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Application of the concept of enhanced recovery after surgery combined with path-based health education in nursing care of patients with lower extremity arteriosclerosis obliterans LV Liqiong, CAO Xiaolu, JING Qian, GUO Mixia, YANG Wenya, LU Yuzhi Journal of General Surgery for Clinicians    2022, 10 (4): 103-.   Abstract （36）            Knowledge map    Save Objective To explore the application value of enhanced recovery after surgery (ERAS) concept combined with pathologic health education in patients with Arteriosclerotic obliterans (ASO). Method A total of 124 ASO inpatients in Renmin Hospital of Wuhan University from October 2018 to October 2021 were selected as the study subjects. According to the random number table method, they were divided into control group and ERAS group, 62 cases in each group. The control group received routine nursing intervention during perioperative period. ERAS group received perioperative nursing intervention based on routine nursing intervention using ERAS concept combined with path-based health education nursing intervention. Postoperative recovery and incidence of complications were observed between the two groups, and changes in disease-related knowledge, mental resilience level and quality of life were compared before and after intervention. Result The time of getting out of bed for the first time and hospitalization in ERAS group were shorter than those in the control group. The score of visual analog scale (VAS) and the incidence of complications in ERAS group were lower than those in the control group (P ＜ 0.05); The 6-minute walking test (6MWT) walking distance in ERAS group was significantly higher than that in control group (P ＜ 0.05); After the intervention, the scores of disease related knowledge, psychological resilience and quality of life in the two groups were higher than those before the intervention (P ＜ 0.05), and the ERAS group was higher than the control group, with significant differences (P ＜ 0.05). Conclusion ERAS concept combined with path-based health education can effectively promote postoperative rehabilitation of ASO patients in lower limbs, reduce the incidence of postoperative complications, and improve disease cognition, mental resilience and quality of life. Related Articles | Metrics

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Journal of General Surgery for Clinicians    2023, 11 (2): 41-.   Abstract （22）            Knowledge map    Save Related Articles | Metrics

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Comparison of transabdominal preperitoneal prosthesis and flat plate tension-free hernia repair operation in the repair of bilateral inguinal hernia LI Dongfang, CAI Dejun, CHEN Yonghan, JIANG Xiaosong Journal of General Surgery for Clinicians    2023, 11 (3): 42-.   Abstract （10）            Knowledge map    Save Objective To investigate the efficacy of transabdominal preperitoneal prosthesis(TAPP) versus flat plate tension-free hernia repair(Lichtenstein) surgery in bilateral inguinal hernia repair. Method A retrospective analysis of 75 patients with bilateral inguinal hernia admitted to the hospital from January 2019 to April 2022, of which 40 were treated with Lichtenstein surgery and 35 were treated with TAPP. The perioperative condition, shortterm treatment effect, recurrence rate and complication rate of the two groups were compared. Result The surgical time in the TAPP group was higher than that in the Lichtenstein group, The postoperative 24-hour pain score, postoperative bedtime, postoperative exhaust time, and hospital stay in the TAPP group were significantly lower than those in the Lichtenstein group, The hospitalization expenses of the TAPP group were higher than those of the Lichtenstein group, the differences are significant (P ＜ 0.05). On the 1st postoperative day, white blood cell count in the TAPP group was (4.98±1.02)×109/L, tumor necrosis factor-α lever was(35.13±4.52)pg/L, and C-reactive protein lever was (3.78±0.62) mg/L, which were all lower than those in the Lichtenstein group [(5.63±1.38)×109/L, (42.17±4.31)pg/L, and (4.83±0.70)mg/L, respectively], the differences are significant (P ＜ 0.05). The recognition rate of patients in the TAPP group was 91.43%, higher than that in the Lichtenstein group (85.00%), but there was no statistically significant difference between the groups (P ＞ 0.05). 3 patients in the TAPP group experienced complications, with a total incidence rate of 8.5%;6patients in the Lichtenstein group experienced complications, with a total incidence rate of 15.0%. There was no statistically significant difference between the two groups(P ＞ 0.05). All cases were followed up for 19 months after surgery, In the TAPP group, 2 cases (5.71%) recurred at 7 and 17 months respectively; 1 case (2.50%) in the Lichtenstein group relapsed 13 months after surgery. There was no statistically significant difference in the recurrence rate between the two types of surgery (P ＞ 0.05). Conclusion TAPP and Lichtenstein surgery have a definite clinical effect on bilateral inguinal hernia, and the complication rate is equivalent, but patients treated with TAPP recover faster after surgery. Related Articles | Metrics

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Analysis of the effect of manual lymphatic drainage nursing on relieving postoperative lymphedema and axillary reticulum syndrome in patients with breast cancer XIAO Qiumei, PANG Meirui, CHEN Wanxia Journal of General Surgery for Clinicians    2023, 11 (1): 64-.   Abstract （48）            Knowledge map    Save Objective To analyze the intervention effect of manual lymphatic drainage nursing on relieving postoperative lymphedema and axillary reticulum syndrome of breast cancer. Method From January 2018 to January 2020, 50 patients with lymphedema and axillary reticulum syndrome after breast cancer surgery were selected from Zhanjiang Maternal and Child Health Care and Family Planning Service Center. They were randomly divided into two groups by double-blind method. The control group was 25 patients, receiving routine care; 25 patients in the observation group were treated with manual lymphatic drainage based on the control group; The intervention effect and symptom relief of the two groups were compared. Result The effective rates of the patients in the observation group were 72.0%, 80.0% and 100.0% respectively after 3, 6 and 12 months of intervention, which were higher than 44.0%, 56.0% and 72.00% in the control group (P ＜ 0.05). The decrease of the difference in circumference of the patients in the observation group after 3, 6 and 12 months of intervention was higher than that in the control group, and the abduction angle of the shoulder joint of the affected limb at 1, 3, 6 and 12 months after intervention was higher than that in the control group, and the time for the postoperative tightness, cord structure, numbness and pain of the affected limb was shorter than that in the control group (P ＜ 0.05). After 1 month of intervention, the scores of daily social function, upper limb activity function and upper limb symptoms in the observation group were lower than those in the control group (P ＜ 0.05). Conclusion Manual lymphatic drainage nursing can alleviate the clinical symptoms of lymphedema and axillary reticulum syndrome after breast cancer surgery, increase the range of motion of the affected limb, and have a good intervention effect. Related Articles | Metrics

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Comparative analysis of the effect of laparoscopic surgery and traditional open surgery in the treatment of inguinal hernia WANG Ruihong, LU Yibin Journal of General Surgery for Clinicians    2022, 10 (4): 75-.   Abstract （37）            Knowledge map    Save Objective To analyze the effect of laparoscopic surgery and traditional open surgery in the treatment of inguinal hernia. Method From July 2018 to July 2021, 50 male patients with inguinal hernia from Xingpu Hospital in Suzhou Industrial Park were selected and randomly divided into the reference group (treated with traditional open surgery) and the research group (treated with laparoscopic surgery) by using the method of random color ball sampling. There were 25 patients in each group, and the surgical indicators and postoperative quality of life of the two groups were compared. Result The incidence of complications such as scrotal hematoma and incision infection in the study group was significantly lower than that in the control group (P ＜ 0.05); The operation time, hospital stay and bed rest time of the patients in the study group were shorter than those in the reference group, and the amount of intraoperative bleeding was less than that in the reference group, with a significant difference (P ＜ 0.05). The post-operative pain scores of patients in the study group were lower than those in the reference group, and the quality of life scores were higher than those in the reference group, with significant differences (P ＜ 0.05). Conclusion Laparoscopic surgery is more effective in the treatment of inguinal hernia, which can reduce complications, optimize surgical indicators, promote postoperative recovery, reduce pain.  Related Articles | Metrics

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Analysis of risk factors for lymph node metastasis in the central region of cN0 thyroid micropapillary carcinoma ZHAO Bitao Journal of General Surgery for Clinicians    2023, 11 (1): 14-.   Abstract （28）            Knowledge map    Save Objective To investigate the risk factors of lymph node metastasis in the central region of cN0 thyroid micropapillary carcinoma. Method The clinical data of 106 patients with cN0 thyroid micropapillary carcinoma in Jiangmen Xinhui District People's Hospital from May 2020 to November 2021 were retrospectively analyzed. According to the lymph node metastasis in the central region, they were divided into two groups: metastatic group (49 cases) and non-metastatic group (57 cases). The risk factors of lymph node metastasis in the central region of patients were analyzed. Result Of the 106 patients, 49 had lymph node metastasis in the central region and 57 had no metastasis. The proportion of males, tumor location, microcalcification and invasion of capsule in the metastatic group was higher than that in the non-metastatic group (P ＜ 0.05), the proportion of patients with age ＜ 55 years old and tumor diameter ＜ 5 mm was lower than those without metastasis (P ＜ 0.05), however, there was no significant difference in the proportion of patients with nodular goiter and Hashimoto's thyroiditis between the two groups (P ＞ 0.05). Multivariate logistic regression analysis showed that the risk factors of lymph node metastasis in the central region of 106 patients included male, microcalcification and capsule invasion (P ＜ 0.05). Conclusion The risk factors of lymph node metastasis in the central region of cN0 thyroid micropapillary carcinoma include male, microcalcification, and invasion of capsule. Preventive and therapeutic dissection of lymph nodes in the central region is recommended. Related Articles | Metrics

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Application of percutaneous abdominal puncture and drainage in the diagnosis and treatment of closed abdominal injury combined with splenic contusion and laceration WEI Licheng Journal of General Surgery for Clinicians    2022, 10 (4): 41-.   Abstract （30）            Knowledge map    Save Objective To explore the effect of percutaneous abdominal puncture and drainage in the diagnosis and treatment of closed abdominal injury combined with splenic contusion and laceration. Method From January 2016 to June 2021, 52 patients with closed abdominal injury combined with splenic contusion and laceration admitted to Hechi People's Hospital were selected for non-surgical treatment through percutaneous abdominal puncture and drainage. The clinical data of the patients were analyzed retrospectively, and the clinical diagnosis and treatment results, complications and improvement of quality of life were counted. Result Among 52 patients with closed abdominal injury and splenic contusion and laceration, 51 patients had positive puncture results. The positive rate and accuracy of puncture were 98.08%. One case was false positive due to puncture complications. The incidence of puncture complications was 1.92%. Moreover, none of the patients in this study had non therapeutic laparotomy and death. Among them, except for 1 case of secondary bleeding and 1 case of delayed intestinal perforation, the remaining 50 cases were cured and discharged after conservative treatment, and the success rate of conservative treatment was 96.15%. After 3 months of follow-up, there were no complications except 1 case of adhesive intestinal obstruction, and the quality of life score of the patients was significantly higher than that before discharge (P ＜ 0.05). Conclusion Percutaneous abdominal puncture and catheter drainage for the treatment of abdominal closed injury combined with splenic contusion and laceration has a high positive rate of puncture and diagnostic accuracy. At the same time, it can reduce puncture complications, improve the success rate of conservative treatment, and improve the quality of life of patients. Related Articles | Metrics

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Journal of General Surgery for Clinicians    2023, 11 (2): 37-.   Abstract （31）            Knowledge map    Save Related Articles | Metrics

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Diagnosis and treatment of 6 cases postsigmoidostomic hernia after colostomy WANG Yongle, ZHANG Jie, LI Wen, SUN Qinli, YANG Liguang Journal of General Surgery for Clinicians    2023, 11 (1): 45-.   Abstract （21）            Knowledge map    Save Objective To explore the clinical characteristics, diagnosis and treatment of postsigmoidostomic hernia after colostomy for rectal cancer. Method The clinical data of 6 patients with postsigmoidostomic hernia developed after colostomy for rectal cancer in Linyi Central Hospital from January 2018 to December 2021 were retrospectively analyzed. Result The sigmoid mesocolon at the stoma and the left parietal abdominal wall were continuously sutured and fixed in 6 patients. The operation took 46 ～ 210 minutes, the amount of bleeding was not much, there were no complications related to the operation, and there was no hernia of the groove beside the sigmoid colostomy. Conclusion Postsigmoidostomic hernia is a rare complication after colostomy. It is important to perform abdominal CT scanning as early as possible from the clinical history and physical findings, and to determine the surgical indication. Related Articles | Metrics

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The effect of three-scope combined with transabdominal nasobiliary drainage in the treatment of extrahepatic bile duct stones LIANG Yunqiu, HE Ziping Journal of General Surgery for Clinicians    2023, 11 (1): 37-.   Abstract （22）            Knowledge map    Save Objective To investigate the effect of three-scope combined with transabdominal nasobiliary drainage in the treatment of extrahepatic bile duct stones. Method 80 patients with choledocholithiasis admitted to the Second People's Hospital of Xinhui District of Jiangmen City from March 2021 to August 2022 were retrospective analysis and randomly divided into observation group and control group with 40 cases each. Both groups of patients underwent laparoscopic cholecystectomy, bile duct exploration, transabdominal nasobiliary duct drainage, and primary suture. The observation group underwent antegrade placement of nasobiliary duct through the abdomen, and the control group underwent oral placement of nasobiliary duct drainage. The general information, preoperative bilirubin, diameter of common bile duct, number of common bile duct stones, and other systemic diseases were compared between the two groups. The operation time, intraoperative blood loss, whether duodenal papillectomy was needed, catheterization time, catheterization success rate, postoperative intestinal recovery and exhaust time, abdominal drainage tube removal time, nasobiliary tube removal time, hospital stay and complications were compared between the two groups, and statistical analysis was performed. Result The operation time of patients in the observation group was longer than that in the control group, and the incision rate of duodenal papilla was significantly lower than that in the control group (P ＜ 0.05), there was no significant difference in intraoperative bleeding between the two groups (P ＞ 0.05). The intubation time, gastrointestinal recovery time, extraction time of abdominal drainage tube and nasobiliary duct in the observation group were shorter than those in the control group (P ＜ 0.05), however, there was no significant difference between the two groups in the success rate of intubation and the length of stay (P ＞ 0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P ＜ 0.05). Conclusion The application of three-scope combined with transabdominal nasobiliary drainage in the treatment of extrahepatic bile duct stones is effective and high security. Related Articles | Metrics

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The choice and efficacy of treatment for elderly patients with choledocholithiasis combined with cholecystolithiasis LIU Dongdong, YU Anxing, LI Bin Journal of General Surgery for Clinicians    2023, 11 (2): 7-.   Abstract （42）            Knowledge map    Save Objective To explore the choice and efficacy of treatment for elderly patients with choledocholithiasis combined with cholecystolithiasis. Method The elderly patients with cholecystolithiasis and choledocholithiasis diagnosed in Pingdu People's Hospital hospital from February 2017 to November 2019 were selected and randomly divided into the observation group (n=34) and the control group (n=32). The observation group was treated with step-by-step endoscopic sphincteropapillotomy(EST) combined with laparoscopic cholecystectomy (LC), and the control group was treated with LC combined with laparoscopic common bile duct exploration T-tube choledochotomy (LCBDE). The total operation time, indwelling time of drainage tube after operation, intraoperative bleeding, postoperative hospital stay, conversion from laparoscopy to laparotomy, stone removal rate, and postoperative complications (including fever, bile leakage, pancreatitis) were compared between the two groups. Result The total operation time, drainage tube retention time, and postoperative hospitalization time of patients in the observation group were shorter than those in the control group, with less intraoperative bleeding and lower conversion rate to laparotomy in the observation group (P ＜ 0.05). There was no significant difference between the two groups in stone removal rate and postoperative complication rate (P ＞ 0.05). Conclusion Both EST+LC and LC+LCBDE can effectively treat the elderly patients with cholecystolithiasis and choledocholithiasis, but in county hospitals with both technology and equipment, EST+LC is more beneficial for elderly patients with choledocholithiasis and choledocholithiasis. Related Articles | Metrics

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Analysis of the efficacy of vacuum-assisted rotary resection system in the treatment of benign breast tumors DING Lulu, ZHOU Shaofei, ZHOU Dongfeng Journal of General Surgery for Clinicians    2022, 10 (4): 2-.   Abstract （44）            Knowledge map    Save Objective To study the application value of vacuum-assisted rotary resection system in the treatment of benign breast tumors. Method 120 patients with breast benign tumors who were operated in Pingdu Maternal and Child Health Hospital from November 2018 to October 2019 were selected and divided into the observation group (60 cases) and the control group (60 cases) according to different surgical methods. The observation group adopted vacuum assisted rotary resection technology, and the control group adopted traditional open surgery. The operation related indexes, postoperative complications and patient satisfaction were compared between the two groups. Result The operation time (12.08±3.69)min, incision length (3.78±0.78)mm and intraoperative bleeding (6.65±3.01)ml in the observation group were significantly better than those in the control group (P ＜ 0.05). The incidence of postoperative complications in the observation group was 15.00% (9/60), lower than 31.67% (19/60) in the control group. Postoperative pain and patient satisfaction were better than those in the control group, with significant differences (P ＜ 0.05). Conclusion The vacuum assisted rotary resection system can be used to treat benign breast tumors. The operation time is short, the surgical incision is small, the amount of bleeding is small, the healing is fast, the postoperative pain is relieved in time, the cosmetic effect is good, and the postoperative patient satisfaction is high. Related Articles | Metrics

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Clinical application of hepatic artery infusion chemotherapy in advanced liver cancer ZHANG Yongzhen, ZHAO Mengpeng, WANG Wenming, HAN Xinqiang Journal of General Surgery for Clinicians    2022, 10 (4): 34-.   Abstract （28）            Knowledge map    Save Hepatocellular carcinoma (HCC) is one of the six most common malignant tumours globally. Early diagnosis and timely surgical resection can maximise the benefits for patients. However, based on the unique pathophysiological characteristics of the liver, most patients have been in the advanced stage of the tumour at the initial diagnosis and lost the opportunity of surgical resection; transcatheter arterial chemoembolisation (TACE) is its definitive treatment, but HCC patients with portal vein tumor thrombus (PVTT) are relatively contraindicated to TACE treatment. Hepatic artery infusion chemotherapy (HAIC) using the characteristics of liver first-pass effect, continuous high-concentration infusion of chemotherapeutic drugs directly into tumour blood supply arteries has made remarkable achievements in middle and advanced HCC in recent years. However, there is no unified diagnosis and treatment standard and specification for HAIC. This paper reviews the clinical application of HAIC in advanced HCC. Related Articles | Metrics

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Application of enhanced recovery after surgery concept in perioperative nursing of laparoscopic appendectomy ZHOU Xialei, LU Xian, TANG Xueqin Journal of General Surgery for Clinicians    2023, 11 (1): 69-.   Abstract （75）            Knowledge map    Save Objective To explore the application effect of enhanced recovery after surgery concept in perioperative nursing of laparoscopic appendectomy. Method A total of 280 patients with acute appendicitis diagnosed and treated in Kunshan Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from January 2020 to December 2021 were retrospectively selected as the research objects and they were randomly divided into observation group (n=140) and control group (n=140). The control group was given routine surgical nursing, while the observation group was given rapid rehabilitation surgical nursing. The postoperative related indexes and recovery of the patients in the two groups were compared. Result The postoperative anal exhaust time, the first time to get out of bed, the postoperative defecation time, the postoperative knife pain score and the length of hospital stay in the observation group were significantly better than those in the control group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications in the observation group was 4.28%, which was lower than 10.71% in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The perioperative implementation of fast track surgical nursing in laparoscopic appendectomy can accelerate the recovery of postoperative gastrointestinal function, reduce the length of hospital stay and the incidence of postoperative complications, which is worthy of clinical surgical nursing promotion and application. Related Articles | Metrics

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Expression of programmed death-ligand 1 of triple negative breast cancer tissues and their correlations with the clinicopathological characteristics and prognosis of patients GAO Yue, LI Xiaoqian, XU Feng, JANG Hongchuan Journal of General Surgery for Clinicians    2023, 11 (3): 2-.   Abstract （15）            Knowledge map    Save Objective The purpose of this study was to detect the expression of programmed death-ligand 1(PD-L1) in triple negative breast cancer, and to explore the relationship between the expression of PD-L1 and the clinicopathological features and prognosis of triple negative breast cancer. Method From May 2010 to October 2020, 269 paraffin sections of triple negative breast cancer tissue collected by Beijing Chaoyang Hospital Affiliated to Capital Medical University, were used for immunohistochemical staining to detect the expression of PD-L1 in breast cancer tissue. Analyze the relationship between PD-L1 positive expression and clinical pathological characteristics and prognosis of patients. Result The expression rate of PD-L1 in tumor cells and infiltrating lymphocytes around tumor was 7.8%（21/269） and 17.84%（48/269）. The total expression rate of PD-L1 in tumor cells and infiltrating lymphocytes around tumor was 21.19%（57/269）.The total expression of PD-L1 in tumor and peritumor infiltrating lymphocytes was correlated with histological grade, nerve invasion, vascular tumor emboli, lymph node metastasis, and Ki-67 high proliferation index. Multivariate regression analysis showed that lymph node metastasis was risk factor for the expression of PD-L1. The expression of PD-L1 was associated with RFS in the prognosis of triple negative breast cancer. Conclusion The high expression of PD-L1 in the tumor cells of triple negative breast cancer and the infiltrating lymphocytes around the tumor is related to the tumor progression and poor prognosis, which can be used as the target of triple negative breast cancer immunotherapy. Related Articles | Metrics

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Clinical comparison of endoscopic and open thyroidectomy via areola approach in the treatment of benign thyroid lesions WANG Xiangzhong, ZHAO Ke Journal of General Surgery for Clinicians    2023, 11 (3): 30-.   Abstract （6）            Knowledge map    Save Objective To compare and analyze the clinical effects of endoscopic thyroidectomy via areola approach and open thyroidectomy in patients with benign thyroid diseases. Method A total of 82 patients with benign thyroid lesions admitted to our hospital from February 2020 to January 2022 were selected and divided into two groups according to the willingness of patients to operate, 42 patients were in the control group and 40 patients were in the test group. The patients in the control group were treated with open thyroidectomy, and the patients in the test group were treated with endoscopic resection through the areola approach. The perioperative indicators, pain degree, postoperative complications, and cosmetic effects of the two groups were statistically compared. Result The operation time, extubation time and hospitalization time in the test group were significantly shorter than those in the control group, and the intraoperative bleeding volume and postoperative drainage volume were significantly less than those in the control group (P ＜ 0.05). The pain scores of the test group at 6h, 1d and 2d after operation were significantly lower than those of the control group (P ＜ 0.05). The incidence of postoperative complications in the test group was significantly lower than that in the control group (P ＜ 0.05). The score of beauty satisfaction in the test group was significantly higher than that in the control group (P ＜ 0.05). Conclusion The advantages of endoscopic thyroidectomy via areola approach in patients with benign thyroid diseases are obvious, such as short operation time, quick recovery after operation, less pain and low complication rate, which is worthy of clinical application. Related Articles | Metrics

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Analysis of the efficacy of linaclotide in patients with functional constipation MA Lin, CHEN Yongqiang, WANG Cai Journal of General Surgery for Clinicians    2023, 11 (2): 11-.   Abstract （32）            Knowledge map    Save Objective To explore the efficacy of linaclotide in treating colonic obstruction in patients with functional constipation. Method From June 2019 to June 2022, 80 patients with colonic obstruction caused by functional constipation who were diagnosed and treated by the Eighth People's Hospital of Qingdao City were randomly divided into a control group and an observation group, with 40 patients in each group. The patients in the control group received routine treatment, including general treatment, anal exhaust, and enema. The observation group was treated with linaclotide on the basis of the control group. Compare the efficacy, frequency of defecation, stool characteristics, abdominal distension, sense of difficulty in defecation, abdominal pain scores, constipation specific quality of life scores, and the occurrence of adverse reactions between the two groups. Result The efficacy of the observation group was 95.00%, significantly higher than that of the control group (77.50%), with a significant difference (P ＜ 0.05). Before treatment, there was no significant difference between the two groups in stool characteristics, defecation frequency, abdominal distension, sense of difficulty in defecation, abdominal pain scores, and constipation specific quality of life scores (P ＞ 0.05); After treatment, the stool characteristics, defecation frequency, and abdominal distension, defecation exertion, abdominal pain scores, and constipation specific quality of life scores of the two groups of patients were significantly increased, and the range of change in the observation group was significantly higher than that in the control group (P ＜ 0.05). During the treatment period, the incidence of adverse reactions was 12.50% in the observation group and 10.00% in the control group, with no significant difference (P ＞ 0.05). The recurrence rate in the observation group was 2.50%, significantly lower than that in the control group (15.00%), with a significant difference (P ＜ 0.05). Conclusion Linaclotide is effective in improving the clinical outcomes of patients with functional constipation and colonic obstruction. Related Articles | Metrics

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Study on the advantages and safety of laparoscopic total mesorectal excision for rectal cancer CHEN Yan, ZHONG Hu, YE Song, ZHOU Yeting Journal of General Surgery for Clinicians    2023, 11 (1): 5-.   Abstract （33）            Knowledge map    Save Objective To investigate the clinical efficacy and safety of laparoscopic total mesorectal excision (LME) for rectal cancer. Method From August 2020 to March 2022, 69 rectal cancer patients in Shuyang Hospital Affiliated to Xuzhou Medical University were selected and analyzed. The control group (blue ball, 34 cases) and the observation group (red ball, 35 cases) were randomly divided by red blue ball. The control group was treated by open total mesorectal excision, and the observation group was treated by laparoscopic total mesorectal excision, Record and compare the difference of operation indexes and recovery time of patients in each group, and observe and count the probability of postoperative complications of patients in the two groups. Result The total operation time (181.23 ± 15.21) min in the observation group was longer than that in the control group (t=15.285, P ＜ 0.05), and the number of lymph node dissection (14.02 ± 4.02) had no significant difference compared with the control group (t=0.113, P ＞ 0.05). In addition, the total probability of postoperative complications in the observation group was 2.86% lower than that in the control group (χ2= 4.803，P ＜ 0.05）. Conclusion Laparoscopic total mesorectal excision is the first choice for clinical treatment of rectal cancer, which has the advantages of less damage to patients, rapid recovery, fewer complications and ideal safety. Related Articles | Metrics

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Clinical study on different ultrasonic signs in predicting lymph node metastasis of thyroid papillary carcinoma LIU Caihong, HAO Ying, ZHAO Zhenlong, WEI Ying, PENG Lili, LI Yan, YU Ming’an Journal of General Surgery for Clinicians    2023, 11 (1): 8-.   Abstract （61）            Knowledge map    Save Objective To study the ultrasonographic features of papillary thyroid carcinoma nodules (PTC) with lymph node metastasis (LNM). Method The data of patients with PTC who underwent thermal ablation from July 2019 to December 2020 were retrospectively studied. The patients were divided into LNM group and non-LNM group. The imaging features and parameters between the two groups both on conventional ultrasound and contrast-enhanced ultrasound were compared. Result A total of 91 patients with PTC were included, including 31 cases in the LNM group and 60 cases in the non-LNM group. In the LNM group, the proportion of nodules with length/width ratio larger than 1.0 or with microcalcification were higher than those in the non-LNM group, and the difference were statistically significant (P ＜ 0.05); The peak intensity (PI)difference was lower than that in the non-LNM group (P ＜ 0.05). ROC curve analysis was performed to test the diagnostic efficiency of PI difference to diagnose PTC with LNM. The area under the curve was 0.63, the optimum critical value was -7.3, the sensitivity was 42% and the specificity was 43%. Conclusion The imaging features and parameter showed significant differences between the LNM group and non-LNM group. The above results may be helpful to predict the biological characteristics of PTC. Related Articles | Metrics

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Clinical comparison of laparoscopic transperitoneal preperitoneal prosthesis and open tension-free hernioplasty for adult inguinal hernia WEI Xiaoyuan Journal of General Surgery for Clinicians    2022, 10 (4): 83-.   Abstract （27）            Knowledge map    Save Objective To observe the difference between laparoscopic transperitoneal preperitoneal prosthesis (TAPP) and open tension free hernioplasty (OTFH) in the treatment of adult inguinal hernia. Method 80 adult patients with inguinal hernia admitted to Guiping People's Hospital from January 2019 to December 2021 were selected and divided into the observation group (TAPP treatment) and the control group (OTFH treatment) according to the random number table. Record the surgical indicators of patients, compare the changes of stress indicators, evaluate the clinical efficacy and follow up the complications. Result The operation time and activity time of the patients in the observation group were shorter than those in the control group, and the amount of intraoperative bleeding was less than that in the control group, with significant differences (P ＜ 0.05), but there was no significant difference in the hospital stay between the two groups (P ＞ 0.05). After operation, the levels of stress indicators in both groups were increased, while those in the control group were significantly higher; The levels of stress indexes in the observation group were significantly higher than those in the control group (P＜0.05). There was no significant difference in the total effective rate between the two groups (97.50% vs 92.50%, P=0.608). The total incidence of complications in the observation group was lower than that in the control group (20.00%), with a significant difference (P ＜ 0.05). Conclusion TAPP is more effective and safe than OTFH in treating adult inguinal hernia. Related Articles | Metrics