ABSTRACT
Objective To analyze the diagnosis and compound therapy of male breast cancer.Methods 33patients with male breast cancer were admitted and their documents were retrospectively analyzed.Results Follow up to December 2008.2 patients had recurrence,11 patients had distant metastases.Conclusion Male breast cancer is an uncommon disease.The diagnosis is mainly taken on postoperative pathology,ancillary lymph node metastasis is the main factor of prognosis.Combined therapy probably could improve the survival rate.
ABSTRACT
Objective To Summarize experiences in the treatment of serious injury of pancreas using damage control laparotomy. Methods Retrospectively analyze the choice of surgical method and follow-up treatments on 38 patients cured by DCL,who were in serious injury of pancreas. Results 12 cases(32%) were stanched, surgical debrided and drainage quickly,6 cases(16%) were treated with improved Cogbill operation,and 20 cases(S3% ) were treated with pancreateduodenectomy without reconstruction of enteron. After recovery in SICU, all patients were treated with deterministic operation again. Totally 4 cases(11%) died,with no relation with surgical operation,and 34 cases (89%) were cured. Pancreatic fistula occurred in 4 patients(11% ) ,all of which have been cured with conservative treatment. Conclusion Patients with serious injury of pancreas in accordance with DCL, should choose proper method and take fractionated operation,based on different places and extent of the injury of pancreas.