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Does Postoperative Rehabilitation for Radical Cystectomy Call for Enhanced Recovery after Surgery?A Systematic Review and Metaanalysis

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Current Medical Science 2019年第1期39卷 99-110页

作者： Jun XIAO Meng WANG Wei HE Jing WANG Fan YANG Xue-you MA Yu ZANG Chun-guang YANG Gan YU Zhi-hua Wang Zhang-qun YE Department of Urology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Nursing Department Huanghuai UniversityZhumadian 463000China

The aim of this review was to systematically compare the outcomes of enhanced recovery after surgery(ERAS)with standard care(SC)after radical *** performed a systematic search of PubMed,Ovid?Web of Science,and the Cochrane Library to identify studies published until September 2017 which involved a comparison of ERAS and SC.A meta-analysis was performed to assess the outcomes of ERAS versus *** studies including 8 prospective and 8 retrospective trials met the eligibility criteria.A total of 2100 participants were assigned to ERAS(1258 cases)or SC(842 cases).The time to first flatus passage[WMD=-0.95 days,95%Cl(-1.50,-0.41),P=0.0006],time until return to a regular diet[WMD=-2.15 days,95%Cl(-2.86,—1.45),P<0.00001]and the length of hospital stay[WMD=-3.75 days,95%Cl(-5.13,-2.36),P<0.00001]were significantly shorter,and the incidence of postoperative complications[OR=0.60,95%Cl(0.44,0.83),P=0.002],especially postoperative paralytic ileus[OR=0.43,95%Cl(0.30,0.62),P<0.00001]and cardiovascular complications[OR=0.28,95%Cl(0.09,0.90),P=0.03]was significantly lower in the ERAS group than those in the SC *** meta-analysis demonstrated that ERAS was associated with a shorter time to first flatus passage,return of bowel fimction,and the length of hospital stay than SC in patients undergoing radical cystectomy,as well as a lower rate of postoperative complications,especially paralytic ileus and cardiovascular complications.

关键词： enhanced recovery after surgery postoperative rehabilitation bladder cancer radical cystectomy meta-analysis

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Correlation of restenosis after rabbit carotid endarterectomy and inflammatory cytokines

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Asian Pacific Journal of Tropical Medicine 2014年第3期7卷 231-236页

作者： Jun-Jun Liang Wei Xue Li-Zhi Lou Cheng Liu Zhao-Fen Wang Qing-Guo Li Shao-Hua Huang Department of Cardiovascular Thoracic Surgery.Anqiu People's Hospital Department of Medical Service Anqiu People's Hospital Tianjin Cerebral Hospital Department of Neurosurgery.Anqiu People's Hospital

Objective:To establish rabbit model of restenosis after carotid endartereclomy surgery,and to study tissue inflammatory cytokines(TNF-α,IL-61 involved in ***:A total of 32 rabbits were randomly divided into two groups:model group and control *** right common carotid artery in rabbits was damaged by carotid endar terectomy in model *** tissues were harvested at different time points respectively,the pathological changes of the vascular wall after operation were observed at different time *** changes of expression of tissue vascular wall inflammatory cytokines(TNF-α.IL-6)at different lime points after the surgery was observed by RT-PCR,and the changes of serum inflammatory cytokines(TNT-α,IL-6)were detected by ***:The new intima appeared after 7 days of the injury and reached the peak on 28 d which is uneven and significantly thicker than the control group(Pafter the rabbit common carotid artery injury,which was significant difference compared with normal control group(Pafter the rabbit carotid artery injury,which suggests the mutual concurrent effects of inflammatory cytokines can result in the proliferation of vascular restenosis.

关键词： Inflammatory factors Carotid endarterectomy Restenosis after angioplasty

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Analysis of efficacy and factors influencing sequential combination therapy with tenofovir alafenamide fumarate after treatment with entecavir in chronic hepatitis B patients with low-level viremia

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中国医学文摘:内科学分册(英文版) 2023年第2期40卷 84-85页

作者：刘丽萍 Dept Infect Dis 1st Affil HospNanchang UnivNanchang 330006

Objective To observe the efficacy and factors influencing sequential or combined tenofovir alafenamide fumarate(TAF)after treatment with entecavir(ETV)in patients with chronic hepatitis B(CHB)with low-level viremia(LLV).Methods 126 CHB cases treated with ETV antiviral therapy in the Department of Infectious Diseases of the First Affiliated Hospital of Nanchang University from January 2020 to September 2022 were retrospectively collected.

关键词： fumarate treatment after

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Systemic lupus erythematosus induced by adjuvants after metal-on-polyethylene total hip arthroplasty

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Chinese Medical Journal 2020年第12期133卷 1499-1500页

作者： Chang-Chao Wang Yan Huang Ya-Dong Huang Department of Orthopedics Huai’an Cancer HospitalHuai’anJiangsu 223200China Jiangsu Food and Pharmaceutical Science College Huai’anJiangsu 223200China

To the Editor:Autoimmune/autoinflammatory syndrome induced by adjuvants(ASIA,Shoenfeld syndrome)has recently been ***,we report a patient with immunoregulatory dysfunction and systemic lupus erythematosis(SLE)after to... 详细信息

关键词： lupus erythematosus THA after

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Impact of enhanced recovery after surgery programs on pancreatic surgery:A meta-analysis

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World Journal of Gastroenterology 2018年第15期24卷 1666-1678页

作者： Hai-Bin Ji Wen-Tao Zhu Qiang Wei Xiao-Xiao Wang Hai-Bin Wang Qiang-Pu Chen Department of Hepatobiliary Surgery Affiliated Hospital of Binzhou Medical UniversityBinzhou 256603Shandong ProvinceChina Department of Hepatobiliary Surgery Clinical Nutrition Support CenterAffiliated Hospital of Binzhou Medical University Clinical Nutrition and Metabolism Key Laboratory of Shandong Province Binzhou 256603Shandong ProvinceChina

AIM To evaluate the impact of enhanced recovery after surgery(ERAS) programs on postoperative complications of pancreatic surgery. METHODS Computer searches were performed in databases(including PubM ed, Cochrane Library and Embase) for randomized controlled trials or case-control studies describing ERAS programs in patients undergoing pancreatic surgery published between January 1995 and August 2017. Two researchers independently evaluated the quality of the studies' extracted data that met the inclusion criteria and performed a metaanalysis using Rev Man5.3.5 software. Forest plots, demonstrating the outcomes of the ERAS group vs the control group after pancreatic surgery, and funnel plots were used to evaluate potential publication *** Twenty case-control studies including 3694 patients, published between January 1995 and August 2017, were selected for the meta-analysis. This study included the ERAS group(n = 1886) and the control group(n = 1808), which adopted the traditional perioperative management. Compared to the control group, the ERAS group had lower delayed gastric emptying rates [odds ratio(OR) = 0.58, 95% confidence interval (CI): 0.48-0.72, P < 0.00001], lower postoperative complication rates(OR = 0.57, 95%CI: 0.45-0.72, P < 0.00001), particularly for the mild postoperative complications(Clavien-Dindo Ⅰ-Ⅱ)(OR = 0.71, 95%CI: 0.58-0.88, P = 0.002), lower abdominal infection rates(OR = 0.70, 95%CI: 0.54-0.90, P = 0.006), and shorter postoperative length of hospital stay(PLOS)(WMD =-4.45, 95%CI:-5.99 to-2.91, P < 0.00001). However, there were no significant differences in complications, such as, postoperative pancreatic fistulas, moderate to severe complications(Clavien-Dindo Ⅲ-Ⅴ), mortality, readmission and unintended reoperation, in both *** The perioperative implementation of ERAS programs in pancreatic surgery is safe and effective, can decrease postoperative complication rates, and can promote recovery for patients.

关键词： Pancreatic surgery Enhanced recovery after surgery Postoperative complication Meta-analysis

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Structural integrity and remodeling underlying functional recovery after stroke

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Neural Regeneration Research 2021年第7期16卷 1423-1424页

作者： Frederique Wieters Markus Aswendt University of Cologne Faculty of Medicine and University Hospital CologneDepartment of NeurologyCologneGermany Cognitive Neuroscience Institute of Neuroscience and Medicine(INM-3)Research Center JuelichGermany

Stroke is the second leading cause of death worldwide with about 50% of survivors being chronically disabled(Donkor,2018).The behavioral improvement seen in stroke patients in the first weeks after a stroke is contributed by behavioral compensation, reorganization in somatotopic maps and activity in peri-infarct but also distant regions which are connected to the stroke area as supported by animal studies.

关键词： remodeling death after

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Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy

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World Journal of Gastroenterology 2018年第4期24卷 504-510页

作者： Yi-Feng Zang Feng-Zhou Li Zhi-Peng Ji Yin-Lu Ding Department of General Surgery The Second Hospital of Shandong University

AIM To evaluate the safety and feasibility of enhanced recovery after surgery(ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal *** The clinical data of 42 patients who were divided into an ERAS group(n = 20) and a control group(n = 22) were collected. The observed indicators included operation conditions, postoperative clinical indexes, and postoperative serum stress indexes. Measurement data following a normal distribution are presented as mean ± SD and were analyzed by t-test. Count data were analyzed by χ~2 *** The operative time, volume of intraoperative blood loss, and number of patients with conversion to opensurgery were not significantly different between the two groups. Postoperative clinical indexes, including the time to initial anal exhaust, time to initial liquid diet intake, time to out-of-bed activity, and duration of hospital stay of patients without complications, were significantly different between the two groups(t = 2.045, 8.685, 2.580, and 4.650, respectively, P after the operation, the white blood cell count(WBC) and C reactive protein(CRP) and interleukin-6(IL-6) levels in the ERAS group were significantly lower than those in the control *** The perioperative ERAS program for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is safe and effective and should be popularized. Additionally, this program can also reduce the duration of hospital stay and improve the degree of comfort and satisfaction of patients.

关键词： Distal gastrectomy Enhanced recovery after surgery Perioperative period Uncut Roux-en-Y gastrojejunostomy

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Management of bronchial rupture after blunt chest trauma in children

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Chinese Medical Journal 2019年第8期132卷 987-989页

作者： Yu-Hao Wu Shou-Liang Jiang Yue-Hang Zhou Xin Ji Yong-Gang Li Chun Wu Department of Cardiothoracic Surgery Children's Hospital of Chongqing Medical UniversityMinistry of Education Key Laboratory of Child Development and DisordersInternational Science and Technology Cooperation Base of Child Development and Critical DisordersChongqing Key Laboratory of PediatricsChongqing 400014China West China Woman's and Children's Hospital ChengduSichuan 610000China

To the Editor:Bronchial rupture due to blunt chest injury in children is very rare and can go undiagnosed for over 48 *** surgical repair following definitive diagnosis by three-dimensional computed tomography(3D-CT)and bronchoscopy,complications from anastomotic stricture can arise,particularly in very young *** study aimed to present an algorithm for improved early diagnosis and report learnings from treatment of bronchial rupture after blunt chest trauma in nine children.

关键词： bronchial rupture after blunt chest trauma children three-dimensional computed tomography(3D-CT)

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Extra-anatomic aortic bypass for the treatment of a mycotic pseudoaneurysm after liver transplantation for hilar cholangiocarcinoma

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Hepatobiliary & Pancreatic Diseases International 2021年第3期20卷 285-287页

作者： Laura Llado Elena Iborra Emilio Ramos Nuria Sabé Alba Cachero Joan Fabregat Liver Transplant Unit Hospital Universitari BellvitgeUniversity of BarcelonaBarcelonaSpain Vascular Surgery Department Hospital Universitari BellvitgeUniversity of BarcelonaBarcelonaSpain Infectious Disease Department Hospital Universitari BellvitgeUniversity of BarcelonaBarcelonaSpain

Liver transplantation(LT) after neoadjuvant chemoradiotherapy in patients with unresectable hilar cholangiocarcinoma(HC) is an accepted treatment strategy [1]. Neoadjuvant therapy is associated with an increased risk of arterial and portal complications after LT [1,2]. In most cases, radiation therapy makes the use of the native hepatic artery inadvisable, and an aortic anastomosis is needed, either with or without a graft [2].

关键词： aortic arterial treatment after

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THE RELATIONSHIP BETWEEN CYTOSOLIC FREE CALCIUM IONS AND MITOCHONDRIAL Ca＋＋-ATPase IN CEREBROCORTICAL NEURONS after TRAUMAT

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中华创伤杂志 1995年第3期 73-75页

作者：徐如祥易声禹陈长才

Ｔｈｅｃｈａｎｇｅｓｏｆｃｙｔｏｓｏｌｉｃｃａｌｃｉｕｍｉｏｎｓ（Ｃａ＋＋），ｔｈｅａｃｔｉｖｉｔｙｏｆｍｉｔｏｃｈｏｎｄｒｉａｌＣａ＋＋┐ＡＴＰａｓｅｉｎｔｈｅｃｅｒｅ┐ｂｒｏｃｏｒｔｉｃａｌｎｅｕｒｏｎｓａｎｄｂ... 详细信息

Ｔｈｅｃｈａｎｇｅｓｏｆｃｙｔｏｓｏｌｉｃｃａｌｃｉｕｍｉｏｎｓ（Ｃａ＋＋），ｔｈｅａｃｔｉｖｉｔｙｏｆｍｉｔｏｃｈｏｎｄｒｉａｌＣａ＋＋┐ＡＴＰａｓｅｉｎｔｈｅｃｅｒｅ┐ｂｒｏｃｏｒｔｉｃａｌｎｅｕｒｏｎｓａｎｄｂｒａｉｎｗａｔｅｒｃｏｎｔｅｎｔｗ...

关键词： ATPase AND after BETWEEN CALCIUM CYTOSOLIC Ca FREE IN IONS

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