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Clinical analysis of vascular anomalies： a hospital-based retrospective study of 592 patients in southeast China

Chinese Medical Journal 2011年第19期124卷 3008-3012页

作者： YE Cai-sheng PAN Ling-xiao HUANG Yong-bo HAN An-jia YE Run-yi LI Song-qi LI Xiao-xi LV Wei-ming WANG Shen-ming Department of vascular and Thyroid Surgery First Affiliated Hospital of Sun Yat-Sen University Guangzhou Guangdong 510080 China Department of Breast Surgery First Affiliated Hospital of Guangzhou Medical College Guangzhou Guangdong 510120China

Background vascular anomalies are common and multidisciplinary involved diseases. The greatest impediment to their treatment in the past was their confusing terminology and clinical heterogeneities. This hospital-based retrospective study assessed some clinical characteristics, diagnosis, therapies and outcomes of patients with vascular anomalies in southeast China.Methods A total of 592 vascular anomalies patients （patients with intracranial tissues or viscera involved were excluded）, admitted to the First Affiliated Hospital of Sun Yat-sen University from January 2006 to September 2009, were enrolled in the study. Data for clinical characteristics, diagnosis, therapies and outcomes were collected and analyzed.Results Of the 592 patients, the male：female ratios in the vascular tumor group （n=187） and the vascular malformation group （n=405） were 1∶1.49 and 1∶1.06 respectively, with no significant difference between them. The mean onset age of the vascular tumor group was significantly younger than that of the vascular malformation group （P 〈0.001）. The head and neck were the most commonly （31.4%） involved areas in vascular anomalies. A total of 23.8% of the patients with vascular anomalies had definite symptoms caused by the vascular lesions. In the vascular tumor group, 94.1% of them were infantile hemangiomas. Venous malformation was the most common （41.0%） subtype of vascular malformations.Surgical therapy was undertaken in 94.2% of the patients with vascular anomalies. Of the 519 patients available for the 16-58 month follow-up, 322 patients （62.0%） were cured, 108 patients （20.8%） were markedly improved, 57 patients （11.0%） were partially improved, and 32 patients （6.2%） were uncured.Conclusions vascular anomalies are clinically heterogeneous. While the outcome is generally favorable, further effort should be made to determine the appropriate terminology and management.

关键词： vascular anomalies classification therapy outcome

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Optimal timing for plastic surgical procedures for common congenital anomalies:A review

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World Journal of Clinical Pediatrics 2024年第2期13卷 38-61页

作者： Aakanksha Goel Arun Goel Divine Aesthetic Surgery New Delhi 110048India Department of Plastic Surgery Lok Nayak Hospital and Associated Maulana Azad Medical CollegeNew Delhi 110002India

Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group countries.The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons.These children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery etc.These conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,etc.and require immediate surgical intervention.Some,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for surgery.Some,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous recovery.Another extremely important category is that of patients where the operative intervention is done based on their age.Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate ages.There are advantages and disadvantages of intervention at different ages.In this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic surgeons.Obstetricians,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.

关键词： Plastic surgery Congenital anomalies Pediatric plastic surgery Facial cleft Microtia vascular anomalies Syndactyly Hypospadias Optimal timing Pediatric surgery

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vascular injury during laparoscopic cholecystectomy:An oftenoverlooked complication

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World Journal of Gastrointestinal Surgery 2023年第3期15卷 338-345页

作者： Antonio Pesce Nicolò Fabbri Carlo Vittorio Feo Department of Surgery University of FerraraAzienda USL of FerraraAzienda USL of FerraraLagosanto 44023FerraraItaly

Laparoscopic cholecystectomy is one of the most frequently performed procedures in gastrointestinal surgery worldwide.Bleeding complications due to vascular injuries represent an important cause of morbidity and mortality,especially when facing major bleeding during laparoscopy,where bleeding control can be technically challenging in inexperienced hands.Interestingly,the reported incidence rate of conversion to open surgery due to vascular lesions is approximately 0%-1.9%,with a mortality rate of approximately 0.02%.The primary aim of this article was to perform an up-to-date overview regarding the incidence and surgical management of vascular injuries during laparoscopic cholecystectomy according to the available scientific evidence.

关键词： Laparoscopic cholecystectomy vascular injury vascular anomalies Surgical management Specialized hepatobiliary centers

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Preservation of aberrant right hepatic arteries does not affect safety and oncological radicality of pancreaticoduodenectomy-own results and a systematic review of the literature

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Hepatobiliary Surgery and Nutrition 2022年第1期11卷 25-37页

作者： Cedrik Pyras Carsten Lukas Monika Janot-Matuschek Torsten Herzog Andrea Tannapfel Waldemar Uhl Orlin Belyaev Department of Surgery St.Josef HospitalRuhr University BochumBochumGermany Institute of Radiology St.Josef HospitalRuhr University BochumBochumGermany Institute of Pathology Ruhr University BochumBochumGermany

Background:Aberrant right hepatic arteries(aRHA)are frequently encountered during pancreaticoduodenectomy(PD).Their effects on surgical morbidity and resection margin are still debated.This study aimed to compare the short term and long term outcomes in patients with and without aRHA.Methods:A single-center retrospective analysis of 353 consecutive PD during a 5-year period was done.The type of arterial supply was determined preoperatively by CT and confirmed at surgery.Hiatt types III-VI included some type of aRHA and comprised the study group.Hiatt types I and II were considered irrelevant for PD and used as controls.Primary endpoints were the rates of major postoperative complications and the rate of R0-resection in cases of malignant disease.Secondary endpoints included duration of surgery,postoperative stay,number of harvested lymph nodes and survival in patients with pancreatic cancer.Own results were compared to existent data using a systematic review of the literature.Results:No aRHA had to be sacrificed or reconstructed.Surgical morbidity and specific complications such as post-pancreatectomy hemorrhage(PPH),pancreatic fistula and bile leak were the same in patients with and without aRHA.There was no significant difference in operative time,blood loss,length of ICU-and hospital stay.Patients with malignancy had similar high rates of R0-resection and identical number of harvested lymph nodes.Survival of patients with pancreatic cancer was not affected by aRHA.Conclusions:aRHA may be preserved in virtually all cases of PD for resectable pancreatic head lesions without increasing surgical morbidity and without compromising oncological radicality in patients with cancer,provided the variant anatomy is being recognised on preoperative CT and a meticulous surgical technique is used.

关键词： Replaced hepatic artery accessory hepatic artery pancreatic cancer pancreatic surgery resection margin complications vascular anomalies

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第16届国际脉管性疾病学术研讨会述评

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中国口腔颌面外科杂志 2006年第4期4卷 319-320页

作者：郑家伟上海交通大学医学院附属第九人民医院.口腔医学院口腔颌面外科上海200011

第16届国际脉管性疾病学术研讨会(16th International Workshop on vascular anomalies)于2006年6月14～17日在意大利米兰市Palazzo Mezzanotte举行。会议共收到论文200余篇,来自世界各地(以欧美为主)的300多名代表参加了会议。国际著... 详细信息

第16届国际脉管性疾病学术研讨会(16th International Workshop on vascular anomalies)于2006年6月14～17日在意大利米兰市Palazzo Mezzanotte举行。会议共收到论文200余篇,来自世界各地(以欧美为主)的300多名代表参加了会议。国际著名脉管性疾病专家Mulliken教授(美国)、Waner教授(美国)、Yakes教授(美国)、Enjolras教授(法同)、Boon教授(比利时)、Vikkula教授(比利时)、Mattassi教授(意大利)。

关键词： ISSVA vascular anomalies Workshop

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血管瘤与脉管畸形的分类和治疗现状

血管瘤与脉管畸形的分类和治疗现状

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2004'全国口腔颌面部脉管性疾病学术研讨会

作者：张志愿郑家伟周国瑜范新东杨育生竺涵光张陈平孙坚林国础邱蔚六上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院上海第二医科大学口腔医学院

vascular anomalies are the most commonly seen benign tumor or malformation in children with a prevalence rate being up to 3% to 8%. The classification system proposed by Mulliken et al had been widely

关键词： vascular anomalies Hemangioma vascular malformation

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