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1.
Chinese Journal of Surgery ; (12): 481-487, 2019.
Article in Chinese | WPRIM | ID: wpr-772323

ABSTRACT

The standardized application of antibacterial agents in the treatment of biliary tract diseases is of great significance.On the basis of international and domestic guidelines and consensuses, combining with the actual situation of Chinese biliary tract infection, Study Group of biliary Tract Surgery in Chinese Society of Surgery of Chinese Medical Association and Enhanced Recovery After Surgery Committee of Chinese Research Hospital Association and Editorial Board of Chinese Journal of Surgery organized experts to make recommendations which adopted a problem-oriented approach on the severity grade of biliary tract infection, the protocol of specimen examination, the use of antibiotics, the indication of drug withdrawal, the agents application strategy of drug-resistant bacteria infection and special situation to guide surgeons getting the accurate judgement of the severity of biliary tract infection and the formulation of standard protocols for the use of antibacterial agents on the premise of following the bacteriological and drug resistance monitoring information.


Subject(s)
Humans , Anti-Bacterial Agents , Reference Standards , Therapeutic Uses , Bacterial Infections , Drug Therapy , Microbiology , Bile Duct Diseases , Drug Therapy , Microbiology , Biliary Tract , Microbiology , Biliary Tract Surgical Procedures , Consensus
2.
Chinese Journal of Surgery ; (12): 561-567, 2019.
Article in Chinese | WPRIM | ID: wpr-772322

ABSTRACT

Radical resection is the only curable treatment for perihilar cholangiocarcinoma.With the continuous renewal of laparoscopic instruments and the continuous improvement of technology, laparoscopic radical resection of perihilar cholangiocarcinoma has been gradually carried out in China, and its feasibility and safety have been recognized by some domestic peers. In order to standardize clinical diagnosis and treatment behavior, ensure patients receive safe and standardized treatment and improve prognosis, so that the operation can be standardized application and development. Based on the principles of treatment of perihilar cholangiocarcinoma and the corresponding technical norms of laparoscopic operation, the Expert Group on Operational Norms of Laparoscopic Radical Resection of Perihilar Cholangiocarcinoma and Editorial Board of Chinese Journal of Surgery have organized relevant domestic experts to formulate expert recommendations for laparoscopic radical resection of perihilar cholangiocarcinoma, so as to facilitate clinical practice and standardized application.


Subject(s)
Humans , Bile Duct Neoplasms , General Surgery , Cholangiocarcinoma , General Surgery , Hepatectomy , Methods , Reference Standards , Klatskin Tumor , General Surgery , Laparoscopy , Reference Standards
3.
Chinese Journal of Surgery ; (12): 881-884, 2018.
Article in Chinese | WPRIM | ID: wpr-773016

ABSTRACT

In order to standardize the surgical care and perioperative management for patients with cervical spondylosis, the Editorial Board of has organized the several meetings with certain experienced spine surgeons regarding prevent complications related to surgical procedure, ensure the treatment safety as well as in improving the outcome efficacy. In the meantime, the relevant focused issues and repeated consulting have been reviewed and presented on a larger spectrum. By 2 years efforts, the consensus has been developed for patients with different types of cervical spondylosis. The principle of surgical treatment, including surgical approach, operating procedures, technical consideration, the patient selection and evaluation criteria of cervical spondylosis have been elucidated. The decision-making and management have been also recommended during preoperative, intraoperative, and postoperative respectively. For the controversies of surgical strategy and related clinical issues of cervical spondylosis, the principled and guided advices have been addressed. Due to certain limitation, this consensus is only attempted to provide a recommend conclusion either for the clinical practice or related studies in treatment strategy for patients with cervical spondylosis. This consensus only provides academic guidance.


Subject(s)
Humans , Cervical Vertebrae , Consensus , Postoperative Period , Spinal Fusion , Spondylosis , General Surgery , Treatment Outcome
4.
Chinese Journal of Surgery ; (12): 401-402, 2018.
Article in Chinese | WPRIM | ID: wpr-691088

ABSTRACT

Cervical spine surgery with many focus and heated topics has gained increasing attention in the field of spine surgery. The surgical treatment has been widely adopted for routine treatment of cervical spondylosis in the various hospitals. According to the progressive research in recent years, the Editorial Board of Chinese Journal of Surgery convened related experts and organized in-depth discussions to standardize the diagonosis, classification and non-surgical treatment of cervical spondylosis, based on the summary of symposiums focusing on cervical spine, published in Chinese Journal of Surgery in 1984, 1992 and 2008 respectively. The consensus was finally reached following the summary of the basic concepts and controversial issues, which included increased accuracy in the definition and treatment principles of cervical spondylosis. In this consensus, the revision and modification of the classification and diagnostic criteria of cervical spondylosis was concerned as well as the basic principles and methods of non-surgical treatment of cervical spondylosis.This consensus only provides academic guidance.

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