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Report of 8 cases of liver retransplantation

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Hepatobiliary & Pancreatic Diseases International 2007年第2期6卷 147-151页

作者： Fu, Hong Fu, Zhi-Ren Ding, Guo-Shan Liu, Wei Ni, Zhi-Jia Fu, Hai-Long Changzheng hosp Organ Transplantat Inst PLA Shanghai 200003 Peoples R China

BACKGROUND: Retransplantation of the liver is required for several complications of primary grafting, such as primary allograft non-function, hepatic artery thrombosis, biliary problems, or chronic ductopenic rejection. Surgeons usually take regrafting as the only pathway to treat those patients who are considered to have a poor outcome after the first operation. Whether the retransplantation is early or late, further attempts at rescue with a second or more grafts are associated with higher mortality and morbidity. However, retransplantation plays a role in improving survival of the patients. therefore, it is necessary to summarize the experiences in liver retransplantation, as well as the factors influencing operative effects. MEthOD: the clinical data of 8 patients who received liver retransplantation in our center were analyzed retrospectively. RESULTS: Complications of the biliary tract occurred in 5 of the 8 patients, chronic rejection in 2, and embolism in the hepatic artery in 1. Infections occurred in 7 patients before engraftment. Patient I had developed renal failure before the surgery, and he died of severe infection and multi-organ failure after transplantation. Patient 4 had a massive hemorrhage during the operation and also died of multi-organ failure after transplantation. Patient 7 developed intracranial hemorrhage and abdominal infection and died soon after transplantation. the other 5 patients recovered and discharged from the hospital. CONCLUSIONS: Liver retransplantation is the only measure that can be taken to save the lives of patients whose liver allograft fails to function. It is very important that the indications and time of retransplantation are carefully selected. Factors leading to harmful effects on retransplantation include the preoperative condition of the recipient, a difficult and prolonged operation, massive hemorrhage during the operation, and severe complications after the surgery.

关键词： liver retransplantation retrospective study treatment outcome

Repair of vental hernia using self-expand Composix Kugel patch:a report of 10 cases

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外科研究与新技术 2005年第3期 163-163页

作者：李基业 Dept Gener Surg 304th Clin Dept PLA Gene HospBeijing 100037

To evaluate intraperitoneal Composix Kugel prosthetic patch repair of vental *** the clinical data of 10 cases were reviewed for the surgical procedures and perioperative management in the use of this *** Mean operation time was 62 min(ranging from 43 to 80 min).there was no postoperative wound hematoma and infection except for 1 cases with ***-up of 2 to 19 months found no hernia *** Intraperitoneal Composix Kugel patch repair of vental hernia has the advantages of short operative time,minimal invasiveness and rapid convalescence.4 refs,1 tab.

关键词：基业

Gallstone recurrence after successful percutaneous cholecystolithotomy:a 10-year follow-up of 439 cases

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Hepatobiliary & Pancreatic Diseases International 2007年第2期6卷 199-203页

作者： Zou, Yi-Ping Du, Ji-Dong Li, Wei-Min Xiao, Yin-Qi Xu, Hong-Bin Zheng, Fang Huang, Hui Liu, Hao-Run Li, Hu-Cheng Beijing pla 309 hosp Dept Hepatobiliary Surg Beijing 100091 Peoples R China

BACKGROUND: Stone recurrence is a major problem in the medication of gallstones with gallbladder preservation. the aim of this study was to determine the long-term recurrence rate of gallstones and the clinical outcome after successful percutaneous cholecystolithotomy (PCCL) treatment, and to investigate the possible risk factors for gallstone recurrence. MEthODS: After successful PCCL for gallstones, 439 patients were followed up during a 10-year period. the long-term gallstone recurrence rate and clinical outcome were evaluated. Risk factors associated with stone recurrence were identified. RESULTS: Gallstone recurrence was detected in 182 of 439 PCCL patients, giving an overall recurrence rate of 41.46%. the cumulative gallstone recurrence rate for each of the 10 post-operative years was 9.57%, 18.91%, 27.33%, 34.14%, 37.59%, 39.86%, 41.90%, 42.73%, 42.85%, and 43.21%, respectively. Among these recurrent patients, 94 were asymptomatic, 80 suffered from nonspecific upper gastrointestinal symptoms and 8 suffered from abdominal pain or biliary colic. thirty-eight of the 182 patients were retreated with cholecystectomy. the risk factors for stone recurrence included a family history of gallstones, preference for fatty food, accompanying liver disease, multiple stones and poor gallbladder function pre-PCCL. CONCLUSIONS: In this study, the overall recurrence rate of gallstone was 41.46% during a 10-year period. the highest frequency of gallstone recurrence was during the 5th to 6th postoperative years and then continued to slowly increase. Risk factors for stone recurrence varied. We suggest that the use of PCCL in patients with gallstones should be considered carefully because of stone recurrence.

关键词： gallstone percutaneous cholecystolithotomy recurrence risk factors

Risk factors of Crohn's disease-related gastrointestinal stenosis:a single-center retrospective study

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China Medical Abstracts (Internal Medicine) 2020年第4期37卷 221-222页

作者：杨善兵 Dept Gastroenterol 7th Med Center General Hosp PLA

Objective To investigate the risk factors of Crohn’s disease (CD)-related gastrointestinal stenosis,and to summarize and analyze the corresponding *** From January 2010 to December 2018,122 patients diagnosed with CD and hospitalized in the Seventh Medical Center,pla General hospital were selected including 72 patients in gastrointestinal stenosis group and50 patients in non-gastrointestinal stenosis group.

关键词： Risk factors of Crohn’s disease-related gastrointestinal stenosis:a single-center retrospective study

Cloning and sequence analysis of human genomic DNA of augmenter of liver regeneration

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World Journal of Gastroenterology 2000年第2期6卷 275-277页

作者： Cheng J Zhong YW Liu Y Dong J Yang JZ Chen JM 302 hosp pla Gene Therapy Res Ctr Inst Infect Dis Beijing 100039 Peoples R China

INTRODUCTIONthe liver is one of the organs,which have potentialregenerative capability in mammalian *** study of the canine model indicated that theliver could regenerate to original size after 70%hepatectomy in only ... 详细信息

关键词： augmenter liver regeneration cloning genomic DNA intron exon

Hepatic portal cholangiocarcinoma:a clinical analysis of 70 cases

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Hepatobiliary & Pancreatic Diseases International 2008年第4期7卷 418-421页

作者： Zhang, Hong-Yi Kong, Ya-Lin Zhang, Hong-Yi He, Xiao-Jun Zhang, Hui Liu, Cheng-Li Zhao, Gang Xiao, Mei Zhang, Xi-Dong Feng, Zhi-Qiang Gen hosp Air Force pla Dept Hepatobiliary Surg Beijing 100036 Peoples R China

BACKGROUND: the incidence of hepatic portal cholangiocarcinoma is increasing and it is always associated with poor survival. this study analyzed an effective therapeutic method. MEthODS: A retrospective analysis was made on 70 patients with hepatic portal cholangiocarcinoma admitted between January 2004 and February 2007 to the General hospital of Air Force pla. RESULTS: Forty-seven patients had hepatic ductjejunum anastomosis after resection of hepatic portal cholangiocarcinorna. Internal or external biliary drainage and canals for internal radiation were performed in those patients unfit for operation. Among the 70 patients, 5 died within 15 months, 27 survived more than 24 months, and the others survived 4-18 months. CONCLUSION: Surgery is the primary therapeutic method for hepatic portal cholangiocarcinoma. Internal or external biliary drainage can prolong the life-span.

关键词： hepatic portal cholangiocarcinoma drainage

the changes of preoperative bone mineral density of patients with nonfunctional pituitary adenoma

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外科研究与新技术 2011年第3期 206-207页

作者：赵永博 Inst Nurosurg pla Xijing Hosp4th Mil Med Univ

Objective To evaluate the bone mineral density (BMD) alteration of patients with nonfunctional pituitary adenoma in Chinese mainland and further to investigate the relevant factors of BMD changes. Methods 31 patients ... 详细信息

关键词： BMD bone the changes of preoperative bone mineral density of patients with nonfunctional pituitary adenoma

Epidemiological and clinical characteristics of 46 corona virus disease 2019 cases in Beijing City

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China Medical Abstracts (Internal Medicine) 2020年第3期 154-155页

作者：温珂 Instit Infect Dis 5th Med Center PLA General Hosp

Objective To investigate and analyze the epidemiological and clinical characteristics of 46 patients with corona virus disease 2019(COVID-19) in Beijing *** A retrospective study was conducted to analyze the data of 46 patients with COVID-19 in Beijing from20 th January 2020 to 8 th February 2020 at the Fifth Medical Center of the pla General hospital in Beijing ***,23 and 11 patients were assigned to the mild group,common group and severe group,*** epidemiological history,clinical characteristics,

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Improved technique of vascular anastomosis for small intestinal transplantation in rats

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World Journal of Gastroenterology 2000年第2期6卷 259-262页

作者： Li YX Li JS Li N Nanjing Mil Area Gen hosp pla Res Inst Gen Surg Nanjing 210002 Jiangsu Peoples R China

AIM To establish a new improved vascularanastomotic technique to simplify the surgicaltechnique and increase the survival rate of smallintestinal transplantation in *** the graft removed en blocconsisted of entire small intestine,portal veinand aortic segment with superior *** graft was perfused in situ and thegut lumen was irrigated during the *** small bowel transplantation wasperformed by microvascular end-to-sideanastomosis between the donor aortic segmentwith superior mesenteric artery and the recipientabdominal aorta,and by the formation of a'Cuff'anastomosis between the donor portalvein and the recipient left renal *** endsof the grafts were exteriorized as *** A total of 189 intestinaltransplantations were performed in rats,33 ofwhich were involved in the formal experimentalgroup,with a survival rate of 84.8%.theaverage time for the donor surgery was 80min±10min;for graft repair 10min±3min;and forrecipient surgery 95min±*** averagetime for the arterial anastomosis and the veinanastomosis was 18min±5min and 1min,*** warm ischemic time and coldischemic time were 22min±5min and less than60min,*** whole operation wascompleted by a single surgeon,the operativetime being about 3 *** the vascular anastomosis used in this study could simplify surgical technique,reduce the operative time and elevate thesurvival rate of small intestinal transplantationin rats.

关键词： rat intestinal transplantation vascular anastomosis survival rate