目的:比较腹腔镜胰十二指肠切除术(LPD)与开腹胰十二指肠切除术(OPD)的临床疗效。方法:回顾性收集新疆医科大学第一附属医院2015年1月至2021年1月期间完成的33例腹腔镜胰十二指肠切除术患者及33例开腹胰十二指肠切除术患者资料。比较两...目的:比较腹腔镜胰十二指肠切除术(LPD)与开腹胰十二指肠切除术(OPD)的临床疗效。方法:回顾性收集新疆医科大学第一附属医院2015年1月至2021年1月期间完成的33例腹腔镜胰十二指肠切除术患者及33例开腹胰十二指肠切除术患者资料。比较两组手术时间,术中出血量,术中输血情况,术后排气时间,术后首次下床时间,术后住院天数,带管时间,住院总费用及术后并发症发生情况。结果:两组手术出血量,住院总费用无统计学差异(P > 0.05),手术时间LPD组大于OPD组(P 0.05)。结论:开腹和腹腔镜胰十二指肠切除术均安全有效,腹腔镜胰十二指肠切除术在不增加并发症的情况下,术后恢复优于开腹腹腔镜胰十二指肠切除术。Objective: To compare the clinical effects of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). Methods: The data of 33 patients with laparoscopic pancreaticoduodenectomy and 33 patients with open pancreaticoduodenectomy completed in the First Affiliated Hospital of Xinjiang Medical University from January 2015 to January 2021 were collected retrospectively. The operation time, intraoperative bleeding, intraoperative blood transfusion, postoperative exhaust time, the first time out of bed, postoperative hospital stay, tube time, total hospitalization cost and postoperative complications were compared between the two groups. Results: There was no significant difference in the amount of surgical bleeding and the total cost of hospitalization between the two groups (P > 0.05). The operation time in group LPD was greater than that in group OPD (P 0.05). Conclusion: Both open and laparoscopic pancreatoduodenectomy are safe and effective, and laparoscopic pancreatoduodenectomy offers better postoperative recovery than open and laparoscopic pancreatoduodenectomy without increasing complications.展开更多
Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically asses...Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically assessing functioning and disability in patients with chronic diseases.To date,the ICF core sets for OPDs have not been validated by respiratory physicians in China’s mainland.This study was aimed at validating the brief ICF core set for OPDs from the perspective of Chinese respiratory physicians.A three-round,consensus-building survey was conducted with Chinese respiratory physicians from Shanghai,Jiangsu,and Zhejiang from December 2 to December 16,2017,using the Delphi technique.Their answers were analyzed for consensus degree.In this study,52 experts(about 67.3%men)with a mean working experience of(19.3±6.3)years completed the consensus process.After 3 rounds,the following 13 ICF categories were considered crucial for the assessment of OPDs,with an agreement of over 70%:4 in body functions(b410-heart functions,b440-respiratory functions,b455-exercise tolerance functions,and b460-sensations associated with cardiovascular and respiratory functions),2 in body structures(s410-structure of cardiovascular system,and s430-structure of respiratory system),4 in activities and participation(d230-carrying out daily routine,d450-walking,d455-moving around,and d640-doing housework),and 3 in environmental factors(e110-products or substances for personal consumption,e225-climate,and e260-air quality).Twelve(70.6%)categories in the current brief ICF core set were validated,and one additional category,b410-heart functions,was added.In conclusion,Chinese respiratory physicians largely supported the current brief ICF core set for OPDs.However,the newly added and unconfirmed categories need further investigation.展开更多
文摘目的:比较腹腔镜胰十二指肠切除术(LPD)与开腹胰十二指肠切除术(OPD)的临床疗效。方法:回顾性收集新疆医科大学第一附属医院2015年1月至2021年1月期间完成的33例腹腔镜胰十二指肠切除术患者及33例开腹胰十二指肠切除术患者资料。比较两组手术时间,术中出血量,术中输血情况,术后排气时间,术后首次下床时间,术后住院天数,带管时间,住院总费用及术后并发症发生情况。结果:两组手术出血量,住院总费用无统计学差异(P > 0.05),手术时间LPD组大于OPD组(P 0.05)。结论:开腹和腹腔镜胰十二指肠切除术均安全有效,腹腔镜胰十二指肠切除术在不增加并发症的情况下,术后恢复优于开腹腹腔镜胰十二指肠切除术。Objective: To compare the clinical effects of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). Methods: The data of 33 patients with laparoscopic pancreaticoduodenectomy and 33 patients with open pancreaticoduodenectomy completed in the First Affiliated Hospital of Xinjiang Medical University from January 2015 to January 2021 were collected retrospectively. The operation time, intraoperative bleeding, intraoperative blood transfusion, postoperative exhaust time, the first time out of bed, postoperative hospital stay, tube time, total hospitalization cost and postoperative complications were compared between the two groups. Results: There was no significant difference in the amount of surgical bleeding and the total cost of hospitalization between the two groups (P > 0.05). The operation time in group LPD was greater than that in group OPD (P 0.05). Conclusion: Both open and laparoscopic pancreatoduodenectomy are safe and effective, and laparoscopic pancreatoduodenectomy offers better postoperative recovery than open and laparoscopic pancreatoduodenectomy without increasing complications.
基金the Shanghai Jiao Tong University“Medicine-Engineering Interdisciplinary”Project,and the Project of Shanghai Municipal Commission of Health and Family Planning(No.201740032)。
文摘Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically assessing functioning and disability in patients with chronic diseases.To date,the ICF core sets for OPDs have not been validated by respiratory physicians in China’s mainland.This study was aimed at validating the brief ICF core set for OPDs from the perspective of Chinese respiratory physicians.A three-round,consensus-building survey was conducted with Chinese respiratory physicians from Shanghai,Jiangsu,and Zhejiang from December 2 to December 16,2017,using the Delphi technique.Their answers were analyzed for consensus degree.In this study,52 experts(about 67.3%men)with a mean working experience of(19.3±6.3)years completed the consensus process.After 3 rounds,the following 13 ICF categories were considered crucial for the assessment of OPDs,with an agreement of over 70%:4 in body functions(b410-heart functions,b440-respiratory functions,b455-exercise tolerance functions,and b460-sensations associated with cardiovascular and respiratory functions),2 in body structures(s410-structure of cardiovascular system,and s430-structure of respiratory system),4 in activities and participation(d230-carrying out daily routine,d450-walking,d455-moving around,and d640-doing housework),and 3 in environmental factors(e110-products or substances for personal consumption,e225-climate,and e260-air quality).Twelve(70.6%)categories in the current brief ICF core set were validated,and one additional category,b410-heart functions,was added.In conclusion,Chinese respiratory physicians largely supported the current brief ICF core set for OPDs.However,the newly added and unconfirmed categories need further investigation.
