scholarly journals Short-term Efficacy Study of Lower Tibial Combination Separation in the Treatment of TightRopeight

2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Xue Yong

Objective: To explore the recent efficacy of Lower TibialCombination Separation in the treatment of TightRopeight.Methods: 60 patients were selected as object with lower tibialcombination separation treated in our hospital from May 2013 toMay 2016. All patients were treated with TightRopeight, and theshort-term efficacy has been analyzed. Results: Apart from the 5cases of inflammatory response, other patients were healed wellwith lower intraoperative blood loss and no postoperative re-fracture. The excellent rate of AOFAS score was 96.67%.Conclusion: Applying TightRopeight in the treatment of patientswith lower tibial combination separation can not only achieve goodshort-term efficacy, but also have lower recurrence and highersafety rate a, which is worthy of further promotion and applicationin clinical practice.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peng Li ◽  
Xi Liang ◽  
Shan Xu ◽  
Ye Xiong ◽  
Jianrong Huang

AbstractWe aim to determine the impact of an artificial liver support system (ALSS) treatment before liver transplantation (LT), and identify the prognostic factors and evaluate the predictive values of the current commonly used ACLF prognostic models for short-term prognosis after LT. Data from 166 patients who underwent LT with acute-on-chronic liver failure (ACLF) were retrospectively collected from January 2011 to December 2018 from the First Affiliated Hospital of Zhejiang University School of Medicine. Patients were divided into two groups depending on whether they received ALSS treatment pre-LT. In the observation group, liver function tests and prognostic scores were significantly lower after ALSS treatment, and the waiting time for a donor liver was significantly longer than that of the control group. Both intraoperative blood loss and period of postoperative ICU care were significantly lower; however, there were no significant differences between groups in terms of total postoperative hospital stays. Postoperative 4-week and 12-week survival rates in the observation group were significantly higher than those of the control group. Similar trends were also observed at 48 and 96 weeks, however, without significant difference. Multivariate Cox regression analysis of the risk factors related to prognosis showed that preoperative ALSS treatment, neutrophil–lymphocyte ratio, and intraoperative blood loss were independent predicting factors for 4-week survival rate after transplantation. ALSS treatment combined with LT in patients with HBV-related ACLF improved short-term survival. ALSS treatment pre-LT is an independent protective factor affecting the 4-week survival rate after LT.


2015 ◽  
Vol 18 (11) ◽  
pp. 1270-1273 ◽  
Author(s):  
Arrigo F.G. Cicero ◽  
Giuseppe Derosa ◽  
Livia Pisciotta ◽  
Carlo Barbagallo ◽  

2020 ◽  
pp. 1-8
Author(s):  
Geraldine Yanlei Lei ◽  
Liang Shen ◽  
Sameer P. Junnarkar ◽  
CheongWei Terence Huey ◽  
JeeKeem Low ◽  
...  

<b><i>Background/Purpose:</i></b> 90-day mortality is a key performance indicator for short-term perioperative outcome of hepatic resection (HR). Although many preoperative, intraoperative, and postoperative variables predict 90-day mortality following elective HR, only few are specific to hepatocellular carcinoma (HCC). This study aims to determine the predictors of 90-day mortality following elective HR for HCC. <b><i>Methods:</i></b> We report a retrospective analysis of patients who underwent elective HR between January 1, 2007, and December 31, 2017. Health status, perioperative variables, and the presence of post-hepatectomy liver failure (PHLF) were studied. Cox’s regression evaluated factors predicting 90-day mortality. <b><i>Results:</i></b> Two hundred and forty-four patients diagnosed with HCC underwent HR; 102 (41.8%) underwent a major HR. The postoperative 90-day mortality rate was 5.3%. Multivariate analysis demonstrated that Child-Pugh score (<i>p</i> &#x3c; 0.001), intraoperative blood loss (<i>p</i> = 0.013), the 50-50 criteria for PHLF (<i>p</i> &#x3c; 0.001) on postoperative day 5, and peak serum bilirubin &#x3e;119 µmol/L (<i>p</i> = 0.007) on postoperative day 3 predict 90-day mortality. <b><i>Conclusion:</i></b> In patients with HCC undergoing HR, Child-Pugh score, intraoperative blood loss, the 50-50 criteria for PHLF on postoperative day 5, and peak serum bilirubin &#x3e;119 µmol/L on postoperative day 3 predict 90-day mortality following elective HR for HCC.


2017 ◽  
Vol 31 (11) ◽  
pp. 4451-4457 ◽  
Author(s):  
Rahul Gupta ◽  
David Fuks ◽  
Christophe Bourdeaux ◽  
Pejman Radkani ◽  
Takeo Nomi ◽  
...  

Author(s):  
Manuel Galán‐Gutierrez ◽  
Lourdes Rodriguez‐Fernandez Freire ◽  
Ricardo Ruiz‐Villaverde

2010 ◽  
Vol 34 (12) ◽  
pp. 2939-2944 ◽  
Author(s):  
Yoichi Ishizaki ◽  
Hiroyuki Sugo ◽  
Jiro Yoshimoto ◽  
Hiroshi Imamura ◽  
Seiji Kawasaki

2015 ◽  
Vol 4 (3) ◽  
pp. 76-80 ◽  
Author(s):  
Naoki Matsumoto ◽  
Nobuyuki Ikeda ◽  
Toshifumi Takenaka ◽  
Satoshi Yazaki ◽  
Yuichi Sato

Obesity Facts ◽  
2013 ◽  
Vol 6 (2) ◽  
pp. 176-184 ◽  
Author(s):  
Hongtao Yan ◽  
Lijun Tang ◽  
Tao Chen ◽  
John G. Kral ◽  
Li Jiang ◽  
...  

2021 ◽  
Vol 8 (2) ◽  
pp. 87-95
Author(s):  
Yoshinori Fujiwara ◽  
Masaharu Higashida ◽  
Hisako Kubota ◽  
Yuko Okamoto ◽  
Shumei Mineta ◽  
...  

Introduction: We studied whether perioperative nutritional, immunological factors or postoperative inflammatory responses predicted esophageal cancer (EC) progression and prognosis in patients who received esophagectomies. Methods: We evaluated preoperative prognostic nutritional index (PNI), BMI, neutrophil-to-lymphocyte ratio (NLR), intraoperative blood loss, postoperative C-reactive protein (CRP) max, recurrence-free survival (RFS), and overall survival (OS) in 111 patients with pStage I–IV squamous cell EC who received esophagectomies. Optimal cutoff values for each continuous parameter were determined by receiver operating characteristic curves and Youden indices. Univariate and multivariate Cox analyses were used to derive independent prognostic factors. Propensity score matching using inverse probability of treatment weighting was used in groups divided by Youden indices, as appropriate. Results: Cutoff values of continuous variables were NLR: 2.27, PNI: 44.2, blood loss: 159 mL, and CRPmax: 21.7 mg/dL. In multivariate analyses, PNI, CRPmax, and intraoperative blood loss were independent prognostic factors for OS and RFS. Among patients with stage II–IV disease, low PNI was associated with shorter RFS. Postoperative respiratory complications were associated with both higher CRP and shorter RFS. Discussion/Conclusions: Low preoperative PNI and high postoperative inflammatory response were associated with postoperative EC progression after esophagectomy. Preoperative nutritional interventions or suppression of postoperative inflammatory response, including respiratory complications, may improve patient prognosis.


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