensions; secondary alveolar bone graft had no influence on maxilla sagittal growth; cleft lip repair inhibited maxilla sagittal length in patients with cleft lip and palate; Veau＇s pushback palatoplasty and Langenbeck＇s palatoplasty with relaxing incisions were most detrimental to growth; Furlow palatoplasty showed little detrimental effect on maxilla growth; timing of hard palate closure, instead of the sequence of hard or soft palate repair, determined the postoperative growth. Stilt, scholars hold controversial viewpoints in some issues, for example, un-operated clefts have normal growth potential or not, pre-surgical intervention and pharyngoplasty inhibited maxillofacial growth or not.

关键词： cleft growth maxilla surgical repair

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surgical treatment of a rare brachial artery aneurysm postarteriovenous fistula closure after kidney transplant:A case report

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World Journal of Clinical Cases 2024年第21期12卷 4755-4761页

作者： Nahit Arda Demirkan Yasemin Keskin Hakan Sevinç Ömer Arda Çetinkaya Department of General Surgery Ankara University School of MedicineAnkara 06100Türkiye Department of General Surgery Dr.Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalAnkara 06100Türkiye

BACKGROUND Brachial artery aneurysms are defined as dilations greater than 50%of the normal diameter,which are rare among all peripheral arterial *** they are often present as pseudoaneurysms,true brachial artery aneurysms are also detected *** this case report,the surgical repair method of true brachial artery aneurysms,which is a rare condition,is *** SUMMARY Herein,we present a 61-year-old male patient with complaints of swelling and pain in the right arm antecubital region that had been progressing over 6 *** the diagnosis of a true brachial artery aneurysm associated with arteriovenous fistula,the aneurysm was surgically repaired with an autologous saphenous vein *** patient was discharged without any neurovascular complications *** True brachial artery aneurysms are rare and there are not any recommendations for their management in the current *** though the treatment of true aneurysms in this artery is primarily based on a surgical treatment,endovascular repair also might be an option.

关键词： Brachial artery aneurysm Arteriovenous fistula Kidney transplantation surgical repair Autologous vein interposition Case report

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surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in chUdren

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Pediatric Investigation 2021年第1期5卷 46-51页

作者： Wei Cheng Zhiqiang Li Yaobin Zhu Nan Ding Daole Yan Hanlu Yi Department of Cardiovascular Surgery II Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijingChina

Importance:Scimitar syndrome(SS)is a rare type of congenital heart disease characterized by total or partial anomalous venous drainage of the right lung to the inferior vena ***,the surgical repair techniques for SS vary according to patients'anatomical and pathological ***:This study was performed to analyze the mid-term results of a less invasive surgical correction technique for SS in ***:Eleven patients with SS who underwent surgical repair from January 2012 to March 2020 were retrospectively *** anomalous scimitar vein(SV)was directly reimplanted to the left atrium,and the concomitant atrial septal defect was simultaneously repaired with cardiopulmonary ***:Three male and eight female patients were included in the *** mean age was 3.1±1.3 years,and their mean body weight was 12.8±3.0 *** patients had symptoms,such as upper respiratory tract infection,dyspnea,and recurrent pneumonia,and two patients had pulmonary *** of the 11 patients who underwent direct SV reimplantation by right thoracotomy developed bleeding,arrhythmia,heart failure,or perioperative death,and no patients required reoperation during a mean follow-up period of 36.6±15.2 *** echocardiography revealed no restenosis or obstruction of the anastomosis in any ***:surgical repair for SS by right thoracotomy and direct anastomosis of the SV to the posterior wall of the left atrium is safe and effective,with good long-term patency of the reimplanted SV and a low mortality rate.

关键词： Scimitar syndrome Congenital heart disease surgical repair Right thoracotomy Direct anastomosis

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surgical Treatment of Tetralogy of Fallot with Pulmonary Valve Agenesis in a 22 Years Old Patient

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World Journal of Cardiovascular Surgery 2021年第4期11卷 29-36页

作者： Papa Salmane Ba Kabulo Yannick Momar Sokhna Diop Papa Amath Diagne Ndeye Fatou Sow Papa Adama Dieng Amadou Gabriel Ciss Thoracic and Cardiovascular Surgery Department CHU Fann Dakar Senegal

Agenesis of pulmonary valve is a rare variant and severe form of Tetralogy of Fallot (ToF). The evolution is usually marked by respiratory and cardiac failure at early age, which needs early surgical correction. Uncorrected treatment of Tetralogy of Fallot diagnosed at adult age is infrequent and only few studies have been described. We present here a rare case of a 22 years old patient who presented with dyspnea since childhood. Subsequent investigations allowed diagnosis of treatment of Tetralogy of Fallot with agenesis of the pulmonary valve. Following the assessment, the patient underwent a surgical repair and the recovery was uneventful. The management of treatment of Tetralogy of Fallot with pulmonary valve agenesis in adult period remains complex, requiring different surgical techniques.

关键词： Tetralogy of Fallot Pulmonary Valve Agenesis Adult surgical repair

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