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The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study Hounsfield单元在逆行肾内手术与经皮肾镜取石治疗2-3 cm肾结石中的价值:一项单中心前瞻性先导研究
Pub Date : 2021-08-06 DOI: 10.31491/csrc.2021.09.077
Yuzhuo Li, Qiqi He, Wang Fei, T. Ma, J. Bao, Li Yang, Wang Zhiping, G. Sanjay
Background: To determine whether the Hounsfield Unit (HU) value of no-contrast computer computed tomography (NCCT) might offer better guidance in the selection of RIRS or PCNL in renal stones of 2-3 cm. Methods: A total of 158 patients with kidney stones (2-3 cm) who underwent PCNL/RIRS from March 2016 to January 2019 were enrolled in this study. Age, gender, stone sizes, locations, average HU value of stones, surgery time, hospital stay time, stone-free rate, and complications at the time of hospitalization and 3-month follow-up were measured to identify the surgery efficiency. Results: Upon consideration of the HU value, the mean surgery time was significantly decreased in RIRS comparing to the control RIRS (cRIRS) group (47.73 ± 15.52 vs. 72.41 ± 27.71 min, P < 0.05). Statistically, the surgery time was strongly influenced by the HU values both in RIRS (OR 93.8, P < 0.01) and PCNL (OR 8.21, P < 0.05). HU values proved to have a strong positive relation with surgery time in RIRS while a low positive relation in PCNL (P < 0.05). Conclusion: Overall, for renal stones of 2-3 cm, RIRS might be a safe and efficacious treatment option if the HU value and other parameters could be comprehensively accounted for. Individual precision surgery might provide ideal treatment and prognosis for patients requiring long-term continuous clinical procedures.
背景:探讨无对比计算机断层扫描(NCCT)的Hounsfield Unit (HU)值是否能更好地指导2 ~ 3cm肾结石患者选择RIRS或PCNL。方法:2016年3月至2019年1月,158例接受PCNL/RIRS治疗的肾结石(2-3 cm)患者纳入本研究。观察年龄、性别、结石大小、部位、结石平均HU值、手术时间、住院时间、结石无结石率、住院时并发症及随访3个月,以确定手术疗效。结果:考虑HU值后,RIRS组平均手术时间较对照组(cRIRS)明显缩短(47.73±15.52 min vs. 72.41±27.71 min, P < 0.05)。在RIRS (OR 93.8, P < 0.01)和PCNL (OR 8.21, P < 0.05)中,HU值对手术时间有显著影响。在RIRS中,HU值与手术时间呈强正相关,而在PCNL中,HU值与手术时间呈低正相关(P < 0.05)。结论:总的来说,在综合考虑HU值等参数的情况下,对于2-3 cm的肾结石,RIRS可能是一种安全有效的治疗方案。个体化精准手术可能为需要长期连续临床治疗的患者提供理想的治疗和预后。
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引用次数: 2
Hypopigmentation with muscular and subcutaneous atrophy as a complication of Intralesional Steroid injection in Ganglion 神经节内注射类固醇的并发症:肌肉及皮下萎缩伴色素减退
Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.073
Sandip K. Rahul, Digamber Chaubey, Rupesh Keshri, Pallavi Suman
Although ganglion cysts are commonly encountered in surgical practice, recurrences have been reported with almost all modalities used in its management [1]. We report an unusual complication following intra-lesional steroid injection. Consent was taken from the father of the patient before presenting this case; permission was also taken from the Institutional Ethics Committee
尽管神经节囊肿在外科手术中很常见,但几乎所有治疗方法都有复发的报道[1]。我们报告一个不寻常的并发症后病变内类固醇注射。在提出本病例之前,已征得患者父亲的同意;也得到了机构伦理委员会的许可
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引用次数: 0
Preoperative hematological parameters are inadequate for predicting mortality in Stanford Type A aortic dissection repair 术前血液学参数不足以预测斯坦福A型主动脉夹层修复的死亡率
Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.075
Selim Durmaz, Ömer Faruk Rahman
Background: Mortality in acute Type A aortic dissection is still high and unpredictable. We aimed to investigate the validity of preoperative hematological markers and possible risk factors in predicting in-hospital mortality in patients operated with deep hypothermic circulatory arrest method. Methods: 78 consecutive patients who were admitted to the emergency service and operated on were retrospectively analyzed. Risk factors for in-hospital death were investigated to develop a predictive model. Results: There was no difference between patients in terms of the were demographic data of the patients. In the mortality group, only preoperative creatinine levels were found to be higher (p < 0.05). Factors affecting mortality were found as total circulatory arrest (TCA) and cross-clamp (X-clamp) times when intraoperative data were examined (p < 0.05). ROC analysis was performed to determine the power to predict mortality and to determine the cut-off point. In ROC analysis to predict mortality, X-Clamp time > 71 minutes, 68.2% sensitivity and 66.1% specificity, TCA > 44.5 minutes, 72.7% sensitivity and 73.2% specificity were found. In the mortality group, these values were found to be significantly higher than those who were discharged. Conclusion: In the surgical treatment of Type A aortic dissection under deep hypothermia, hematologic biomarkers may be insufficient in estimating the risk for mortality. Keywords: Acute; aortic dissection; biomarker; mortality
背景:急性A型主动脉夹层的死亡率仍然很高且不可预测。我们的目的是探讨术前血液学指标和可能的危险因素在预测深度低温循环停搏术患者住院死亡率方面的有效性。方法:回顾性分析78例急诊手术患者的临床资料。研究院内死亡的危险因素,建立预测模型。结果:两组患者的人口学资料无统计学差异。在死亡组中,只有术前肌酐水平升高(p < 0.05)。影响死亡率的因素为全循环骤停(TCA)和交叉夹持(X-clamp)次数(p < 0.05)。进行ROC分析以确定预测死亡率的能力并确定分界点。在预测死亡率的ROC分析中,X-Clamp时间> 71分钟,敏感性68.2%,特异性66.1%;TCA > 44.5分钟,敏感性72.7%,特异性73.2%。在死亡组中,这些数值明显高于出院组。结论:在深低温下手术治疗A型主动脉夹层时,血液学生物标志物可能不足以估计死亡风险。关键词:急性;主动脉夹层;生物标志物;死亡率
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引用次数: 0
Spontaneous fragmentation of a double J ureteral stent in a patient with a single anatomical kidney 双J型输尿管支架在单解剖肾患者中的自发性碎裂
Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.076
M. Modeste, N. Saleh, Gallouo Messian, Hagguir Hissein, Abdi El Mostapha, Moataz Amine, Dakir Mohamed, Debbagh Adil, A. Rachid
Department of Urology, Ibn Rochd University Hospital and Faculty of Medicine and Pharmacy, Casablanca, Morocco.
摩洛哥卡萨布兰卡伊本罗得德大学医院和医学院泌尿科。
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引用次数: 0
Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report 髂耻骨软骨粘液样纤维瘤并发动脉瘤样骨囊肿1例
Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.074
J. Vale, S. Diniz, F. Rodrigues, A. Ribau, A. Coelho, Vânia Oliveira, P. Cardoso
Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus
软骨粘液样纤维瘤是一种罕见的软骨肿瘤,占所有原发性骨肿瘤的0.5%,占良性骨肿瘤的2%。8.6%的病例可在CMF内发现动脉瘤性骨囊肿(ABC)。一位20岁的男性,因髂耻支肿块而疼痛,该肿块被诊断为由软骨粘液样纤维瘤引起的动脉瘤性骨囊肿。本病例证实动脉瘤性骨囊肿与软骨粘液样纤维瘤之间的罕见关联。虽然动脉瘤性骨囊肿更常与高度血管化的肿瘤相关,但在存在软骨粘液样纤维瘤时考虑诊断是很重要的。关键词:软骨粘液样纤维瘤;继发性动脉瘤性骨囊肿;髂耻支
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引用次数: 0
Solitary primary subcutaneous hydatid cyst of the buttock – Case report and literature review 单发原发性臀部皮下包虫囊肿1例报告及文献复习
Pub Date : 2021-03-29 DOI: 10.31491/CSRC.2021.03.068
M. Elabdi, H. Zejjari, Abederrahmane Elwali, R. Roukhsi, J. Louaste, L. Amhajji
Hydatidosis is an endemic parasitic disease affecting in most cases the parenchymal organs. The involvement of the soft tissue is a rare pathology that, left untreated, can lead to rupture and potentially catastrophic anaphylaxis. In this article, we describe the case of a 42-year-old male who developed a subcutaneous hydatid cyst in the buttock as a solitary primary localization. Consequently, the patient underwent a successful surgical excision with uneventful post-operative recovery.
包虫病是一种地方性寄生虫病,多数感染实质器官。涉及软组织是一种罕见的病理,如果不及时治疗,可能导致破裂和潜在的灾难性过敏反应。在这篇文章中,我们描述了一个42岁的男性谁发展了皮下包虫囊肿在臀部作为一个孤立的原发性定位。因此,患者接受了成功的手术切除,术后恢复顺利。
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引用次数: 0
Solitary fibrous tumor of the pleura: A rare mesenchymal tumor presented with hypoglycemia 胸膜孤立性纤维性肿瘤:罕见的间充质肿瘤,表现为低血糖
Pub Date : 2021-03-29 DOI: 10.31491/CSRC.2021.03.070
Y. Kamal
Solitary fibrous tumor (SFT) is a relatively rare primary tumor of the pleura, originating from the mesenchymal cells. The tumor has a non-specific clinical, laboratory, and radiological features. Patients may be asymptomatic or have non-specific clinical features including chest pain, dyspnea, cough, and paraneoplastic symptoms. Complete surgical resection is indicated in all cases to avoid recurrence of the tumor. We described a 49-yearold woman who presented with unexplained right chest pain and repeated attacks of hypoglycemia, associated with pleural SFT. Keywords: Pleura; thoracic oncology; solitary fibrous tumor; paraneoplastic hypoglycemia; Doege-Potter syndrome
孤立性纤维瘤(SFT)是一种相对罕见的胸膜原发肿瘤,起源于间充质细胞。该肿瘤具有非特异性的临床、实验室和放射学特征。患者可能无症状或具有非特异性临床特征,包括胸痛、呼吸困难、咳嗽和副肿瘤症状。为避免肿瘤复发,所有病例均行手术切除。我们描述了一位49岁的女性,她表现为无法解释的右胸痛和反复发作的低血糖,并伴有胸膜SFT。关键词:胸膜;胸部肿瘤;孤立性纤维性肿瘤;多种的低血糖;Doege-Potter综合症
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引用次数: 0
Pneumatosis intestinalis in a patient with trichobezoar – Rare association 毛粪患者肠内肺病1例-罕见关联
Pub Date : 2021-03-06 DOI: 10.31491/CSRC.2021.03.069
V. Pathirana
This case report describes a young girl who presented with chronic epigastric pain and abdominal mass without noticeable psychiatric illness or trichotillomania and subsequently trichobezoar was found to be the reason for her symptoms. She underwent laparotomy to retrieve the bezoar. During laparotomy extensive pneumatosis of the small bowel was noted where this association was not previously reported in the literature. Since pneumatosis was not symptomatic no bowel resection was carried out. She made an uneventful recovery. This illustrates that trichobezoar is an important cause to consider in young females with chronic abdominal pain even in the absence of clear evidence for trichotillomania. Rarely, this can be associated with intestinal pneumatosis. Intestinal pneumatosis does not warrant treatment unless it causes symptoms. Keywords: Trichobezoar; epigastric pain; pneumatosis intestinalis; trichotillomania; pneumoperitoneum
这个病例报告描述了一个年轻的女孩,她表现为慢性胃痛和腹部肿块,没有明显的精神疾病或拔毛癖,后来发现拔毛是她症状的原因。她接受了剖腹手术以取出牛黄。在剖腹手术期间,广泛的小肠肺积症被注意到,而这种关联在以前的文献中没有报道。由于肺积症无症状,故未行肠切除术。她平静地康复了。这说明,拔毛是一个重要的原因,考虑年轻女性慢性腹痛,即使没有明确的证据拔毛癖。罕见的是,这可能与肠肺病有关。除非引起症状,否则肠肺病不需要治疗。关键词:毛团;上腹疼痛;积气intestinalis;拔毛发癖;气腹
{"title":"Pneumatosis intestinalis in a patient with trichobezoar – Rare association","authors":"V. Pathirana","doi":"10.31491/CSRC.2021.03.069","DOIUrl":"https://doi.org/10.31491/CSRC.2021.03.069","url":null,"abstract":"This case report describes a young girl who presented with chronic epigastric pain and abdominal mass without noticeable psychiatric illness or trichotillomania and subsequently trichobezoar was found to be the reason for her symptoms. She underwent laparotomy to retrieve the bezoar. During laparotomy extensive pneumatosis of the small bowel was noted where this association was not previously reported in the literature. Since pneumatosis was not symptomatic no bowel resection was carried out. She made an uneventful recovery. This illustrates that trichobezoar is an important cause to consider in young females with chronic abdominal pain even in the absence of clear evidence for trichotillomania. Rarely, this can be associated with intestinal pneumatosis. Intestinal pneumatosis does not warrant treatment unless it causes symptoms. Keywords: Trichobezoar; epigastric pain; pneumatosis intestinalis; trichotillomania; pneumoperitoneum","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114723973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report 孤立性结核性睾丸附睾炎伴疼痛性睾丸积水1例
Pub Date : 2020-12-30 DOI: 10.31491/csrc.2020.12.066
N. Saleh, El Idrissi Alami Oussama, G. Youssef, A. Moustapha, Dakir Mohamed, Debbagh Adil, A. Rachid
Testicular tuberculosis is rare and represents only 3% of genitourinary tuberculosis cases. We are reporting a case of tuberculous orchi-epididymitis which was manifesting as a painful hydrocoele knowing that the condition has become favourable with a good evolution after conservative surgical intervention and anti-bacillary treatment. Keywords: Hydrocoele; orchiepididymitis; surgery; tuberculosis
睾丸结核是罕见的,仅占泌尿生殖系统结核病例的3%。我们报告一例结核性睾丸-附睾炎,表现为疼痛的骨积水,知道病情在保守手术干预和抗菌治疗后已变得有利。关键词:Hydrocoele;orchiepididymitis;手术;肺结核
{"title":"Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report","authors":"N. Saleh, El Idrissi Alami Oussama, G. Youssef, A. Moustapha, Dakir Mohamed, Debbagh Adil, A. Rachid","doi":"10.31491/csrc.2020.12.066","DOIUrl":"https://doi.org/10.31491/csrc.2020.12.066","url":null,"abstract":"Testicular tuberculosis is rare and represents only 3% of genitourinary tuberculosis cases. We are reporting a case of tuberculous orchi-epididymitis which was manifesting as a painful hydrocoele knowing that the condition has become favourable with a good evolution after conservative surgical intervention and anti-bacillary treatment. Keywords: Hydrocoele; orchiepididymitis; surgery; tuberculosis","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116231017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Konno-rastan procedure combined with manougian root enlargement for small aortic root Konno-rastan手术联合马诺根扩大术治疗主动脉小根
Pub Date : 2020-12-30 DOI: 10.31491/csrc.2020.12.065
M. O. Beyaz, Nur Gizem Elipek, I. Demir, D. Oztas, M. Ulukan, T. Sarıtas, M. Uğurlucan, H. Turkoglu
Aortic stenosis is a rarely seen condition in the pediatric population. Valve replacement is a treatment option for patients who do not benefit from medical or interventional procedures. In this report, we described our surgical treatment strategy in a 17-year-old patient who developed patient-prosthesis mismatch long after initial aortic valve replacement during the childhood period. Keywords: Konno-rastan procedure; manouguian technique; aortic root enlargement
主动脉瓣狭窄在儿科人群中是一种罕见的疾病。对于不能从医疗或介入手术中获益的患者,瓣膜置换术是一种治疗选择。在本报告中,我们描述了一名17岁的患者的手术治疗策略,该患者在儿童时期首次主动脉瓣置换术后很久就出现了患者-假体不匹配。关键词:Konno-rastan法;manouguian技巧;主动脉根部扩大
{"title":"Konno-rastan procedure combined with manougian root enlargement for small aortic root","authors":"M. O. Beyaz, Nur Gizem Elipek, I. Demir, D. Oztas, M. Ulukan, T. Sarıtas, M. Uğurlucan, H. Turkoglu","doi":"10.31491/csrc.2020.12.065","DOIUrl":"https://doi.org/10.31491/csrc.2020.12.065","url":null,"abstract":"Aortic stenosis is a rarely seen condition in the pediatric population. Valve replacement is a treatment option for patients who do not benefit from medical or interventional procedures. In this report, we described our surgical treatment strategy in a 17-year-old patient who developed patient-prosthesis mismatch long after initial aortic valve replacement during the childhood period. Keywords: Konno-rastan procedure; manouguian technique; aortic root enlargement","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125308826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical Surgery Research Communications
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