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Jurnalul de Chirurgie最新文献

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Relevanța indicilor derivați din testele de laborator standard la pacienții cu tromboză venoasă superficială și profundă
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.07
Florin Bzovii
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引用次数: 0
Evolution of morphological and functional parameters of the right ventricle after mitral valve surgery 二尖瓣手术后右心室形态学和功能参数的变化
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.06
M. Cobzeanu
{"title":"Evolution of morphological and functional parameters of the right ventricle after mitral valve surgery","authors":"M. Cobzeanu","doi":"10.7438/jsurg.2021.03.06","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.06","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124703263","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
Laparoscopy in Bowel Obstruction at First Surgical Clinic of Iasi 腹腔镜在Iasi第一外科诊所肠梗阻中的应用
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.05
C. Bradea
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引用次数: 0
Liver transplant for Hepatocellular Carcinoma HCC. 肝细胞癌的肝移植治疗。
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.04
Serghei Burgoci
{"title":"Liver transplant for Hepatocellular Carcinoma HCC.","authors":"Serghei Burgoci","doi":"10.7438/jsurg.2021.03.04","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.04","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116134876","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
Gallbladder torsion 胆囊扭转
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.02
G. Ghidirim
{"title":"Gallbladder torsion","authors":"G. Ghidirim","doi":"10.7438/jsurg.2021.03.02","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.02","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"19 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120900879","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
Thoma Ionescu, the prominent surgeon, about ‟our universities” 著名外科医生托马斯·约内斯库谈到“我们的大学”
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.09
Dana Baran
{"title":"Thoma Ionescu, the prominent surgeon, about ‟our universities”","authors":"Dana Baran","doi":"10.7438/jsurg.2021.03.09","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.09","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130157997","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
Tulburări ale echilibrului hiroelectrolitic şi acido-bazic ȋn ocluziile intestinale la adult – Review al literaturii
Pub Date : 2021-09-30 DOI: 10.7438/jsurg.2021.03.03
Sabina Gabriela Ciuvica - Tanasescu
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引用次数: 0
Quality of resection in emergency colon cancer surgery – a retrospective study 急诊结肠癌手术切除质量的回顾性研究
Pub Date : 2021-06-30 DOI: 10.7438/jsurg.2021.02.04
A. Nicolaescu, D. Mărgăritescu, M. Bică, D. Marinescu, T. Bratiloveanu, Georgiana Graure, Ș. Pătrașcu, K. Sapalidis, V. Șurlin
Background. The surgical attitude and the treatment towards colon cancer did not change significantly over the pastyears. The most important features in achieving oncologically safe surgery are clean resection wedges and theremoval of the locoregional lymph nodes. This study aimed to identify if emergency colon cancer surgery has anyinfluence on the type and quality of resections. Methods. We performed a retrospective study of 163 patients admittedin our surgical department with colon cancer who underwent an oncological resection. The patients were divided intwo groups: group A included patients that underwent emergency surgery in the emergency and group B includedpatients undergoing elective surgery. A comparative analysis of intraoperative markers for oncologic quality ofresection and for the postoperative outcomes was performed.Results. Of the 163 patients included in this study, 104 were operated in the emergency setting and 59 as electivecases. The preoperative status of patients indicated that emergency cases had a more precarious nutritional andbiological status. When the quality of oncologic resection was analyzed, no differences were observed. A highernumber of ostomies were created in group A, as well as worse postoperative outcomes. Conclusion. Emergencysurgery for colon cancer did not affect the quality of resection, but the morbidity was higher in patients who presentedas surgical emergency.
背景。在过去的几年中,对结肠癌的手术态度和治疗没有明显的变化。实现肿瘤安全手术的最重要特征是清洁切除楔形和切除局部区域淋巴结。本研究旨在确定紧急结肠癌手术是否对切除的类型和质量有任何影响。方法。我们对163例在外科接受肿瘤切除术的结肠癌患者进行了回顾性研究。患者分为两组:A组为急诊手术患者,B组为择期手术患者。对术中肿瘤质量指标与术后预后指标进行比较分析。在本研究纳入的163例患者中,104例为急诊手术,59例为选择性手术。术前状态显示急诊患者的营养和生理状态更不稳定。当分析肿瘤切除的质量时,没有观察到差异。A组造口次数较多,术后效果较差。结论。紧急手术治疗结肠癌不影响手术切除的质量,但手术急诊患者的发病率更高。
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引用次数: 0
The Utility of Biomarkers in Diagnosing and Predicting Outcomes in Acute Mesenteric Ischemia 生物标志物在急性肠系膜缺血诊断和预后预测中的应用
Pub Date : 2021-06-30 DOI: 10.7438/jsurg.2021.02.06
C. Pîrvu, F. Bratosin, C. Nica, D. Cȃrţu, Patrascu Ștefan, V. Șurlin, Konstantions Sapalidis, E. Georgescu, I. Georgescu, S. Pantea
Background: Acute intestinal ischemia stands as the most lethal acute condition encountered by generalsurgeons and one of the deadliest pathologies in medicine triggered by thromboembolic events. The patients’survival decreases dramatically to a lower than 30% rate when diagnosed after 24 hours, thus early diagnosiswith proper surgical or vascular intervention is mandatory. This study aims to determine the utility of biomarkersand routine blood tests in assessing the severity and mortality risk for patients with acute mesenteric ischemia.Methods: The study was developed on a prospective cross-sectional design over a period of five years, finding atotal of 147 patients who underwent emergency surgery after a high suspicion of acute mesenteric ischemia. Theavailable biomarkers used in our Clinic comprised a complete blood count, total bilirubin, CK, CK-MB, LDH, AST,ALT, amylase, and cholinesterase. Results: The leukocyte count (OR=1.105), hemoglobin (OR=3.912), LDH(OR=1.144), NLR (OR=1.154), and LLR (OR=1.286) were all independent and significant risk factors for AMIdiagnosis. These covariates proved a good and reliable tool for diagnosing AMI with a 75.3% predictedprobability. Conclusion: The prediction tool proved reliable, although it should only be considered in the clinicalcontext where the surgeon suspects a case of acute mesenteric ischemia. The proposed model should be furtherinvestigated and validated in larger studies.
背景:急性肠缺血是普通外科医生遇到的最致命的急性疾病,也是由血栓栓塞事件引发的最致命的医学病理之一。24小时后确诊,患者生存率显著下降至30%以下,因此早期诊断和适当的手术或血管干预是必须的。本研究旨在确定生物标志物和常规血液检查在评估急性肠系膜缺血患者的严重程度和死亡风险中的作用。方法:该研究采用前瞻性横断面设计,历时5年,共纳入147例因高度怀疑急性肠系膜缺血而接受急诊手术的患者。我们诊所使用的可用生物标志物包括全血细胞计数、总胆红素、CK、CK- mb、LDH、AST、ALT、淀粉酶和胆碱酯酶。结果:白细胞计数(OR=1.105)、血红蛋白(OR=3.912)、LDH(OR=1.144)、NLR (OR=1.154)、LLR (OR=1.286)均为ami诊断的独立且显著的危险因素。这些协变量被证明是诊断AMI的良好可靠工具,预测概率为75.3%。结论:预测工具被证明是可靠的,尽管只有在外科医生怀疑急性肠系膜缺血的临床背景下才应该考虑它。所提出的模型需要在更大规模的研究中进一步调查和验证。
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引用次数: 0
Appendiceal intussusception 阑尾的肠套叠
Pub Date : 2021-06-30 DOI: 10.7438/jsurg.2021.02.01
G. Ghidirim, T. Malcova, E. Șor, I. Mișin
Appendiceal intussusception (AI) is an unusual and rarely reported clinical entity. It was first described by McKidd in a 7-year-old boy in 1858. Since then the literature on it has been confined to a few case reports and very small cases series, in totally about 300 cases being published. Because of variations of clinical symptoms and lack of pathognomonic sign, rarety of the pathology and diversity of causing factors, accurately detection of the presence or absence of appendiceal pathology is difficult. However, imagistic and endoscopic methods may be useful in AI detection and play a large and important role in differential diagnosis. Treatment of AI differs significantly depending on underlying pathological condition, benign or malignant.
摘要阑尾肠套叠是一种罕见的临床疾病。1858年,McKidd首次在一个7岁的男孩身上描述了它。从那时起,关于它的文献仅限于少数病例报告和非常小的病例系列,总共发表了大约300个病例。由于临床症状的多变性和病理征象的缺乏,病理的罕见和病因的多样性,很难准确地检测出阑尾病理的存在与否。然而,成像和内窥镜方法可能在人工智能检测中有用,并在鉴别诊断中发挥重要作用。根据潜在的病理状况(良性或恶性),AI的治疗有很大不同。
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引用次数: 0
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Jurnalul de Chirurgie
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