Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Apr 2009
[Factors associated with anastomotic leakage after anterior resection in rectal cancer].
To analyze the factors associated with anastomotic leakage after anterior resection in rectal cancer with the technique of total mesorectal excision (TME). ⋯ Low-rectal cancer, non-specialized surgeons and diabetes mellitus are risk factors of anastomotic leakage after rectal surgery. A defunctioning stoma was effective in preventing leakage after low-rectal cancer surgery.
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Zhonghua Wai Ke Za Zhi · Apr 2009
[Minimally invasive robotic coronary bypass on the beating heart using da Vinci S system].
To summarize the experience of minimally invasive robotic coronary bypass on beating heart using da Vinci S in China. ⋯ As a new advanced approach of revascularization, robotic ITA harvesting and coronary anastomoses can be safely performed with the da Vinci S system. The procedure is minimally invasive and can offer enhanced ability to control precise and stable operative manipulations.
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Zhonghua Wai Ke Za Zhi · Apr 2009
[Staged total cavopulmonary connection for complex congenital heart diseases].
To review the experience of staged total cavopulmonary connection (TCPC) in complex congenital heart diseases. ⋯ The staged TCPC was a good procedure in high-risk Fontan candidates. The results were satisfactory for those patients. This staged strategy may extend the operative indications for the Fontan procedure.
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To explore the program of preoperative evaluation, preoperative preparation and separation operation of pygopagus conjoined twins. ⋯ Consummate preoperative preparation, accurate preoperative investigations, meticulous operative management, careful postoperative administration and good team cooperation are the keys to successful separation of pygopagus conjoined twins.
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To rudiment analyze the different intervention factors affecting the spinal cord injury functional recovery initially through prospective study project. ⋯ Operation and operation time were of no significant value for type A injury (total spinal cord injury), but considering the nursing convenience and the need for spinal stabilities, operation decompression and internal fixation can be chosen; Operation decompression should be performed as soon as quickly for type B injury (non-total spinal cord injury) in order to get better functional recovery.