Congenital Heart Surgery with Fast Track Hospital Discharge / 대한흉부외과학회지

BACKGROUND: Recently, reports show that minimally invasive cardiac surgery is effective in shortening the hospital stay. We reviewed the patients who underwent repair of their congenital heart anomalies under ministernotomy approach and were discharged within 5 days. MATERIAL AND METHOD: In this study, we included two groups : Group I were 29 patients who underwent minimally invasive cardiac surgery from November 1998 to July 1999(FT group), and Group II were 29 patients who underwent cardiac surgery via median sternotomy from January 1997 to May 1997(conventional group). We compared these two groups. All patients had similar disease categories and underwent the operation by the same surgeon. RESULT: The mean hospital stay in FT group was significantly shorter than conventional group(4.5 vs. 9.1 days, p0.05, n=29). CONCLUSION: Our protocol of fast track hospital discharge could shorten the hospital stay without complications. However, the economic benefit remains to be determined.

Estimation of Surgical Effect of Giant Cell Tumor of Bone in Children / 实用儿科临床杂志

Objective To estimate the effects of different surgical treatments of giant cell tumor of bone(GCTB) of long bone in children.Methods The effects of surgical treatment of 15 cases suffered from GCTB were observed.The tumors were rated according to the system of Enneking classification,stageⅠwas managed with a curettage combined with local adjuvant treatment and filled by allograft bone or with curettage and filled by cement of bone.StageⅡb was treated by en bloc resection followed by reconstruction with large segment bone of allograft.The follow-up was given in all patients.Results The follow-up period was 7 years(ranged 2-16 years).In all 15 children patients with GCTB,there were 13 children in stageⅠ,9 patients with curettage combined with local adjuvant treatment and allograft bone showed good bone knitting and rehabilitation without deformity and functional problem and locally recurred;4 patients with curettage and filled by cement of bone showed 2 cases locally recurred.Two children in stageⅡb treated by en bloc resection followed by reconstruction with large segment bone of allograft were perfectly incorporated without evidence of obvious immune rejection,collapse,fracture and locally recurred,but the limb-suffered was short about 2 cm.Conclusions Stage Ⅰtreated by a curettage combined with local adjuvant treatment and filled by allograft bone can get good effect,but only treated by a curettage and filled by cement of bone has 50% locally recurred.TheⅡb treated by en bloc resection followed by reconstruction with large segment bone of allograft might influence the limb growth,but without locally recurred.