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  1. Article: [Robotics should be the mainstream surgical approach in gastrointestinal surgery].

    Yu, P W / Li, Z Y

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2024  Volume 27, Issue 1, Page(s) 35–40

    Abstract: The clinical application of robotic gastrointestinal surgery has made significant progress during the past 20 years. Increasing research have demonstrated that the robotic gastrointestinal surgery is safe and feasible, with the advantages in lymph node ... ...

    Abstract The clinical application of robotic gastrointestinal surgery has made significant progress during the past 20 years. Increasing research have demonstrated that the robotic gastrointestinal surgery is safe and feasible, with the advantages in lymph node dissection, precise manipulation in narrow space, intraoperative suturing, and achieves satisfactory clinical outcomes. However, it also face challenges such as high costs, lack of high quality studies, and limited intelligent level. With the advancement of more high-quality evidence-based medical research and the development of new intelligent surgical robots, the robotic gastrointestinal surgery will be further standardized. We believe that the robotic surgery will become the mainstream of surgical treatment for gastrointestinal surgery.
    MeSH term(s) Humans ; Robotics ; Digestive System Surgical Procedures ; Robotic Surgical Procedures ; Biomedical Research ; Lymph Node Excision
    Language Chinese
    Publishing date 2024-01-23
    Publishing country China
    Document type English Abstract ; Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20231127-00194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: [Design and quality control of a database for postoperative infectious complications following gastrointestinal surgery based on clinical practice].

    Wu, Z Q / Li, Z Y

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2023  Volume 26, Issue 9, Page(s) 818–823

    Abstract: The Prevalence of Abdominal Complications After Gastroenterological Surgery (PACAGE) study was the first to report epidemiological data on postoperative infectious complications of gastrointestinal surgery nationwide in China. Based on the experience of ... ...

    Abstract The Prevalence of Abdominal Complications After Gastroenterological Surgery (PACAGE) study was the first to report epidemiological data on postoperative infectious complications of gastrointestinal surgery nationwide in China. Based on the experience of the PACAGE study, this paper mainly discusses the project design management and data quality control of clinical practice-based database on postoperative infectious complications of gastrointestinal surgery. It also emphasises the importance of specific research objectives and resource planning, and highlights the application effect of a simplified case report form combined with software analysis on data quality control. The data mining of the PACAGE database has great potential and broad application prospects to support clinical decision-making and academic research.
    MeSH term(s) Humans ; Digestive System Surgical Procedures/adverse effects ; Postoperative Complications ; China ; Clinical Decision-Making ; Quality Control
    Language Chinese
    Publishing date 2023-08-19
    Publishing country China
    Document type English Abstract ; Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20230830-00075
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [Regulation of oral microbiota homeostasis and oral diseases].

    Li, Z Y / Zhou, X D / Peng, X

    Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology

    2024  Volume 59, Issue 2, Page(s) 124–129

    Abstract: Oral microbiome consists of diverse bacteria, viruses, fungi, and protozoan populations, with whose stability, functionality, and assembly process are regulated by complex interactions between the host and microbes. High-throughput sequencing technology ... ...

    Abstract Oral microbiome consists of diverse bacteria, viruses, fungi, and protozoan populations, with whose stability, functionality, and assembly process are regulated by complex interactions between the host and microbes. High-throughput sequencing technology provides insights into the classification structure, genomic composition, function, and dynamical changes of oral microbiome under healthy and morbid conditions. This review aims to outline the establishment and homeostasis maintenance of regulating oral microbiome, as well as the common oral disease-related microbial imbalance, influencing factors and emerging methods. With perspectives from microbiology, immunology, and multi-omics, we can delve into the complex molecular dialogue between the human body and microbes. Deep understandings of the assembly principles, intercellular signals, stress adaptability, and triggering factors of microbial imbalance are crucial for developing new diagnostic technologies, treatment plans, and custom probiotics. These methods can precisely target and minimize disruption to the oral microbiome. Regulating oral microbiome by using methods such as small molecules, diet, prebiotics, probiotics, phages offers new opportunities to enhance oral and overall health.
    MeSH term(s) Humans ; Microbiota/genetics ; Probiotics ; Prebiotics ; Bacteria ; Diet
    Chemical Substances Prebiotics
    Language Chinese
    Publishing date 2024-01-25
    Publishing country China
    Document type Review ; English Abstract ; Journal Article
    ZDB-ID 1027950-7
    ISSN 1002-0098
    ISSN 1002-0098
    DOI 10.3760/cma.j.cn112144-20231012-00189
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2507: Show issues Location:
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  4. Article: [Dissection borders of laparoscopic lower mediastinal lymphadenectomy for adenocarcinoma of esophagogastric junction and the quality control].

    Li, S X / Li, Z Y

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2022  Volume 25, Issue 2, Page(s) 120–123

    Abstract: The lower mediastinal lymphadenectomy is indicated for adenocarcinoma of esophagogastric junction (AEG), while the laparoscopic procedure shows some advantages. According to previous studies and results of IDEAL phase 2a study in our institute, the ... ...

    Abstract The lower mediastinal lymphadenectomy is indicated for adenocarcinoma of esophagogastric junction (AEG), while the laparoscopic procedure shows some advantages. According to previous studies and results of IDEAL phase 2a study in our institute, the following structures are recommended as the dissection borders: the upper (cranial) is inferior wall of pericardium and pulmonary ligament; the lower (caudal) is diaphragm hiatus (esophagogastric junction); the front (ventral) is anterior inferior wall of pericardium and diaphragm; the back (dorsal) is anterior wall of aorta; the lateral is mediastinal pleura. The standard of quality control is still under investigation.
    MeSH term(s) Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/surgery ; Esophagogastric Junction/pathology ; Esophagogastric Junction/surgery ; Humans ; Laparoscopy/methods ; Lymph Node Excision/methods ; Quality Control ; Retrospective Studies ; Stomach Neoplasms/surgery
    Language Chinese
    Publishing date 2022-02-17
    Publishing country China
    Document type Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20211221-00518
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: [Future prospect of robotic gastric cancer surgery].

    Yu, P W / Li, Z Y

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2022  Volume 25, Issue 8, Page(s) 682–685

    Abstract: Robotic gastric cancer surgery developed rapidly in recent years and its future prospect has received continuous attention. Compared with traditional laparoscopy, robotic surgery has obvious technical advantages and superior efficacy. Although some ... ...

    Abstract Robotic gastric cancer surgery developed rapidly in recent years and its future prospect has received continuous attention. Compared with traditional laparoscopy, robotic surgery has obvious technical advantages and superior efficacy. Although some problems and deficiencies still exist, robotic gastric cancer surgery will be further popularized with more high-quality evidence-based medicine research and the development of new domestic surgical robots, and therefore bring greater benefits for more patients. We believe that robotic gastric cancer surgery will become the mainstream of minimally invasive surgery for gastric cancer.
    MeSH term(s) Gastrectomy/methods ; Humans ; Laparoscopy/methods ; Minimally Invasive Surgical Procedures/methods ; Robotic Surgical Procedures/methods ; Stomach Neoplasms/surgery
    Language Chinese
    Publishing date 2022-05-26
    Publishing country China
    Document type Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20220507-00201
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: [Quality control in the establishment and management of gastric cancer database].

    Wu, X L / Li, Z M / Shan, F / Li, Z Y

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2024  Volume 27, Issue 2, Page(s) 132–136

    Abstract: The establishment of a high-quality gastric cancer database significantly improves the efficiency and standardization of diagnosis and treatment of this disease. Our center has developed a specialized, single-center gastric cancer database and initiated ... ...

    Abstract The establishment of a high-quality gastric cancer database significantly improves the efficiency and standardization of diagnosis and treatment of this disease. Our center has developed a specialized, single-center gastric cancer database and initiated the China Gastrointestinal Cancer Surgery Union, catalyzing the exploration of multi-center databases. This article encapsulates multi-level experience and provides a detailed overview of the quality control methods we implement in both constructing and managing the gastric cancer database. Utilizing an electronic medical record system and a multi-disciplinary treatment (MDT) approach, we have designed the database in a modular and multi-nodal manner. A synthesis of automatic retrieval of structured data and manual entry, coupled with a rigorous MDT system and real-time supervision at various nodes, bolster our real-time quality control efforts. Ensuring data security and digitized management plans alongside real-time review protocol and a multi-level review system, we maintain the highest standards in the initiation and management of the database. Through the establishment of the China Gastrointestinal Cancer Surgery Union platform, we endorse the concept that multi-center database construction should be driven by research objectives, consider data accessibility, while placing an emphasis on building inter-center consensus on data quality control. Moving forward, it is crucial that the development of multi-center databases promotes uniformity in medical standards across centers, cultivates stable public data sharing platforms, ensures robust data security protocols, routinely conducts data quality assessments, and bolsters multi-center cooperation and exchanges to promote the homogeneity of medical standards.
    MeSH term(s) Humans ; Stomach Neoplasms/surgery ; Stomach Neoplasms/diagnosis ; Gastrointestinal Neoplasms ; Digestive System Surgical Procedures ; Databases, Factual ; Quality Control
    Language Chinese
    Publishing date 2024-02-26
    Publishing country China
    Document type English Abstract ; Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20231119-00179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: [Surveys on diagnosis and treatment of esophagogastric junction adenocarcinoma by the Chinese Laparoscopic Gastrointestinal Surgery Study Group-10 Research Team].

    Li, S X / Li, Z Y / Ji, J F

    Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

    2023  Volume 26, Issue 8, Page(s) 773–779

    Abstract: Objective: ...

    Abstract Objective:
    Language Chinese
    Publishing date 2023-08-14
    Publishing country China
    Document type English Abstract ; Journal Article
    ISSN 1671-0274
    ISSN 1671-0274
    DOI 10.3760/cma.j.cn441530-20221123-00490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: [Prevalence of colorectal cancer in 2020: a comparative analysis between China and the world].

    Yan, C / Shan, F / Li, Z Y

    Zhonghua zhong liu za zhi [Chinese journal of oncology

    2023  Volume 45, Issue 3, Page(s) 221–229

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Humans ; Male ; Female ; Middle Aged ; Prevalence ; China/epidemiology ; Asia/epidemiology ; Incidence ; Colorectal Neoplasms/epidemiology
    Language Chinese
    Publishing date 2023-03-21
    Publishing country China
    Document type English Abstract ; Journal Article
    ZDB-ID 603424-x
    ISSN 0253-3766
    ISSN 0253-3766
    DOI 10.3760/cma.j.cn112152-20221008-00682
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2277: Show issues Location:
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    Zs.MO 321: Show issues

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  9. Article: [Surgical Management of Gastric Cancer in the Era of Immunotherapy].

    Li, Z Y / Jia, Y N / Lu, X X / Guan, G M / Wang, Q

    Zhonghua wai ke za zhi [Chinese journal of surgery

    2024  Volume 62, Issue 5, Page(s) 353–358

    Abstract: With the widespread application of immune checkpoint inhibitors, chemotherapy combined with immunotherapy has shown promising efficacy in the treatment of various cancers. Especially gastric cancer, this strategy is gradually expanding from first-line ... ...

    Abstract With the widespread application of immune checkpoint inhibitors, chemotherapy combined with immunotherapy has shown promising efficacy in the treatment of various cancers. Especially gastric cancer, this strategy is gradually expanding from first-line treatment in advanced stages to perioperative management. Compared to neoadjuvant chemotherapy alone, the combined approach not only improves pathological regression but also leads to better downstaging, which is particularly significant in gastric cancer subsets that are HER2-positive, mismatch repair deficient, PD-L1 combined positive score ≥5, or EB virus-positive. This combined treatment has made it possible to reduce the extent of gastrectomy, perform function-preserving surgeries, or even consider non-surgical strategies. Currently, exploring the optimal protocols for combining immune checkpoint inhibitors with chemotherapy, identifying potential indications for function-preserving surgery, improving surgical methods, and developing non-surgical strategies represent key issues in the surgical management of gastric cancer in the era of immunotherapy.
    Language Chinese
    Publishing date 2024-03-27
    Publishing country China
    Document type English Abstract ; Journal Article
    ZDB-ID 604573-x
    ISSN 0529-5815
    ISSN 0529-5815
    DOI 10.3760/cma.j.cn112139-20240220-00075
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2469: Show issues Location:
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    Zs.MO 218: Show issues

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  10. Article: [Real-time localization for port-implanted catheter tip by echocardiographic guidance].

    Guo, L J / Bai, Y Z / Li, Z Y / Zhao, P L / Luo, B

    Zhonghua yi xue za zhi

    2024  Volume 104, Issue 14, Page(s) 1184–1187

    Abstract: The clinical data of 23 patients undergoing real-time echocardiography-guided infusion port implantation in the Breast Center of Tsinghua Changgung Hospital in Beijing from January to July 2021 were analyzed. The length of catheter insertion L1 was ... ...

    Abstract The clinical data of 23 patients undergoing real-time echocardiography-guided infusion port implantation in the Breast Center of Tsinghua Changgung Hospital in Beijing from January to July 2021 were analyzed. The length of catheter insertion L1 was initially estimated using surface measurement method in all patients. Intraoperatively, transthoracic echocardiography was applied using the parasternal four-chamber view to visualize the catheter image within the right atrium, and the length of catheter insertion L2 was recorded under the guidance of echocardiography. Postoperatively, chest radiographs were taken in the upright position to observe the position of the catheter tip. According to chest CT scans, the ideal length (L) for catheter tip placement was calculated when it was located at the junction of superior vena cava and right atrium. Bland-Altman scatter plot analysis and linear regression fitting test were used on L1 and L2 respectively with L to evaluate the consistency. A total of 23 patients were included in this study, among which one case of left breast cancer patient undergoing breast-conserving surgery had difficulty in identifying the catheter tip position due to residual pleural effusion obscuring the imaging of the cardiac apex four-chamber view. In 22 patients, the results of intraoperative ultrasound imaging were good, including 1 case of catheter ectopic to azygos vein, and 21 cases of right atrial catheter could be detected by ultrasound. Statistical analysis showed that there was a good consistency between L1 and L, L2 and L, and the difference between them was d=0.28 cm (95%
    MeSH term(s) Adult ; Humans ; Catheterization, Central Venous ; Catheters, Indwelling ; Central Venous Catheters ; Echocardiography/methods ; Vena Cava, Superior/diagnostic imaging ; Female
    Language Chinese
    Publishing date 2024-04-06
    Publishing country China
    Document type English Abstract ; Journal Article
    ZDB-ID 132513-9
    ISSN 0376-2491
    ISSN 0376-2491
    DOI 10.3760/cma.j.cn112137-20230905-00390
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2011: Show issues Location:
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