简介：AIMTo评估剩余的excimer激光修正的功效和安全在有intraocular的奔流抽取以后的折射错误透镜(IOL)培植在不平常cases.METHODSTotally有高剩余的24个病人在有IOL培植的奔流外科以后的折射错误被检验。22个病人有phacoemulsification和IOL培植的历史，并且二与IOL培植有囊外的奔流抽取。外科手术前的医药记录的详细检查被做解释奔流以后的折射错误的起源。所有病人经历了photorefractirekeratectomy(PRK)改进。吝啬的结果措施是折射，uncorretted视觉尖酸(UCVA)，最好改正的视觉尖酸(BCVA)和角膜的透明性并且列在后面在上面从1到剩余变常眼的8y.RESULTSThe主管原因是在有高近视和先天的透镜畸形的反常眼睛的不精确的IOL计算，两个都由角膜的散光列在后面导致的缝术并且先存在。在奔流外科以后并且在激光改进前，吝啬的球形的等价物(SE)是-0.56?潢吗？

简介：AIM:Toperformameta-analysistoanswerwhetherlong-termrecurrenceratesafterlaparoscopic-assistedsurgeryarecomparabletothosereportedafteropensurgery.METHODS:AcomprehensiveliteraturesearchoftheMEDLINEdatabase,EMBASEdatabase,andtheCochraneCentralRegisterofControlledTrialsfortheyears1991-2010wasperformed.Prospectiverandomizedclinicaltrials(RCTs)wereeligibleiftheyincludedpatientswithcoloncancertreatedbylaparoscopicsurgeryvsopensurgeryandfollowedformorethanfiveyears.RESULTS:Threestudiesinvolving2147patientsreportedlong-termoutcomesbasedonfive-yeardataandwereincludedintheanalysis.Theoverallmortalitywassimilarinthetwogroups(24.9%,268/1075inthelaparoscopicgroupand26.4%,283/1072inopengroup).Nosignificantdifferencesbetweenlaparoscopicandopensurgerywerefoundinoverallmortalityduringthefollow-upperiodofthesestudies[OR(fixed)0.92,95%confidenceintervals(95%CI):0.76-1.12,P=0.41].Nosignificantdifferenceinthedevelopmentofoverallrecurrencewasfoundincoloncancerpatients,whencomparinglaparoscopicandopensurgery[2147pts,19.3%vs20.0%;OR(fixed)0.96,95%CI:0.78-1.19,P=0.71].CONCLUSION:Thismeta-analysissuggeststhatlaparoscopicsurgerywasasefficaciousandsafeasopensurgeryforcoloncancer,basedonthefive-yeardataoftheseincludedRCTs.

简介：

简介：AbstractBackground:Early microsurgical clipping is recommended for ruptured intracranial aneurysms to prevent rebleeding. However, dilemma frequently occurs when managing patients with current acetylsalicylic acid (aspirin) use. This study aimed to examine whether aspirin use was associated with worse outcomes after early surgery for aneurysmal subarachnoid hemorrhage (aSAH).Methods:We retrieved a consecutive series of 215 patients undergoing early microsurgical clipping within 72 h after aneurysmal rupture from 2012 to 2018 in the neurosurgery department of Beijing Tiantan Hospital. The medical records of each case were reviewed. Twenty-one patients had a history of long-term aspirin use before the onset of aSAH, and 194 patients did not. To reduce confounding bias, propensity score matching (PSM) was performed to balance some characteristics of the two groups. The intraoperative blood loss, postoperative hemorrhagic events, postoperative hospital stay, and functional outcome at discharge were compared between aspirin and non-aspirin group.Results:We matched all the 21 patients in aspirin group with 42 patients in non-aspirin group (1:2). Potential confounding factors were corrected between the two groups by PSM. No hospital mortality occurred after surgery. No significant differences were found in intraoperative blood loss (P = 0.540), postoperative hemorrhagic events (P > 0.999), postoperative hospital stay (P = 0.715), as well as functional outcome at discharge (P = 0.332) between the two groups.Conclusions:Our preliminary results showed that long-term low-dose aspirin use was not associated with worse outcomes. Early surgery can be safe for ruptured intracranial aneurysms in patients with long-term aspirin use.

简介：Ontheoccasionofits60~(th)anniversary,NATOheldthe24~(th)summitinKehl,GermanyandStrasbourg,FranceinearlyAprilthisyear.Inthe60years'longevolvement,thereformofNATOinthe18yearsaftertheColdWarhasmadeagreatimpacton

简介：Coronaryarterybypassgrafting(CABG)isenteringaneweraasminimallyinvasivetechniques,off-pumpsurgeryandtotal'arterialrevascularizationhavefotmdrolesinthesurgicaltreatmentofpatientswithcoronaryarterydisease.Thecontinueddevelopmentofthetechniquesofpercutaneouscoronaryintervention(PCI)isalsohavinganimpactonthetypeofpatientreferredforCABG.

简介：Thereisalongrivernearmyhouse.Asmallboatisintheriver.Mysisterissittingintheboat.Sheiswearingayellowdress,thedressisnewandvery.nice.Amanisswimmingintheriver.That'smydad.Heisfreetoday,becausetodayisSunday.

简介：无

简介：Treatmentofpancreaticcancerismultimodalandsurgeryisanessentialpart,mandatoryforcurativepotential.Alsochemotherapyisessential,andseriouspostoperativecomplicationsorrapiddiseaseprogressionmayprecludecompletionofmultimodaltreatment.Thesequenceoftreatmentinterventionshasthereforebecomeanimportantconcern,andnumerousongoingrandomizedcontrolledtrialscompareclinicaloutcomeafterupfrontsurgeryandneoadjuvanttreatmentwithsubsequentresection.Inpreviousyears,borderlineresectableandlocallyadvancedpancreaticcancerwasmostoftenconsideredunresectable.Moreeffectivechemotherapytogetherwiththelatestimprovementsinsurgicalexpertisehasresultedinextendedoperations,pushingthebordersofresectability.Multivisceralresectionswithorwithoutresectionofmajormesen-tericvesselsarenowperformedinnumerouspatients,resultinginbetteroutcome,recordedasoverallsurvivaland/orpatientreportedoutcome.Butpostoperativemorbidityincreasesconcurrently,andclinicalbenefitmustbecarefullyevaluatedagainstriskofpotentialharm,associatedwithnewcomprehensivemultimodaltreatmentsequences.Eventhoughcost/utilityanalysesaredeficient,extendedsurgeryhasresultedinsignifi-cantlylongerandbetterlifeformanypatientswithnoothertreatmentalternative.Improvedselectionofpatientstosurgeryand/orchemotherapywillinthenearfuturebepossible,basedonbettertumorbiologyinsight.Clinicallyavailablebiomarkersenablingpersonalizedtreatmentareforthcoming,buttheseoptionsarestilllimited.Theimportanceofsurgicalresectionforeachpatient’sprognosisispresentlyincreasing,justifyingsustainedexpansionofthesurgicaltreatmentmodality.

简介：

简介：精索静脉曲张在临床的实践被认出了为在一个世纪。原来，这些过程为疼痛的管理被利用，但是自从1952，修理主要为男不孕的处理。然而，因为pathophysiology不是清楚的，精索静脉曲张的诊断和治疗是争论的，研究的入口标准在中心之中变化了，并且有很少使随机化的临床的试用。不过，临床医生们继续为精索静脉曲张的修正开发技术，基本科学家在精索静脉曲张的pathophysiology上继续调查，并且从未来的使随机化的试用的新结果数据出现在世界的文学。因此，Andrology的亚洲杂志的这个特殊版本被建议报导许多与精索静脉曲张有关的新信息，作为这个工程的特定的部分，现在的文章作为进化的全面评论和校正过程的精炼被开发。

简介：持续23天的暴风雨。使在海上的5位渔民遭受了前所未有的磨难，他们是否能活着回到陆地同家人团聚？请看——

简介：Longhairispopularamongtheyoungpeople.Eventheboystudentsinhighschooljoininthisgroup.Someboystudentswouldratherwearlonghair,someevenchangetheirhair'scolorintogolden,red,brownandpink.Why?

简介：

简介：比较在主要debulking外科(PDS)和neoadjuvant化疗之间的幸存和perioperative病态的目的在与先进上皮的卵巢的癌症(EOC)对待病人由间隔debulking外科(NAC/IDS)列在后面。我们回顾地与阶段IIIC或IVEOC考察了67个病人的方法从2006年1月在北京大学癌症医院对待到2009年6月。在那里，37和30个病人分别地经历了PDS和NAC/标志。结果在全面幸存(OS)或没有前进的幸存(PFS)的差别都没在NAC/IDS组和PDS组之间被观察(OS：41.2对39.1个月，P=0.23；PFS：27.1对24.3个月，P=0.37)。最佳的debulking率在NAC/IDS组是60%，它在PDS组(32.4%)(P=0.024)比那显著地高。NAC/IDS组显著地有比PDS的肠的功能的估计的血损失和输送，更低的nasogastricintubation率，和更早的移动和恢复组织的更少的intraoperative(P<0.05)。结论NAC/IDS不比PDS侵略，并且关于最佳的cytoreduction率，intraoperative血损失，和手术后的恢复提供优点，没有显著地损害与在对待有阶段IIIC或IVEOC的病人的PDS相比的幸存。因此，NAC/IDS可以是为EOC病人的一种珍贵治疗选择。

简介：AbstractPrecision medicine requires coordinated and integrated evidence-based combinatorial approaches so that diagnosis and treatment can be tailored to the individual patient. In this context, the treatment approach to mild obstructive sleep apnea (OSA) is fraught with substantial debate as to what is mild OSA, and as to what constitutes appropriate treatment. As such, it is necessary to first establish a proposed consensus of what criteria need to be employed to reach the diagnosis of mild OSA, and then examine the circumstances under which treatment is indicated, and if so, whether and when anti-inflammatory therapy (AIT), rapid maxillary expansion (RME), and/or myofunctional therapy (MFT) may be indicated.

简介：

简介：<正>Theskullbasegenerallyreferstotheanterior,middleandposteriorcranialfossaandstructuresontheoutsidesideoftheseskullareas.Thecranialroofandskullbaseareseparatedbyalineconnectingtheexternaloccipitalprotuberance,parietalnotchandsupraorbitalridge[1].Theskullbasesupportsthebrainabove,isconnectedto

简介：AbstractEndoscopic endonasal orbital surgery is evolving. With increasing knowledge, expertise, and technology, the historical limits of the endonasal endoscopic approach to the orbit have been redefined. This review discusses the clinical presentation and etiology, and highlights the pertinent anatomy, and discusses the diagnostic workup and surgical approach to orbital tumors and post-operative care. The role of the multidisciplinary team is not to be underestimated. The introduction of a classification system to ensure standardization of technical difficulty and outcome data will assist with international collaboration and further consolidate our attainment of knowledge in this developing field.

简介：