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Heart,

By Shirley Martin,2014-07-23 21:39
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Heart,heart,HEART,Heart

    Heart,

    ChillaMedicalAbstracts(Surgery),2008,17(2) ;0.003).Therewasnosignificantdifferenceinthes-year ;survivalrate(49.40%v543.89%P=0.096)afterad

    ;juvantchemotherapy,bothgroupsprofitedfromtheadju

    ;vantchemotherapy(P=0.049;P=0.000).Conclusion ;Becausetheshort.-termrisksandlong?-termsurvivalare ;similar.theelderlyNSCICpatientswhowerequalified ;forsurgerytreatmentshouldnotbedeniedsurgicalresec

    ;tionandadjuvantchemotherapybasedontheirchronologic ;agealoneeeffectwasnotsignificantlydifferentas ;comparedwiththeiryoungercounterparts.8refs,1tab. ;(Authors)

    ;5.3Esophagus.c~’diaofstomach

    ;208318Assessmentofqualityoflifeofpatientswho ;underwentresectionforcanceroftheesophagealandgas- ;triccardia/WangJindong(王金栋,DeptThoracSurg,

    ;4thHasp.HebeiUniv.Shijiazhuang050011)…lChin

    ;ThoracCardiovascSurg.2008,24(1).36--38

    ;ObjectiveToinvestigatethedifferencesofQ)Lbe

    ;tweenpatientswhounderwentsurgeryforesophagealcan

    ;cer(EC)andcardiaccancer(CC).MethodsThemain ;questionnaire(EORTCQLQC——30)andtheesophag~

    ;specificmodule(EORTCOES24)wereusedfordataco1. ;1ectionin119patientswhounderwentesophagectomyfor ;cancer.ResultsThescoresofphysica1.rolefunctioning ;andgbbalhealthstatusinpatientswhounderwent ;esophagectomyforECwerehigherthanthosewhounder

    ;wentgastroesophagectomyforCC(P<0.05).e ;scoresoffatigue,insomnia,appetiteloss,decliningof ;physicalweight,vomitandrefluxsymptomsweresignin

    ;candyreducedinpatientswhounderwentECresection(P ;<0.05).Theoccurrenceofsurgery-relatedcomplictions ;statisticallyreducedaboveindicesofqualityoflife(P< ;0.05).Theseindicesweresignificantlyimprovedlyear ;aftersurgery(P<0.05).ConclusionThequalityoflife ;forthepatientswhohadECresectionissignificantlysupe

    ;riortothatforthosewhounderwentCCresection.Type ;ofsurgery,postoperativetime,surgery-relatedcomplica

    ;tionshaveinfluenceonthequalityoflife.15refs,3tabs.

;(Authors)

    ;208319Diagnosticvalueofendoscopicultrasonography ;andcrinT,Nstageofpreoperativeesophagealcancer/ ;HuYi(胡袜,DeptThoracSurg,CancerCenter,National ;KeyIbOncolSouthChina,SunYatsenUniv,

    ;Guangzhou510060)…?ChinJGastrointestSurg.

    ;2008,11(2).150153

    ;ObjectiveToevuluatethepreoperativeendoscopic ;ultrasonography(EUS)andCTinthediagnosisofTN ;stageofesophagealcancer.MethodsFifty-onehospital

    ;izedpatientswithesophagealcancerinourcenter,from ;July2002toJanuary2004wereenrolledinthisstudy. ;AccordingtoUIOE(1997)T]clinicalstage,theTN ;stageresultsofesophagealcancerbyEUSandCTexami

    ;nationofabove51caseswerecomparedwiththeix)stop

    ;erativepathologicalTNstage.Results(1)Theaccuracy ;ratesofTandNstagebyEUSwere82.4%(42/51)and ;88.0%(45/51)respectively.TheaccuracyratesofT ;andNstagebyCTwere52.9%(27/51)and51.0%

    ;(26/51)respectively.TheaccuracyratesofTandN ;stagebycombinationofEUSandCTwere86.3%(44/ ;51)amt90.0%(46/51).(2)econsistentcondition ;amongEUS,CTorcombinationofEUSandCTwith ;pathology:TheKappaofEUStoTandNstagewere ;0.700(P<0.001)and0.763(P<0.001).TheKappa ;ofCTtoTandNstagewere0.275(P=0.002)and

    ;0.006(P=0.964).eKappaofEUS4CTtoTandN

    ;stagewere0.769(P<0.001)and0.801(P<0.001). ;(3)SignificantdifferenceswerefoundbetweenEUSand ;CT:Frr=0.001(=10.079)andPN<0.001(=

    ;16.730).Nosignificantdifferencewasfoundbetween ;EUS+CTandEUS.ConclusionEUScaJ1beusedas ;importantandmainpreoperativeexaminationbecauseof ;presentinghighaccuracyrateinthediagnosisofTandN ;stageofesophagealcancer.12refs,5tabs.

    ;(Authors)

    ;5.4Heart,cardiovascula,vasculardisorder ;208320Doubleswitchoperationforcorrectedtranspo- ;sitionofthegreatarteriesiuYinglong(刘迎龙,Dept

    ;PediatCardiacSurg,CardiovascInstFuWaiHasp, ;CAMS,Beijing100037)…//ChinJThoracCardiovasc

    ;

    ;?

    ;132?ChknaMedicalAbstracts{Surgery),2008,17(2)

;Surg.2008,34(1).79

    ;ObjectiveTosnmmarizeourpreliminaryexperience ;ofdouble-switchoperationforpatientswithcongenitally ;correctedtranspositionofthegreatarteries.Methods ;西edataof17patientsfcongenitallycorrectedtrans

    ;positionofthegreatarteriesthathadproceduresofdou

    ;ble-switchoperationbetweenNovember2001andJuly ;2006wereretrospectivelyreviewed.Eightpatients,in

    ;eludingonepatientwithmoderatepulmonarystenosis, ;underwentanarterialswitchoperation(ASO)combined ;withaSenningprocedurewhiletheotherninepatients ;withmoderateorseverepulmonarystenosisunderwent ;combinedRastelliandSenningprocedures.Beforethe ;doubleswitch,threepatientshadrequiredpulmonary ;arterybandingforleftventficulartraining.Results(1) ;Senning+ASo:aorticcrossclampingtimewas183282

    ;minutes,postoperativemechanicalventilationtingewas14 ;

    ;984hours.amountofdrainagewas2081496n11.

    ;Thein-hospitalcomplicationsincludedthirddegreeA_V ;blo&in1patientandrightdiaphragmaticparalysisin1 ;patient.(2)Senning+Rastelli:aorticerossclampingtime ;was132380minutes,postoperativemechanicalventi

    ;lationtimewas18--276hours,amountofdrainagewas ;1081780m1.111ein-hospitalcomplicationwaspul

    ;monaryhypertensivecrisisin1patient.Therewas1has

    ;pital-deathoflowcardiacoutputsyndrome.Conclusion ;Double-switchoperationcanprovidesatisfactoryshort

    ;termoutcomesforalderpatientswithcongenitallycorrect

    ;edtranspositionofthegreatarteries.4refs. ;(Authors)

    ;208321Half-turnedtruncalswitchoperationforcomo ;pletetranspositionofthegreatarterieswithventricular ;septaldefectandpulmonarystenusisanddoubleoutletof ;rightventricletlIpulmonarystenosis/ZhuHongyu(

    ;洪玉,DeptCardiovascSurg,ShenyangMilDistrictGener ;Hosp,Shenyang110016)…?ChinJThoracCardi0vaSc

    ;Surg.2008,24(1).10--11

    ;ObjectiveToreporttwoeasesofhalLturnedt1?1.

    ;calswitchoperationforanatomicrepairofcompletetrans. ;positionofthegreatarteries(TGA)with,rentricu1arseD. ;taldefect(VSD)andpulmonarystenosis(PS)anddouble ;outletoffightventricle(DORV)thTGAandPS.

    ;MethodsTwopatientsunderwenthalfturnedtruncal

;switchoperationinourdepartment.onewasG7

    ;PS(SDD)andtheotherwasDORVA.Theas.

    ;cendingaortaandmainpulmonaryarteryweretransected ;andbothfightandleftcoronaryarterieswereresected ;withaUshapedbuttons.Themmcalblockwithboth ;semilunarvalveswasseparatedfromtheventficularoutlet ;tracteresectedtruncalblockwashalfturnedand ;anastomosedtotheventricularoutlettract,bringingthe ;aorticrootovertheleftventficularoutletandthepu1. ;monaryrootoverthefightventficularoutlet.Bothcoro- ;narybuttonswerere-anastomosedtotheaorticwa11.The ;VSDwasdosedwithapatch.Theposteriorpulmonary ;wallwasanastomosedtotheposteriorwa1lofrightven

    ;tricularoutlettractandrightventricularoutletwasrecon

    ;structedwithautopericardiacpatch.ResultsTwopa

    ;tientssurvived.Onepatienthadpostoperativelowcardiac ;outputsyndromeandcapillaryleaksyndrome,wasdis

    ;chargedafter25days.111esecondpatientrecoveredwel1. ;Follow-upfor9,10months,twopatientswereinNYHA ;Igrade.ConclusionHa1fturnedtruncalswitchopera

    ;tionisanoptionforTGA/VSD/PSorDORV/PS.Reop

    ;erationfortheproblemsofintracardiactunnelandextrac. ;ardiacconduitmaybeavoided.4refs,6figs.

    ;(Authors)

    ;208322Outcomesaftercompleterepairoftetralogyof ;fallotinchildren:acomparisonbetweendifferentage ;groups/ChenGang(陈纲,CardiovascCenter,Children’s

    ;Hasp.FudanUniv.Shanghai200032)…}}ChinJThorac

    ;CardiovascSurg.2008,24(1).1214

    ;ObjectiveThepurposeofthisstudywastoevaluate ;theoutcomesaftercompleterepairoftetralogyofFallot ;(TOF)inchildrenofdifferentagesanddefinetheoptimal ;agefortotalrepair.Methods545caseswithTOFun. ;dergoingcompleterepairbetweenJanuary1990andDe. ;cember2006inourcenterwerereviewed.

    ;Accordingto

    ;theage,the545casesweredividedinto3groups:

    ;Ainfants(=114),groupBchildrenlessthan5

    ;

    ;aliIlaMedicalAbstracts(Surgery),2008,17(2)?133? ;old(=326)andgroupCchildrenmorethan5yearsold ;(n=105).Theoperativecharacteristics,mortality,mor

    ;biditywerecomparedbetweenthem.479childrenwere ;followedupfor1monthto16years.Theresiduallesion

;>0.05.exercisecapacityandarrhythmiawerealsocom

    ;paredbetweenthe3groups.ResultsTheoperative ;characteristics,earlymortalityandmorbidityweresimilar ;in3groups.Themortalityineachgroupwas4/114,14/ ;326,4/105(P>0.05)andthemorbiditywas17/110, ;58/312,20/101(P>0.05),respectively.Theincidences ;oflateventriculararrhythmiain3groupswere20.9%. ;30.7%and39.0%(P<0.05).The1year,5yearand

    ;10.-yearsurvivalratesin3groupshadnosignificantdiffer-- ;ence.Maximalexercisecapacityis(82.2?5.5)%inin. ;fantgroupcomparedwithnorma1.ConclusionGanplete ;repairofTOFinchildrenatdifferentageshavesimilarmor

    ;talkyandmorbidity,aswellexc~Jlentheartfunction.Early ;totalrElpcanestablishnormalpulmonarybloodflowearlier, ;alleviatesystemichypoxiaanddecreaseincidenceoflatevel3.. ;trieulararrhythmia.Therefore,theoptimalageofcomplete ;repakofTOFisininfancy.12refs,1,3tabs.

    ;(Authors)

    ;208323Arterialswitchoperationforcompletetranspo- ;sitionofthegreatarterieswinlcoronaryarteryfromsin- ;glesinus/ZhengJinghao(郑景浩,DeptPediatThorac

    ;CardiovascSurg,Shangh~Chidren’sMedCenter,Med

    ;SchoolShanghaiJiaotongUnlv,Shanghai200127)…f

    ;ChinJThoracCardiovascSurg.2008,24(1).14

    ;ObjectiveSuccessfultransferofthecoronaryafter ;iesisthemostcriticalstepduringarterialswitchopera

    ;tions(ASO)forpatientswithtranspositionofthegreat ;arteries(D-TGA)thcoronaryartery(CA)fromsingle ;sinus.Varioustechniqueshavebeenreported.nepre ;sentstudyevaluatedtheresultsof31eases.Methods31 ;babies,vithD-TGAwererepaired,viththeASOincluding ;27casesofD-TGA,vithventricularseptaldefect(VSD) ;and4easesofD-TGAwithintactventricularseptal ;(IVS).ForCAanomalies,therewere12patientswith ;singleCAosfiumoriginatingfromsinusIorsinusII, ;15patients,?ithrightCAandleftCAostiumoriginating ;fromsinus11.The90degreecoronarypatchtumand

    ;“trapdoor’’techniqueswereused.ResultsThemortali—

    ;tyratewas25.8%.NoCAperfusionabnorrnlitywasob

    ;served.Inthepostoperativefallowing-up,therewere2 ;patientswithresidualVSD,whichclosednaturallyduring ;1-2years.and2patients,vithresidualpulmonarysteno- ;siS.ConclusionTransferofthecoronarybuttonbythe ;90degreecoronarypatchturnwiththepericardialorand

;

    ;rapdoor”techniques.Pericardialorpulmonaryartery

    ;hoodaugmentationtothepreviouslyanastomosedneo-aor- ;taassuggestedasapractical,easyandconvenientcombi

    ;nation.9refs,5figs.

    ;(Authors)

    ;5.5Others

    ;208324Preventionofpostoperativemyastheniccrisisafter ;thymectomybyperioperativeinanune-directedrl~[1ission ;therapy/YangLixin(杨立信,DtCardiotl-K)racStag,

    ;Changhai,2ndMedUniv,Shanghai200433)…?

    ;(]finJThoracCardiov~scSurg.2008,24(1).30--32

    ;ObjectiveToevaluatetheeffectofperioperative ;immune-directedremissiontherapyinpreventionofmyas

    ;theniccrisisafterthymectomyforgeneralmyasthenia ;gra~spatients.Methods58patientswithgeneralmyas

    ;theniagraviswhounderwentthymectomyfromJanuary ;2003toDecember2006werereviewed.Theremissionin

    ;ducfiontherapywasconductedinallthepatientspreopera

    ;tivdywirnmunoglobulinorinconjunctionwhigh- ;dose~ucocorticoid,andtheremissionwasmaintainedby ;shorttermcontinuinginfusionofimmunoglobulinorslow ;taperingofcorticostereidpostoperatively.Postoperative ;myastheniccrisisandotherrespiratorycomplicationswere ;analyzedandtheeffectivenessoftheoperationwasesti ;matedbytheremissionratesatfollow-upof1monthto3 ;years.ResultsTherewasnooperativedeath,norearly ;post-operativemyastheniccrisisorcholinergiccrisis.No ;retintubationortracheotomywasperformedpostoperativ ;ely.Complicationsrdatedtoextendedthymectomyoc ;cuffedin3patients(twocasesofunilateraldiaphragmatic ;paralysisandoneleftrecurrentlaryngealnerveparalysis). ;Thetotaleffectiverateswere91.4%.Completeremis ;

    ;

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