Objective To analyze the effect and prognosis of pulmonary resection in the treatment of multi-drug resistant pulmonary tuberculosis （MDR-PTB）. Methods A retrospective review was performed in 56 patients undergoing ...Objective To analyze the effect and prognosis of pulmonary resection in the treatment of multi-drug resistant pulmonary tuberculosis （MDR-PTB）. Methods A retrospective review was performed in 56 patients undergoing pulmonary resection for MDR-PTB between January 1995 and July 2006. Results All patients had positive sputum at the time of surgery. After the operation, the sputum remained postitive in only 5 patients. There was no operative mortality.展开更多
Objective To present the clinic characteristics ot thymoma associated with pure red cell aplasia. Methods Between 1979 and 2004,5 patients with thymoma associated with pure red cell aplasia were surgically treated. Re...Objective To present the clinic characteristics ot thymoma associated with pure red cell aplasia. Methods Between 1979 and 2004,5 patients with thymoma associated with pure red cell aplasia were surgically treated. Results The age of the patients ranged from 43 to 68 years,mean age 54.6 years. The incidence of thymoma associated with pure red cell aplasia was 2.7% （5/185） in the contemporary series. All five patients underwent radieal operation. The early results of thymomectomy were excellent, 4 cases are long-term survivals, and recurrence of PRCA was found in one patient 2 months after operation and died 31 months later. Conclusion Thymoma associated with PRCA is a rare autoimmune disease. Surgery for thymoma is still top priority in the selection of treatment. Incretion and for postoperative persistent PRCA eases. 11 refs, 1 tab.展开更多
Objective To investigate appropriate diagnosis and treatment of solitary fibrous tumor of the pleura （SFTP）. Methods CIinical and pathological data of ten patients treated in our hospital from 2002 to 2007 were revi...Objective To investigate appropriate diagnosis and treatment of solitary fibrous tumor of the pleura （SFTP）. Methods CIinical and pathological data of ten patients treated in our hospital from 2002 to 2007 were reviewed. Results Our series consisted of three men and seven women. In two patients correct diagnosis was made before operation through ultrasonugraphy-guided core needle biopsy. All the patients were treated surgically including three resected by video-assisted thoracic surgery （VATS）.展开更多
Objective To summarize the experience and the outcome of the reconstructive operation with colon or stomach for scarred stricture after esophageal bums. Meth. ods This retrospective report reviews the clinical history...Objective To summarize the experience and the outcome of the reconstructive operation with colon or stomach for scarred stricture after esophageal bums. Meth. ods This retrospective report reviews the clinical history of reconstructive operation with colon or stomach for scarred stricture after esophageal burns. 74 cases underwent esophageal reconstruction by colon without resection of scarred esophagus,26 cases esophagogastric reconstruction with resection of scarred esophagus. Results In the group reconstructed with colon there were 5 postoperative deaths, including mediastinal infection caused by necrosis of transposition colon in 2 cases. Other postoperative complications included cervical anastomotic leakage in 14 cases and anastomotic stenosis in 4 cases.展开更多
To study the value of different intra or extra structures the upper thoracic sympathetic trunk in the clinical procedure of sympathicotomy,and establish an optimal secure approach.Methods In 31 adult cadavers with 60 ...To study the value of different intra or extra structures the upper thoracic sympathetic trunk in the clinical procedure of sympathicotomy,and establish an optimal secure approach.Methods In 31 adult cadavers with 60 sympathetic trunks available were studied.The thoracic cavity was thoroughly exposed.Sympathetic ganglion and its affiliated ramus were skeletonized with the aid of microscopic instruments.Emphasis was laid on the relative locality of each ganglion with the corresponding rib.Results The lower border of stellate ganglion was beneath the upper border of the second rib in 33.3% (20/60) cases,while the rami between stellate ganglion and the first thoracic spine nerve was higher in all cases.T2～T5 ganglions localized most frequently at the corresponding intercostal space.Bypass fibers exist at any level,but most frequently around the second rib.Fiber rising from the second intercostal nerve to T1 spine nerve was the most common type (63.3%,38/60).Conclusion Sympathicotomy performed at rib level should be the ideal choice for clinical surgical treatment of palmar or craniofacial hyperhidrosis,which means less denervation scope and more definite therapeutic effect.14 refs,1 fig,1 tab.展开更多
Objective To explore the impact of different N1 status on prognosis in patients with thoracic esophageal squamous cell carcinoma （ESCC）. Methods A cohort of sequential 341 patients with N1 ECSS of the thoracic esoph...Objective To explore the impact of different N1 status on prognosis in patients with thoracic esophageal squamous cell carcinoma （ESCC）. Methods A cohort of sequential 341 patients with N1 ECSS of the thoracic esophagus who underwent radical resection in our hospital was studied. The factors including the number,percentage,展开更多
Objective To investigate the pattern of lymph node metastasis in patients with T2 and middle thoracic esophageal squamous cell carcinoma (ESCC) . Methods The clinical data of 246 cases with T2 and middle thoracic esop...Objective To investigate the pattern of lymph node metastasis in patients with T2 and middle thoracic esophageal squamous cell carcinoma (ESCC) . Methods The clinical data of 246 cases with T2 and middle thoracic esophageat squamous cell carcinoma who were treated by three-field lymphadenectomy were retrospectively reviewed. The T2 and middle thoracic esophageal squamous cell carcinoma who were treated by three-field lymphadenectomy,展开更多
Objective To investigate the clinical significance and characteristics of recurrent laryngeal nerve lymph node metastasis of thoracic esophageal cancer. Methods One hundred and twenty-four patients who had undergone t...Objective To investigate the clinical significance and characteristics of recurrent laryngeal nerve lymph node metastasis of thoracic esophageal cancer. Methods One hundred and twenty-four patients who had undergone thoracic esophageal resection with recurrent laryngealnerve lymph node dissection in our hospital from March 2007 to February 2010. All clinical data were retrospectively analysed. Results Recurrent laryngeal展开更多
To retrieve the ways of prevent complications of video-assisted thoracoscopic surgery.Methods The operation included bullectomy in 462 patients,resection of mediastinal tumor or cyst in 86;esophageal diseases in 94,lo...To retrieve the ways of prevent complications of video-assisted thoracoscopic surgery.Methods The operation included bullectomy in 462 patients,resection of mediastinal tumor or cyst in 86;esophageal diseases in 94,lobectomy or wedge resection of lung in 140,VATS hemostasis in 22,partial pericardial or pleural excision in 54 and biopsy for undetermined chest diseases in 54.Combined anesthesia with intubations of double lumen tracheal tube was performed in 866 patents and single-lumen tracheal tube in 46.Results 886 operations were completed by VATS,and 26 cases were converted into thoracotomy for various reasons.Complications occurred in 36 patients (3.95%),including 10 cases occurred during the operation (esophageous mucous rupture in 4,nerve injury in 2 and insufficient hemostasis leading to postoperative bleedintg in 4).26 cases (2.85%) developed complications postoperatively,including persistent air leak (≥7 days) in 19,pleural effusion making a second water-sealed drainage necessary in 3,atrial fibrillation in 2 and infection in 1.One died from respiratory failure at the fifth postoperative day.Conclusion VATS experience should be gained systematically.In order to reduce the complications,more attentions must be paid to training of the thoracic surgeons in order to master the skill and the correlated knowledge of VATS.5 refs.展开更多
文摘Objective To analyze the effect and prognosis of pulmonary resection in the treatment of multi-drug resistant pulmonary tuberculosis （MDR-PTB）. Methods A retrospective review was performed in 56 patients undergoing pulmonary resection for MDR-PTB between January 1995 and July 2006. Results All patients had positive sputum at the time of surgery. After the operation, the sputum remained postitive in only 5 patients. There was no operative mortality.
文摘Objective To present the clinic characteristics ot thymoma associated with pure red cell aplasia. Methods Between 1979 and 2004,5 patients with thymoma associated with pure red cell aplasia were surgically treated. Results The age of the patients ranged from 43 to 68 years,mean age 54.6 years. The incidence of thymoma associated with pure red cell aplasia was 2.7% （5/185） in the contemporary series. All five patients underwent radieal operation. The early results of thymomectomy were excellent, 4 cases are long-term survivals, and recurrence of PRCA was found in one patient 2 months after operation and died 31 months later. Conclusion Thymoma associated with PRCA is a rare autoimmune disease. Surgery for thymoma is still top priority in the selection of treatment. Incretion and for postoperative persistent PRCA eases. 11 refs, 1 tab.
文摘Objective To investigate appropriate diagnosis and treatment of solitary fibrous tumor of the pleura （SFTP）. Methods CIinical and pathological data of ten patients treated in our hospital from 2002 to 2007 were reviewed. Results Our series consisted of three men and seven women. In two patients correct diagnosis was made before operation through ultrasonugraphy-guided core needle biopsy. All the patients were treated surgically including three resected by video-assisted thoracic surgery （VATS）.
文摘Objective To summarize the experience and the outcome of the reconstructive operation with colon or stomach for scarred stricture after esophageal bums. Meth. ods This retrospective report reviews the clinical history of reconstructive operation with colon or stomach for scarred stricture after esophageal burns. 74 cases underwent esophageal reconstruction by colon without resection of scarred esophagus,26 cases esophagogastric reconstruction with resection of scarred esophagus. Results In the group reconstructed with colon there were 5 postoperative deaths, including mediastinal infection caused by necrosis of transposition colon in 2 cases. Other postoperative complications included cervical anastomotic leakage in 14 cases and anastomotic stenosis in 4 cases.
文摘To study the value of different intra or extra structures the upper thoracic sympathetic trunk in the clinical procedure of sympathicotomy,and establish an optimal secure approach.Methods In 31 adult cadavers with 60 sympathetic trunks available were studied.The thoracic cavity was thoroughly exposed.Sympathetic ganglion and its affiliated ramus were skeletonized with the aid of microscopic instruments.Emphasis was laid on the relative locality of each ganglion with the corresponding rib.Results The lower border of stellate ganglion was beneath the upper border of the second rib in 33.3% (20/60) cases,while the rami between stellate ganglion and the first thoracic spine nerve was higher in all cases.T2～T5 ganglions localized most frequently at the corresponding intercostal space.Bypass fibers exist at any level,but most frequently around the second rib.Fiber rising from the second intercostal nerve to T1 spine nerve was the most common type (63.3%,38/60).Conclusion Sympathicotomy performed at rib level should be the ideal choice for clinical surgical treatment of palmar or craniofacial hyperhidrosis,which means less denervation scope and more definite therapeutic effect.14 refs,1 fig,1 tab.
文摘Objective To explore the impact of different N1 status on prognosis in patients with thoracic esophageal squamous cell carcinoma （ESCC）. Methods A cohort of sequential 341 patients with N1 ECSS of the thoracic esophagus who underwent radical resection in our hospital was studied. The factors including the number,percentage,
文摘Objective To investigate the pattern of lymph node metastasis in patients with T2 and middle thoracic esophageal squamous cell carcinoma (ESCC) . Methods The clinical data of 246 cases with T2 and middle thoracic esophageat squamous cell carcinoma who were treated by three-field lymphadenectomy were retrospectively reviewed. The T2 and middle thoracic esophageal squamous cell carcinoma who were treated by three-field lymphadenectomy,
文摘Objective To investigate the clinical significance and characteristics of recurrent laryngeal nerve lymph node metastasis of thoracic esophageal cancer. Methods One hundred and twenty-four patients who had undergone thoracic esophageal resection with recurrent laryngealnerve lymph node dissection in our hospital from March 2007 to February 2010. All clinical data were retrospectively analysed. Results Recurrent laryngeal
文摘To retrieve the ways of prevent complications of video-assisted thoracoscopic surgery.Methods The operation included bullectomy in 462 patients,resection of mediastinal tumor or cyst in 86;esophageal diseases in 94,lobectomy or wedge resection of lung in 140,VATS hemostasis in 22,partial pericardial or pleural excision in 54 and biopsy for undetermined chest diseases in 54.Combined anesthesia with intubations of double lumen tracheal tube was performed in 866 patents and single-lumen tracheal tube in 46.Results 886 operations were completed by VATS,and 26 cases were converted into thoracotomy for various reasons.Complications occurred in 36 patients (3.95%),including 10 cases occurred during the operation (esophageous mucous rupture in 4,nerve injury in 2 and insufficient hemostasis leading to postoperative bleedintg in 4).26 cases (2.85%) developed complications postoperatively,including persistent air leak (≥7 days) in 19,pleural effusion making a second water-sealed drainage necessary in 3,atrial fibrillation in 2 and infection in 1.One died from respiratory failure at the fifth postoperative day.Conclusion VATS experience should be gained systematically.In order to reduce the complications,more attentions must be paid to training of the thoracic surgeons in order to master the skill and the correlated knowledge of VATS.5 refs.
