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Risk factors and management strategies of central lymph node metastasis in patients with papillary thyroid carcinoma QI Yingcai, QU Kaiqiang Journal of General Surgery for Clinicians    2023, 11 (3): 8-.   Abstract （41）            Knowledge map    Save Objective This study retrospectively analyzed the clinical data of patients with papillary thyroid carcinoma (PTC) to explore the risk factors for central lymph node metastasis (CLNM) in the neck of PTC. Method The clinical data of 161 hospitalized patients who underwent thyroid surgery for the first time and were pathologically confirmed as PTC in Yingcheng People's Hospital from July 2020 to July 2021 were collected. The patients were divided into metastasis group and non metastasis group according to whether they had CLNM. Compare general information such as gender, age, and preoperative ultrasound imaging data between two groups to analyze the risk factors for CLNM in PTC patients. Result Univariate analysis showed that CLNM was associated with age, gender, ultrasound examination of tumor diameter, microcalcification, and presence of blood flow signals (P＜ 0.05), but not with factors such as tumor palpation results and tumor number (P ＞ 0.05). Multivariate analysis showed that age<45 years old, male, tumor diameter ＞ 1.0cm, ultrasound display of tumor microcalcification, and detection of blood flow signals within the tumor are risk factors for CLNM in PTC patients. Conclusion Men, age ＜ 45 years old, tumor size ＞ 1cm, microcalcifications, and internal blood flow signals within the lesion have a higher risk of developing CLNM. It is recommended that such PTC patients undergo preventive central lymph node dissection. Related Articles | Metrics

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Journal of General Surgery for Clinicians    2022, 10 (4): 109-.   Abstract （76）            Knowledge map    Save Related Articles | Metrics

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Journal of General Surgery for Clinicians    2023, 11 (4): 51-.   Abstract （61）            Knowledge map    Save Related Articles | Metrics

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A comparative study of combined double endoscopy and laparotomy in the treatment of cholecystolithiasis complicated with common bile duct stones YUAN Fei, QIAN Gang, MAO Yefei, HE Jun Journal of General Surgery for Clinicians    2022, 10 (2): 13-.   Abstract （70）            Knowledge map    Save Objective To investigate the clinical effect of double-endoscopy combined with open surgery in patients with cholecystolithiasis complicated with common bile duct stones. Method From July 2018 to October 2021, 72 patients with cholecystolithiasis complicated with common bile duct stones in Zhangjiagang Third People's Hospital were randomly divided into groups, patients treated with open surgery alone were the control group, and patients treated with double-endoscopy combined technique were selected as the observation group,36 cases in each group. In the observation group, clinical indicators such as operation time were recorded, postoperative complications were counted, and differences in postoperative long-term efficacy were evaluated. Result The operation time, intraoperative blood loss and postoperative exhaust time of the observation group were significantly better than those of the control group (P ＜ 0.05). It was lower than that of the control group (16.67%, P ＜ 0.05); the excellent and good rate of the observation group was 100%, which was significantly better than that of the control group (88.89%, P ＜ 0.05). Conclusion Compared with traditional laparotomy, patients with cholecystolithiasis and common bile duct stones treated with dual-endoscope combined technique have significantly better surgical effect and less injury. 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 （81）            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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Effect analysis of humanized nursing model in operating room nursing JU Xingxing Journal of General Surgery for Clinicians    2022, 10 (1): 102-.   Abstract （129）            Knowledge map    Save Objective To explore the application effect of humanized nursing mode in operating room nursing. Method 100 surgical patients in the Operating Room of Traditional Chinese Medicine Hospital of Rugao were randomly divided into humanized nursing group and control group. The control group took routine operating room nursing program. The humanized nursing group adopted the humanized nursing mode scheme on the basis of the control group. The nursing satisfaction and the incidence of adverse events were compared between the two groups. Result The total nursing satisfaction of patients in humanized nursing group was 98%, and that of patients in control group was 84.0%, the total satisfaction of the humanized nursing group was significantly higher than that of the control group (P ＜ 0.05). The incidence of adverse events such as hypothermia, infection and delayed awakening in the humanized nursing group within 3 days was significantly lower than that of the control group (all P＜ 0.05). The scores of psychological function, physiological function, social function and material life in the humanized nursing group were higher than those in the control group (all P ＜ 0.05). Conclusion The application of humanized nursing management in the nursing management of operating room can significantly improve patients' satisfaction and postoperative quality of life, and effectively reduce the incidence of nursing adverse events. Related Articles | Metrics

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A clinical comparison of transanal natural orifice specimen extraction surgery with traditional laparoscopic surgery for colorectal cancer CHEN Kaifan, ZHANG Weihong, LI Junpeng, LI Zhixiong, PAN Guofeng, XU Yanchang Journal of General Surgery for Clinicians    2022, 10 (3): 6-.   Abstract （72）            Knowledge map    Save Objective To investigate the safety and feasibility of transanal natural orifice specimen extraction surgery (NOSES) laparoscopic surgery for sigmoid colon cancer and high rectal cancer. Method A retrospective analysis of clinical datas of 30 patients who underwent transanal NOSES laparoscopic surgery for sigmoid colon cancer and high rectal cancer(the observation group) and 30 patients who underwent conventional laparoscopic surgery for sigmoid colon cancer and high rectal cancer(the control group) during the same period, in Putian City from October 2018 to October 2020. A comparative analysis was conducted between these two groups in regard to the operation time, the intraoperative blood loss, the intraoperative lymph node dissection, the postoperative pain score of day 1, the postoperative complications and the postoperative local recurrence and distant metastasis. Result There were no significant differences in the intraoperative blood loss, the intraoperative lymph node dissection and the postoperative complications of both groups (P ＞ 0.05). The operation time of the observation group was longer than that of the control group, the postoperative pain score of day 1 of the observation group was lower than that in the observation group, the postoperative exhaust time of the observation group was shorter than that in the control group, the postoperative fluid diet time in observation group was shorter than that in control group, the postoperative hospital stay in the observation group was shorter than that in the control group, the differences are significant (P ＜ 0.05). Patients in both groups were followed up and no local and distant recurrence was observed.Conclusion Transanal NOSES laparoscopic surgery for sigmoid colon cancer and upper rectal cancer is safe and feasible. It has the advantages of light postoperative pain, quick recovery, short hospital stays, and the radical tumor treatment effect is comparable to that of traditional laparoscopic surgery. Related Articles | Metrics

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Clinical efficacy of laparoscopic left hemi hepatectomy via middle hepatic vein approach in the treatment of intrahepatic bile duct stones and its effect on patients’ stress and inflammatory response TIAN Ye, XIAO Xuan, CAO Xiaofei Journal of General Surgery for Clinicians    2022, 10 (3): 76-.   Abstract （54）            Knowledge map    Save Objective To investigate the efficacy of laparoscopic left hemi hepatectomy via middle hepatic vein approach in the treatment of intrahepatic bile duct stones and its effect on stress and inflammatory response. Method 80 patients with intrahepatic bile duct stones treated in Taizhou People's Hospital from January 2019 to January 2022 were randomly divided into control group (conventional laparoscopic left hemi hepatectomy, n=40) and observation group (laparoscopic left hemi hepatectomy via middle hepatic vein, n=40). The related indexes of the two groups were compared, and the preoperative and postoperative cortisol, serum The levels of C-reactive protein and interleukin-6 were used to evaluate the state of stress and inflammation, and the incidence of complications in the two groups was statistically analyzed. Result All the patients in the two groups successfully completed the operation. There was no significant difference between the two groups in operation time, bleeding volume, time out of bed, exhaust time and hospital stay (P ＞ 0.05). The levels of cortisol, C-reactive protein and interleukin-6 in the observation group were lower than those in the control group (P ＜ 0.05), and the incidence of complications was lower than that in the control group (P ＜ 0.05). Conclusion Laparoscopic left hemi hepatectomy through the middle hepatic vein is safe and effective in the treatment of intrahepatic bile duct stones, which can reduce stress and inflammatory reaction, and reduce the risk of complications. Related Articles | Metrics

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Hybrid procedure in the treatment of incarcerated inguinal hernia QIU Chang-ru, LI Si-rong Journal of General Surgery for Clinicians    2019, 7 (4): 17-.   Abstract （77）            Knowledge map    Save Abstract: Objective To evaluate the effi cacy of hybrid procedure in incarcerated inguinal hernia. Methods Twenty-one patients with incarcerated inguinal hernia treated by hybrid technique in Meizhou Hospital of Traditional Chinese Medicine from February 2017 to February 2019 were selected. A total of 21 patients needed hybrid operation. The age ranged from 32 to 78 years, with an average age of (55± 11.31) years. All patients had unilateral inguinal hernia incarceration. The incarceration time was from 4 hours to 48 hours. There were 4 cases with hypertension, cereal and urinary diseases, benign prostatic hyperplasia and other basic diseases. The clinical data of operation time, hospitalization time and postoperative complications were analyzed. Results Among the 17 patients, the operation time was 60-140 minutes, with an average of (90±23.32) minutes. There were 3 cases of inguinal swelling, 5 cases of scrotal edema and 2 cases of seroma after operation. No incision infection and intractable abdominal pain were found. The symptoms of swelling and scrotal edema disappeared after symptomatic treatment or 4 weeks after discharge, and no puncture and drainage was performed. The average hospitalization time was about (6±3.4) days, and no recurrence occurred after 24 months of follow-up. Conclusions Hybrid procedure is a safe and effective technique with fast recovery. and can be used in highly—selected patients who sufered from incareerated inguinal hernia． Related Articles | Metrics

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Clinical observation of modified ligation of the sphincteric fistula tract in the treatment of sphincteric perianal fistula HE Yaoming, WANG Chengxing, LIANG Weijun, ZHAO Jinglin Journal of General Surgery for Clinicians    2021, 9 (2): 19-.   Abstract （118）            Knowledge map    Save Objective To investigate the clinical effect of modified ligation of the sphincteric fistula tract (LIFT) in the treatment of sphincter anal fistula. Methods According to the random number table, patients with perianal horseshoe abscess were randomly divided into two groups, the experimental group (by modified LIFT ) 50 cases and the control group (by classic operation) 50 cases. The operation time, intraoperative blood loss, duration of the postoperative pain, hospital stay, healing time of surgical incision, anal function, anal morphology and recurrence rate of two groups were recorded and analyzed. Results The observation group was better than the control group in operation time, operation blood loss, postoperative pain duration, incision healing time, anal function and anal morphology, the difference wassignificant (P<0.05), but there was no significant difference in hospital stay and anal fistula recurrence rate between the two groups (P>0.05). Conclusion Compared with the classic operation, it has good clinical effect to treat sphincteric perianal fistula through modified LIFT. Related Articles | Metrics

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Influence of perioperative nursing on nursing quality of patients with gastric cancer radical surgery KAN Chunyan Journal of General Surgery for Clinicians    2022, 10 (2): 102-.   Abstract （75）            Knowledge map    Save Objective To investigate the effect of perioperative nursing intervention in patients undergoing radical gastrectomy for gastric cancer and its impact on nursing quality. Method A total of 42 patients with gastric cancer who underwent radical surgery in our hospital from May 2020 to May 2021 were selected for research, and they were divided into groups according to different nursing methods, namely the control group (implementing routine nursing intervention) and the observation group (implementing routine nursing intervention). Perioperative nursing intervention), 21 cases in each group, the levels of gastrointestinal hormones, nutritional indicators and nursing quality scores before and after nursing in the two groups were analyzed. Result After nursing, the motilin and serum ghrelin of the observation group were (189.22±22.63) ng/L and (61.58±5.73) ng/L, respectively,which were higher than those of the control group (168.53±21.42) ng/L and (46.27±5.88) ng/L, and vasoactive intestinal peptide of the observation group was (62.35±7.07) ng/L, which was lower than that of the control group (83.18±7.14) ng/L, and the difference was significant (P ＜ 0.05). The albumin of the control group and the observation group after nursing were (36.25±3.49) g/L, (42.77±4.96) g/L, retinol binding protein were (29.97±3.02) mg/L, (36.65±3.28) mg/L, hemoglobin were (87.13±5.56) g/L, (97.32±5.71) g/L, the latter was significantly higher than the former (P ＜ 0.05); the scores of nursing methods, nursing attitudes, nursing skills and nursing environment of the observation group were (74.13±6.48) points, (71.02±5.95) points, (68.22±6.34) points and (72.13±6.34) points, respectively, which were significantly higher than those of the control group (56.23±5.47) points, (48.23±5.29) points, (51.17±4.57) points and (57.15±4.92) points (P ＜ 0.05). Conclusion Perioperative nursing plays an important role in gastric cancer patients undergoing radical operation, which can improve their nutritional status and gastrointestinal function, and the overall nursing quality is high. Related Articles | Metrics

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Comparison of short-term clinical effects between total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer WEI Xin, QIAN Lei Journal of General Surgery for Clinicians    2023, 11 (1): 33-.   Abstract （90）            Knowledge map    Save Objective To explore the short-term clinical efficacy of total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer. Method The data of 80 patients with gastric cancer treated by complete laparoscopic surgery and laparoscopic surgery in Qiqihar Public Security Hospital from May 2020 to May 2021 were retrospectively analyzed. The patients were treated by complete laparoscopic surgery as the observation group (n=40), and the patients were treated by laparoscopic surgery as the control group (n=40). The postoperative effects of the two groups were compared and statistically analyzed. Result The VAS scores of patients in the observation group were higher than those of patients in the control group at 1, 2 and 3 days after operation (P ＜ 0.05); The first scheduling time, the incidence of complications, the length of abdominal incision and the first postoperative fluid diet time in the observation group were significantly better than those in the control group (P ＜ 0.05); The operation time of patients in the control group was significantly better than that of patients in the observation group (P ＜ 0.05); There was no significant difference in the number of lymph nodes and application of analgesics, between the two groups（P ＞ 0.05）. Conclusion Compared with laparoscopy, although the operation time of complete laparoscopic assisted surgery is longer, its first scheduling time and the first liquid diet time are shorter, which is more conducive to the early rehabilitation of patients and can be selectively used in clinical practice. Related Articles | Metrics

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A comparative study in the treatment of postoperative low extremity deep vein thrombosis QI Haoshan, ZHAO Juncheng, ZHANG Kun, LI Dalin, CHEN Yunhui, YAN Jingqiang, HUANG Shujie Journal of General Surgery for Clinicians    2021, 9 (3): 2-.   Abstract （188）            Knowledge map    Save Abstract: Objective To estimate the risk of bleeding after thrombolytic therapy in patients with secondary deep venous thrombosis, in order to find a better therapy for higher bleeding risk postoperative patients. Methods 48 patients diagnosed postoperative DVT were divided into PMT group included 27 patients and CDT group included 21 patients. The PMT group was treated by PMT or PMT+CDT, the CDT group given thrombolysis only directed by catheterization. The effects of thrombus removal and later follow-up effects in the two groups were compared. Results Thrombus degradation was obviously better in PMT group compared with the CDT group [(90.21±17.28)% vs (75.65±27.59)%]. Lower dosage of urokinase [(105.45±126.34)WU vs (345.87±118.38)WU] and shorter hospital stays [(6.72±1.88)d vs (8.82±2.97)d],less time in bed[（2.90±2.71）d vs（ 5.40±2.06）d]was also detected in PMT group patients. There is nonmajor bleeding occurred in both groups. Nonmajor bleeding was higher in PMT group, but they did not achieve statistical significance(P>0.05). In later follow-up, PTS Villalta scores of 12 and 24 months in PMT were better than CDT. Conclusion Both PMT and single CDT were both effective and safety methods in treating postoperative DVT more than one week, associated low bleeding risk，however the strategy combined PMT had the advantage in low dosage of urokinase using, better thrombus eliminating, and reducing the hospital stays and time in bed. Villalta score was lower in PMT-group, connected with lower risk of PTS morbidity. Related Articles | Metrics

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Effect and complication rate impact evaluation of sphincter preserving hanging wire method in complex anal fistulas YE Yan Journal of General Surgery for Clinicians    2022, 10 (1): 19-.   Abstract （88）            Knowledge map    Save Objective To investigate the effects of the application of sphincter preserving hanging wire method in patients with complex anal fistulas. Method A total of 120 patients with complicated anal fistula who were admitted to Guangzhou Zengcheng District Central Hospital from March 2019 to March 2021 were randomly selected as the study subjects and divided into control and observation groups using the number table method, with 60 patients in each group. The control group was treated by conventional fistula resection, and the observation group was treated by sphincter preserving hanging wire method. Treatment outcomes, intraoperative conditions, as well as postoperative complication rates were compared between the 2 groups. Result patients in the observation group had a higher response rate to treatment than those in the control group (P ＜ 0.05), patients in the observation group had less intraoperative blood loss and a shorter operative time than the control group (P ＜ 0.05), and patients in the observation group had a lower rate of postoperative complications than those in the control group (P＜ 0.05). Conclusion The application of sphincter preserving hanging wire method in the treatment of patients with complex anal fistulas is highly effective, which may promote patient recovery and reduce the occurrence of postoperative complications. Related Articles | Metrics

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Journal of General Surgery for Clinicians    2022, 10 (3): 186-.   Abstract （77）            Knowledge map    Save 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 （141）            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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The eff ect of laparoscopic cholecystectomy on the levels of infl ammatory factors, pain scores, and incidence of complications in patients with acute calculous cholecystitis Guo Yingxi Journal of General Surgery for Clinicians    2024, 12 (4): 2-.   Abstract （52）            Knowledge map    Save Objective To investigate the eff ects of laparoscopic cholecystectomy on the levels of infl ammatory factors, pain scores, and incidence of complications in patients with acute cholecystitis caused by stones. Method Eighty patients with acute calculous cholecystitis who visited Shantou Chaonan Minsheng Hospital from June 2023 to June 2024 were randomly divided into a control group (small incision cholecystectomy) and a study group (laparoscopic cholecystectomy) using a random number table, with 40 patients in each group. Compare the levels of infl ammatory factors, pain scores, oxidative stress indicators, and incidence of complications between two groups. Result Before surgery, there was no signifi cant diff erence in the levels of interleukin-6, interleukin-8, C-reactive protein, tumor necrosis factor - α, as well as serum malondialdehyde (MDA) and superoxide dismutase (SOD) levels between the two groups of patients (P ＞ 0.05). After surgery, the levels of interleukin-6, interleukin-8, C-reactive protein, tumor necrosis factor - α, and serum MDA in the study group were lower than those in the control group, but the level of SOD was higher than that in the control group, and the diff erences were signifi cant (P ＜ 0.05). At 12 hours, 1 day, and 3 days after surgery, the pain scores of patients in the study group were signifi cantly lower than those in the control group (P ＜ 0.05). The total incidence of postoperative complications in the study group (3.33%) was lower than that in the control group (13.33%), and the diff erence was signifi cant (P ＜ 0.05). Conclusion Laparoscopic cholecystectomy for the treatment of acute calculous cholecystitis can inhibit the body's inflammatory response and postoperative pain, reduce surgical stress response, and lower the risk of complications.  Related Articles | Metrics

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Application of selective portal vein staining combined with hepatic lobe blood flow obstruction in right lobe anatomical hepatectomy Chen Haimin, Zhu Qingsheng Journal of General Surgery for Clinicians    2025, 13 (1): 16-.   Abstract （37）            Knowledge map    Save Objective To investigate the application eff ect of hepatic lobe blood fl ow obstruction combined with selective portal vein staining in right lobe anatomical liver resection. Method The research subjects were 82 patients who underwent right lobe anatomical liver resection at Yuebei People’s Hospital from January 2022 to October 2023. They were randomly divided into two groups, an experimental group and a control group, with 41 pa-tients in each group. The experimental group received hepatic lobe blood flow obstruction, while the control group received the Pringle method of fi rst porta hepatis obstruction. Portal vein staining was performed in both groups to compare the therapeutic eff ects. Result There was no signifi cant diff erence in surgical time between the two groups of patients (P ＞ 0.05), but the experimental group had a shorter hospital stay and less intraoperative bleeding than the control group, with signifi cant diff erences (P ＜ 0.05). Before surgery, there was no signifi cant diff erence in liver function indicators between the two groups of patients (P ＞ 0.05); After surgery, the total albumin level in the experimental group was higher than that in the control group, and the total bilirubin and alanine aminotransferase levels were lower than those in the control group, with signifi cant diff erences (P ＜ 0.05). There was no signifi cant diff erence in the incidence of postoperative bile leakage, bleeding, and infection between the two groups of patients (P ＞ 0.05), but the incidence of hepatic vein injury in the experimental group was lower than that in the control group, and the recurrence rate was lower than that in the control group after 6 months of follow-up, with signifi cant diff erences (P ＜ 0.05). Conclusion The combination of hepatic lobe blood flow obstruction and portal vein stain-ing can reduce intraoperative bleeding and lower the incidence of postoperative complications in right lobe anatom-ical liver resection. It is a safe and feasible treatment method. Related Articles | Metrics

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Clinicopathological characteristics and prognosis of invasive ductal/lobular mixed carcinoma, invasive lobular carcinoma and invasive ductal carcinoma of breast LENG Minfang, CHENG Wende, XIAO Xiaoqin, LIU Feng Journal of General Surgery for Clinicians    2021, 9 (1): 24-.   Abstract （172）            Knowledge map    Save Abstracts: Objective To study the pathological characteristics of breast infiltrative ductal / lobular mixed carcinoma(IDC-L), infiltrative lobular carcinoma(ILC) and infiltrative ductal carcinoma(IDC). Methods From September 2011 to September 2020,254 breast cancer patients were selected, Among them, there were 18 cases of IDC-L, 20 cases of ILC and 216 cases of IDC. The prognosis of the three groups of patients was observed. Results IDC- L, ILC and IDC patients had significant differences in age, tumor size, multicentric lesions, vascular invasion, HER2 status, Ki-67 expression. IDC-L patients had younger onset age, more tumor diameter>2.0 cm, while IDC patients had less multicentric lesions and vascular invasion, while HER2 positive rate and Ki-67 high expression ratio in IDC-L and ILC patients were lower than IDC, the difference was statistically significant(P<0.05). Age, climacteric state, tumor size, lymph node state, multicentric lesions, lymphatic vessel invasion, HER2 state and Ki-67 expression were all the influencing factors of clinic pathological differences. Breast cancer-free interval and overall survival were related to tumor size, lymph node status, lymphatic vessel invasion and Ki-67 expression (P<0.05). Conclusion In breast cancer patients, the clinicopathological characteristics of ILC and IDC-L are similar to each other, but there are obvious differences among ILC, IDC-L and IDC. The breast cancer patients can be differentiated clinically and treated better. Related Articles | Metrics

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Analysis of breast cancer diseases and surgical encoding ZHAN Kai, MENG Weiguang Journal of General Surgery for Clinicians    2021, 9 (3): 35-.   Abstract （111）            Knowledge map    Save Abstract: Objective Through this case, we can discuss the diagnosis and operation of breast cancer, which is helpful for a correct understanding of breast cancer and operation and making the correct encoding. Methods 10 breast surgery cases were selected from breast cancer department，using the international statistical classification of diseases(ICD)-10 and related health problems and surgical procedures of international classification of diseases(ICD-9-CM-3)，improve the accuracy of the coding, the causes of the wrong diagnosis and operation coding were found and analyzed. Results Main diagnosis of 2 cases of breast malignancy, full mastectomy code (unilateral / bilateral) was 85.41/85.42, revised from 1 to 2, modified radical breast cancer code (unilateral / bilateral) was 85.43/85.44, revised from 5 to 8, radical breast cancer code (unilateral / bilateral) was 85.45/85.46, revised from 3 to 0, revised breast cancer enlarged radical coding (unilateral / bilateral) 85.47/85.48, reduced from 1 to 0. Conclusion Accurate diagnosis and surgical coding must be performed according to the type and extent of mastectomy, this enables the electronic medical record audit system to better serve clinicians and coding workers Related Articles | Metrics