李俊，男，德国埃森大学医学博士，现任德国汉堡大学附属医学院肝胆外科和肝脏移植外科，顾问外科医生／副教授。参与世界首个多中心联合肝脏离断和门静脉结扎的二步肝切除术（ALPPS）的临床研究工作，首次指出ALPPS的手术禁忌症（JGast...李俊，男，德国埃森大学医学博士，现任德国汉堡大学附属医学院肝胆外科和肝脏移植外科，顾问外科医生／副教授。参与世界首个多中心联合肝脏离断和门静脉结扎的二步肝切除术（ALPPS）的临床研究工作，首次指出ALPPS的手术禁忌症（JGastrointerst Surg 2013），首创HybridALPPS的手术方式并提出肿瘤外科原则在ALPPS应用的理念（Annals of Surgery 2014）。展开更多
A 76-year old female, was admitted in our cardiac surgery clinic to perform surgical aortic valve replacement due to a severe aortic regurgitation with symptoms of congestive heart failure. Her past medical history in...A 76-year old female, was admitted in our cardiac surgery clinic to perform surgical aortic valve replacement due to a severe aortic regurgitation with symptoms of congestive heart failure. Her past medical history included moderately impaired renal function （GFR 48 mL/min） and arterial hy- pertension.展开更多
Objective:To evaluate the effect of modified surgical techniques on hemostasis used in aortic root replacement with a composite graft(Bentall procedure).Methods:Data on 15 patients who underwent Bentall procedure duri...Objective:To evaluate the effect of modified surgical techniques on hemostasis used in aortic root replacement with a composite graft(Bentall procedure).Methods:Data on 15 patients who underwent Bentall procedure during 2005 to 2007 were analyzed.The first 5 patients(Group 1) received the standard procedure.Then next 10 patients(Group 2) received the modified procedure.Techniques including "tandem suture line","endo-button buttress","sandwich anastomosis" and "left ventricle filling" were added to the standard procedure.Perioperative bleeding and the volume of blood transfusion required were compared to estimate hemostasis in different groups.Results:Between groups 1 and 2,a significant difference was found in postoperative bleeding [(2193±383) ml vs(1012±258) ml,respectively;P<0.05] and in volume of blood transfusion required [(7242±1416) ml vs(2520±708) ml,respectively;P<0.05].Conclusion:The modified surgical techniques used in our study are effective in the improvement of the hemostasis in Bentall procedure.展开更多
文摘李俊，男，德国埃森大学医学博士，现任德国汉堡大学附属医学院肝胆外科和肝脏移植外科，顾问外科医生／副教授。参与世界首个多中心联合肝脏离断和门静脉结扎的二步肝切除术（ALPPS）的临床研究工作，首次指出ALPPS的手术禁忌症（JGastrointerst Surg 2013），首创HybridALPPS的手术方式并提出肿瘤外科原则在ALPPS应用的理念（Annals of Surgery 2014）。
文摘A 76-year old female, was admitted in our cardiac surgery clinic to perform surgical aortic valve replacement due to a severe aortic regurgitation with symptoms of congestive heart failure. Her past medical history included moderately impaired renal function （GFR 48 mL/min） and arterial hy- pertension.
文摘Objective:To evaluate the effect of modified surgical techniques on hemostasis used in aortic root replacement with a composite graft(Bentall procedure).Methods:Data on 15 patients who underwent Bentall procedure during 2005 to 2007 were analyzed.The first 5 patients(Group 1) received the standard procedure.Then next 10 patients(Group 2) received the modified procedure.Techniques including "tandem suture line","endo-button buttress","sandwich anastomosis" and "left ventricle filling" were added to the standard procedure.Perioperative bleeding and the volume of blood transfusion required were compared to estimate hemostasis in different groups.Results:Between groups 1 and 2,a significant difference was found in postoperative bleeding [(2193±383) ml vs(1012±258) ml,respectively;P<0.05] and in volume of blood transfusion required [(7242±1416) ml vs(2520±708) ml,respectively;P<0.05].Conclusion:The modified surgical techniques used in our study are effective in the improvement of the hemostasis in Bentall procedure.
