Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Oct 2015
[Anatomic segmentectomy for early stage non-small cell lung cancer].
Anatomic segmentectomy is alternative to lobectomy for the surgical treatment of selected patients with early stage non-small cell lung cancer. Segmentectomy can reserve more pulmonary function in such patients. Emerging evidence suggests that segmentectomy may offer survival outcomes approaching that of lobectomy for lung cancer patients whose disease meets the following criteria: stage IA disease with no regional lymph node metastasis; tumor up to 2 cm in diameter; located in the periphery of lung; and predominantly ground-glass appearance on CT imaging. ⋯ Nevertheless, the evidence is currently still limited, and the above criteria are met only in a minority of patients. Large randomized trials are underway to define the clinical role of segmentectomy, and results are eagerly anticipated. Until that time, lobectomy should still be regarded as the standard therapy for patients with early stage non-small cell lung cancer.
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Zhonghua Wai Ke Za Zhi · Sep 2015
[Pararectus approach for treatment of acetabular both-column fracture combined with translocation of quadrilateral surface].
To study the clinical effect and surgical operating points of pararectus approach for the internal fixation of acetabular both-column fractures with concurrent displaced quadrilateral plate fractures. ⋯ Surgical management of acetabular fractures through the pararectus approach can provide adequate exposure of reducing and fixing both-column acetabular fractures with concurrent displaced quadrilateral plate fractures, which has a good effect in clinical application.
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Zhonghua Wai Ke Za Zhi · Aug 2015
[Risk factors associated with the severity of pulmonary embolism in patients with acute deep venous thrombosis of lower extremities].
To identify the risk factors associated with the severity of pulmonary embolism among patients with deep venous thrombosis of lower extremities. ⋯ Incidence of pulmonary embolism is still high in patients with deep venous thrombosis. Extensive iliofemoral and bilateral vein thrombosis may increase risk of severity of pulmonary embolism. Clinicians should pay more attention to these high-risk patients.
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Zhonghua Wai Ke Za Zhi · Aug 2015
[Short term effect of multiple stents parallel placement and reconstruction technique for the treatment of giant fusiform vertebrobasilar dissecting aneurysms].
To investigate the feasibility,safety and follow-up results of multiple stents parallel placement and reconstruction technique for treating giant vertebrobasilar dissecting aneurysms. ⋯ Multiple stents parallel placement and reconstruction technique for treating giant fusiform vertebrobasilar dissecting aneurysms is feasible and have good operation safety. It may control the dilatation of the aneurysm and reduce the probability of thrombosis or hemorrhage. It can improve the patients' clinical symptoms and quality of life in short term follow-up. The long term result need for further follow-up.
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Zhonghua Wai Ke Za Zhi · Jul 2015
Randomized Controlled Trial[Effects of two analgesic regimens on the postoperative analgesia and knee functional recovery after unilateral total knee arthroplasty-a randomized controlled trial].
To evaluate the efficacy of continuous femoral block on the postoperative analgesia and functional recovery after total knee arthroplasty (TKA). ⋯ CFNB can alleviate the postoperative pain after TKA with safety, help improving the short-middle-term functions of knee and quality of patients' lives.